CN203425381U - Portable non-intrusive system - Google Patents

Abstract

The application relates to a portable non-intrusive system which is used for providing therapeutic treatment on a joint to promote the recovery of the joint. The system comprises a sheath which can be placed around the joint. The sheath comprises an electromagnetic stimulator circuit and at least one thermotherapy part. The electromagnetic stimulator circuit is configured to provide an electromagnetic field for the joint. The at least one thermotherapy part comprises a starting circuit which is configured to activate the electromagnetic stimulator circuit. The thermotherapy part can be connected to the sheath and comprises at least two materials, and the at least two materials are disposed in isolated compartments which are separated by an easy-to-break partition, wherein the at least two materials are configured to react in the mixing so as to generate heat energy which can be exchanged with the joint.

Description

A kind of portable non-invasive system

Technical field

This utility model relates to a kind of portable non-invasive system.

Background technology

Osteoarthritis, has another name called degenerative joint disease, the loss gradually that feature is hyaline cartilage, and under extreme case, in joint, form cyst and subchondral bone distortion.Hyaline cartilage sketch out knee articular surface profile and buffering and lubricated is provided to joint.When there is osteoarthritis, the extracellular matrix of cartilage is worn to be greater than the speed being synthesized, and causes the clean minimizing of total amount of the articular surface place cartilage of knee.Along with cartilage damages, demonstrate such as pain, swelling, sensitivity, stiff and last amyotrophy.Chondrocyte, the cellular component of hyaline cartilage of being responsible for the synthetic and metabolism of substrate is also depleted, causes thus lacking the ability of spontaneous remission from this disease.In addition, the cell being present in osteoarthritic joint discharges synthetic catabolic cytokine and the enzyme of inhibition collagen.

Up to now, the conventional therapy object for osteoarthritis is to reduce the development of pain and joint damage to deformity is minimized and quality of life is maximized.For the current demonstration of the control of osteoarthritis, comprise and diagnose the illness, alleviate patient's activity, open anti-inflammation drugs, Steroid injection is entered to surgical operation in knee and as a last resort.Although this scheme provides some benefits, be not all to produce effect to suffering from the patient of osteoarthritis.

Except conventional therapy, there is at present a large amount of replacement therapies that can be used for the treatment of osteoarthritis.Three in pioneer in these non-intrusion type replacement therapy fields comprise electricity, magnetostatic and electromagnetic stimulation.

Electricity irritation (for example, the electrical nerve stimulation (TENS) of process skin) is transported to local nerve by slight electric pulse through skin.In suffering from the patient of osteoarthritis, pain pulse is passed little skin fiber and is sent to spinal cord.TENS stimulates large skin fiber, and described large skin fiber comes from the pain signal of little fiber subsequently with prevention by the pulse faster of C fiber conveying.By this method, TENS shields the pain of suffering from the patient of osteoarthritis and conventionally standing.The pain that the patient that TENS is considered to encourage endogenous ataractic secretion (the natural analgesic of health) to suffer from osteoarthritis further to reduce stands.

Magnetostatic excitation is also used to provide benefit medically.Be designed for the various recovery of bones faster, the bone density increasing and the arthritis that reduce that experimental results show that magnetic band comes of osteoporosis, fracture and the synovitis of bringing out animal.Magnet is believed to affect by the following method bioprocess: reduce the neuronic stimulation rates of chronic pain; Change the speed of enzymatic reaction; By affecting the function of the calcium channel in cell membrane, regulate signal stimulus in cell; And enhancing blood flow.Some benefits about the treatment of the symptom of osteoarthritis below all can be provided.

In addition, electromagnetic stimulation (producing the naturopathy in magnetic field by relying on coil to send electric current) can also provide benefit medically to the treatment of osteoarthritis.Have been noted that physical pressure on bone causes the appearance of minimum electric current (piezoelectricity electromotive force), described minimum electric current is considered to physical pressure to promoting changing the mechanism of signal that bone forms.Especially, the data-collection mechanism of having studies have shown that of the electrical phenomena in cartilage, the research that described data-collection mechanism is similar in the bone of description occurs like that when cartilage is mechanically pushed.In cartilage, generation current is considered to stimulate the activity of chondrocyte, promotes thus the synthetic of cartilage.The synthetic symptom that can carry out resisting the degeneration in osteoarthritis and therefore relax osteoarthritis of new cartilage.

Therefore, exist being used for the treatment of the improved equipment of osteoarthritis and the needs of method.

Utility model content

According to an aspect, provide a kind of portable non-invasive system, for provide treatment to process to promote the rehabilitation in this joint to joint.Described system comprises sheath, and described sheath can be placed around this joint.Described sheath comprises electromagnetic stimulation device circuit and at least one thermotherapy parts.Described electromagnetic stimulation device Circnit Layout is for providing electromagnetic field at this intraarticular.Described at least one thermotherapy parts comprise the start-up circuit that is configured to start described electromagnetic stimulation device circuit, described thermotherapy parts can be connected on described sheath, described thermotherapy parts comprise at least two kinds of materials, these at least two kinds of materials are placed in by the separated phase of the partition of cracky institute compartment independently, and wherein said at least two kinds of materials are configured to when mixed, react to produce the heat energy can be used for the exchange of described joint.

Equipment and method for the treatment of osteoarthritis disclosed in various embodiment disclosed herein.More especially, specific embodiment relate to that portable, the disposable pulse electromagnetic field (PEMF) that is used for the treatment of osteoarthritis stimulates and heat treatment unit with and using method.

Portable, non-invasive apparatus comprises reusable sheath and two disposable treatment unit, and this equipment is designed to be provided for treating the electromagnetism thermotherapy (EMT of knee joint osteoarthritis ²).EMT ²electromagnetic stimulation and thermotherapy through the pulse of skin are provided.In order to reach the application's object, can be understood as " thermotherapy " any treatment providing for the heating of therapeutic purposes or cooling application is provided.EMT ²be designed in the situation that do not need to contact with the direct cutaneous that suffers ailing joint alleviating pain and increase increase range of activity.In the time of in the sheath that is inserted into coil and provides electric power and control, heating is implemented in disposable treatment unit or cooling and PEMF stimulates.Sheath can comprise chargeable power supply and coil, and described power supply can transmit the recommendation total amount for the treatment of, and described coil is used for transmitting PEMF to stimulate.Sheath can be to tie up to the treatment aligning inner side in joint and the mode of exterior lateral area on knee.In addition, and though can to sheath design so that sheath is attractive in appearance and during daily routines in clothes outside or all dress comfortablely below clothes, with this, increase patient's fitness.

The concept of electromagnetic stimulation ultimate principle is below to rely on coil winding arrangement to make electric current through generating an electromagnetic field.Electromagnetic field can replace generation current (for example, neural or other bodily tissue) in any conductive material of this elect magnetic field.The electromagnetic type induction field of being set up by the pulse electromagnetic excitation of suitably leading reaches the result to the cell of health by charge transfer thus.The electric current of inducting can cause neural discharge, muscle contraction, the simulation to (impelling Growth of Cells) Nervous pathway, and several other effects.Than the application of electricity irritation, pulse electromagnetic excitation does not need direct contact skin to induce neural activation.Therefore, rely on pulse electromagnetic to stimulate and can realize the stimulation of obvious higher levels of orientation, and do not have the untoward reaction in other technologies.

Therefore, EMT disclosed herein ²equipment and method are designed to have powerful electromagnetic stimulation device, this electromagnetic stimulation device be established for excite nerve, muscle and/or other bodily tissue.Clinical research before shown low frequency PEMF and for treatment osteoarthritis new cartilage-derived growth between high degree of association.Creative equipment provides easy-to-use, portable system, this system can have the many application in a large amount of clinical and family health care application.

This general introduction is intended to provide the general view of the purport of present patent application.This general introduction does not provide exclusive or detailed explanation of the present utility model.More information about present patent application provides in the specific embodiment.

Accompanying drawing explanation

In accompanying drawing (not necessarily drawing in proportion), similar labelling can be described the similar parts in different views.The similar labelling with different letter suffix can represent the different instances of similar parts.(but not as restriction) for instance, taking it by and large accompanying drawing understands each embodiment discussing in this application.

Fig. 1 is the figure of the typical mankind's knee joint model of explanation;

Fig. 2 is for being used for the treatment of the block chart of the stimulation apparatus of the osteoarthritis in knee according to an embodiment explanation;

Fig. 3 is the front view of an embodiment of stimulation apparatus, and described stimulation apparatus can be bound on patient's knee the conveying for electromagnetism and thermotherapy;

Stimulation apparatus on the knee that is bound to patient of Fig. 4 A and 4B key diagram 3;

Fig. 5 is the decomposition diagram of the stimulation apparatus of Fig. 3;

Fig. 6 is the decomposition view of amplification of a part of the stimulation apparatus of Fig. 3;

Fig. 7 is the perspective view of an embodiment of the stimulation apparatus of plaster form, and described stimulation apparatus can be bound on patient's knee the conveying for electromagnetism and thermotherapy;

Taking it by and large Fig. 8 understands the decomposition diagram of active knee system;

Taking it by and large Fig. 9 understands an example of active ankle joint system;

Taking it by and large Figure 10 understands an example of active back system;

Taking it by and large Figure 11 understands an example of active elbow joint system;

Taking it by and large Figure 12 and Figure 13 understand an example of active carpal joint system;

Figure 14 is according to the diagram that represents two kinds of mixable materials of an example;

The top view of Figure 15 A for assembling according to the thermotherapy parts of the frenulum that comprises inclination of an example;

Figure 15 B is the front view of cross section of the parts of Figure 15 A;

Figure 16 A shows the front view of a part of the inside part of the sheath that comprises satchel;

Figure 16 B shows the top view of the sheath of Figure 16 A;

Figure 17 A is according to the front view of the shell of an example;

Figure 17 B is the right side view of the shell of Figure 17 A;

Figure 17 C is the lateral side view of the shell of Figure 17 A;

Figure 17 D is the cross-sectional side view of the shell of Figure 17 A, and this cross-sectional side view is along the line 17D-17D intercepting in Figure 17 E;

Figure 17 E is the left side view of the shell of Figure 17 A;

Figure 17 F is the cross-sectional side view of the shell of Figure 17 A, and this cross-sectional side view is along the line 17D-17D intercepting in Figure 17 C;

Figure 17 G is the bottom view of the shell of Figure 17 A;

Figure 17 H is the cross section of top view of the shell of Figure 17 A, and this cross-sectional side view is along the line 17H-17H intercepting in Figure 17 C;

Figure 17 I is the top view of the shell of Figure 17 A;

Figure 18 A is according to the cross section of the parts of Figure 18 B of an example, and this cross section intercepts along figure line 18A-18A;

Figure 18 B is according to the front view of the thermotherapy parts of the thin frenulum of having of an example;

Figure 18 C is the top view of the parts of Figure 18 B;

Figure 19 has illustrated according to the shackle for thermotherapy parts being attached on sheath of an example and has configured;

Figure 20 A is for linking up with the front view of the thermotherapy parts that do not fetter of frenulum according to comprising of an example;

The partial view of the sheath of the thermotherapy parts that Figure 20 B is Figure 20 A of adhering to according to having of an example;

The partial view of the sheath that Figure 21 is the thermotherapy parts that adhere to by a plurality of bands according to having of an example;

Figure 22 is for being attached to thermotherapy parts convex connector on itself and the partial view of concavity connector according to an example;

Figure 23 is according to the view of the thermotherapy parts of the viscosity of an example;

Figure 24 is for according to the view that passes through the thermotherapy parts that scalable frenulum is connected with thermotherapy parts of an example;

The partial view of the sheath that Figure 25 A is the thermotherapy parts that adhere to by shackle according to having of an example;

Figure 25 B is according to the cross section of the parts of Figure 25 A of an example, and this cross section intercepts along line 25B-25B;

Figure 26 is according to the partial view of the sheath with conduction of heat satchel of an example;

Figure 27 A is according to the perspective view of the thermotherapy parts that comprise box body and hook of an example;

Figure 27 B is according to the perspective view of the thermotherapy parts assembling of the expansion of an example;

Figure 28 A is according to the perspective view of the thermotherapy parts of the seam handle that comprises opposition of an example;

Figure 28 B is according to the perspective view of the thermotherapy parts assembling of the expansion of an example;

Figure 29 A is according to the perspective view of the thermotherapy parts assembling of an example;

Figure 29 B is according to the top view of the assembling of Figure 29 A of an example;

Figure 29 C is the cross section intercepting according to the line 29C-29C in Figure 29 B of an example;

Figure 29 D is according to the top view of the spool of an example and assembling one biconditional operation Figure 29 A;

Figure 30 A is according to the cross section of the thermotherapy parts assembling of an example;

Figure 30 B is the exploded view of the thermotherapy parts assembling of Figure 30 A;

The perspective view that Figure 30 C is the spool that can operate in the assembling of Figure 30 A;

Figure 30 D is according to the side view of the spool of Figure 30 C of an example;

Figure 30 E is according to the top view of the shell of the thermotherapy parts of Figure 30 B of an example;

The side view of Figure 31 for assembling according to the thermotherapy parts that comprise pump of an example;

Figure 32 is the side view that can be attached to the thermotherapy parts assembling on hydrant according to an example.

The specific embodiment

To body part (be for example used for, joint) provide treatment to process to promote the equipment of the rehabilitation of body part to comprise signal generator, controller, thermal source and monitoring arrangement, described signal generator is for the treatment mode producing pulse electromagnetic field based on selecting, described controller is for store treatment pattern and treatment pattern is passed to signal generator, described thermal source is configured to provide thermotherapy to body part, and described monitoring arrangement is for monitoring the electromagnetic field being produced by electromagnetic stimulation device.Equipment can also comprise the remote sensing survey device with change treatment pattern for remote access controller of communicating by letter with monitoring arrangement.This equipment can be also disposable.

Fig. 1 is the diagram of the typical mankind's knee joint model of explanation.As shown in fig. 1, the typical mankind's knee joint comprises interval and fibrous capsule, and described interval has been full of the synovial fluid that is constrained in respectively the place, one end of femur and tibia by articular cartilage.According to the equipment of discussing and an embodiment of method herein, the osteoarthritis in knee joint can by heat or cold-peace specific drug and by close on the coil that knee joint places optionally electromagnetic field should be used for treatment.As after to discuss in detail, signal generator unit can provide suitable signal for generation of specific and electromagnetic field optionally to coil.The osteoarthritis for the treatment of in knee joint needed specific and optionally electromagnetic field can calculate, and depend on that tibia except other factors and the overall dimensions of femur and the order of severity of symptom change.In addition, heating or cooling source can also be placed in and close on knee joint with alleviating pain, reduce patient's sense of discomfort and increase range of activity.Heating or cooling source can also be called as " heat-exchanging part "; For instant application, described heat-exchanging part means any parts or the equipment that can be used to apply heat any temperature of patient temperature or ambient temperature (in other words higher than) or cooling any temperature of patient temperature or ambient temperature (in other words lower than).

More especially, the implementation of herein discussing relate to hot or cold for generation of (1) and (2) optionally pulse electromagnetic field for example, to treat equipment and the method for the diseased tissue in joint (, knee joint).Described equipment can be designed as a lot of forms (for example, knee protective tool or little skin plaster), is preferably provided for treating the stimulation through skin of osteoarthritis.Equipment can be designed as directly to stimulate with alleviating pain and increases range of activity to provided by ailing joint.

As by will discussing more in detail in subsequent paragraph, various EMT ²the embodiment of stimulation apparatus can be designed as and is attached to for a long time on patient body to and daily routines are had very little interference and have minimum skin irritation.In addition, can design so that it is attractive in appearance and dress comfortable stimulation apparatus.Due to these and other design feature, because patient (patient who namely, " mismatches ") uncomfortable and refusal treatment can be reduced to minimum.

Pulse electromagnetic field produces very little faradic current (faraday (Faraday) electric current) in the extracellular fluid of highly conductive, and described induced current imitates endogenous electric current thus.First endogenous electric current is the motion that comprises electrolytical liquid in the passage due to bone, produces so-called " streaming potential ", and described electrolyte comprises the organic principle that is attended by fixing negative charge.The research that the data-collection mechanism that studies have shown that of the electrical phenomena in cartilage is similar in the bone of description occurs like that when cartilage is pushed by mechanical type, and causes liquid and electrolyte in the lip-deep motion of Dan Baiduotang proteoglycan PG and the fixed negative charge in collagen of cartilage matrix.These streaming potentials are similar with the object in bone for the object of cartilage, and along with mechanical strain, causing can be to the synthetic signal conduction stimulating of the chondrocyte of substrate parts.

Than DC current, PEMF can permeates cell membranes and irritation cell film or act on intracellular organelle.As a result, the effect of PEMF on extracellular matrix comprises enhancing synthetic of chondroconia, thereby makes it possible to knee joint to carry out " reinventing ".

Fig. 2 is for being used for the treatment of the EMT of the osteoarthritis in knee according to an embodiment explanation ²the block chart of stimulation apparatus 10.Apparatus embodiments 10 has signal generator 12, power supply 14, the first stimulating apparatus 16A and the second stimulating apparatus 16B.The first stimulating apparatus 16A is connected to the first outfan 18A place of signal generator 12 by first signal line 20A.Similarly, the second stimulating apparatus 16B is connected to the second outfan 18B place of signal generator 12 by secondary signal line 20B.In various embodiments, the first stimulating apparatus 16A has in electromagnetic stimulation device 26A and heat-exchanging part 28A one or all, and the second stimulating apparatus 16B has in electromagnetic stimulation device 26B and heat-exchanging part 28B one or all.

The first and second holding wire 20A and 20B are configured to carry the signal of signal generator 12 generations to set up the stimulation of suitable treatment by the first and second stimulating apparatus 16A and 16B.The first and second holding wire 20A and 20B can be " wired " (for example, using coaxial line).Or, also can use " wireless " connecting device (for example, bluetooth).

Although stimulation apparatus 10 is shown having two output port 18A and 18B with for simultaneously and independently output signal (identical or different signals) is sent to two stimulating apparatus 16A and 16B, those skilled in the art will find in the situation that do not exceed the preset range output port of implementation disclosed herein and the quantity of stimulating apparatus can change.Therefore, comprise any amount stimulating apparatus equipment 10 embodiment all expection in.For example, at one, optionally in embodiment, equipment 10 can have a stimulating apparatus.

Power supply 14 can be provided for electric current is transported to signal generator 12, and described power supply 14 can be lithium battery group for example.Although shown in Fig. 2 be remote component, power supply 14 can be used as that a part is incorporated to or together encapsulates with signal generator 12.Power supply 14 because can be designed as, embodiment there is low electricity needs, so can be can provide to be less than the approximately power supply of the average electric power input of each use procedure 300mW.In an embodiment optionally, equipment 10 has two power supplys---and one provides electric power to set up heat exchange to signal generator power supply and another.

As shown in Figure 2, signal generator 12 can comprise manostat 22 and microcontroller 24.In addition, the first stimulating apparatus 16A can comprise the first electromagnetic stimulation device 26A and the first heat-exchanging part 28A, and the second stimulating apparatus 16B can comprise the second electromagnetic stimulation device 26B and the second heat-exchanging part 28B.In one embodiment, the first and second electromagnetic stimulation device 26A, 26B are the first and second coil 26A, 26B.Manostat 22 can be used to provide to the first and second electromagnetic stimulation device 26A and 26B the supply voltage of various needs.The first and second electromagnetic stimulation device 26A and 26B can be triggered by microcontroller 24, and described microcontroller 24 can be designed as the accurate pulse producing on specific triggering and switching frequency.Output signal is transported to the first and second stimulating apparatus 16A and 16B from microcontroller 24, wherein each stimulating apparatus alone in response to signal to set up pulse electromagnetic field.

As shown in Figure 2, the optionally embodiment of equipment 10 further can comprise display 30 and monitoring arrangement 32.Display 30 can be designed as and shows many different treatment parameters, includes but not limited to the remaining time for the treatment of pattern, power level, the course for the treatment of.

Monitoring arrangement 32 can be designed to the one or more of the output condition of stimulation apparatus 10 to monitor.Especially, monitoring arrangement 32 can be configured to guarantee accurate therapeutic dose is transported to patient's knee by the first and second stimulating apparatus 16A and 16B.A condition that can be monitored device 32 supervision is exactly the electromagnetic field being produced by the first and second coil 26A and 26B.Especially, if monitoring arrangement 32 can comprise that circuit does not meet with the field of not only surveying the intensity of electromagnetic field but also detecting the treatment level of wanting and regulates the signal that is transported to coil.Second condition that can be monitored device 32 supervision is the tissue temperatures that produced by the first and second heat-exchanging part 28A and 28B.For example, if monitoring arrangement 32 detects tissue temperature, exceed acceptable scope and have the danger that knee tissue is around damaged, monitoring arrangement 32 can communicate by letter to notify with patient by display 30 equipment 10 is removed from patient's knee so.

For example, in one embodiment, monitoring arrangement 32 can comprise be connected on the first stimulating apparatus 16A and/or the second stimulating apparatus 16B for measuring from the signal sensor of the energy transmitting of the first and second coil 26A and 26B.Can design to feedback signal is sent to signal generator 12 for controlling energy output signal sensor.Can be by signal strength detector be embedded into stimulating apparatus and be directly measured from the current electromagnetic energy field (or therapeutic dose) of the first and second stimulating apparatus 16A and 16B transmission.Signal generator 12 can be sent to after the signal level of being measured by signal sensor, at the signal level of this detection, feedback control signal can be used as with the output signal of control generator.At any time, if monitoring arrangement 32 detects field intensity outside the scope of wanting for the treatment of pattern, display 30 can demonstrate alarm audible, visual, that can touch or other type to notify the fault in patient and/or doctor's treatment pattern so.In addition, if the field intensity of measuring form dangerous risk level or on, the feedback circuit of monitoring arrangement 32 can be ended treatment to guarantee that patient is not injured so.As those skilled in the art recognizes, monitoring arrangement 32 can replaceability ground or additionally comprise temperature sensor and relevant feedback control to detect and to control patient's knee tissue temperature around.

As shown in Figure 2, equipment 10 can be connected in computer system 34 to allow doctor that treatment pattern is enrolled in microcontroller 24.In this way, because can design so that only have doctor can access and revise the treatment pattern after programming equipment 10, so doctor is keeping the control to the treatment type of patient's acceptance.By computer system 34, doctor can also monitor that treatment condition is to guarantee such as producing correct field intensity.

More convenient to doctor and patient in order to make with the treatment of stimulation apparatus 10, telemetering equipment 36 can be contained in equipment.Conventionally, telemetry allow remote measurement and by interested information reporting to remote system or operator.In addition, remote sensing technology is by allowing operator send instruction or programme to allow operated from a distance and equipment to control to apparatus remote to apparatus remote.

About stimulation apparatus 10, telemetering equipment 36 makes doctor to treat and to revise the treatment pattern in microcontroller 24 that is programmed into by telemonitoring.In this way, doctor has not to be needed can control the ability with predetermined treatment pattern with the aspectant consulting of patient, therefore makes the treatment of osteoarthritis all more convenient for patient and doctor.In one embodiment, telemetering equipment 36 can operate by radio communication (for example, utilizing broadcasting frequency (RF) system to carry out the data link between facilities and equipments and remote system).For example, yet telemetering equipment 36 can alternatively pass through other media (, telephone wire, computer network or optical link) and transmit data.

At present, the block chart with reference to figure 2 illustrates EMT ²the specific embodiment of stimulation apparatus is described substantially, and the exemplary embodiment of the stimulation apparatus of the treatment for osteoarthritis of patient wear is described.Especially, Fig. 3 shows stimulation apparatus 110, and this stimulation apparatus 110 generally includes shell 131, the first stimulating apparatus 116A, the second stimulating apparatus 116B and the fixture 117 that knee sheath 111, the inside are placed with signal generator and power supply.Shell 131 can be placed on sheath 111 Anywhere.Equipment 110 also has to replaceability the display 130 (the residue treatment time of for example, treatment pattern or the course for the treatment of) that can show one or more treatment parameters.In the embodiment describing at Fig. 3, display 130 is positioned on shell 131.Or display 130 can be placed on any position that user during use can be seen display.Stimulation apparatus 110 is for provide electromagnetic stimulation and thermotherapy to promote the equipment of rehabilitation to patient body.Especially, stimulation apparatus 110 can (by the first and second stimulating apparatus 116A and 116B) provide pulse electromagnetic stimulation and thermotherapy to promote the rehabilitation of knee to the knee joint that suffers osteoarthritis impact.Yet, those skilled in the art will recognize that various device embodiment disclosed herein can be used to provide to other any positions of patient body pulse electromagnetic to stimulate and thermotherapy (EMT ²) to promote rehabilitation or therapeutical effect be provided.

Knee sheath 111 comprises main part 113, first group of belt member 115A and second group of belt member 115B.First group of belt member 115A comprises the first fixed component 117A, and second group of belt member 115B comprises the second fixed component 117B.As discussed in following paragraph, the first fixed component 117A is configured to closely cooperate with the second fixed component 117B, and so that first group of belt member 115A is connected to removedly, therefore second group of belt member 115B is upper also ties up knee sheath 111 on patient's knee.

Fig. 4 A and 4B have illustrated the stimulation apparatus 110 on patient's knee of tiing up according to an embodiment.Especially, Fig. 4 A has illustrated the front of patient's knee, and Fig. 4 B has illustrated the back side of knee.The knee sheath 111 of stimulation apparatus 110 is wound around so that have first group of belt member 115A of the first fixed component 117A overlapping sheath is tied up to the desired locations on knee with second group of belt member 115B with the second fixed component 117B around knee.When correctly tiing up on knee, the first stimulating apparatus 116A is placed on knee position, outside, and the second stimulating apparatus 116B is placed on knee position, inner side.In one embodiment, the first fixed component 117A and the second fixed component 117B form shackle fixture and (for example, are conventionally depicted as VELCRO

), wherein, the first fixed component 117A is that " hook " part and the second fixed component 117B are " ring " parts.Yet, can use other fixture, include but not limited to bracelet, button and slide fastener.In the embodiment of the replaceability of knee sheath 111, do not use fixture.On the contrary, forming the fabric being wound around can be stretched and can suitably fix self because of the elasticity of fabric.

Fig. 5 is according to the decomposition diagram of the stimulation apparatus 110 of further embodiment.As shown in Figure 5, the first stimulating apparatus 116A comprises the first coil 126A, the first stimulating apparatus support 125A, the first stimulating apparatus support sole plate 121A and heat-exchanging part 128A and the first stimulating apparatus shell 119A.The first coil 126A of the first stimulating apparatus 116A is designed to be included in the first stimulating apparatus support 125A.The first stimulating apparatus support sole plate 121A provides the base that adheres to be connected on knee sheath with any one in the adhesion mechanism by exemplary to the first stimulating apparatus support 125A, described adhesion mechanism is, but be not limited to irreversible fastening hook mechanism, ultrasonic bonding or glue.In one embodiment, the first stimulating apparatus support sole plate 121A can for good and all be attached on knee sheath 111 by sewing, glue or any known attachment means.The first heat-exchanging part 128A is designed to be included in the first thermal stimulation apparatus shell 119A.Can be by by such as high density polyethylene (HDPE) after shell 119A

the thin plastic septum 123A sealing that synthetic paper forms.Thin dividing plate 123A can be attached on shell 119A by glue, heat-sealing or plastic button closing lid 118A.The first heat-exchanging part 128A can be inserted into as shown in the embodiment describing as Fig. 3 and be connected in the first stimulating apparatus support 125A on knee sheath 111.

Although not to the first stimulating apparatus 116A like that shown in decomposition view, the second stimulating apparatus 116B comprises the like in similar configuration.Therefore, discuss and concentrate on the first stimulating apparatus 116A above to reach the object of example, but be equally applicable to the second stimulating apparatus 116B.As a result, the second stimulating apparatus 116B comprises the like with similar Reference numeral.

The signal generator 112 of summarily describing in Fig. 5 comprises manostat 122 and microcontroller 124, and 124 pairs of signals that are transferred on the first and second coil 126A and 126B by distribution 132 of described microcontroller control to provide pulse electromagnetic field to knee.Distribution 132 is ensconced in the different tissue layer of knee protective tool 111.To manostat 122, provide the power supply 114 of electric power to be placed in the same enclosure that includes signal generator unit 112.Yet as mentioned above, power supply 114 can be placed in away from signal generator unit 112 to replaceability.Further optionally in embodiment, provide two power supplys: one for signal generator and one for heat-exchanging part.In another embodiment, provide three power supplys: one for each of signal generator and two other for each heat-exchanging part.In one embodiment, the power supply for heat-exchanging part is the disposable heating blends that energy is provided when being exposed to air.

The first and second coil 126A and 126B are one pole or bipolar electromagnet, and described electromagnet produces magnetic field when electric current flows through electromagnet.By making electric current set up magnetic field through the first and second coil 126A and 126B, described the first and second coil 126A and 126B are preferably formed by the long hawser coiling around magnetic core." pulse " electromagnetic field can be set up with conducting under the speed very fast and disconnect electromagnetic field by microcontroller 124 is programmed.

Although the first and second heat-exchanging part 128A and 128B nonessential parts, be incorporated to respectively the first and second stimulating apparatus 116A by two heat-exchanging parts and 116B can provide useful therapeutic outcome.Especially, when being used to combine with electromagnetic curing, thermotherapy contributes to the impact of osteoarthritis treat and improve patient's fitness.Yet those skilled in the art will notice that the embodiment that only applies thermotherapy, only applies the stimulation apparatus 110 of electromagnetic curing or both combinations is possible.As a result, stimulation apparatus described herein can be modified to be suitable for different patients' special demands.

Heat is can alleviating pain and reduce uncomfortable treatment naturally.By patient's thermoreceptor is stimulated and can be realized, described thermoreceptor helps stop the pain sensation to arrive brain by loosening depths muscle with desensitising and pain conversely.In order to reach, comprise that tissue temperature rises, blood flow is accelerated, muscle extends increase and the hot laser propagation effect of the treatment that metabolism strengthens, muscular temperature must reach about 104 degrees Fahrenheits (40 degrees Celsius).

A large amount of thermal source according to various embodiments can be used to the thermotherapy that provides useful.For example, the first and second heat-exchanging part 128A and 128B can be nonexpondable boxes, and this box needed patient " to reheat " (for example,, by box is placed in microwave oven) to box before each use.Or the first and second heat-exchanging part 128A and 128B can be disposable boxes, this box is designed to provide irreversible exothermic reaction with for providing thermal source in the specific time.In one embodiment, the first and second heat-exchanging part 128A and 128B are the boxes that ferrum, carbon, sodium chloride, sodium thiosulfate and water are housed.When being exposed in air, CLLHW compound there is to produce the exothermic reaction of heat.In other embodiments, can provide heat by following approach: resistance-type heating source, selectivity is heat insulation or from battery " temperature " of radiation during operation.As those skilled in the art, notice, the first and second heat-exchanging part 128A and 128B can be thermals source, and this thermal source is designed to make thermal source in the time period conveying thermotherapy to the appointment between whole day in a few minutes of floating.The time period of this appointment can or can not be consistent with the persistent period of electromagnetic field.In addition, the first and second heat-exchanging part 128A and 128B can be pulse modulated so that thermotherapy is not constant.

In one embodiment, power supply 114 is lithium polymer batteries, and this lithium polymer battery not only can be disposable battery but also can be chargeable nonexpondable battery.If power supply 114 is batteries of rechargeable type, stimulation apparatus 110 can be configured for and be connected in order to give on the docking station of equipment charge.Or docking station can be designed as and receives only power supply 114, power supply 114 can be made into and can remove from stimulation apparatus 110.As those skilled in the art will notice, the power supply of other a large amount of types can be used to provide to stimulation apparatus 110 electric power needing.For example, stimulation apparatus 110 can be designed as from the action of patient body and produces electric power.Or stimulation apparatus 110 can be by being attended by chemical reaction as the heat of by-product to stimulation apparatus 110 power supplies.In the case, heat by-product can provide thermotherapy to knee joint.

As shown in Figure 5, stimulation circuit 110 for example further comprises, for showing the display 130 of one or more treatment parameter (, treatment pattern or in the course for the treatment of remaining treatment time amount).For example, display 130 can utilize thermo-sensitive material, digital timer or sound such as light source, (according to elapsed time) variable color many different device indicatings such as to repeat.In addition, display 130 can exceed treatment pattern prescribed limit and to patient, sends the message of audio frequency, video or touch type electromagnetic field intensity for example to be detected in response to monitoring arrangement with monitoring arrangement combined effect.In the case, 130 pairs of display prompting patients to remove stimulation apparatus or call out its doctor be useful.

Fig. 6 is according to the explanation of the amplification of the decomposition diagram of Fig. 5 of an embodiment.In this embodiment, stimulating apparatus shell 119A, the 119B describing in Fig. 5 be can insert, interchangeable assembly, this assembly can be inserted easily and rapidly and be removed in appliance stand 125A, 125B.In one embodiment, after being inserted into appliance stand 125A, 125B, the joint that stimulating apparatus shell 119A, 119B have and the joint in support 125A, 125B are coupled, to power to shell 119A, 119B.

Fig. 6 has described to have an embodiment of the stimulation apparatus 110 of insertable stimulating apparatus shell 119A, 119B.As shown in Figure 6, stimulation apparatus 110 has sheet metal 140A and the first couple of stimulating apparatus stand spring bearing metal contact 142A that is arranged in stimulating apparatus shell 119A.When stimulation apparatus 110 assembles as shown in the embodiment of Fig. 3, the sheet metal 140A on stimulating apparatus shell 119A is used as the electric connection between spring load metal contact 142A in the first stimulating apparatus support 125A and a pair of.Projection 133A on stimulating apparatus shell 119A can slip into and skid off the groove on stimulating apparatus support 125A and be embedded into notch 135A to set up reversible mechanical embeddeding action, and this machinery embeddeding action provides shell 119A to insert and remove for the safety of stimulating apparatus support 125A.In interchangeable embodiment, sheet metal 140A in stimulating apparatus support 119A contacts with the first pair of stimulating apparatus stent magnet being inserted in first pair of magnet notch of the first stimulating apparatus support 125A, shell 119A is fixed on the first stimulating apparatus support 125A.In further replaceable scheme, as the replacement to sheet metal, stimulation apparatus 110 can have a pair of stimulating apparatus magnet and corresponding a pair of stimulating apparatus stent magnet.

First couple of stimulating apparatus stand spring bearing metal contact 142A is connected to (not shown) on corresponding a pair of holding wire of communicating by letter with signal generator 112.When the first stimulating apparatus shell 119A is placed in the first stimulating apparatus support 125A, closed circuit is set up in being electrically connected between sheet metal 140A and corresponding first couple of stimulating apparatus stand spring bearing metal contact 142A, and this closed circuit is electrically connected to the first stimulating apparatus 116A on signal generator 112.As a result, signal generator 112 can communicate by letter that the treatment signal of regulation is transported in microcontroller with the first stimulating apparatus 116A, and described treatment signal is by the treatment mode-definition being programmed.

In Fig. 3 to 6, the embodiment of stimulation apparatus 110 of explanation is two coil configurations in knee one side for generation of a coil of PEMF treatment.Conventionally, manostat 122 is used to provide constant supply voltage to signal generator 112 and the first and second stimulating apparatus 116A and 116B.Microcontroller 124 triggers the first and second coil 126A and 126B, is created in thus by being stored in the certain trigger of the treatment pattern appointment in microcontroller and the accurate pulse on switching frequency.Trigger rate is defined as the speed of the pulse generation of some.Switching frequency is the fundamental frequency of independent pulse.Another parameter that is called as duty cycle of switching is defined as the ratio of pulse width to switch periods.The voltage of pulse equates with the amplitude of PEMF treatment.

The necessary penetration depth of pulse electromagnetic field by signal generator 112 and the first and second stimulating apparatus 116A and 116B generation can depend on that for example the size of patient's knee area changes.Yet for adult patients, penetration depth arrives in the scope of about 5cm at about 1cm conventionally.Or penetration depth arrives in the scope of about 4cm at about 2cm.In further selecting, penetration depth changes to about 2.5cm from about 2cm.This " penetration depth " parameter is necessary to estimate to provide treatment to the magnetic field intensity of needs, this parameter final decision the power requirement of power supply 114.

Conventionally, the magnetic field intensity that coil produces is measured according to tesla (T) and has following approximation relation with the electric current that flows through coil:

$B=\frac{{\mathrm{\μ}}_{0}n{\mathrm{IR}}^2}{2{(R^2+x^2)}^{3/2}}\⇒I=\frac{2B{(R^2+x^2)}^{3/2}}{{\mathrm{\μ}}_{0}n{R}^2}$

Wherein, " B " is the magnetic field being caused by coil, and " I " is the electric current by coil, and " R " is that radius and " x " of coil is the penetration depth of PEMF.

According to an embodiment, the magnetic field intensity B being applied on patient's target body part changes to 2000 μ T from 10 μ T.Or magnetic field intensity B changes to 100 μ T from 20 μ T.In further selecting, magnetic field intensity B changes to 50 μ T from 30 μ T.In another is selected, magnetic field intensity B is about 40 μ T.According to an embodiment, the magnetic field being caused by coil is applied perpendicular to coil.

In one embodiment, magnetic field is applied in knee and enters the about 1cm of knee to the distance of about 5cm.Or magnetic field is applied to and enters the about 2cm of knee to the distance of about 4cm.In further selecting, magnetic field is applied to and enters the about 2cm of knee to the distance of about 2.5cm.

According to the coil of an embodiment, having around radius is 20 circle AWG 24 (24AWG) metal wires of pulse current magnetic core, that be attended by 712mA of about 2 centimetres.Or, 65 circle 28AWG metal wires of the pulse current magnetic core that it is 1.5cm that coil has around radius, that be attended by 339mA.

Although unicoil configuration is possible and in the preset range of this application, because two coil configuration need much smaller energy to penetrate outside and the inner side of knee, two coil configuration have been used the about twentieth electric power of unicoil configuration.In addition also the embodiment having more than two coils is thought deeply.

In one embodiment, the cycle of application PEMF treatment changed between about 30 minutes to about 4 hours.Or the cycle of application PEMF treatment changed between about 1 hour to about 3 hours.In further selecting, treatment is employed between about 1.5 hours to about 2.5 hours.In another is selected, treatment is employed about 2 hours.Further, desirable therapeutic time window can depend on many because usually changing, and the field intensity, the order of severity of the osteoarthritis in knee and the physical size of knee that to knee, provide are provided.

According to an embodiment, trigger rate changes to about 100Hz from about 1Hz.Or trigger rate changes to about 50Hz from about 5Hz.In further selecting, trigger rate changes to about 20Hz from about 10Hz.In another is selected, trigger rate is about 15Hz.

According to an embodiment, switching frequency changes to about 100Hz from about 50Hz.Or switching frequency changes to about 70kHz from about 300Hz.In further selecting, switching frequency changes to about 4kHz from about 2kHz.In another is selected, switching frequency is about 3kHz.

Conventionally, for the effect of the treatment of realizing ideal with PEMF, although consider other triggering and switching frequency, the trigger rate in the scope of about 15Hz and the switching frequency within the scope of about 3kHz are gratifying.

As those skilled in the art, based on above open, will notice, stimulation apparatus 110 does not require and being connected of any external hardware when carrying the treatment of regulation.Therefore, stimulation apparatus 110 is portable, and be designed such that stimulation apparatus 110 can be in the general daily routines of patient by patient wear but there is no sense of discomfort.Knee sheath 111 can be meet that human engineering designs and from aesthetic attracting to increase patient's fitness of wearing equipment.

It is disposable assembly that the first and second stimulating apparatus 116A and 116B can be designed as complete or part, and this assembly can be dropped or replace after the treatment of predetermined quantity.The stimulating apparatus shell 119A that for example, may comprise the first heat-exchanging part 128A and/or the first coil 126A can remove and by patient, be processed when expiring from stimulating apparatus support 125A.When alternatively, display 130 can be worked as that assembly expires and need to replace, notify patient.The rear characteristic of abandoning of use of the first and second stimulating apparatus 116A and 116B may be favourable, because if one or more of stimulating apparatus stops normal operation, only need to replace those parts but not whole stimulation apparatus.

In Fig. 7, described EMT ²another exemplary embodiment of stimulation apparatus.Equipment 200 shown in Fig. 7 has PEMF production part 202 and heat-exchanging part 204.PEMF production part 202 is placed between first surface layer 206 and second surface layer 208.According to an embodiment, ground floor 206 has the binder parts 210 at least a portion of a side of equipment 200 outsides.Binder parts 210 is that known permission equipment 200 is attached to the binding agent on patient skin arbitrarily.

According to an embodiment, equipment 200 also has and is placed on the power supply (not shown) that is placed in the outside box body 212 on the second layer 208.In a further embodiment, specific electronic components can be placed in box body 212.

Or equipment 200 has two power supply (not shown)---one for PEMF production part 202 and one for heat-exchanging part 204.Two different power supplys can help to make maximise battery life.Or a power supply is provided for PEMF production part 202 and heat-exchanging part 204.In a further embodiment, a power supply is provided for PEMF production part 202, and the heat-exchanging part in this embodiment 204 do not need power supply, just as described in detail below.According to an embodiment, single power supply or two power supplys are all placed in outside box body 212.Or single power supply or two power supplys are placed between ground floor 206 and the second layer 208.In further replacement scheme, power supply is placed in outside box body 212 and a power supply is placed between ground floor 206 and the second layer 208.

In one embodiment, one or two power supply is disposable use or disposable power supply.Or one or two power supply can be reusable or permanent power supply.In further selecting, power supply is any known power supply for together using with PEMF stimulation apparatus and/or heat-exchanging part.

In one embodiment, equipment 200 is disposable bag-shaped equipment.Or equipment 200 is reusable equipment.As directed, equipment 200 is foursquare.Or equipment 200 can have circle or oval or any other known form.For example, in one embodiment, equipment 200 can have makes adhering to and any shape of patient's degree of comfort maximization of patient skin.

In one embodiment, PEMF production part 202 is the coils that are configured to produce pulse electromagnetic field.Or PEMF production part 202 can be any parts for generation of PEMF.

According to an embodiment, heat-exchanging part 204 is such as the thermal source of parts with the chemical mixture of heat release.For example, thermal source is in one embodiment the mixture that contains iron powder, water, activated carbon and salt, and described mixture is oxidized to produce heat in air.The example of a business of such mixture can be the dalton (Dalton, Ga) by being positioned at Georgia

in the hands insulating product of selling, find.Another example that can be used to the thermal source of the present embodiment is the mixture that contains supercooled sodium acetate.Another example is the mixture that contains calcium chloride or magnesium sulfate and water.In further selecting, heat-exchanging part can be any known parts or the equipment for generation of heat.

According to heat-exchanging part 204, are the embodiments of thermal source that utilize the chemical mixture of heat release, parts 204 do not need power supply.In other words, chemical mixture just produces exothermic reaction without any need for the power supply of battery or any other kind.

Or heat-exchanging part 204 is such as the low-temperature receiver of parts with the chemical mixture of heat absorption.For example, low-temperature receiver can be the mixture that contains ammonium nitrate and water.In further selecting, heat-exchanging part 204 can be any known elements for providing temperature to decline.

In one embodiment, the first and second surface layers the 206, the 208th, resilient or pliable and tough layer.According to an embodiment, pliability and the elasticity of layer make equipment 200 to being more prone to adhering to of patient skin.At one, optionally in embodiment, one or two of surface layer can be breathed freely.In further selecting, one or two of surface layer is permeable to oxygen.Layer 206,208 can comprise such as can be to the Tegaderm that is positioned at Minnesotan Sao Paulo (St.Paul, Minn) 3MTM company and buys ^tmand Medipore ^tMthe biocompatible film of product.

According to an embodiment, binder parts 210 is hyposensitivity binding agents.At one or two surface layer the 206, the 208th, breathe freely further optionally in embodiment, binder parts 210 is porous binding agents, this porous binding agent allows gas through binding agent and air-permeable layer.

Certainly, this equipment 200 can be used to treating by any joint or any other body part of income from the treatment of use PEMF and heat exchange.In one embodiment, target area is knee.Further understand and can adopt 200 pairs of target areas of an above equipment to treat.Equipment 200 can be used to the pain of relief from osteoarthritis and increase range of activity.

Those skilled in the art notices, although only several embodiment of reference stimulus equipment are described equipment and method, these embodiment are used to example and unrestriced object.Correspondingly, numerous other embodiment are possible and in expected range.

Other example

Taking it by and large Fig. 8 understands the example of the active knee system that comprises stimulation apparatus 110, and stimulation apparatus 110 comprises the knee sheath 111 with ground floor 111A and second layer 111B.In the example of Fig. 8, that active knee system comprises is portable, battery powered, the shortwave Diathermy in Treatment armarium of non-intrusion type, this equipment by electromagnetic energy for example, for using not the treatment of medical environment that produces the device (, using without hot device) of deep layer heat at bodily tissue.

In one example, active knee system can be configured to by for example, with emitter coil (, the first coil 126A and the second coil 126B) pulsed RF signal being transported to destination organization.In this example, emitter coil is placed on the both sides (for example, kneed inner side and LHA) of the knee of (for example,, between ground floor 111A and second layer 111B) in knee sheath.In other example, emitter coil (for example can be placed near other positions knee sheath, according to the destination organization of wanting) or one or more emitter coil can be placed in the one or more positions in one or more other sheaths, described one or more other sheaths are configured to be positioned near one or more other positions of health.

In one example, independent RF signal generator close to each emitter coil place (for example can be positioned at, in stimulating apparatus support, approach emitter coil place or in specific example in the sub-assemblies identical with emitter coil) potential RF signal attenuation significantly to reduce to compare with the system with a plurality of emitter coils, described a plurality of emitter coils in some examples separate provision to enough large distances of single RF signal generator.In other example, independent RF signal generator can be assigned to first group of emitter coil, and described first group of emitter coil is more approaching than second group of emitter coil.

In specific example, RF signal generator or emitter coil one or more or can for example, by the single microprocessor controls being included in the independent shell (, shell 131) that can remove from knee sheath 111 (or the one or more other sheath).Microcontroller can be controlled RF signal generator (for example, conducting state, off-state, etc.) with low speed electric lines of force.Close to the combination of the RF signal generator of emitter coil and independent microcontroller, can allow the complete modularity (for example, one or more RF signal generators or emitter coil can start independently to be placed from microcontroller) of system.

Stimulation apparatus 110 can comprise one or more disposable, disposable, air-activated casings, and affiliated casing provides heat or cold to destination organization.In one example, one or more casings can be fastened or are attached on the contrary on the inner side or outer slots or support on knee sheath 111.In various examples, treatment (for example, PEMF treatment or thermotherapy or electromagnetic curing is one or more) can be through surgical dressing, medicated clothing, Gypsum Fibrosum, tights, underwear, supporter or one or more other barrier of knee sheath 111 and destination organization time.Further, in specific example, casing (independently or combination) can be as enabling or the starting switch of one or more parts of conducting PEMF treatment.

In one example, PEMF treatment can comprise the peak value generator power of the one or more of following parameter: 1W, the generator voltage of the average generator power of 4mW, 3V, the voltage standing wave ratio close to 1, the electric current of 10mA, the pulse width of the carrier frequency of 27.12MHz, 2ms (for example, the pulse ON time of 2ms and the pulse turn off time of 498ms), the pulse frequency of 2Hz is, the normal loading of 50Ohm, etc.In other example, PEMF treatment can comprise one or more other parameters.

Although taking it by and large the example of Fig. 8 understands active knee system, yet be configured to provide to one or more other target areas one or more systems for the treatment of conform to purport herein (for example active ankle joint system, active carpal joint system etc.).

active ankle joint system

Taking it by and large Fig. 9 understands the active ankle joint system that comprises stimulation apparatus 110, described stimulation apparatus 110 comprises the ankle joint sheath 151 that is configured to wear around ankle joint, be configured to provide to ankle joint the first and second stimulating apparatus 116A, the 116B for the treatment of, and be configured to deposit microcontroller and control with at least one at least a portion to the first and second stimulating apparatus 116A, 116B.In one example, ankle joint sheath 151 can comprise securing member (in this example, anterior and securely ankle joint sheath 151 is fixed to the first and second belts 152,153 on ankle joint for being configured to cross ankle joint).In one example, securing member can comprise hook-loop fastener, or the securing member of the one or more other types.

Active ankle joint system can be configured to (for example use one or more emitter coils, the first and second coils) by PEMF treatment (for example, pulsed RF signal) be transported to destination organization, and with disposable, disposable air-activated casing, thermotherapy (for example, heating therapy) is transported to the target area of ankle joint.In one example, the first or second stimulating apparatus 116A, 116B can comprise at least one in emitter coil or hot casing.In one example, can near the tibial astragaloid joint of ankle joint and talocalcaneal articulation, provide PEMF or thermotherapy, normally there is arthritic modal place in ankle joint in tibial astragaloid joint and talocalcaneal articulation.By emitter coil or hot casing being placed on the pollex of ankle joint and talocalcaneal articulation or around it, usually can treat the heel and above of injured (for example,, when ankle joint is rotated or sprain) below to the ligament of fibula.

In other example, PEMF or thermotherapy can be used to reduce postoperative pain and the edema in ankle joint, and are used to provide one or more other curative effects.By using the strip winding of uniqueness illustrated in fig. 9 to design, ankle joint sheath 151 can be worn on the left side or the right ankle joint and not produce for the different active ankle joint system of each side just still provides treatment to the target location of ankle joint.Further, because the modularized design of all systems as described above, so emitter coil or hot case can be placed near one or more other positions ankle joint sheath 151.

active back system

Taking it by and large Figure 10 understands the example of the active back system that comprises stimulation apparatus 110, stimulation apparatus 110 comprises the back strip winding 161 that is configured to wear around back, (be for example configured to provide to back the stimulating apparatus for the treatment of, divide other the first, second, third and the 4th stimulating apparatus 116A, 116B, 116C, 116D), and the shell 131 that has been configured to store microcontroller, described microcontroller is configured at least a portion of at least one of the first, second, third and the 4th stimulating apparatus 116A, 116B, 116C, 116D to control.In one example, back strip winding 161 can be used securing member (for example, being positioned at the hook-loop fastener in the opposite end of back strip winding 161) to be just placed in securely around back.

In one example, active back system configuration for example, for (being used one or more emitter coils, the first and second emitter coils, or the emitter coil of any other quantity) by PEMF treatment (for example, pulsed RF signal) be transported to destination organization, and thermotherapy (for example, heating therapy) is transported to the target area at back with above disposable, a disposable air-activated casing.In specific example, the from first to the 4th stimulating apparatus 116A, 116B, 116C, 116D can comprise at least one emitter coil or hot casing.In one example, PEMF or thermotherapy can be provided to the one side or the multi-lateral of spinal column and be positioned at due to a variety of causes (for example, operation, arthritis, incorrect posture etc.) for example, in one or more pain district (, the lumbar regions at back) of causing.

In one example, in order to reduce costs but still to provide treatment to patient, the subset of stimulating apparatus can comprise emitter coil and hot casing, for example, and other subset (only includes hot casing, lower stimulating apparatus comprises emitter coil and hot casing, and higher stimulating apparatus only includes hot casing etc.).Further, due to the modularized design of system as above, so emitter coil or hot casing can be placed near one or more other positions of back strip winding 161.

active elbow joint system

Taking it by and large Figure 11 understands the example of the active elbow joint system that comprises stimulation apparatus 110, stimulation apparatus 110 comprises the elbow joint sheath 171 that is configured to wear around elbow joint, be configured to provide to elbow joint the first and second stimulating apparatus 116A, the 116B for the treatment of, and the shell 131 that is configured to store microcontroller, described microcontroller is configured at least one at least a portion in the first or second stimulating apparatus 116A, 116B to control.In one example, elbow joint sheath 171 can be worn around elbow joint, for example, by securing member (, being positioned at the hook-loop fastener of the end of elbow joint sheath 171) with fixing in position by mode like knee immobile phase with active knee system.

In one example, the first and second stimulating apparatus 116A, 116B can comprise at least one of emitter coil or hot casing.In one example, PEMF and thermotherapy can be provided to inner side and the outside near elbow joint, provide treatment for example, so that one or more damages or discomfort (, tennis elbow etc.) are treated in specific example at epicondyle place, outside.

In other example, PEMF and thermotherapy can be used to reduce postoperative pain and the edema of elbow joint, and one or more other curative effects are provided.By using the strip winding of uniqueness illustrated in fig. 11 to design, elbow joint sheath 171 can be worn on the left side or the right ankle joint and not produce for the different active ankle joint system of each side just still provides treatment to the target location of elbow joint.Further, because the modularized design of all systems as described above, so emitter coil or hot case can be placed near one or more other positions elbow joint sheath 171.

active carpal joint system

Taking it by and large Figure 12 understands the example of the active carpal joint system that comprises stimulation apparatus 110, stimulation apparatus 110 comprises the carpal joint sheath 181 that is configured to wear around carpal joint, be configured to provide to carpal joint the first and second stimulating apparatus 116A, the 116B for the treatment of, and the shell 131 that is configured to store microcontroller, described microcontroller is configured at least one at least a portion in the first or second stimulating apparatus 116A, 116B to control.In one example, carpal joint sheath 181 can be by passing thumb the hole of carpal joint sheath 181 and carpal joint sheath 181 wrapped up wearing around carpal joint.In one example, carpal joint sheath 181 can comprise securing member, is in this example first and second to be with 182,183.In one example, securing member can comprise hook-loop fastener, or the securing member of one or more other types.

In one example, the first and second stimulating apparatus 116A, 116B can comprise at least one in emitter coil or hot casing.In one example, PEMF and thermotherapy can be provided near carpal inner side and outside, in specific example the base portion joint as arthritic general position or near treatment is provided.Further, by by emitter coil or hot casing is positioned over or near base portion joint, can treat two side para-ligament in carpal joint.

In other example, PEMF or thermotherapy can be used to reduce postoperative pain and the edema in carpal joint, and one or more other curative effects are provided.By using the strip winding of uniqueness illustrated in fig. 12 to design, carpal joint sheath 181 can be worn on the left side or the right carpal joint and not produce for the different active carpal joint system of each side just still provides treatment to carpal target location.Further, because the modularized design of all systems as described above, so emitter coil or hot case can be placed near one or more other positions carpal joint sheath 181.

Taking it by and large Figure 13 understands the example of the active carpal joint system that comprises stimulation apparatus 110, stimulation apparatus 110 comprises the carpal joint sheath 191 that is configured to wear around carpal joint, be configured to provide to carpal joint the first and second stimulating apparatus 116A, the 116B for the treatment of, and the shell 131 that is configured to store microcontroller, described microcontroller is configured at least one at least a portion in the first or second stimulating apparatus 116A, 116B to control.In this example, thumb can be extruded through suitable thumbhole and first and second is with 192,193 can be conditioned to use securing member (for example, hook-loop fastener, or one or more other securing member) carpal joint sheath 191 is fixed on to correct position.In one example, carpal joint sheath 191 can be fixed on the first and second stimulating apparatus 116A, 116B on carpal centre, and this just allows treatment to be penetrated into carpal depths.

In other example, PEMF or thermotherapy can be used to reduce postoperative pain and the edema in carpal joint, and one or more other curative effects are provided.By using the strip winding of uniqueness illustrated in fig. 13 to design, carpal joint sheath 191 can be worn on the left side or the right carpal joint and not produce for the different active carpal joint system of each side just still provides treatment to carpal target location.Further, because the modularized design of all systems as described above, so emitter coil or hot case can be placed near one or more other positions carpal joint sheath 191.

the material that can react

Figure 14 is the diagram of two kinds of materials that can react.Heat-exchanging part such as disposable thermal replacement part can comprise that being configured to target area (for example, joint) provides heat to transmit the heat exchange source for the treatment of.Heat is transmitted treatment can comprise heating (such as, the heat transmission of heat release) or cooling (such as, the heat transmission of heat absorption).Hot transmission source comprises the material that can mix to react.According to the treatment of being stipulated by caregiver and/or user is wanted, heat-exchanging part can keep temperature higher or lower than the temperature of target area.

At least two kinds of materials can react to produce the heat energy that can exchange with joint based on mixing.Example is included, and wherein, at least two kinds of materials comprise ammonium nitrate 1404 and water 1406.Some example comprises the partition 1408 (for example, having surrounded a kind of partition in material) of breaking cracky.Water 1406 can be placed in the bag that is placed in shell 1400, and described shell 1400 also comprises the salt such as ammonium nitrate.Alternatively, ammonium nitrate can be placed in the bag of the water bag that accommodates cracky.The partition of cracky can be the film that has defined the both sides of shell 1400, and can reacting substance in the both sides of film.Correspondingly, no matter be heating or cooling, user can both be selected suitable EMT ²and combine to provide treatment by itself and wrister or sheath.

Just as disclosed here, no matter the treatment providing is heating or cooling, system can comprise the indicator (for example, 130) for showing to user.Demonstration (for example, the first color, shape and/or pattern) the indication heating of the first symbol, and the demonstration (for example, the second color, shape and/or pattern) of the second symbol is indicated cooling.

The embodiment of thermotherapy disclosed herein is not limited to the material that can react, and for example can comprise, such as heat storage device (, can such as heating in advance before use or shift to an earlier date the cooling thermal storage device of charging like that before use), the refrigeration plant of electricity consumption, the firing equipment of electricity consumption and other heat-transfer devices.Example comprises by be placed on before use bag in refrigeration plant and heated bag before use such as radiation, convection current and/or conduction, comprises by the microwave excitation of material in bag.Another example comprises the electronic refrigeration equipment that can be placed in capsule with cooling target area.Electric power for such capsule can for example, provide by electric lines of force or battery (, can be worn on the portable battery on sheath).

comprise the example that is wound around configuration

Figure 15 A shows the view of the thermotherapy parts assembling that comprises the parts that make sheath winding to 15B.For sheath is wound around, example comprises frenulum 1512.So in the mode of example, discussing, is that being connected on support to start on the shell of electromagnetic curing and opposite side is thermotherapy parts in a side of frenulum 1512.

In specific example, when being provided, can use electromagnetic curing heat-exchanging part (for example, reacting with the target location heat-shift with such as joint at two kinds of materials 1504,1506).For example, the wrister such as sheath can comprise that at least some are for the parts of electromagnetic stimulation are provided, and those parts are until heat-exchanging part is connected with wrister in a certain way is just stopped when starting electromagnetic stimulation.

In specific example, shell 1502 be fixed to support on sheath and be coupled and be connected on heat-exchanging part 1514.Shell 1502 is coupled on support and can starts electromagnetic curing.For example can start electromagnetic field, so that treatment (, pulse electromagnetic therapy) to be provided, treat in succession or the while with heat exchange is provided.

Example is included, and wherein, disposable shell 1502 comprises that conductor (for example, illustrate in Figure 17 I 1704) is electrically and physically to carry out bridge joint (for example,, by contacting with contact 142A) to the open circuit of electromagnetic stimulation device circuit.

Support (for example, 125A illustrated in fig. 6) such as notch (for example can comprise, 135A illustrated in fig. 6) and so on detent mechanism, wherein, disposable shell be configured to be inserted into removedly support (for example, thus 125A), to join notch 135A to, mechanically disposable shell is fixed on support.Shell can comprise that projection 1510 is with engagement slot 135A.Based on engaging, can start treatment.

As what mention herein, treatment can be (for example,, by the partition of cracky being destroyed to two kinds of materials are mixed and making its reaction) in succession or simultaneously with the heat transmission with joint.

Example is included, and wherein, disposable shell 1502 is connected on thermotherapy parts 1514 by frenulum 1512, and the size of described frenulum 1512 is for being wound into from the exterior portion of sheath the inside part of sheath.

In example, built-in capsule 1504 is used common welding to be welded in the capsule 1506 of outside, on the described common opposite side that is welded on the first capsule and the second capsule, extends.Inner capsule to the concurrent welding of external bladder and the cross section of adhesion shown in Figure 15 B.Such method can be simplified and produces and reduce costs.

The part that Figure 16 A shows the inside part of sheath 1604 to 16B, comprises capsule 1606.By clasps fastener 1602, sheath can be partly attached on joint.Securing member 1602 can comprise binding agent, hook-loop fastener, one or more device and other securing member of being fastened and connected.

Example comprises frenulum is wrapped in around sheath, comprises that 1616 frenulums that extend are connected to shell 1612 and thermotherapy parts sheath to inner side in the outside 1614 of using from sheath 1604.Some example comprises on the support 1610 on the outside 1614 that removedly shell 1612 is connected to sheath 1604 to start the generation of electromagnetic field.Thermotherapy parts can be inserted in capsule and (for example, change shape to meet the capsule of thermotherapy parts so that thermotherapy parts are suitably preserved snugly).Illustrated capsule 1606 has semicircular base, and the size of described semicircular base is defined to meet the semicircular base of thermotherapy parts.Consistent shape like this can enough guiding thermotherapy parts direction allow user coordinate and help user, consider frenulum can be around sheath 1604 windings shell 1612 is placed on close to the position of support 1610, so that shell 1612 can be inserted in support 1610 this shape, be important.

As described, capsule 1606 can comprise net.Such configuration can be provided to target location (for example, knee) by the conduction of heat of improvement from thermotherapy parts by capsule 1606.This purport is not restricted to the configuration that capsule 1606 is formed by net, and can comprise other configuration (for example, capsule 1606 is by transmitting with effective heat the configuration that other compatible medium forms).

Example is included, and wherein, sheath 1604 limits one and runs through sheath 1604 and towards the unlimited eyelet 1608 of support 1610.Some example comprises towards the unlimited eyelet 1608 of the bottom eyelet of support 1610.Eyelet 1608 can allow shell 1612 to contain thermotherapy parts heat is delivered to target location from thermotherapy parts by eyelet 1608.The heat transmission of this place reference can comprise one or more in radiation, convection current and conduction.

As this place reference, specific example is included, and wherein, disposable shell 1612 is configured so that electromagnetic stimulation device circuit can generate an electromagnetic field in joint on being mechanically connected to support 1610 time.Example is included, wherein, reaction be heat absorption and comprise indicator circuit, described indicator circuit is configured to show the first color when disposable shell 1612 is inserted in support 1610 and when the second disposable shell 1612 (comprising thermal pack) is inserted in support 1610, shows the second color.

Figure 17 A shows several views of the shell 1702 such as disposable shell to 17I.Shell comprises metallic plate or conductor 1704.Window 1706 is exposed to other parts to provide interconnection between conductor 1704 and other parts by conductor.As described, shell 1702 can comprise inner cavity 1708.Yet the heat-transfer devices that is essentially heat release or heat absorption can be placed in cavity 1708.Shell 1702 can comprise the projection 1710 (for example, 135A illustrated in fig. 6) of engagement groove.

Figure 18 A to 18C, be Figure 18 B parts according to the cross section along line 18A-18A intercepting of an example.Embodiment shows frenulum, described frenulum there is straight shape but not Figure 15 A to the shape of inclination illustrated in 15B.In explanation, shell 1802 is connected on thermotherapy parts 1808 by frenulum 1804.In Figure 18 A, illustrated cross section shows the capsule 1808 (for example, filling the capsule of salt) being for example placed on, in other capsule 1806 (, filling the capsule of water).Piercing through capsule 1808 can make reaction (for example, the endothermic reaction) start.

Figure 19 has illustrated the shackle configuration according to an example, and described shackle is configured for thermotherapy parts are attached on sheath.Example shows the thermotherapy parts 1904 that comprise shackle feature 1904, and described shackle feature 1904 can be used to thermotherapy parts 1904 to be fixed on sheath.Shackle feature can form border around at open portion 1906.Open portion 1906 can improve the heat transmission from thermotherapy parts 1904 to joint.Open portion 1906 can also be connected with shell so that shell can start electromagnetic stimulation treatment (for example,, by the electrical contact of shell being connected on the electrical contact of support with closed circuit).Open portion 1906 can be directly towards joint, or can pass through eyelet (for example, Figure 16 A is to illustrated eyelet 1608 in 16B) towards joint.

Figure 20 A shows to 20B two kinds of patterns that thermotherapy parts adhere to.Thermotherapy parts 2008 can be connected to by fastening hook 2004 the inside part (exterior portion even) of sheath 2006, thermotherapy parts 2008 are placed on to the position of wanting in the inside part of sheath, from the inside part to exterior portion by frenulum 2004, around sheath, be wound around, and frenulum is tied on shell 2002 and/or support 2003.In one example, attachment feature 2002 can comprise shell or the barb that can be inserted in shell.Can be inserted in both of barb in shell or shell one can comprise can be in support 2003 conductor (for example,, by the contact being exposed in support 2003 is carried out to bridge joint) of closed open circuit.

Figure 21 is according to the partial view that ties up to the sheath of the thermotherapy parts on sheath by a plurality of belts that has of an example.Thermotherapy parts 2110 can be by adhering to be connected on sheath 2104, describedly adhere to by thermotherapy parts 2110 being placed on to the position wanted, a plurality of frenulums 2108 be wound around around sheath 2104 and frenulum is tied to and on sheath 2104, (for example, uses the securing member 2004 such as barb) and realize.In one example, some part of frenulum 2108 can provide conductor to start the electromagnetic curing circuit (for example,, by the open circuit in support is carried out to bridge joint, or by being inserted into the shell in support) of sheath 2104.For example, shell can be connected with frenulum 2108 and can be inserted in support.Barb in Figure 22 can be used to thermotherapy parts to be connected on shell with the open circuit in closed shell.

Figure 22 be according to an example by the connected convex connector of thermotherapy parts self and the partial view of concavity connector.In one example, barb 2204 can be inserted in shell 2202, and described shell can be inserted in support.In one example, barb 2204 comprises the conductor that can be inserted in shell 2202 with the open circuit in closed shell.

Figure 23 is according to the view of the viscosity thermotherapy parts of an example.In example, thermotherapy parts 2302 can be adhered on sheath, for example, remove to open part 2034 and be configured to thermotherapy assembling to be adhered to the binding agent 2306 on joint or sheath to expose.Example can comprise that shackle is to be attached to thermotherapy parts 2302 on sheath.In one example, sheath is comprised of a plurality of soft rings, and thermotherapy parts 2302 comprise that a plurality of rings are to be attached on soft ring.Reverse situation is also possible.

Some example comprises that one or more mechanical clasps mould assembly securing members are with fixed sheath.In one example, a large amount of such securing members is placed on along rule or the random position on the border of thermotherapy parts 2302.

Figure 24 is the view that passes through the thermotherapy parts that telescopic frenulum is connected with shell according to an example.In one example, thermotherapy parts 2402 are connected with shell 2406 by frenulum 2404.In one example, frenulum 2404 is telescopic at one or two place of thermotherapy parts 2404 and shell 2406.In one example, clock spring structure 2408 is used in frenulum indentation shell 2406.

Figure 25 A is having by the partial view of the sheath of the fixing thermotherapy parts of shackle according to an example.Figure 25 B is according to the cross section of the parts of Figure 25 B along line 25B-25B intercepting of an example.In one example, support 2508 can receive the shell 2506 being tied on the frenulum 2504 that can be wound around around sheath 2502.Housing exterior 2510 can be exposed to heat or cold in, and the shell 2504 that sealing coat 2512 can be isolated shell assembling place is to be isolated from heat transmission by sheath and support.

Figure 26 is according to the partial view of the sheath with heat conducting capsule of an example.This example shows sheath 2604, the capsule 2606 that described sheath 2604 has securing member 2602 (for example, hook-loop fastener) and is comprised of the Heat Conduction Material such as paper tinsel in the example of explanation.

Figure 27 A is according to the perspective view of the thermotherapy parts that comprise box body and hook of an example.Figure 27 B is according to the perspective view of the thermotherapy parts assembling of the expansion of an example.In one example, thermotherapy parts 2702 comprise the first material 2718 and the second material 2716 (for example, ammonium nitrate).Hook 2712 can be connected to thermotherapy parts on sheath, and shell 2704 can disengaging from linking up with.Shell 2704 disengaging from linking up with has been torn to the capsule that comprises first 2706 and second portion 2708 along seam 2710, destroyed the partition between the first material 2716 and the second material 2718, the reaction between material can be carried out.After shell 2704, can be wound around and be inserted in support so that electromagnetic curing can start around sheath.

Figure 28 A is according to the perspective view of the thermotherapy parts of the seam handle that comprises opposition of an example.Figure 28 B is according to the perspective view of the thermotherapy parts of the expansion of an example.In this example, handle 2804 can depart from from another, this first that just causes cord 2814 will cut off capsule 2810 cuts from cutting off the second portion of capsule 2810, and the first material 2810 such as ammonium nitrate is discharged in the second material 2806 such as water so that the reaction between material is carried out.

Figure 29 A is according to the perspective view of an example thermotherapy parts assembling.Figure 29 B is according to the top view of the assembling of Figure 29 A of an example.Figure 29 C is the cross section along lines 29C-29C intercepting according to an example.Figure 29 D be according to an example can with the top view of the spool of assembling one biconditional operation of Figure 29 A.

In one example, the assembling of capsule 2904 contains two kinds of materials that can be mixed, also open circuit is carried out to bridge joint simultaneously.In one example, support 2906 comprises spool 2906.Spool can comprise the recess 2918 of sealed bladder 2912 rotatably.Spool can be fixed on the partition 2910 of cracky.In one example, shell 2902 can be inserted in support 2906 and can lock with internal stent-spoon coordinates so that can carry out moment of torsion transmission from shell 2902 to support/spool 2906.The rotation of support can destroy and cut off 2910, and the first material 2912 can be mixed with the second material 2916.

Figure 30 A is according to the cross section of the thermotherapy parts assembling of an example.Figure 30 B is the decomposition view of the thermotherapy parts assembling of Figure 30 A.Figure 30 C is the perspective view of the spool that can operate in assembling of Figure 30 A.Figure 30 D is according to the side view of the spool of Figure 30 C of an example.Figure 30 E is according to the top view of the shell of the thermotherapy parts of Figure 30 B of an example.

In one example, although other material is also possible, capsule 2008 can comprise the partition 3010 of the cracky that the first material water and the second material salt are separated.In one example, support 3028 is connected on capsule.The base section of support 3030 can be attached to top section so that the opening launching from centrepin 3022 radiation is defined.Cutter 3024 can be inserted in support, with sealing ring 3020 sealed supports, around centrepin 3022 rotations.

In one example, sell 3026 and can be inserted in cutter 3024, this pin can force cutter to enter in partition 3010 to cut partition downwards.Pin 3026 can for example, be sealed rotatably by sealing ring 3027 (, O type circle).Spring 3032 can make cutter deviate from and cut partition.Lock with pin 3026-spoon of shell 3034 coordinates so that can carry out moment of torsion transmission from shell 3034 to pin 3026.Therefore order about shell 3034 and can force pin to enter cutter 3024 downwards, and can make cutter rotate to destroy partition 3010 and allow as directed flowing with the radial flow lines in Figure 30 E.Flow can make two kinds of materials mix so that can with react each other.

The side view of Figure 31 for assembling according to the thermotherapy parts that comprise pump of an example.In one example, pump 3102 can pump into liquid thermotherapy parts 3110 so that liquid is reacted with another material 3112 such as ammonium nitrate along inner chamber 3106 from entrance 3104.Optional check-valves 3108 can be used to guarantee that material reacts in sealed environment.Pump 3102 comprises that conductor is to enable electromagnetic stimulation alternatively.Correspondingly, pump 3102 can be inserted into (for example,, by inner chamber 3106 is wound around around sheath) in support alternatively.

The side view of Figure 32 for assembling according to the thermotherapy parts of the be fixed to hydrant of an example.In one example, accessory 3204 can be attached to liquid outlet (for example, hydrant head) above so that liquid can flow into entrance 3202 and downward towards thermotherapy parts along inner chamber 3206.As Figure 31, described thermotherapy parts can comprise the material that can react with this liquid.It is along inner chamber 3106 in the same direction as that check-valves can be used to the flow restriction of liquid alternatively.

Additional annotations

The above-mentioned specific embodiment comprises the reference to accompanying drawing, and accompanying drawing forms a part for the specific embodiment.Accompanying drawing shows this utility model in illustrational mode can be in order to the specific embodiment of practice.In this, these embodiment are also referred to as " example ".Such example can comprise except shown in or described element.Yet, the inventor also consider only provide shown in or the example of described element.In addition, the inventor also considers combination in any or the replacement of having used element shown in those or described (or wherein one or more aspects), relevant for shown in here or described or special example (or wherein one or more aspects) or other example (or wherein one or more aspects).

Involved all publications, patent and the patent document of the application be all as reference content of the present utility model, although they are in addition references respectively.If existed between the application and reference paper, use difference, the use of reference paper should be considered as used in this application supplementing; If there is implacable difference between the two, the use with the application is as the criterion.In this application, normally used the same with patent document, term " " or " a certain " represent to comprise one or more, are different from other example or the usage of " at least one " or " one or more ".In this application, except as otherwise noted, otherwise use term "or" refer to without exclusiveness or, " A or B " comprising: " A but be not B ", " B but be not A " and " A and B ".In the appended claims, term " comprises " and " therein " is equal to that each term " comprises " and the popular English of " wherein " and using.And, in following claim, term " comprises " and " comprising " is open,, the system, device, article or the step that comprise the key element those key elements listed after term such in claim, within being still considered as dropping on the scope of this claim.And in following claim, term " first ", " second " and " the 3rd " etc., only with making a check mark, not have quantitative requirement to its object.

The example of method described herein can be completed by machine or computer at least to a certain extent.Some examples can comprise computer-readable medium or machine readable media, and described computer-readable medium or machine readable media are by encoding to configure electronic device in order to carry out described method according to described in above example by operational order.The realization of these methods can comprise code, such as, microcode, assembly code, higher-level language code or similar code.Such code can comprise for carrying out the computer-readable instruction of distinct methods.These codes can come from a part for computer program.And affiliated code can be stored in one or more volatibility or non-volatile tangible computer-readable medium truly, such as the term of execution or other time.The example of the computer-readable medium that these are tangible can comprise, but be not limited in, hard disk, moveable magnetic disc, removable CD (for example, compact disk and Digital video disc), tape, storage card or memory stick, random access storage device, read only memory (ROMs) and similar articles.

Above embodiment is intended to explain and is unrestricted.For example, the example of above embodiment (or one is individual or many aspects) can mutually combine use.For example, those of ordinary skills can use other embodiment by looking back above embodiment.Summary is provided to meet 37C.F.R. § 172 (b), thereby makes reader can determine fast the type that technical application is novel.Should be understood that, this summary will be not used in scope or the meaning of explaining or limiting claim.And in the above specific embodiment, various features can be combined in together to simplify this utility model.This open feature that should not be construed as failed call is absolutely necessary concerning any claim.On the contrary, creationary theme can be with than feature still less of all features of specific disclosed embodiment and exist.Thereby following claim is usingd each claim and is incorporated in the specific embodiment as the mode of independent embodiment.Scope of the present utility model should be determined with reference to appended claim and with the affiliated suitable gamut of these claim.

Claims (10)

1. a portable non-invasive system, processes to promote the rehabilitation in this joint for providing to joint to treat, and described system comprises:

Sheath, can place around this joint, and described sheath comprises:

Electromagnetic stimulation device circuit, being configured to provides electromagnetic field at this intraarticular; And

At least one thermotherapy parts, comprise the start-up circuit that is configured to start described electromagnetic stimulation device circuit, described thermotherapy parts can be connected on described sheath, described thermotherapy parts comprise at least two kinds of materials, these at least two kinds of materials are placed in by the separated phase of the partition of cracky institute compartment independently, and wherein said at least two kinds of materials are configured to when mixed, react to produce the heat energy can be used for the exchange of described joint.

2. system according to claim 1, wherein, described electromagnetic stimulation device circuit is connected on described sheath, and described system comprises:

Support, closes on mutually and is connected on described sheath with described electromagnetic stimulation device circuit;

Capsule, be connected on described sheath and the size of this capsule for can hold described thermotherapy parts; And

Disposable shell, is connected on described thermotherapy parts, and described disposable shell is configured to be mechanically connected on described support,

Wherein, described disposable shell comprises that conductor is electrically and physically to carry out bridge joint to the open circuit of described electromagnetic stimulation device circuit.

3. system according to claim 2, wherein, described support in the exterior portion of described sheath and described capsule in the part of the inside of described sheath.

4. system according to claim 3, wherein, described disposable shell is connected on described thermotherapy parts by frenulum, and the size of described frenulum is for being wound into from the exterior portion of described sheath the inside part of described sheath.

5. system according to claim 2, wherein, described sheath limits one and runs through described sheath and towards the unlimited eyelet of described support, described eyelet comprises towards the unlimited eyelet of the bottom eyelet of described support.

6. system according to claim 2, wherein, described support comprises notch, thereby and wherein said disposable shell be configured to be inserted into removedly in described support and to join described notch to, described disposable shell be mechanically secured on described support.

7. system according to claim 2, wherein, described disposable shell, in the time of on being mechanically connected to described support, is configured so that described electromagnetic stimulation device circuit can generate an electromagnetic field in described joint.

8. system according to claim 7, wherein, described reaction is heat absorption, and described system comprises indicator circuit, described indicator circuit is configured to demonstrate the first color when described disposable shell is inserted in support and when comprising that the second disposable shell of thermal pack demonstrates the second color while being inserted in described support.

9. system according to claim 8, wherein, described at least two kinds of materials comprise ammonium nitrate and water.

10. system according to claim 8, wherein, described the second disposable shell comprises the disposable shell of inner side and the disposable shell in outside, the disposable shell of described inner side comprises disposable heat release replacement part and is configured to be connected to mechanically, removedly in the medial cradle of described sheath, and the disposable shell in described outside comprises disposable heat release replacement part and is configured to be connected to mechanically, removedly on the outrigger of described sheath.

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