DE102018116751A1 - Device for transcutaneous signal application for muscle tissue with signal applicators - Google Patents

Abstract

The invention relates to a device (1) for transcutaneous signal application for muscle tissue with signal applicators, at least comprising a functional textile (2, 21), at least one signal applicator (5, 51, 52, 53, 54) incorporated in the functional textile (2,21), which contains at least one electrode (18) in the form of an electrode base material layer, a hygiene pad (19, 23) associated with the electrode (18) with an electrically conductive transmission medium (6) stored on / in biocompatible fibers (40) with an adapted electrically conductive one Contacting, an adapted electrically conductive contact, the signal applicator (5, 51, 52, 53, 54) at least one hygienic pad (19, 23) detachable from the electrode (18) in the form of an electrode base material layer, the biocompatible moisture-storing fibers ( 40) contains, and / or a detachable, formed in the form of an electrode base material layer with which with biocompatible moisture the electrode (18) provided with the storage fibers (40) provided with the hygiene pad (19, 23). The signal applicator (5) can comprise at least one carrier fabric (2, 21), at least one / m, into the carrier fabric (21) brought in, metal rivets / push button (55) for electrical contact with the subsequent electrode base material layer (18), - a partial and electrically non-conductive adhesive layer (56), - an electrode base material layer (18) made of electrically conductive silicone, which can be connected to the / m metal rivet / push button ( 55) is connected, and which is detachable from the carrier fabric (21), - a hygienic fleece underlay (23) provided with biocompatible fibers (40) and having an electrically conductive transmission medium (6), which adheres to the electrode base material layer (18), wherein the components (21, 56, 18, 23) are arranged in layers one above the other in the order mentioned, the electrode base material layer (18) and the hygiene nonwoven underlay (23) from d em carrier fabric (21) are detachable.

Description

The invention relates to a device for transcutaneous signal application for muscle tissue with signal applicators.

Fields of application of the invention

One possible application is as an accessory for a medical therapy device for the therapy of muscular dystonia. As an example of therapy, the treatment of torticollis spasmodicus (torticollis) is followed. The term “transcutaneous” is used in connection with procedures that transmit electrical signals from the inside of the body and / or into the inside of the body without damaging a patient's skin.

The torticollis spasmodicus is described below.
At the moment, there are no individualized therapeutic approaches in the treatment of people with dystonia. Conventional treatment concepts focus on relieving the signs and symptoms. Injections of botulinum toxin into the affected muscles often reduce symptoms, but usually need to be repeated every three to four months. Common side effects include dry mouth, constipation, memory problems, reduced urine flow or reduced vision. Oral medication is another treatment option.
Usual physiotherapeutic measures such as massages usually only worsen the symptoms. Surgery may be useful in some cases, separating nerves from the affected muscle or severing the muscles.

• • Versorgung mit Orthesen
• • Alternative Verfahren (herkömmliche Elektrostimulation, u.a.)
• • Operative Eingriffe:
  1. 1. Selektive periphere Denervierung: Schwächung der Muskulatur der betroffenen Region, durch Trennung der Nervenfasern, die für die Versorgung der Halsmuskeln verantwortlich sind.
  2. 2. Myotomie: Durchtrennung einzelner dystoner Muskeln. Diese Methode ist dann zweckmäßig, wenn tiefe Halsmuskeln betroffen sind, bei denen eine Denervierung nicht möglich oder mit höherem Risiko behaftet ist.
  3. 3. Tiefe Hirnstimulation: Behandlung von Patienten mit komplexer zervikaler Dystonie. Auf beiden Seiten werden Elektroden mit Hilfe stereotaktischer Verfahren in das sogenannte Pallidum (Teil des Zwischenhirns) implantiert, ähnlich der Behandlung von Patienten mit generalisierter Dystonie.

Conventional biomechanical treatment strategies are

• • Provision of orthoses
• • Alternative methods (conventional electrical stimulation, etc.)
• • Operative interventions:
  1. 1. Selective peripheral denervation: weakening of the muscles of the affected region by separating the nerve fibers that are responsible for the supply of the cervical muscles.
  2. 2. Myotomy: separation of individual dystonic muscles. This method is useful when deep cervical muscles are affected, where denervation is not possible or is at higher risk.
  3. 3. Deep brain stimulation: treatment of patients with complex cervical dystonia. On both sides, electrodes are implanted into the so-called pallidum (part of the midbrain) using stereotactic methods, similar to the treatment of patients with generalized dystonia.

The treatment of torticollis is extremely difficult. There is still no permanent cure for cervical dystonia Torticollis spasmodicus. There is no uniform pharmacology for each of the focal dystonias. No fewer than 50 percent of patients gain no benefit from a range of medications.

Wearing orthoses on the neck or trunk also does not lead to a positive result. The affected muscles do not come to rest, but rather react with increased activity, since the orthosis offers resistance to the affected and uninhibited muscles and thus irritates them even more. Physiotherapeutic measures, such as massages, usually also only worsen the symptoms.

A method for treating cervical dystonia with visual feedback is in the document DE 20 2007 003 980 U1 described an aid that consists of a point and a solder laser, which is positioned with the help of a headband between the eyes. Due to the constant muscle pulls in cervical dystonia, the feeling for one's own head position is lost and the eye-head coordination changes. This should be counteracted with exercises with visual feedback.

In the publication DE 198 56 355 C1 describes an exercise device for Torticollis patients to achieve normal human gait.

Nicola Pavese: Dystonia: hopes for a better diagnosis and a treatment with long-lasting effect, Brain 2013: 136; 692-695; Ari Jacob Levi Wilkenfeld, MD, PhD: Review of electrical stimulation, botulinum toxin, and their combinationfor spastic drop foot. JRRD Volume 50, Number 3, 2013 Pages 315-326 and S.W.R. 736 Nijmeijer et al. Muscle selection for treatment of cervical dystonia with botulinum toxine a systematic review, Parkinsonism and Related Disorders 18 (2012), p. 731 to 736 facilities and treatments described.

• Die Firma Compex bietet in der Sparte Gesundheit das Produkt Compex vitality an, ein Gerät, dessen Einsatz bei Torticollis empfohlen wird, um zusätzlich zur ärztlichen Behandlung zur effizienten Lockerung und Entspannung der Muskeln sowie zur Beseitigung der Schmerzen beizutragen.

Dazu sollen die Klebeelektroden im hinteren Nackenbereich appliziert werden. Andere Applikationsmöglichkeiten sind für die Anwendung des Compex vitality bei Torticollis nicht vorgesehen.Known medical applications of surface electrodes for therapy in dystonia are mentioned below:

• In the Health division, Compex offers the product Compex vitality, a device whose use with torticollis is recommended in order to contribute to the efficient relaxation and relaxation of muscles and pain relief in addition to medical treatment.

For this purpose, the adhesive electrodes should be applied in the back of the neck. No other application options are intended for the use of Compex vitality in torticollis.

The STIWELL med4 product from Otto Bock HealthCare is said to enable EMG inhibition. According to the manufacturer, this means targeted suppression of undesired activities by antagonistic or compensating muscle groups. Incorrect movement can be suppressed in a targeted manner. Targeted monitoring of the antagonist can also be used to check for spasticity. This is offered for unspecified training and therapy purposes.
Adhesive electrodes and sponge electrodes are available as accessories. A special therapy concept for torticollis is not discussed.

Another product on the market is the mobile transcutaneous electrical stimulator DENAS with built-in electrodes for the stimulation of so-called biologically active zones and points from the manufacturer LLC "RCART", Ekaterinburg, Russia. The manufacturer recommends the treatment of pain syndromes for musculoskeletal disorders such as torticollis and cervical spasms. For this purpose, reference is generally made to an overview of trigger points or zones.

The disadvantage of all these devices is that a corresponding therapy has to be worked out and adapted accordingly by a specialist. Independent application for the patient at home is not possible with the available application agents.

In addition, an overview of all medical devices and applications for electrical stimulation therapy and devices currently available on the American market, which was issued by the American Priority Health Insurance Company as of February 2013, shows that the American market is current no medical devices and applications for the non-invasive treatment of torticollis are offered.

• Dabei sollen bezüglich der Elektrodenapplikationen
  • • ein korrektes Anbringen der Elektroden ausschlaggebend für eine wirksame und sichere Behandlung sein. Die Anlagestellen werden von einem Arzt oder einem Therapeuten bestimmt,
  • • sich die Elektrodengröße nach der Größe der zu stimulierenden Muskelgruppen richten,
  • • bei Stimulation von innervierten Muskeln die Elektroden nahe der Motor Points (Übergang vom Nerv zum Muskel) angebracht werden,
  • • bei Stimulation von denervierten Muskeln die Elektroden großflächig über dem Muskel angebracht werden,
  • • Gummielektroden mit Schwammtaschen mit elastischen Bändern oder hautverträglichen Heftpflastern angebracht werden können. Diese sollen vor der erstmaligen Benutzung durch einen Patienten und danach durch regelmäßige Reinigung mit medizinischem Alkohol desinfiziert werden,
  • • bei Verwendung von Schwammtaschen diese vor Gebrauch mit klarem Wasser leicht angefeuchtet werden, wobei die zugehörigen Gummielektroden in die Schwammtasche gesteckt und mit elastischen Bändern angebracht werden,
  • • nach jeder Anwendung die Schwammtaschen mit klarem Wasser gründlich ausgewaschen werden.

There are manufacturer's notes on requirements for the therapeutic use of surface electrodes of signal applicators:

• Thereby, regarding the electrode applications
  • • correct application of the electrodes is crucial for effective and safe treatment. The investment sites are determined by a doctor or a therapist,
  • The electrode size depends on the size of the muscle groups to be stimulated,
  • • When stimulating innervated muscles, the electrodes are placed near the motor points (transition from nerve to muscle),
  • • When stimulating denervated muscles, the electrodes are applied extensively over the muscle,
  • • Rubber electrodes with sponge pockets with elastic bands or skin-compatible adhesive plasters can be attached. These should be disinfected before use by a patient for the first time and thereafter by regular cleaning with medical alcohol,
  • When using sponge bags, these are slightly moistened with clear water before use, the associated rubber electrodes being inserted into the sponge bag and attached using elastic bands,
  • • Wash the sponge pockets thoroughly with clear water after each use.

• • Selbstklebeelektroden sind je nach Ausführung für ca. 10 - 30 Anwendungen ausgelegt, wobei nach dem Gebrauch die Selbstklebeelektroden wieder auf die Schutzfolie geklebt werden können,
• • Nach mehrmaligem Verwenden verringert sich die Leitfähigkeit der Elektroden,
• • Wenn der Hautkontakt mit den Elektroden unangenehm ist und ein Prickelgefühl auftritt, so können die Elektroden abgenutzt sein,
• • Vorsichtiges Anfeuchten der Kontaktfläche mit Wasser erhöht die Leitfähigkeit und Lebensdauer sowie
• • Selbstklebeelektroden sollen nur von einem Patienten verwendet werden.

Manufacturers have determined the following about conventional electrode durability:

• • Depending on the version, self-adhesive electrodes are designed for approx. 10 - 30 applications, whereby after use the self-adhesive electrodes can be stuck on the protective film again.
• • After repeated use, the conductivity of the electrodes decreases,
• If the skin contact with the electrodes is uncomfortable and a tingling sensation occurs, the electrodes may be worn out,
• • Carefully moistening the contact surface with water increases the conductivity and service life as well
• • Self-adhesive electrodes should only be used by one patient.

• Ein möglicher Nebeneffekt der Elektrostimulation ist eine Irritation der Haut an und um die Anlagestelle der Elektroden herum. Diese Reaktion beruht meistens auf einem schlechten Elektroden/Haut-Kontakt oder einer mechanischen Irritation von wiederholtem Anwenden von Heftpflastern zur Fixierung der Elektroden.

But there are also problems with skin protection and electrode wear:

• A possible side effect of electrostimulation is irritation of the skin on and around the contact point of the electrodes. This reaction is mostly due to poor electrode / skin contact or mechanical irritation from repeated use of adhesive plasters to fix the electrodes.

1. 1. Die Elektroden müssen eine gute Verbindung zur Haut haben, damit ein guter elektrischer Kontakt gesichert und die Gefahr von Hautreizungen minimiert werden kann. Zur Verbesserung der Leitfähigkeit muss bei Gummielektroden ein entsprechendes Leit-Gel verwendet werden.
2. 2. Die Anlagestellen der Elektroden müssen sauber sein. Zwischen wiederholtem Anbringen von Elektroden müssen die Anlagestellen mit milder Seife und Wasser gewaschen, mit warmem Wasser gespült und sorgfältig getrocknet werden.
3. 3. Eine vorherige Entfernung starker Behaarung verbessert den Elektroden/HautKontakt. Wenn das Rasiermesser die Haut irritiert, sollen die Haare sorgfältig mit einer Schere geschnitten werden.
4. 4. Elektroden mit beschädigter Kabelisolation dürfen nicht mehr verwendet werden. Jegliche Veränderung an den Originalelektroden ist unzulässig. Generell ist auf eine gute Elektrodenbeschaffenheit zu achten.

According to the manufacturer, the following measures must be followed when using electrodes:

1. 1. The electrodes must have a good connection to the skin so that good electrical contact is ensured and the risk of skin irritation can be minimized. To improve the conductivity, an appropriate conductive gel must be used with rubber electrodes.
2. 2. The electrode contact points must be clean. Between repeated application of electrodes, the contact points must be washed with mild soap and water, rinsed with warm water and carefully dried.
3. 3. A previous removal of thick hair improves the electrode / skin contact. If the razor irritates the skin, the hair should be carefully cut with scissors.
4. 4. Electrodes with damaged cable insulation may no longer be used. Any change to the original electrodes is not permitted. In general, care must be taken to ensure that the electrodes are in good condition.

Neither adhesive electrodes nor wet sponge electrodes are optimally suited for this application on the patient. Comfort and freedom from pain must be guaranteed here and guaranteed over the entire duration of the application.

The following can be stated about possible conventional functional textiles: In the field of signal-applying functional textiles, a lot of research is being carried out in the textile industry in order to transfer the most varied functions to textiles. These include electrical conductivity and tactile sensors.

There are also applications of functional textiles on the market, e.g. Suits, jackets and belts, known for the EMS application for athletic training purposes.

The problem of transcutaneous transmission of electrical signals via the electrically conductive textile / skin interface cannot yet be regarded as completely solved. To avoid pain during transmission, e.g. a cotton underwear moistened with water is used as the electrically conductive transmission medium. To guarantee freedom from pain, the moisture must be readjusted manually over the duration of use.

In contrast to the fitness area, in the therapeutic area with dystonia patients, self-wetting of the electrodes by transpiration is not to be expected. In addition, relatively small electrodes that are adapted to the symptoms are sometimes required. In addition, the treatment is carried out on particularly sensitive areas of the skin, e.g. on the neck, where increased sensitivity has to be considered.

The following problem to be solved of the invention applies. Against the background of the lack of a practicable and effective non-invasive treatment option for dystonia patients, it is expedient to find an alternative to treatment with botulinum toxin for movement disorders with prolonged involuntary contractions of the striated muscles, which are frequent lead to distorting and repetitive movements, abnormal postures or bizarre misalignments of body parts.

Furthermore, in the publication DE 20 2012 102 393 U1 describes a device for complex electromyostimulation with integrated textile-based contact electrodes within a suit, the device having, in addition to the suit, a stimulation unit, an operating unit and a communication unit connecting the operating unit and the stimulation unit for signal transmission, and the suit having complex units made of a multi-layer knitted fabric has a body-side electrically conductive stimulation layer, the pressure-elastic, textile spacing structures and / or the pressure-elastic, vertical thread trim being designed as a moisture storage core, at least one metallized Velcro connection element being provided for connection.
The device does not meet the hygiene requirements, since the moisture storage layer is not intended as a disposable item.

In the publication DE 10 2009 017 179 B4 describes a device for complex electromyostimulation for in particular lifestyle and sports medicine applications with at least one contact electrode at selected local locations, the device for a body-hugging one-piece or multi-piece suit made of an elastic textile fabric with integrated moisture dispensers for the electrodes, the between Carrier layer (A) of the suit and the Stimulation layers (B) are placed in the suit moisture storage layers (C).
This device also does not meet the hygiene requirements, since the moisture storage layer is not intended as a disposable item.

The invention is therefore based on the object of specifying a device for transcutaneous signal application for muscle tissue and associated signal applicators, which are designed in such a way that the device is mobile and can be used to non-invasively influence the affected dysfunctional muscles of a person. According to the anatomical conditions, the signal-applied device signals, e.g. in the case of dysfunctional muscle tissue, e.g. Painlessly transferred to the muscles in question in the three main directions of movement (rotation about a vertical axis, lateral tilt on the shoulder and inclination towards the front or back). In addition, the changes in position of the dysfunctional muscles should be displayed.

• - eine Funktionstextilie,
• - mindestens einen in der Funktionstextilie eingebrachten Signalapplikator, der mindestens eine Elektrode in Form einer Elektrodengrundmateriallage enthält,
• - eine der Elektrode zugeordnete Hygiene-Unterlage mit einem an/in bioverträglichen Fasern gespeicherten elektrisch leitfähigen Übertragungsmedium,
• - eine angepasste elektrisch leitfähige Kontaktierung,

wobei der Signalapplikator zumindest eine von der in Form einer Elektrodengrundmateriallage ausgebildeten Elektrode lösbare Hygiene-Unterlage, die bioverträgliche feuchtespeichernde Fasern enthält, und/oder eine lösbare, in Form einer Elektrodengrundmateriallage ausgebildete, mit der mit bioverträglichen feuchtespeichernden Fasern versehenen Hygiene-Unterlage verbundene Elektrode aufweist.The object is achieved by the features of claims 1 and 8 and 27. The device for transcutaneous signal application for muscle tissue with signal applicators comprises at least according to claim 1

• - a functional textile,
• at least one signal applicator which is incorporated in the functional textile and contains at least one electrode in the form of an electrode base material layer,
• a hygiene pad associated with the electrode with an electrically conductive transmission medium stored on / in biocompatible fibers,
• - an adapted electrically conductive contact,

wherein the signal applicator has at least one hygienic base that can be detached from the electrode in the form of an electrode base material layer and contains biocompatible moisture-storing fibers, and / or has a detachable electrode that is designed in the form of an electrode base material layer and is connected to the hygiene base provided with biocompatible moisture-storing fibers.

The hygiene documents show the storage / insertion of biocompatible and fibers that store an electrically conductive transmission medium.

The biocompatible fibers that store the attached electrically conductive transmission medium can be designed as viscose fleece.

The viscose nonwovens can be needle felt or hydroentangled nonwovens.

The adapted electrically conductive contact of the medical device to the functional textile can be carried out with electrically conductive magnetic contacts in relation to the output channels and with an electrically conductive magnetic contact in relation to at least one input channel.

The signal applicators each contain a fiber component that is adapted in shape and area to the physiological muscle conditions and the location of nerve trigger points / motor points on the skin, with another component of the signal applicators being the attached electrically conductive transmission medium, the is inserted and stored in / on the biocompatible, moisture-storing fiber for electrical signal transmission at the interface between fiber and skin of the patient.

• - eine Einheit zur Erkennung der Haltung und Position der Funktionstextilie, die mit dem Neigungssensor in Verbindung steht und dessen elektrische Positionssignale verarbeitet,
• - einen Eingangskanal, der von einem wahlweise eingebrachten Neigungssensor der Funktionstextilie aus zur Einheit zur Erkennung geführt ist und die elektrisch leitfähigen Positionssignale weiterleitet,
• - eine Auswerteeinheit, die im Medizingerät mit der Einheit zur Erkennung verbunden ist und von ihr die verarbeiteten elektrische Positionssignale übernimmt, wobei die Auswerteeinheit eine Software in Form programmtechnischer Mittel enthält, wobei die Software Werte zur Durchführung einer Korrektur berechnet, und
• - eine Funktionseinheit zur Erzeugung von Signalsequenzen, die aus den Korrektur-Signalen berechnet werden und die an den Ausgangskanälen anliegen, wobei die elektrischen Signale an die Signalapplikatoren zur korrigierenden Aktivierung des Muskelgewebes übermittelt werden, wobei vom Neigungssensor aus gepulste oder ständig elektrische Positionssignale an die Einheit übertragen werden.

The assigned / associated medical device, which is connected to the functional textile, can at least include

• a unit for detecting the posture and position of the functional textile, which is connected to the inclination sensor and processes its electrical position signals,
• an input channel, which is led from an optional inclined sensor of the functional textile to the unit for detection and forwards the electrically conductive position signals,
• - An evaluation unit which is connected in the medical device to the unit for detection and takes over the processed electrical position signals from it, the evaluation unit containing software in the form of program-technical means, the software calculating values for performing a correction, and
• - A functional unit for generating signal sequences, which are calculated from the correction signals and which are present on the output channels, the electrical signals being transmitted to the signal applicators for corrective activation of the muscle tissue, the position sensor being pulsed or continuously electrical position signals to the unit be transmitted.

An inclination sensor can register the position and the position changes of the functional textile in three main directions of movement and forward the registered electrical signals to the unit for recognizing the posture and position as well as the position changes of the functional textile.

• - optional eine Klettlage,
• - eine wasserdichte Membran,
• - eine in Form einer Elektrode ausgebildeten Elektrodengrundmateriallage mit elektrisch leitfähigem Garn in Form von elektrisch leitfähigem textilen Gewebe auf Trägergewebe,
• - eine mit der Elektrode verbundene oder vorzugsweise von der Elektrode lösbare Unterlagen-Tasche in Form einer der Elektrode zugeordneten und mit einer Öffnung zum Einbetten der Unterlage versehenen Materiallage aus textilem oder polymerem Netzgewebe,
• - eine, lösbare, bioverträgliche, feuchtespeichernde Fasern enthaltende Hygiene-Unterlage, die in der Unterlagen-Tasche eingebettet ist, wobei in der Hygiene-Unterlage ein beigefügtes elektrisch leitfähiges Übertragungsmedium gespeichert ist,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen bzw. übereinander angeordnet sind. The electrode of a signal applicator connected to an output channel can be a textile, electrically conductive electrode, the signal applicator comprising at least according to claim 8

• - optionally a Velcro layer,
• - a waterproof membrane,
• an electrode base material layer in the form of an electrode with electrically conductive yarn in the form of electrically conductive textile fabric on carrier fabric,
• a document pocket connected to the electrode or preferably detachable from the electrode in the form of a material layer made of textile or polymeric mesh fabric, which is assigned to the electrode and provided with an opening for embedding the base,
• a detachable, biocompatible, moisture-storing fiber-containing hygiene pad, which is embedded in the document pocket, an attached electrically conductive transmission medium being stored in the hygiene pad,

the components lying in layers in the order mentioned above or arranged one above the other.

• - optional eine Klettlage,
• - optional ein Trägergewebe,
• - eine als Elektrode ausgebildete Elektrodengrundmateriallage mit elektrisch leitfähigem Polymermaterial oder elektrisch leitfähigem Silikon, das jeweils wasserdicht ist,
• - eine Unterlagen-Tasche aus Netzgewebe,
• - eine, lösbare, bioverträgliche, feuchtespeichernde Fasern enthaltende Hygiene-Unterlage, die in der Unterlagen-Tasche eingebettet ist, ist, wobei in der Hygiene-Unterlage ein beigefügtes elektrisch leitfähigen Übertragungsmedium gespeichert ist,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen bzw. übereinander angeordnet sind.The electrode of a signal applicator can also be a textile-integrated, electrically conductive electrode, wherein the signal applicator can at least comprise

• - optionally a Velcro layer,
• - optionally a base fabric,
• an electrode base material layer designed as an electrode with electrically conductive polymer material or electrically conductive silicone, which is in each case watertight,
• - a document bag made of mesh,
• is a detachable, biocompatible, moisture-storing fiber-containing hygiene pad, which is embedded in the document pocket, with an attached electrically conductive transmission medium being stored in the hygiene pad,

the components lying in layers in the order mentioned above or arranged one above the other.

The hygiene pad can in particular be equipped with a fiber fleece, so that the hygiene pad is referred to as a hygiene fleece pad.

• - ein Trägergewebe,
• - eine als Elektrode ausgebildete Elektrodengrundmateriallage mit elektrisch leitfähigem Polymermaterial oder elektrisch leitfähigem Silikon, das jeweils wasserdicht ist,
• - eine elektrisch leitfähige Klebegellage oder Klebelage,
• - eine lösbare Hygiene-Vlies-Unterlage mit beigefügtem elektrisch leitfähigen Übertragungsmedium, wobei die Hygiene-Vlies-Unterlage elektrisch leitfähiges Übertragungsmedium speichernde, bioverträgliche Fasern enthält,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen.The electrode of a signal applicator can furthermore be a textile-integrated, electrically conductive electrode, wherein the signal applicator can at least comprise

• - a base fabric,
• an electrode base material layer designed as an electrode with electrically conductive polymer material or electrically conductive silicone, which is in each case watertight,
• - an electrically conductive adhesive layer or adhesive layer,
• a detachable hygienic nonwoven underlay with attached electrically conductive transmission medium, the hygienic nonwoven underlay containing bio-compatible fibers that store electrically conductive transmission medium,

the components lying in layers in the order mentioned.

• - eine Klettlage,
• - ein Trägergewebe oder einen vernähbaren Kunststoff, die jeweils wasserdicht sind,
• - eine auf der Trägergewebelage aufgebrachte, elektrisch kontaktierte und elektrisch leitfähige, in Form einer Elektrode ausgebildeten Elektrodengrundmateriallage aus elektrisch leitfähigem Silikon, elektrisch leitfähigem Kunststoff oder als, mit Metall- oder Kohlenstoff-haltigem Garn ausgeführte/s, elektrisch leitfähige/s Gewebe/Gestrick/Gewirk/Stickerei,
• - einer optional elektrisch leitfähigen Klebegellage oder einer Klebelage,
• - eine von der Elektrode lösbare Hygiene-Vlies-Unterlage, wobei die Hygiene-Vlies-Unterlage bioverträgliche und elektrisch leitfähiges Übertragungsmedium speichernde Fasern und ein beigefügtes elektrisch leitfähiges Übertragungsmedium enthält,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen.The electrode of a signal applicator can be a detachable electrode attached to the functional textile, wherein the signal applicator can at least comprise

• - a Velcro layer,
• - a carrier fabric or a sewable plastic, which are each waterproof,
• - an electrically contacted and electrically conductive, in the form of an electrode, electrode base material layer made of electrically conductive silicone, electrically conductive plastic or as an electrically conductive fabric / knitted fabric / made with metal or carbon-containing yarn applied to the carrier fabric layer fabric / embroidery
• - an optionally electrically conductive adhesive layer or an adhesive layer,
• a hygienic nonwoven underlay that can be detached from the electrode, the hygienic nonwoven underlay containing biocompatible and electrically conductive transmission medium storing fibers and an attached electrically conductive transmission medium,

the components lying in layers in the order mentioned.

• - ein Trägergewebe,
• - mindestens einer/m, ins Trägergewebe eingebrachten, Metallniete/Druckknopf zur elektrischen Kontaktierung mit der nachfolgenden Elektrodengrundmateriallage,
• - eine teilflächige und elektrisch nichtleitfähige Klebeschichtlage,
• - eine Elektrodengrundmateriallage aus elektrisch leitfähigem Kunststoff oder vorzugsweise aus elektrisch leitfähigem Silikon, die mit der/m Metallniete/Druckknopf in Verbindung steht, und die vom Trägergewebe lösbar ist,
• - eine, bioverträgliche, feuchtespeichernde Fasern enthaltende Hygiene-Vlies-Unterlage mit elektrisch leitfähigem Übertragungsmedium, wobei die Hygiene-Vlies-Unterlage an der Elektrodengrundmateriallage festhaftet,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen, wobei die in Verbindung stehenden Elektrodengrundmateriallage und Hygiene-Vlies-Unterlage von dem Trägergewebe lösbar ausgebildet sind.The electrode of a signal applicator can be a disposable electrode designed as a wet pad, wherein the signal applicator can at least comprise

• - a base fabric,
• - At least one / m, brought into the carrier fabric, metal rivet / push button electrical contact with the following electrode base material layer,
• - a partial surface and electrically non-conductive adhesive layer,
• an electrode base material layer made of electrically conductive plastic or preferably made of electrically conductive silicone, which is connected to the metal rivet / push button and which is detachable from the carrier fabric,
• a hygienic nonwoven underlay containing bio-compatible, moisture-storing fibers with an electrically conductive transmission medium, the hygienic nonwoven underlay firmly adhering to the electrode base material layer,

wherein the components lie one above the other in layers in the order mentioned, the associated electrode base material layer and hygienic nonwoven underlay being detachable from the carrier fabric.

• - ein Trägergewebe,
• - ein am Trägergewebe angebrachte, elektrisch leitfähiges Material enthaltende elektrische Kontaktierungslage,
• - eine teilflächige und elektrisch nichtleitfähige Klebeschichtlage,
• - eine Elektrodengrundmateriallage aus elektrisch leitfähigem Kunststoff oder vorzugsweise aus elektrisch leitfähigem Silikon, die mit der elektrischen Kontaktierungslage teilflächig in Verbindung steht, und die vom Trägergewebe lösbar ist,
• - eine jeweils am Rand der Elektrodengrundmateriallage angebrachte Deckmateriallage aus elektrisch nichtleitfähigem Silikon, oder elektrisch nichtleitfähigem Kunststoff,
• - eine zwischen den Rändern der Elektrodengrundmateriallage angebrachte und bioverträgliche, feuchtespeichernde Fasern enthaltende Hygiene-Vlies-Unterlage mit gespeichertem elektrisch leitfähigen Übertragungsmedium,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen, wobei die Elektrodengrundmateriallage und die daran festhaftende Hygiene-Vlies-Unterlage von dem mit der elektrischen Kontaktierungslage versehenen Trägergewebe lösbar ausgebildet sind.The electrode of a signal applicator can be a disposable electrode designed as a wet pad, wherein the signal applicator can at least comprise

• - a base fabric,
• an electrical contacting layer attached to the carrier fabric and containing electrically conductive material,
• - a partial surface and electrically non-conductive adhesive layer,
• an electrode base material layer made of electrically conductive plastic or preferably made of electrically conductive silicone, which is partially connected to the electrical contacting layer and which is detachable from the carrier fabric,
• a covering material layer made of electrically non-conductive silicone or electrically non-conductive plastic, which is attached to the edge of the electrode base material layer,
• - A hygienic non-woven pad with a stored electrically conductive transmission medium, which is attached between the edges of the electrode base material layer and contains biocompatible, moisture-storing fibers,

the components lying one above the other in the order mentioned, the electrode base material layer and the hygienic nonwoven underlay adhering thereto being detachable from the carrier fabric provided with the electrical contacting layer.

• - ein Trägergewebe,
• - mindestens eine kleine im Trägergewebe eingebrachte elektrisch leitfähige Kontaktfläche in Form einer Metallniete, eines elektrisch leitfähigen textilen Materials, eines Metall oder Kohlenstoff enthaltenen Materials,
• - eine vollflächige und elektrisch leitfähige Klebe-Unterlage,
• - eine Elektrodengrundmateriallage aus elektrisch leitfähigem Kunststoff oder vorzugsweise aus elektrisch leitfähigem Silikon,
• - eine an der Elektrodengrundmateriallage festhaftende, bioverträgliche, feuchtespeichernde Fasern enthaltende Hygiene-Vlies-Unterlage mit beigefügtem elektrisch leitfähigen Übertragungsmedium,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen, wobei die Elektrodengrundmateriallage und die Hygiene-Vlies-Unterlage gemeinsam von dem Trägergewebe an der Klebe-Unterlage lösbar ausgebildet sind.The electrode of a signal applicator can be a disposable electrode designed as a wet pad, the signal applicator at least comprising

• - a base fabric,
• at least one small electrically conductive contact surface in the form of a metal rivet, an electrically conductive textile material, a metal or carbon-containing material,
• - a full-surface and electrically conductive adhesive pad,
• an electrode base material layer made of electrically conductive plastic or preferably made of electrically conductive silicone,
• - A non-woven hygienic mat with adhering to the electrode base material layer, bio-compatible, containing moisture-storing fibers with attached electrically conductive transmission medium,

the components lying one above the other in the order mentioned, the electrode base material layer and the hygienic nonwoven underlay being designed to be detachable together from the carrier fabric on the adhesive underlay.

All hygiene fleece underlays or hygiene underlays can have at least biocompatible fibers that store the electrically conductive transmission medium.

To remove detachable element layers of the signal applicators, layers with a Velcro function can be used instead of layers associated with an adhesive function.

• - eine Trägergewebelage,
• - eine elektrisch leitfähige Klettlage, die aufgenäht ist,
• - eine von der Elektrodengrundmateriallage lösbare, bioverträgliche, feuchtespeichernde Fasern enthaltende Hygiene-Vlies-Unterlage mit elektrisch leitfähigem Übertragungsmedium, wobei das Vlies mit der Klettfähigkeit versehen ist,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen.For this purpose, the electrode of a signal applicator can be a textile-integrated permanent electrode, which in combination with the following components can at least comprise

• - a base fabric layer,
• - an electrically conductive Velcro layer that is sewn on,
• a hygienic nonwoven underlay which is detachable from the electrode base material layer and contains bio-compatible, moisture-storing fibers, with an electrically conductive transmission medium, the nonwoven being provided with the Velcro capability,

the components lying in layers in the order mentioned.

• - ein Trägergewebe,
• - eine elektrisch kontaktierte, auf das Trägergewebe aufgenähte/ aufgeschweißte/ aufgeklebte Elektrodengrundmateriallage aus elektrisch leitfähigem Kunststoff, dessen Oberfläche mit einer Klettfähigkeit versehen ist und somit gleichermaßen eine Klettlage ist,
• - eine mittels der Klettlage lösbare und mit bioverträglichen Fasern ausge- stattete Hygiene-Vlies-Unterlage mit elektrisch leitfähigem Übertragungsmedium, wobei das Vlies mit einer Klettfähigkeit versehen ist,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen.The electrode of a signal applicator can also be a textile-integrated permanent electrode, which in combination with the following components can at least comprise

• - a base fabric,
• an electrically contacted, welded / glued-on, electrode base material layer made of electrically conductive plastic, the surface of which is provided with a Velcro capability and is therefore also a Velcro layer,
• a hygienic nonwoven underlay which can be detached by means of the Velcro layer and is equipped with biocompatible fibers, with an electrically conductive transmission medium, the nonwoven being provided with a Velcro ability,

the components lying in layers in the order mentioned.

• - eine für die Befestigung an der Funktionstextilie angebrachte Klettlage,
• - eine elektrisch kontaktierte Elektrodengrundmateriallage aus elektrisch leitfähigem und auf die Klettlage aufgebrachtem Kunststoff,
• - eine Klettlage, die auf den elektrisch leitfähigen Kunststoff aufgebracht ist,
• - eine von der Klettlage lösbare und mit bioverträglichen Fasern ausgestattete Hygiene-Vlies-Unterlage mit elektrisch leitfähigem Übertragungsmedium, wobei das Vlies mit einer Klettfähigkeit versehen ist,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen.The electrode of a signal applicator can be a permanent electrode which can be detached from the functional textile and which, in combination with the following components, can at least comprise

• - a Velcro layer attached for attachment to the functional textile,
• an electrically contacted electrode base material layer made of electrically conductive plastic applied to the Velcro layer,
• a Velcro layer, which is applied to the electrically conductive plastic,
• a hygienic fleece underlay that can be detached from the Velcro layer and is equipped with biocompatible fibers, with an electrically conductive transmission medium, the fleece being provided with a Velcro capability,

the components lying in layers in the order mentioned.

Within the signal applicator, which is provided for a device for transcutaneous signal application, there can be a combination of layers with the Velcro function for the connection of the textile / signal applicator and layers with the adhesive function for the connection electrode / hygiene pad.

• - eine Trägertextilie mit elektrischer Kontaktierungen in Form von leitfähigem Klett oder leitfähigem Garn oder mindestens einer/m Metallniete/Druckknopf,
• - eine elektrisch leitfähige Klettlage oder eine elektrisch leitfähige Kunststofflage mit integrierter Klettfunktion,
• - eine an die Klettlage elektrisch kontaktierende und von der Trägertextilie lösbare Elektrodengrundmateriallage aus wasserdichtem, elektrisch leitfähigem Kunststoff oder elektrisch leitfähigem Silikon,
• - eine teilflächige Klebelage oder eine teilflächige doppelseitige Klebelage in der Klebefunktion,
• - eine von der Elektrodengrundmateriallage lösbare und mit bioverträglichen Fasern ausgestatteten Hygiene-Unterlage mit gespeichertem elektrisch leitfähigen Übertragungsmedium,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen und wobei einerseits die mit der Klettlage verbundene Elektrodengrundmateriallage von der Trägertextilie lösbar ist und andererseits die mit der Klebelage verbundene Hygiene-Vlies-Unterlage eine von der Elektrode lösbare Wegwerf-Unterlage darstellt.The electrode of a signal applicator can thus be a reusable electrode, which in combination with the following components can at least include

• - a carrier textile with electrical contacts in the form of conductive Velcro or conductive yarn or at least one metal rivet / push button,
• - an electrically conductive Velcro layer or an electrically conductive plastic layer with integrated Velcro function,
• an electrode base material layer made of waterproof, electrically conductive plastic or electrically conductive silicone that makes electrical contact with the Velcro layer and can be detached from the carrier textile,
• - a partial adhesive layer or a partial double-sided adhesive layer in the adhesive function,
• - A hygienic pad with stored electrically conductive transmission medium, which is detachable from the electrode base material layer and is equipped with biocompatible fibers,

wherein the components are layered one above the other in the order mentioned and where on the one hand the electrode base material layer connected to the Velcro layer is detachable from the carrier textile and on the other hand the hygienic nonwoven underlay connected to the adhesive layer is a disposable underlay that can be detached from the electrode.

• - eine Trägertextilie mit elektrisch leitfähigen Kontaktierungen,
• - eine teilflächige, nicht elektrisch leitfähige, doppelseitige Klebebandlage, die wasserdicht ist, mit Freizonen,
• - eine teilflächige, elektrisch kontaktierte Elektrodengrundmateriallage aus wasserdichtem, elektrisch leitfähigem Silikon, die zwischen den Freizonen der beabstandet aufgeklebten Klebebandlage teilflächig schichtartig eingebettet ist,
• - eine an der Elektrodengrundmateriallage festhaftende und mit bioverträglichen Fasern ausgestattete Hygiene-Vlies-Unterlage mit einem beigefügten elektrisch leitfähigen Übertragungsmedium,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen und wobei die miteinander verbundenen Klebelage, Elektrodengrundmateriallage und Hygiene-Vlies-Unterlage eine von der Trägertextilie lösbare Wegwerf-Unterlage darstellen.The electrode of a signal applicator can be contained in a removable disposable electrode pad and the signal applicator can at least include

• - a carrier textile with electrically conductive contacts,
• - a partial, non-electrically conductive, double-sided adhesive tape layer, which is waterproof, with free zones,
• a partial-surface, electrically contacted electrode base material layer made of waterproof, electrically conductive silicone, which is partially embedded in layers between the free zones of the spaced-on adhesive tape layer,
• - a hygienic nonwoven underlay adhering to the electrode base material layer and equipped with biocompatible fibers with an attached electrically conductive transmission medium,

wherein the components lie in layers in the order mentioned and the interconnected adhesive layer, electrode base material layer and hygienic nonwoven underlay represent a disposable underlay that can be detached from the carrier textile.

• - eine Trägertextilie mit den elektrischen Kontaktierungen,
• - ein/e teilflächig aufgebrachte/r, auf Silikon haftende/r, doppelseitige Klebebandlage/ Hotmelt-Kleber-Lage,
• - eine von den elektrischen Kontaktierungen elektrisch kontaktierte Elektrodengrundmateriallage in Form einer wasserdichten, elektrisch leitfähigen Silikonlage, auf der die teilflächig aufgeklebte Klebebandlage/ Hotmelt-Kleber-Lage aufgebracht ist,
• - eine mit der Elektrodengrundmateriallage fest verbundene und mit bioverträglichen Fasern ausgestatteten Hygiene-Vlies-Unterlage mit dem beigefügten elektrisch leitfähigen Übertragungsmedium,

wobei die Bestandteile in der genannten Reihenfolge schichtweise übereinanderliegen und wobei die miteinander verbundenen Klebelage, Silikonlage und Hygiene-Vlies-Unterlage eine lösbare Wegwerf-Unterlage darstellen.The electrode of a signal applicator can be designed as a silicone electrode, wherein the signal applicator can comprise at least a combination with the following components

• - a carrier textile with the electrical contacts,
• - a double-sided adhesive tape / hot-melt adhesive layer applied on part of the surface, adhering to silicone,
• - an electrode base material layer electrically contacted by the electrical contacts in the form of a waterproof, electrically conductive silicone layer, on which the adhesive tape layer / hotmelt adhesive layer which is partially adhered is applied,
• - a hygienic fleece underlay firmly attached to the electrode base material layer and equipped with biocompatible fibers with the enclosed electrically conductive transmission medium,

wherein the components lie in layers in the order mentioned and the interconnected adhesive layer, silicone layer and hygienic nonwoven underlay represent a detachable disposable underlay.

• - eine Trägertextilie mit den vorgenannten elektrischen Kontaktierungen,
• - eine teilflächige, in Form einer Folie gestanzte, auf Silikon haftende, doppelseitige Klebebandlage,
• - eine wasserdichte, elektrisch leitfähige, teilflächig aufgebrachte Silikonlage zur elektrisch leitfähigen Kontaktierung, wobei die Silikonlage zwischen den Freizonen der teilflächig aufgeklebten Klebebandlage aufgebracht ist, wobei Silikonlage und Klebelage eine Schicht ausbilden,
• - eine elektrisch kontaktierte Elektrodengrundmateriallage in Form einer Leitlackschicht auf Silikonbasis,
• - eine an der Elektrodengrundmateriallage festhaftende und mit bioverträglichen Fasern ausgestatteten Hygiene-Vlies-Unterlage mit dem beigefügten, elektrisch leitfähigen Übertragungsmedium,

wobei die Bestandteile in der genannten Reihenfolge schichtweise aneinander liegen und wobei die miteinander verbundenen Klebelage und Silikonlage, die Leitlackschicht sowie die Hygiene-Vlies-Unterlage eine von der Trägertextilie lösbare Wegwerf-Unterlage darstellen.The electrode of a signal applicator can be designed as a silicone electrode, the signal applicator at least comprising a combination with the following components

• a carrier textile with the aforementioned electrical contacts,
• a double-sided adhesive tape layer, punched in the form of a film and adhering to silicone,
• a waterproof, electrically conductive, partially applied silicone layer for electrically conductive contacting, the silicone layer being applied between the free zones of the partially adhered adhesive tape layer, the silicone layer and adhesive layer forming a layer,
• an electrically contacted electrode base material layer in the form of a conductive lacquer layer based on silicone,
• - a hygienic non-woven pad adhering to the electrode base material layer and equipped with biocompatible fibers with the enclosed, electrically conductive transmission medium,

wherein the components lie in layers in the order mentioned and the interconnected adhesive layer and silicone layer, the conductive lacquer layer and the hygienic nonwoven underlay represent a disposable underlay that can be detached from the carrier textile.

Water in the form of tap water or salted water can generally be used as the electrically conductive transmission medium.

The electrically conductive / electrical contacts on the carrier textile can be designed as electrically conductive Velcro layers, as metal wires, with electrically conductive yarn and / or electrically conductive silicone, with electrically conductive plastic or as contacting metal rivets / push buttons.

The signal signals applied by the signal applicator to the electrodes with the electrode base material layers and which are forwarded in the / in the hygienic nonwoven underlay (s) can preferably be specified in the range between 10 ³ Hz to 10 ⁵ Hz.

In the device according to the invention for transcutaneous signal application for muscle tissue, signal applicators made of biocompatible, moisture-storing fiber materials with excellent hygienic properties are used. Modern biocompatible fiber materials promise advantageous properties for medical technology applications. In addition, the special development of functional textiles and the research into an adapted design and positioning of the integrated signal applicators, taking anthropometry into account, are essential.

A functional textile with integrated signal applicators is specified for the application of the electrically conductive active signals leading back and forth to the muscle tissue so that the patients can use the device independently at home.

The signal applicators are designed to apply at least one electrical output signal from an associated medical device via the output channels to the skin and the muscle tissue located thereunder. The signal applicators are connected to signal generators in the medical device, the signal generators transmitting the signal sequences in the form of electrical output signals with at least one frequency component to the signal applicators and subsequently to the muscle tissue in order to bring about a change, in particular a change in location / position, of at least part of the muscle tissue. The signal applicators and at least one inclination sensor contain electrodes, which are connected to the input channels and output channels of the medical device as required via signaling and power supply connecting lines or without cables.

At least one inclination sensor incorporated in the functional textile registers the change in location / change in position of the changing muscle tissue in detail and / or in the whole and the skin above it, the measurement values of the inclination sensor becoming visible result values in the form of holder correction values be evaluated. The measured values of the inclination sensor are transmitted to the medical device via an input channel from the functional textile attached to the affected part of the patient's body. The measured values can be transmitted via electrical connecting cables or wirelessly. Depending on the design of the functional textile, further inclination sensors can be used. In the medical device, the electrical posture correction signal values are calculated by stored program-technical means from the transmitted measured values of an inclination sensor. A unit for forming signals is present in the medical device, in which the posture correction values are converted into signal sequences.

For a simplified representation of the signal flow of muscle control signals, a device that is acceptable for the target group of patients is presented. This makes it possible to make the non-invasive treatment of dysfunctional muscles accessible to a large number of dystonia patients in the form of a medical product.

In contrast to conventional, purely textile solutions, a significant improvement in the signal transmission capability is achieved via the fiber-based hygiene pad.

• - hervorragender Komfort durch angenehmes Gefühl bei Hautkontakt,
• - hervorragende Biokompatibilität,
• - hervorragende Hygiene durch Wegwerfartikel,
• - weitgehende Invarianz gegenüber veränderten Umweltbedingungen,
• - sehr gute Akzeptanz bei der Patienten-Zielgruppe und
• - die Möglichkeit der kostengünstigen Herstellung der Einrichtung zur transkutanen Signalapplikation und der zugehörigen Signalapplikatoren.

In particular, the facility achieves:

• - excellent comfort due to a pleasant feeling on skin contact,
• - excellent biocompatibility,
• - excellent hygiene through disposable items,
• - extensive invariance to changing environmental conditions,
• - very good acceptance by the patient target group and
• - The possibility of inexpensive manufacture of the device for transcutaneous signal application and the associated signal applicators.

The desired high level of compliance (comfort, well-being, tolerance, acceptance and positive participation) of the patient target group with regard to the medical device used is achieved by dispensing with the use of adhesive electrodes for transcutaneous signal application. Rather, the use of biocompatible fiber materials with extremely high moisture storage capacity makes a significant contribution to keeping on the hygienic pad belonging to the interface. The use of biocompatible fiber materials opens up their outstanding advantages in terms of hygiene and biocompatibility for the facility. Using the biocompatible fiber materials in the form of a disposable product, the disadvantages of textile electrodes with regard to their limited functional properties are compensated for.

With regard to hygienic and biocompatibility properties, natural fibers are superior to synthetic fibers. Because of its very good comfort properties and a good price / performance ratio, viscose is the preferred material. Viscose fleeces also have a particularly high water retention capacity of up to 400%. Depending on the manufacturing process, e.g. Water jet fleeces and needle fleeces are distinguished. The fiber geometry also plays a role (e.g. hollow fibers or solid fibers).

Further developments and advantageous refinements of the device are specified in further subclaims.

The invention is explained by means of several exemplary embodiments with reference to drawings.

• 1 eine schematische Darstellung einer Anwendung einer erfindungsgemäßen Einrichtung zur transkutanen Signalapplikation für Muskelgewebe mit einer Funktionstextilie im Bereich der funktionsgestörten Muskulatur eines Körperteils, z.B. am Hals eines Patienten, und mit einem an die Funktionstextilie angeschlossenen Medizingerät,
• 2 eine schematische Darstellung einer erfindungsgemäßen Einrichtung zur transkutanen Signalapplikation für Muskelgewebe mit einer Funktionstextilie im Detail und einem an die Funktionstextilie angeschlossenen Medizingerät nach 1,
• 3 eine schematische Darstellung einer textilen Elektrode mit Hygiene-Unterlage in einer Netztasche, wobei eine Elektrodengrundmateriallage mit elektrisch leitfähigem Garn versehen ist,
• 4 eine schematische Darstellung einer textilen Elektrode mit Hygiene-Unterlage in einer Netztasche, wobei die Elektrodengrundmateriallage mit elektrisch leitfähigem Silikon, in dem Kohlenstoffpartikel eingelagert sind, versehen ist,
• 5 eine schematische Darstellung einer herkömmlichen Elektrode mit erfindungsgemäßer Klebe-Unterlage und einer erfindungsgemäßen Hygiene-Vlies-Unterlage mit elektrisch leitfähigem Übertragungsmedium, wobei die Elektrodengrundmateriallage mit elektrisch leitfähigem Silikon versehen ist,
• 6 eine schematische Darstellung einer herkömmlichen Elektrode mit erfindungsgemäßer Klebe-Unterlage und einer erfindungsgemäßen Hygiene-Vlies-Unterlage mit elektrisch leitfähigem Übertragungsmedium, wobei die Elektrodengrundmateriallage mit leitfähigem Silikon versehen ist,
• 7 eine schematische Darstellung einer Einmalelektrode mit elektrisch leit-fähigem Silikon und teilflächiger, elektrisch nicht-leitfähiger Klebe-Unterlage und einer Hygiene-Vlies-Unterlage mit elektrisch leitfähigem Übertragungsmedium, wobei die Elektrodengrundmateriallage auf leitfähigem Silikon basiert, und einer/m Metallniete/Druckknopf im Trägergewebe zur elektrischen Kontaktierung,
• 8 eine schematische Darstellung einer Einmalelektrode gemäß 6 mit elektrisch leitfähigem Silikon und teilflächiger, elektrisch nicht-leitfähiger Klebe-Unterlage und einer Hygiene-Vlies-Unterlage mit elektrisch leitfähigem Übertragungsmedium, wobei die Elektrodengrundmateriallage auf leitfähigem Silikon basiert, und mit zusätzlicher Randabdichtung und einer Variation der elektrischen Kontaktierung mit elektrisch leitfähigem Garn,
• 9 eine schematische Darstellung einer Einmalelektrode mit elektrisch leitfähigem Silikon und vollflächiger, elektrisch leitfähiger Klebe-Unterlage und einer Hygiene-Vlies-Unterlage mit elektrisch leitfähigem Übertragungsmedium, wobei die Elektrodengrundmateriallage auf leitfähigem Silikon basiert, und die elektrische Kontaktierung mit Metallniete/Druckknopf oder leitfähigem Garn ausgebildet ist,
• 10 eine schematische Darstellung einer Kombination einer textilintegrierten Dauerelektrode mit einer Einmal-Vlies-Unterlage mit direkter Klettverbindung der Hygiene-Vlies-Unterlage mit der Elektrodengrundmateriallage, die aus elektrisch leitfähigem Klettmaterial besteht und mit elektrisch leitfähigem Garn elektrisch kontaktiert ist,
• 11 eine schematische Darstellung einer Kombination einer lösbaren textilintegrierten Dauerelektrode gemäß 9 mit einer Einmal-Vlies-Unterlage mit direkter Klettverbindung der Hygiene-Vlies-Unterlage und mit einer elektrischen Kontaktierung über leitfähiges Klettmaterial, wobei die Elektrodengrundmateriallage aus elektrisch leitfähigem Kunststoff mit beidseitig integrierten Klettlagen besteht,
• 12 eine schematische Darstellung einer Kombination einer lösbaren textilintegrierten Dauerelektrode mit einer Einmal-Vlies-Unterlage mit direkter Klettverbindung der Hygiene-Vlies-Unterlage und mit einer elektrischen Kontaktierung über leitfähiges Klettmaterial, wobei die Elektrodengrundlage aus elektrisch leitfähigem Kunststoff besteht, und die leitfähige Kunststofflage mit beidseitig angelagerten Klettlagen versehen ist,
• 13 eine schematische Darstellung einer Kombination aus einer lösbaren wiederverwendbaren Elektrode mit einer Wegwerf-Klebe-Unterlage,
• 14 eine schematische Darstellung einer Elektrode mit einer Wegwerf- Elektroden-Unterlage,
• 15 eine schematische Darstellung einer Elektrode mit einer Wegwerf- Elektroden-Unterlage,
• 16 eine schematische Darstellung einer Elektrode mit einer Wegwerf-Klebe-Unterlage,
• 17 eine schematische Darstellung einer Hygiene-Unterlage mit biokompatiblen, ein elektrisch leitfähiges Übertragungsmedium speichernden Fasern,
• 18 eine Darstellung zur variablen Platzierung der effektiven Elektrodenfläche,
• 19 einen Impedanzverlauf als Funktion der Frequenz in Ohm (durchgezogene Linie Realteil, gestrichelte Linie Imaginärteil), wobei der Signalapplikator den Aufbau: Elektrisch leitfähiges Gewebe (LG), Klebegel (KG), eine Hygiene-Vlies-Unterlage aus Nadelvlies (NV) hat, wobei eine Befeuchtung mit Rein-Wasser H2O bzw. Leitungswasser unter Angabe der Härte in ppm (parts per million), 50 ppm - 100 ppm = weiches Wasser, 300 ppm = hartes Wasser erfolgt,
• 20 einen Impedanzverlauf als Funktion der Frequenz in Ohm (durchge- zogene Linie Realteil, gestrichelte Linie Imaginärteil), bei der ein Vergleich zwischen Leitungswasser und isotonischer Kochsalzlösung zur Befeuchtung der Hygiene-Vlies-Unterlage durchgeführt wird,
• 21 einen Impedanzverlauf als Funktion der Frequenz in Ohm (durchge- zogene Linie Realteil, gestrichelte Linie Imaginärteil), bei der ein Vergleich mit und ohne synthetisches Netzmaterial (Maschenweite ca. 3mm) in Form einer Netztasche (NT) durchgeführt wird, getestet an textilen Elektroden mit Nadelvlies-Unterlage (NV) getränkt mit Leitungswasser als elektrisch leitfähiges Übertragungsmedi um,

Show it:

• 1 1 shows a schematic representation of an application of a device according to the invention for transcutaneous signal application for muscle tissue with a functional textile in the region of the dysfunctional muscles of a body part, for example on the neck of a patient, and with a medical device connected to the functional textile,
• 2 is a schematic representation of a device according to the invention for transcutaneous signal application for muscle tissue with a functional textile in detail and a medical device connected to the functional textile 1 .
• 3 1 shows a schematic representation of a textile electrode with a hygiene base in a mesh pocket, an electrode base material layer being provided with electrically conductive yarn,
• 4 1 shows a schematic representation of a textile electrode with a hygienic pad in a mesh pocket, the electrode base material layer being provided with electrically conductive silicone, in which carbon particles are embedded,
• 5 2 shows a schematic representation of a conventional electrode with an adhesive base according to the invention and a hygiene nonwoven base according to the invention with an electrically conductive transmission medium, the electrode base material layer being provided with electrically conductive silicone,
• 6 1 shows a schematic representation of a conventional electrode with an adhesive base according to the invention and a hygiene fleece base according to the invention with an electrically conductive transmission medium, the base electrode material layer being provided with conductive silicone,
• 7 is a schematic representation of a disposable electrode with electrically conductive silicone and partial, electrically non-conductive adhesive pad and a hygienic non-woven pad with electrically conductive transfer medium, the electrode base material layer is based on conductive silicone, and a / m metal rivet / push button in the base fabric for electrical contacting
• 8th is a schematic representation of a disposable electrode 6 with electrically conductive silicone and partial, electrically non-conductive adhesive pad and a hygienic non-woven pad with electrically conductive transfer medium, the basic electrode material layer is based on conductive silicone, and with additional edge sealing and a variation of the electrical contact with electrically conductive thread,
• 9 is a schematic representation of a disposable electrode with electrically conductive silicone and full-surface, electrically conductive adhesive pad and a hygienic non-woven pad with electrically conductive transmission medium, the electrode base material layer is based on conductive silicone, and the electrical contact is formed with a metal rivet / push button or conductive thread .
• 10 1 shows a schematic representation of a combination of a textile-integrated permanent electrode with a disposable nonwoven underlay with a direct Velcro connection of the hygiene nonwoven underlay with the electrode base material layer, which consists of electrically conductive Velcro material and is electrically contacted with electrically conductive yarn,
• 11 is a schematic representation of a combination of a detachable textile integrated permanent electrode according to 9 with a disposable non-woven pad with direct Velcro connection of the hygienic non-woven pad and with electrical contacting via conductive Velcro material, the electrode base material layer consisting of electrically conductive plastic with Velcro layers integrated on both sides,
• 12 is a schematic representation of a combination of a detachable textile-integrated permanent electrode with a disposable non-woven pad with direct Velcro connection of the hygiene non-woven pad and with an electrical contact via conductive Velcro material, the electrode base being made of electrically conductive plastic, and the conductive plastic layer with attached on both sides Velcro is provided
• 13 1 shows a schematic representation of a combination of a releasable, reusable electrode with a disposable adhesive pad,
• 14 1 shows a schematic representation of an electrode with a disposable electrode pad,
• 15 1 shows a schematic representation of an electrode with a disposable electrode pad,
• 16 1 shows a schematic representation of an electrode with a disposable adhesive base,
• 17 1 shows a schematic representation of a hygiene base with biocompatible fibers that store an electrically conductive transmission medium,
• 18 a representation of the variable placement of the effective electrode area,
• 19 an impedance curve as a function of the frequency in ohms (solid line real part, dashed line imaginary part), the signal applicator having the structure: electrically conductive fabric (LG), adhesive gel (KG), a hygienic non-woven pad made of needle felt (NV), whereby humidification with pure water H2O or tap water, stating the hardness in ppm (parts per million), 50 ppm - 100 ppm = soft water, 300 ppm = hard water,
• 20 an impedance curve as a function of the frequency in ohms (solid line real part, dashed line imaginary part), in which a comparison is made between tap water and isotonic saline solution for moistening the hygienic fleece underlay,
• 21 an impedance curve as a function of frequency in ohms (solid line real part, dashed line imaginary part), in which a comparison with and without synthetic mesh material (mesh size approx. 3 mm) is carried out in the form of a mesh pocket (NT), tested on textile electrodes with Needle fleece pad (NV) soaked with tap water as an electrically conductive transfer medium.

• - eine Funktionstextilie 2,
• - mindestens einen in der Funktionstextilie 2 eingebrachten Signalapplikator 5, 51, 52, 53, 54, der mindestens eine Elektrode 18 in Form einer Elektrodengrundmateriallage enthält,
• - ein der Elektrode 18 zugeordnete Hygiene-Unterlage 19, 23 mit einem an bioverträglichen Fasern 40 gespeicherten elektrisch leitfähigen Übertragungsmedium 6 mit einer angepassten elektrisch leitfähigen Kontaktierung,

wobei der Signalapplikator 5, 51, 52, 53, 54 zumindest eine von der in Form einer Elektrodengrundmateriallage ausgebildeten Elektrode 18 lösbare Hygiene-Unterlage 19, 23, die bioverträgliche feuchtespeichernde Fasern 40 enthält, und/oder eine lösbare, in Form einer Elektrodengrundmateriallage ausgebildete, mit der mit bioverträglichen feuchtespeichernden Fasern 40 versehenen Hygiene-Unterlage 19, 23 verbundene Elektrode 18 aufweist.The following are the 1 , the 2 and the 5 such as 17 considered together.
In the 1 and 2 are schematic representations of the facility 1 for transcutaneous signal application for intended postural corrections of defective or incorrectly activated or dysfunctional muscle tissue, for example in the form of a Torticollis, shown the establishment 1 at least includes

• - a functional textile 2 .
• - at least one in the functional textile 2 introduced signal applicator 5 . 51 . 52 . 53 . 54 , the at least one electrode 18 contains in the form of an electrode base material layer,
• - one of the electrode 18 assigned hygiene pad 19 . 23 with a bio-compatible fiber 40 stored electrically conductive transmission medium 6 with an adapted electrically conductive contact,

where the signal applicator 5 . 51 . 52 . 53 . 54 at least one of the electrodes in the form of an electrode base material layer 18 detachable hygiene pad 19 . 23 , the biocompatible moisture-storing fibers 40 contains, and / or a detachable, in the form of an electrode base material layer, with the bio-compatible moisture-storing fibers 40 provided hygiene pad 19 . 23 connected electrode 18 having.

In 17 is a hygiene pad 19 or a hygiene fleece underlay 23 with storage from to the interface 14 directional, biocompatible, the electrically conductive transmission medium 6 storing fibers 40 specified. The biocompatible fibers 40 can be designed as a viscose fleece. The viscose fleece 40 can be, in particular, needle felt.
The signal applicators 5 . 51 . 52 . 53 . 54 each contain a component with fibers 40 , the shape and area of the physiological muscle relationships and the location of nerve trigger points (English trigger points / motor points) on the skin 50 is adapted, with another component of the signal applicators 5 . 51 . 52 . 53 . 54 in the hygienic underlay equipped with biocompatible, moisture-storing fibers 19 . 23 introduced electrically conductive transmission medium 6 is for electrical signal transmission at the interface 14 between fiber 40 and skin / muscle tissue 50 of the patient 15 is trained. All described signal applicators 5 . 51 . 52 . 53 . 54 can on the electrode side with an electrically conductive connection, preferably with electrically conductive thread and an electrical contact, for example in the form of a metal rivet / push button 55 , in the form of a soldered / welded, electrically insulated metal cable with plug or in the form of an electrically conductive magnetic contact.

• - optional eine Klettlage 16,
• - eine wasserdichte Membran 17,
• - eine in Form einer Elektrode 18 ausgebildeten Elektrodengrundmateriallage mit elektrisch kontaktierendem Material in Form von leitfähigem Garn auf Trägergewebe,
• - eine von der Elektrode 18 lösbare Unterlagen-Tasche 20 aus Netzgewebe,
• - eine lösbare Hygiene-Unterlage 19, die in der lösbaren Unterlagen-Tasche 20 eingebettet und mit feuchtespeichernden Fasern 40 ausgetattet ist,

wobei die Bestandteile 16, 17, 18, 20, 19 in der genannten Reihenfolge schichtweise übereinanderliegen.
Die lösbare Unterlagen-Tasche 20 aus Netzgewebe liegt an der Schnittstelle 14 zum Patienten 15 über Körperhaare 49 und Haut 50 an.
Dabei ist die elektrisch leitfähige Übertragungsmedium-/Wasserspeicherfunktion direkt in die lösbare Hygiene-Unterlage 19 implementiert. Durch die wasserdichte Membran 17 in 3 wird die Durchfeuchtung der Funktionstextilie 2 und gleichzeitig ein Abtrocknen der Elektrode 18 verhindert. Dies funktioniert ähnlich marktüblicher Gelelektroden, die einen Gelspeicher besitzen, und ähnlich marktüblicher lonosphorese-Elektroden, die einen Medikamentenspeicher, z.B. auf Vlies-Basis besitzen. Allerdings wird dort der ganze Signalapplikator nach einmaliger Benutzung entsorgt oder aufwendig gereinigt.In 3 is a signal applicator 5 shown in cross section, its electrode 18 is an electrically conductive textile electrode and which at least comprises

• - optionally a Velcro layer 16 .
• - a waterproof membrane 17 .
• - one in the form of an electrode 18 trained electrode base material layer with electrically contacting material in the form of conductive yarn on carrier fabric,
• - one from the electrode 18 detachable document pocket 20 from mesh,
• - a detachable hygiene pad 19 that are in the removable document pocket 20 embedded and with moisture-storing fibers 40 is equipped

being the ingredients 16 . 17 . 18 . 20 . 19 lie in layers in the order mentioned.
The detachable document bag 20 made of mesh lies at the interface 14 to the patient 15 about body hair 49 and skin 50 on.
The electrically conductive transmission medium / water storage function is directly in the detachable hygiene pad 19 implemented. Through the waterproof membrane 17 in 3 is the moisture penetration of the functional textile 2 and at the same time drying the electrode 18 prevented. This works in a similar way to commercially available gel electrodes, which have a gel store, and similarly, to conventional ionosphoresis electrodes, which have a medicament store, for example based on fleece. However, the entire signal applicator is disposed of there after a single use or is laboriously cleaned.

• - optional eine Klettlage 16,
• - optional ein Trägergewebe 21,
• - eine als Elektrode 18 ausgebildete Elektrodengrundmateriallage mit elektrisch kontaktierendem Material oder elektrisch leitfähigem Silikon, das wasserdicht ist,
• - eine von der Elektrode 18 lösbare Unterlagen-Tasche 20 aus Netzgewebe,
• - eine lösbare Hygiene-Unterlage 19, die in der lösbaren Unterlagen-Tasche 20 eingebettet und mit feuchtigkeitsspeichernden Fasern 40 ausgestattet ist,

wobei die Bestandteile 16, 21, 18, 20, 19 in der genannten Reihenfolge schichtweise übereinander angeordnet sind.
Die lösbare Unterlagen-Tasche 20 aus Netzgewebe liegt an der Schnittstelle 14 zum Patienten 15 über Körperhaare 49 und Haut 50 an.In 4 is a signal applicator 5 shown in cross section, its electrode 18 is also an electrically conductive textile electrode and which at least comprises

• - optionally a Velcro layer 16 .
• - optionally a carrier fabric 21 .
• - one as an electrode 18 trained electrode base material layer with electrically contacting material or electrically conductive silicone, which is waterproof,
• - one from the electrode 18 detachable document pocket 20 from mesh,
• - a detachable hygiene pad 19 that are in the removable document pocket 20 embedded and with moisture-storing fibers 40 Is provided,

being the ingredients 16 . 21 . 18 . 20 . 19 are arranged in layers one above the other in the order named.
The detachable document bag 20 made of mesh lies at the interface 14 to the patient 15 about body hair 49 and skin 50 on.

The hygiene pad 19 in the 3 and 4 is introduced as a fiber pad, similar to the sponge for the sponge electrode, whereby it is the detachable hygiene pad 19 is a disposable article. The fiber pad 19 comes either in a removable document bag 20 inserted from mesh or equipped with an adhesive surface analogous to a panty liner and onto the electrode base material layer 18 glued.

• - ein Trägergewebe 21,
• - eine Elektrodengrundmateriallage 18 mit leitfähigem Silikon, das wasserdicht ist,
• - eine elektrisch leitfähige Klebegellage oder Klebelage 22,
• - eine lösbare Hygiene-Vlies-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6, wobei die Hygiene-Vlies-Unterlage 23 feuchtigkeitsspeichernde, bioverträgliche Fasern 40 enthält,

wobei die Bestandteile 21, 18, 22, 23 + 6 in der genannten Reihenfolge schichtweise übereinander angeordnet sind.In 5 is a signal applicator 5 shown in cross section, its electrode 18 is a silicone electrode that can at least include

• - a base fabric 21 .
• - an electrode base material layer 18 with conductive silicone that is waterproof,
• - an electrically conductive adhesive layer or adhesive layer 22 .
• - a detachable hygienic fleece underlay 23 with electrically conductive transmission medium 6 , the hygienic fleece underlay 23 moisture-storing, biocompatible fibers 40 contains

being the ingredients 21 . 18 . 22 . 23 + 6 are arranged in layers in the order mentioned above.

• - eine Klettlage 16,
• - ein Trägergewebe 21 oder einen vernähbaren Kunststoff, die jeweils wasserdicht sind,
• - eine in Form einer Elektrode 18 ausgebildete Elektrodengrundmateriallage aus elektrisch leitfähigem Silikon, elektrisch leitfähigem Kunststoff oder als, mit Metall- oder Kohlenstoff-haltigem Garn ausgeführte/s, elektrisch leitfähige/s Gewebe/Gestrick/Gewirk/Stickerei 24
• - einer optional elektrisch leitfähigen Klebegellage 22 oder einer Klebelage,
• - eine von der Elektrode 18 lösbare Hygiene-Vlies-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6, wobei die Hygiene-Vlies-Unterlage 23 bioverträgliche und feuchtigkeitsspeichernde Fasern 40 enthält,

wobei die Bestandteile 16, 21, 18 + 24, 22, 23 + 6 in der genannten Reihenfolge schichtweise übereinander angeordnet sind.In 6 is a signal applicator 5 shown in cross section, its electrode 18 is an electrode knitted with electrically conductive, preferably silver-containing, yarn and which at least comprises

• - a Velcro layer 16 .
• - a base fabric 21 or a sewable plastic, which are each waterproof,
• - one in the form of an electrode 18 Trained electrode base material layer made of electrically conductive silicone, electrically conductive plastic or as an electrically conductive fabric / knitted fabric / knitted fabric / embroidery made with metal or carbon-containing yarn 24
• - an optionally electrically conductive adhesive layer 22 or an adhesive layer,
• - one from the electrode 18 detachable hygienic fleece underlay 23 with electrically conductive transmission medium 6 , the hygienic fleece underlay 23 biocompatible and moisture-storing fibers 40 contains

being the ingredients 16 . 21 . 18 + 24 . 22 . 23 + 6 are arranged in layers one above the other in the order named.

The adhesive layer 22 makes the mesh pocket 20 superfluous. The advantage of the adhesive layer 22 is the even better hygiene, because now really only the hygiene Vies underlay 23 has moist skin contact that can be discarded after use. There is no wet netting with skin contact on the functional textile 2 remains or must be cleaned. If there is also electrically conductive silicone as the electrode base material layer 18 adhesive residues are used on the electrically conductive yarn 24 avoided. The result is a very hygienic solution, with the functional textile 2 despite damp hygienic fleece underlays 23 remains completely dry and has no increased contamination compared to any other dry applied, commercially available orthosis.

The adhesive layer / adhesive layer is advantageous 22 waterproof and can be electrically conductive at the same time. Otherwise, the lack of water resistance would lead to moisture penetration of the functional textile if textile-based electrodes 18 instead of silicone electrodes. The adhesive gel of the commercially available adhesive electrodes is out of the question because it is not water-resistant. If the adhesive layer 22 contains no function of electrical conductivity, the adhesive layer can 22 be carried out over part of the area. Then the adhesive layer is suitable 22 but preferably for gluing on the silicone electrode 18 , so that the watertightness of the electrode structure can be guaranteed.

A distinction must be made between the arrangement of the adhesive layers 22 with their adhesive surfaces on the surface. Partial adhesive layers 22 can be arranged in a grid or at points. Despite the electrically non-conductive adhesive, electrical contacting via free zones is possible through the underlying electrically conductive material. The use of double-sided adhesive films on the skin is known from medical plasters.

The hygienic fleece underlay is used 23 with the electrically conductive transmission medium 6 , e.g. tap water, wetted / soaked. It must be ensured that the functional textile is not dampened 2 another drying of the electrode 18 can take place. The hygienic fleece underlay 23 in the 5 can be removed after each application or after each day of use by detaching from the adhesive base 22 to be disposed of. The used hygiene fleece underlays 23 can through unused hygiene fleece underlays 23 made available and replaced at low cost. This means that the facility is sufficient 1 the hygienic requirements for patient use.

For better handling of sticking the adhesive layer 22 in 6 . 56 in 7 on the electrode base material layer 18 can have a border in one version 58 be made with a cover fabric. The Velcro function enables one any placement of the textile electrode 18 in the backing textile 21 , Sticking on the adhesive layer 22 , or the adhesive layer 56 on the electrode base material layer 18 with the electrically conductive yarn 24 additionally creates the possibility of variable placement of the effective electrode area, which is ultimately due to the position of the hygiene fleece pad 23 is defined.

• - ein Trägergewebe 21,
• - einer/m ins Trägergewebe 21 eingebrachten Metallniete/Druckknopf 55 zur elektrischen Kontaktierung mit der nachfolgenden Elektrodengrundmateriallage 18,
• - eine teilflächige und elektrisch nichtleitfähige Klebeschichtlage 56,
• - eine Elektrodengrundmateriallage 18 aus elektrisch leitfähigem Silikon, die mit der/m Metallniete/Druckknopf 55 in Verbindung steht und die vom Trägergewebe 21 lösbar ist,
• - eine bioverträgliche Fasern 40 aufweisende Hygiene-Vlies-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6, wobei die Hygiene-Vlies-Unterlage 23 an der Elektrodengrundmateriallage 18 festhaftet,

wobei die Bestandteile 21, 56, 18, 23 +6 in der genannten Reihenfolge schichtweise übereinander angeordnet sind, wobei die Elektrodengrundmateriallage 18 und die Hygiene-Vlies-Unterlage 23 von dem Trägergewebe 21 lösbar ausgebildet sind.In 7 is a signal applicator 5 shown in cross section, its electrode 18 is a disposable electrode designed as a wet pad, which can at least include

• - a base fabric 21 .
• - one in the base fabric 21 inserted metal rivet / push button 55 for electrical contact with the following electrode base material layer 18 .
• - A partial and electrically non-conductive adhesive layer 56 .
• - an electrode base material layer 18 Made of electrically conductive silicone, which with the / r metal rivet / push button 55 communicates and that of the base fabric 21 is solvable,
• - a biocompatible fiber 40 hygienic fleece underlay 23 with electrically conductive transmission medium 6 , the hygienic fleece underlay 23 on the electrode base material layer 18 adheres,

being the ingredients 21 . 56 . 18 . 23 +6 are arranged in layers one above the other in the order mentioned, the electrode base material layer 18 and the hygienic fleece underlay 23 from the base fabric 21 are designed to be detachable.

• - ein Trägergewebe 21,
• - eine am Trägergewebe 21 angebrachte, und aus elektrisch leitfähigem Garn 24 bestehende elektrischen Kontaktierungslage 57,
• - eine teilflächige und elektrisch nichtleitfähige Klebeschichtlage 56,
• - eine Elektrodengrundmateriallage 18 aus elektrisch leitfähigem Silikon,
• - eine jeweils am Rand 58 der Elektrodengrundmateriallage 18 angebrachte Deckmateriallage, trocken und aus elektrisch nichtleitfähigem Silikon bestehend,
• - eine zwischen den Rändern 58 der Elektrodengrundmateriallage 18 angebrachte und mit feuchtigkeitsspeichernden Fasern 40 ausgestattete Hygiene-Vlies-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6,

wobei die Bestandteile 21, 57, 56, 18, 58, 23 + 6 in der genannten Reihenfolge schichtweise übereinander angeordnet sind, wobei die Elektrodengrundmateriallage 18 und die daran festhaftende Hygiene-Vlies-Unterlage 23 von dem mit der elektrischen Kontaktierungslage 57 versehenen Trägergewebe 21 lösbar ausgebildet sind.In 8th is a signal applicator 5 shown in cross section, its electrode 18 is a disposable electrode designed as a wet pad, which can at least include

• - a base fabric 21 .
• - one on the base fabric 21 attached, and made of electrically conductive yarn 24 existing electrical contact position 57 .
• - A partial and electrically non-conductive adhesive layer 56 .
• - an electrode base material layer 18 made of electrically conductive silicone,
• - one on each edge 58 the electrode base material layer 18 attached layer of covering material, dry and made of electrically non-conductive silicone,
• - one between the edges 58 the electrode base material layer 18 attached and with moisture-storing fibers 40 equipped hygienic fleece underlay 23 with electrically conductive transmission medium 6 .

being the ingredients 21 . 57 . 56 . 18 . 58 . 23 + 6 are arranged in layers one above the other in the order mentioned, the electrode base material layer 18 and the hygienic fleece underlay adhering to it 23 from the one with the electrical contact layer 57 provided carrier fabric 21 are designed to be detachable.

• - ein Trägergewebe 21,
• - einer/m im Trägergewebe 21 eingebrachten Metallniete/Druckknopf 55 oder als elektrisch leitfähiges Garn 24 als elektrische Kontaktierung,
• - eine vollflächige und elektrisch leitfähige Klebelage 22,
• - eine Elektrodengrundmateriallage 18 aus elektrisch leitfähigem Silikon,
• - eine an der Elektrodengrundmateriallage 18 festhaftende und mit feuchtigkeitsspeichernden Fasern 40 ausgestattete Hygiene-Vlies-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6,

wobei die Bestandteile 21, 55 oder 57, 22, 18, 23 + 6 in der genannten Reihenfolge schichtweise übereinander angeordnet sind, wobei die Elektrodengrundmateriallage 18 und die Hygiene-Vlies-Unterlage 23 gemeinsam von dem Trägergewebe 21 an der Klebe-Unterlage 22 lösbar ausgebildet sind.In 9 is a signal applicator 5 shown in cross section, its electrode 18 is a disposable electrode designed as a wet pad, which can at least include

• - a base fabric 21 .
• - one / m in the base fabric 21 inserted metal rivet / push button 55 or as an electrically conductive yarn 24 as electrical contacting,
• - A full-surface and electrically conductive adhesive layer 22 .
• - an electrode base material layer 18 made of electrically conductive silicone,
• - one on the electrode base material layer 18 adherent and with moisture-storing fibers 40 equipped hygienic fleece underlay 23 with electrically conductive transmission medium 6 .

being the ingredients 21 . 55 or 57 . 22 . 18 . 23 + 6 are arranged in layers one above the other in the order mentioned, the electrode base material layer 18 and the hygienic fleece underlay 23 together from the base fabric 21 on the adhesive pad 22 are designed to be detachable.

All hygiene fleece underlays 23 exhibit biocompatible, the electrically conductive transmission medium 6 storing fibers 40 on.

• Eine andere Variante ist die Verwendung von Lagen mit einer Klettfunktion anstelle von Lagen mit der Klebefunktionen insbesondere für die Befestigung der Hygiene-Vlies-Unterlage 23 an der textilintegierten, mit einer Elektrodengrundmateriallage 18 ausgebildeten Dauerelektrode. Es ist nicht gegeben, dass ein Viskose enthaltendes Nadelvlies eine Klettfunktion von sich aus aufweist. Dazu wird in ein Viskosevlies an bestimmten Stellen ein Polyesterfaden eingestickt, wie er für die Flauschseite bei Klettbändern oder Klettgewebe Verwendung findet. Alternativ kann ein bei Wegwerfartikeln übliches Klettflausch, z.B. Frontaltape wie bei Wegwerfwindeln fest mit dem Vlies verbunden werden. Das Flauschtape kann auflaminiert, aufgeklebt, ultraschallgeschweißt, thermisch geschweißt, oder aufkalandert werden. Zum Aufkleben kommen aus Biokompatibilitätsgründen Silikon-basierte Kleber Acrylkleber oder Hotmelt-Kleber in Frage.

Other options:

• Another variant is the use of layers with a Velcro function instead of layers with the adhesive functions, in particular for fastening the hygienic fleece underlay 23 on the textile-integrated, with an electrode base material layer 18 trained permanent electrode. It is not the case that a viscose-containing needle fleece has a Velcro function by itself. For this purpose, a polyester thread is embroidered into a viscose fleece, as it is for the fleece side of Velcro straps or Velcro fabrics Is used. Alternatively, a Velcro fleece, which is common in disposable articles, for example frontal tape as in disposable diapers, can be firmly connected to the fleece. The fleece tape can be laminated, glued, ultrasonically welded, thermally welded, or calendered. For biocompatibility reasons, silicone-based adhesives, acrylic adhesives or hot-melt adhesives can be used for bonding.

In 10 is a schematic representation of a combination of a textile-integrated permanent electrode with a disposable non-woven pad with direct Velcro connection of the detachable hygiene non-woven pad 23 and shown with an electrical contact via electrically conductive Velcro material, the electrode base material layer 18 has metal or carbon-containing yarn.

• - eine Trägergewebelage 21,
• - eine elektrisch kontaktierte Elektrodengrundmateriallage 18 aus elektrisch leitfähigem Garn 24 auf der Trägergewebelage 21,
• - eine elektrisch leitfähige Klettlage 59, die aufgenäht ist,
• - eine von der Elektrodengrundmateriallage 18 lösbare und mit feuchtigkeitsspeichernden Fasern 40 ausgestattete Hygiene-Vlies-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6, wobei das Vlies mit der Klettfähigkeit versehen ist,

wobei die Bestandteile 21, 18, 59, 23 + 6 in der genannten Reihenfolge schichtweise übereinander angeordnet sind.In 10 is a signal applicator 5 shown in cross section, its electrode 18 is a textile-integrated permanent electrode, which in combination with the following components can at least include

• - a base fabric layer 21 .
• - An electrically contacted basic electrode material layer 18 made of electrically conductive yarn 24 on the base fabric layer 21 .
• - An electrically conductive Velcro layer 59 that is sewn on
• - one of the electrode base material layer 18 detachable and with moisture-storing fibers 40 equipped hygienic fleece underlay 23 with electrically conductive transmission medium 6 , whereby the fleece is provided with the Velcro ability,

being the ingredients 21 . 18 . 59 . 23 + 6 are arranged in layers one above the other in the order named.

In 11 is a schematic representation of a combination of a textile integrated permanent electrode according to 10 with a disposable non-woven pad with a direct Velcro connection of the detachable hygienic non-woven pad and with an electrical contact via conductive Velcro material, with the electrode base material layer 18 consists of a Velcro layer with integrated electrically conductive plastic, shown.

• - ein Trägergewebe 21,
• - eine elektrisch kontaktierte Elektrodengrundmateriallage 18 aus elektrisch leitfähigem und aufgenähtem Kunststoff,
• - eine Klettlage 59, die auf den elektrisch leitfähigen Kunststoff aufgebracht ist,
• - eine mittels der Klettlage 59 lösbare und mit feuchtigkeitsspeichernden Fasern 40 ausgestattete Hygiene-Vlies-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6, wobei das Vlies mit einer Klettfähigkeit versehen ist,

wobei die Bestandteile 21, 18, 59, 23 + 6 in der genannten Reihenfolge schichtweise übereinander angeordnet sind.In 11 is a signal applicator 5 shown in cross section, its electrode 18 is a textile-integrated permanent electrode, which in combination with the following components can at least include

• - a base fabric 21 .
• - An electrically contacted basic electrode material layer 18 made of electrically conductive and sewn-on plastic,
• - a Velcro layer 59 which is applied to the electrically conductive plastic,
• - one by means of the Velcro layer 59 detachable and with moisture-storing fibers 40 equipped hygienic fleece underlay 23 with electrically conductive transmission medium 6 , wherein the fleece is provided with a Velcro ability,

being the ingredients 21 . 18 . 59 . 23 + 6 are arranged in layers one above the other in the order named.

In 12 is also a schematic representation of a combination of a textile integrated permanent electrode according to 11 with a disposable non-woven underlay with direct Velcro connection of the hygiene non-woven underlay 23 and with an electrical contact via conductive Velcro material, the electrode base material layer 18 made of electrically conductive plastic and the electrically conductive plastic layer with Velcro layers attached on both sides 65 . 59 is shown.

• - eine für die Befestigung an der Funktionstextilie 2 angebrachte Klettlage 65,
• - eine elektrisch kontaktierte Elektrodengrundmateriallage 18 aus elektrisch leitfähigem und auf die Klettlage 65 aufgebrachtem Kunststoff,
• - eine Klettlage 59, die auf den elektrisch leitfähigen Kunststoff aufgebracht ist,
• - eine von der Klettlage 59 lösbare und mit feuchtigkeitsspeichernden Fasern 40 ausgestattete Hygiene-Vlies-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6, wobei das Vlies mit einer Klettfähigkeit versehen ist,

wobei die Bestandteile 65, 18, 59, 23 + 6 in der genannten Reihenfolge schichtweise übereinander angeordnet sind.In 12 is a signal applicator 5 shown in cross section, its electrode 18 is a textile-integrated permanent electrode, which in combination with the following components can at least include

• - one for attachment to the functional textile 2 attached Velcro layer 65 .
• - An electrically contacted basic electrode material layer 18 made of electrically conductive and on the Velcro layer 65 applied plastic,
• - a Velcro layer 59 which is applied to the electrically conductive plastic,
• - one from the Velcro layer 59 detachable and with moisture-storing fibers 40 equipped hygienic fleece underlay 23 with electrically conductive transmission medium 6 , wherein the fleece is provided with a Velcro,

being the ingredients 65 . 18 . 59 . 23 + 6 are arranged in layers one above the other in the order named.

A combination of the Velcro function for the connection of the backing textile / signal applicator and the adhesive function for the connection of the electrode / base is also possible. Especially when the electrode base material 18 consists of electrically conductive plastic. A variant with a reusable electrode and a removable disposable adhesive pad is specified below.

• - eine Trägertextilie 66 mit elektrischen Kontaktierungen 67 in Form von elektrisch leitfähigem Klett oder elektrisch leitfähigem Garn oder einer/m Metallniete/Druckknopf 55,
• - eine elektrisch leitfähige Klettlage 68 oder eine elektrisch leitfähige Kunststofflage mit integrierter Klettfunktion,
• - eine elektrisch an die Klettlage 68 kontaktierende und von der Trägertextilie 66 lösbare Elektrodengrundmateriallage 18 aus wasserdichtem, elektrisch leitfähigem Kunststoff oder elektrisch leitfähigem Silikon,
• - eine teilflächige Klebelage 56 oder eine teilflächige doppelseitige Klebelage in der Klebefunktion,
• - eine von der Elektrodengrundmateriallage 18 lösbare Hygiene-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6,

wobei die Bestandteile 66, 68, 18, 56, 23 +6 in der genannten Reihenfolge schichtweise aneinander angeordnet sind und wobei zumindest die mit der Klebelage 56 verbundene Hygiene-Vlies-Unterlage 23 eine Wegwerf-Unterlage 25 darstellt. In 13 is a signal applicator 5 shown in cross section, its electrode 18 is a reusable electrode, which in combination with the following components can at least include

• - a carrier textile 66 with electrical contacts 67 in the form of electrically conductive Velcro or electrically conductive yarn or a metal rivet / push button 55 .
• - An electrically conductive Velcro layer 68 or an electrically conductive plastic layer with integrated Velcro function,
• - one electrically to the Velcro 68 contacting and from the carrier textile 66 removable electrode base material layer 18 made of waterproof, electrically conductive plastic or electrically conductive silicone,
• - a partial adhesive layer 56 or a partial double-sided adhesive layer in the adhesive function,
• - one of the electrode base material layer 18 detachable hygiene pad 23 with electrically conductive transmission medium 6 .

being the ingredients 66 . 68 . 18 . 56 . 23 +6 are arranged in layers in the order mentioned and at least those with the adhesive layer 56 connected hygienic fleece underlay 23 a disposable pad 25 represents.

• In 14 ist dazu in einer schematischen Darstellung ein Signalapplikator 5 mit einer Wegwerf-Elektroden-Unterlage 71 gezeigt.
• In 14 ist ein Signalapplikator 5 im Querschnitt gezeigt, dessen Elektrode 18 in einer lösbaren Wegwerf-Elektroden-Unterlage 71 vorhanden ist und der zumindest umfassen kann
  • - eine Trägertextilie 66 mit elektrisch leitfähigen Kontaktierungen 55, 67,
  • - eine teilflächige, elektrisch leitfähige, doppelseitige, Klebebandlage 58, die wasserdicht ist, mit Freizonen,
  • - eine teilflächige, elektrisch kontaktierte Elektrodengrundmateriallage 18 aus wasserdichtem, elektrisch leitfähigem Silikon, die zwischen den Freizonen der beabstandet aufgeklebten Klebebandlage 58 schichtartig eingebettet ist,
  • - eine an der Elektrodengrundmateriallage 18 fest haftenden und mit feuchtigkeitsspeichernden Fasern 40 ausgestattete Hygiene-Vlies-Unterlage 23 mit einem elektrisch leitfähigen Übertragungsmedium 6,

wobei die Bestandteile 66, 58 + 18, 23 + 6 in der genannten Reihenfolge schichtweise übereinander angeordnet sind und wobei die miteinander verbundenen Klebelage 58, Elektrodengrundmateriallage 18 und Hygiene-Vlies-Unterlage 23 eine von der Trägertextilie 66 lösbare Wegwerf-Unterlage 71 darstellen.Other variants result from the combination of different materials (especially silicone-based) for an integrated electrode function:

• In 14 is a signal applicator in a schematic representation 5 with a disposable electrode pad 71 shown.
• In 14 is a signal applicator 5 shown in cross section, its electrode 18 in a removable disposable electrode pad 71 is present and which can at least include
  • - a carrier textile 66 with electrically conductive contacts 55 . 67 .
  • - A partial, electrically conductive, double-sided, adhesive tape layer 58 which is waterproof, with free zones,
  • - A partial, electrically contacted electrode base material layer 18 Made of waterproof, electrically conductive silicone, which is between the free zones of the spaced adhesive tape layer 58 is embedded in layers,
  • - one on the electrode base material layer 18 firmly adhering and with moisture-storing fibers 40 equipped hygienic fleece underlay 23 with an electrically conductive transmission medium 6 .

being the ingredients 66 . 58 + 18 . 23 + 6 are arranged in layers one above the other in the order mentioned and the bonded adhesive layer 58 , Electrode base material layer 18 and hygienic fleece underlay 23 one from the backing textile 66 removable disposable underlay 71 represent.

In 15 is a schematic representation of a combination of a reusable electrode with a disposable adhesive pad 71 shown.

• - eine Trägertextilie 66 mit den vorgenannten elektrischen Kontaktierungen 55, 67,
• - eine teilflächige auf Silikon haftende, doppelseitige Klebebandlage 69,
• - eine von den Kontaktierungen 55, 67 elektrisch kontaktierte Elektrodengrundmateriallage 18 in Form einer wasserdichten, elektrisch leitfähigen Silikonlage, auf der die teilflächig aufgeklebte Klebebandlage 69 aufgebracht ist,
• - eine mit der Elektrodengrundmateriallage 18 fest verbundene und mit feuchtigkeitsspeichernden Fasern 40 ausgestattete Hygiene-Vlies-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6,

wobei die Bestandteile 66, 69, 18, 23 + 6 in der genannten Reihenfolge schichtweise übereinander angeordnet sind und wobei die miteinander verbundenen Klebebandlage 69, die Silikonlage 18 und Hygiene-Vlies-Unterlage 23 + 6 eine lösbare Wegwerf-Unterlage 71 darstellen.In 15 is a signal applicator 5 shown in cross section, its electrode 18 is designed as a silicone electrode and can at least include a combination with the following components

• - a carrier textile 66 with the aforementioned electrical contacts 55 . 67 .
• - a partial double-sided adhesive tape layer adhering to silicone 69 .
• - one of the contacts 55 . 67 Electrically contacted basic electrode material layer 18 in the form of a waterproof, electrically conductive silicone layer on which the partially adhesive tape layer is glued 69 is upset
• - one with the electrode base material layer 18 firmly connected and with moisture-storing fibers 40 equipped hygienic fleece underlay 23 with electrically conductive transmission medium 6 .

being the ingredients 66 . 69 . 18 . 23 + 6 are arranged in layers one above the other in the order mentioned and with the adhesive tape layer connected to one another 69 who have favourited Silicone Layer 18 and hygienic fleece underlay 23 + 6 a removable disposable underlay 71 represent.

• - eine Trägertextilie 66 mit den vorgenannten elektrischen Kontaktierungen 55, 67,
• - eine teilflächige, in Form einer Folie gestanzte, auf Silikon haftende, doppelseitige Klebebandlage 69,
• - eine wasserdichte, elektrisch leitfähige, teilflächig aufgebrachte Silikonlage 70 zur elektrisch leitfähigen Kontaktierung, wobei die Silikonlage 70 zwischen den Freizonen der teilflächig aufgeklebte Klebebandlage 69 aufgebracht ist, wobei Silikonlage 70 und Klebebandlage 69 eine Schicht ausbilden,
• - eine elektrisch kontaktierte Elektrodengrundmateriallage 18 in Form einer Leitlackschicht auf Silikonbasis, oder elektrisch leitfähigen Silikonschicht
• - eine an der Elektrodengrundmateriallage 18 festhaftende und mit feuchtigkeitsspeichernden Fasern 40 ausgestattete Hygiene-Vlies-Unterlage 23 mit elektrisch leitfähigem Übertragungsmedium 6,

wobei die Bestandteile 66, 69+70, 18, 23 + 6 in der genannten Reihenfolge schichtweise aneinander angeordnet sind und wobei die miteinander verbundenen Klebebandlage 69 und Silikonlage 70, die Leitlackschicht 18 sowie die Hygiene-Vlies-Unterlage 23 + 6 eine von der Trägertextilie 66 lösbare Wegwerf-Unterlage 71 darstellen.In 16 is a schematic representation of a signal applicator 5 with a removable disposable adhesive pad 71 shown.
In 16 is a signal applicator 5 shown in cross section, its electrode 18 is designed as a silicone electrode and can at least include a combination with the following components

• - a carrier textile 66 with the aforementioned electrical contacts 55 . 67 .
• - A partial, punched in the form of a film, adhesive on silicone, double-sided adhesive tape layer 69 .
• - A waterproof, electrically conductive, partially applied silicone layer 70 for electrically conductive contacting, the silicone layer 70 between the free zones of the partially adhesive tape layer 69 is applied, with silicone layer 70 and tape layer 69 form a layer
• - an electrically contacted electrode base material layer 18 in the form of a conductive lacquer layer based on silicone, or an electrically conductive silicone layer
• - one on the electrode base material layer 18 adherent and with moisture-storing fibers 40 equipped hygienic fleece underlay 23 with electrically conductive transmission medium 6 .

being the ingredients 66 , 69 + 70, 18 . 23 + 6 are arranged in layers in the order mentioned and the interconnected adhesive tape layer 69 and silicone layer 70 , the conductive paint layer 18 as well as the hygiene fleece underlay 23 + 6 one from the backing textile 66 removable disposable underlay 71 represent.

The is in 18 and 18a effective document area shown 41 an adhesive pad 22 . 42 smaller than the cover fabric area 43 the adhesive pad 22 . 42 , The cover fabric 43 the adhesive pad 22 . 42 is on the conductive fabric 45 the textile electrode 44 glued.
By rotating the placement of the effective document surface 41 be adjusted a little before the adhesive pad 22 . 42 on the conductive fabric 45 the textile electrode 44 glued on and then with the electrically conductive transmission medium 6 dosed is wetted. The signal applicator 5 differs from the electrode structure with variable placement in the carrier textile 21 and electrical contacting by means of a metal rivet / push button 55 , and can possibly bring advantages in that the electrical contacting by means of electrically conductive yarn 24 the electrical contacting by means of a metal rivet / push button 55 is preferable.

The electrical contacts on the carrier textiles 21 . 66 can be used as an electrically conductive Velcro layer, as an electrically conductive fabric 67 or as electrically contacting metal rivets / push buttons 55 be trained.

The advantage of these variants is the low-cost small series production, since no expensive plastic casting tools are necessary.

Essentially, biocompatibility and biocompatibility are understood to be skin compatibility.

• - die Vorrichtung 30 ein Medizingerät 7, bestehend aus Hardware mit Stromversorgung, Mikrocontroller, zumindest einem Eingabekanal 8, einer Signalausgangsstufe 46 und mehreren Ausgangskanälen 3, 9, 10, 11 sowie aus gespeicherten programmtechnischen Mitteln als Software 48 in einer Auswerteeinheit 12 enthält,
• - zumindest eine elektrische Verbindung 60, 61, 62, 63 zwischen der Einrichtung 1 mit mindestens einem Signalapplikator 5, 51, 52, 53, 54 und dem Medizingerät 7 über mindestens einen Ausgangskanal 3, 9, 10, 11 des Medizingerätes 7 und
• - wahlweise zumindest eine elektrische Verbindung 64 zwischen einem eingesetzten Neigungssensor 4 und dem Eingangskanal 8 des Medizingerätes 7 vorhanden sind.

It can be a device 30 according to 1 and 2 for at least one facility 1 for transcutaneous signal application for muscle tissue with previously mentioned signal applicators, wherein

• - the device 30 a medical device 7 , consisting of hardware with power supply, microcontroller, at least one input channel 8th , a signal output stage 46 and several output channels 3 . 9 . 10 . 11 as well as from stored program-technical means as software 48 in an evaluation unit 12 contains
• - at least one electrical connection 60 . 61 . 62 . 63 between the establishment 1 with at least one signal applicator 5 . 51 . 52 . 53 . 54 and the medical device 7 via at least one output channel 3 . 9 . 10 . 11 of the medical device 7 and
• - optionally at least one electrical connection 64 between an inserted inclination sensor 4 and the input channel 8th of the medical device 7 available.

The adapted electrical contacting of the medical device 7 to the functional textile 2 the facility 1 can with electrically conductive magnetic contacts 81 . 82 . 83 . 84 related to the output channels 3 . 9 . 10 . 11 and with an electrically conductive magnetic contact 85 related to the input channel 8th be executed.

• - eine Einheit 47 zur Erkennung der Haltung und der Position der Funktionstextilie 2, die mit dem Neigungssensor 4 in Verbindung steht und dessen elektrische Positionssignale verarbeitet,
• - einen Eingangskanal 8, der vom Neigungssensor 4 der Funktionstextilie 2 aus zur Einheit 47 zur Erkennung geführt ist und die elektrischen Positionssignale weiterleitet,
• - eine Auswerteeinheit 12, die im Medizingerät 7 mit der Einheit 47 zur Erkennung verbunden ist und von ihr die verarbeiteten elektrischen Positionssignale übernimmt, wobei die Auswerteeinheit 12 eine Software 48 in Form programmtechnischer Mittel enthält, wobei die Software 48 Werte zur Durchführung einer Korrektur berechnet, und
• - eine Funktionseinheit 13 zur Erzeugung von aus den Korrektur-Signalen berechneten Signalsequenzen, die an den Ausgangskanälen 3, 9, 10, 11 anliegen und die elektrischen Signale an die Signalapplikatoren 5, 51, 52, 53, 54 zur korrigierenden Aktivierung des Muskelgewebes übermitteln, wobei wahlweise vom Neigungssensor 4 aus ständig elektrische Positionssignale an die Einheit 47 zur Erkennung übertragen werden.

This in 2 shown medical device 7 that with the establishment 1 about the functional textile 2 connected, can at least include

• - one unity 47 for the detection of the posture and the position of the functional textile 2 that with the tilt sensor 4 communicates and processes its electrical position signals,
• - an input channel 8th from the tilt sensor 4 the functional textile 2 out to unity 47 is carried out for detection and forwards the electrical position signals,
• - an evaluation unit 12 that are in the medical device 7 with unity 47 is connected for detection and takes over the processed electrical position signals from it, the evaluation unit 12 a software 48 contains in the form of program-technical means, the software 48 Values for performing a correction are calculated, and
• - a functional unit 13 for generating signal sequences calculated from the correction signals, which are on the output channels 3 . 9 . 10 . 11 apply and the electrical signals to the signal applicators 5 . 51 . 52 . 53 . 54 transmit for corrective activation of the muscle tissue, optionally from the inclination sensor 4 constantly electrical position signals to the unit 47 are transmitted for recognition.

At least the one with the functional textile 2 related tilt sensor 4 can be used to measure the position and / or the position change of the muscle tissue.

The tilt sensor 4 can register the position and the position changes in three main directions of movement and the registered electrically conductive signals to the unit 47 for the detection of the posture and the position and the position changes of the functional textile 2 hand off.

In 2 is a Velcro fastener 26 to hold the functional textile 2 on a patient's neck 15 specified, which can be designed in the form of a cuff.

• Die Einrichtung 1 besteht aus der Funktionstextilie 2 einer „Halskrause“ mit integriertem Neigungssensor 4 und mehreren integrierten Signalapplikatoren 5, 51, 52, 53, 54 mit elektrisch leitfähigem Übertragungsmedium 6, einer elektrischen Kontaktierung und einem Medizingerät 7, bestehend aus Hardware (incl. Stromversorgung, Mikrocontroller, mindestens einem Eingangskanal 8, einer Signalausgangsstufe 46, mehreren Ausgangskanälen 3, 9, 10, 11) und einer Software 48 in der Auswerteeinheit 12.

Die elektrische Kontaktierung des Medizingerätes 7 an der Funktionstextilie 2 kann z.B. mit elektrisch leitfähigen Magnetkontakten 81, 82, 83, 84 ausgeführt sein.The mode of operation of the device according to the invention is described below 1 according to 1 . 2 and 5 explained, the facility 1 into the device 30 is integrated:

• The facility 1 consists of the functional textile 2 a “neck brace” with integrated inclination sensor 4 and several integrated signal applicators 5 . 51 . 52 . 53 . 54 with electrically conductive transmission medium 6 , an electrical contact and a medical device 7 , consisting of hardware (incl. power supply, microcontroller, at least one input channel 8th , a signal output stage 46 , several output channels 3 . 9 . 10 . 11 ) and software 48 in the evaluation unit 12 ,

The electrical contacting of the medical device 7 on the functional textile 2 can be used, for example, with electrically conductive magnetic contacts 81 . 82 . 83 . 84 be executed.

The signal applicators 5 . 51 . 52 . 53 . 54 exist according to 5 each at least from one electrode 18 with a fiber component 40 , which is adapted in shape and area to the physiological muscle conditions and the location of nerve trigger points. Another component of the signal applicators 5 . 51 . 52 . 53 . 54 is that in a signal applicator 5 belonging and with moisture-storing or moisture-storing fibers 40 equipped hygiene fleece pad 23 (6) according to 5 introduced electrically conductive transmission medium 6 that for the signal transmission at the interface 14 between fiber 40 and skin 50 is adjusted.
It is about a functional, comfortable and biocompatible interface 14 between medical device 7 and patient 15 to accomplish.

The signal applicators 5 . 51 . 52 . 53 . 54 are designed to receive at least one electrical output signal from the medical device 7 via the output channels 3 . 9 . 10 . 11 to the skin 50 and put on the underlying nerve and muscle tissue. The signal applicators 5 . 51 . 52 . 53 . 54 are on signal generators of the signal output stage 46 in the medical device 7 connected, the signal generators sending the signal sequences in the form of electrical output signals with at least one frequency component to the signal applicators 5 . 51 . 52 . 53 . 54 and through the skin 50 transmitted to the dysfunctional muscle tissue in order to bring about a change, in particular a change of location / position, of at least part of the dysfunctional muscle tissue. The signal applicators 5 . 51 . 52 . 53 . 54 are applied elements, for example, each via the signal connection lines 60 . 61 . 62 . 63 with the output channels 3 . 9 . 10 . 11 of the medical device 7 are connected.
One / several in the functional textile 2 Inclined inclinometer (s) 4 registers the change in location / change in position of the changing muscle tissue and the skin above it 50 , whereby the measured values of an inclination sensor 4 to visible result values in the form of bracket correction values in the evaluation unit 12 be evaluated. The measured values of an inclination sensor 4 are via an input channel 8th from the functional textile 2 to the medical device 7 transmitted. The measured values can be transmitted via the electrical connecting lines 60 . 61 . 62 . 63 or be done wirelessly. In the medical device 7 the bracket correction values are saved by stored program-technical means from the transmitted measured values of the inclination sensor 4 calculated.

1. 1. Keine unangenehmen Gefühle bei der Applikation und Entfernung (wie bei Applikation von Elektroden mit Klebegellagen und insbesondere bei der Entfernung von Klebeelektroden und bei Applikation und Entfernung von flüssigem Leitgel bzw. Verbleib von Gelrückständen) Erfindungsgemäße Einrichtung 1: Verwendung von Wasser oder gesalzenem Wasser als elektrisch leitfähiges Übertragungsmedium 6, Vorteil gegenüber Gel (Klebegel oder flüssiges Leitgel): erhöhter Komfort,
2. 2. Schutz der Funktionstextilie vor Verschmutzung und Durchfeuchtung und Schutz der Vlies-Unterlage vor Abtrocknung durch wasserdichten Aufbau der Signalapplikatoren
3. 3. Einhaltung höchster Hygieneansprüche, Erfindungsgemäße Einrichtung 1: Die Funktionstextilie 2 besitzt zumindest eine lösbare Wegwerf-Unterlage 71 mit angepasster Funktionalität
4. 4. Kostengünstige und ressourcen-schonende Möglichkeit der Herstellung einer lösbaren Wegwerf-Unterlage 71.

The advantages of the device according to the invention 1 consist of the following

1. 1. No unpleasant feelings when applying and removing (such as when applying electrodes with adhesive layers and in particular when removing adhesive electrodes and when applying and removing liquid conductive gel or remaining gel residues) device according to the invention 1 : Use of water or salted water as an electrically conductive transmission medium 6 , Advantage over gel (adhesive gel or liquid conductive gel): increased comfort,
2. 2. Protection of the functional textile against dirt and moisture and protection of the fleece underlay against drying out by the waterproof construction of the signal applicators
3. 3. Compliance with the highest hygiene standards, device according to the invention 1 : The functional textile 2 has at least one detachable Disposable pad 71 with adapted functionality
4. 4. Cost-effective and resource-saving possibility of producing a removable disposable underlay 71 ,

Essential for the formation of a device according to the invention 1 is the use of in signal applicators 5 contained electrodes 18 in the form of an electrode base material layer.
The constructive solutions for fastening the fleece underlay with Velcro function and / or adhesive function or with a mesh pocket are decisive for a cost-effective production possibility with simultaneous realization of a watertight execution of the signal applicators. In principle, any functional elements for fastening the nonwoven underlay can be arranged over the entire surface or over part of the surface on the electrode surface or next to the electrode, the electrical conductivity having to be ensured accordingly.

Even today, for cost reasons, impractical solutions with electrically conductive Velcro and electrically conductive adhesives can still benefit the facility in the future after price reductions of these materials. The same applies for technological reasons for the use of electrically conductive plastic and for the integrated Velcro function with regard to the electrically conductive plastic and with regard to the nonwoven material.
The construction of the electrode base material layer with the nonwoven material layer as a disposable one-piece underlay appears economically particularly promising. Such signal applicators could be easily integrated into any garment.

In the following the functioning of the device according to the invention 1 by means of measurement displays in the area of the electrodes 18 used frequencies explained in more detail.
Fitness equipment manufacturers work with frequencies in the range of 2 kHz (see AmpliTrain homepage, http://www.amplitrain.de/de/technologie/strom). In the therapeutic area, higher basic frequencies of 3 kHz (Stiwell, Otto Bock) are used up to the upper medium frequency range (see homepage of Rehamed-tec, http://www.rehamed-tec.com/bodystim.php).
According to the Phys-med Wiki (http://www.phys-med.de/wiki/index.php?title=Elektrotherapie#Elektrostimulation) the medium frequency range is defined as follows 1 kHz - 100 kHz. Amplitude-modulated medium-frequency currents for therapeutic muscle stimulation and muscle toning have the advantage of less sensitive side effects, usually in the range from 4 kHz to 20 kHz.
Thus, the measured values are in the range between 10 ³ Hz to 10 ⁵ Hz for use of the active electrical signals on the signal applicators 5 . 51 . 52 . 53 . 54 in the facility 1 specified.

• Dazu sind Vergleiche des Impedanzverhaltens der Elektroden 18 als Funktion der Frequenz bei der Verwendung von Wasser H₂O für die Befeuchtung der Hygiene-Vlies-Unterlagen 23 durchgeführt worden. Gemessen wurde das Übertragungsverhalten des Signalapplikatoraufbaus mit einem herkömmlichen Hochleistungsoszilloskops PicoScope des Herstellers Pico Technology, Cambridgeshire, UK gegen eine Kupferplatte.

For this purpose, the impedance behavior of the signal applicators 5 . 51 . 52 . 53 . 54 trained electrodes composed of different materials 18 in terms of that in with moisture-storing fibers 40 equipped hygienic fleece underlay 23 (with needle fleece) attached and stored there electrically conductive transmission medium 6 indicated in the moisture state:

• For this purpose, comparisons of the impedance behavior of the electrodes are made 18 as a function of the frequency when using water H ₂ O for moistening the hygienic fleece underlay 23 Have been carried out. The transmission behavior of the signal applicator assembly was measured using a conventional high-performance PicoScope oscilloscope from Pico Technology, Cambridgeshire, UK against a copper plate.

The measurements of the impedances show that the water quality (soft water compared to hard water) has a negligible influence on the transmission behavior of a hygienic non-woven mat 23 Has. A somewhat poorer behavior in the range below 2 kHz (not relevant for the application) only had high-purity water (H ₂ O) in laboratory quality.

This is in 19 an impedance curve as a function of the frequency in ohms (solid line real part, dashed line imaginary part) for a signal applicator 5 with the structure: electrically conductive fabric (LG), adhesive gel (KG), hygienic fleece underlay 23 made of needle punch (NV) with biocompatible fibers 40 equipped, humidification with pure water H ₂ O or tap water as an electrically conductive transmission medium 6 stating the hardness in ppm (parts per million), 50 ppm - 100 ppm = soft water, 300 ppm = hard water.

When measuring with isotonic saline ( 0 , 9% NaCI), it was found that an increase in the ion concentration in the electrically conductive transmission medium 6 is achieved.

In 20 shows an impedance curve as a function of the frequency in ohms (solid line real part, dashed line imaginary part), in which a comparison of two different transmission media 6 , thus between tap water and isotonic saline solution to moisten the hygienic non-woven mat 23 was carried out.

As can be seen in further measurements, the influence of the presence of the mesh material of the mesh pocket in which the hygiene pad is 23 lies (between hygiene pad 23 and skin 50 ), as slightly negligible.

Furthermore shows 21 an impedance curve as a function of the frequency in ohms (solid line real part, dashed line imaginary part), tested on textile electrodes with a needle fleece backing (NV) 23 , with moisture-storing fibers 40 equipped and soaked with tap water 6 , with and without synthetic mesh material (mesh size approx. 3mm) in the form of a mesh pocket (NT).

This can be explained by the fact that the netting is due to the hygiene pad 19 . 23 is moistened with it and thus like the hygiene fleece underlay 23 contributes to the transmission itself without hindering it.

The measurements with fleece pads moistened with tap water on test subjects in a self-experiment showed completely pain-free muscle activations. Depending on the signal parameters, there were completely pain-free mild to strong muscle contractions with excellent comfort properties. A decrease in the water storage function of the biocompatible fibers 40 in the hygiene fleece underlay 23 or the hygiene pad 19 could not be observed.

LIST OF REFERENCE NUMBERS

1

Facility

2

waterproof fabric

3

First output channel

4

tilt sensor

5

Signalapplikator

6

Electrically conductive transmission medium

7

Medical device

8th

input channel

9

second output channel

10

third output channel

11

fourth output channel

12

evaluation

13

Functional unit for generating signal sequences

14

interface

15

patient

16

Velcro location

17

Waterproof membrane

18

Electrode base material layer / electrode

19

Hygiene pad

20

Documents bag

21

Base fabric / waterproof fabric

22

Klebegellage / adhesive layer

23

Hygiene nonwoven pad

24

Electrically conductive yarn

25

Disposable pad

26

velcro fastener

30

contraption

40

fibers

41

Subject area

42

Adhesive pad

43

Deckgewebe area

44

textile electrode

45

Conductive fabric

46

Signal output stage

47

Posture detection unit

48

software

49

body hair

50

skin

51

First signal applicator

52

Second signal applicator

53

Third signal applicator

54

Fourth signal applicator

55

Metal rivet / pushbutton

56

Partial adhesive layer

57

Electrical contact position

58

edge

59

Velcro location

60

Electrical connection

61

Electrical connection

62

Electrical connection

63

Electrical connection

64

Electrical connection

65

Velcro location

66

base textile

67

Electrical contacting

68

Electrically conductive Velcro layer

69

tape position

70

silicone location

71

The disposable electrode pad

81

Electrically conductive magnetic contact for output channel

82

Electrically conductive magnetic contact for output channel

83

Electrically conductive magnetic contact for output channel

84

Electrically conductive magnetic contact for output channel

85

Electrically conductive magnetic contact for input channel

QUOTES INCLUDE IN THE DESCRIPTION

This list of documents listed by the applicant has been generated automatically and is only included for the better information of the reader. The list is not part of the German patent or utility model application. The DPMA assumes no liability for any errors or omissions.

Patent literature cited

• DE 202007003980 U1 [0007]
• DE 19856355 C1 [0008]
• DE 202012102393 U1 [0025]
• DE 102009017179 B4 [0026]

Claims (31)

Device (1) for transcutaneous signal application for muscle tissue with signal applicators, the device (1) at least comprising - a functional textile (2, 21), at least one signal applicator (5, 51, 52, 53, 54) introduced into the functional textile (2, 21), which contains at least one electrode (18) in the form of an electrode base material layer, - A hygiene pad (19, 23) assigned to the electrode (18) with an electrically conductive transmission medium (6) stored on / in biocompatible fibers (40), - an adapted electrically conductive contact, the signal applicator (5, 51, 52, 53, 54) having at least one hygiene pad (19, 23) detachable from the electrode (18) in the form of an electrode base material layer, the biocompatible moisture-storing fibers (40 ) and / or has a detachable electrode (18) which is designed in the form of an electrode base material layer and is connected to the hygiene base (19, 23) provided with biocompatible moisture-storing fibers (40). Establishment after Claim 1 , characterized in that the biocompatible fibers (40) of the hygiene base (19, 23) storing the attached electrically conductive transmission medium (6) are designed as viscose fleece. Establishment after Claim 2 , characterized in that the viscose nonwovens are needle felt. Establishment after Claim 2 , characterized in that the viscose nonwovens are hydroentangled nonwovens. Establishment after Claim 2 , characterized in that the viscose nonwovens consist of more than 50% of viscose fibers. Establishment after Claim 2 , characterized in that the viscose nonwovens consist of more than 50%, but preferably 70%, of viscose fibers. Establishment after Claim 1 , characterized in that the signal applicators (5, 51, 52, 53, 54) each contain a fiber component (40) which is adapted in shape and area to the physiological muscle conditions and the location of nerve trigger points on the skin (50), wherein Another component of the signal applicators (5, 51, 52, 53, 54) is the attached electrically conductive transmission medium (6), which is on and / or in the biocompatible fiber (40) for electrical signal transmission at the interface (14) between the fibers (40) and skin / tissue (50) of the patient (15) is liable and stored. Signal applicator (5, 51, 52, 53, 54) for a device (1) for transcutaneous signal application for muscle tissue according to at least one of the Claims 1 to 7 , characterized in that its electrode (18) is an electrically conductive textile electrode and which at least comprises - optionally a Velcro layer (16), - a waterproof membrane (17), - an electrode base material layer in the form of an electrode (18) with an electrically conductive Yarn in the form of electrically conductive textile fabric on carrier fabric, - a document pocket (20) made of mesh fabric, which can be detached from the electrode (18), - a detachable and provided with biocompatible fibers (40), a hygiene mat (19) which can be detachable document pocket (20) is embedded, an attached electrically conductive transmission medium (6) being stored in the hygiene base (19), the components (16, 17, 18, 20, 19) being stacked in the order mentioned are arranged. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that its electrode (18) is a textile electrode and which at least comprises - optionally a Velcro layer (16), - optionally a carrier fabric (21), - an electrode base material layer (18) designed as an electrode (18) with electrically conductive silicone or electrically conductive plastic or an electrically contacting material, which is in each case watertight, - a document pocket (20) made of mesh fabric, which can be detached from the electrode (18), - a detachable hygiene mat (19) provided with biocompatible fibers (40) , which is embedded in the detachable document pocket (20), an attached electrically conductive transmission medium (6) being stored in the hygiene document (19), the components (16, 21, 18, 20, 19) in the order mentioned are arranged in layers one above the other. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that its electrode (18) is a silicone electrode, which comprises at least - a carrier fabric (21), - an electrode base material layer (18) with conductive silicone that is waterproof, - an electrically conductive adhesive layer or adhesive layer (22) , - a detachable hygienic nonwoven underlay (23) with attached electrically conductive transmission medium (6), the hygienic nonwoven underlay (23) containing moisture-storing, biocompatible fibers, the components (21, 18, 22, 23 + 6) in the order mentioned are arranged in layers one above the other. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that its electrically contacted and electrically conductive electrode (18) comprises at least - a Velcro layer (16), - a carrier fabric (21) or a sewable plastic, which are each waterproof, - one in the form of an electrode (18) Electrode base material layer made of electrically conductive silicone, electrically conductive plastic or as an electrically conductive fabric / knitted fabric / knitted fabric / embroidery (24) made with metal or carbon-containing yarn, - an optionally electrically conductive adhesive layer (22) or one Adhesive layer, - a hygienic nonwoven underlay (23) detachable from the electrode (18) with attached electrically conductive transmission medium (6), the hygienic nonwoven underlay (23) containing biocompatible and moisture-storing fibers (40), the components (16, 21, 18 + 24, 22, 23 + 6) are arranged in layers one above the other in the order mentioned. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that its electrode (18) is a disposable electrode designed as a wet pad, which at least comprises - a carrier fabric (21), - at least one metal rivet / push button (55), which is introduced into the carrier fabric (21), for electrical purposes Contact with the following electrode base material layer (18), - a partial and electrically non-conductive adhesive layer (56), - an electrode base material layer (18) made of electrically conductive silicone, which is connected to the metal rivet / push button (55), and that of the base fabric (21) is detachable, - a hygienic fleece underlay (23) provided with biocompatible fibers (40) and having a water-based electrically conductive transmission medium (6), which adheres to the electrode base material layer (18), the components (21, 56, 18 , 23 + 6) are arranged in layers one above the other in the order mentioned, the electrode base material layer (18) and the hygiene nonwoven underlay (23) v on the carrier fabric (21) are detachable. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that its electrode (18) is a disposable electrode designed as a wet pad, which at least comprises - a carrier fabric (21), - an electrical contact layer (57) attached to the carrier fabric (21) and consisting of electrically conductive yarn (24) ), - a partial-area and electrically non-conductive adhesive layer (56), - an electrode base material layer (18) made of electrically conductive silicone, - a cover material layer (58) attached to the edge of the electrode base material layer (18), dry and consisting of electrically non-conductive silicone, - one between the edges of the electrode base material layer (18) attached and provided with biocompatible fibers (40) hygiene fleece underlay (23) with water-based electrically conductive transmission medium (6), the components (21, 57, 56, 18, 58, 23 + 6) lie in layers one above the other in the order named, the electrode base material layer (18) and the layer on it adhesive hygienic fleece underlay (23) of the carrier fabric (21) provided with the electrical contacting layer (57) are detachable. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that its electrode (18) is a disposable electrode designed as a wet base, which comprises at least one carrier fabric (21), at least one metal rivet / push button (55) introduced in the carrier fabric (21) or as electrically conductive yarn (24) as electrical contact, - a full-surface and electrically conductive adhesive layer (22), - an electrode base material layer (18) made of electrically conductive silicone, - a hygiene adhering to the electrode base material layer (18) and provided with biocompatible fibers (40) - Fleece pad (23) with a water-based, electrically conductive transmission medium (6), the components (21, 55 or 57, 22, 18, 23 + 6) being arranged in layers in the order mentioned, the electrode base material layer (18) and the hygienic nonwoven underlay (23) is designed to be detachable together from the carrier fabric (21) on the adhesive layer (22). Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that all of the hygiene fleece underlays (23) or hygiene documents (19) have biocompatible fibers (40) that store the electrically conductive transmission medium (6). Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that layers with a Velcro function are used to replace detachable element layers of the signal applicators instead of layers with adhesive function. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 and 16 , characterized in that its electrode (18) is a textile-integrated permanent electrode, which in combination with the following components at least comprises - a carrier fabric layer (21), - an electrically contacted electrode base material layer (18) made of electrically conductive yarn (24) on the carrier fabric layer (21), - an electrically conductive Velcro layer (59), which is sewn on, - a hygienic nonwoven underlay (23) with water-based, electrically conductive transmission medium (6) and detachable from the electrode base material layer (18) and provided with biocompatible fibers (40) , wherein the fleece is provided with the Velcro ability, the components (21, 18, 59, 23 + 6) being arranged one above the other in the order mentioned. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 and 16 , characterized in that its electrode (18) is a textile-integrated permanent electrode which, in combination with the following components, at least comprises - a carrier fabric (21), - an electrically contacted, welded or glued on electrode base material layer (18) sewn onto the carrier fabric (21) electrically conductive plastic, - a Velcro layer (59), which is applied to the electrically conductive plastic, - a hygienic fleece underlay (23) with an electrically conductive transmission medium (23) that is detachable by means of the Velcro layer (59) and provided with biocompatible fibers (40) 6), the fleece being provided with a hook and loop fastener, the components (21, 18, 59, 23 + 6) being arranged in layers in the order mentioned. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 and 16 , characterized in that its electrode (18) is a textile-integrated permanent electrode, which in combination with the following components at least comprises - a Velcro layer (65) attached for attachment to the functional textile (2), - an electrically contacted electrode base material layer (18) made of elec - Trically conductive and applied to the Velcro layer (65), - A Velcro layer (59), which is applied to the electrically conductive plastic, - A detachable from the Velcro layer (59) and provided with biocompatible fibers (40) hygiene fleece Underlay (23) with water-based, electrically conductive transmission medium (6), the fleece being provided with a hook and loop fastener, the components (65, 18, 59, 23 + 6) being arranged in layers in the order mentioned. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that there is a combination of layers with the Velcro function for the connection of the carrier textile / signal applicator and of layers with the adhesive function for the connection of electrode / hygiene pad. Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 and 20 , characterized in that its electrode (18) is a reusable electrode, which in combination with the following components at least comprises a carrier textile (66) with electrical contacts (67) in the form of conductive Velcro or conductive thread or at least one metal rivet / Push button (55), - an electrically conductive Velcro layer (68) or an electrically conductive plastic layer with integrated Velcro function, - an electrode base material layer (18) made of waterproof, electrically conductive plastic that makes electrical contact with the Velcro layer (68) and can be detached from the carrier textile (66) or electrically conductive silicone, - a partial-area adhesive layer (56) or a partial-area double-sided adhesive layer in the adhesive function, - a hygienic pad (23) with an electrically conductive transmission medium (6) that is detachable from the electrode base material layer (18) and provided with bio-compatible fibers (40) ), the components (66, 68, 18, 56, 23 +6) are arranged in layers one above the other in the order mentioned and, on the one hand, the electrode base material layer (18) connected to the Velcro layer (68) is detachable from the carrier textile (66) and the hygiene fleece connected to the adhesive layer (56) Pad (23) is a disposable pad that can be detached from the electrode (18). Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that the electrode (18) in a detachable Disposable electrode pad (71) is included and which at least comprises - a carrier textile (66) with electrically conductive contacts (55, 67), - a partial, non-electrically conductive, double-sided adhesive tape layer (58) that is waterproof with free zones , - a partial-surface, electrically contacted electrode base material layer (18) made of waterproof, electrically conductive silicone, which is partially embedded between the free zones of the spaced-on adhesive tape layer (58), - a layer adhering to the electrode base material layer (18) and with biocompatible fibers (40) provided hygienic nonwoven underlay (23) with an attached electrically conductive transmission medium (6), the components (66, 58 + 18, 23 + 6) being arranged in layers above one another in the order mentioned and the interconnected adhesive layer (58) , Electrode base material layer (18) and hygiene fleece underlay (23) one of the carrier textile e (66) represent removable disposable underlay (71). Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that its electrode (18) is designed as a silicone electrode and which at least comprises a combination with the following components - a carrier textile (66) with the electrical contacts (55, 67), - a partially applied surface, double-sided adhesive tape layer / hotmelt adhesive layer (69) adhering to silicone, - an electrode base material layer (18) electrically contacted by the electrical contacts (55, 67) in the form of a waterproof, electrically conductive silicone layer, on which the partially adhered adhesive tape layer / Hotmelt adhesive layer (69) is applied, - a hygienic non-woven pad (23) with the attached electrically conductive transmission medium (6), which is firmly connected to the electrode base material layer (18) and provided with biocompatible fibers (40), the Components (66, 69, 18, 23 + 6) are arranged in layers one above the other in the order mentioned and the interconnected adhesive tape layer e (69), the silicone layer (18) and the hygienic fleece underlay (23 + 6) represent a removable disposable underlay (71). Signal applicator for a device (1) for transcutaneous signal application according to at least one of the Claims 1 to 7 , characterized in that its electrode (18) is designed as a silicone electrode and which at least comprises a combination with the following components - a carrier textile (66) with the aforementioned electrical contacts (55, 67), - a partial surface in the form of a film punched, double-sided adhesive tape layer (69) adhering to silicone, - a waterproof, electrically conductive, partially applied silicone layer (70) for electrical contacting, the silicone layer (70) being applied between the free zones of the partially adhesive tape layer (69), whereby silicone layer (70) and adhesive layer (69) form a layer, - an electrically contacted electrode base material layer (18) in the form of a conductive varnish layer based on silicone, - a hygienic nonwoven underlay adhering to the electrode base material layer (18) and provided with biocompatible fibers (40) 23) with the enclosed, electrically conductive transmission medium (6), the existing hurry (66, 69 +70, 18, 23 + 6) are arranged in layers one above the other in the order mentioned and the adhesive tape layer (69) and silicone layer (70), the conductive lacquer layer (18) and the hygienic fleece underlay ( 23 + 6) represent a disposable underlay (71) which can be detached from the carrier textile (66). Signal applicator according to the previous ones Claims 8 to 24 , characterized in that the electrical contacts on the carrier textile (21, 66) as electrically conductive Velcro layers (68), as electrically conductive fabric (67), with or without electrically conductive silicone, with electrically conductive yarn, with metal wires, with electrically conductive Plastic or as contacting metal rivets / push buttons (55) are formed. Signal applicator according to the previous ones Claims 8 to 24 , characterized in that the signal signals (5, 51, 52, 53, 54) are applied to the electrodes (18) with the electrode base material layers and are transmitted in the / in the hygienic fleece base (s) (19, 23) ) in the range between 10 ³ Hz to 10 ⁵ Hz. Device (30) for at least one device (1) for transcutaneous signal application for muscle tissue according to at least one of the Claims 1 to 7 with signal applicators according to at least one of the Claims 8 to 26 , characterized in that - the device (30) is a medical device (7) consisting of hardware with power supply, microcontroller, at least one input channel (8), a signal output stage (46) and a plurality of output channels (3, 9, 10, 11) and contains stored program-technical means as software (48) in an evaluation unit (12), - at least one electrical connection (60, 61, 62, 63) between the device (1) and at least one signal applicator (5, 51, 52, 53, 54) and the medical device (7) via at least one output channel (3, 9, 10, 11) of the medical device (7) and - there is at least one electrical connection (64) between an optionally used inclination sensor (4) and the input channel (8) of the medical device (7). Device after Claim 27 , characterized in that the adapted electrical contacting of the medical device (7) to the functional textile (2) and the device (1) with electrically conductive magnetic contacts (81, 82, 83, 84) in relation to the output channels (3, 9, 10, 11) and with an electrically conductive magnetic contact (85) based on the input channel (8). Device according to the Claims 27 and 28 , characterized in that the medical device (7), which is connected to the device (1) via the functional textile (2), comprises at least one unit (47) for detecting the posture and the position of the functional textile (2), which the inclination sensor (4) is connected and processes its electrical position signals, - an input channel (8) which is guided from the inclination sensor (4) of the functional textile (2) to the unit (47) for detection and forwards the electrical position signals, - one Evaluation unit (12), which is connected in the medical device (7) to the unit (47) for detection and takes over the processed electrical position signals from it, the evaluation unit (12) containing software (48) in the form of program-technical means, the software (48) values for performing a correction are calculated, and - a functional unit (13) for generating signal sequences calculated from the correction signals, which are on the output channels (3, 9, 10, 11) and transmit the electrical signals to the signal applicators (5, 51, 52, 53, 54) for corrective activation of the muscle tissue, with optional electrical position signals from the inclination sensor (4) to the unit ( 47) are transmitted for recognition. Device after Claim 27 , characterized in that there is at least one inclination sensor (4) connected to the functional textile (2) for measuring the position and / or the change in position of the muscle tissue. Device after Claim 30 , characterized in that the inclination sensor (4) registers the position and the position changes in three main directions of movement and forwards the registered electrical signals to the unit (47) for recognizing the position and the position and the position changes of the functional textile (2).

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