• Title/Summary/Keyword: Nerve stimulator

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Stimulus Artifact Suppression on the type of Nerve Stimulator (신경자극기 형태에 따른 자극 Artifact 제거 방법에 대한 연구)

  • 유세근;민병관
    • Journal of Biomedical Engineering Research
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    • v.14 no.3
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    • pp.251-256
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    • 1993
  • The conduction velocity of the nerve is of importance to the diagnosis of various negromuscular disorders. A major technical problem encountered in nerve stimulation technique is the control of stimulus artifact and the convenience of nerve stimulator. The remained artifacts must be removed by processing the contaminated signal. This paper discusses about the artifact cancellation algorithms in constant voltage type nerve stimulator(CVS) and constant current type nerve stimulator(CCS).

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Ultrasonography-Combined with Nerve Stimulator Technique for Injection of the Genitofemoral Nerve in a Patient with Chronic Postoperative Inguinal Pain (수술 후 서혜부 만성 통증에서 신경 자극기를 이용한 초음파 유도하 음부대퇴신경 차단술)

  • Oh, Young-Bin;Shin, Hyun Baek;Ko, Myoung-Hwan;Seo, Jeong-Hwan;Kim, Gi-Wook
    • Clinical Pain
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    • v.18 no.1
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    • pp.36-39
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    • 2019
  • Chronic postoperative inguinal pain (CPIP) is a major complication after inguinal herniorrhaphy. We report the treatment of CPIP using ultrasonography-combined with nerve stimulator for injection of the genitofemoral nerve (GFN). A 59-year-old man underwent laparoscopic herniorrhaphy and presented with numbness from the inguinal region to the scrotum after operation. In the pain clinic, ultrasonography-guided GFN block and pharmacological treatments had little effect. Six month after operation, patient was referred to the Department of Physical Medicine and Rehabilitation, and ultrasonography-combined with nerve stimulator for GFN injection underwent to enhance the accuracy of neural approach. The induction of scrotal contraction and paresthesia on the GFN distribution was monitored by nerve stimulator and local anesthetic was injected. After the block, pain relief lasted for 6 months without analgesic use. Ultrasonography-combined with nerve stimulator is an effective approach to treat CPIP as it enhances precise localization and injection of small peripheral nerve like GFN.

The Magnetic Nerve Stimulator Using a Switching Mode Power Supply (스위칭전원을 이용한 자기신경자극기)

  • Lee, Su-Yeol;Lee, Seong-Geun;Lee, Jeong-Han
    • Journal of Biomedical Engineering Research
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    • v.16 no.3
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    • pp.265-270
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    • 1995
  • An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for chArging high voltage cApacitors, the weight and size of the magnetic net've stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec Experimental results of human nerve stimulations using the developed stimulator are presented.

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A Case of Pneumothorax after Phrenic Nerve Block with Guidance of a Nerve Stimulator

  • Beyaz, Serbulent Gokhan;Tufek, Adnan;Tokgoz, Orhan;Karaman, Haktan
    • The Korean Journal of Pain
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    • v.24 no.2
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    • pp.105-107
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    • 2011
  • Hiccups have more than 100 etiologies. The most common etiology has gastrointestinal origins, related mainly to gastric distention and gastroesophageal reflux disease. Intractable hiccups are rare but may present as a severe symptom of various diseases. Hiccups are mostly treated with non-invasive or pharmacological therapies. If these therapies fail, invasive methods should be used. Here, we present a patient on whom we performed a blockage of the phrenic nerve with the guidance of a nerve stimulator. The patient also had pneumothorax as a complication. Three hours after intervention, a tube thoracostomy was performed. One week later, the patient was cured and discharged from the hospital. In conclusion, a stimulator provides the benefit of localizing the phrenic nerve, which leads to diaphragmatic contractions. Patients with thin necks have more risk of pneumothorax during phrenic nerve location.

Stimulus artifact suppression on the type of Nerve Stimulator. (신경지극기 형태에 따른 자극 Artifact 제거 방법에 대한 연구)

  • Yoo, S.K.;Min, B.G.;Kim, J.W.;Kim, J.W.;Kim, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1992 no.05
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    • pp.209-212
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    • 1992
  • A major technical problem in encountered in nerve stimulation technique is the control of stimulus artifact and the convenience of nerve stimulator. The artifacts remained must be removed by processing the contaminated signal. This paper discusses about the artifact cancellation algorithms in constant voltage type nerve stimulator(CVS) and constant current type nerve stimulator(CCS).

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Functional Neuromuscular Stimulation for Paraplegic Standing (FNS를 사용한 하반신마비자의 일어서기)

  • Khang, Gon
    • Journal of Biomedical Engineering Research
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    • v.11 no.1
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    • pp.1-4
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    • 1990
  • An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented.

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A Study on Realization of the Magnetic Nerve Stimulator (자기신경자극기 구현에 관한 연구)

  • Lee, Soo-Yeol;Lee, Seong-Keun;Yi, Jeong-Han
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.57-60
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    • 1995
  • An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Experimental results of human nerve stimulations using developed stimulator are presented.

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Phrenic Nerve Stimulation for Diaphragm Pacing in a Quadriplegic Patient

  • Son, Byung-Chul;Kim, Deog-Ryung;Kim, Il-Sup;Hong, Jae Taek
    • Journal of Korean Neurosurgical Society
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    • v.54 no.4
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    • pp.359-362
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    • 2013
  • Chronic hypoventilation due to injury to the brain stem respiratory center or high cervical cord (above the C3 level) can result in dependence to prolonged mechanical ventilation with tracheostomy, frequent nosocomial pneumonia, and prolonged hospitalization. Diaphragm pacing through electrical stimulation of the phrenic nerve is an established treatment for central hypoventilation syndrome. We performed chronic phrenic nerve stimulation for diaphragm pacing with the spinal cord stimulator for pain control in a quadriplegic patient with central apnea due to complete spinal cord injury at the level of C2 from cervical epidural hematoma. After diaphragmatic pacing, the patient who was completely dependent on the mechanical ventilator could ambulate up to three hours every day without aid of mechanical ventilation during the 12 months of follow-up. Diaphragm pacing through unilateral phrenic nerve stimulation with spinal cord stimulator was feasible in an apneic patient with complete quadriplegia who was completely dependent on mechanical ventilation. Diaphragm pacing with the spinal cord stimulator is feasible and effective for the treatment of the central hypoventilation syndrome.

Guidance of Nerve Stimulator and Ultrasound for Transforaminal Epidural Steroid Injection in Lumbosacral Radicular Pain : A Single Institution Experience in Vietnam

  • Viet-Thang Le;Chi Hue Nguyen;Phuoc Trong Do;Anh Minh Nguyen;Khoi Hong Vo
    • Journal of Korean Neurosurgical Society
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    • v.67 no.2
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    • pp.194-201
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    • 2024
  • Objective : This study aimed to evaluate the clinical feasibility of the combination of ultrasound and nerve stimulator guidance in transforaminal epidural steroid injections (TESIs) to manage lumbosacral chronic radicular pain. Methods : Using the combination of nerve stimulator and ultrasound guidance, TESIs were performed in 125 segments of 78 patients who presented with chronic lumbar radicular pain. Demographic characteristics and surgical outcomes were recorded on admission, pre-procedural and post-procedural for 1-week, 1-month, 3-month, and 6-month follow-ups. The result was measured using the Numeric rating scale (NRS) and Oswestry disability index (ODI). Results : Patients who received TESIs showed significant improvements on two evaluation tools (NRS, ODI), compared to that before procedure (p<0.001). No significant complications were observed for 6 months' follow-up. Conclusion : The result suggests that a combination of ultrasound and nerve stimulator guidance in transforaminal epidural injections is safe, reliable and effective for short-term management of lumbar disc herniation. It is a promising technique and has shown good results in providing intermediate pain relief.