CPC A61B 5/4893 (2013.01) [A61B 5/24 (2021.01); A61B 5/296 (2021.01); A61B 5/389 (2021.01); A61B 5/4064 (2013.01); A61B 2018/1253 (2013.01); A61B 2018/126 (2013.01)] | 23 Claims |
1. A method of using cortical stimulation to assess neural structures during a surgical procedure, the method comprising:
providing an intraoperative neurophysiological monitoring (IONM) system comprising at least one probe, at least one reference electrode, at least one strip electrode or grid electrode, at least one sensing electrode, a stimulation module and a handle having a proximal end configured to connect to the stimulation module and a distal end configured to attach to the at least one probe, wherein the handle comprises a first visual indicator, a second visual indicator, and an actuator configured to automatically switch the stimulation module between a first mode of operation and a second mode of operation depending upon a type of the at least one probe, and wherein the first mode of operation is a bipolar mode and the second mode of operation is a monopolar mode;
placing the at least one reference electrode in a perimeter of a surgical field of a patient;
positioning the at least one probe and/or the at least one strip electrode or grid electrode at target locations on the anatomy of said patient;
preparing for recordation of said patient's responses to stimulation by positioning said at least one sensing electrode on said patient's anatomy;
initiating a stimulation protocol in accordance with the automatically selected first mode of operation or second mode of operation;
adjusting stimulation parameters of the stimulation protocol to determine a threshold response; and
assessing the neural structures based on said threshold response, wherein assessing comprises determining whether the patient's anatomy is functioning in a manner indicative of an underlying disease.
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