CN104619379A - Electric stimulation device - Google Patents

Electric stimulation device Download PDF

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Publication number
CN104619379A
CN104619379A CN201380047867.6A CN201380047867A CN104619379A CN 104619379 A CN104619379 A CN 104619379A CN 201380047867 A CN201380047867 A CN 201380047867A CN 104619379 A CN104619379 A CN 104619379A
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CN
China
Prior art keywords
electrode
electrical stimulation
output
stimulation device
unit
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Pending
Application number
CN201380047867.6A
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Chinese (zh)
Inventor
藤田有
永山圭吾
下山贤士
都筑常明
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Og Giken Co Ltd
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Og Giken Co Ltd
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Application filed by Og Giken Co Ltd filed Critical Og Giken Co Ltd
Publication of CN104619379A publication Critical patent/CN104619379A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37252Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/37264Changing the program; Upgrading firmware

Abstract

The invention provides an electric stimulation device that is superior in operability, safety, space conservation, and reduced cost. The present invention is provided with: output circuits (6b1-6bn) that supply an electric stimulation output to a plurality of sets of electrodes (71a, 71b to 7na, 7nb),and electrode mounting detection circuits (6c1-6cn) that detect that each electrode is mounted to a human body. One output adjuster (3) is provided that adjusts output by means of a manual operation, and the output adjuster (3) is configured in a manner so as to be able to simultaneously adjust or individually adjust the output to the plurality of sets of electrodes by means of the mounting to a human body being recognized before starting output.

Description

Electrical stimulation device
Technical field
The present invention relates to the electrical stimulation device giving electrical stimulation current to treat to human body.
Background technology
This type of electrical stimulation device existing has various.Patent Document 1 discloses a kind of electrical stimulation device, this electrical stimulation device possesses: interlock/stand-alone mode switch unit; Export adjustment driver element; Target exports configuration part; Driver element control part, drives output adjustment driver element when linkage pattern, exports consistent to make multiple output with target; And recovery unit, when meeting linkage pattern termination condition, automatically restore to stand-alone mode.
Patent Document 2 discloses a kind of electrical stimulation device, this electrical stimulation device possesses the detecting unit detected the interelectrode electrical conductivity being installed on affected part, and be configured to: inspection electric current can be made before treatment to flow through between this electrode, to utilize described detecting unit, interelectrode electrical conductivity is detected, and according to the electrical conductivity detected, be be mounted or be not mounted or bad identification is installed to required electrode.
Patent Document 3 discloses a kind of electrical stimulation device, the output of each efferent is set as suitable intensity when treating beginning and detects the output of each efferent by this electrical stimulation device, utilize control part to control described each efferent, the ratio of the output intensity of each efferent obtained when starting with treatment to make the ratio of the output intensity of each efferent in stimulating course is identical.
Patent Document 4 discloses a kind of electrical stimulation device, this electrical stimulation device is connected to or is not connected to organism to each electrode before the use and electrically detects, when two are connected to organism to above electrode, sine wave output electric current, when pair of electrodes is connected to organism, export the interference low frequency produced in interference low-frequency therapy apparatus inside.
Patent documentation 1: Japanese Unexamined Patent Publication 2000-325487 publication
Patent documentation 2: Japanese Unexamined Patent Publication 9-84885 publication
Patent documentation 3: Japanese Unexamined Patent Publication 2005-168642 publication
Patent documentation 4: Japanese Unexamined Patent Publication 2006-141695 publication
In above-mentioned existing electrical stimulation device, existing problems in following " operability ", " safety ", " saving space/reduction cost ".
(operability)
Due to cannot automatically identify can simultaneously to which passage carry out output adjustment, therefore need manually to operate to identify, trouble and bothersome.If do not had the knack of the operational approach of equipment at that time, be then difficult to distinguish.If electrode is not properly installed in human body, then suitable treatment cannot be carried out.In addition, owing to being provided with multiple output controller, be therefore difficult to when linkage pattern distinguish which is goal setting output controller.In addition, after starting treatment, if be switched to stand-alone mode from linkage pattern, then because output adjusting method changes in treatment way, be therefore difficult to distinguish using method itself.In addition, to go forward side by side the electricity that works for identifying the suitable treatment condition of the electrode setting that is installed in human body although exist, the electrode not being installed in human body is not then carried out to the technology be energized, but owing to being provided with multiple output controller, therefore the whole electrodes to being installed on human body are needed to carry out Drazin inverse individually, bothersome in adjustment, or, even if be equipped with output linkage function, be also difficult to distinguish which output controller is operated.
(safety)
After linkage pattern is removed and is switched to stand-alone mode, when in order to carry out Drazin inverse by hands near output controller time, if hands misconnection contacts the output controller of other passages, then the output variation do not expected can act on patient, and this is extremely dangerous.In addition, even if carry maximum output inhibit feature as this countermeasure, still leave over target and export above output action in the probability of patient, this is also dangerous.In addition, if be arranged so that cannot be adjusted to target after some period of time exports above locking mechanism, then when treat don't fail to carry out Drazin inverse in way time, need the operation of carrying out locking mechanism to remove or the reply such as to do over again from first, comparatively loaded down with trivial details.
(saving space/reduction cost)
In order to realize exporting interlock, need, to each being equipped with in multiple output controllers, to arrange the drive division driven output controller, except device is complicated and except costliness, also with the risk that failure-frequency increases.Hypothesis driven portion breaks down, then export linkage function become and cannot use, produce the necessity that multiple output controller is regulated individually, when under linkage pattern accustomed user time, be difficult to carry out Drazin inverse to obtain appropriate treatment sense.In addition, because output controller is arranged by each passage, therefore device can maximize, and is difficult to guarantee space in narrow facility.In addition, do not exist and same interface can be utilized to carry out the equipment of low frequency, intermediate frequency, disturbing wave treatment, user needs the therapeutic instrument buying low frequency, intermediate frequency, disturbing wave treatment individually, except equipment installation space and introducing cost increase, also need the using method haveing the knack of each equipment, this becomes the obstacle of introducing equipment.And then, have in the electrical stimulation device of multiple passage existing, because output controller is required for each passage, therefore remote operation unit miniaturization cannot be made, need at each channel setting wireless remote control, exist process numerous and diverse, carry difficulty etc. inconvenience, do not enter into practical.
Summary of the invention
Because above-mentioned existing problem, the object of the present invention is to provide a kind of at operability, safety and the electrical stimulation device saving excellence in space/reduction cost.
In order to achieve the above object, the feature of invention according to claim 1 is to possess: output circuit in the present invention, and the output of electricity irritation is supplied to multi-group electrode; And electrode installs detecting unit, be installed in human body to described each group of electrode to detect, and described electrical stimulation device is provided with an output controller, described output controller regulates based on the output of manual operation to described output circuit, described output controller is before the described output from described output circuit starts, and the output of each group of electrode after simultaneously the installation of described electrode can being detected to described electrode installation detecting unit regulates.In this case, described output is voltage or electric current.
According to claim 1, by electrode, detecting unit is installed, the combination simultaneously should carrying out multiple electrodes of Drazin inverse is automatically recognized, carry out Drazin inverse due to an output controller can be utilized simultaneously, therefore be easy to distinguish using method, and do not need the use haveing the knack of equipment, whoso can both use simply.
In addition, after confirmation electrode is installed, owing to just completing energising operation by means of only operating an output controller, therefore without difficulty, alleviate the pressure causing accident to occur by mistake, operator, patient can both use relievedly.
And then compared with the structure by each channel setting output controller, device can miniaturization, structure is also simple and fault is also few, manufactures and management cost reduction.
Moreover, compared with the structure by each channel setting output controller, do not worry that hands misconnection contacts the output controller of other passages and to make and undesirable output variation acts on patient.
The feature of invention according to claim 2 is, the output of output controller to multi-group electrode can be utilized to regulate individually.The feature of invention according to claim 3 is, is provided with channel selection unit.
According to the claims 2,3, the output of output controller to multi-group electrode can be utilized to regulate individually, therefore according to the expectation of user and patient, the output of a part of electrode can also be changed over the course for the treatment of, or just carry out Drazin inverse individually from first.
The feature of invention according to claim 4 is, is provided with Therapeutic mode selection unit.According to claim 4, same interface can be utilized to use the electronic stimulation of diversified treatment condition, and be therefore easy to distinguish using method, without the need to haveing the knack of the use of equipment, whoso can both use simply.
The feature of invention according to claim 5 is, by Therapeutic mode selection unit, can select the pattern of low-frequency therapeutic, disturbing wave treatment, intermediate frequency therapy.
According to claim 5, same interface can be utilized to use the electronic stimulation of diversified treatment condition, and be therefore easy to distinguish using method, without the need to haveing the knack of the use of equipment, whoso can both use simply.
In addition, according to claim 5, with buy multiple stage low-frequency therapeutic individually, compared with the situation of therapeutic instrument that intermediate frequency therapy, disturbing wave are treated, space-saving, can especially reduce introducing expense.And then, generally speaking in the medical facilities introducing electric therapeutic apparatus, making not allow patient wait and can treat more patient is a problem, if particularly introduce therapeutic instrument according to claim 5, then for multiple patient or affected part, low-frequency therapeutic can be carried out simultaneously, intermediate frequency therapy, the diversified treatments such as disturbing wave treatment, if therefore introduce this device of multiple stage, even if then occur that the patient such as the purpose of low-frequency therapeutic concentrates such phenomenon, the waiting time of patient also significantly cuts down, the evaluation of medical facilities improves thus utilizes the patient of these medical facilities to increase, and by treating more patient efficiently, the effect improving medical facilities income can also be expected.
The feature of invention according to claim 6 is, is provided with electrode and installs detection releasing and/or channel selecting lifting unit.
According to claim 6, installed by electrode and detect lifting unit and/or channel selecting lifting unit, even if when such as user wishes to use this using method because haveing the knack of the using method of existing therapeutic instrument, or wish that when treating multiple affected parts of a patient situation of carrying out inching to the size exported according to affected part is inferior, also according to the expectation of user and patient, can use samely.
The feature of invention according to claim 7 is to have following function: described channel selecting lifting unit described output beginning or regulate after, if carry out switching manipulation or through certain hour, then channel selecting removed.
According to claim 7, after the beginning or adjustment of described output, the "on" position of this passage can be kept in simple operation, do not worry that hands misconnection contacts output controller and makes output change, treatment can be proceeded relievedly.
The feature of invention according to claim 8 is, there is following function: after the beginning or adjustment of described output, if the installation of the electrode of new passage detected, then change the passage being connected with this electrode into channel selecting state, and the channel selecting being connected with the passage of the beginning of having carried out described output or each group of electrode after regulating is removed by described channel selecting lifting unit.
According to Claim 8, even if when wishing newly to be energized to different patients or object position after such as starting energising, maintaining under the state having started the output carrying out the electrode be energized, just only Drazin inverse can be carried out to this electrode by means of only new installing electrodes, thus also can be easy and use relievedly.
The feature of invention according to claim 9 is to have following function: after the installation of the electrode of the passage in described output procedure comes off, even if again install this electrode and detect that electrode is installed, also do not change channel selecting state into.
According to claim 9, peeling off or loose contact etc. and the misoperation produced because of electrode can be prevented.
The feature of invention according to claim 10 is, is provided with electrode sets determining unit, and described electrode sets determining unit is determined to which the group electrode in described multi-group electrode to combine.In addition, the feature of invention according to claim 11 is, by detecting through certain hour to Drazin inverse from starting to carry out while, determines the combination of multiple electrode.
According to claim 10 and 11, by determining the combination of multiple electrode, when such as two people carry out energising preparation or carry out energising preparation to different therapentic part simultaneously simultaneously, also the combination of multiple electrode reliably can be determined by each treatment target patient or each object position, even if the electrode therefore installed is on the way once come off, also do not worry the mistake identification of combination of electrodes, safety improves further.
The feature of invention according to claim 12 is, is provided with electrode and selects display unit and/or electrode sets display unit.
According to claim 12, display unit and/or electrode sets display unit is selected by electrode, the combination of the multiple electrodes for treatment target patient or object position can be confirmed at a glance, therefore, it is possible to easily carry out safety verification, can use more relievedly.
The feature of invention according to claim 13 is, by remote operation unit, can carry out operated from a distance.In addition, the feature of invention according to claim 14 is, by described remote operation unit, radio communication can be utilized to carry out described operated from a distance.In addition, the feature of invention according to claim 15 is, remote operation unit is provided with the function that treatment starts and/or treats end operation.
According to the claims 13 ~ 15, do not connect the line of remote operation unit and electrical stimulation device main body, operator can carry or mobile remote operation unit, no matter can both carry out the confirmation of the operations such as the start/stop for the treatment of and Drazin inverse and treatment situation wherein, therefore can not be driven by the layout of electrical stimulation device periphery, on one side care of patients can carry out treatment start/stop and the Drazin inverse operation of electrical stimulation device on one side, operator can utilize far-end supervision to carry out other business in treatments period.
In addition, according to claim 13 ~ 15, further, without the need to minding the path etc. that the length and carrying out of connecting line connects up, freely layout can be carried out to the position and actual position for the treatment of that arrange electrical stimulation device.Therefore, by making the setting position of electrical stimulation device main body become hands out of reach position from the position of carrying out treating, patient's maloperation switch or volume (ボ リ ュ ー system) can also be avoided and the unsafe condition such as to have an accident, safer.
The feature of invention according to claim 16 is, remote operation unit is provided with an output controller utilizing the output of manual operation to described output circuit to regulate.
According to claim 16, even if be multiple passage, output controller is also one, and therefore remote operation unit can miniaturization.
The feature of invention according to claim 17 is, remote operation unit is provided with the function terminating notification and/or abnormal notification.
According to claim 17, even if utilize far-end to monitor in treatments period carry out other business, also can identify treatment immediately and terminate or there occurs exception.
The feature of invention according to claim 18 is, described remote operation unit is provided with the function of channel selecting operation and/or selector channel display.
According to claim 18, one is had to the electrical stimulation device of multiple passage, a remote operation unit can be utilized to carry out the operation of each passage.
The feature of invention according to claim 19 is, remote operation unit is provided with the function that output mode selects operation and/or output mode display.
According to claim 19, even if leave from electrical stimulation device or patient, also can grasp always and carry out which type for the treatment of.
The feature of invention according to claim 20 is, remote operation unit is provided with automatic power closing function.
According to claim 20, battery supply can be maintained for a long time.
The feature of invention according to claim 21 is, described remote operation unit is provided with and stores when closing the power supply of described remote operation unit the setting content for the treatment of condition and running-active status and show the function of setting content last time when power supply recloses.
According to claim 21, even if carry out automatic power closedown, if power supply recloses, then also can grasp and carry out which type for the treatment of.
According to the present invention, can provide a kind of at operability, safety and the electrical stimulation device saving excellence in space/reduction cost.
Accompanying drawing explanation
Fig. 1 is the outside drawing of the electrical stimulation device involved by embodiments of the present invention.
Fig. 2 is the operation display part of the electrical stimulation device of Fig. 1, the structure chart of master control part and circuit etc.
Fig. 3 illustrates the figure to human body installing electrodes.
(a) ~ (c) of Fig. 4 is each output waveform figure under low-frequency therapeutic pattern.
(a), (b) of Fig. 5 is each output waveform figure under intermediate frequency therapy pattern.
(a) ~ (c) of Fig. 6 is each output waveform figure under disturbing wave Therapeutic mode.
Fig. 7 is the structured flowchart of remote manipulator.
Detailed description of the invention
Below with reference to the accompanying drawings electrical stimulation device involved by embodiments of the present invention is described.With reference to figure 1, the electrical stimulation device 1 of embodiment possesses: operation display part 2, can carry out the various operation that illustrates with reference to the figure that figure 2 is later and various display; An output controller 3, is operated when carrying out the Drazin inverse relevant with electronic stimulation; And electrode wires connecting portion 4, connect and omit illustrated electrode wires in FIG.Electrical stimulation device 1 can carry out electronic stimulation according to the operation coming from operation display part 2, and as apparatus main body, can carry out the communication relevant with electronic stimulation between remote manipulator 100 described later, carries out electronic stimulation.In addition, it is board-like that operation display part 2 is preferably touch surface, but be not limited thereto.Output controller 3 is operated when carrying out Drazin inverse in a manual manner by user, as operation format, for holding and the knob rotated, but can be not limited thereto.This on electrode wires connecting portion 4, the electrode wires corresponding to port number can be connected, as long as but can linking number be that more than port number is then any.
If describe electrical stimulation device 1 in detail with reference to figure 2, then this electrical stimulation device 1 possesses: operation display part 2, output controller 3, master control part 5, output detections portion 6 and multi-group electrode 71a, 71b; ~; 7na, 7nb.This group number can be more than two, arbitrarily and without particular limitation of.
Operation display part 2 possesses: channel selection unit 8, Therapeutic mode selection unit 9, electrode are installed and detected lifting unit 10, channel selecting lifting unit 11, electrode sets determining unit 12, electrode selection display unit 13, electrode sets display unit 14, treatment beginning unit 15, treatment end unit 16 and Drazin inverse determining unit.
Among above-mentioned each unit, channel selecting, Therapeutic mode are selected, electrode is installed each unit 8 ~ 12,15 ~ 17 that detection is removed, channel selecting is removed, electrode sets is determined, treatment starts, treatment terminates and Drazin inverse is determined and can be shown by the mode that finger touch carries out operating on the panel picture of operation display part 2 with user etc., further, display unit 13,14 is displayed on panel picture.
Master control part 5 has output regulation signal from output controller 3 input, and has various operation signal from operation display part 2 input, on the other hand shows signal is outputted to operation display part 2.Master control part 5 is responded by CPU and comes from the operation signal of operation display part 2 or output regulation signal and the various programs relevant with electrical stimulation device that store in execute store, and shows signal is outputted to operation display part 2, and carry out required display by operation display part 2.
Output detections portion 6 possesses waveform generating circuit 6a1 ~ 6an, output circuit 6b1 ~ 6bn and electrode mounting testing circuit 6c1 ~ 6cn for each passage (ch1 ~ chn).
Multi-group electrode 71a, 71b; ~; 7na, 7nb are the electrode one group being installed on human body with every two.In addition, these electrodes 71a, 71b; ~; 7na, 7nb are such as the electronic stimulation position one group being arranged on human body 16 with two as shown in Figure 3.
In output detections portion 6, waveform generating circuit 6a1 ~ the 6an of each passage is controlled by master control part 5, in order to generate the waveform of the electrical stimulation current giving human body according to Therapeutic mode, and export the output of this electrical stimulation waveforms to the output circuit 6b1 ~ 6bn of each passage.Output circuit 6b1 ~ the 6bn of each passage exports the electric current corresponding with the electrical stimulation waveforms from waveform generating circuit 6a1 ~ 6an using as electrical stimulation current, and the output intensity etc. of this electrical stimulation current is controlled by master control part 5.From the electrical stimulation current of the output circuit 6b1 ~ 6bn of each passage via electrode 71a, 71b; ~; Be administered to human body 16 between 7na, 7nb, carry out electronic stimulation thus.
On the other hand, electrode mounting testing circuit 6c1 ~ 6cn is via electrode 71a, 71b; ~; 7na, 7nb detect flowing through electrical stimulation current in described human body 16, and export this detection output to master control part 5.In master control part 5, according to the input that this detection exports, to electrode 71a, 71b; ~; 7na, 7nb are installed in human body 16 and identify, and carry out corresponding with this identification needed for control.
Circuit structure and the action thereof of output controller 3 and operation display part 2 are described below with reference to the figure that Fig. 2 is later.
Output controller 3 for being utilized manual operation to carry out the Drazin inverse of the output circuit 6b1 ~ 6bn of each passage by user or patient, and is only provided with one in electrical stimulation device 1.Master control part 5 inputs the conditioning signal from output controller 3, and has detection to export, when identifying electrode 71a, 71b from electrode mounting testing circuit 6c1 ~ 6cn input; ~; After 7na, 7nb are installed in human body, carry out controlling the electrical stimulation current corresponding with described conditioning signal is exported from output circuit 6b1 ~ 6bn.
Master control part 5, according to the output regulation signal inputted from output controller 3, carries out the Drazin inverse of output circuit 6b1 ~ 6bn simultaneously, and the electrical stimulation current after simultaneously carrying out Drazin inverse is outputted to multi-group electrode 71a, 71b; ~; 7na, 7nb.Thus, by output controller 3, before can starting in the output from output circuit 6b1 ~ 6bn, simultaneously to detected by electrode mounting testing circuit 6c1 ~ 6cn electrode install after the output of each group of electrode regulate.
In this case, electrical stimulation device 1 according to the present embodiment, by an output controller 3, can simultaneously to multi-group electrode 71a, 71b; ~; The output of 7na, 7nb regulates, and is therefore easy to the using method of distinguishing device, thus does not need the use haveing the knack of device.
In addition, after being identified electrode by master control part 5 and installing, electrical stimulation current is just administered to human body from output circuit 6b1 ~ 6bn, and occur because this reducing the accident caused by mistake, operator, patient can both use relievedly.
Particularly because output controller 3 is only one, therefore compared with arranging the existing structure of output controller in each channel, the miniaturization of electrical stimulation device 1 becomes possibility, and its structure also becomes simple, fault reduces thereupon, can reduce it and manufacture and management cost.
In addition, by in the existing structure of each channel setting output controller, there is hands misconnection and contact the output controller of other passages and make undesirable worry that variation acts on patient that exports, and in the present embodiment, output controller 3 is only one, there is not such worry.
Secondly, in master control part 5, for the output circuit 6b1 ~ 6bn from each passage to electrode 71a, 71b; ~; The output of the electrical stimulation current of 7na, 7nb, utilizes an output controller 3, carry out above-mentioned while regulate while, can also regulate individually.
Therefore, channel selection unit 8 is utilized to select controlled plant electrode 71a, 71b; ~; 7na, 7nb, for each passage selected, utilize output controller 3 to carry out Drazin inverse, after Drazin inverse terminates, utilizes Drazin inverse determining unit 17 pairs of Drazin inverse to determine.Then, the Drazin inverse so carried out is determined by each passage, and when operating treatment and starting unit 15, master control part 5 makes to carry out the electrical stimulation current after Drazin inverse individually by each passage and exports from the output circuit 6b1 ~ 6bn of each passage.
Therapeutic mode selection unit 9 is for selecting these three kinds of Therapeutic mode of low-frequency therapeutic pattern, intermediate frequency therapy pattern and disturbing wave Therapeutic mode.In addition, in embodiments, Therapeutic mode is three kinds, but is not limited thereto.
Low-frequency therapeutic pattern utilizes the electrical stimulation current with the low frequency (1Hz ~ hundreds of Hz) of any one waveform in Fig. 4 (a) ~ (c) to carry out the pattern of electronic stimulation, its waveform just like Fig. 4 (a) shown in the monophasic waveform of pulse type, the biphasic waveform of the pulse type as shown in (b) of Fig. 4, the sine wave shape as shown in (c) of Fig. 4 biphasic waveform, low-frequency therapeutic pattern is the pattern that the electrical stimulation current of low frequency by having any one waveform in these waveforms carries out electronic stimulation.
Intermediate frequency therapy pattern is as shown in (a), (b) of Fig. 5, utilize the electrical stimulation current of intermediate frequency (about 1kHz ~ 10kHz) to carry out the pattern of electronic stimulation, its waveform just like Fig. 5 (a) shown in continuous wave, interval waveform as shown in (b) of Fig. 5, intermediate frequency therapy pattern is the pattern that the electrical stimulation current of intermediate frequency by having any one waveform in these waveforms carries out electronic stimulation.
Disturbing wave Therapeutic mode is as shown in (a) ~ (c) of Fig. 6, use higher intermediate frequency, the electrical stimulation current of another any passage waveform separately of any passage of that utilize two or more different frequency, that have such as Fig. 6 (a) and (b) of Fig. 6 is to carry out the pattern of electronic stimulation, be the disturbance current (beat) producing the difference on the frequency being equivalent to above-mentioned Fig. 6 (a) intermediate frequency respective with (b) of Fig. 6, and carried out the pattern of electronic stimulation by this medium wave beat disturbance current.
When being selected the signal after Therapeutic mode by Therapeutic mode selection unit 9 and being imported into master control part 5, master control part 5 corresponds to this Therapeutic mode and selects signal to control, to make to generate the waveform corresponding with the described waveform selected from each waveform generating circuit 6a1 ~ 6an in output detections portion 6, and the electricity irritation corresponding with generated waveform is exported be administered to electrode 71a from output circuit 6b1 ~ 6bn, 71b; ~; 7na, 7nb.
If electrode installs detection, lifting unit 10 is operated, then the electrode 71a of each passage, 71b; ~; The detection of 7na, 7nb is removed, and in addition, if channel selecting lifting unit 11 is operated, then the selection of each passage is removed.Above-mentioned electrode installs detection lifting unit 10 and channel selecting lifting unit 11 is operated according to the expectation of user or patient, thus can to the electrode 71a of each passage, 71b from first; ~; 7na, 7nb carry out Drazin inverse individually.In this case, install about electrode and detect lifting unit 10 and channel selecting lifting unit 11, can be possessed both, also only can possess any one.In addition, channel selecting lifting unit 11 is not limited to manual switching manipulation, also can be configured to, if through certain hour after the beginning exported or adjustment, then channel selecting removed.The time of removing further, can also be configured to, until also can change to the desired time by not shown switching manipulation etc.
Electrode sets determining unit 12 is the electrode 71a when each passage, 71b; ~; After the combination (set) of 7na, 7nb is determined by user or patient, in order to make it be determined by the unit operated.Which that is, by electrode sets determining unit 12, can determine to the group electrode in multi-group electrode to combine.The electrical stimulation device 1 of embodiment possesses electrode sets determining unit 12, thus when such as patient is two people and carries out energising preparation simultaneously or when patient is a people but carries out energising preparation to different therapentic part simultaneously, also the combination of multiple electrode positively can be determined for each treatment target patient or each object position, even if the electrode installed is on the way just in case come off, do not worry carrying out wrong identification to the combination of electrode, safety is improved yet.
In addition, master control part 5 also Drazin inverse from starting to carry out foregoing while after certain hour, can detect it, determines the combination of multiple electrode.So, even if more reliably make the electrode installed on the way once come off, also do not worry the combination by mistake identifying electrode, safety improves further.
Electrode selects display unit 13 response come from the shows signal of master control part 5 and show which electrode 71a, 71b; ~; 7na, 7nb are selected.Master control part 5 is at electrode 71a, 71b; ~; After 7na, 7nb are selected, the shows signal corresponding with this selection is outputted to electrode and selects display unit 13, and make electrode select display unit 13 to show which electrode 71a, 71b; ~; 7na, 7nb are selected.
Electrode sets display unit 14 response comes from the shows signal of master control part 5 and shows which electrode sets and selected.The shows signal corresponding with this selection, after electrode sets is selected, is outputted to electrode sets display unit 14 by master control part 5, and makes electrode sets display unit 14 show which electrode sets to be selected.By this display, the combination of the multiple electrodes for treatment target patient or object position can be confirmed at a glance, therefore, it is possible to easily carry out safety verification, can use more relievedly.
It is when starting electronic stimulation by the unit operated as previously mentioned that treatment starts unit 15, and master control part 5 response comes from treatment and starts the treatment commencing signal of unit 15 and start to control to electronic stimulation.
Treatment end unit 16 is when terminating electronic stimulation by the unit operated, and master control part 5 response comes from the treatment end signal for the treatment of end unit 16 and terminates to control to electronic stimulation.
Drazin inverse determining unit 17 is by the unit operated as previously mentioned when determining the Drazin inverse execution of output controller 3, master control part 5 response comes from the input of the signal of this Drazin inverse determining unit 17, the electrical stimulation current of the output circuit 6b1 ~ 6bn from each passage is exported and is defined as the output after utilizing output controller 3 to regulate.
Then, illustrate with reference to figure 7 remote-operated situation is carried out to electrical stimulation device.Electrical stimulation device 1 shown in Fig. 7 is set to and by remote manipulator 100, electrical stimulation device 1 can be carried out Long-distance Control as apparatus main body.Apparatus main body, except the structure illustrated in fig. 2, also possesses for carrying out with remote manipulator 100 structure that communicates.Remote manipulator 100 possesses the structure of following explanation, thus radio communication can be utilized to carry out operated from a distance to electrical stimulation device 1.This electrical stimulation device 1 can comprise remote manipulator 100, also can be set as other device with remote manipulator 100.In addition, can utilize and wiredly connect electrical stimulation device 1 and remote manipulator 100, can utilize and wired operated from a distance be carried out to electrical stimulation device.
In the present embodiment, being set to can by as the remote manipulator 100 of remote operation unit, utilizes wirelessly to carry out operated from a distance to electrical stimulation device 1.
This remote manipulator 100 possesses an output controller 20.This output controller 20 possesses the function identical with the output controller 3 of electrical stimulation device 1.Owing to being provided with an output controller 20 in remote manipulator 100, therefore this remote manipulator 100 can miniaturization.
Remote manipulator 100 possesses further: treatment starts unit 21, treatment end unit 22, treatment terminate notification means 23, abnormal notification means 24, channel selection unit 25, channel selecting display unit 26, output mode select operating unit 27, output mode display unit 28, automatic power closing unit 29, communication unit 30, setting content memory element 31, last time setting content display unit 32, power supply 33, control unit 34 and communication antenna 35.
Among above-mentioned each unit, each unit 21,22,25,27 that treatment beginning, treatment end, channel selecting, output mode are selected can be shown by the mode that finger touch operates with user etc. on the panel picture of operation display part 2, and the unit 23,24 that treatment terminates notification and abnormal notification can be the unit carrying out showing on panel picture, also can be utilize sound to carry out the unit reported.Each unit 26,28,32 of channel selecting display, output mode display, setting content display last time can show on panel picture.Automatic power closing unit 29, communication unit 30, setting content memory element 31, power supply 33, control unit 34 are built in the inside of remote manipulator 100.Communication antenna 35 can be placed on the antenna outside remote manipulator 100, also can be built-in aerial.
Control unit 34 is made up of microcomputer, controls, and control power supply 33 described each unit.Power supply 33 for power supply being supplied to each portion of whole remote manipulator 100, such as, is made up of battery.
On the other hand, electrical stimulation device 1, except the structure of Fig. 2, in order to carry out the communication between remote manipulator 100, also possesses communication antenna 36 and communication unit 37.Master control part 5 shown in Fig. 7 by the signal of communication of response after communication unit 37 processes, thus can carry out the operated from a distance of remote manipulator 100 pairs of electrical stimulation devices 1.
In remote manipulator 100, when utilizing output controller 20 to carry out Drazin inverse operation, control unit 34 pairs of communication units 30 control the communication antenna 36 this operation signal to be wirelessly transmitted to electrical stimulation device 1 from communication antenna 35.After electrical stimulation device 1 utilizes communication antenna 36 to receive this transmission signal, Received signal strength is imported into master control part 5 after communication unit 37 processes.In master control part 5, respond the output regulation signal received from remote manipulator 100 as a result, carry out the electronic stimulation corresponding with this Drazin inverse in electrical stimulation device 1.
When treating beginning unit 21 by operation, control unit 34 pairs of communication units 30 control the communication antenna 36 this operation signal to be wirelessly transmitted to electrical stimulation device 1 from communication antenna 35.After electrical stimulation device 1 utilizes communication antenna 36 to receive this transmission signal, Received signal strength is imported into master control part 5 after communication unit 37 processes.In master control part 5, respond the operation signal received from remote manipulator 100 as a result, carry out electronic stimulation in electrical stimulation device 1.Treatment end unit 12 also in the same manner as aforementioned, is terminated electronic stimulation by situation about operating in electrical stimulation device 1.
Thus, do not connect the line of remote manipulator 100 and electrical stimulation device main body 1, operator can carry or mobile remote manipulator 100, no matter can both carry out the confirmation of the operations such as the start/stop for the treatment of and Drazin inverse and treatment situation wherein, therefore can not be driven by the layout of electrical stimulation device 1 periphery, on one side care of patients can carry out treatment start/stop and the Drazin inverse operation of electrical stimulation device 1 on one side, operator can utilize far-end supervision to carry out other business in treatments period.Further, without the need to minding the path etc. that the length and carrying out of electrode connecting line connects up, freely layout can be carried out to the position and actual position for the treatment of that arrange electrical stimulation device 1.Therefore, by the position that the hands making the setting position of electrical stimulation device main body (electrical stimulation device 1 when observing from remote manipulator 100 side) become patient from the position of carrying out treating cannot reach, thus patient's maloperation switch or volume can also be avoided and the unsafe condition such as to have an accident, safer.
It is terminate to electronic stimulation the unit reported that treatment terminates notification means 23, and abnormal notification means 24 is to there occurs the abnormal unit reported about electronic stimulation.Even if user utilizes far-end to monitor in treatments period carry out other business, also can terminate notification means 23 by treatment and identify treatment immediately and terminated, and be identified immediately by abnormal notification means 24 and there occurs described exception.
Channel selection unit 25 is by the unit operated when selecting the passage of electrical stimulation device 1, its operation signal is sent to electrical stimulation device 1 from remote manipulator 100 in the same manner as aforementioned, and the master control part 5 of electrical stimulation device 1 responds this transmission signal and selects passage.In addition, which passage channel selecting display unit 26 have selected for display.Thus, one is had to the electrical stimulation device of multiple passage, a remote manipulator 100 can be utilized to carry out the operation of each passage.
Output mode selection unit 27 is the unit that can carry out selection operation to the Therapeutic mode in electrical stimulation device 1, and in addition, output mode display unit 28 is for showing this output mode.Above-mentioned output mode selection unit 27 and output mode display unit 28 can leave from electrical stimulation device 1 to be selected output mode, even and if leave patient, also can grasp the treatment carried out under which type of output mode always.
If automatic power closing unit 29 is battery supply for power supply 33, then such as from treatment end after certain hour etc. in situation, automatically close (OFF) power supply 33, maintain power supply 33 thereby, it is possible to long-time with operating remote operator 100.
Communication unit 30 is for carrying out described communication process.Setting content memory element 31 is for when closing the power supply 33 of remote manipulator 100, the setting content for the treatment of condition and running-active status is stored, last time, setting content display unit 32 for reading setting content last time when power supply recloses from setting content memory element 31, and show its setting content last time read, thus, even if power supply 33 is automatically closed, if reclose power supply 33, also can according to last time setting content display unit 32 display grasp carry out which type for the treatment of.
As mentioned above, the electrical stimulation device 1 of present embodiment is a kind of at operability, safety and the electrical stimulation device saving excellence in space/reduction cost.In addition, embodiments of the present invention are illustrated, but the present invention being not limited to above-mentioned embodiment, not departing from the scope of its aim, suitably can carrying out various change.
Such as, output controller is set as one, but also can be configured to, multiple assembly (ユ ニ ッ ト) is included in a therapeutic instrument, described assembly arranges an output controller to multi-group electrode and forms, and then in this case, also can by being configured to the installation of the electrode that can detect other assemblies and utilizing the output controller of other assembly to adjust, thus a therapeutic instrument can be utilized to carry out diversified electric treatment to the patient of various case or therapentic part simultaneously.
In addition, following function can also be had: after the beginning or adjustment of described output, if operate not shown determination switch or through certain hour, then channel selecting removed.So, even if after this operate, export and also can not change, and eliminate the danger of maloperation output controller 3, safety improves further.
In addition, following function can also be had: after the beginning or adjustment of described output, if the installation of the electrode of new tunnel detected, then the channel selecting state before is removed, and selection mode is converted to described new tunnel.So, even if when wishing newly to be energized to different patients or object position after such as starting energising, just only Drazin inverse can be carried out to this electrode by means of only new installing electrodes, can not to produce other electrodes of starting to be energized and undesirable outputs changes, thus can be easy and use relievedly.
Further, following function can also be had: when the installation of the electrode of the passage in described output procedure comes off, even if the installation of described electrode again detected, also can not become channel selecting state.So, peeling off or loose contact etc. and the misoperation produced because of electrode can be prevented.
Symbol description
1 electrical stimulation device
2 operation display part
3 output controllers
5 master control part
6 output detections portions
6b1 ~ 6bn output circuit
6c1 ~ 6cn electrode mounting testing circuit
71a, 71b; ~; 7na, 7nb electrode
100 remote manipulator (remote operation unit)

Claims (21)

1. an electrical stimulation device, is characterized in that, possesses:
Output circuit, is supplied to multi-group electrode by the output of electricity irritation; And
Electrode installs detecting unit, is installed in human body detects described each group of electrode,
And described electrical stimulation device is provided with an output controller, the output of described output controller to described output circuit regulates,
The output of each group of electrode described output controller regulates described electrode installation detecting unit to detect the installation of described electrode simultaneously before can starting in the described output from described output circuit after.
2. electrical stimulation device according to claim 1, is characterized in that,
The described output of output controller to described multi-group electrode can be utilized to regulate individually.
3. electrical stimulation device according to claim 1 and 2, is characterized in that,
Be provided with channel selection unit.
4. electrical stimulation device as claimed in any of claims 1 to 3, is characterized in that,
Be provided with Therapeutic mode selection unit.
5. electrical stimulation device according to claim 4, is characterized in that,
By described Therapeutic mode selection unit, can select the various patterns of low-frequency therapeutic, intermediate frequency therapy and disturbing wave treatment.
6. electrical stimulation device as claimed in any of claims 1 to 5, is characterized in that,
Be provided with electrode and detection lifting unit and/or channel selecting lifting unit are installed.
7. electrical stimulation device according to claim 6, is characterized in that,
There is following function: described channel selecting lifting unit described output beginning or regulate after, if carry out switching manipulation or through certain hour, then channel selecting removed.
8. the electrical stimulation device according to claim 6 or 7, is characterized in that,
There is following function: after the beginning or adjustment of described output, if detect the installation of the electrode of the passage made new advances, then change the passage being connected with this electrode into channel selecting state, and the channel selecting being connected with the passage of the beginning of having carried out described output or each group of electrode after regulating is removed by described channel selecting lifting unit.
9., according to the electrical stimulation device described in claim 1 to 8, it is characterized in that,
There is following function: after the installation of the electrode of the passage in described output procedure comes off, even if again install this electrode and detect that electrode is installed, also do not change channel selecting state into.
10. electrical stimulation device as claimed in any of claims 1 to 9, is characterized in that,
Be provided with electrode sets determining unit, described electrode sets determining unit is determined to which the group electrode in described multi-group electrode to combine.
11. electrical stimulation devices as claimed in any of claims 1 to 10, is characterized in that,
By detecting through certain hour after regulating while starting to carry out described output, determine the combination of described multi-group electrode.
12., according to the electrical stimulation device in claim 1 to 11 described in any one, is characterized in that,
Be provided with electrode and select display unit and/or electrode sets display unit.
13., according to the electrical stimulation device in claim 1 to 12 described in any one, is characterized in that,
By remote operation unit, operated from a distance can be carried out.
14. electrical stimulation devices according to claim 13, is characterized in that,
By described remote operation unit, radio communication can be utilized to carry out described operated from a distance.
15. electrical stimulation devices according to claim 13 or 14, is characterized in that,
The function that treatment starts and/or treats end operation is provided with in described remote operation unit.
16., according to claim 13 to the electrical stimulation device described in any one in 15, is characterized in that,
An output controller utilizing the output of manual operation to described output circuit to regulate is provided with in described remote operation unit.
17., according to claim 13 to the electrical stimulation device described in any one in 16, is characterized in that,
The function terminating notification and/or abnormal notification is provided with in described remote operation unit.
18., according to claim 13 to the electrical stimulation device described in any one in 17, is characterized in that,
The function of channel selecting operation and/or selector channel display is provided with in described remote operation unit.
19., according to claim 13 to the electrical stimulation device described in any one in 18, is characterized in that,
The function that output mode selects operation and/or output mode display is provided with in described remote operation unit.
20., according to claim 13 to the electrical stimulation device described in any one in 19, is characterized in that,
Automatic power closing function is provided with in described remote operation unit.
21., according to claim 13 to the electrical stimulation device described in any one in 20, is characterized in that,
Be provided with in described remote operation unit and when closing the power supply of described remote operation unit, the setting content for the treatment of condition and running-active status stored and shows the function of setting content last time when power supply recloses.
CN201380047867.6A 2012-09-13 2013-09-11 Electric stimulation device Pending CN104619379A (en)

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JP2012201936A JP6078823B2 (en) 2012-09-13 2012-09-13 Electrical stimulator
JP2012-201936 2012-09-13
PCT/JP2013/074510 WO2014042181A1 (en) 2012-09-13 2013-09-11 Electric stimulation device

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CN106983956A (en) * 2015-12-28 2017-07-28 烟台万适美医疗科技有限公司 Core muscle training electrode clothing
CN106983955A (en) * 2015-12-28 2017-07-28 烟台万适美医疗科技有限公司 High waist electrode trousers of postpartum recovery of intermediate frequency interference wave
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CN111053972A (en) * 2019-12-31 2020-04-24 北京雅果科技有限公司 Electrical stimulation device for improving constipation and control method

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JP2014054452A (en) 2014-03-27

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Application publication date: 20150513