JP2012217565A - Urination disorder treatment device - Google Patents
Urination disorder treatment device Download PDFInfo
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本発明は、特に失禁や頻尿を抑制する排尿障害治療装置に関するものである。 The present invention particularly relates to a dysuria treatment apparatus that suppresses incontinence and frequent urination.
失禁や頻尿といった排尿障害を、仙骨を通る神経を刺激して治療する方法がある。 There are methods of treating dysuria such as incontinence and frequent urination by stimulating nerves that pass through the sacrum.
図５の人体１５側断面図で示すように、尿道括約筋１６等の骨盤底筋群の動きを制御する陰部神経１７と、膀胱１８の動きを制御する骨盤内臓神経１９とが仙骨２０を通っている。そのため、仙骨２０を介して、これら陰部神経１７と骨盤内臓神経１９とを刺激することで蓄排尿を制御することができる。 As shown in the sectional side view of the human body 15 in FIG. 5, the pudendal nerve 17 that controls the movement of the pelvic floor muscles such as the urethral sphincter 16 and the pelvic visceral nerve 19 that controls the movement of the bladder 18 pass through the sacrum 20. Yes. Therefore, accumulation and urination can be controlled by stimulating the pudendal nerve 17 and the pelvic visceral nerve 19 via the sacrum 20.
一方、後頚骨神経２１は、足底から足首８の内側を通り、坐骨神経２３を介して仙骨２０に繋がっている。そのため、図６に示すような刺激装置２４と針電極２５、基準電極２６およびリードケーブル２７とで構成され、図７に示す下肢内側面２８のくるぶし２９から大よそ５〜６センチ膝方向部分に存在するＳＰ−６ポイント３０部分に針電極２５を穿刺し、穿刺した針電極２５へ刺激装置２４から刺激印加信号を供給する排尿障害治療装置が提案されている（例えば、下記非特許文献１）。 On the other hand, the posterior tibial nerve 21 passes from the sole to the inside of the ankle 8 and is connected to the sacrum 20 via the sciatic nerve 23. Therefore, the stimulation device 24 as shown in FIG. 6, the needle electrode 25, the reference electrode 26, and the lead cable 27 is configured. From the ankle 29 on the inner side surface 28 of the lower limb shown in FIG. There has been proposed a urination disorder treatment apparatus that punctures an existing SP-6 point 30 portion with a needle electrode 25 and supplies a stimulation application signal from the stimulation device 24 to the punctured needle electrode 25 (for example, Non-Patent Document 1 below). .
ＳＰ−６ポイント３０は、頸骨の直ぐ後ろの皮膚上にあり、後頸骨神経２１に近接する皮膚上に位置する。ＳＰ−６ポイント３０は経穴に相当し、山陰交とも呼ばれる。山陰交は、泌尿器疾患や消化器官を調節する経穴として知られている。 The SP-6 point 30 is on the skin immediately behind the tibia and is located on the skin close to the posterior tibial nerve 21. SP-6 point 30 corresponds to an acupuncture point and is also called San-in. San-in is known as an acupuncture point that regulates urological diseases and digestive organs.
しかしながら、前記従来の構成では、下肢のＳＰ−６ポイントに針電極を穿刺するという侵襲性を有する治療であるから、患者にとって痛みや苦痛を伴うという課題を有していた。 However, since the conventional configuration is an invasive treatment in which a needle electrode is punctured at the SP-6 point of the lower limb, there is a problem that the patient is accompanied by pain and pain.
また、侵襲性を有する治療であることから、治療の都度、穿刺を医師等の医療従事者のもとで行う必要があり、簡便に治療することができないという課題を有していた。
そこで、本発明は、前記課題を解決するもので、針電極をＳＰ−６ポイントに穿刺する必要がなく、患者自身が簡便に治療できる排尿障害治療装置を提供することを目的とする。
Further, since the treatment is invasive, it is necessary to perform puncture under a medical staff such as a doctor every time treatment is performed, and there is a problem that treatment cannot be performed easily.
SUMMARY OF THE INVENTION The present invention solves the above-described problems, and an object of the present invention is to provide a urination disorder treatment apparatus that can be easily treated by a patient without needing to puncture a needle electrode at an SP-6 point.
そして、この目的を達成するために本発明の排尿障害治療装置は、電極面が凸状の形状を有する刺激印加電極と、前記人体の所望の部位の皮膚表面上に配置される基準電極と、下肢内側面のくるぶしに配置する部分に穴部を備え、ＳＰ−６ポイントを含む足首全体を巻装し、前記穴部を基準として定められる前記ＳＰ−６ポイントの皮膚表面に対応する位
置に前記刺激印加電極を設置した巻装部と、前記基準電極の電位に対し定められる所定の大きさの電圧からなる前記刺激印加信号を前記刺激印加電極へ供給する刺激装置とを備えた構成とし、これにより所期の目的を達成することを特徴としたものである。
And in order to achieve this object, the urination disorder treatment device of the present invention comprises a stimulation applying electrode having a convex electrode surface, a reference electrode arranged on the skin surface of a desired part of the human body, A hole portion is provided in the ankle on the inner surface of the lower limb, the entire ankle including the SP-6 point is wound, and the SP-6 point defined on the basis of the hole portion is positioned at a position corresponding to the skin surface. A configuration comprising: a winding part in which a stimulation application electrode is installed; and a stimulation device that supplies the stimulation application signal having a voltage of a predetermined magnitude determined with respect to the potential of the reference electrode to the stimulation application electrode. It is characterized by achieving the intended purpose.
本発明の排尿障害治療装置によれば、電極面が凸状の形状を有する刺激印加電極と、前記人体の所望の部位の皮膚表面上に配置される基準電極と、下肢内側面のくるぶしに配置する部分に穴部を備え、ＳＰ−６ポイントを含む足首全体を巻装し、前記穴部を基準として定められる前記ＳＰ−６ポイントの皮膚表面に対応する位置に前記刺激印加電極を設置した巻装部と、前記基準電極の電位に対し定められる所定の大きさの電圧からなる前記刺激印加信号を前記刺激印加電極へ供給する刺激装置とを備えた構成としたものであり、針電極を患者のＳＰ−６ポイントに穿刺する必要する必要もなく、非侵襲で治療を行うことができる。 According to the urination disorder treatment device of the present invention, the stimulation applying electrode whose electrode surface has a convex shape, the reference electrode disposed on the skin surface of the desired part of the human body, and the ankle on the inner side surface of the lower limb A winding portion provided with a hole portion in the portion to be wound, the entire ankle including the SP-6 point is wound, and the stimulation applying electrode is installed at a position corresponding to the skin surface of the SP-6 point determined with the hole portion as a reference And a stimulation device that supplies the stimulation application signal having a voltage of a predetermined magnitude determined with respect to the potential of the reference electrode to the stimulation application electrode. It is not necessary to puncture the SP-6 point, and treatment can be performed non-invasively.
その結果、患者への負担を軽減することが可能となり、また、穿刺に伴う穿刺部分への細菌等による感染の危険性も伴わないため安全に治療を実施することができる。さらに、治療の都度、医師等の医療従事者のもとで行う必要がなく、患者自身で簡便に治療を行うことができる。 As a result, it is possible to reduce the burden on the patient, and it is possible to safely perform treatment because there is no risk of infection due to bacteria or the like to the puncture part associated with puncture. Furthermore, it is not necessary to perform treatment under the medical staff such as a doctor for each treatment, and the treatment can be easily performed by the patient himself.
以下に本発明の排尿障害治療装置の実施の形態を図面と共に説明する。 Embodiments of the urination disorder treatment apparatus of the present invention will be described below with reference to the drawings.
（実施の形態１）
図１は、本願発明の実施の形態１における排尿障害治療装置を示している。
(Embodiment 1)
FIG. 1 shows a urination disorder treatment apparatus according to Embodiment 1 of the present invention.
実施の形態１における排尿障害治療装置１は、刺激装置２、刺激印加電極３、基準電極４、リードケーブル５、巻装部６およびベルト部７から構成される。 The urination disorder treatment apparatus 1 according to the first embodiment includes a stimulation device 2, a stimulation application electrode 3, a reference electrode 4, a lead cable 5, a winding unit 6, and a belt unit 7.
刺激装置２は、リードケーブル５を介して刺激印加電極３と基準電極４とに電気的に接続されており、基準電極４の電位を基準として、刺激印加信号として矩形波のパルス信号を刺激印加電極３に供給するものである。 The stimulation device 2 is electrically connected to the stimulation application electrode 3 and the reference electrode 4 via a lead cable 5 and applies a rectangular pulse signal as a stimulation application signal with the potential of the reference electrode 4 as a reference. This is supplied to the electrode 3.
刺激印加電極３は、足首８の下肢内側面側のくるぶし９から大よそ５〜６センチ膝方向側のＳＰ−６ポイント１０の皮膚表面上に当接するものであって、刺激装置２からの刺激印加信号を、ＳＰ−６ポイント１０を介して生体内部へ供給させるものである。そして、刺激印加電極３は、後述する巻装部６およびベルト部７で足首８を固定した際に確実に皮膚表面に当節するように電極面は凸状で形成されている。基準電極４は、所望の皮膚表面上に配置されるものであって、刺激装置２から刺激印加電極３に刺激印加信号を供給する際に、この基準電極４の電位を基準として刺激印加信号の大きさの電圧を定めるためのものである。 The stimulation application electrode 3 is abutted on the skin surface of the SP-6 point 10 on the knee direction side from the ankle 9 on the inner side of the lower limb of the ankle 8, and stimulates from the stimulation device 2. The applied signal is supplied into the living body via the SP-6 point 10. The stimulation applying electrode 3 has a convex electrode surface so that the ankle 8 is fixed to the skin surface when the ankle 8 is fixed by a winding part 6 and a belt part 7 which will be described later. The reference electrode 4 is arranged on a desired skin surface, and when supplying the stimulus application signal from the stimulator 2 to the stimulus application electrode 3, the potential of the stimulus application signal is based on the potential of the reference electrode 4. It is for determining the voltage of magnitude.
巻装部６の構成を図２に示す。巻装部６は、ＳＰ−６ポイント１０を含む足首８全体を巻装するものであって、その材質は絶縁性を有する材質で構成される。下肢内側面のくるぶしに配置する部分にくるぶしが露出するように穴部１１が設けられている。そして、この巻装部６には、足首８全体を巻装した後に、所望の締圧で固定することが可能なベルト部７が設けられている。すなわち、この巻装部６は、下肢内側面のくるぶしに穴部１１を配置した後に足首８全体を巻装させ、その後にベルト部７によって巻装部６を足首８に確実に固定させる構成となっている。 The structure of the winding part 6 is shown in FIG. The winding part 6 winds the whole ankle 8 including the SP-6 point 10, and the material thereof is made of an insulating material. A hole 11 is provided so that the ankle is exposed at a portion disposed on the ankle on the inner side surface of the lower limb. The wound portion 6 is provided with a belt portion 7 that can be fixed with a desired tightening pressure after the entire ankle 8 is wound. That is, the winding part 6 is configured to wind the entire ankle 8 after placing the hole 11 in the ankle on the inner side surface of the lower limb, and then securely fix the winding part 6 to the ankle 8 by the belt part 7. It has become.
また、この巻装部６は、その内面に電極面が皮膚に当接するように刺激印加電極３が固定されている。この刺激印加電極３は、穴部１１を基準としておおよそ５〜６センチ膝方向に固定されている。これは、ＳＰ−６ポイント１０が足首８から５〜６センチ膝方向に存在するため、巻装部６を足首８全体に巻装した際、刺激印加電極３が、ＳＰ−６ポイント１０に配置されるように対応したものである。 Further, the wound application part 6 has the stimulation applying electrode 3 fixed to the inner surface thereof so that the electrode surface comes into contact with the skin. The stimulation applying electrode 3 is fixed in a knee direction of about 5 to 6 cm with respect to the hole 11. This is because the SP-6 point 10 exists in the 5-6 cm knee direction from the ankle 8, so when the wound part 6 is wound around the entire ankle 8, the stimulation applying electrode 3 is arranged at the SP-6 point 10. It is a thing corresponding.
上記のような構成からなる巻装部６を足首８に装着することで、刺激印加電極３を確実にＳＰ−６ポイント１０の皮膚表面上に当接することができるので、巻装部６を足首８に装着後、刺激装置２から刺激印加電極を介してＳＰ−６ポイント１０へ刺激印加信号を供給することができる。そして、ＳＰ−６ポイント１０に供給された刺激印加信号は、その信号が後頚骨神経に伝達し、仙骨にまで伝播するため、陰部神経および骨盤内臓神経を刺激して蓄排尿を制御して排尿障害を治療することができる。 By attaching the winding part 6 having the above-described configuration to the ankle 8, the stimulation applying electrode 3 can be surely brought into contact with the skin surface of the SP-6 point 10, so that the winding part 6 is attached to the ankle. After being attached to 8, the stimulation application signal can be supplied from the stimulation apparatus 2 to the SP-6 point 10 via the stimulation application electrode. Then, the stimulus application signal supplied to SP-6 point 10 is transmitted to the posterior tibial nerve and propagates to the sacrum, so that the pudendal nerve and pelvic visceral nerve are stimulated to control accumulation and urination. Can treat dysuria.
以上のように、本願発明の実施の形態１における排尿障害治療装置１を用いることで、巻装部６で足首８全体を固定した際に、凸状の刺激印加電極３が皮膚表面に確実に当接し、刺激印加信号を生体へ供給することができる。そして、巻装部６に設けられた穴部１１を基準に巻装するだけで、刺激印加電極３を簡便且つ確実にＳＰ−６ポイント位置に配置することができる。従って、非侵襲でかつ、簡便な装着で排尿障害治療を実施することが可能となる。 As described above, by using the urination disorder treatment device 1 according to the first embodiment of the present invention, when the entire ankle 8 is fixed by the wound portion 6, the convex stimulation application electrode 3 is reliably attached to the skin surface. The stimulus application signal can be supplied to the living body. Then, the stimulation applying electrode 3 can be simply and reliably placed at the SP-6 point position simply by winding with the hole 11 provided in the winding portion 6 as a reference. Therefore, it is possible to perform urination disorder treatment with non-invasive and simple wearing.
（実施の形態２）
図３は、本願発明の実施の形態２における排尿障害治療装置を示している。
(Embodiment 2)
FIG. 3 shows a urination disorder treatment apparatus according to Embodiment 2 of the present invention.
実施の形態１と異なる点は、図４に示すように巻装部６の内部に加圧空気を送って膨張させる袋状部材１２を備えたことと、その袋状部材１２に送気ケーブル１４を介して加圧空気を供給する加圧空気供給装置１３を備えた点が異なる。従って、実施の形態１と同様の構成については、説明を省略する。 The difference from the first embodiment is that a bag-like member 12 for inflating by sending pressurized air into the winding part 6 as shown in FIG. 4 is provided, and an air supply cable 14 is provided to the bag-like member 12. The point which provided the pressurized air supply apparatus 13 which supplies pressurized air via is different. Therefore, the description of the same configuration as that of Embodiment 1 is omitted.
実施の形態２における排尿障害治療装置１の巻装部６は、いわゆる血圧計のカフ部に類似する構成である。すなわち、下肢内側面のくるぶしに穴部１１を配置した後に足首８全体を巻装させ、ベルト部７によって巻装部６を足首８に固定させた後、加圧空気供給装置１３から送気ケーブル１４を介して巻装部６の袋状部材１２に向けて加圧空気を供給して使用される。 The winding part 6 of the urination disorder treatment apparatus 1 according to the second embodiment has a configuration similar to a cuff part of a so-called sphygmomanometer. That is, after placing the hole 11 in the ankle on the inner side surface of the lower limb, the entire ankle 8 is wound, the wound portion 6 is fixed to the ankle 8 by the belt portion 7, and then the air supply cable from the pressurized air supply device 13. The compressed air is supplied to the bag-like member 12 of the winding part 6 through 14 and used.
従って、実施の形態２の排尿障害治療装置１を用いることで、巻装部６による足首８全体および刺激印加電極４の固定を更に確実にすることができる。
また、凸状の刺激印加電極3を巻装部６の内側面に設けると、巻装部６に加圧空気が供給された時に凸状の刺激印加電極3とＳＰ−６ポイント１０部分の皮膚の密着性がより増加するため、皮膚と電極の接触抵抗が小さい状態で効果的な刺激ができる。
Therefore, by using the urination disorder treatment device 1 according to the second embodiment, the entire ankle 8 and the stimulation applying electrode 4 can be more reliably fixed by the wound portion 6.
Further, when the convex stimulation applying electrode 3 is provided on the inner surface of the wound part 6, the skin of the convex stimulation applying electrode 3 and the SP-6 point 10 when the pressurized air is supplied to the wound part 6. Therefore, effective stimulation can be performed in a state where the contact resistance between the skin and the electrode is small.
本発明の排尿障害治療装置光治療装置によれば、電極面が凸状の形状を有する刺激印加
電極と、前記人体の所望の部位の皮膚表面上に配置される基準電極と、下肢内側面のくるぶしに配置する部分に穴部を備え、ＳＰ−６ポイントを含む足首全体を巻装し、前記穴部を基準として定められる前記ＳＰ−６ポイントの皮膚表面に対応する位置に前記刺激印加電極を設置した巻装部と、前記基準電極の電位に対し定められる所定の大きさの電圧からなる前記刺激印加信号を前記刺激印加電極へ供給する刺激装置とを備えた構成としたものであるので、針電極を患者のＳＰ−６ポイントに穿刺する必要する必要もなく、非侵襲で治療を行うことができる。
According to the phototherapy device of the urination disorder treatment device of the present invention, the stimulus application electrode having a convex shape on the electrode surface, the reference electrode disposed on the skin surface of the desired part of the human body, and the inner surface of the lower limb A hole portion is provided in an ankle portion, the entire ankle including the SP-6 point is wound, and the stimulation applying electrode is provided at a position corresponding to the skin surface of the SP-6 point defined with the hole portion as a reference. Since it has a configuration comprising an installed winding part and a stimulation device that supplies the stimulation application signal consisting of a voltage of a predetermined magnitude determined with respect to the potential of the reference electrode to the stimulation application electrode, The treatment can be performed non-invasively without the need to puncture the patient's SP-6 point.
その結果、患者への負担を軽減することが可能となり、また、穿刺に伴う穿刺部分への細菌等による感染の危険性も伴わないため安全に治療を実施することができる。
さらに、治療の都度、医師等の医療従事者のもとで行う必要がなく、患者自身で簡便に治療を行うことができる。
As a result, it is possible to reduce the burden on the patient, and it is possible to safely perform treatment because there is no risk of infection due to bacteria or the like to the puncture part associated with puncture.
Furthermore, it is not necessary to perform treatment under the medical staff such as a doctor for each treatment, and the treatment can be easily performed by the patient himself.
このため、家庭用で使用できる排尿障害治療装置として広く活用が期待される。 Therefore, it is expected to be widely used as a urination disorder treatment device that can be used at home.
１ 排尿障害治療装置
２ 刺激装置
３ 刺激印加電極
４ 基準電極
５ リードケーブル
６ 巻装部
７ ベルト部
８ 足首
９ くるぶし
１０ ＳＰ−６ポイント
１１ 穴部
１２ 袋状部材
１３ 加圧空気供給装置
１４ 送気ケーブル
１５ 人体
１６ 尿道括約筋
１７ 陰部神経
１８ 膀胱
１９ 骨盤内臓神経
２０ 仙骨
２１ 後頚骨神経
２２ 足首
２３ 坐骨神経
２４ 刺激装置
２５ 針電極
２６ 基準電極
２７ リードケーブル
２８ 下肢内側面
２９ くるぶし
３０ ＳＰ−６ポイント
DESCRIPTION OF SYMBOLS 1 Urination disorder treatment apparatus 2 Stimulation apparatus 3 Stimulation application electrode 4 Reference electrode 5 Lead cable 6 Winding part 7 Belt part 8 Ankle 9 Ankle 10 SP-6 point 11 Hole part 12 Bag-shaped member 13 Pressurized air supply apparatus 14 Air supply Cable 15 human body 16 urethral sphincter 17 pudendal nerve 18 urinary bladder 19 pelvic visceral nerve 20 sacrum 21 posterior tibial nerve 22 ankle 23 sciatic nerve 24 stimulator 25 needle electrode 26 reference electrode 27 lead cable 28 lower limb inner surface 29 ankle 30 SP-6 point
Claims (4)
前記人体の所望の部位の皮膚表面上に配置される基準電極と、
下肢内側面のくるぶしに配置する部分に穴部を備え、ＳＰ−６ポイントを含む足首全体を巻装し、前記穴部を基準として定められる前記ＳＰ−６ポイントの皮膚表面に対応する位置に前記刺激印加電極を設置した巻装部と、
前記基準電極の電位に対し定められる所定の大きさの電圧からなる前記刺激印加信号を前記刺激印加電極へ供給する刺激装置とを備えたことを特徴とする排尿障害治療装置。 A stimulation applying electrode having a convex shape on the electrode surface;
A reference electrode disposed on the skin surface of a desired part of the human body;
A hole portion is provided in the ankle on the inner surface of the lower limb, the entire ankle including the SP-6 point is wound, and the SP-6 point defined on the basis of the hole portion is positioned at a position corresponding to the skin surface. A winding part provided with a stimulating electrode;
A urination disorder treatment apparatus comprising: a stimulation device that supplies the stimulation application signal having a voltage of a predetermined magnitude determined with respect to the potential of the reference electrode to the stimulation application electrode.
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| Application Number | Priority Date | Filing Date | Title |
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| JP2011085146A JP2012217565A (en) | 2011-04-07 | 2011-04-07 | Urination disorder treatment device |
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| Application Number | Priority Date | Filing Date | Title |
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| JP2011085146A JP2012217565A (en) | 2011-04-07 | 2011-04-07 | Urination disorder treatment device |
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| JP2012217565A true JP2012217565A (en) | 2012-11-12 |
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| Application Number | Title | Priority Date | Filing Date |
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| JP2011085146A Withdrawn JP2012217565A (en) | 2011-04-07 | 2011-04-07 | Urination disorder treatment device |
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