JP2002200178A - Pelvis surface stimulation electrode instrument and undergarment for wearing the electrode instrument - Google Patents
Pelvis surface stimulation electrode instrument and undergarment for wearing the electrode instrumentInfo
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- JP2002200178A JP2002200178A JP2000400496A JP2000400496A JP2002200178A JP 2002200178 A JP2002200178 A JP 2002200178A JP 2000400496 A JP2000400496 A JP 2000400496A JP 2000400496 A JP2000400496 A JP 2000400496A JP 2002200178 A JP2002200178 A JP 2002200178A
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- Japan
- Prior art keywords
- stimulation
- electrode
- wave
- stimulation electrode
- pelvic
- Prior art date
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Abstract
Description
【０００１】[0001]
【発明の属する技術分野】本発明は、仙骨後面の後仙骨
孔直上皮膚および／または臀部坐骨結節内側陰部神経皮
膚上運動点を刺激する表面刺激電極と電極装着用下着に
関するものである。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a surface stimulating electrode for stimulating a motor point on the skin just above the posterior sacral foramen of the posterior surface of the sacrum and / or the genital nerve skin inside the hip sciatic tuberosity, and to an underwear for mounting the electrode.
【０００２】[0002]
【従来の技術】従来、このような分野の技術としては、
例えば頭皮に刺激を与えるパルス投与器（特開平２−１
２４１７７号）や、頭部にパルス的な刺激を与えること
により運転中の居眠りを防止する居眠り運転防止装置
（特開平５−３９２１号）や、頭部に電気パルスを加え
る、てんかん治療のための装置（特開平５−５０２６０
８号）などが提案されている。2. Description of the Related Art Conventionally, techniques in such a field include:
For example, a pulse administration device that stimulates the scalp (Japanese Patent Laid-Open No. 2-1)
No. 24177), a drowsy driving prevention device (JP-A-5-3921) for preventing drowsiness while driving by applying a pulse-like stimulation to the head, and applying an electric pulse to the head to treat epilepsy. Apparatus (JP-A-5-50260)
No. 8) has been proposed.
【０００３】[0003]
【発明が解決しようとする課題】ところで、出産や老齢
化に伴う骨盤底筋群の劣化や、脳卒中、脊髄損傷、その
他の神経疾患などによる神経因性膀胱、子宮摘出のため
の骨盤内手術などを原因として、尿閉や尿失禁などの排
尿障害が生じる。ことに経産婦では、その３０％強が尿
失禁の症状を呈し、高齢者人口が急激に増大する昨今に
あっては、高齢化に伴う排尿障害の増加が、個人の問題
ならず、社会的問題として大きく取り上げられてきてい
る。However, the deterioration of the pelvic floor muscles due to childbirth and aging, neuropathic bladder due to stroke, spinal cord injury, and other neurological disorders, pelvic surgery for hysterectomy, etc. This causes urinary dysfunction such as urinary retention and incontinence. In particular, more than 30% of parous women exhibit symptoms of urinary incontinence, and in recent years the population of the elderly is increasing rapidly. It has been widely taken up as.
【０００４】一方、欧米においても、膣や肛門に挿入し
て電気刺激を与えたり、会陰部に電気刺激を与えて尿失
禁を治療する機器が販売使用されているが、これは、羞
恥心、不潔感、違和感などのために普及していないのが
現状である。[0004] On the other hand, in Europe and the United States, devices for treating urinary incontinence by applying electrical stimulation to the vagina or anus or by applying electrical stimulation to the perineum have been sold and used. At present, it is not widely used due to feelings of discomfort.
【０００５】そこで、仙骨後面の両側第２〜４後仙骨孔
直上皮膚を電気刺激することで、排尿神経機構に対する
神経調節を行い、排尿障害を治療するとともに、臀部坐
骨結節内側陰部神経皮膚上運動点を電気刺激することに
より、骨盤底筋群の劣化を防止し、筋張力の増加を図る
骨盤底筋群強化訓練を行うことができる医療機器の開発
が望まれている。[0005] Therefore, by electrically stimulating the skin just above the second to fourth posterior sacral foramen on both sides of the posterior surface of the sacrum, nerve regulation for the urinary nervous system is performed, and urinary dysfunction is treated. There is a demand for the development of a medical device that can perform pelvic floor muscle group strengthening training to prevent deterioration of the pelvic floor muscle group and increase muscle tension by electrically stimulating points.
【０００６】本発明は、上記状況に鑑みて、仙骨後面の
両側第２〜４後仙骨孔直上皮膚および／または臀部坐骨
結節内側陰部神経皮膚上運動点を適切に刺激波により刺
激することにより、排尿神経機構に対する神経調節を行
い、排尿障害を治療するとともに、骨盤底筋群の劣化を
防止し筋張力の増加をさせて骨盤底筋群強化訓練を図る
骨盤部表面刺激電極装置及びその電極装置装着用下着を
提供することを目的とする。[0006] In view of the above situation, the present invention appropriately stimulates the motor points on the skin immediately above the second to fourth posterior sacral foramen on both sides of the posterior surface of the sacrum and / or on the genital nerve skin on the hip sciatic tuberosity by using stimulation waves. A pelvic surface stimulation electrode device and a device for performing nervous control on the urinary nervous system, treating dysuria and preventing pelvic floor muscles from deteriorating and increasing muscle tension for pelvic floor muscles reinforcement training It is intended to provide underwear for wearing.
【０００７】[0007]
【課題を解決するための手段】本発明は、上記目的を達
成するために、 〔１〕骨盤部表面刺激電極装置において、極薄で下着材
と同等の柔らかさを有する導電性シートとそれに接着さ
せる粘着パッドからなる左右に配置される電極部と、該
左右に配置される電極部を絶縁して一体化する絶縁材料
とを有する仙骨部表面刺激電極と、極薄で下着材と同等
の柔らかさを有する導電性シートとそれに接着させる粘
着パッドからなる左右に配置される電極部を有する臀部
坐骨結節内側陰部神経皮膚上運動点刺激電極と、前記仙
骨部表面刺激電極と臀部坐骨結節内側陰部神経皮膚上運
動点刺激電極にコードを介して接続される刺激波源とを
備え、仙骨後面の後仙骨孔直上皮膚および／または臀部
坐骨結節内側陰部神経皮膚上運動点を刺激することを特
徴とする。SUMMARY OF THE INVENTION In order to achieve the above object, the present invention provides: [1] A pelvic surface stimulation electrode device, comprising: an ultra-thin conductive sheet having the same softness as an undergarment; A sacral surface stimulation electrode having left and right electrode portions formed of an adhesive pad to be insulated, and an insulating material that insulates and integrates the left and right electrode portions, and is extremely thin and as soft as an underwear material Sciatic nodule medial pudendal nerve having electrodes disposed on the left and right, comprising a conductive sheet having a conductive sheet and an adhesive pad adhered thereto A stimulation wave source connected via a cord to the on-skin motion point stimulation electrode, for stimulating a motor point on the skin just above the posterior sacral foramen of the posterior surface of the sacrum and / or on the genital nerve skin on the hip sciatic tuberosity And
【０００８】〔２〕上記〔１〕項記載の骨盤部表面刺激
電極装置において、前記仙骨部表面刺激電極のみへ刺激
波源から１チャンネル出力を印加することを特徴とす
る。[2] The pelvic surface stimulation electrode device according to the above [1], wherein a one-channel output from a stimulation wave source is applied only to the sacral surface stimulation electrode.
【０００９】〔３〕上記〔１〕項記載の骨盤部表面刺激
電極装置において、前記仙骨部表面刺激電極と臀部坐骨
結節内側陰部神経皮膚上運動点刺激電極の両方へ刺激波
を印加することを特徴とする。[3] The pelvic surface stimulation electrode device according to the above [1], wherein the stimulation wave is applied to both the sacral surface stimulation electrode and the stimulating electrode on the hip skin of the hip sciatic tuberosity. Features.
【００１０】〔４〕上記〔２〕又は〔３〕項記載の骨盤
部表面刺激電極装置において、前記刺激波は、排尿困難
治療用の刺激波として１〜５Ｈｚの基本波を、尿失禁、
夜尿症、頻尿の尿禁制障害治療と骨盤底筋群強化訓練用
の刺激波として２０〜１００Ｈｚの基本波を用いること
を特徴とする。[4] In the pelvic surface stimulation electrode device according to the above [2] or [3], the stimulation wave is a fundamental wave of 1 to 5 Hz as a stimulation wave for treating dysuria,
The present invention is characterized in that a fundamental wave of 20 to 100 Hz is used as a stimulus wave for treatment of urinary incontinence disorder of enuresis and pollakiuria and training for strengthening pelvic floor muscles.
【００１１】〔５〕上記〔２〕又は〔３〕項記載の骨盤
部表面刺激電極装置において、１つの出力チャンネルに
２つの刺激電極を配置し、この２つのペア電極に対し、
前記刺激波源は、基本波が双極性、もしくは基本波内の
群波形が双極性である刺激波を印加して、同時に２個の
神経もしくは筋肉を刺激可能にすることを特徴とする。[5] In the pelvic surface stimulation electrode device according to the above item [2] or [3], two stimulation electrodes are arranged in one output channel.
The stimulus wave source is characterized in that a stimulus wave whose fundamental wave is bipolar or whose group waveform in the fundamental wave is bipolar can be applied to simultaneously stimulate two nerves or muscles.
【００１２】〔６〕骨盤部表面刺激電極装置装着用下着
において、極薄で下着材と同等の柔らかさを有する導電
性シートとそれに接着させる粘着パッドからなる左右に
配置される電極部と、この左右に配置される電極部を絶
縁して一体化する絶縁材料とを有する仙骨部表面刺激電
極を取り付ける電極移動防止布シートと、極薄で下着材
と同等の柔らかさを有する導電性シートとそれに接着さ
せる粘着パッドからなる左右に配置される電極部を有す
る臀部坐骨結節内側陰部神経皮膚上運動点刺激電極を取
り付ける電極移動防止布シートと、前記仙骨部表面刺激
電極と臀部坐骨結節内側陰部神経皮膚上運動点刺激電極
にコードを介して接続される刺激波源と、前記仙骨部表
面刺激電極の電極移動防止布シートと臀部坐骨結節内側
陰部神経皮膚上運動点刺激電極の電極移動防止布シート
とを所定の位置に配置することを特徴とする。[6] In the underwear for mounting the pelvic surface stimulation electrode device, the left and right electrode portions comprising an extremely thin conductive sheet having the same softness as the underwear material and an adhesive pad adhered thereto, and An electrode movement prevention cloth sheet for attaching a sacral surface stimulation electrode having an insulating material that insulates and integrates the electrode parts disposed on the left and right, an ultrathin conductive sheet having the same softness as the underwear material, and An electrode movement preventing cloth sheet for attaching an exercise point stimulation electrode on the hip sciatic nodule medial pudendal nerve skin having left and right electrode portions composed of an adhesive pad to be adhered, the sacral surface stimulating electrode and the hip sciatic tuberous medial pudendal nerve skin A stimulation wave source connected through a cord to the upper exercise point stimulation electrode, an electrode movement preventing cloth sheet of the sacral surface stimulation electrode, and a gluteal ischial tuberosity medial pudendal nerve skin Characterized by arranging the electrode movement prevention fabric sheet of the point stimulation electrode in a predetermined position.
【００１３】〔７〕上記〔６〕項記載の骨盤部表面刺激
電極装置装着用下着において、前記仙骨部表面刺激電極
のみへ前記刺激波源から１チャンネル出力を印加するこ
とを特徴とする。[7] The underwear for wearing a pelvic surface stimulation electrode device according to the above item [6], wherein a one-channel output from the stimulation wave source is applied only to the sacral surface stimulation electrode.
【００１４】〔８〕上記〔６〕項記載の骨盤部表面刺激
電極装置装着用下着において、前記仙骨部表面刺激電極
と臀部坐骨結節内側陰部神経皮膚上運動点刺激電極の両
方へ刺激波を印加することを特徴とする。[8] In the underwear for wearing a pelvic surface stimulating electrode device according to [6], a stimulating wave is applied to both the sacral surface stimulating electrode and the stimulating electrode on the pubic nerve at the hip sciatic tuberosity. It is characterized by doing.
【００１５】[0015]
〔９〕上記〔７〕又は〔８〕記載の骨盤部
表面刺激電極装置において、求める刺激効果に応じて、
前記刺激波のパターンを変更できるソフトウェアをイン
ストールすることを特徴とする。[9] In the pelvic surface stimulation electrode device according to the above [7] or [8], according to a desired stimulation effect,
Software for changing the stimulus wave pattern is installed.
【００１６】〔１０〕上記〔６〕記載の骨盤部表面刺激
電極装置装着用下着において、骨盤底筋群や尿道括約筋
を緊急的に同時収縮させる刺激波を出力するための装置
を具備することを特徴とする。[10] The underwear for wearing a pelvic surface stimulation electrode device according to [6], further comprising a device for outputting a stimulation wave for urgently simultaneously contracting the pelvic floor muscles and the urethral sphincter. Features.
【００１７】〔１１〕上記〔６〕記載の骨盤部表面刺激
電極装置装着用下着において、肛門内あるいは膣内筒型
圧センサーもしくは会陰部歪み検出センサーによって、
電気刺激中の骨盤底群の収縮効果を検出し、その負帰還
信号によって最適な刺激データを自動的に作成して刺激
装置内に記憶させるソフトウェアをインストールするこ
とを特徴とする。[11] In the underwear for wearing a pelvic surface stimulation electrode device according to the above [6], an intra-anal or intra-vaginal cylindrical pressure sensor or a perineal distortion detecting sensor may be used.
Software for detecting a contraction effect of the pelvic floor group during the electrical stimulation, automatically generating optimum stimulation data based on the negative feedback signal, and storing the data in the stimulator is installed.
【００１８】〔１２〕上記〔６〕記載の骨盤部表面刺激
電極装置装着用下着において、１つの出力チャンネルに
２つの刺激電極を配置し、この２つの刺激電極に対し、
前記刺激波源は、基本波が双極性、もしくは基本波内の
群波形が双極性である刺激波を印加して、同時に２個の
神経もしくは筋肉を刺激可能にすることを特徴とする。[12] In the underwear for wearing a pelvic surface stimulation electrode device according to the above [6], two stimulation electrodes are arranged in one output channel.
The stimulus wave source is characterized in that a stimulus wave whose fundamental wave is bipolar or whose group waveform in the fundamental wave is bipolar can be applied to simultaneously stimulate two nerves or muscles.
【００１９】〔１３〕上記〔１２〕記載の骨盤部表面刺
激電極装置装着用下着において、前記群波形は１ｋＨｚ
から数１０ｋＨｚまでのサイン波あるいは三角波による
バースト波であることを特徴とする。[13] In the underwear for mounting a pelvic surface stimulation electrode device according to [12], the group waveform is 1 kHz.
It is characterized by being a sine wave or a triangular wave burst wave of up to several tens of kHz.
【００２０】[0020]
【発明の実施の形態】以下、本発明の実施の形態につい
て詳細に説明する。Embodiments of the present invention will be described below in detail.
【００２１】図１は本発明の第１実施例を示す刺激電極
を示す図、図５は仙骨後面を示す図である。FIG. 1 is a view showing a stimulation electrode showing a first embodiment of the present invention, and FIG. 5 is a view showing a posterior surface of a sacrum.
【００２２】図１において、仙骨部表面刺激電極１は極
薄で下着材と同等の柔らかさを有する金属シート（導電
性ゴムシートでも可）２とそれに接着させる粘着パッド
３からなる電極部より構成される。ただし、その中心部
分には左右の仙骨部表面刺激電極１を絶縁するための絶
縁性材料４を縫い合わせるようにする。金属シート２に
はプラグ６を有するコード５が接続される。そのプラグ
６には電気的な刺激波源（図示なし）が接続され、仙骨
部表面刺激電極１の形状は、図５に示す仙骨後面３０の
皮膚に密着しかつ他の部位を刺激することのないよう
に、仙骨後面３０の形状と同様のものとする。そして、
後述するが、背骨後面３０の皮膚に適切に貼れるように
デザインした電極装着用下着に取り付けられる。In FIG. 1, a sacral surface stimulation electrode 1 is composed of an electrode portion comprising a metal sheet (which may be a conductive rubber sheet) 2 which is extremely thin and has the same softness as an underwear material, and an adhesive pad 3 adhered thereto. Is done. However, an insulating material 4 for insulating the left and right sacral surface stimulation electrodes 1 is sewn to the center. The cord 5 having the plug 6 is connected to the metal sheet 2. An electric stimulation wave source (not shown) is connected to the plug 6, and the shape of the sacral surface stimulation electrode 1 is in close contact with the skin of the posterior surface 30 of the sacrum shown in FIG. 5 and does not stimulate other parts. Thus, the shape of the posterior surface 30 of the sacrum is the same. And
As will be described later, it is attached to an electrode mounting underwear designed to be appropriately affixed to the skin of the back surface 30 of the spine.
【００２３】図２は本発明の第２実施例を示す刺激電極
を示す図、図３はその刺激電極の断面図、図４はその刺
激電極の装着状態を示す図である。FIG. 2 is a view showing a stimulating electrode according to a second embodiment of the present invention, FIG. 3 is a sectional view of the stimulating electrode, and FIG. 4 is a view showing a mounted state of the stimulating electrode.
【００２４】これらの図に示すように、仙骨部表面刺激
電極１１は極薄で下着材と同等の柔らかさを有する表側
導電性ゴムシート１２Ａと裏側導電性ゴムシート１２Ｂ
からなる導電性ゴムシート１２と、その裏側導電性ゴム
シート１２Ｂに接着れる粘着パッド１３からなる電極部
より構成される。ただし、その中心部分には左右の仙骨
部表面刺激電極１１を絶縁するための絶縁性材料１４を
縫い合わせるようにする。粘着パッド１３にはプラグ１
６を有するコード１５が接続される。そのプラグ１６に
は電気的な刺激波源（図示なし）が接続され、仙骨部表
面刺激電極１１の形状は、図５に示す仙骨後面３０の皮
膚に密着しかつ他の部位を刺激することのないように、
仙骨後面３０の形状と同様のものとする。そして、後述
するが、背骨後面３０の皮膚に適切に貼れるようにデザ
インした電極装着用下着に取り付けられる。なお、１７
はリード線であり、表側導電性ゴムシート１２Ａと裏側
導電性ゴムシート１２Ｂに挟まれて、それらの導電性ゴ
ムシートに刺激波を供給する。２１は後述する電極移動
防止シートである。As shown in these figures, the sacral surface stimulation electrode 11 is very thin and has a front side conductive rubber sheet 12A and a back side conductive rubber sheet 12B having the same softness as the underwear material.
And an electrode portion composed of an adhesive pad 13 adhered to the back side conductive rubber sheet 12B. However, an insulating material 14 for insulating the left and right sacral surface stimulation electrodes 11 is sewn to the center. Plug 1 on adhesive pad 13
The cord 15 having 6 is connected. An electrical stimulation wave source (not shown) is connected to the plug 16, and the shape of the sacral surface stimulation electrode 11 is in close contact with the skin of the posterior surface 30 of the sacrum shown in FIG. 5 and does not stimulate other parts. like,
The shape of the posterior surface of the sacrum 30 is the same. Then, as will be described later, it is attached to an electrode mounting underwear designed to be appropriately affixed to the skin of the back surface 30 of the spine. Note that 17
Is a lead wire, which is sandwiched between the front-side conductive rubber sheet 12A and the back-side conductive rubber sheet 12B, and supplies a stimulating wave to those conductive rubber sheets. Reference numeral 21 denotes an electrode movement prevention sheet described later.
【００２５】図６は本発明の第１実施例を示す臀部坐骨
結節内側陰部神経皮膚上運動点刺激電極を示す図であ
る。FIG. 6 is a view showing a motor point stimulation electrode on the pubic nerve inner skin of the hip sciatic tuberosity showing the first embodiment of the present invention.
【００２６】この図に示すように、臀部坐骨結節内側陰
部神経皮膚上運動点刺激電極２２は、極薄で下着材と同
等の柔らかさを有する導電性シート（金属シート又は導
電性ゴムシート）２４とそれに接着させる粘着パッド２
３からなる電極部より構成され、その粘着パッド２３に
はプラグ２９を有するコード２８が接続される。そし
て、後述するが、刺激電極が当該部位に適切に配置され
るようにデザインした電極装着用下着に移動可能に固定
された電極移動防止布シート２５により、刺激電極２２
は取り付けられる。As shown in this figure, the stimulating electrode 22 for the motility point on the genital nerve skin inside the hip sciatic tuberosity is an extremely thin conductive sheet (metal sheet or conductive rubber sheet) 24 having the same softness as the underwear material. And adhesive pad 2 to adhere to it
A cord 28 having a plug 29 is connected to the adhesive pad 23. Then, as will be described later, the stimulating electrode 22 is moved by the electrode movement preventing cloth sheet 25 movably fixed to the electrode mounting underwear designed so that the stimulating electrode is appropriately arranged at the site.
Is attached.
【００２７】次に、本発明の第２実施例を示す刺激電極
を装着する電極装着用下着について説明する。Next, an electrode mounting underwear for mounting a stimulation electrode according to a second embodiment of the present invention will be described.
【００２８】図７は本発明の第２実施例を示す電極装着
用下着の上面図、図８はその透視斜視図である。FIG. 7 is a top view of an undergarment for mounting an electrode according to a second embodiment of the present invention, and FIG. 8 is a transparent perspective view thereof.
【００２９】電極装着用下着２０には、上記した仙骨部
表面刺激電極１，１１の電極移動防止布シート２１及び
臀部坐骨結節内側陰部神経皮膚上運動点刺激電極２２の
電極移動防止布シート２５が設けられる。すなわち、電
極装着用下着２０に直接仙骨部表面刺激電極１，１１を
装着した際、電極装着用下着２０が動きでずれると、仙
骨部表面刺激電極１，１１も同時に移動し適切な刺激が
できなくなる可能性がある。そこで、下着の電極装着部
分に電極移動防止布シート２１を両端だけ縫い付けて少
々は移動可能に固定しておき、それに仙骨部表面刺激電
極１，１１を貼り付けるようにする。The electrode mounting underwear 20 includes the above-described electrode movement preventing cloth sheet 21 for the sacral surface stimulation electrodes 1 and 11 and the electrode movement preventing cloth sheet 25 for the motility stimulation electrode 22 on the genital nerve skin inside the hip sciatic tuberosity. Provided. That is, when the sacral surface stimulation electrodes 1 and 11 are directly mounted on the electrode mounting underwear 20, and the electrode mounting underwear 20 is displaced by movement, the sacral surface stimulation electrodes 1 and 11 are simultaneously moved to provide appropriate stimulation. May be gone. Therefore, the electrode-movement-preventing cloth sheet 21 is sewn only to both ends of the underwear electrode-attached portion and is fixed so as to be movable a little, and the sacral surface stimulation electrodes 1 and 11 are attached thereto.
【００３０】また、臀部坐骨結節内側陰部神経皮膚上運
動点刺激電極２２も同様に、電極装着用下着２０に縫い
付けられた電極移動防止布シート２５上に設けるように
する。Similarly, the exercise point stimulation electrode 22 on the hip sciatic tuberosity medial pudendal nerve skin is provided on the electrode movement preventing cloth sheet 25 sewn to the electrode mounting underwear 20.
【００３１】これにより、電極装着用下着２０の移動が
多少あっても、仙骨部表面刺激電極１，１１と電極装着
用下着２０間の電極移動防止布シート２１，２５の遊び
あるので、仙骨部表面刺激電極１，１１と臀部坐骨結節
内側陰部神経皮膚上運動点刺激用電極２２へ直接的に移
動にかかる力が加わらないようにすることができる。As a result, even if the electrode mounting underwear 20 moves to some extent, there is play of the electrode movement preventing cloth sheets 21, 25 between the sacral surface stimulation electrodes 1, 11 and the electrode mounting underwear 20, so that the sacral portion It is possible to prevent the force for direct movement from being applied to the surface stimulation electrodes 1 and 11 and the electrode 22 for stimulating the motor point on the genital nerve skin inside the hip sciatic tuberosity.
【００３２】図９は本発明の刺激電極への刺激波の付与
態様を示す図（その１）であり、仙骨部表面刺激電極１
のみへ刺激波源３１から１チャンネル出力を印加する方
式（以下、方式１という）である。FIG. 9 is a diagram (part 1) showing a mode of applying a stimulation wave to the stimulation electrode of the present invention.
This is a method (hereinafter, referred to as method 1) in which a one-channel output is applied from only the stimulus wave source 31 to only one.
【００３３】図１０は本発明の刺激電極への刺激波の付
与態様を示す図（その２）であり、仙骨部表面刺激電極
１，１１と臀部坐骨結節内側陰部神経皮膚上運動点刺激
電極２２の両方へ刺激波を印加する方式（以下、方式２
という）である。すなわち、左側の仙骨部表面刺激電極
１Ａ，１１Ａへは刺激波源４１からの第１のチャンネル
出力を、右側の仙骨部表面刺激電極１Ｂ，１１Ｂへは刺
激波源５１からの第２のチャンネル出力を、左側の臀部
坐骨結節内側陰部神経皮膚上運動点刺激電極２２Ａへは
刺激波源４１からの第１のチャンネル出力を、右側の臀
部坐骨結節内側陰部神経皮膚上運動点刺激電極２２Ｂへ
は刺激波源５１からの第２のチャンネル出力を、それぞ
れ印加するようにしている。FIG. 10 is a view (part 2) showing a mode of applying a stimulation wave to the stimulation electrode of the present invention. The sacrum surface stimulation electrodes 1 and 11 and the buttock sciatic tuberal medial pudendal nerve skin motion point stimulation electrode 22 are shown. To apply a stimulus wave to both
It is). That is, the first channel output from the stimulation wave source 41 to the left sacral surface stimulation electrodes 1A and 11A, the second channel output from the stimulation wave source 51 to the right sacral surface stimulation electrodes 1B and 11B, The first channel output from the stimulation wave source 41 is applied to the left gluteal sciatic tuberal medial pubic nerve skin motion point stimulation electrode 22A. Of the second channel are respectively applied.
【００３４】図１１は本発明の刺激電極への刺激波の付
与態様を示す図（その３）であり、仙骨部表面刺激電極
１，１１と臀部坐骨結節内側陰部神経皮膚上運動点刺激
電極２２の両方へ刺激波を印加する方式（以下、方式３
という）である。すなわち、仙骨部表面刺激電極１，１
１へは刺激波源４１から第１のチャンネル出力を、臀部
坐骨結節内側陰部神経皮膚上運動点刺激電極２２へは刺
激波源５１から第２のチャンネル出力をそれぞれ印加す
るようにしている。FIG. 11 is a diagram (part 3) showing a manner of applying a stimulation wave to the stimulation electrode of the present invention (part 3). The sacral surface stimulation electrodes 1 and 11 and the buttock sciatic nodule inner pubic nerve nerve skin motion point stimulation electrode 22 are shown. To apply a stimulus wave to both (hereinafter, method 3)
It is). That is, the sacral surface stimulation electrodes 1, 1
1 is applied to the first channel output from the stimulation wave source 41, and the stimulation channel source 51 is applied to the second channel output from the stimulation wave source 51 to the stimulating electrode 22 on the pubic nerve inner skin of the gluteal sciatic tuberosity.
【００３５】このように、各部の刺激電極への刺激波の
印加態様を変化させることにより、各種の刺激を与える
ことができる。As described above, various kinds of stimuli can be given by changing the manner of applying the stimulating waves to the stimulating electrodes of each section.
【００３６】上記実施例では、骨部表面刺激電極１，１
１と臀部坐骨結節内側陰部神経皮膚上運動点刺激電極２
２へ直接刺激波源を接続するように説明しているが、図
７乃至図８に示すように、刺激電極１，１１，２２を装
着する電極装着用下着２０へ刺激波源を接続することが
できることは言うまでもない。In the above embodiment, the bone surface stimulation electrodes 1, 1
1 and electrodes for stimulation of the motor point on the skin of the medial pudendal nerve of the hip sciatic tuberosity 2
Although it is described that the stimulating wave source is directly connected to 2, the stimulating wave source can be connected to the electrode mounting underwear 20 for mounting the stimulating electrodes 1, 11, and 22, as shown in FIGS. Needless to say.
【００３７】図１２は本発明の実施例を示すセンサー付
きの電気刺激装置の概略構成図、図１３はその刺激波の
例を示す図である。FIG. 12 is a schematic configuration diagram of an electric stimulator with a sensor showing an embodiment of the present invention, and FIG. 13 is a diagram showing an example of the stimulation wave.
【００３８】図１２において、６１は制御部位、６２は
その制御部位６１に配置されるセンサー、６３はＡ／Ｄ
入力部、６４はＣＰＵ（中央処理装置）、６５はメモリ
ー部、６６はＤ／Ａ出力部、６７は緊急刺激ボタン、６
８は緊急停止ボタンである。In FIG. 12, reference numeral 61 denotes a control portion, 62 denotes a sensor arranged in the control portion 61, and 63 denotes an A / D.
An input unit, 64 is a CPU (central processing unit), 65 is a memory unit, 66 is a D / A output unit, 67 is an emergency stimulus button, 6
Reference numeral 8 denotes an emergency stop button.
【００３９】この実施例では、この電気刺激装置は、排
尿困難治療用の１〜５Ｈｚの基本波と、尿失禁、夜尿
症、頻尿などの尿禁制障害治療と骨盤底筋群強化訓練を
目的とする２０〜８０Ｈｚの基本波を出力する。刺激出
力は、例えば、図１０に示すように２チャンネルとす
る。また１チャンネルの２つの電極で２個の神経もしく
は筋肉を同時に刺激できるようにするため、図１３
（ａ）に示すように基本波（双極性刺激波）あるいは図
１３（ｂ）に示すように基本波に群波形を重畳した波形
とすることが望ましい。In this embodiment, this electrical stimulator is used for the treatment of continence disorders such as urinary incontinence, enuresis, pollakiuria and pelvic floor muscle strengthening training. A fundamental wave of 20 to 80 Hz is output. The stimulus output is, for example, two channels as shown in FIG. In order to be able to simultaneously stimulate two nerves or muscles with two electrodes of one channel, FIG.
It is desirable to use a fundamental wave (bipolar stimulation wave) as shown in (a) or a waveform in which a group waveform is superimposed on the fundamental wave as shown in FIG. 13 (b).
【００４０】図１３は本発明の実施例を示す電気刺激装
置から出力される刺激波としての極性矩形波及び群波形
を示す図である。FIG. 13 is a diagram showing a rectangular rectangular wave and a group waveform as stimulus waves output from the electric stimulator according to the embodiment of the present invention.
【００４１】図１３（ａ）は本発明にかかる刺激波例で
ある双極性矩形波を示す図である。FIG. 13A is a diagram showing a bipolar rectangular wave which is an example of a stimulation wave according to the present invention.
【００４２】例えば、パルス幅２００μｓｅｃ〜５００
μｓｅｃ（０〜５００μｓｅｃでも可）、周波数を１Ｈ
ｚ〜１００Ｈｚとする振幅変調方式とする。For example, a pulse width of 200 μsec to 500
μsec (0-500 μsec is acceptable), frequency 1H
The amplitude modulation method is set to z to 100 Hz.
【００４３】図１３（ｂ）は本発明にかかる刺激パルス
例である群波形を示す図である。FIG. 13B is a diagram showing a group waveform which is an example of a stimulation pulse according to the present invention.
【００４４】例えば、１ｋＨｚから数１０ｋＨｚまでの
正弦波あるいは三角波によるバースト波０ｍｓｅｃ〜
０．５ｍｓｅｃの幅とし（振幅変調方式では０．２〜
０．５ｍｓｅｃ、幅変調方式では０〜０．５ｍｓｅｃ）
その繰り返し周期を１０００ｍｓｅｃから１０ｍｓｅｃ
（１Ｈｚから１００Ｈｚ）で選択して刺激波として使用
することができる。For example, a burst wave of 0 msec by a sine wave or a triangular wave from 1 kHz to several tens kHz.
The width is set to 0.5 msec.
0.5 msec, 0 to 0.5 msec in width modulation)
The repetition period is 1000 msec to 10 msec.
(1 Hz to 100 Hz) and can be used as a stimulation wave.
【００４５】図１４は本発明の実施例を示す電気刺激装
置の刺激波である双極性矩形波の回路図である。FIG. 14 is a circuit diagram of a bipolar rectangular wave which is a stimulus wave of the electric stimulator according to the embodiment of the present invention.
【００４６】その回路構成としては、ダイオードとトラ
ンスとを組み合わせた平衡変調回路７１の出力電圧ｖ2
にスライス回路７２と交互にアースにおとす反転回路７
２によって、双極性矩形波を得ることができる。なお、
ｅ1 は信号波、ｅ2 は搬送波、Ｔ1 ，Ｔ2 はトランス、
Ｄ1 ，Ｄ2 はダイオードである。As the circuit configuration, the output voltage v 2 of the balanced modulation circuit 71 combining a diode and a transformer is used.
Inverting circuit 7 alternately connected to ground with slice circuit 72
2, a bipolar rectangular wave can be obtained. In addition,
e 1 is a signal wave, e 2 is a carrier wave, T 1 and T 2 are transformers,
D 1 and D 2 are diodes.
【００４７】なお、電気刺激態様は、排尿困難治療で
は、図９に示すように、両側後仙骨孔直上皮膚を同時刺
激する方法（方式１）を用いる。尿禁制障害治療では、
その方式１の刺激法か、もしくは同側の後仙骨孔直上皮
膚と臀部坐骨結節内側陰部神経皮膚上運動点を１チャン
ネルの双極性刺激波で刺激し、それを両側同時に行う刺
激法（方式２）を用いる。また、方式１の刺激と同時に
左右臀部坐骨結節内側陰部神経皮膚上運動点を刺激する
刺激法（方式３）も用いることができる。左右の骨盤底
筋群強化訓練の目的では、方式２、方式３の刺激法を用
いる。In the electrical stimulation mode, in the treatment of dysuria, as shown in FIG. 9, a method of simultaneously stimulating the skin immediately above the bilateral posterior sacral foramen (method 1) is used. In the treatment of urinary incontinence disorders,
The stimulation method of the method 1 or the stimulation method of stimulating the motor point on the skin just above the posterior sacral foramen of the ipsilateral side and the medial pudendal nerve on the hip sciatic tuberosity with a one-channel bipolar stimulation wave and simultaneously performing bilateral stimulation (Method 2) ) Is used. In addition, a stimulation method (method 3) that stimulates a motor point on the skin of the medial pudendal nerve at the right and left hips at the same time as the stimulation of method 1 can also be used. For the purpose of training for strengthening the left and right pelvic floor muscles, the stimulation methods of method 2 and method 3 are used.
【００４８】このように、本発明における電気刺激装置
は、確実な治療、訓練効果を自動的に得るために、必要
に応じて刺激効果を検出して負帰還し、より最適な刺激
データを作成し、保存するシステムとなっている。As described above, the electric stimulator according to the present invention detects the stimulus effect and performs negative feedback as necessary to create more optimal stimulus data in order to automatically obtain a reliable treatment and training effect. And save it.
【００４９】また、咳や急激な運動などで尿失禁が予想
される場合は、緊急に尿道括約筋と骨盤底筋群を方式２
の方法で同時収縮させて尿失禁を予防する緊急失禁予防
装置を内蔵する。When urinary incontinence is expected due to coughing or rapid exercise, urinary sphincter and pelvic floor muscles are urgently used.
An emergency incontinence prevention device that prevents urinary incontinence by simultaneous contraction by the method described above.
【００５０】以下、そのような緊急対応に適したセンサ
ー付きの電気刺激装置について説明する。Hereinafter, an electric stimulator with a sensor suitable for such emergency response will be described.
【００５１】図１２に示したようなセンサー付きの電気
刺激装置によって、緊急に尿道括約筋と骨盤底筋群を同
時収縮させて尿失禁を予防する場合には、緊急刺激ボタ
ン６７を操作して、方式２による刺激態様、つまり、同
側の後仙骨孔直上皮膚と臀部坐骨結節内側陰部神経皮膚
上運動点を１チャンネルの双極性刺激波で刺激し、それ
を両側同時に行う刺激法を用いて、骨盤底筋群や尿道括
約筋を緊急的に同時収縮させ、緊急失禁予防を行う。な
お、方式３による刺激態様でも同じことができる。つま
り、第２チャンネルのみで刺激を行うことも効果があ
る。When urinary incontinence is prevented by urgently contracting the urethral sphincter and pelvic floor muscles simultaneously with the electric stimulator equipped with a sensor as shown in FIG. 12, the emergency stimulus button 67 is operated. The stimulation mode according to the method 2, i.e., the stimulation point on the ipsilateral posterior sacral just above skin and the hip sciatic tuberosity medial pudendal nerve skin is stimulated by a bipolar stimulation wave of one channel, and the stimulation is performed on both sides simultaneously. Immediately contract the pelvic floor muscles and urethral sphincter simultaneously to prevent emergency incontinence. Note that the same can be applied to the stimulation mode according to the method 3. That is, it is also effective to stimulate only the second channel.
【００５２】また、状況をみて、緊急停止が必要な場合
には、緊急停止ボタン６８を操作して、これを停止す
る。If an emergency stop is necessary in view of the situation, the emergency stop button 68 is operated to stop it.
【００５３】また、例えば、肛門内あるいは膣内筒型圧
センサーもしくは会陰部歪み検出センサー６２によっ
て、電気刺激中の骨盤底群の収縮効果を検出し、その負
帰還信号によって、最適な刺激データを自動的に作成し
て刺激装置内に記憶させるソフトウェアをインストール
することができる。Further, for example, the contraction effect of the pelvic floor group during the electric stimulation is detected by the intra-anal or intra-vaginal cylindrical pressure sensor or the perineal distortion detecting sensor 62, and the optimum stimulus data is obtained by the negative feedback signal. Software can be installed that is created automatically and stored in the stimulator.
【００５４】なお、本発明は上記実施例に限定されるも
のではなく、本発明の趣旨に基づいて種々の変形が可能
であり、これらを本発明の範囲から排除するものではな
い。The present invention is not limited to the above embodiment, but various modifications are possible based on the spirit of the present invention, and these are not excluded from the scope of the present invention.
【００５５】[0055]
【発明の効果】以上、詳細に説明したように、本発明に
よれば、 （Ａ）刺激電極は、極薄で下着材と同等の柔らかさを有
する導電性シートとそれに接着させる粘着パッドより構
成され、仙骨部皮膚を刺激する電極は、仙骨後面皮膚に
密着しかつ他の部位を刺激することのないように、仙骨
後面の形状と同様の形状に構成され、仙骨部皮膚を適切
に刺激することができる。As described above in detail, according to the present invention, (A) the stimulating electrode comprises an extremely thin conductive sheet having the same softness as the underwear material and an adhesive pad adhered thereto. The electrode that stimulates the sacral skin is configured in the same shape as the posterior surface of the sacrum so as to adhere to the posterior skin of the sacrum and does not stimulate other parts, and appropriately stimulates the sacral skin. be able to.
【００５６】（Ｂ）また、臀部坐骨結節内側陰部神経皮
膚上運動点刺激電極も、対応する箇所に配置され、臀部
坐骨結節内側陰部神経皮膚上運動点を適切に刺激するこ
とができる。(B) In addition, the stimulating electrode on the hip sciatic node medial pudendal nerve skin is also arranged at the corresponding position, and the stimulating point on the hip sciatic node medial pudendal nerve skin can be appropriately stimulated.
【００５７】（Ｃ）各種の刺激電極は、当該部位に適切
に貼れるようにデザインした電極装着用下着に取り付け
られ、着用が容易である。(C) The various stimulating electrodes are attached to the electrode mounting underwear designed to be appropriately affixed to the relevant site, and are easy to wear.
【００５８】（Ｄ）電極装着用下着に直接電極を装着す
ると、下着が動きでずれた際、電極も同時に移動し適切
な刺激ができなくなる可能性があるので、下着の刺激電
極部分に電極移動防止布シートを遊びがあるようにその
両端を縫い付けて、それに電極を貼り付けるようにする
ようにしたので、下着の移動が多少あっても刺激電極へ
直接的に移動にかかる力が加わることがなく、的確な刺
激電極の装着が可能である。(D) If the electrode is directly attached to the underwear for electrode attachment, when the underwear is displaced by the movement, the electrode may move at the same time and an appropriate stimulation may not be performed. The prevention cloth sheet is sewn at both ends so that there is play, and the electrodes are attached to it, so even if there is some movement of the underwear, the force applied to the movement directly to the stimulation electrode is applied And accurate mounting of the stimulation electrode is possible.
【００５９】（Ｅ）電気刺激装置は、排尿困難治療用の
刺激波として１〜５Ｈｚの基本波、尿失禁、夜尿症、頻
尿などの尿禁制障害治療と骨盤底筋群強化訓練を目的と
する２０〜８０Ｈｚの基本波を出力することができる。(E) The electric stimulator is used for the treatment of urinary incontinence disorders such as urinary incontinence, enuresis, pollakisuria, etc., and training for strengthening the pelvic floor muscles as a fundamental wave of 1 to 5 Hz as stimulation waves for treatment of dysuria. A fundamental wave of 20 to 80 Hz can be output.
【００６０】（Ｆ）１つの出力チャンネルに２つの刺激
電極を配置し、この２つのペア電極に対し、基本波が双
極性、もしくは基本波内の群波形が双極性である刺激波
を印加して、同時に２個の神経もしくは筋肉を刺激する
ことができる。(F) Two stimulation electrodes are arranged in one output channel, and a stimulation wave whose fundamental wave is bipolar or whose group waveform in the fundamental wave is bipolar is applied to the two paired electrodes. Thus, two nerves or muscles can be stimulated at the same time.
【００６１】（Ｇ）求める刺激効果に応じて、刺激パタ
ーンを的確に変更することができる。(G) The stimulus pattern can be accurately changed according to the desired stimulus effect.
【００６２】（Ｈ）骨盤底筋群や尿道括約筋を緊急的に
同時収縮させる刺激波を出力することができる。(H) It is possible to output a stimulation wave for urgently simultaneously contracting the pelvic floor muscle group and the urethral sphincter.
【００６３】（Ｉ）肛門内あるいは膣内筒型圧センサー
もしくは会陰部歪み検出センサーによって、電気刺激中
の骨盤底群の収縮効果を検出し、その負帰還信号によっ
て最適な刺激データを自動的に作成して刺激装置内に記
憶させることができる。(I) The contraction effect of the pelvic floor group during electrical stimulation is detected by an intra-anal or intra-vaginal cylindrical pressure sensor or a perineal distortion detecting sensor, and optimal stimulation data is automatically generated by the negative feedback signal. It can be created and stored in the stimulator.
【図１】本発明の第１実施例を示す刺激電極を示す図で
ある。FIG. 1 is a diagram showing a stimulation electrode according to a first embodiment of the present invention.
【図２】本発明の第２実施例を示す刺激電極を示す図で
ある。FIG. 2 is a view showing a stimulation electrode according to a second embodiment of the present invention.
【図３】本発明の第２実施例を示す刺激電極の断面図で
ある。FIG. 3 is a cross-sectional view of a stimulation electrode according to a second embodiment of the present invention.
【図４】本発明の第２実施例を示す刺激電極の装着状態
を示す図である。FIG. 4 is a view showing a mounted state of a stimulation electrode according to a second embodiment of the present invention.
【図５】本発明が適用される仙骨後面を示す図である。FIG. 5 is a diagram showing the posterior surface of the sacrum to which the present invention is applied.
【図６】本発明の第１実施例を示す臀部坐骨結節内側陰
部神経皮膚上運動点刺激電極を示す図である。FIG. 6 is a view showing an electrode for stimulating a motor point on the skin of the medial pudendal nerve in the gluteal sciatic tube according to the first embodiment of the present invention.
【図７】本発明の第２実施例を示す電極装着用下着の上
面図である。FIG. 7 is a top view of an electrode mounting undergarment according to a second embodiment of the present invention.
【図８】本発明の第２実施例を示す電極装着用下着の透
視斜視図である。FIG. 8 is a perspective view of an undergarment for mounting electrodes according to a second embodiment of the present invention.
【図９】本発明の刺激電極への刺激波の付与態様を示す
図（その１）である。FIG. 9 is a diagram (part 1) illustrating a mode of applying a stimulation wave to a stimulation electrode according to the present invention.
【図１０】本発明の刺激電極への刺激波の付与態様を示
す図（その２）である。FIG. 10 is a diagram (part 2) illustrating a mode of applying a stimulation wave to a stimulation electrode according to the present invention.
【図１１】本発明の刺激電極への刺激波の付与態様を示
す図（その３）である。FIG. 11 is a diagram (part 3) illustrating a mode of applying a stimulation wave to a stimulation electrode according to the present invention.
【図１２】本発明の実施例を示すセンサー付きの電気刺
激装置の概略構成図である。FIG. 12 is a schematic configuration diagram of an electric stimulator with a sensor according to an embodiment of the present invention.
【図１３】本発明の実施例を示す電気刺激装置から出力
される刺激波としての極性矩形波及び群波形を示す図で
ある。FIG. 13 is a diagram showing a polar rectangular wave and a group waveform as stimulus waves output from the electric stimulator according to the embodiment of the present invention.
【図１４】本発明の実施例を示す電気刺激装置の刺激波
である双極性矩形波の回路図である。FIG. 14 is a circuit diagram of a bipolar rectangular wave which is a stimulus wave of the electric stimulator according to the embodiment of the present invention.
１，１１ 仙骨部表面刺激電極 １Ａ 左側の仙骨部表面刺激電極 １Ｂ 右側の仙骨部表面刺激電極 ２ 金属シート（導電性ゴムシート） ３，１３，２３ 粘着パッド ４，１４ 絶縁性材料 ５，１５，２８ コード ６，１６，２９ プラグ １２ 導電性ゴムシート １２Ａ 表側導電性ゴムシート １２Ｂ 裏側導電性ゴムシート １７ リード線 ２０ 電極装着用下着 ２１，２５ 電極移動防止布シート ２２ 臀部坐骨結節内側陰部神経皮膚上運動点刺激電
極 ２２Ａ 左側の臀部坐骨結節内側陰部神経皮膚上運動
点刺激電極 ２２Ｂ 右側の臀部坐骨結節内側陰部神経皮膚上運動
点刺激電極 ２４ 導電性シート ３０ 仙骨後面 ３１，４１，５１ 刺激波源 ６１ 制御部位 ６２ センサー ６３ Ａ／Ｄ入力部 ６４ ＣＰＵ（中央処理装置） ６５ メモリー部 ６６ Ｄ／Ａ出力部 ６７ 緊急刺激ボタン ６８ 緊急停止ボタン ７１ 平衡変調回路 ７２ スライス回路 ７３ 反転回路1,11 Sacral surface stimulation electrode 1A Left sacral surface stimulation electrode 1B Right sacral surface stimulation electrode 2 Metal sheet (conductive rubber sheet) 3,13,23 Adhesive pad 4,14 Insulating material 5,15, 28 Cord 6,16,29 Plug 12 Conductive Rubber Sheet 12A Front Conductive Rubber Sheet 12B Back Conductive Rubber Sheet 17 Lead Wire 20 Underwear for Electrode Mounting 21,25 Electrode Movement Prevention Cloth Sheet 22 Gluteus Sciatic Nodule Inside Vulva Nervous Skin Exercise point stimulation electrode 22A Left gluteal ischial tuberosity medial pudendal nerve cutaneous exercise point stimulation electrode 22B Right buttock ischial tuberosity medial pudendal nerve skin exercise point stimulation electrode 24 Conductive sheet 30 Sacral posterior surface 31, 41, 51 Stimulation wave source 61 Control Part 62 Sensor 63 A / D input unit 64 CPU (central processing unit) 65 Memory unit 66 D / A output Part 67 emergency stimulus button 68 Emergency stop button 71 balanced modulation circuit 72 slice circuit 73 inverting circuit
Claims (13)
する導電性シートとそれに接着させる粘着パッドからな
る左右に配置される電極部と、該左右に配置される電極
部を絶縁して一体化する絶縁材料とを有する仙骨部表面
刺激電極と、（ｂ）極薄で下着材と同等の柔らかさを有
する導電性シートとそれに接着させる粘着パッドからな
る左右に配置される電極部を有する臀部坐骨結節内側陰
部神経皮膚上運動点刺激電極と、（ｃ）前記仙骨部表面
刺激電極と臀部坐骨結節内側陰部神経皮膚上運動点刺激
電極にコードを介して接続される刺激波源とを備え、
（ｄ）仙骨後面の後仙骨孔直上皮膚および／または臀部
坐骨結節内側陰部神経皮膚上運動点を刺激することを特
徴とする骨盤部表面刺激電極装置。(A) an electrode portion disposed on the left and right comprising an extremely thin conductive sheet having the same softness as an underwear material and an adhesive pad adhered to the conductive sheet; Electrode parts arranged on the left and right, comprising: a sacral surface stimulation electrode having an insulating material to be integrated by bonding; and (b) an ultra-thin conductive sheet having the same softness as the underwear material and an adhesive pad adhered thereto. And (c) a stimulation wave source connected via a cord to the sacral surface stimulation electrode and the hip sciatic node medial pubic nerve skin motion point stimulation electrode, Prepared,
(D) A pelvic surface stimulation electrode device, which stimulates a motor point on the skin just above the posterior sacral foramen of the posterior surface of the sacrum and / or on the genital nerve skin inside the hip sciatic tuberosity.
置において、前記仙骨部表面刺激電極のみへ刺激波源か
ら１チャンネル出力を印加することを特徴とする骨盤部
表面刺激電極装置。2. The pelvic surface stimulation electrode device according to claim 1, wherein a one-channel output from a stimulation wave source is applied only to the sacral surface stimulation electrode.
置において、前記仙骨部表面刺激電極と臀部坐骨結節内
側陰部神経皮膚上運動点刺激電極の両方へ刺激波を印加
することを特徴とする骨盤部表面刺激電極装置。3. The pelvic surface stimulating electrode device according to claim 1, wherein a stimulation wave is applied to both the sacral surface stimulating electrode and the stimulating electrode on the genital nerve skin inside the hip sciatic tuberosity. Pelvic surface stimulation electrode device.
電極装置において、前記刺激波は、排尿困難治療用の刺
激波として１〜５Ｈｚの基本波を、尿失禁、夜尿症、頻
尿の尿禁制障害治療と骨盤底筋群強化訓練用の刺激波と
して２０〜１００Ｈｚの基本波を用いることを特徴とす
る骨盤部表面刺激電極装置。4. The pelvic surface stimulation electrode device according to claim 2, wherein the stimulation wave is a fundamental wave of 1 to 5 Hz as a stimulation wave for treatment of dysuria, and is used for urinary incontinence, enuresis, pollakiuria. A pelvic surface stimulation electrode device, wherein a fundamental wave of 20 to 100 Hz is used as a stimulation wave for urinary incontinence disorder treatment and pelvic floor muscle group reinforcement training.
電極装置において、１つの出力チャンネルに２つの刺激
電極を配置し、この２つのペア電極に対し、前記刺激波
源は、基本波が双極性、もしくは基本波内の群波形が双
極性である刺激波を印加して、同時に２個の神経もしく
は筋肉を刺激可能にすることを特徴とする骨盤部表面刺
激電極装置。5. The pelvic surface stimulation electrode device according to claim 2, wherein two stimulation electrodes are arranged in one output channel, and a fundamental wave of the stimulation wave source is generated for the two paired electrodes. A pelvic surface stimulation electrode device, characterized in that a stimulation wave having a bipolar or a group waveform within a fundamental wave is applied to stimulate two nerves or muscles at the same time.
する導電性シートとそれに接着させる粘着パッドからな
る左右に配置される電極部と、該左右に配置される電極
部を絶縁して一体化する絶縁材料とを有する仙骨部表面
刺激電極を取り付ける電極移動防止布シートと、（ｂ）
極薄で下着材と同等の柔らかさを有する導電性シートと
それに接着させる粘着パッドからなる左右に配置される
電極部を有する臀部坐骨結節内側陰部神経皮膚上運動点
刺激電極を取り付ける移動防止布シートと、（ｃ）前記
仙骨部表面刺激電極と臀部坐骨結節内側陰部神経皮膚上
運動点刺激電極にコードを介して接続される刺激波源
と、（ｄ）前記仙骨部表面刺激電極の移動防止布シート
と臀部坐骨結節内側陰部神経皮膚上運動点刺激電極の移
動防止布シートとを所定の位置に配置することを特徴と
する骨盤部表面刺激電極装置装着用下着。6. (a) Electrodes arranged on the left and right comprising an extremely thin conductive sheet having the same softness as an underwear material and an adhesive pad adhered thereto, and insulating the electrodes arranged on the left and right. An electrode migration preventing cloth sheet for attaching a sacral surface stimulation electrode having an insulating material to be integrated with the electrode; (b)
A movement-preventing cloth sheet for attaching a stimulating electrode on the hip skin inside the hip sciatic tuberosity, having electrodes arranged on the left and right sides, comprising a conductive sheet having an extremely thin and softness equivalent to that of the underwear material and an adhesive pad adhered to the conductive sheet. (C) a stimulation wave source connected through a cord to the sacral surface stimulation electrode and the sciatic nodule medial pudendal nerve skin motion point stimulation electrode, and (d) a cloth sheet for preventing movement of the sacral surface stimulation electrode An undergarment for wearing a pelvic surface stimulation electrode device, wherein a cloth sheet for preventing movement of an exercise point stimulation electrode on the genital nerve skin inside the hip sciatic tuberosis is arranged at a predetermined position.
置装着用下着において、前記仙骨部表面刺激電極のみへ
前記刺激波源から１チャンネル出力を印加することを特
徴とする骨盤部表面刺激電極装置装着用下着。7. The pelvic surface stimulation electrode according to claim 6, wherein a one-channel output from the stimulation wave source is applied only to the sacral surface stimulation electrode. Underwear for device mounting.
置装着用下着において、前記仙骨部表面刺激電極と臀部
坐骨結節内側陰部神経皮膚上運動点刺激電極の両方へ刺
激波を印加することを特徴とする骨盤部表面刺激電極装
置装着用下着。8. The undergarment for wearing a pelvic surface stimulation electrode device according to claim 6, wherein a stimulation wave is applied to both the sacral surface stimulation electrode and the stimulating electrode on the pubic nerve nerve inner skin of the hip sciatic tuberosity. Underwear for wearing a pelvic surface stimulation electrode device.
極装置において、求める刺激効果に応じて、前記刺激波
のパターンを変更できるソフトウェアをインストールす
ることを特徴とする骨盤部表面刺激電極装置装着用下
着。9. A pelvic surface stimulation electrode device according to claim 7, wherein software capable of changing a pattern of the stimulation wave is installed according to a desired stimulation effect. Underwear for wearing.
置装着用下着において、骨盤底筋群や尿道括約筋を緊急
的に同時収縮させる刺激波を出力するための装置を具備
することを特徴とする骨盤部表面刺激電極装置装着用下
着。10. The underwear for mounting a pelvic surface stimulation electrode device according to claim 6, further comprising a device for outputting a stimulation wave for urgently simultaneously contracting the pelvic floor muscles and the urethral sphincter. Underwear for wearing pelvic surface stimulation electrode device.
置装着用下着において、肛門内あるいは膣内筒型圧セン
サーもしくは会陰部歪み検出センサーによって、電気刺
激中の骨盤底群の収縮効果を検出し、その負帰還信号に
よって最適な刺激データを自動的に作成して刺激装置内
に記憶させるソフトウェアをインストールすることを特
徴とする骨盤部表面刺激電極装置装着用下着。11. The underwear for wearing a pelvic surface stimulation electrode device according to claim 6, wherein a contraction effect of the pelvic floor group during electrical stimulation is detected by an intra-anal or intra-vaginal cylindrical pressure sensor or a perineal distortion detecting sensor. An undergarment for wearing a pelvic surface stimulation electrode device, wherein software for automatically creating optimal stimulation data based on the negative feedback signal and storing the data in the stimulation device is installed.
置装着用下着において、１つの出力チャンネルに２つの
刺激電極を配置し、該２つの刺激電極に対し、前記刺激
波源は、基本波が双極性、もしくは基本波内の群波形が
双極性である刺激波を印加して、同時に２個の神経もし
くは筋肉を刺激可能にすることを特徴とする骨盤部表面
刺激電極装置装着用下着。12. The undergarment for wearing a pelvic surface stimulation electrode device according to claim 6, wherein two stimulation electrodes are arranged in one output channel, and for the two stimulation electrodes, the stimulation wave source has a fundamental wave. An undergarment for wearing a pelvic surface stimulation electrode device, wherein a stimulation wave having bipolarity or a group waveform in a fundamental wave is applied to stimulate two nerves or muscles at the same time.
装置装着用下着において、前記群波形は１ｋＨｚから数
１０ｋＨｚまでのサイン波あるいは三角波によるバース
ト波であることを特徴とする骨盤部表面刺激電極装置装
着用下着。13. The pelvic surface stimulation electrode according to claim 12, wherein the group waveform is a burst wave of a sine wave or a triangular wave from 1 kHz to several tens of kHz. Underwear for device mounting.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2000400496A JP2002200178A (en) | 2000-12-28 | 2000-12-28 | Pelvis surface stimulation electrode instrument and undergarment for wearing the electrode instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2000400496A JP2002200178A (en) | 2000-12-28 | 2000-12-28 | Pelvis surface stimulation electrode instrument and undergarment for wearing the electrode instrument |
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| Publication Number | Publication Date |
|---|---|
| JP2002200178A true JP2002200178A (en) | 2002-07-16 |
Family
ID=18865084
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2000400496A Pending JP2002200178A (en) | 2000-12-28 | 2000-12-28 | Pelvis surface stimulation electrode instrument and undergarment for wearing the electrode instrument |
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2000
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