CN106902461A - A kind of stimulus generator - Google Patents

A kind of stimulus generator Download PDF

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Publication number
CN106902461A
CN106902461A CN201710300010.0A CN201710300010A CN106902461A CN 106902461 A CN106902461 A CN 106902461A CN 201710300010 A CN201710300010 A CN 201710300010A CN 106902461 A CN106902461 A CN 106902461A
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CN
China
Prior art keywords
stimulus generator
pulse
electrode
stimulating electrode
triode
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Pending
Application number
CN201710300010.0A
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Chinese (zh)
Inventor
刘志忠
刘逸
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Individual
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Individual
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Publication of CN106902461A publication Critical patent/CN106902461A/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
    • A61N1/362Heart stimulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056Transvascular endocardial electrode systems
    • A61N1/0565Electrode heads
    • A61N1/0568Electrode heads with drug delivery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0587Epicardial electrode systems; Endocardial electrodes piercing the pericardium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/08Arrangements or circuits for monitoring, protecting, controlling or indicating
    • 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
    • A61N1/362Heart stimulators
    • A61N1/3625External stimulators

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Neurology (AREA)
  • Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Vascular Medicine (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The present invention relates to medical instruments field, disclose a kind of stimulus generator, control circuit is perceived including at least two impulse output circuits and at least one, the stimulus generator alternately can provide boost pulse electric current in opposite direction, be equal to polarity of electrode checker and provide boost pulse.Polarity of electrode checker provides boost pulse and the histio-irritative adverse reaction of institute can be greatly decreased, reduce tissue polarity current potential and polarization impedance, stimulus threshold is reduced, while the convenient threshold value autocapture function for implementing stimulus generator, makes stimulus generator longer cell life.

Description

A kind of stimulus generator
Technical field
The present invention relates to medical instruments field, in particular it relates to a kind of stimulus generator.
Background technology
Traditional cardiac stimulation system provides elicited by direct current pulse cardiac muscle using stimulating electrode as negative electrode, and electric current is from the moon Pole is flowed out, and anode is flowed into after tissue, body fluid, forms loop.For this using fixed cathode electrode and direct current Pulse paces the mode of heart tissue, can inevitably form polarization potential in electrode head end, produces polarization impedance, influence thorn Swash threshold values.In the electrode using the small surface area of high impedance, polarization impedance can reach more than the 70% of whole system impedance, make System pace-making efficiency reduction, the battery of pacemaker is easily exhausted.Meanwhile, Unidirectional direct-current pulse causes tissue reactive to increase, fine Dimensionization degree increases, and have impact on the long-time stability of stimulation parameter.
In view of this, how further to improve stimulus generator, improving stimulates efficiency, reduction be stimulated tissue reactive and Extend the battery life of stimulus generator, be that this area has technology to be solved to overcome the defect of above-mentioned traditional stimulating system Problem.
The content of the invention
It is an object of the invention to provide a kind of stimulus generator, it is it is critical that improve stimulus generator granting The pattern of boost pulse, reduces the polarization impedance of excitable tissue, reduces the battery of stimulus threshold and extension stimulus generator Life-span;It is compared with conventional pacemaker, increased the position of the application of anode pace-making and pace-making.
The present invention is adopted the technical scheme that:
The invention provides a kind of stimulus generator.The stimulus generator includes at least two impulse output circuits and at least one Control circuit is perceived, each electric stimulation pulse that the impulse output circuit is exported is single-phase ripple, is showed during alternate change It is two single-phase and in opposite direction boost pulses;The control circuit that perceives is stimulated the level signal of body for perceiving and controls Impulse output circuit processed sends pulse signal to the stimulating electrode.
Preferably, the electric stimulation pulse of the impulse output circuit is connected to stimulating electrode by triode and lead, The control circuit that perceives is located between triode and stimulating electrode while being also electrically connected with the impulse output circuit respectively.
Preferably, the pulse signal output end of the impulse output circuit connects the base stage of the triode, triode Emitter stage the stimulating electrode is connected by lead.This case triode preferentially uses NPN type triode.
Preferably, the control circuit that perceives includes perceiving unit and control unit, the perception unit is used for real-time Receiving is stimulated the perception electrocardiosignal of body, and is sent to control unit, and control unit detects the effective of the electrocardiosignal Property, and impulse output circuit sends polarity pulse signal to stimulating electrode according to the Polarity Control of the electrocardiosignal.
Preferably, multiple stimulating electrodes can be derived on the stimulating electrode, positioned at multiple stimulating electrodes of same one end It is parallel with one another, to realize multipole reversal.
This stimulus generator can connect traditional monopole electrode, thus change conventional method using lead distal end electrode fix as Negative electrode and the fixation of pacemaker shell as anode stimulation mode, traditional monopolar electrode can pierce alternately as negative electrode or anode Swash cardiac muscle.
This stimulus generator can also be connected with traditional bipolar electrode, thus change conventional method and fix remote electrode As negative electrode and annular electrode fixation as anode stimulation mode, remote electrode and annular electrode can alternately as negative electrode or Anode excitation cardiac muscle.
This stimulus generator can be also used for the heart intramuscular electrode independent with two and be connected, and make this two electrodes only respectively It is vertical to provide boost pulse, or boost pulse is provided respectively as negative electrode and anode joint, meanwhile, polarity of electrode can alternately become Change.
Preferably, the stimulus generator that the present invention is provided includes:Double pulse generator, referred to as " double-core " stimulus generator, Referred to as " double-core " pacemaker when being used in heart;And/or multipulse generator(≤ 3 impulse generators)Associated working Pattern, referred to as " multinuclear " stimulus generator, referred to as " multinuclear " pacemaker when being used in heart.Described stimulus generator Impulse stimulation electric current in opposite direction alternately can be provided, be equal to negative electrode and anode polarity alternate change.Described stimulation hair The component connection circuit of raw device includes the connection circuit of any mode of pulse-pair output circuit or multiple-pulse output circuit.
Special instruction, the stimulus generator and Patent No. US4402322-A of present invention offer, The stimulus generator that JP2001190695-A with US6341235 B1 are provided is different.Patent No. US4402322-A, It is by two phase waves that the stimulus generator that JP2001190695-A and US6341235 B1 are provided sends out impulse stimulation(two- Phase or biphase)The single boost pulse for constituting, its first phase and the second phase wave form, wave amplitude, time are different.And Stimulus generator of the present invention sends out each impulse stimulation and is single-phase rectangular wave, and two single and directions are shown as during alternate change Different boost pulses, pulsewidth and amplitude can be adjusted through program controller.
The stimulus generator that the present invention is provided alternately is provided electric pulse in opposite direction and is meant:Interval is certain or not etc. Number of times or interval is certain or after time that do not wait, the electric pulse of granting different directions.
The stimulus generator sends out impulse stimulation and is single-phase, and feature includes showing as direction during alternate change different.
" double-core " and " multinuclear " stimulus generator or pacemaker that the present invention is provided, its function should not be understood merely as providing Boost pulse, should also include:Perceptional function, diagnostic function and defibrillating function.
A kind of new electric stimulation pulse mode and/or " double-core " or " multinuclear " stimulus generator of present invention offer/ Or pacemaker:Preferably used in heart as one kind, but be not limited to heart, it is understood that being applicable outside any heart needs electricity The tissue for stimulating and/or perceiving, such as:Blood vessel, brain and peripheral nerve etc..
The stimulus generator that the present invention is provided has following advantage compared with prior art:
The stimulus generator that the present invention is provided alternately can provide pulse current in opposite direction, and this is one kind that the present invention is provided Brand-new electric stimulation pulse mode.Compared with one direction boost pulse, the stimulation of this checker pulse direction can be significantly Degree reduces the histio-irritative adverse reaction of institute, reduces tissue polarity current potential and polarization impedance, reduces stimulus threshold, while convenient Implement the threshold value autocapture function of stimulus generator, make the longer cell life of stimulus generator.
Brief description of the drawings
Accompanying drawing is, for providing a further understanding of the present invention, and to constitute the part of specification, with following tool Body implementation method is used to explain the present invention together, but is not construed as limiting the invention.
Fig. 1 is the structure and operation principle block diagram of stimulus generator of the invention.
Fig. 2 is one kind " double-core " stimulus generator circuit catenation principle figure that the present invention is provided.
Specific embodiment
The present invention is described in detail with specific embodiment below in conjunction with the accompanying drawings.
Embodiment one.
As shown in figure 1, first aspect present invention provides a kind of stimulus generator, it includes at least two boost pulse Output unit, at least one perceives and control unit.Such as Fig. 2, the pulse signal output end of the boost pulse output circuit leads to Cross triode and lead is connected to the stimulating electrode, the perception control circuit is located between triode and stimulating electrode simultaneously Also there is circuit with the boost pulse respectively to be electrically connected with, perceiving control circuit is used to perceive the level signal for being stimulated body simultaneously Pulse signal is sent there is circuit to the stimulating electrode in control boost pulse.
One kind as the present embodiment is preferred, and the boost pulse occurs the pulse signal output end connection described three of circuit The base stage of pole pipe, the emitter stage of triode connects the stimulating electrode by lead.The control circuit that perceives includes perceiving list Unit and control unit, the perception unit are used for receiving in real time and are stimulated the perception electrocardiosignal of body, and are sent to control Unit, control unit detects the validity of the electrocardiosignal, and the boost pulse hair according to the Polarity Control of the electrocardiosignal Raw circuit sends polarity pulse signal to stimulating electrode.As shown in Fig. 2 multiple stimulation electricity can be derived on the stimulating electrode Pole, the multiple stimulating electrodes positioned at same one end are parallel with one another, to realize multistage reversal.
Two boost pulse output circuits form double pulse generator associated working pattern, and referred to as " double-core " stimulation occurs Device, referred to as " double-core " pacemaker when being used in heart;And/or multipulse generator(≤ 3 impulse generators)Associated working Pattern, referred to as " multinuclear " stimulus generator, referred to as " multinuclear " pacemaker when being used in heart;The feature of the stimulus generator Including:Pulse current in opposite direction can be alternately provided, i.e. boost pulse is provided in alternating polarity conversion.
Component connection circuit included by the stimulus generator that the present invention is provided should not be only understood shown in Fig. 2, it should managed Solution is the connection circuit of any mode for including pulse-pair output circuit or multiple-pulse output circuit.
The stimulus generator that the present invention is provided alternately is provided electric pulse in opposite direction and is meant:Interval is certain or not etc. Number of times or interval is certain or after time that do not wait, the electric pulse of granting different directions.
The stimulus generator sends out impulse stimulation and is single-phase, and feature includes showing as direction during alternate change different.
" double-core " and " multinuclear " stimulus generator or pacemaker that the present invention is provided, its function should not be understood merely as providing Boost pulse, should also include:Perceptional function, diagnostic function and defibrillating function.
A kind of new electric stimulation pulse mode and/or " double-core " or " multinuclear " stimulus generator of present invention offer/ Or pacemaker:Preferably used in heart as one kind, but be not limited to heart, it is understood that being applicable outside any heart needs electricity The tissue for stimulating and/or perceiving, such as:Blood vessel, brain and peripheral nerve etc..
The basic principles, principal features and advantages of the present invention have been shown and described above.One of ordinary skill in the art It should be appreciated that the mode such as above-described embodiment protection domain that the invention is not limited in any way, all use equivalents is obtained The technical scheme for obtaining, falls within protection scope of the present invention.
Part that the present invention does not relate to is same as the prior art or can be realized using prior art.

Claims (6)

1. a kind of stimulus generator, it is characterised in that perceive control electricity including at least two impulse output circuits and at least one Road, each electric stimulation pulse that the impulse output circuit is exported is single-phase ripple, shown as during alternate change two it is single-phase And boost pulse in opposite direction;The control circuit that perceives is stimulated the level signal of body for perceiving and controls pulse to export Circuit sends pulse signal to the stimulating electrode.
2. a kind of stimulus generator according to claim 1, it is characterised in that the electro photoluminescence arteries and veins of the impulse output circuit Punching is connected to stimulating electrode by triode and lead, and the perception control circuit is located between triode and stimulating electrode simultaneously Also it is electrically connected with the impulse output circuit respectively.
3. a kind of stimulus generator according to claim 2, it is characterised in that the pulse signal of the impulse output circuit Output end connects the base stage of the triode, and the emitter stage of triode connects the stimulating electrode by lead.
4. a kind of stimulus generator according to claim 1, it is characterised in that the perception control circuit includes perceiving single Unit and control unit, the perception unit are used for receiving in real time and are stimulated the perception electrocardiosignal of body, and are sent to control Unit, control unit detects the validity of the electrocardiosignal, and the pulse output electricity according to the Polarity Control of the electrocardiosignal Road direction stimulating electrode sends polarity pulse signal.
5. a kind of stimulus generator according to Claims 2 or 3, it is characterised in that can be derived on the stimulating electrode many Individual stimulating electrode, the multiple stimulating electrodes positioned at same one end are parallel with one another, to realize multipole reversal.
6. a kind of stimulus generator according to claim 1 or 2 or 3, it is characterised in that the stimulus generator can be used for The interior electrode of the excitable tissue separate with two independence is connected, and two described interior electrodes is independently provided stimulation arteries and veins Punching provides boost pulse respectively as negative electrode and anode joint, meanwhile, two polarities of electrode can realize checker.
CN201710300010.0A 2017-03-15 2017-05-02 A kind of stimulus generator Pending CN106902461A (en)

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CN2017101547851 2017-03-15

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WO2019169259A1 (en) * 2018-03-02 2019-09-06 Medtronic, Inc. Implantable medical electrode assemblies and devices
CN112603524B (en) * 2020-11-30 2023-02-24 杭州诺生医疗科技有限公司 Interatrial septum tissue stoma device and interatrial septum group weaving mouth system

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US20090240298A1 (en) * 2008-03-18 2009-09-24 Jie Lian Switch polarity pacing to improve cardiac resynchronization therapy
CN103203076A (en) * 2006-08-29 2013-07-17 心脏起搏器股份公司 System for neural stimulation
CN208809312U (en) * 2017-05-02 2019-05-03 刘志忠 A kind of stimulus generator

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EP1428550A1 (en) * 2002-12-13 2004-06-16 P.A. & M. S.p.A. Single pacemaker catheter electrode for the biventricular cardiac electrostimulation
CN102065947B (en) * 2008-04-15 2013-11-06 心脏起搏器公司 Bundle of HIS stimulation system
CN201329130Y (en) * 2008-12-29 2009-10-21 陕西秦明医学仪器股份有限公司 Bipolar electrode conduit for implanted cardiac pacemaker
WO2011081700A1 (en) * 2009-12-31 2011-07-07 Cardiac Pacemakers, Inc. Mri safe, multipolar active fixation stimulation lead with co-radial construction
CN202289230U (en) * 2011-07-28 2012-07-04 陕西秦明医学仪器股份有限公司 Hormone spiral electrode catheter for implantable cardiac pacemaker

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103203076A (en) * 2006-08-29 2013-07-17 心脏起搏器股份公司 System for neural stimulation
US20090240298A1 (en) * 2008-03-18 2009-09-24 Jie Lian Switch polarity pacing to improve cardiac resynchronization therapy
CN208809312U (en) * 2017-05-02 2019-05-03 刘志忠 A kind of stimulus generator

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Application publication date: 20170630

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