JP2000503562A - Method and apparatus for removing body fluids non-invasively and cleaning the body - Google Patents

Abstract

SUMMARY The present invention describes methods and devices that can improve the transport of liquid substances into and through human skin for a specified period of time without any irreversible skin changes. In accordance with the present invention, warm and cold air are alternately added to the closely adjacent and very small areas of the skin surface at the same time, such that the warm and cold air regions are alternately adjacent and inverted in a predetermined time sequence. In addition to alternately applying warm and cold air, current and / or overpressure and / or negative pressure may be applied to the skin surface at specific time intervals. The described device is intended for non-invasive removal of bodily fluids and / or injection of fluids and illustrates the use of temperature-controlled showers and irrigation devices.

Description

DETAILED DESCRIPTION OF THE INVENTION       Method and apparatus for removing body fluids non-invasively and cleaning the body   The present invention relates to a method and device for non-invasively removing body fluids through the skin, and In particular, liquid substances during a specific time action without irreversibly changing the skin Can be used to transport into or through human skin.   The invention further describes an apparatus for cleaning the human body, and in particular, It can be used within care and patient care and geriatric nursing.   The task of human skin is to control and harmonize information and substance flow in both directions of the skin. The implementation of this task is subject to tightly regulated biophysical and biochemical obstacles. Face harm. Are certain information and / or material flows in or on the human body? If they need to be transported from the country, such obstacles must be overcome.   Transporting liquids in one direction of the skin, through special treatments on the skin, is a specialized literature Is known. Examples of these include saunas, hot and cold compresses (temperature action), nursing From methods derived from folk remedies, such as the use of suction balls (negative pressure), especially electromagnetic fields Modern from the physiotherapy range based on the action of (ultra-high frequency range, electrophoresis, infrared radiation) There is a wide range of methods.   These methods only work with physical elements, so the body area to be treated The difficult or compelling process of overcoming complex dysfunctions It is difficult to control time and space spatially.   Also, the use of this method is strongly limited to solving very specific problems and for other purposes Is also a flaw in this known solution. . Enables the transport process through the skin in a non-invasive manner by the action of selected physical elements Special methods to enable this also fall into this group. Complex cooperation of many physical quantities Obedience Since then, it has not been enabled or raised.   The object of the present invention is therefore to provide a simple and reliable method without any health concerns. Relatively inexpensive, skin layer can be adjusted as a biophysical and biochemical protective layer of the human body Assists in the controlled transport of liquid substances in one and both skin directions Through the skin layer without irreversibly destroying the skin during the process of action The aim is to develop a method and a device that can carry quantities of each substance.   Furthermore, the object of the present invention is to provide a body position for which the cleaning liquid is not ready, as well as Ensure that the human body can be effectively and reliably washed without reaching the human environment, and To make equipment that can be used easily and that can be manufactured relatively inexpensively. And there.   In comparison with known methods, the advantages of the proposed method according to the invention are expediently different. Starting from the behavior of the body cells depending on the body effect factors, the simultaneous occurrence of the selected factors It performs a biological complexing action, thereby removing all layers of skin tissue from gas and liquid At the point of drawing into the working area over the entire skin depth through the preparation of the body contour . In particular, the method proposed by the present invention is superior to many conventional methods. , While the mechanism of action basically proceeds without irreversibly destroying skin tissue, Alternating the dense minimum area of the skin surface alternately, simultaneously, warmly and coldly The hot and cold areas are adjacent to each other and given a predetermined time line. In the process, alternating with hot and cold alternating loads on the skin surface, The point is that an alternating load that is temporally specified by a pressure or a negative pressure is possible.   Furthermore, it is advantageously selected via a number of action elements or expediently thereof. Through the characteristics of human body tissue, mainly liquids within the body area that exists near the surface Various tasks related to transport or circulation can be fulfilled.   Another advantage of the present invention is that the method is economically realized in terms of device technology, At least one temperature block and at least one electric block in the housing And / or at least one pressure block is arranged and each block is Activated by a program previously provided via the control unit.   Therefore, the device technically removes body fluids non-invasively and / or , A temperature control shower, and a cleaning device can be realized.   A special advantage of the cleaning equipment is that the cleaning liquid coming out of the showerhead is almost completely It comes into contact only with the intended body position for cleaning purposes, while the shower head The cleaning solution that comes out of the skin comes into contact with the skin and thus Sucks again through the discharge passage immediately loaded with negative pressure without spreading to the surroundings. Will be issued. In the present invention, the shower head can be operated overhead or the shower module can be used. Hand shower or at least partially automated, in contact with the body It can be realized as a shower room.   The invention is explained in more detail below by way of examples.   FIG. 1 is a diagram showing the configuration principle of three blocks,   FIG. 2 is a block circuit diagram for operating three blocks,   FIG. 3 is a cross-sectional depiction of a Peltier element having a wavy (m) and serpentine (s) structure. Detailed view of the device for non-invasive removal of body fluids,   FIG. 4 is a cross-sectional depiction of a Peltier element having a wavy (m) and serpentine (s) structure. Detailed view of the temperature contrast compress,   FIG. 5 is a flow chart for supply and discharge of the temperature control shower,   FIG. 6 shows the principle of the temperature control shower in cross section.   FIG. 7 and   FIG. 8 shows a detailed view of the module of the temperature control shower for the distribution of the passage system,   FIG. 9 shows a spatial depiction of the module of the temperature control shower,   FIG. 10 is a principle diagram of a variant of the cleaning agent supply in the supply passage,   FIG. 11 shows a variant of the cleaning agent supply in the supply passage and the cleaning agent discharge in the discharge passage. The diagram is   FIG. 12 shows the supply and discharge passage of the cleaning agent in the supply passage from the perspective of the entrance / exit surface. Inside the principle diagram of another variant of the cleaning agent discharge,   FIG. 13 shows a stylized detail of a module having an overlapping arrangement of supply and discharge passages. The detailed diagram,   FIG. 14 shows a spatial partial view of a module having a small bathroom,   FIG. 15 is a cross-sectional view through a hand shower having a module that is movably arranged. ,   FIG. 16a shows an additional part with a sealing ring made of hollow fibers and a valve control. A variant of the hand shower,   FIG. 16b shows a detailed view of the hollow fiber,   FIG. 16c shows a variant of a fiber or sleeve,   FIG. 16d shows a variant of fixation and alignment of fibers or flakes,   FIG. 17 is a block diagram of a gas disinfection (Begasung) type cleaning agent preparation,   FIG. 18 is a flow chart for supply and discharge of the temperature control shower,   FIG. 19 is a principle view of a temperature contrast shower in a cross section.   FIG. 20 and   FIG. 21 shows a detailed view of the module of the temperature control shower in relation to the distribution of the passage system, And   FIG. 22 shows a spatial depiction of the module of the temperature control shower.   As shown in FIG. 1, the device devised by the present invention comprises a temperature block 1 and an electric block. It consists of three blocks, Block 2 and Pressure Block 3, and the three blocks All functionally coupled within the housing 4 and exerted on contacting body surfaces It can be arranged such that temperature, electrical and pressure technical effects are applied without interruption.   The following non-invasively removes body fluid and / or ejects fluid non-invasively Describe the device that   The essential functional elements of the temperature block 1 are outwardly released, as shown in FIGS. Temperature regions 5 and 6. The temperature zones 5 and 6 are structurally defined by temperature elements, for example Heat transfer and / or conductivity of wave pattern (m) or serpentine (s) Peltier elements Formed with n-type and p-type semiconductor legs 5 'and 6' connected therebetween by plates I do. The shape and dimensions of this plate should be one in While existing in a "cold / hot" array ("shogi board" array) in the plane, the temperature regions 5 and 6 The transition range between them is selected so as to be filled with the insulating material 13. Outer surface, and therefore temperature The active side of the element is covered with a cover 14 which is thermally and only limitedly conductive.   Each plate has centrally located through holes 7 and 8, which are connected to it via passage systems 9 and 9 '. With the collecting tank 10 to be operated, each of the pressure blocks 3, Connected to one of the pumps 15. Temperature sensors on the sides of the two temperature zones 5 and 6 , For example, thermistors 11 and 11 'are stored, the thermistors being conductors 12 and 12'. To the measuring amplifier 16 and the electronic control unit 17 of the electric block 2 Is done.   The entire temperature range 5 and 6 of the temperature element is provided with a cooling device 19 on the back side, the device comprising an electric machine Instantaneously connected to pump 20 via valves 24 and 25 and spatially separated from time The cooling in a range that is sometimes thermally connected to the porous cooling element 21 incorporated therein. 21 '(see FIG. 3).   The method of operation of the dual function pump 15 is such that a "positive" or "negative" pressure It is adjusted via the clock of the clock block 26 to act in the passage system 9. You.   The electric block 2 essentially consists of two contours that are directly and functionally connected, namely A high-frequency contour (b) consisting essentially of a direct-current contour (a) and a high-frequency generator; The temperature block and the human body K which is instantaneously connected to the circuit, Guarantee the power supply of electrical and electromechanical structural groups such as pumps and indicators And another auxiliary contour.   The function of (a) is to supply power to the temperature element to be performed by the power supply unit 28. It is in. Cooling devices 19, 20, 24, 25 to support the function of the temperature element Are connected to the contact area via the clock of the clock block 26 having the control logic. Combined with a predefined program that adjusts the switching time. The digital reading device 29 is connected to the device 16 for indicating an output signal.   The function of (b) essentially consists of connecting a high ohmic resistor and a current ballast A generator 2 of high-frequency current transmitted to the human body K via the temperature element at the desired current strength 7 Limited to   In the following, a temperature control compress is further described. The device devised for this, Similar to the non-invasive body fluid extraction device, the temperature block 1 and the pressure block 3 are omitted. And an electric block 2 having a power supply function.   The temperature block 1 in its structural embodiment resembles a non-invasive withdrawal device for body fluids 4 is an assembly module including a temperature area (a hot area and a cold area) as shown in FIG. Body fluid Unlike the non-invasive removal device of this type, this device has a corresponding hole in the center of the thermal zone. As well as passage systems with tanks connected to this system are not explicitly included. Heat and The current is controlled by the electric block 2 and within the given time clock, Transported through the immediate contact area. Temperature block 1 is in contact with the working system. Closed, solely passively through the body, or through and parallel to the body Are passively and divergently cooled through the divergent cooling device 22. This device 22 Conduit 8a 'for steam-moisture conversion, polymer film 22b and adhered thereon And a two-layer diaphragm composed of a permeation layer 22a and an adhesion preventing powder 22c. Temperature zones 5, 6 which are heated within a corresponding time clock Perforated cooling mounted directly by the cooling body 23 and behind the temperature zones 5 and 6 The cooling element 21 is cooled to a desired temperature.   The electric block 2 is installed in a non-invasive device for removing body fluids in addition to the high-frequency generator. Includes all elements given.   The device shown in FIGS. 5 to 8 comprises a hollow body 1a having differently sized ports. . At the outlet there are two two, which are arranged within a mutual space and are connected to the connecting hose 3a. Dividing tubes 2a and 8a are attached.   The diversion tube 2a is fixed firmly to the inner wall of the hollow body 1a and has a liquid substance It has two separate passage systems for passage. The passage system is With the same number of holes 4a, 4a 'and 4a "of the same cross-sectional area passing perpendicular to the plane And their outlet nozzles merge in the plane in front of the branch pipe 2a. Each passage system The opposite ends of the holes 4a, 4a ', and 4a " Guidance While merging into one of the pipe networks, the merging surface is in three different planes inside the diverter 8a. It is in. The rear face of the diversion tube 2a is connected to each channel system via a central conduit network. It has three holes 5a, 5a 'and 5a "having a larger cross-sectional area. Holes 5a, 5a ′, And 5a ″ inlet nozzles provide a corresponding supply of liquid substance via flange 6. To be connected to the central hose 7 to be performed.   The branch pipe 8a is made of a heat insulating material having the same number of passage holes having the same cross-sectional area that are movable with respect to each other. From the combination module 9a. The degree of freedom of the module And each ball is limited by two grooves 16a in which each one rotates. It is.   Each of the modules 9a is arranged vertically in front of it and essentially in the center It has holes 10 'and 10 "which are stepped, and which holes correspond to the respective temperature range. Connected to one of the two central holes 12, 12 'on the back side of the module via 11a, 11b Is done. In the lower area (front side), the stepped holes 10 'and 10 "are formed by flat steps. It has a larger diameter than the paragraph to be formed. These holes are each conical at the exit It is stepped at an angle of about 45 °. Insert into each hole until tube 13 'touches the step And fixed, the dimensions of which are the passage of liquid substances to the skin and the square discharge passage 1 The choice is made that the discharge of the substance via 5 is carried out without interruption. Each module 9 square grooves or discharge passages 15a, 15b arranged along the side of Of the holes 10 'and 1 through the transverse passages 14' and 14 ". 0 "inward. The height position of the discharge passage is such that it is located at the center of the discharge passage 5-a. Forms a common drainage network with the junction within the "", whereby liquid substances are drawn outward Choose to be.   A sleeve 19 'made of heat and / or moisture insulating material is provided around the branch pipe 8a. Is fixed.   Hereinafter, the cleaning device will be described in more detail.   Due to the first variant as shown in FIG. 10 of the principle diagram, the cleaning agent is located in the supply passage G4. And supplied to the shower head G2. The cleaning agent is specially gassed in the current embodiment. Poisoned water. The outline of the hand shower is stylized and shown, of course, Embodiments of variants that are formed in a curved manner are possible. Similarly, instead of hand shower Operating the shower head overhead or connecting the shower module to the body surface A shower room that can be touched can also be realized.   FIG. 11 shows an arrangement of possible variants of the discharge passage G3 in addition to the supply passage G4, The discharge passage G3 is arranged above and alongside the supply passage G4.   FIG. 12 shows a model of a shower head G2 having a supply passage G4 and a discharge passage G3. The front view to the doorway surface G5 of the joule G15 is shown.   The discharge passage G3 is located between the supply passages G4 and is formed in a pocket shape at the entrance / exit surface. Thus, the cleaning liquid is effectively pumped out.   Similarly, although not shown, the module is formed in a bellows shape to form a large number of bellows structures. Form supply and discharge passages by arranging them into each other Can be   From the stylized detailed view of FIG. 13, the overlapping arrangement of the discharge passages G3 is similar to that of the supply passages G4. Seen above. FIG. 14 is a spatial partial view of the module G15, and the arrangement of the small bathroom G14. Indicates a column.   In the case of the variant shown in FIG. 15, a supply passage G4 is provided in a conventional hand shower. The additional portion G2a having the discharge passage G3 is inserted. In this case, the additional portion G2a Is fixed to the hand shower by a fixing ring G2b.   What is special in this variant embodiment is that the module G15 is movably formed and The supply of the cleaning agent depends on the position of the module G15 in the direct direction, and is supplied to the supply passage G4. Release or cut off. In the current embodiment, the supply of the cleaning agent Is released to module G15 via small bathroom G14, The supply at G15 is closed. The discharge passage G3 is open in the case of both modules G15. It is. The lower surface G15a of the module G15 is formed in a conical shape.   A valve for controlling the flow of the cleaning agent is provided in the supply passage G4 and / or the discharge passage G3. It is also possible.   The sealing ring G6 is shaped as a sleeve of fibers of different diameters in this embodiment. The fibers are hollow and connected to the discharge passage G3 via the connection passage G3a. It is.   Another variant embodiment of the hand shower is shown in FIG. 16a. Here, the additional portion G2a Is fixed to a conventional shower head G2 via a fixing and height adjusting ring G20. The hollow fiber G6a arranged in the additional portion G2a is connected to the discharge passage G3, and On the one hand and on the other hand perform an additional suction action. What is special about this variant embodiment is Controls the supply of the cleaning agent via the supply passage G4 depending on the negative pressure in the discharge passage G3. Valve G7. When the negative pressure in the discharge passage G3 is insufficient and there is no suction action, The supply of the cleaning agent to the skin surface is shut off. As the negative pressure increases, the cleaning agent supply Released up to the maximum given. In this case, valve G7 cooperates with spring G7a You.   FIG. 16b shows details of the hollow fiber G6a during the sucking action, and FIGS. d shows details of the shape and arrangement of the fibers G6a or flakes, which are circular and Or it may have an oval and / or rectangular cross section.   FIG. 17 is a block diagram showing a variant that can supply a cleaning agent. Hot and cold flowing water Water is supplied to the shower head G2 at a desired mixing temperature in the mixing tap G18. Present In the present embodiment, additionally via a gas disinfection device G19 located in the chilled water system. To disinfect the water. The gas disinfection device G19 is connected to the gas disinfection pump G17. Further In addition, a treatment agent may be attached to the cleaning agent via means not shown in FIG. Can directly treat the cleaning agent.   Similarly, a gas, for example, air is injected into the cleaning agent through the supply conduit G4 shown in the remaining figures. Outlets for gas disinfection can be arranged.   The following describes a modified variant of the draft temperature controlled shower.   The hand shower, the details of which are stylized in FIGS. 4 and a hollow body having a discharge passage G3. Within the hollow body, arranged within the mutual interval And two branch pipes G9 and G10 which are connected to the connecting hose G8 are attached. Can be   The diversion tube G9 is firmly fixed to the inner wall of the hollow body and passes the liquid substance inside it To provide two separate supply passage systems G4. Each of the supply passage systems G4 With the same number of holes of the same cross-sectional area passing perpendicularly to the front of the diversion pipe, and The mouth nozzles merge in a plane in front of the branch pipe G9. The opposite end of each passageway hole is It merges into one of the two central supply passage systems via the Joule supply system, while three In the inner area of the diversion tube G10 in different planes. The front of the back of the diversion tube G9 is Includes three holes of larger cross-section that are connected to each passage subsystem via a network . The inlet nozzle of the hole is a central hose that supplies the liquid substance accordingly via a flange Combined with   The diversion tubes G10 are mutually movable, insulated with the same number of passage holes of the same cross-sectional area. It consists of a combination module G15 from material. Of the mutual movement of module G15 The degrees of freedom are arranged by the grooves 11 which are arranged on the sides and in which each ball rotates. Limited.   Each of the modules G15 is arranged vertically in front of it and essentially has a central Holes that are stepped in the through-passage system according to the corresponding temperature range. It is connected to one of the two center connection portions G12a and G12b on the back side of the module G15. under The stepped hole is larger than the back of the paragraph formed by the flat step within the front area Has a diameter. Each of these holes is conically stepped at the exit at an angle of about 45 ° I do. In each hole the tube is inserted and fixed until it abuts the step, its dimensions are up to the skin Of the liquid substance and the discharge of the substance through the discharge collecting chamber G13 without interruption. To be selected. The discharge grooves arranged along the side surface of each module G15 Below the joule height limit and connected inwardly to the hole via a transverse passage It is. The height position of the discharge passage G4 is such that it is common to the junction in the central discharge passage. It is selected to form a gill network, thereby drawing liquid material outward.   Around the shower head G2, a sealing resin made of heat and / or moisture insulating material is used. A sleeve in the form of a ring G6 is fixed, at least partially by said sleeve. A closed cavity is formed between the skin surface and the discharge passage G4.   The discharge collecting chamber G13 overlaps and is connected and forms a small bathroom G14.   The cleaning agent has a temperature in the range of −30 ° C. to + 60 ° C. in the current embodiment, and During the warming, the warming agent was cooled to a temperature between + 33 ± 0.1 ° C. and + 60 ° C. New detergents have temperatures between -30 ± 0.1 ° C. and + 33 ± 0.1 ° C.   The invention described herein is not limited to the embodiments embodied but rather by the means described above. By altering the features, further variant embodiments without departing from the scope of the invention Can be realized.                 Related symbol list 1 temperature block 11a passage system 2 Electric block 11b Passage system 3 pressure block 12 conduit 3a connecting hose 12 'conduit 4 Housing 12a Central hole 4a hole 12a 'coupling passage 4a 'hole 12b center hole 4a "hole 12b 'coupling passage 5 Temperature range 13 Insulation material 5 'n-type semiconductor 13' tube 5a hole 14 cover 5a 'hole 14' crossing passage 5a "hole 14" crossing passage 6 Temperature range 15 Dual function pump 6 'p-type semiconductor 15' discharge passage 7 holes 16 measuring amplifier 8 hole 16a groove 8a Divider 17 Adjustment unit 8a 'passage conduit 19 cooling device 9 passage system 19 'sleeve 9 'passage system 20 pump 9a module 21 perforated cooling element 10 Collecting tank 21 'Perforated cooling element 10 'hole 22 divergent cooling device 10 "hole 22a polymer thin film 11 Thermistor 11 'thermistor 22b Divergent layer G15 module 22c Anti-adhesion powder G15 Module lower side 23 Cooling body G17 Gas disinfection pump 24 Electromechanical valve G18 Mixer tap 25 Electromechanical valve G19 Gas disinfection device 26 Clock block G20 Fixing and height adjusting device 27 High frequency current generator 28 Power supply unit 29 Digital reading G1 hand grip G2 shower head G2a Additional part G3 discharge passage G4 supply passage G5 exit surface G6 sealing ring G6a fiber G7 valve G7a spring G8 connecting hose G9 First diversion pipe G10 Second diversion pipe G11 groove G12a Central connection G12b Central connection G13 discharge meeting room G14 Small bathroom

[Procedure for Amendment] Article 184-8, Paragraph 1 of the Patent Act [Date of Submission] March 6, 1998 (1998.3.6) [Contents of Amendment] ... ...・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ It is difficult to overcome the set impairment or the process to be enforced is temporally and spatially Or difficult to control. It is also a drawback of this known solution that the use of this method is strongly limited to very specific problem solving and almost no cross-communication for other purposes is possible. Special methods that allow the transport process through the skin in a non-invasive manner by the action of selected physical elements also fall into this group. Heretofore, complex cooperation of a large number of physical quantities has not been enabled or proposed. From EP-A-0330472 a device is known which is capable of generating a temperature model having different temperatures in adjacent ranges on the surface of the skin of a patient and changing the temperature model continuously. In order to set the temperature model and to control its continuous variation, the electric circuit comprises a programmable microcomputer. There are no pressure units or electrical units. No fluid removal is prepared. Furthermore, from DE-U-8330191, a hot water and a cold water are mixed with hot water through a mixing valve, and the hot water is supplied to the skin surface through a water supply pipe and a shower, and a drain pipe loaded with a negative pressure A device for washing a person, which draws in through a garment, is known. No contrasting temperature difference is applied to the skin surface. Finally, the body washing device described in WO 92/22276 also sucks out the supplied cleaning agent again, with the cleaning agent discharge holes being spaced from the body surface to be cleaned in the housing, and The housing has a packing at its outer edge that abuts against the body surface, and a suction inlet hole is located in the housing wall at the body-close end of the housing. Therefore, an object of the present invention is to provide a simple method, surely, without health concerns and relatively inexpensive.・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・Each of the modules 9a has a hole 10 vertically arranged on its front side and essentially stepped in the center ′ And 10 ″, which are connected to one of the two central holes 12, 12 ′ on the back side of the module via a channel system 11a, 11b depending on the temperature range concerned. In) the stepped holes 10 'and 10 "have a larger diameter than the back of the paragraph formed by the flat step. Each of these holes is conically stepped at the outlet at an angle of about 45 degrees. A tube 13 'is inserted and fixed in each hole until it abuts the step, the dimensions of which are such that the passage of the liquid substance to the skin and the discharge of the substance via the square discharge passage 15 are not hindered. Selected to be done. A square groove or discharge passage 15 ', located along the side of each module 9a, is below the height limit of the module and inwards with the holes 10' and 10 "through the transverse passages 14 ', 14". Is combined with The height position of the discharge passage is selected such that it forms a common discharge network with the confluence in the central discharge passage 5a ″, whereby the liquid substance is sucked outward. Around the circumference is fixed a sleeve 19 'made of heat and / or moisture insulation Article 34. Amendments Claims 1. Immediately loading adjacent areas of the skin surface at different temperatures and additionally specific 1. A method for non-invasive removal of body fluids through the skin surface, which is loaded with negative pressure or fluctuating overpressure over time 2. The method according to claim 1, wherein the area of the skin surface is loaded with alternating current at a specific time. 2. The method according to claim 1, wherein the loads of adjacent areas of the skin surface are reversed with temperature and / or pressure within a pre-determined time course. Those who describe . 4. It electrical alternating loads is 1 mm ² no way. 5. range adjacent the Claims second term, wherein it is within the high frequency range and characterized in that it has an area of 30 mm ² 5. The method according to claim 1, wherein the areas adjacent to each other have an area of 4 mm ² . 7. The method according to claim 3, wherein the time course of the reversal is in the range from 2 seconds to 1800 seconds 8. The time course of the reversal is 10 seconds. 8. The method according to claim 7, wherein the current intensity of the high-frequency current is smaller than the critical current intensity that marks a limit of pain in human sensation. 5. The method according to claim 4, wherein the temperature load is Claims: A warm load and a cold load are included, and a warm load is performed within a temperature range from + 20 ° C to + 50 ° C, and a cold load is performed within a temperature range from -15 ° C to + 20 ° C. 11. The method according to claim 1, wherein the warming is carried out at + 44 ° C. and the cold loading is carried out at −2 ° C. 12. The method according to claim 1, wherein the pressure load is a low-pressure vacuum in the range of up to 1.0 · 10 ¹ Pa or an overpressure in the range of up to 1.0 · 10 ⁶ Pa. 12. The method according to one of paragraphs 1 to 11. 13. A temperature unit (1) for generating warm and cold air in mutually adjacent temperature zones (5, 6) of the device surface accessible to the skin surface. the cooling device (9,9 _-) merge at each device surface via A pressure unit (3) for generating the same or a different pressure in a temperature region coupled to the openings (7, 8), the device for non-invasive removal of body fluids through the skin surface. 14． Device according to claim 13, characterized in that an electrical unit (2) having a control unit (26, 16) is provided for loading the skin surface with alternating current. 15. The temperature unit (1), the electric unit (2) and the pressure unit (3) are arranged in the housing (4), and the individual units (1-3) are arranged according to a program given in advance to the control units (26, 16). Device according to claims 13 or 14, characterized in that they are operatively coupled by: 16. A first passage system for transporting a warm liquid substance and a second passage system for transporting a cold liquid substance are provided, and a discharge passage is arranged at an opening facing the skin surface of both passage systems, 16. The device according to claim 13, wherein the passage system and the second passage system can be loaded by overpressure and the discharge passage can be loaded by negative pressure. 17． The temperature unit (1) is wave pattern shape or a snake-shaped Peltier elements, n-type and p-type semiconductor legs (5 _-, 6 _-) to fold therebetween with having a Peltier element by the control unit in series or in parallel Device according to one of claims 14 or 15, characterized in that it is capable of supplying a current. 18. 18. The device according to claim 17, wherein the Peltier element is in one contact plane with its contact surface facing the skin. 19. Claims characterized in that the heat transfer part of the Peltier element is formed and / or controlled such that its contact surface is of the same size and alternately cools and warms in the contact plane Item 19. The device according to Item 18, wherein 20. Apparatus according to one of claims 17 to 19, characterized in that it comprises a temperature sensor for adjusting the temperature limit at which the Peltier element is adjusted. 21. 21. The device according to claim 20, wherein the temperature sensor is a thermistor. 22. A pressure unit (3) is connected to a collecting tank (10) for receiving and discharging a mixture of liquid substances, the collecting tank (10) being connected on the one hand to a passage opening in the contact surface and on the other hand to a pump. 22. The method as claimed in claim 13, wherein the inlet to the collecting tank (10) is additionally provided for control purposes and wastewater treatment. Equipment. 23. 23. The device according to claim 17, wherein the temperature regions (5, 6) formed by the Peltier element and facing the skin surface are arranged in a grid pattern, and the hot and cold ranges are adjacent to each other. Apparatus according to one of the above. 24. 24. Device according to one of claims 13 to 23, characterized in that the transition region is filled with insulation (13) between the warm temperature region and the cold temperature region. 25. 24. The method according to claim 22, wherein each of the Peltier elements has a hole (7, 8) which is connected to the pressure unit (3) via a passage system (9) and a pump (15). Device according to one of the preceding paragraphs. 26. The Peltier element comprises on the side remote from the skin surface a cooling device (19) connected to the pump (20) via electromechanical valves (24, 25) and is thermally isolated instantaneously separated in time and space Device according to at least one of claims 17 to 25, characterized in that cooling of the connected area is ensured via a cooling element (21, 21 ') incorporated therein. 27. A pump (15), which can be driven as a suction pump and a push-up pump, can be controlled via a clock of a control unit (26), and an overpressure or a negative pressure can be freely generated in a passage system (9) as required. An apparatus according to claim 25, characterized in that there is a device. 28. 28. The method according to claim 17, wherein the cooling of the Peltier element takes place via a divergent cooling device which is closed on the side remote from the skin surface. The described device. 29. A liquid unit with temperature units (1) to simultaneously generate different temperatures in mutually adjacent temperature regions (5, 6) of the device surface capable of contacting the skin surface, and openings (7, 8) that respectively merge at the device surface. A pressure unit (3) to generate the same or different pressure in a temperature range, which is coupled to a pressure unit (3) via a passage system (9, 9 ') supplying A device that injects liquid non-invasively. 30. 30. Apparatus according to claim 29, characterized in that an electrical unit (2) having a control unit (26, 16) is provided for loading the skin surface with alternating current. 31. The temperature unit (1), the electric unit (2) and the pressure unit (3) are arranged in the housing (4) and the individual units (1-3) are arranged according to a program given beforehand by the control unit (26, 16). 31. The device according to claim 30, wherein the device is operatively coupled. 32. Providing a first passage system for transporting warm liquid substances and a second passage system for transporting cold liquid substances, and disposing discharge passages at openings facing the skin surface of both passage systems, Apparatus according to one of claims 29 to 31, characterized in that the passage system and the second passage system can be loaded by overpressure and the discharge passage by negative pressure. 33. The temperature unit (1) is wave pattern shape or a snake-shaped Peltier elements, n-type and p-type semiconductor legs (5 _-, 6 _-) to fold therebetween with having a Peltier element by the control unit in series or in parallel Apparatus according to one of claims 30 or 31, characterized in that it is capable of supplying a current. 34. Apparatus according to claim 33, wherein the Peltier element is in one contact plane with its contact surface facing the skin. 35. Claims characterized in that the heat transfer part of the Peltier element is formed and / or controlled such that its contact surface is of the same size and alternately cools and warms in the contact plane 35. The apparatus according to claim 34, wherein 36. Apparatus according to one of claims 33 to 35, characterized in that it comprises a temperature sensor for adjusting the temperature limit at which the Peltier element is adjusted. 37. 37. The device according to claim 36, wherein the temperature sensor is a thermistor. 38. A pressure unit (3) is connected to a collecting tank (10) for receiving and discharging a mixture of liquid substances, the collecting tank (10) being connected on the one hand to a passage opening in the contact surface and on the other hand to a pump. 38. The method as claimed in claim 29, further comprising the provision of a separate inlet for the collecting tank (10) for control purposes and wastewater treatment. Equipment. 39. 39. The temperature zones (5, 6) formed by the Peltier element and facing the skin surface are arranged in a grid pattern, and the hot and cold ranges are adjacent to each other. Apparatus according to one of the above. 40. Apparatus according to one of claims 29 to 39, characterized in that the transition area is filled with insulation (13) between a warm temperature area and a cold temperature area. 41. Claims 33 to 39 characterized in that each Peltier element has a hole (7, 8) which is connected to the pressure unit (3) via a passage system (9) and a pump (15). Device according to one of the preceding paragraphs. 42. The Peltier element comprises on the side remote from the skin surface a cooling device (19) connected to the pump (20) via electromechanical valves (24, 25) and is thermally isolated instantaneously separated in time and space 42. Device according to claim 33, characterized in that the cooling of the connected area is ensured via a cooling element (21, 21 ') incorporated therein. 43. A pump (15), which can be driven as a suction pump and a push-up pump, can be controlled via a clock of a control unit (26), and an overpressure or a negative pressure can be freely generated in a passage system (9) as required. 41. The apparatus according to claim 41, wherein said apparatus is provided. 44. 43. The method according to claim 33, wherein the cooling of the Peltier element takes place via a divergent cooling device which is closed on the side remote from the skin surface. The described device. 45. An apparatus for cleaning a human body with at least one shower head, wherein the shower head has a supply means for a liquid cleaning agent, and a discharge passage is additionally arranged in the supply means for the cleaning agent, and the supply means is overpressurized. In the case where the discharge passage is loaded with a negative pressure, the first passage system in which the shower head for realizing the temperature control shower is to convey the warm liquid substance and the second passage system in which the cold liquid substance is to be conveyed are placed on the skin surface An apparatus having a discharge passage at an opening of both passage systems. 46. 46. Apparatus according to claim 45, characterized in that the showerhead comprises two diverter pipes (2a, 8a) which are arranged within a distance from one another and are connected to one another by connecting hoses (3a). 47. The diverter tube (8a) consists of overlapping modules (9a) made of thermal insulation, which move with respect to each other, and have the same number of passage holes of the same cross-section, so that the degree of freedom of movement of the module (9a) is 47. Apparatus according to claim 46, characterized in that the two balls are arranged side by side, each one of which is restricted by a rotating groove (16a). 48. Each of the modules (9a) has a number of holes (10 ', 10 ") which are vertically arranged on the front side and are approximately stepped in the center, the holes being adapted to the respective temperature range and the passage system (10). 49. Device according to claim 47, characterized in that it is connected to one of the two central holes (12a, 12b) on the back side of the module via one of the 11a, 11b). A square groove or discharge passage (15 ') arranged along the side of the module (9a) is located below the height limit of the module (9a) and has holes through the transverse passages (14', 14 "). (10 ', 10 ") inwardly, the height position of the discharge passage, which forms a common discharge network with the junction in the central discharge passage (5a"), whereby the liquid substance Patent application, which selects to suck out 49. The apparatus of claim 47 or claim 48. 50. The means for supplying the liquid detergent is a supply passage (G4), which forms a passage system in the hand grip (G1) and the shower head (G2), and connects the discharge passage (G3) to the supply passage (G4). 46. Apparatus according to claim 45, characterized in that it is arranged in the immediate vicinity of). 51. At least one discharge passage (G3) is arranged in a pocket shape or a ring shape on the entrance / exit surface (G5) of the shower head (G2), and these have different diameters when a number of discharge passages (G3) are arranged in a ring shape. 51. The device according to claim 50, characterized in that: 52. 51. Device according to claim 50, characterized in that a separate additional part (G2a) having a supply passage (G4) and / or a discharge passage (G3) is fixed to a conventional showerhead. 53. At the showerhead (G2) or at the additional part (G2a) there is arranged a sealing ring (G6) made of a flexible material formed as a sleeve, said sealing ring at least partially acting as a small bathroom (G14). 51. The device according to claim 50, characterized in that the hollow space formed is formed between the skin surface and the entrance / exit surface (G5) of the shower head (G2). 54. 54. The device according to claim 53, wherein the sealing ring (G6) is formed from individual fibers (G6a) or flakes. 55. Device according to claim 54, characterized in that the fibers (G6a) or flakes have different shapes with circular and / or elliptical and / or rectangular cross sections. 56. 56. The fiber according to claim 54 or 55, wherein the fibers (G6a) or the flakes are formed hollow, and the hollow chamber is connected to the discharge passage (G3) by a connection passage (G3a) to suck out the cleaning agent. Item. 57. At least one of the preceding claims, characterized in that a valve associated with the supply passage (G4) opens upon contact with the skin and opens the cleaning agent port. The described device. 58. The inlet and outlet of the cleaning agent is opened or closed by at least one valve (G7) via a supply passage (G4), and control of the valve is performed by a negative pressure in the discharge passage (G3). Apparatus according to at least one of claims 50 to 57. 59. 59. At least one of the preceding claims, characterized in that the supply channel (G4) and / or the discharge channel (G3) are released or closed by the movement of the module (G15). Equipment. 60. 60. Device according to at least one of the preceding claims 50 to 59, characterized in that the control device implements the vacuum load discontinuously and / or with interruptions. 61. Device according to at least one of the preceding claims, characterized in that the lower side (G15a) of the module (G15) is formed in a conical shape. 62. The means for supplying the liquid detergent has a first partial passage system having a supply passage (G4) for transporting warm liquid substances, and a second passage system having a supply passage (G4) for transporting cold liquid substances. The discharge passage (G3) is disposed at the opening of both passage systems, and the first passage system and the second passage system are loaded by overpressure and the discharge passage (G3) is loaded by negative pressure. Apparatus according to claims 15 or 30. 63. The discharge channel located along the side of each module (G15) is below the height limit of the module (G15) and is inwardly connected to the hole via a transverse passage to form a supply passage (G4). 63. The method according to claim 62, characterized in that the height of the liquid material is realized in such a way that it forms a common discharge network with the junction in the central discharge passage, whereby the liquid substance is sucked outward. The described device. 64. Liquid substances or liquid cleaners have a temperature in the range of -30 ° C to + 60 ° C, warm substances or cleaners want to cool between + 33 ± 0.1 ° C and + 60 ° C, and cool down 46. The device according to claim 45, wherein the substance or cleaning agent has a temperature between -30 0.1C and +33 0.1C. 65. 46. The device according to claim 45, wherein the cleaning of the human body is realized by a hand shower comprising a hand grip and at least one shower head or by at least one self-piloting shower head in the shower room. . 66. 60. The module of claim 45 or 59, wherein the module is formed in a bellows configuration, wherein a number of bellows structures are arranged so as to intertwine with each other, thereby forming a supply and discharge passage. The described device. 67. In a method of cleaning a human body with a liquid cleaning agent and sucking the cleaning agent through a discharge passage under the occurrence of a negative pressure on the skin surface, a coexisting area of the skin surface is solidly warmed through a separate passage. A method characterized in that the cleaning agent and the cold cleaning agent are applied on the surface of the skin under the overpressure.

────────────────────────────────────────────────── ─── Continuation of front page    (81) Designated countries EP (AT, BE, CH, DE, DK, ES, FI, FR, GB, GR, IE, IT, L U, MC, NL, PT, SE), OA (BF, BJ, CF) , CG, CI, CM, GA, GN, ML, MR, NE, SN, TD, TG), AP (KE, LS, MW, SD, S Z, UG), UA (AM, AZ, BY, KG, KZ, MD , RU, TJ, TM), AL, AM, AT, AU, AZ , BB, BG, BR, BY, CA, CH, CN, CZ, DK, EE, ES, FI, GB, GE, HU, IL, I S, JP, KE, KG, KP, KR, KZ, LK, LR , LS, LT, LU, LV, MD, MG, MK, MN, MW, MX, NO, NZ, PL, PT, RO, RU, S D, SE, SG, SI, SK, TJ, TM, TR, TT , UA, UG, US, UZ, VN

Claims (1)

[Claims] 1. In a method for non-invasive removal of bodily fluids through the skin, a compact, minimal area of the skin surface is simultaneously loaded warm and cold, with the warm and cold areas adjacent to and / or pre-given. A method characterized in that, in addition to alternating hot and cold loads on the skin surface, in addition to alternating hot and cold loads in the time course, a temporally specified alternating load is provided by overpressure and / or negative pressure. 2. 2. The method according to claim 1, wherein in addition to the application of the temperature and pressure on the skin surface, an alternating current is applied which is specified in time by means of an electric current. 3. 3. The method according to claim 1, wherein the alternating heating and cooling and the alternating electric and / or overpressure and / or negative pressure are simultaneously performed. 4. 4. The method as claimed in claim 2, wherein the electrical alternating load is in the high-frequency range. 5. ^2. The method as claimed in claim 1, wherein the dense area has an area of 1 mm ² to 30 mm ² . 6. 6. The method according to claim 5, wherein the densely located area has an area of 4 mm ² . 7. 2. The method according to claim 1, wherein the time course of the reversal is in the range from 2 to 1800 seconds. 8. 8. The method according to claim 7, wherein the time course of the reversal is 10 seconds. 9. An electric alternating load is realized by means of a high-frequency current flowing through the skin surface, the current intensity of which comprises a critical fraction of the amount that marks the pain limit of human sensation. Item 2 or item 3 method of planting. 10. 2. The method according to claim 1, wherein the warm load is performed in a temperature range from + 20 ° C. to + 50 ° C., and the cold load is performed in a temperature range from −15 ° C. to + 20 ° C. 11. The method according to claim 10, wherein the warm load is performed at + 44 ° C and the cold load is performed at -2 ° C. 12. 3. The method according to claim 2, wherein the pressure load is a low-pressure vacuum in a range of up to 1.0 · 10 ¹ Pa or an overpressure in a range of up to 1 · 10 ⁶ Pa. Method. 13. In a device for non-invasively removing and / or injecting body fluids, a temperature block (1), an electric block (2) and a pressure block (3) are arranged in a housing (4), and the individual blocks ( 1-3) is functionally coupled and the temperature block (1) is arranged in a grid pattern and has a temperature and stimulation current range (5, 6) coupled with the electrical block (2), said range Is connected to the openings (7, 8) via a passage system (9) together with a pressure block (3) for generating overpressure and / or negative pressure. 14． In an apparatus for realizing a temperature control shower while taking out a body fluid non-invasively, at least one combination block composed of a temperature block (1) and a pressure block (3) is arranged, and the combination block carries a warming substance. A first passage system to be provided, and a second passage system to convey the cold liquid substance, and a discharge passage is arranged at the opening of both passage systems, and the first passage system and the second passage system are overpressured. And the discharge passage is loaded by negative pressure. 15. A shower device for cleaning a human body by at least one shower head, wherein the shower head has a means for supplying a liquid cleaning agent, wherein a discharge passage (3) is arranged in addition to the cleaning agent supply means, and the supply means is provided. The discharge passage (3) is loaded with overpressure and the discharge passage (3) is loaded with negative pressure. 16. The functional elements of the temperature block (1) and the electric block (2) are folded between them by a temperature zone (5, 6) with a heat transfer and / or conductive plate of a wavy or serpentine Peltier element. Formed with n-type and p-type semiconductor legs (5 ', 6'), the current of the Peltier block is supplied in series via all Peltier elements at once, or in parallel, and thus each Peltier element individually 14. The device according to claim 13, wherein the device is connected and supplied. 17． For alternating loads of temperature, utilizing the functional surface of the thermoelectric element (Peltier element) thus combined, which lies in a plane extending parallel to the skin surface together with its heat transfer functional surface, while transmitting the Peltier element 14. Device according to claim 13, characterized in that the hot part has a T-shape (stepped pyramid) with a front face of approximately the same size and is arranged in opposite locations with respect to the contact semiconductor. 18. Device according to claim 13, characterized in that the heat transfer part of the temperature block (1) comprises a temperature sensor, for example a thermistor, to adjust the temperature limit to be adjusted. 19. In addition to the pressure block (3) performing the function, there is arranged a tank for receiving or discharging a mixture of liquid substances, which tank is connected on the one hand to a passage opening in the function plane and, on the other hand, optionally. 14. A method according to claim 13, characterized in that it has a structurally regulated connection to the pressure pump, while there is an additional inlet to a separate tank for control purposes including wastewater treatment. apparatus. 20. 17. Device according to claim 16, characterized in that the temperature zones (5, 6) made of plates are arranged in a grid pattern, the warm zone and the cold zone being adjacent to each other. 21. 17. Device according to claim 16, characterized in that the transition area is filled with insulation (13) between the warm contact area and the cold contact area. 22. The plates forming the temperature zones (5, 6) are provided with holes (7, 8) which are connected to the pressure block (3) via the passage system (9) and possibly at least one pump (15). Apparatus according to at least one of claims 16 to 21, characterized in that it comprises: 23. The temperature zone (5, 6) of the temperature element is provided on the back side with a cooling device (19), which is connected to at least one pump (20) via electromechanical valves (24, 25) and saves time and 17. The method according to claim 16, wherein the cooling in a spatially separated, instantaneously thermally connected area is ensured via a perforated cooling element (21, 21 ') incorporated therein. Item 23. The device according to at least one of the items 22 to 22. 24. The method of operation of the dual function pump (15) is adjusted via the clock of the clock block (26) to apply "positive" or "negative" pressure in the passage system (9) as required. 23. The apparatus according to claim 22, wherein: 25. The cooling of the temperature block (1) in the working system is carried out either passively, exclusively through the contacting body, or via the body and parallel thereto, via the divergent cooling device (22), which is closed. 17. Apparatus according to claim 16, characterized in that it is performed passively and divergently. 26. 15. The method according to claim 14, wherein the temperature control shower comprises two diverter pipes (2a, 8a) arranged at an interval from one another, said diverter pipes being connected to one another by a connecting hose (3a). apparatus. 27. The diverter tube (8a) consists of overlapping modules (9a) made of thermal insulation, which move with respect to each other, and have the same number of passage holes of the same cross-section, so that the degree of freedom of movement of the module (9a) is 27. Apparatus according to claim 26, characterized in that two balls are arranged on the side face, each of which is restricted by a rotating groove (16a). 28. Each of the modules (9a) has a number of holes (10 ', 10 ") which are vertically arranged on the front side and are approximately stepped in the center, the holes being adapted to the respective temperature range and the passage system (10). 28. Device according to claim 27, characterized in that it is connected to one of the two central holes (12a, 12b) at the back of the module via one of the modules (11a, 11b). A square groove or discharge passage (15 ') arranged along the side of 9a) is below the height limit of the module (9a) and through a transverse passage (14', 14 ") the hole (10 '). ', 10 ") inwardly, so that the height position of the discharge passage, which forms a common discharge network with the junction in the central discharge passage (5a"), thereby discharging the liquid substance Claims characterized by choosing to draw in the direction 29. The apparatus according to any one of paragraphs 14, 19 and 26 to 28. 30. The supply means of the liquid detergent is a supply path (G4) forming a passage system in the hand grip (G1) and the shower head (G2), and the discharge path (G3) is located immediately adjacent to the supply path (G4). 16. The device according to claim 15, wherein the device is arranged at a location where the device is located. 31. At least one discharge passage (G3) is arranged in a pocket shape or a ring shape on the entrance / exit surface (G5) of the shower head (G2), and these have different diameters when a large number of discharge passages (G3) are arranged in a ring shape. Apparatus according to at least one of claims 14, 15 and 30, characterized in that: 32. Claims 14, 15, and 30 wherein a separate additional portion (G2a) having a supply passage (G4) and / or a discharge passage (G3) is fixed to a conventional showerhead. An apparatus according to at least one of the preceding claims. 33. At the showerhead (G2) or at the additional part (G2a) there is arranged a sealing ring (G6) made of a flexible material formed as a sleeve, said sealing ring at least partially acting as a small bathroom (G14). 33. At least one of claims 14, 19 and 26 to 32, characterized in that the hollow chamber is formed between the skin surface and the entrance / exit surface (G5) of the shower head (G2). An apparatus according to claim 1. 34. Device according to claim 33, characterized in that the sealing ring (G6) is formed from individual fibers (G6a) or flakes. 35. Device according to claim 34, characterized in that the fibers (G6a) or flakes have different shapes with circular and / or elliptical and / or rectangular cross sections. 36. 36. The method according to claim 34, wherein the fibers (G6a) or the flakes are formed hollow, and the hollow chamber is connected to the discharge passage (G3) by a connection passage (G3a) to suck out the cleaning agent. Item. 37. At least one of the preceding claims 30 to 36, characterized in that a valve associated with the supply passage (G4) opens upon contact with the skin and opens the detergent port. The described device. 38. The inlet and outlet of the cleaning agent is opened or closed by at least one valve (G7) via a supply passage (G4), and control of the valve is performed by a negative pressure in the discharge passage (G3). Apparatus according to at least one of claims 30 to 37. 39. 39. At least one of the preceding claims, characterized in that the supply channel (G4) and / or the discharge channel (G3) are opened or closed by the movement of the module (G15). Equipment. 40. Apparatus according to at least one of claims 30 to 39, characterized in that the control device implements a negative pressure load discontinuously and / or with interruption. 41. Apparatus according to at least one of the preceding claims, characterized in that the lower side (G15a) of the module (G15) is formed in a conical shape. 42. The liquid detergent supply means has a first partial passage system having a supply passage (G4) for transporting a warm liquid substance, and a second passage system having a supply passage (G4) for transporting a cold liquid substance. And a discharge passage (G3) is disposed at the opening of both passage systems, and the first passage system and the second passage system are loaded by overpressure and the discharge passage (G3) is loaded by negative pressure. 31. Apparatus according to claim 15 or claim 30. 43. The discharge channel located along the side of each module (G15) is below the height limit of the module (G15) and is inwardly connected to the hole via a transverse passage to form a supply passage (G4). 43. The method according to claim 42, characterized in that the height position of the liquid material is realized in such a way that it forms a common discharge network with the junction in the central discharge passage, whereby the liquid substance is sucked outward. The described device. 44. Liquid substances or liquid cleaners have a temperature in the range of -30 ° C to + 60 ° C, warm substances or cleaners want to cool between + 33 ± 0.1 ° C and + 60 ° C, and cool down 16. The apparatus according to claim 14, wherein the substance or cleaning agent has a temperature between -30. +-. 0.1.degree. C. and +33. +-. 0.1.degree. 45. The method according to claim 15, characterized in that the washing of the human body is realized by a hand shower comprising a hand grip and at least one shower head, or at least one self-piloting shower head in a shower room. apparatus. 46. The individual blocks (1-3) are activated via a control unit according to a previously provided program, and the control unit comprises a control unit (26, 16) arranged in an electric block (2). Apparatus according to claim 13. 47. 41. The module according to claim 15 or 39, wherein the modules are formed in a bellows configuration, wherein a number of bellows structures are arranged so as to intertwine with each other, thereby forming a supply and discharge passage. The described device.