CN108433705A - Method and apparatus for the test of autonomic nerves system sensitive spot - Google Patents
Method and apparatus for the test of autonomic nerves system sensitive spot Download PDFInfo
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- CN108433705A CN108433705A CN201810344475.0A CN201810344475A CN108433705A CN 108433705 A CN108433705 A CN 108433705A CN 201810344475 A CN201810344475 A CN 201810344475A CN 108433705 A CN108433705 A CN 108433705A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/40—Detecting, measuring or recording for evaluating the nervous system
- A61B5/4029—Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
- A61B5/4035—Evaluating the autonomic nervous system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/053—Measuring electrical impedance or conductance of a portion of the body
- A61B5/0531—Measuring skin impedance
- A61B5/0533—Measuring galvanic skin response
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4824—Touch or pain perception evaluation
- A61B5/4827—Touch or pain perception evaluation assessing touch sensitivity, e.g. for evaluation of pain threshold
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0048—Detecting, measuring or recording by applying mechanical forces or stimuli
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6814—Head
- A61B5/6815—Ear
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Abstract
A kind of method for electrical testing includes：Battery is provided；With by circuit evolving periodicity time signal.The method for electrical testing further comprises offer conductive tip, wherein when test surfaces, the conductive tip is suitable for being in electrical contact but not piercing through the first part on the surface, and the periodic signal is coupled to the conductive tip.
Description
This case is the divisional application of following patent application：
Application number：201380077468.4；
The applying date：On June 13rd, 2013；
Denomination of invention：Method and apparatus for the test of autonomic nerves system sensitive spot
The cross reference of related patents
This application involves entitled " the EXTRACTING CAUSAL INFORMATION authorized on the 15th of August in 2006
The United States Patent (USP) No.7 of FROM A CHAOTIC TIME SERIES (from chaos time sequence extraction cause and effect information) ", 02,849,
The entirety is herein incorporated by reference.The application further relates to the following application being filed concurrently herewith：Mark
It is entitled that " STIMULATIVE ELECTROTHERAPY USING AUTONOMIC NERVOUS SYSTEM CONTROL are (using certainly
The stimulation diathermy of main nervous system control) " U.S.Patent Application attorney file No.89562-000300US-874038, mark
The U.S. of entitled " COMPUTER-IMPLEMENTED TRAINNING OF A PROCEDURE (computer-implemented procedural training) "
State patent application agents document No.89562-000500US-874022 and entitled " METHOD AND APPARATUS
The U.S.Patent Application attorney of FOR STIMULATIVE ELECTROTHERAPY (for stimulating diathermic method and apparatus) "
File No.89562-001000US-876815, the full content of above-mentioned all patent applications are herein incorporated by reference.
Technical field
Present invention relates generally to the skins for testing patient, and autonomous to find more particularly to the skin of test patient
The method and apparatus of nervous system sensitive spot.
Background technology
Heart rate variability measurement has been found the strong mode of the influence to cardiac system for assessment autonomic nerves system.
In fact, autonomic nerves system is propped up together with its sympathetic nerve and parasympathetic nerve (also referred to as " vagus nerve " subsystem below)
Involuntary action with cardiac muscle and each internal organs in body.
Autonomic nerves system cannot directly touch active control.But based on autonomic reflex and center control with from master mode
Operating.One of its major function is to maintain internal homeostasis.Autonomic nerves system is in organism and its ambient enviroment
Further play the part of adaptive role in interaction.
In many diseases, the sympathetic and/or parasympathetic part of autonomic nerves system is impacted to lead to autonomic dysfunction.In
It is with the reliable of state and just critically important for representative measurement with the activity about autonomic nerves system.
The United States Patent (USP) No.7,092,849 for authorizing Lafitte et al. is described for analyzing autonomic nerve from time varying signal
Method, system and the computer code of the state of system, wherein time varying signal indicate the heart system dominated by autonomic nerves system
The time interval of chaos sequence between generated event paracycle of system.Therefore, the parasympathetic nerve portion of autonomic nerves system
The real time monitoring of the sympathovagal balance divided between sympathetic division is possible.
Autonomic nerves system plays the part of important role in pain is adjusted and is perceived, and chronic ache may be because of body
Dysfunction in interior central nervous system.Although there are many drugs and physical therapy for treating pain, they are not
Pain can be cured and only mask pain is reacted, (such as anaesthetic treatment) is also with undesirable side effect sometimes.
Point stimulator tool is for treating the permanent acupuncture of chronic ache at any time similar to the non-narcotic of needle and electro photoluminescence
Property combination.Electro photoluminescence instrument by stimulating the point on ear to make the dysfunction normalization of body using ear acupuncture therapy based on being made
For treatment.It is believed that the reticular structure that the improvement of obtained pain and disease passes through sympathetic nerve and parasympathetic.Ear
Specified point in piece is related to the major organs in body.However, for test and position the sensitive spot on skin surface with
In stimulation needle pierce existing medical instrument and therapeutic scheme there is no using in real time fan walk-sympathetic nerve balance monitoring energy
Power.
Invention content
According to one embodiment of present invention, it describes a kind of quick for carrying out autonomic nerves system on the skin of the patient
The method of sense point test.The method includes generating electrotherapy signal when testing patient, the electrotherapy signal stimulates oneself of patient
The vagus nerve of main nervous system reacts.The method further includes providing conductive tip, wherein when testing patient, it is described
Conductive tip is in electrical contact but does not pierce through skin, and electrotherapy signal is made to be coupled to conductive tip.
According to one embodiment, the characteristic that electrotherapy signal includes wireless setting electrotherapy signal is generated.According to one embodiment,
The characteristic is selected from frequency, amplitude, impulse waveform and duty ratio.According to one embodiment, the method further includes generating
Resistance measuring signals, and the resistance measuring signals are coupled to the conductive tip.
It, will with conductive tip the method further includes selecting the first part of patient skin according to one embodiment
Electrotherapy signal is applied to the first part of skin, measures the first sympathetic vagus nerve balance of patient, and sympathetic based on first
Vagus nerve balance determines reaction result.It is described anti-when the first sympathetic vagus nerve balance reacts mobile towards vagus nerve
Should result be it is positive.When the first sympathetic fan, which walks balance, reacts mobile not towards vagus nerve, the reaction result is negative.
According to one embodiment, the method further includes when reaction result is negative, patient being selected to abut skin
The second part of the skin of first part.The method further includes repeating to apply electrotherapy signal, measures the first sympathetic fan and walk
Nerve balance, and determine reaction result, until reaction result is positive or until skin the first predetermined quantity
Until part is tested.
According to one embodiment, it includes being obtained from the graphic user interface for being coupled to computer to select the first part of skin
The rough location of the first part of skin, wherein the computer executes the program in response to patient symptom.Implemented according to one
Example, the first part of skin are located on the ear of patient.
According to one embodiment, it includes the second part that electrode is applied to skin to apply electrotherapy signal.The electrode is
For the return signal path of electrotherapy signal, so that glove healthcare givers can be convenient for applying electrotherapy signal.
According to one embodiment, it includes being coupled to autonomic nerves system monitor to measure the first sympathetic vagus nerve balance
Patient, and from time varying signal analyze patient autonomic nerves system state, wherein the time varying signal indicate by patient's
The paracycle that cardiac system generates the time interval between event chaos sequence.According to one embodiment, the method is into one
Step includes that electrotherapeutic needle is inserted at the first part of skin when the reaction result is positive.
According to one embodiment, the method further includes the second vago-sympathetic balances of measurement patient, and
Reversion result (reversal outcome) is determined based on the described second sympathetic vagus nerve balance.When the second fan walks sympathetic nerve
When balance reacts reversion from sympathetic nerve reaction towards vagus nerve, reversion result is positive.When the second sympathetic vagus nerve is flat
Weighing apparatus is not reacted from sympathetic nerve towards when vagus nerve reaction reversion, and reversion result is negative.
According to one embodiment, the method further includes when it is negative to invert result, from the first part of skin
Remove electrotherapeutic needle, and the second part of the patient skin of the first part of the adjacent skin of selection.The method further includes
Be repeatedly inserted into, measure the second sympathetic vagus nerve balance, and determine reversion as a result, until inverting result and being positive or
Until the part of the second predetermined quantity of skin is tested.
According to one embodiment, the method further includes when invert result by it is positive when determine the electrotherapeutic needle being inserted into
Quantity, and when the quantity for the electrotherapeutic needle being inserted into be equal to electrotherapeutic needle predetermined quantity when complete test.The method is into one
Step includes repeating selection, applying electrotherapy signal, measure the first sympathetic vagus nerve balance, determine reaction result, insertion, measurement the
Two sympathetic vagus nerve balances, and reversion knot is determined when the quantity for the electrotherapeutic needle being inserted into is less than the predetermined quantity of electrotherapeutic needle
Fruit.According to one embodiment, the predetermined quantity of electrotherapeutic needle is equal to three.
According to one embodiment, it includes generating resistance measuring signals to select the first part of skin, by the resistance measurement
Signal is coupled to conductive tip, and the resistance measuring signals are applied to the first part of skin with the conductive tip.
The method further includes resistance of the measurement at the first part of skin, provide the instruction of the value in response to the resistance,
And conductive tip is moved selectively to find the low resistance skin near the first part of skin in response to the instruction
Skin position.
According to one embodiment, it includes the second part that electrode is applied to skin to apply resistance measuring signals.The electricity
It is extremely used for the return signal path of resistance measuring signals, so that glove healthcare givers can be convenient for applying resistance survey
Measure signal.According to one embodiment, apply electrotherapy signal include by electric probe from resistance measurement pattern switching be parasympathetic system
System pattern.
According to one embodiment of present invention, it describes for carrying out autonomic nerves system sensitive spot on the skin of the patient
The electric installation of test.The electric installation includes the circuit for being suitable for generating electrotherapy signal, wherein when testing patient, the electrotherapy letter
The vagus nerve reaction of the autonomic nerves system of number stimulation patient and conductive tip, wherein when testing patient, the conduction
Tip is suitable for electrical contact but does not pierce through skin.The electrotherapy signal is coupled to the conductive tip.
According to one embodiment, the electric installation further comprises the electrode for being suitable for being applied in the second part of skin.
The electrode is the return signal path for electrotherapy signal, so that glove healthcare givers can be convenient for believing electrotherapy
Number it is applied to patient.
According to one embodiment, the circuit includes rf receiver and transmitter and control circuit, and the control circuit is suitable for
The characteristic of the electrotherapy signal received by the wireless transceiver is set.According to one embodiment, the rf receiver and transmitter root
According to selected fromWith
Transmission standard operation.
According to one embodiment, the circuit is further adapted for generating resistance measuring signals.In response to by electrotherapy signal or
Resistance measuring signals are selectively coupled to the position of the switch of conductive tip, and the resistance measuring signals are coupled to the conductive point
End.According to one embodiment, the electric installation further comprises the electrode for being suitable for being applied in the second part of skin.The electricity
It is extremely used for the return signal path of resistance measuring signals, so that glove healthcare givers can be convenient for resistance measurement
Signal is applied to patient.
According to one embodiment, the electric installation further comprises the finger of the value in response to the resistance by the circuit measuring
Show device.According to one embodiment, the indicator is visual detector, sound indicator or vibration indicator.
According to one embodiment of present invention, the electric test device includes battery, is suitable for generating periodical time signal
Circuit and conductive tip, wherein the conductive tip is suitable for being in electrical contact but not piercing through the of the surface when test surfaces
A part.The periodic signal is coupled to the conductive tip.
According to one embodiment, the electric test device further comprises the electricity for being suitable for being applied in the second part on surface
Pole.The electrode is the return signal path for the periodic signal, so that when test surfaces, glove test
Device can be convenient for for the periodic signal being applied to the first part on the surface.
According to one embodiment, the electric test device further comprises with insulating surface and in the insulating surface
At least the first hole shell.The conductive tip is suitable for stretching out from the shell by first hole.The shell encapsulated
The battery and the circuit.When testing the surface, the shell, which has, is suitable for hand-held shape.Implemented according to one
Example, the shell are suitable for airtightly sealing the electric test device.
According to one embodiment, the electric test device further comprises the electricity for being suitable for being applied in the second part on surface
Pole.The electrode is the return signal path for resistance measuring signals, so that when testing the surface, it is glove
Tester can be convenient for the resistance measurement being applied to the surface.
According to one embodiment of present invention, a kind of method for electrical testing includes providing battery and from circuit evolving
Periodical time signal.The method for electrical testing further comprises providing conductive tip, wherein when test surfaces when institute
It states conductive tip and is suitable for being in electrical contact but not piercing through the first part on surface, and the periodic signal is made to be coupled to the conductive point
End.
According to one embodiment, the method further includes providing with insulating surface and in the insulating surface
At least shell in the first hole.The method further includes so that the conductive tip is passed through described
One hole is stretched out from the shell, battery and the circuit described in the shell encapsulated, and by the housing molding with hand-held.
According to one embodiment, the method further includes airtightly sealing the electric test device with the shell.
It is described the method further includes electrode to be applied to the second part on the surface according to one embodiment
Electrode is the return signal path for the periodic signal.The method further includes when testing the surface,
Glove tester is enable to facilitate the first part that the periodic signal is applied to the surface.According to
The periodic signal is arranged via control circuit the method further includes providing rf receiver and transmitter in one embodiment
Characteristic, and the characteristic is received by the input terminal of the wireless transceiver.
According to one embodiment, the method further includes passing through the circuit evolving resistance measuring signals.The side
Method further comprises in response to the periodic signal or the resistance measuring signals are selectively coupled to the conductive tip
The position of the switch, the resistance measuring signals are coupled to the conductive tip.
It is described the method further includes electrode to be applied to the second part on the surface according to one embodiment
Electrode is the return signal path for the resistance measuring signals.The method further includes when testing the surface,
Glove tester is facilitated, the resistance measuring signals are applied to the surface.According to one embodiment, institute
The method of stating further comprises providing indicator, and when testing the surface, the indicator reacts the electricity by the circuit measuring
Resistance value.
With reference to following specific implementation mode and attached drawing, the characteristic for obtaining the embodiment of the present invention and excellent may be better understood
Gesture.
Description of the drawings
Fig. 1 describes the simplified block diagram of patient's test site according to an embodiment of the invention.
Fig. 2 describes autonomic nerves system susceptibility test device according to an embodiment of the invention and portion shown in FIG. 1
Divide the simplified block diagram of patient skin.
Fig. 3 describes the simplified block diagram of autonomic nerves system stimulator shown in Fig. 2 according to an embodiment of the invention.
Fig. 4 A describe according to an embodiment of the invention quick for carrying out autonomic nerves system on the skin of the patient
The simplified flowchart of the method for sense point test.
Fig. 4 B describe according to another embodiment of the invention for carrying out autonomic nerves system on the skin of the patient
The simplified flowchart of the method for sensitive spot test.
Fig. 5 is depicted in the exemplary reaction of the sympathetic vagus nerve balance used in method shown in Fig. 4 B.
Specific embodiment
The present invention relates generally to the method and apparatus of the skin for testing patient, and more particularly to the skin of test patient
Skin is to find autonomic nerves system sensitive spot.The treatment of ear acupuncture diathermy includes combining particular treatment certain sensitive spots on ear
Electrotherapeutic needle is inserted into the skin of patient by place, and electrotherapy signal is applied to electrotherapeutic needle.Finding the position of placement needle can pass through
It predicts general position and test or measures local skin resistance and determine.However, diathermy treatment is acted as by autonomic nerves system
With, therefore individually skin resistance is not the best test indicator of electrotherapeutic needle arrangement.
According to one embodiment of present invention, producible and application and electrotherapy letter are tested and measured for electrotherapeutic needle arrangement
Number similar or identical electric signal, the electric signal can be used when treating a part for patient skin, without piercing through skin.
Then it applies medical diathermy signal detection skin surface via conductive tip, will pass through the sympathetic vagus nerve balance identification stimulation of monitoring
The position of the vagus nerve reaction of the autonomic nerves system of patient.Then the position identified with electrotherapeutic needle thorn, then when long
Between the electrotherapeutic needle is connected to electrotherapy signal in treatment period.Initial alignment needle site can not constitute treatment, but can improve
The diathermic result of acupuncture planned.
Fig. 1 describes the simplified block diagram of patient's test site 100 according to an embodiment of the invention.Patient's test site
100 include the autonomic nerves system sensitive spot tester 110 for being coupled to conductive tip 115 and electrode 120, the conductive tip
115 and electrode 120 be subsequently connected to the ear 125 of patient 130, be also referred to as below " parts of skin ".In one embodiment, certainly
Main nervous system monitor 135 be coupled to respectively the left arm in patient, right arm, left leg, the electrode 140 on right leg, 145,150,
155 to receive ECG signal paracycle from cardiac system, and the cardiac system is then by the autonomic nerves system of patient
It dominates.Patient is in dorsal position on the diagnosis and treatment bench preferably in the clinical setting tested and monitored for autonomic nerves system.
In the exemplary embodiment shown in fig.1, patient is represented as the mankind.It should be appreciated, however, that the patient can be
Possess any biology of autonomic nerves system and cardiac system.In the exemplary embodiment shown in fig.1, autonomic nerves system is quick
Sensitivity test device 110 is shown connected to ear.It should be appreciated, however, that autonomic nerves system sensitive spot tester 110 can be with
It is alternatively connected to verified with sensitive to influence any skin portion of the nerve connections of the autonomic nerves system of patient enough
Point.
In one embodiment, patient's test site 100 may include the graphic user interface 160 for being coupled to computer 165,
The computer 165 can be coupled to autonomic nerves system sensitivity via cable (not shown) or via wireless radio frequency transmission 170
Spend tester 110.Preferably, autonomic nerves system sensitive spot tester is radio hand-held equipment, can be programmed or have
There are certain characteristics, these characteristics (are not shown via graphic user interface 160 and computer 165 by healthcare givers or technical staff
Go out) setting.In one embodiment, computer 165 can be the desktop computer that can have wireless transceiver 175, laptop, put down
Plate computer, mini tablet computer or smart phone.
Autonomic nerves system monitor 135 is suitable for the ECG signal of patient being converted into the parasympathetic of autonomic nerves system
The other information in sympathetic vagus nerve balance between neural part and sympathetic division.Authorize U.S. of Lafitte et al.
State patent No.7,092,849 and entitled " the STIMULATIVE ELECTROTHERAPY USING for authorizing Nageshwar
AUTONOMIC NERVOUS SYSTEM CONTROL (the irritation diathermy controlled using autonomic nerves system) " it is common not
United States Patent (USP) (above-mentioned patent is herein incorporated by reference) certainly is described partly in for autonomic nerves system monitor 135
Theory of operation.
Fig. 2 describes autonomic nerves system sensitive spot tester 110 according to an embodiment of the invention and portion shown in FIG. 1
Divide the simplified block diagram of patient skin 125.Fig. 2 depicts the (following also referred to as " electricity of autonomic nerves system sensitive spot tester 110
Road ") comprising resistance test unit 210, indicator 215, autonomic nerves system stimulator 220, switch 230, conductive tip
115, battery 217, shell 223 and electrode 120.Resistance testing device 210 is coupled to indicator 215.Battery 217 is provided to circuit
Portable power, and allow hand-held.
When testing patient, resistance testing device 210 is suitable for generating resistance measuring signals, and conductive point is coupling in measure
Skin resistance 225 between end 115 and electrode 120.Indicator 215 reacts the resistance value by circuit measuring, and can provide and regard
Feel indicator, sound indicator and/or vibration indicator.For example, indicator 215 can be buzzer, the buzzer relative to
Measured skin resistance 225 changes acoustic tones, wherein when healthcare givers moves conductive tip 115 to contact patient skin
The skin resistance 225 of the measurement when different piece on surface changes.
Autonomic nerves system stimulator 220 is suitable for generating electrotherapy signal, is also referred to as coupled to conductive tip 115 below
" periodic signal " or " periodical time signal ", when testing patient, the autonomic nerves system of the electrotherapy signal stimulation patient
Vagus nerve reaction.When testing patient, conductive tip 115 provides electrical contact but does not pierce through a part for patient skin.
Electrode 120 is applied in the different skin part in addition to the tested skin surface portion, so as to optimal
Change electrotherapeutic needle arrangement.Electrode 120 is suitably for the return signal path for resistance measuring signals or electrotherapy signal, that is, is grounded, from
And make glove healthcare givers (below also referred to as " tester ") that can be convenient for applying resistance measuring signals and electrotherapy signal
It is added on patient.Electrode 120 can be a part for metal foil of the temporary bonding on patient skin or be temporarily placed in patient skin
On electrotherapeutic needle.
Shell 223 can have insulating surface and at least one of insulating surface hole, and wherein conductive tip 115 passes through
The hole is stretched out or is extended from shell.Shell 223 can encapsulate battery 217 and circuit.When testing skin surface, shell can have
Have and may be adapted to hand-held shape.In other words, shell is adapted to fit with the personnel using autonomic nerves system susceptibility test device 110
Holding.The insulating surface of shell can have other holes, such as to allow tester Operation switch 230 and to be used for electrode 120.
Shell 223 airtightly potted circuit and can seal the hole, such as flexible gaskets are used around conductive tip, in order to survey
It is cleaned between examination use and sterilizes autonomic nerves system sensitive spot tester 110.
It is arranged due to electrotherapeutic needle and pierces through skin, healthcare givers's wearing gloves during needle is arranged can be needed.Previous
The design of sensitive spot tester provides return signal path via the exposed hand of healthcare givers, which must be placed at
On hard contact on sensitive spot tester shell.On the contrary, providing electrode 120 more compared to previous sensitive spot tester design
Favorably, this is because gloves need not be removed in 100 healthcare givers of patient's test site.
Resistance test 210 and autonomic nerves system stimulator 220 are coupled to switch 230, which can be with position
Electrotherapy signal or resistance measuring signals are selectively respectively coupled to conductive point by the B, double pole double throw switch of A, described position B, A
End 115, while corresponding return signal is coupled to electrode 120.Therefore, when switch 230 is in position A, circuit 110 is resistance
Measurement pattern, and be autonomic nerves system pattern when switch 230 is in position B.
Fig. 3 describes the simplification frame of autonomic nerves system stimulator 220 shown in Fig. 2 according to an embodiment of the invention
Figure.Fig. 3 describes autonomic nerves system stimulator 220 comprising impulse generator 310, control unit 320 and wireless transceiver
330.Impulse generator 310 provide electrotherapy signal comprising the characteristic being arranged by control unit 320, such as frequency, amplitude,
Impulse waveform and duty ratio.Electrotherapy signal can be similar or identical with the signal that is used during long-term Electrotherapeutic therapy.Control is single
Member 320 is coupled to wireless transceiver 330, which can receive the characteristic from computer 165 and in pulse generation
The characteristic is set in device 310.Control unit 320 can also carry out electricity-saving function, such as be closed in response to the position of switch 230
Resistance measurement 210 or autonomic nerves system stimulator 220.
Wireless transceiver 330 need not have high bandwidth or long transmitting distance capabilities, but due to autonomic nerves system sensitive spot
Tester 110 can be handheld portable devices, it may be desirable to extend battery life by economize on electricity.Therefore, wireless transceiver can be according to low
Bandwidth, economize on electricity wireless transmission standards are such as
OrOperation.
Fig. 4 A describe according to an embodiment of the invention sensitive for carrying out autonomic nerves system on the skin of the patient
The simplified flowchart of the method 400 of point test.With reference to Fig. 2 and Fig. 4 A, the method 465 starts from 470 healthcare givers production
Raw electrotherapy signal, wherein when the parasympathetic system for being used in autonomic nerves system pattern (switch 230 is arranged and is in position B)
When sensitive spot tester 110 of uniting tests patient, the vagus nerve reaction of the autonomic nerves system of the electrotherapy signal stimulation patient.
When testing patient, 475 offer conductive tips 115 are in electrical contact but do not pierce through skin surface.Setting switch 230, which is in position B, to be made
It obtains 480 electrotherapy signals and is coupled to conductive tip 115, as described above.Therefore, before the embodiment completes 485, parasympathetic system
System susceptibility test device 110 is arranged to execute skin surface test with patient.
Fig. 4 B describe according to an embodiment of the invention sensitive for carrying out autonomic nerves system on the skin of the patient
The simplified flowchart of the method 405 of point test.With reference to Fig. 1 and Fig. 4 B, in one embodiment, the method starts from
410, by 415 pin position is substantially determined using in the locator application run on computer 165.In other words, by from coupling
Close execute reaction patient symptom program computer 165 graphical user interface 160 obtain preliminary skin site (for example,
On ear), to select the first part of patient skin.For example, patient can tell low-back pain to healthcare givers.Medical people
Member can select the symptom on graphic user interface 160, this can react to show the approximate location, wherein needle on ear figure
Moxibustion therapy is associated with the small of the back treatment.
With reference to Fig. 2 and Fig. 4 B, also (can be opened by setting in resistance measurement pattern by using in step 415
Close 230 and be in position A) under the autonomic nerves system susceptibility test device 110 that operates determine the region that 420 low resistance points are identified
The first parts of skin of interior selection, comes location-sensitive point position.Then electric resistance measuring apparatus 210 generates resistance measuring signals, the electricity
Resistance measuring signal is coupled to conductive tip 115.Electrode 120 is applied in Second Skin part, and the electrode is to be surveyed for resistance
Measure the return signal path of signal.
Then resistance measuring signals can be applied to the first parts of skin by healthcare givers with conductive tip 115, wherein working as survey
When trying patient, the conductive tip is in electrical contact but does not pierce through skin, and the resistance at the first parts of skin is filled by resistance measurement
210 measurements are set, and indicator 215 is caused to provide the instruction of reaction 225 value of skin resistance, that is, are changed and the relevant institute of described value
The acoustic tones sent out.In response to the instruction, healthcare givers moves or detects on a skin surface conductive tip, to select
Find to selecting property the skin low resistance position near the first parts of skin.
Healthcare givers can then further by using in autonomic nerves system pattern (i.e. by be arranged switch 230 at
In position B) autonomic nerves system susceptibility test device 110 determine 425 reconnaissances autonomous sensibility, to optimize electrotherapeutic needle
Insertion position.Then autonomic nerves system stimulator 220 generates electrotherapy signal, which is coupled to conductive tip 115.Such as
Fruit does not apply electrode 120 during step 420, then electrode 120 is applied to another parts of skin, and the electrode is for electrotherapy
The return signal path of signal.
Then electrotherapy signal can be applied to selected parts of skin by healthcare givers with conductive tip 115, wherein working as survey
When trying patient, the conductive tip 115 is in electrical contact but does not pierce through skin.When testing patient, when conductive tip 115 is oriented
When with autonomic nerves system sensitivity point contact on skin surface, electrotherapy signal can stimulate the fan of the autonomic nerves system of patient to walk
Nerves reaction.With reference to Fig. 1 and Fig. 4 B, to measure autonomic nerves system, healthcare givers is by autonomic nerves system monitor 135
It is coupled to patient, as described above.Autonomic nerves system monitor 135 analyzes the autonomic nerves system of patient according to time varying signal
State, wherein the time varying signal indicates the chaos of time interval of the paracycle generated by the cardiac system of patient between event
Sequence, i.e., according to the electrocardiogram of patient.Autonomic nerves system monitor 135 also measures and shows that the first sympathetic fan of patient is absent-minded
Through balance.
Fig. 5 is depicted in the exemplary reaction of the sympathetic vagus nerve balance 500 used in method 425 shown in Fig. 4 B.Fig. 5
Describe sympathetic vagus nerve balance 500, the trimming trajectory 530 of real-time rendering patient, such as a series of arrows on trimming trajectory
It is shown.Parasympathetic nerve or vagus nerve of the horizontal axis expression on the direction towards larger negative (i.e. towards the left side of figure) are anti-
It answers.On the contrary, sympathetic nerve reaction is indicated in figure on the smaller negative direction of horizontal axis (i.e. towards the right of figure).At any time
The sympathetic nerve of the variation track 530 that tends to be balanced shows cumulative pain or dysfunction, while vagus nerve tends to be balanced rail
Mark shows pain relief.In this example, patient can be by anxiety caused by clinical setting, and the trimming trajectory 530 of patient is opened
Begin to move as put the sympathetic nerve direction indicated by 510 generally away from the parasympathetic nerve or vagal components and direction of horizontal axis
It is dynamic.
With reference to Fig. 4 B and Fig. 5, healthcare givers is balanced based on sympathetic vagus nerve and determines 430 reaction results.When sympathetic
When vagus nerve balance reacts mobile towards vagus nerve, as shown in point 520, reaction result is positive, this shows conductive point
End 115 is positioned optimally on a skin surface and the autonomic nerves system of patient successfully responds electrotherapy signal.On the contrary, working as
When sympathetic vagus nerve balance is moved not towards sympathetic reaction, reaction result is negative.
When reaction result is negative, healthcare givers checks the skin portion of 435 or the adjacent patient previously selected of selection
Divide and slightly different adjacent skin part.Healthcare givers's repetitive administration electrotherapy signal measures sympathetic vagus nerve balance, and
Reaction result is determined, until reaction result is positive or until testing certain amount of parts of skin or more than pre- timing
Between until.
When reaction result is positive, healthcare givers is inserted into 440 electrotherapeutic needles at the parts of skin.It is selected by above procedure
The electrotherapy pin position selected has been tested at step 430 in the early time, and the position is applied to during therapeutic scheme to improve
Identical electrotherapy signal should have the autonomic nerves system of patient the confidence level of desired advantageous effect.
Needle insertion will lead to mild pain, deviate to form sympathetic nerve, at the point 510 on such as trimming trajectory 530
It is shown, it should rapid regression or reversed.However, needle insertion position may will stimulate undesirable long pain to react
Point at.Therefore, after needle insertion, healthcare givers measures the second sympathetic vagus nerve balance of patient, to be based on the second friendship
Feel vagus nerve balance and determines that 445 sympathetic nerve deviate reversion result.When the second sympathetic vagus nerve balance is anti-from sympathetic nerve
When should be reversed to vagus nerve reaction, the reversion result is positive, as shown in the point 520 on trimming trajectory 530.When second
When sympathetic vagus nerve balance is not reversed to vagus nerve reaction from sympathetic nerve, the reversion result is negative.
When it is negative to invert result, electrotherapeutic needle is removed 450 by healthcare givers from the parts of skin, and slightly by needle
Side is moved to select another parts of skin of parts of skin before adjoining.Healthcare givers is repeatedly inserted into, and it is sympathetic to measure second
Vagus nerve balances, and determines reversion as a result, until inverting result and being positive or until certain amount of skin portion
Divide and is tested or more than until specific time.
Electrotherapeutic therapy may need more than one stimulation point on the ear of patient.For example, a point can be stimulated to solve
Low-back pain, and another point can be stimulated to mitigate overall pain.Therefore, when the reversion result at step 445 is positive
When, healthcare givers determines the quantity for the electrotherapeutic needle that 455 are inserted into.When the quantity for the electrotherapeutic needle being inserted into is equal to needed for Electrotherapeutic therapy
Electrotherapeutic needle predetermined quantity when, test terminates 460, such as three root thorns swash needle-needle and positioned for specific symptoms and two
Root needle mitigates for overall pain and is located in two different locations.When the quantity for the electrotherapeutic needle being inserted into is less than the pre- of electrotherapeutic needle
When fixed number amount, healthcare givers repeats selection position, using electrotherapy signal, measures the first sympathetic vagus nerve balance, determines reaction
As a result, being inserted into needle, the second sympathetic vagus nerve balance is measured, and determine reversion result.
The above embodiment of the present invention is illustrative and not restrictive.Various alternative solutions and equivalent are possible
's.Although describing the present invention with reference to human patients by way of example, it is to be understood that, the present invention is not limited to patient's
Type, as long as patient has autonomic nerves system and cardiac system.Although referring to acupuncture ear acupuncture electrotherapy by way of example
Method describes the present invention, it is to be understood that, the present invention is not limited to the positions of tested parts of skin, and at least described position has
Autonomic nerves system sensitive spot.For the disclosure, other supplements are deleted and modification is it will be apparent that and each falling within appended
Scope of the claims.
Claims (10)
1. a kind of electric test device, including：
Battery；
Suitable for generating the circuit of periodical time signal；
Conductive tip, when test surfaces, the conductive tip is suitable for being in electrical contact but not piercing through the first part on the surface,
The wherein described periodic signal is coupled to the conductive tip；And
Electrode suitable for the second part for being applied in the surface, the electrode are the return signal for the periodic signal
Path, so that glove tester is convenient for that the periodic signal is applied to the surface when testing the surface
The first part；
The wherein described circuit includes：
Rf receiver and transmitter；And
Control circuit, the control circuit are suitable for being arranged the characteristic of the periodic signal, and the characteristic passes through the wireless receiving and dispatching
The input terminal of device is to receive..
2. electric test device according to claim 1, further include have insulating surface and in the insulating surface extremely
The shell in few first hole, the conductive tip is suitable for stretching out from the shell by first hole, described in the shell encapsulated
Battery and the circuit, the shell have when test surfaces suitable for hand-held shape.
3. electric test device according to claim 2, wherein the shell is suitable for airtightly sealing the electric test device.
4. electric test device according to claim 1, wherein the rf receiver and transmitter is based on being selected from WithTransmission standard operation.
5. electric test device according to claim 1, wherein the characteristic is selected from frequency, amplitude, impulse waveform and duty
Than.
6. electric test device according to claim 1, wherein the circuit is further adapted for generating resistance measuring signals, wherein ringing
Ying Yu makes the periodic signal or resistance measuring signals be selectively coupled to the position of the switch of the conductive tip, the resistance
Measuring signal is coupled to the conductive tip.
7. electric test device according to claim 6 further includes the electricity for the second part for being suitable for being applied in the surface
Pole, the electrode are the return signal path for the resistance measuring signals, so that glove tester is convenient for working as
The resistance measuring signals are applied to the surface when measuring the surface.
8. electric test device according to claim 6 further includes the instruction in response to the resistance value by the circuit measuring
Device.
9. electric test device according to claim 8, wherein the indicator be selected from visual detector, sound indicator and
Vibration indicator.
10. a kind of method for electrical testing includes：
Battery is provided；
By circuit evolving periodicity time signal；
Conductive tip is provided, when test surfaces, the conductive tip is suitable for electrical contact but does not pierce through the first of the surface
Part；And
The periodic signal is set to be coupled to the conductive tip.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810344475.0A CN108433705A (en) | 2013-06-13 | 2013-06-13 | Method and apparatus for the test of autonomic nerves system sensitive spot |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201380077468.4A CN105592789B (en) | 2013-06-13 | 2013-06-13 | Method and apparatus for the test of autonomic nerves system sensitive spot |
| CN201810344475.0A CN108433705A (en) | 2013-06-13 | 2013-06-13 | Method and apparatus for the test of autonomic nerves system sensitive spot |
| PCT/US2013/045668 WO2014200492A1 (en) | 2013-06-13 | 2013-06-13 | Method and apparatus for autonomic nervous system sensitivity-point testing |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201380077468.4A Division CN105592789B (en) | 2013-06-13 | 2013-06-13 | Method and apparatus for the test of autonomic nerves system sensitive spot |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108433705A true CN108433705A (en) | 2018-08-24 |
Family
ID=52022622
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201380077468.4A Expired - Fee Related CN105592789B (en) | 2013-06-13 | 2013-06-13 | Method and apparatus for the test of autonomic nerves system sensitive spot |
| CN201810344475.0A Pending CN108433705A (en) | 2013-06-13 | 2013-06-13 | Method and apparatus for the test of autonomic nerves system sensitive spot |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201380077468.4A Expired - Fee Related CN105592789B (en) | 2013-06-13 | 2013-06-13 | Method and apparatus for the test of autonomic nerves system sensitive spot |
Country Status (5)
| Country | Link |
|---|---|
| EP (1) | EP3007619A4 (en) |
| CN (2) | CN105592789B (en) |
| BR (1) | BR112015031151B1 (en) |
| IN (1) | IN2013CN05967A (en) |
| WO (1) | WO2014200492A1 (en) |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10130275B2 (en) | 2013-06-13 | 2018-11-20 | Dyansys, Inc. | Method and apparatus for autonomic nervous system sensitivity-point testing |
| US10052257B2 (en) | 2013-06-13 | 2018-08-21 | Dyansys, Inc. | Method and apparatus for stimulative electrotherapy |
| US10413719B2 (en) | 2016-04-15 | 2019-09-17 | Innovative Health Solutions, Inc. | Methods of treating disease using auricular peripheral nerve field stimulation |
| US9662269B2 (en) | 2013-10-22 | 2017-05-30 | Innovative Health Solutions, Inc. | Systems and methods for auricular peripheral nerve field stimulation |
| CN112165972A (en) | 2018-04-26 | 2021-01-01 | 创新健康解决方案公司 | Auricular nerve region stimulation device |
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- 2013-06-13 CN CN201380077468.4A patent/CN105592789B/en not_active Expired - Fee Related
- 2013-06-13 CN CN201810344475.0A patent/CN108433705A/en active Pending
- 2013-06-13 EP EP13886872.4A patent/EP3007619A4/en not_active Withdrawn
- 2013-06-13 WO PCT/US2013/045668 patent/WO2014200492A1/en active Application Filing
- 2013-06-13 BR BR112015031151-2A patent/BR112015031151B1/en active IP Right Grant
- 2013-07-24 IN IN5967CHN2013 patent/IN2013CN05967A/en unknown
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| US20060195164A1 (en) * | 2003-01-08 | 2006-08-31 | Sondergaard Jorgen C | Electro-therapeutic device and method of electro-therapeutic treatment |
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Also Published As
| Publication number | Publication date |
|---|---|
| EP3007619A4 (en) | 2017-07-05 |
| EP3007619A1 (en) | 2016-04-20 |
| CN105592789A (en) | 2016-05-18 |
| BR112015031151A2 (en) | 2017-07-25 |
| WO2014200492A1 (en) | 2014-12-18 |
| CN105592789B (en) | 2019-07-19 |
| IN2013CN05967A (en) | 2015-08-14 |
| BR112015031151B1 (en) | 2022-09-06 |
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