CN105327449A - Sacral nerve stimulator program-controlled instrument - Google Patents

Sacral nerve stimulator program-controlled instrument Download PDF

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Publication number
CN105327449A
CN105327449A CN201510866215.6A CN201510866215A CN105327449A CN 105327449 A CN105327449 A CN 105327449A CN 201510866215 A CN201510866215 A CN 201510866215A CN 105327449 A CN105327449 A CN 105327449A
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China
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module
arm control
control module
nerve stimulator
sacral nerve
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CN201510866215.6A
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CN105327449B (en
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夏斌
丁皓
李晓波
王松
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HANGZHOU CHENGNUO MEDICAL TECHNOLOGY Co Ltd
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HANGZHOU CHENGNUO MEDICAL TECHNOLOGY Co Ltd
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Abstract

The invention discloses a sacral nerve stimulator program-controlled instrument which comprises an ARM control module, a USB communication module, a charging module, a communication module special for a medical implantable device, a storage module, a display module, a key module and a power management module. The ARM control module conducts control or input/output on the modules. The USB communication module is connected with an external controller. The charging module obtains electric energy of an externally-connected device or a power supply through the USB communication module and charges the power management module. The communication module special for the medical implantable device is used for achieving communication connection between the sacral nerve stimulator program-controlled instrument and an implantable sacral nerve stimulator. The sacral nerve stimulator program-controlled instrument controls the implantable sacral nerve stimulator in vitro and has the satisfactory application effect in the fields of urinary incontinence, urinary retention, Parkinson's, spinal neuralgia, peripheral electrical stimulation treatment and the like.

Description

A kind of sacral nerve stimulator program control instrument
Technical field
The present invention relates to medical instruments field, particularly a kind of sacral nerve stimulator program control instrument.
Background technology
For the patient of spinal cord injury, often there is the phenomenon of the reflection of detrusor of bladder height and detrusor sphincter dyssynergia, cause urine retention and renal damage, mostly adopted Drug therapy in the past, interrupted catheterization treatment and various operative treatment etc., but it is undesirable to there is effect, treatment cycle is long, the shortcomings such as complication is many, until the appearance of sacral nerve roots stimulator, it is based on the detrusor principle different with sphincter biological characteristics, when adopting discontinuous pulses to stimulate, can because urinating appears in the intravesical pressure of lasting rising between twice stimulation period, but this mode of urinating belongs to one and manually to urinate pattern, stimulus parameter can not adjust by suitable carrying out, intravesical pressure is very high sometimes causes injury of kidney, secondly before sacral nerves, root comprises the nerve fiber of some domination lower limb, the shake of lower limb can be there is when stimulating, the use of inconvenient patient, before using early stage sacral nerves during root stimulator program control instrument, sacral posterior rhizotomy must be carried out, the height can eliminating detrusor like this opens reflection, but do like this and also can produce some problems, such as: lose defecation reflex and erection reflex, for some male patients, such cost is unacceptable.
Rijkhoff in 1991 etc. propose anode block technique, the conduction of the nerve that suppression diameter is large can be selected by this technology, realize minor diameter neural excited separately, this technology is applied in the process of root electricity irritation before sacral nerves by we, thus makes pattern physiological more of urinating.Before application anode block technique carries out electricity irritation sacral nerves, the method for root not only can be used for improvement and urinates, easy to use, also defecation may be improved in the future, make sacral nerve root stimulation technology be more suitable for the patient of incomplete injury of spinal cord, eliminate pain problem during incomplete injury of spinal cord patient electricity irritation.In addition, do not need to carry out sacral posterior rhizotomy by this kind of method treatment spastic bladder and will become possibility yet.
The frequency range that general sacral nerve stimulator program control instrument adopts differs, and the situation of interference and non-effective control usually can occur; The layout of outer body and implant part is indefinite; There is invalid problem in communication therebetween.
Summary of the invention
In view of this, the object of the invention is to propose a kind of sacral nerve stimulator program control instrument, utilize intervention means that a kind of stimulating current of short pulse is put on specific sacral nerves continuously, the electrophysiological characteristics of neurocyte itself is deprived with this, to activate excited artificially or to suppress nervous pathway, the sacral nerves reflex arc that interference is abnormal, and then the behavior of effector organ that impact is arranged with the sacral nerves such as at the bottom of adjustment bladder, sphincter of urethra and basin, play the effect of neuroregulation, treatment lower urinary tract and pelvic floor dysfunction disease.
Based on above-mentioned purpose a kind of sacral nerve stimulator program control instrument provided by the invention, for transmitting boosting control signal to the implanted sacral nerve stimulator be implanted in body, realize the effective stimulus to sacral nerves, comprise ARM control module, USB communication module, charging module, medical implantable device-specific communication module, memory module, display module, key-press module and power management module, wherein
Described ARM control module is connected respectively with USB communication module, charging module, medical implantable device-specific communication module, memory module, display module, key-press module and power management module, controls or input and output each module;
Described USB communication module is connected with peripheral control unit, realizes peripheral control unit to the debugging of stimulator program control instrument and test;
Described charging module is connected respectively with ARM control module, USB communication module and power management module, obtains the electric energy of external equipment or power supply from USB communication module, receives the charging control signal of ARM control module, charges to power management module;
Described medical implantable device-specific communication module, be connected with the communication of implanted sacral nerve stimulator for realizing sacral nerve stimulator program control instrument, used is medical implantable device-specific frequency range, comprises the RF unit, impedance matching unit and the antenna that are connected successively;
Described memory module is used for saved system information, and the read-write operation of supported data, is connected with ARM control module, bi-directional transfer of data;
Described display module is connected with the output of ARM control module, comprise flash unit, LCD driver element and LCD display unit, wherein, flash unit is connected with ARM control module by data address bus, ARM control module obtains the data of display by data read operation, and the part pin of flash unit is subject to the direct control of ARM control module simultaneously; LCD driver element is connected with ARM control module by data address bus, is obtained the video data of flash unit, the normal display of control LCD display unit by ARM control module, and the I/O port of LCD driver element is subject to the control of ARM control module simultaneously;
Described key-press module comprises the button being set to difference in functionality, is connected with the I/O port of ARM control module, and for switching stimulus parameter by pressing different key, the operation of ARM control module to different button simultaneously detects;
Described power management module is connected with ARM control module respectively with charging module, comprise rechargeable battery and power management chip, power management chip receives the voltage inputted by charging module, rechargeable battery is charged and Charge Management, switch between the voltage of the peripheral control unit input that the voltage provided at rechargeable battery and charging module obtain from USB communication module, the output of power management chip is powered for other modules, and ARM control module is controlled power management chip by I/O port.
Preferably, USB communication module is connected by differential lines with ARM control module.
Preferably, described RF unit is connected with ARM control module with I/O port by SPI interface.
Preferably, described memory module is connected with ARM control module by SPI interface or I2C interface or UART interface.
Preferably, described ARM control module periphery arranges coupled reset chip, crystal oscillator, debug port and buzzer.
As can be seen from above, sacral nerve stimulator program control instrument provided by the invention, can with minimum modular design, reach the effective effect exporting boosting control signal, power management module, ingenious cooperation between charging module and USB communication module three, while making whole program control instrument energy-conservation, increase the service life; Adopt the communication module of medical implantable device-specific frequency range, make the implanted sacral nerve stimulator communication of external sacral nerve stimulator program control instrument and et al. Ke noiseless, high efficient and reliable, patient can control the embedded nerve stimulator implanted by hand-held stimulator program control instrument in vitro, embedded nerve stimulator, by producing the electric pulse continued, can carry out electricity irritation at multiple position to target nerve.Sacral nerve stimulator program control instrument of the present invention has gratifying achievement in the application in the fields such as urinary incontinence, urine retention, parkinson, spinal nerves pain, Peripheral electrical stimulation treatment.
Accompanying drawing explanation
Fig. 1 is the entire block diagram of embodiment of the present invention sacral nerve stimulator program control instrument;
Fig. 2 is the detailed construction schematic diagram of embodiment of the present invention sacral nerve stimulator program control instrument.
Detailed description of the invention
For making the object, technical solutions and advantages of the present invention clearly understand, below in conjunction with specific embodiment, and with reference to accompanying drawing, the present invention is described in more detail.
Consulting shown in Fig. 1,2, is entire block diagram and the detailed construction schematic diagram of embodiment of the present invention sacral nerve stimulator program control instrument.Sacral nerve stimulator program control instrument comprises ARM control module 101, USB communication module 102, charging module 103, medical implantable device-specific communication module 104, memory module 105, display module 106, key-press module 107 and power management module 108, wherein,
Described ARM control module 101 is connected respectively with USB communication module 102, charging module 103, medical implantable device-specific communication module 104, memory module 105, display module 106, key-press module 107 and power management module 108, controls or input and output each module;
Described USB communication module 102 is connected with peripheral control unit, realizes peripheral control unit to the debugging of stimulator program control instrument and test;
Described charging module 103 is connected respectively with ARM control module 101, USB communication module 102 and power management module 108, the electric energy of external equipment or power supply is obtained from USB communication module 102, receive the charging control signal of ARM control module 101, charge to power management module 108;
Described medical implantable device-specific communication module 104, be connected with the communication of implanted sacral nerve stimulator for realizing sacral nerve stimulator program control instrument, used is medical implantable device-specific frequency range, comprises the RF unit 141, impedance matching unit 142 and the antenna 143 that are connected successively;
Described memory module 105 is for saved system information, and the read-write operation of supported data, is connected with ARM control module 101, bi-directional transfer of data;
Described display module 106 is connected with the output of ARM control module 101, comprise flash unit 161, LCD driver element 162 and LCD display unit 163, wherein, flash unit 161 is connected with ARM control module 101 by data address bus, be stored in like this in flash module 161 and need the image shown to have the address determined, ARM control module 101 obtains the data of display by data read operation, and the part pin of flash unit 161 is subject to the direct control of ARM control module 101 simultaneously; LCD driver element 162 is connected with ARM control module 101 by data address bus, the video data of flash unit 161 is obtained by ARM control module 101, the normal display of control LCD display unit 163, the I/O port of LCD driver element 162 is subject to the control of ARM control module 101 simultaneously;
Described key-press module 107 comprises the button being set to difference in functionality, is connected with the I/O port of ARM control module 101, and for switching stimulus parameter by pressing different key, ARM control module 101 detects the operation of different button simultaneously;
Described power management module 108 is connected with ARM control module 101 respectively with charging module 103, comprise rechargeable battery 181 and power management chip 182, power management chip 182 receives the voltage inputted by charging module 103, rechargeable battery 181 is charged and Charge Management, switch between the voltage of the peripheral control unit input that the voltage provided at rechargeable battery 181 and charging module 103 obtain from USB communication module 102, the output of power management chip 182 is powered for other modules, ARM control module 101 is controlled power management chip 182 by I/O port.
Further, USB communication module 102 is connected by differential lines with ARM control module 101.
Further, described RF unit 141 is connected with ARM control module 101 with I/O port by SPI interface.
Further, described memory module 105 is connected with ARM control module 101 by SPI interface or I2C interface or UART interface.
Further, described ARM control module 101 periphery arranges coupled reset chip 109, crystal oscillator 110, debug port 111 and buzzer 112, buzzer 112 gives user and provides better support, be connected with ARM control module 101 by I/O port, a function is when sacral nerve stimulator program control instrument and the implanted sacral nerve stimulator communication implanted time, sounds; Other functions are included in start, user switches stimulus modelity, adjustment stimulus intensity time sounding.
Those of ordinary skill in the field are to be understood that: the foregoing is only specific embodiments of the invention; be not limited to the present invention; within the spirit and principles in the present invention all, any amendment made, equivalent replacement, improvement etc., all should be included within protection scope of the present invention.

Claims (5)

1. a sacral nerve stimulator program control instrument, is characterized in that, comprises ARM control module, USB communication module, charging module, medical implantable device-specific communication module, memory module, display module, key-press module and power management module, wherein,
Described ARM control module is connected respectively with USB communication module, charging module, medical implantable device-specific communication module, memory module, display module, key-press module and power management module, controls or input and output each module;
Described USB communication module is connected with peripheral control unit, realizes peripheral control unit to the debugging of stimulator program control instrument and test;
Described charging module is connected respectively with ARM control module, USB communication module and power management module, obtains the electric energy of external equipment or power supply from USB communication module, receives the charging control signal of ARM control module, charges to power management module;
Described medical implantable device-specific communication module, be connected with the communication of implanted sacral nerve stimulator for realizing sacral nerve stimulator program control instrument, used is medical implantable device-specific frequency range, comprises the RF unit, impedance matching unit and the antenna that are connected successively;
Described memory module is used for saved system information, and the read-write operation of supported data, is connected with ARM control module, bi-directional transfer of data;
Described display module is connected with the output of ARM control module, comprise flash unit, LCD driver element and LCD display unit, wherein, flash unit is connected with ARM control module by data address bus, ARM control module obtains the data of display by data read operation, and the part pin of flash unit is subject to the direct control of ARM control module simultaneously; LCD driver element is connected with ARM control module by data address bus, is obtained the video data of flash unit, the normal display of control LCD display unit by ARM control module, and the I/O port of LCD driver element is subject to the control of ARM control module simultaneously;
Described key-press module comprises the button being set to difference in functionality, is connected with the I/O port of ARM control module, and for switching stimulus parameter by pressing different key, the operation of ARM control module to different button simultaneously detects;
Described power management module is connected with ARM control module respectively with charging module, comprise rechargeable battery and power management chip, power management chip receives the voltage inputted by charging module, rechargeable battery is charged and Charge Management, switch between the voltage of the peripheral control unit input that the voltage provided at rechargeable battery and charging module obtain from USB communication module, the output of power management chip is powered for other modules, and ARM control module is controlled power management chip by I/O port.
2. sacral nerve stimulator program control instrument according to claim 1, is characterized in that, USB communication module is connected by differential lines with ARM control module.
3. sacral nerve stimulator program control instrument according to claim 1, is characterized in that, described RF unit is connected with ARM control module with I/O port by SPI interface.
4. sacral nerve stimulator program control instrument according to claim 1, is characterized in that, described memory module is passed through SPI interface or I2C interface or UART interface and is connected with ARM control module.
5. sacral nerve stimulator program control instrument according to claim 1, is characterized in that, described ARM control module periphery arranges coupled reset chip, crystal oscillator, debug port and buzzer.
CN201510866215.6A 2015-12-01 2015-12-01 A kind of sacral nerve stimulator program control instrument Active CN105327449B (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107261323A (en) * 2017-07-07 2017-10-20 北京品驰医疗设备有限公司 A kind of implanted is without wire sacral nerve stimulator
CN109525115A (en) * 2018-12-21 2019-03-26 厦门固立电子科技有限公司 A kind of communication based on intelligent medical device end is for electro synthesis and separation system

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201205405Y (en) * 2008-01-22 2009-03-11 徐文东 Peripheral nerve semi-implantation type electric stimulation control device
CN201921317U (en) * 2010-11-17 2011-08-10 鼎迈医疗科技(苏州)有限公司 Remote doctor program controller and implantable medical system
CN104096313A (en) * 2014-06-17 2014-10-15 华中科技大学 Implantable nerve electrical stimulation device and system
CN205268833U (en) * 2015-12-01 2016-06-01 杭州承诺医疗科技有限公司 Sacrum neural stimulator program control instrument

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201205405Y (en) * 2008-01-22 2009-03-11 徐文东 Peripheral nerve semi-implantation type electric stimulation control device
CN201921317U (en) * 2010-11-17 2011-08-10 鼎迈医疗科技(苏州)有限公司 Remote doctor program controller and implantable medical system
CN104096313A (en) * 2014-06-17 2014-10-15 华中科技大学 Implantable nerve electrical stimulation device and system
CN205268833U (en) * 2015-12-01 2016-06-01 杭州承诺医疗科技有限公司 Sacrum neural stimulator program control instrument

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107261323A (en) * 2017-07-07 2017-10-20 北京品驰医疗设备有限公司 A kind of implanted is without wire sacral nerve stimulator
CN109525115A (en) * 2018-12-21 2019-03-26 厦门固立电子科技有限公司 A kind of communication based on intelligent medical device end is for electro synthesis and separation system

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