JPWO2021175898A5 - - Google Patents

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JPWO2021175898A5
JPWO2021175898A5 JP2022552460A JP2022552460A JPWO2021175898A5 JP WO2021175898 A5 JPWO2021175898 A5 JP WO2021175898A5 JP 2022552460 A JP2022552460 A JP 2022552460A JP 2022552460 A JP2022552460 A JP 2022552460A JP WO2021175898 A5 JPWO2021175898 A5 JP WO2021175898A5
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acoustic stimulus
stimulation
patient
treatment device
medical treatment
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Priority claimed from PCT/EP2021/055278 external-priority patent/WO2021175898A1/en
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患者のニューロンを刺激して前記ニューロンの病的同期活動を抑制するための医療用治療装置であって、少なくとも1つの音響刺激及び少なくとも1つの非音響刺激を同時に患者の身体に投与するように構成された非侵襲性刺激ユニットを備え、前記刺激の各々が、前記患者の身体に投与されるときに前記病的同期活動を抑制するように構成されている、医療用治療装置。 A medical treatment device for stimulating neurons in a patient to inhibit pathologic synchronous activity of said neurons, the device being configured to simultaneously administer at least one acoustic stimulus and at least one non-acoustic stimulus to the patient's body. wherein each of said stimuli is configured to inhibit said pathologic synchronous activity when administered to said patient's body. 患者の頭部に固定されるように構成された前記医療用治療装置であって、前記患者の頭部に固定された前記医療用治療装置の固定状態において、前記刺激ユニットが、前記音響刺激を患者の耳に提供し、且つ、前記非音響刺激を、患者の前額部の領域の患者の皮膚、特には三叉神経の第1枝、又は後頭部、特にはC2又はC3皮膚分節にて提供するように構成されている、請求項1に記載の医療用治療装置。 The medical treatment device configured to be fixed to a patient's head, wherein in a fixed state of the medical treatment device fixed to the patient's head, the stimulation unit produces the acoustic stimuli. providing the patient's ears and said non-acoustic stimulus at the patient's skin in the region of the patient's forehead, particularly the first branch of the trigeminal nerve, or the occiput, particularly the C2 or C3 dermatome 11. The medical treatment device of claim 1, configured to: 前記音響刺激が、前記患者の身体に投与されるときに、特には患者の脳又は脊髄の少なくとも一方における第1ニューロン集団の病的同期活動を抑制するように構成され、前記非音響刺激が、特には患者の脳又は脊髄の少なくとも一方における、前記第1ニューロン集団とは異なり又は境界を成す第2ニューロン集団の病的同期活動を抑制するように構成されている、請求項1又は2に記載の医療用治療装置。 said acoustic stimulus is configured to inhibit pathologic synchronous activity of a first neuronal population, in particular in at least one of the patient's brain or spinal cord, when administered to said patient's body, said non-acoustic stimulus comprising: 3. The method of claim 1 or 2, adapted to inhibit pathological synchronous activity of a second population of neurons distinct from or bordering on said first population of neurons, particularly in at least one of the brain or spinal cord of a patient. medical treatment device. 前記少なくとも1つの非音響刺激が振動触覚刺激である、請求項1~3のいずれか一項に記載の医療用治療装置。 The medical treatment device of any one of claims 1-3, wherein the at least one non-acoustic stimulus is a vibrotactile stimulus. 前記少なくとも1つの音響刺激の各1つが、1つの非音響刺激と関連付けられ、前記刺激ユニットが、その関連付けられた音響刺激と共に1つの非音響刺激を同時に発生するように構成されている、請求項1~4のいずれか一項に記載の医療用治療装置。 11. Each one of said at least one acoustic stimulus is associated with one non-acoustic stimulus, said stimulation unit being configured to simultaneously generate one non-acoustic stimulus with its associated acoustic stimulus. 5. The medical therapeutic device according to any one of 1-4. 前記刺激ユニットが、少なくとも1つの振動触覚刺激要素を備え、当該振動触覚刺激要素が、前記患者の身体の表面上に、当該患者の身体に前記非音響刺激を投与するように振動的又は周期的に作用するように構成されている、請求項1~5のいずれか一項に記載の医療用治療装置。 The stimulation unit comprises at least one vibrotactile stimulation element, the vibrotactile stimulation element being vibratory or periodic on a surface of the patient's body to administer the non-acoustic stimulation to the patient's body. A medical treatment device according to any one of claims 1 to 5, adapted to act on. 前記刺激ユニットが、前記音響刺激と前記非音響刺激とを、前記振動触覚刺激要素を振動的又は周期的に作動させるときに同時に発生するように構成されている、請求項6に記載の医療用治療装置。 7. The medical application of claim 6, wherein the stimulation unit is configured to generate the acoustic stimulus and the non-acoustic stimulus simultaneously upon vibratory or periodic actuation of the vibrotactile stimulation element. therapeutic device. 前記振動触覚刺激要素が、20Hz~20kHzの範囲、特には20Hz~250Hzの範囲、又は200Hz~600Hzの範囲の作動周波数で作動される、請求項1~7のいずれか一項に記載の医療用治療装置。 Medical use according to any one of the preceding claims, wherein the vibrotactile stimulation element is operated at an operating frequency in the range 20Hz to 20kHz, in particular in the range 20Hz to 250Hz or in the range 200Hz to 600Hz. therapeutic device. 前記刺激ユニットが、少なくとも2つの振動触覚刺激要素を備え、当該振動触覚刺激要素の各々が、少なくとも2つの非音響刺激のうちの1つを発生するように構成され、且つ、前記刺激ユニットが、前記少なくとも2つの刺激要素を異なる作動周波数で動作させるように構成されている、請求項1~8のいずれか一項に記載の医療用治療装置。 the stimulation unit comprising at least two vibrotactile stimulation elements, each of the vibrotactile stimulation elements configured to generate one of the at least two non-acoustic stimuli; and the stimulation unit comprising: 9. A medical treatment device according to any one of the preceding claims, arranged to operate the at least two stimulation elements at different operating frequencies. 刺激要素を作動させるべき前記作動周波数が、音階、特には五音音階に調整される、請求項9に記載の医療用治療装置。 10. Medical treatment device according to claim 9, wherein the actuation frequencies at which the stimulation elements are to be actuated are tuned to a musical scale, in particular a pentatonic scale. 前記刺激ユニットが、少なくとも1つの刺激要素を作動させるべき周波数を含む、異なる作動周波数のセットを備え、且つ、当該異なる作動周波数のセットが、第1作動周波数と、当該第1作動周波数に依存して決定され又は相関する少なくとも1つのさらなる作動周波数を含む、請求項1~10のいずれか一項に記載の医療用治療装置。 wherein the stimulation unit comprises a set of different operating frequencies including frequencies at which to activate at least one stimulation element, and wherein the different set of operating frequencies is a first operating frequency and dependent on the first operating frequency. 11. A medical treatment device according to any one of claims 1 to 10, comprising at least one further operating frequency determined by or correlated to. 前記異なる作動周波数のセットの前記少なくとも1つのさらなる作動周波数が、前記第1の作動周波数に、以下の式、すなわち
Figure 2021175898000001

の少なくとも1つに従って相関し、式中、vは第1作動周波数を指し、v~v10の各1つが、前記少なくとも1つのさらなる作動周波数を指し、kが2以上の自然数を指す、請求項11に記載の医療用治療装置。
The at least one further operating frequency of the different set of operating frequencies is added to the first operating frequency by the following formula:
Figure 2021175898000001

wherein v 1 refers to the first operating frequency, each one of v 2 to v 10 refers to said at least one further operating frequency, and k refers to a natural number equal to or greater than 2. 12. The medical treatment device of claim 11.
前記刺激ユニットが、前記音響刺激を投与するように構成された少なくとも1つの第1刺激要素と、前記非音響刺激を投与するように構成された少なくとも1つの第2刺激要素とを備え、各第1刺激要素が前記少なくとも1つの第2刺激要素の1つに関連付けられ、当該関連付けが、前記第1刺激要素及び前記関連付けられた第2刺激要素が、前記音響刺激と前記非音響刺激とを同時に発生させるように作動可能であるように行われる、請求項1~12のいずれか一項に記載の医療用治療装置。 said stimulation unit comprising at least one first stimulation element configured to administer said acoustic stimulus and at least one second stimulation element configured to administer said non-acoustic stimulus; one stimulation element is associated with one of said at least one second stimulation element, said association being such that said first stimulation element and said associated second stimulation element simultaneously generate said acoustic stimulus and said non-acoustic stimulus A medical treatment device according to any one of claims 1 to 12, arranged so as to be operable to generate. 前記刺激ユニットの制御ユニットが、前記刺激ユニットを、
-前記音響刺激の発生が前記非音響刺激の発生に連動される第1動作モード、及び、
-前記音響刺激の発生が前記非音響刺激の発生から切り離される第2動作モード、
において作動させるように構成されている、請求項1~13のいずれか一項に記載の医療用治療装置。
a control unit of the stimulation unit causing the stimulation unit to:
- a first mode of operation in which the generation of the acoustic stimulus is coupled with the generation of the non-acoustic stimulus;
- a second mode of operation in which the generation of the acoustic stimulus is decoupled from the generation of the non-acoustic stimulus;
14. A medical treatment device according to any one of claims 1 to 13 , configured to operate in a
患者のニューロンを刺激して、前記ニューロンの病的同期活動を抑制する医療方法であって、少なくとも1つの音響刺激と少なくとも1つの非音響刺激とを非侵襲的に同時に患者の身体に投与するステップを含み、前記刺激の各々が、前記病的同期活動を抑制するように構成されている、医療用治療方法。 A medical method of stimulating neurons in a patient to inhibit pathologic synchronous activity of said neurons, comprising the step of non-invasively simultaneously administering at least one acoustic stimulus and at least one non-acoustic stimulus to the patient's body. and wherein each of said stimuli is configured to inhibit said pathological synchronous activity.
JP2022552460A 2020-03-03 2021-03-03 Medical therapeutic device and method for stimulating patient's neurons to suppress neuronal pathologic synchronous activity Pending JP2023516050A (en)

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US202062984454P 2020-03-03 2020-03-03
US62/984,454 2020-03-03
PCT/EP2021/055278 WO2021175898A1 (en) 2020-03-03 2021-03-03 Medical treatment device and method for stimulating neurons of a patient to suppress a pathologically synchronous activity thereof

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JP2023516050A JP2023516050A (en) 2023-04-17
JPWO2021175898A5 true JPWO2021175898A5 (en) 2023-05-22

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US (1) US20230264018A1 (en)
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DE102010016404A1 (en) * 2010-04-12 2012-12-27 Forschungszentrum Jülich GmbH Apparatus and method for conditioned desynchronizing non-invasive stimulation
US10265527B2 (en) * 2012-04-17 2019-04-23 Regents Of The University Of Minnesota Multi-modal synchronization therapy
WO2019133997A1 (en) * 2017-12-31 2019-07-04 Neuroenhancement Lab, LLC System and method for neuroenhancement to enhance emotional response
CN112533663A (en) 2018-06-22 2021-03-19 格瑞塔股份公司 Medical device and method for stimulating neurons of a patient to inhibit pathologically synchronous activity thereof

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