JP2020533041A - 振戦の影響を制御するためのシステムおよび方法 - Google Patents
振戦の影響を制御するためのシステムおよび方法 Download PDFInfo
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Abstract
Description
Claims (67)
- 不随意筋収縮の治療のためのシステムであって、
内部接触面を有し、対象者の肢の第1の部分を少なくとも部分的に取り囲むように構成されたウェアラブルインターフェースと、
前記ウェアラブルインターフェースにより支持され、前記対象者の前記肢に2種類以上のエネルギーを印加するように構成されたエネルギーアプリケータと、
を備えるシステム。 - 前記2種類以上のエネルギーが振動エネルギーを含む、請求項1に記載のシステム。
- 前記2種類以上のエネルギーが電気刺激エネルギーを含む、請求項1に記載のシステム。
- 前記2種類以上のエネルギーが振動エネルギーをさらに含む、請求項3に記載のシステム。
- 前記振動エネルギーが、前記ウェアラブルインターフェースによって支持された1つまたは複数の圧電素子によって提供される、請求項2に記載のシステム。
- 前記1つまたは複数の圧電素子のうちの少なくとも1つが、約20kHz〜約1MHzの周波数で振動するように構成されている、請求項5に記載のシステム。
- 前記1つまたは複数の圧電素子が、第1の周波数で振動するように構成された第1の圧電素子と、前記第1の周波数とは異なる第2の周波数で振動するように構成された第2の圧電素子と、を備える、請求項5に記載のシステム。
- 前記第1の周波数が約1Hz〜約30Hzであり、前記第2の周波数が約20kHz〜約1MHzである、請求項7に記載のシステム。
- 前記電気刺激エネルギーが、前記ウェアラブルインターフェースにより支持された1つまたは複数の電極により提供される、請求項3に記載のシステム。
- 前記ウェアラブルインターフェースによって支持され、前記肢内の筋肉収縮に関連する信号を出力するように構成されたセンサをさらに備える、請求項1に記載のシステム。
- 前記センサが1つまたは複数の圧電素子を備える、請求項10に記載のシステム。
- 前記1つまたは複数の圧電素子のうちの少なくとも1つが、約40Hz〜約500Hzの周波数で振動するように構成されている、請求項11に記載のシステム。
- 前記センサが超音波トランスデューサを備える、請求項10に記載のシステム。
- 非一時的なコンピュータ可読媒体内に具現化されたコンピュータプログラムをさらに備え、前記コンピュータプログラムが、1つまたは複数のコンピュータで実行された場合に、前記エネルギーアプリケータを動作させる命令を提供する、請求項1に記載のシステム。
- 前記エネルギーアプリケータの動作を制御するように構成された制御ユニットをさらに備える、請求項1に記載のシステム。
- 前記制御ユニットは、前記ウェアラブルインターフェースによって支持されている、請求項15に記載のシステム。
- 前記制御ユニットがプログラム可能である、請求項15に記載のシステム。
- 前記制御ユニットが、前記エネルギーアプリケータの動作を経時的に修正するように構成されている、請求項15に記載のシステム。
- 前記エネルギーアプリケータの動作の経時的な前記修正が、印加される振動エネルギーの量を変化させることを含む、請求項18に記載のシステム。
- 前記エネルギーアプリケータの動作の経時的な前記修正が、印加される電気刺激エネルギーの量を変化させることを含む、請求項18に記載のシステム。
- 前記ウェアラブルユーザインターフェースにより支持され、前記肢内の筋肉収縮に関連する信号を出力するように構成されたセンサをさらに備え、前記エネルギーアプリケータの動作の経時的な前記修正は、前記対象者における振戦の少なくともいくつかの測定された変化に基づく、請求項18に記載のシステム。
- 前記ウェアラブルユーザインターフェースにより支持され、前記肢内の筋肉収縮に関連する信号を出力するように構成されたセンサをさらに備える、請求項15に記載のシステム。
- 前記制御ユニットが、前記センサにより出力される前記信号の測定された変化に少なくとも部分的に基づいて、前記エネルギーアプリケータの動作を修正するように構成されている、請求項22に記載のシステム。
- 前記2種類以上のエネルギーが振動エネルギーを含む、請求項23に記載のシステム。
- 前記2種類以上のエネルギーが電気刺激エネルギーを含む、請求項23に記載のシステム。
- 前記2種類以上のエネルギーが振動エネルギーをさらに含む、請求項25に記載のシステム。
- 前記2種類以上のエネルギーの印加の後に前記センサにより出力される信号が、前記2種類以上のエネルギーの前記印加の前に前記センサにより出力される前記信号の約80%未満である場合に、前記制御ユニットが、前記エネルギーアプリケータにより出力されるパワーを低減するように構成されているかまたは構成可能である、請求項23〜26のいずれか一項に記載のシステム。
- 前記センサが加速度計を備え、前記センサにより出力される前記信号が肢の加速度に対応する、請求項27に記載のシステム。
- 前記センサがジャイロスコープを備え、前記センサにより出力される前記信号が肢の角速度に対応する、請求項27に記載のシステム。
- 前記センサが筋電図(EMG)センサを備え、前記センサにより出力される前記信号が1つまたは複数の筋肉の筋電図信号に対応する、請求項27に記載のシステム。
- 前記2種類以上のエネルギーの印加の後に前記センサにより出力される信号が、前記2種類以上のエネルギーの前記印加の前に前記センサにより出力される前記信号の約50%未満である場合に、前記制御ユニットが、前記エネルギーアプリケータにより出力されるパワーを低減するように構成されているかまたは構成可能である、請求項23〜26のいずれか一項に記載のシステム。
- 前記センサが加速度計を備え、前記センサにより出力される前記信号が肢の加速度に対応する、請求項31に記載のシステム。
- 前記センサがジャイロスコープを備え、前記センサにより出力される前記信号が肢の角速度に対応する、請求項31に記載のシステム。
- 前記センサが筋電図(EMG)センサを備え、前記センサにより出力される前記信号が1つまたは複数の筋肉の筋電図信号に対応する、請求項31に記載のシステム。
- 前記2種類以上のエネルギーの印加の後に前記センサにより出力される信号が、前記2種類以上のエネルギーの前記印加の前に前記センサにより出力される前記信号の約20%未満である場合に、前記制御ユニットが、前記エネルギーアプリケータにより出力されるパワーを低減するように構成されているかまたは構成可能である、請求項23〜26のいずれか一項に記載のシステム。
- 前記センサが加速度計を備え、前記センサにより出力される前記信号が肢の加速度に対応する、請求項35に記載のシステム。
- 前記センサがジャイロスコープを備え、前記センサにより出力される前記信号が肢の角速度に対応する、請求項35に記載のシステム。
- 前記センサが筋電図(EMG)センサを備え、前記センサにより出力される前記信号が1つまたは複数の筋肉の筋電図信号に対応する、請求項35に記載のシステム。
- 前記2種類以上のエネルギーの印加の後に前記センサにより出力される信号が、前記2種類以上のエネルギーの前記印加の前に前記センサにより出力される前記信号の約10%未満である場合に、前記制御ユニットが、前記エネルギーアプリケータにより出力されるパワーを低減するように構成されているかまたは構成可能である、請求項23〜26のいずれか一項に記載のシステム。
- 前記センサが加速度計を備え、前記センサにより出力される前記信号が肢の加速度に対応する、請求項39に記載のシステム。
- 前記センサがジャイロスコープを備え、前記センサにより出力される前記信号が肢の角速度に対応する、請求項39に記載のシステム。
- 前記センサが筋電図(EMG)センサを備え、前記センサにより出力される前記信号が1つまたは複数の筋肉の筋電図信号に対応する、請求項39に記載のシステム。
- 前記2種類以上のエネルギーが振動エネルギーを含む、請求項15に記載のシステム。
- 前記2種類以上のエネルギーが電気刺激エネルギーを含む、請求項15に記載のシステム。
- 前記2種類以上のエネルギーが振動エネルギーをさらに含む、請求項44に記載のシステム。
- 前記制御ユニットが、前記エネルギーアプリケータにより出力されるパワーレベルを変化させるように構成されているかまたは構成可能である、請求項15および43〜45のいずれか一項に記載のシステム。
- 前記制御ユニットが、前記エネルギーアプリケータにより出力される信号の周波数を変化させるように構成されているかまたは構成可能である、請求項15および43〜45のいずれか一項に記載のシステム。
- 前記制御ユニットが、前記エネルギーアプリケータにより出力されるエネルギーの印加の持続時間を変化させるように構成されているかまたは構成可能である、請求項15および43〜45のいずれか一項に記載のシステム。
- 前記制御ユニットが、前記エネルギーアプリケータにより出力される信号の振幅を変化させるように構成されているかまたは構成可能である、請求項15および43〜45のいずれか一項に記載のシステム。
- 前記制御ユニットは、電気刺激の出力パラメータと振動の出力パラメータとを互いに独立して変化させるように構成されているかまたは構成可能である、請求項45に記載のシステム。
- 前記電気刺激の出力パラメータは、電圧、電流、パワー、周波数、持続時間、および振幅からなるリストから選択される、請求項50に記載のシステム。
- 前記振動の出力パラメータは、パワー、周波数、高調波モード番号、持続時間、および振幅からなるリストから選択される、請求項50に記載のシステム。
- 前記ウェアラブルユーザインターフェースにより支持され、前記肢内の筋肉収縮に関連する信号を出力するように構成されたセンサをさらに備える、請求項15および43〜45のいずれか一項に記載のシステム。
- 前記センサが加速度計を備え、前記センサにより出力される前記信号が肢の加速度に対応する、請求項53に記載のシステム。
- 前記センサがジャイロスコープを備え、前記センサにより出力される前記信号が肢の角速度に対応する、請求項53に記載のシステム。
- 前記センサが筋電図(EMG)センサを備え、前記センサにより出力される前記信号が1つまたは複数の筋肉の筋電図信号に対応する、請求項53に記載のシステム。
- 前記制御ユニットが、少なくとも患者活動特性に基づいて前記エネルギーアプリケータの動作を制御するように構成されている、請求項53に記載のシステム。
- 少なくとも1つの患者活動特性を記憶するように構成されたメモリユニットをさらに備える、請求項57に記載のシステム。
- 前記患者活動特性が、食べる、飲む、歩く、走る、寝る、起きている間に休む、座る、話す、瞑想する、タイピングする、および書くことのうちの少なくとも1つに関連する、請求項53に記載のシステム。
- 前記対象者の前記肢上での前記ウェアラブルインターフェースの前記内部接触面の接触圧力を増加させるように構成された圧縮部材をさらに備える、請求項1に記載のシステム。
- 前記圧縮部材が膨張可能なカフを備える、請求項60に記載のシステム。
- 前記圧縮部材が触覚アクチュエータを備える、請求項60に記載のシステム。
- 前記エネルギーアプリケータが、前記対象者の前記肢に前記2種類以上のエネルギーを同時に印加するように構成されている、請求項1に記載のシステム。
- 前記ウェアラブルインターフェースによって支持され、無線通信用に構成された送信機をさらに備える、請求項1に記載のシステム。
- 前記送信機がトランシーバを備える、請求項64に記載のシステム。
- 前記エネルギーアプリケータが、前記ウェアラブルインターフェースの内向き表面上に支持された少なくとも1つの電極を備える、請求項1に記載のシステム。
- 前記エネルギーアプリケータが少なくとも1つの圧電結晶を含む、請求項1に記載のシステム。
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