CN104873374A - Low-frequency vibration source and mastoid process coupling device for treating peripheral vertigo - Google Patents
Low-frequency vibration source and mastoid process coupling device for treating peripheral vertigo Download PDFInfo
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- CN104873374A CN104873374A CN201510246855.7A CN201510246855A CN104873374A CN 104873374 A CN104873374 A CN 104873374A CN 201510246855 A CN201510246855 A CN 201510246855A CN 104873374 A CN104873374 A CN 104873374A
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Abstract
The invention belongs to the technical field of medical apparatuses and instruments, and specifically relates to a low-frequency vibration source and mastoid process coupling device for treating peripheral vertigo. The device comprises an aluminum groove for fixing a spherical polarizing DC motor, a cover housing, a micro radiating fan, a micro temperature sensor, a temperature controller for recognizing a signal of a micro temperature sensor in the aluminum groove, a power supply for locking a vibration source by using the polarizing DC motor as the load, a head sleeve for coupling the aluminum groove and the mastoid process, and an adjusting accessory, wherein the micro radiating fan and the micro temperature sensor are embedded into the aluminum groove. When in use, the mastoid process skin is targeted toward the vestibule, low-frequency vibration is launched non-invasively to induce vestibule to reach shear stress; the surface temperature of the vibration source is controlled; each treatment lasts for 30 minutes; the surface temperature of the aluminum groove cannot exceed 50 DEG C. The device is suitable for various patients suffering from peripheral vertigo.
Description
Technical field
The invention belongs to technical field of medical instruments, be specifically related to a kind of device for the treatment of peripheral vertigo.
Background technology
The dizzy patient of being feels the sensation that self rotates or surrounding rotates, and during outbreak, patient is very painful, has the danger of falling down, and cannot work, quality of life is had a strong impact on.Its reason presents multiformity, comprise (especially the internal ear) of periphery and the pathological change of maincenter, but periphery pathological changes is main cause.Peripheral vertigo is Meniere and Benign paroxysmal positional vertigo the most commonly, and next comprises, and vestibular neuronitis, vertebra base cerebral arterial insufficiency, ototoxic drug are poisoning, migraine etc.Accumulate incidence in work crowd nearly 30%.2011, emergency department of the U.S. was 3,900,000,000 dollars for the treatment of dizzy expense, and its middle ear source property (vestibule) accounts for 25.7%.Although China does not have statistics, reckoning can be a huge spending like this.Be badly in need of a kind of science more and economical novel therapeutic method.
Present patent application person take Meniere as breach, have found the novel method for the treatment of peripheral vertigo.The symptom complex that Meniere is is feature with the vexed sense of rising of dizzy, undulatory property auditory dysesthesia, tinnitus and ear, traditional view thinks that the descriptive pathological characters of Meniere most is endolymphatic hydropa, its reason is endolymphatic duct and endolymphatic sac to caused by the malabsorption of endolymph fluid, and bring out water, ionic microenvironments is unbalance, interference endolymphatic potential.Present patent application person finds that the internal ear NMR (Nuclear Magnetic Resonance)-imaging that gadolinium strengthens can survey endolymphatic hydropa in health check-up, for the evidence-based medicine EBM of Meniere provides sole instrument.But research subsequently shows that endolymphatic hydropa might not be accompanied with the onset of vertigo of Meniere.The clinical research of Denmark find conventional endolymphatic shunt and comfort perform the operation (conventional Mastoidotomy) all can make that the ingestion in patient with Meniere ' of 70% is dizzy effectively to be alleviated.Medical college diseases of eye, ear, nose and throat hospital of Harvard University and House ear grind have studied the temporal bone pathology accepting endolymphatic shunt ingestion in patient with Meniere ', the operation of prompting endolymphatic sac can not alleviate the endolymphatic hydropa of ingestion in patient with Meniere ', but, can treat dizzy.Present patent application person proposes first in 2005 that internal ear shears in the world stress hypothesis, had in 2012 propose that vestibule shears first stress hypothesis, think that electricity consumption is crept into capable all mastoid processes and bored mill operation all induction of the shearing stress of vestibule, having carried out readjusting to the irritability of bilateral vestibule makes it again reach balance, thus, eliminate dizzy.
According to above-mentioned hypothesis, present patent application person devises a kind of internal ear low frequency shear for the treatment of Meniere stress vibrating device, and obtains national inventing patent (ZL 2,013 10 166642.2).We utilize this device to carry out clinical trial, find that this equipment can treat the dizzy of Meniere and other peripheral vertigo (comprising vestibular neuronitis, vertebra base cerebral arterial insufficiency, Autoimmune Inner Ear Disease etc.) effectively, and first public deliver part result of study in the world.But we have also discovered this equipment Problems existing in pre-clinical assay:
vibration source contacts instability with mastoid process;
lasting use occurs that agitator generates heat, and causes patient not tolerate and necessary therapy discontinued.
Present patent application person, through repeatedly studying, devises various model machine and repeatedly tests, and finally have found a kind of effective solution of the above problems.
Summary of the invention
The object of the present invention is to provide a kind of coupling device that can overcome between the low-frequency vibration source of the treatment peripheral vertigo of above-mentioned deficiency and mastoid process.
Coupling device between the low-frequency vibration source for the treatment of peripheral vertigo provided by the invention and mastoid process, comprising:
(1) aluminum groove and lid shell; There are a macropore in described aluminum groove central authorities, and for holding polarization d.c. motor, there is a step lower end of central macropore, for controlling the degree of depth of polarization direct current generator; Lid shell in aluminum groove upper end, for sealing polarization direct current generator;
(2) Minitype radiating fan and micro temperature sensor; Wherein, micro temperature sensor is arranged in a hole of aluminum groove upper portion side wall, and Minitype radiating fan is arranged in the framework of aluminum groove sidewall;
(3) for identifying the temperature controller of micro temperature sensor signal in aluminum groove, the signal transmission wire of temperature sensor is connected with temperature controller, this temperature controller with polarization d.c. motor for load thus locking vibration source power supply supply; When the temperature of aluminum groove exceed scope is set time, automatically disconnect the power supply supply of polarization d.c. motor;
(4) for headgear that aluminum groove is coupled with mastoid process and regulate adnexa; Headgear comprises longitudinally crown potential head circle and horizontal head circle, and horizontal head circle is positioned at the bottom of longitudinally crown potential head circle; Headgear is fixed by buckle and regulating stretch band and aluminum groove, regulates adnexa to comprise: the mobile bolt being arranged at headgear both sides, for regulating the front and back position of aluminum groove; Being arranged at the adjusting knob at headgear top and rear portion, being close to degree for regulating headgear and patients head.
The assembly program of coupling device of the present invention is: central macropore polarization d.c. motor (see ZL 2,013 10 166642.2) being inserted aluminum groove, and use heat conductive silica gel blind, bottom bolt is fixed; Micro temperature sensor is inserted in the special hole of aluminum groove sidewall again, use heat conductive silica gel blind; Top lid shell sealing.The signal input lead of micro temperature sensor is connected with temperature controller, this temperature controller with polarization d.c. motor for load, the power supply supply of locking polarization d.c. motor, when aluminum rooved face temperature exceedes design temperature, the power supply of polarization d.c. motor is interrupted.Minitype radiating fan is arranged in the framework of aluminum groove sidewall.Fixed by custom-designed buckle and regulating stretch band and headgear by the above-mentioned aluminum groove assembled, headgear both sides regulate the front and back position of aluminum groove by movable bolt, and the top of headgear and rear portion have actuator that itself and patients head are close to.
When coupling device between the low-frequency vibration source for the treatment of peripheral vertigo of the present invention and mastoid process uses, through mastoid process skin to vestibule targeting ground noinvasive throw in low-frequency vibration induction vestibule shear stress coupling device, ensure that stability and the controllability of intensity are thrown in vibration, improve treatment degree of accuracy, control vibration source surface temperature, in each continued treatment is during 30 minutes, guarantee that aluminum rooved face temperature is no more than 50 DEG C.
Range of application of the present invention: various peripheries type patients with vertigo.
Accompanying drawing explanation
Fig. 1 is the aluminum groove structural diagrams holding polarization d.c. motor.Wherein, a is aluminum groove overall diagram, and b is for holding Minitype radiating fan frame (2) enlarged drawing, and c is aluminum groove inside diagram.
Fig. 2 is lid shell structure diagram.Wherein, a is lid shell overall diagram, and b is lid shell top view.
Fig. 3 is headgear structure diagram.
Fig. 4 is the assembling diagram of a complete set of equipment.
Number in the figure: 1 is the medium pore holding polarization d.c. motor; 2 for holding the framework of Minitype radiating fan; 3 is micro temperature sensor jack; 4 is buckle jack; 5 is the screw of fixed cap shell; 6 is Minitype radiating fan; 7 is the step for controlling polarization d.c. motor insertion depth; 8 is wire hole; 9 is the screw fixing with aluminum groove; 10 is wire fixing hole; 11 is the medium pore corresponding with polarization d.c. motor; 12 is crown potential head circle; 13 is head height actuator; 14 is foam-rubber cushion; 15 is horizontal head circle; 16 is the tight actuator of head circumference; 17 is head circle set bolt; 18 is anteroposterior position adjusting bolt; 19 is convex metal button; 20 is headgear; 21 is elastic band; 22 is nylon eye-splice; 23 aluminum groove coupled systems for assembling; 24 is square metal button; 25 is polarization d.c. motor current supply line; 26 is micro temperature sensor signal input lead; 27 is Minitype radiating fan current supply line; 28 is control system; 29 is main output; 30 is temperature controller input; 31 is secondary output.
Detailed description of the invention
In the present invention, the structure of aluminum groove is shown in Figure 1, it comprises the medium pore 1 holding polarization d.c. motor, hold the framework 2 of Minitype radiating fan, micro temperature sensor jack 3, buckle jack 4, the screw 5 of fixed cap shell, for reducing the Minitype radiating fan 6 of aluminum rooved face temperature, with for controlling the step 7 of polarization d.c. motor insertion depth.Concrete size range is as follows: medium pore 1 diameter is 28-35mm; The length holding the framework 2 of Minitype radiating fan is 44-46mm, and width is 20-22mm; Micro temperature sensor jack 3 diameter is 3-4.6mm; Being 6-9mm for controlling the width of the step 7 of polarization d.c. motor insertion depth, is highly 6-9mm.
Shown in Figure 2 with the structure of the lid shell of aluminum slot fit, it comprises wire hole 8, with the screw 9 that aluminum groove is fixing, and wire fixing hole 10, and the medium pore 11 corresponding with polarization d.c. motor.Concrete size range is as follows: wire hole 8 diameter is 4-5mm; Wire fixing hole 10 diameter is 5-7mm; Medium pore 11 diameter is 28-35mm.
The headgear structure supporting aluminum groove coupled system is shown in Figure 3, and it comprises crown potential head circle 12, head height actuator 13, sea pad 14, horizontal head circle 15, the tight actuator 16 of head circumference, head circle set bolt 17, anteroposterior position adjusting bolt 18, convex metal button 19.Concrete size range is as follows: crown potential head circle 12 diameter is 100-110mm, and radian is 180 degree, and length is 350-380mm; Head height actuator 13 length is 7-10mm; Horizontal head circle 15 is oval, and oval short diameter is 15-18mm, and long diameter is 20-25mm; The adjustable extent of anteroposterior position adjusting bolt 18 is 18-22mm.
Operation when carrying out clinical treatment is as follows:
the upper end of aluminum groove coupled system is suspended to the anteroposterior position adjusting bolt 18 of headgear by convex metal button 19, its lower end is connected with elastic band 21 by square metal button, the other end of elastic band 21 is suspended to the anteroposterior position adjusting bolt 18 of headgear opposite side by convex metal button, the length of elastic band 21 regulates by nylon eye-splice, the current supply line 25 of polarization d.c. motor is connected with the main output 29 of control system 28, micro temperature sensor signal input line 26 is inputted 30 with the temperature controller of control system 28 be connected, Minitype radiating fan current supply line 27 is exported 31 with the pair of control system 28 be connected.
select suitable case, carry out audition and vestibular function test.
patient is in waking state (without the need to anesthesia), seat.The headgear assembled is positioned over patients head, makes aluminum groove coupled system contact Ipsilateral mastoid process surface, regulate its match result by eye-splice, to combine closely with the two and patient comfort is as the criterion.According to the parameters of the factory calibration default control system of instrument, start treatment.Continue to throw in vibration 30 minutes.
after treatment terminates, observe patient's reaction about 30 minutes, without any discomfort, just can go home.
if patient's sensory effect is not obvious, can repetitive therapy after one week.
Claims (4)
1. treat the coupling device between the low-frequency vibration source of peripheral vertigo and mastoid process, it is characterized in that comprising:
(1) aluminum groove and lid shell; There are a macropore in described aluminum groove central authorities, and for holding polarization d.c. motor, there is a step lower end of central macropore, for controlling the degree of depth of polarization direct current generator; Lid shell in aluminum groove upper end, for sealing polarization direct current generator;
(2) Minitype radiating fan and micro temperature sensor; Wherein, micro temperature sensor is arranged in a hole of aluminum groove upper portion side wall, and Minitype radiating fan is arranged in the framework of aluminum groove sidewall;
(3) for identifying the temperature controller of micro temperature sensor signal in aluminum groove, the signal transmission wire of temperature sensor is connected with temperature controller, this temperature controller with polarization d.c. motor for load thus locking vibration source power supply supply; When the temperature of aluminum groove exceed scope is set time, automatically disconnect the power supply supply of polarization d.c. motor;
(4) for headgear that aluminum groove is coupled with mastoid process and regulate adnexa; Headgear comprises longitudinally crown potential head circle and horizontal head circle, and horizontal head circle is positioned at the bottom of longitudinally crown potential head circle; Headgear is fixed by buckle and regulating stretch band and aluminum groove, regulates adnexa to comprise: the mobile bolt being arranged at headgear both sides, for regulating the front and back position of aluminum groove; Being arranged at the adjusting knob at headgear top and rear portion, being close to degree for regulating headgear and patients head.
2. the coupling device between the low-frequency vibration source for the treatment of peripheral vertigo according to claim 1 and mastoid process, is characterized in that: aluminum groove central authorities diameter macropores is 28-35mm; Lid shell wire hole diameter is 4-5mm, and wire fixing hole diameter is 5-7mm.
3. the coupling device between the low-frequency vibration source for the treatment of peripheral vertigo according to claim 1 and mastoid process, is characterized in that: the length holding the framework of Minitype radiating fan is 44-46mm, and width is 20-22mm; Micro temperature sensor jack diameter is 3-4.6mm.
4. the coupling device between the low-frequency vibration source for the treatment of peripheral vertigo according to claim 1 and mastoid process, is characterized in that: the diameter of the crown potential head circle of headgear is 100-110mm, radian 180 degree, length 350-380mm; Head height actuator length is 7-10mm; Horizontal head circle is oval, and oval short diameter is 15-18mm, and long diameter is 20-25mm; The adjustable extent of anteroposterior position adjusting bolt is 18-22mm.
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| CN201510246855.7A CN104873374B (en) | 2015-05-12 | 2015-05-12 | A kind of coupling device between low-frequency vibration source and the mastoid process treating peripheral vertigo |
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| CN201510246855.7A CN104873374B (en) | 2015-05-12 | 2015-05-12 | A kind of coupling device between low-frequency vibration source and the mastoid process treating peripheral vertigo |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN110381912A (en) * | 2016-11-14 | 2019-10-25 | 耳石音股份有限公司 | Reduce the device and method of the symptom of the disease of vestibular system |
| CN111712223A (en) * | 2018-02-12 | 2020-09-25 | 耳石音股份有限公司 | Systems, devices, and methods for treating vestibular conditions |
| US11284205B2 (en) | 2016-11-14 | 2022-03-22 | Otolith Sound Inc. | Systems, devices, and methods for treating vestibular conditions |
| US12053426B2 (en) | 2014-09-29 | 2024-08-06 | Otolith Sound Inc. | Device for mitigating motion sickness and other responses to inconsistent sensory information |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| SE0701242L (en) * | 2007-05-24 | 2008-12-02 | Cochlear Ltd | Vibrator |
| CN102144914A (en) * | 2010-02-05 | 2011-08-10 | 华中科技大学同济医学院附属协和医院 | Interference system for balanced sensation of human bodies |
| CN103230646B (en) * | 2013-05-08 | 2015-03-11 | 中国人民解放军第二军医大学 | Inner ear low-frequency shear stress vibrator for treating Meniere's disease |
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2015
- 2015-05-12 CN CN201510246855.7A patent/CN104873374B/en active Active
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| 邹静: "内淋巴囊手术治疗梅尼埃病与剪切应激反应", 《中华耳科学杂志》 * |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US12053426B2 (en) | 2014-09-29 | 2024-08-06 | Otolith Sound Inc. | Device for mitigating motion sickness and other responses to inconsistent sensory information |
| CN110381912A (en) * | 2016-11-14 | 2019-10-25 | 耳石音股份有限公司 | Reduce the device and method of the symptom of the disease of vestibular system |
| US11284205B2 (en) | 2016-11-14 | 2022-03-22 | Otolith Sound Inc. | Systems, devices, and methods for treating vestibular conditions |
| CN110381912B (en) * | 2016-11-14 | 2022-06-07 | 耳石音股份有限公司 | Apparatus and method for reducing symptoms of a disorder of the vestibular system |
| CN111712223A (en) * | 2018-02-12 | 2020-09-25 | 耳石音股份有限公司 | Systems, devices, and methods for treating vestibular conditions |
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| CN104873374B (en) | 2016-09-07 |
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