JP6928027B2 - 局所神経性刺激 - Google Patents
局所神経性刺激 Download PDFInfo
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Description
(コピーライト)2013 and 2014 GRAHAM CREASEY, MD, & HOO−MIN TOONG, PhD.本特許文書は、著作権保護された内容を含む。特許商標庁の特許ファイル及び記録に現れるものなので、著作権者は、特許文書又は特許開示の何人による複写に対しても異議を唱えないが、それ以外の場合には何であっても全ての著作権を留保する(37CFR§ 1.71(d), (e))。
膀胱管理
1)過活動膀胱:ユーザが膀胱を至急、空にすることを必要とする感覚を感じたとき、ユーザは、コントローラのボタンを押し、陰茎又は陰核の背部神経に適用されたスマート・バンド・エイドを介して刺激を開始する。この神経の活性化は、膀胱を至急、空にすることを必要とする感覚を抑制し、都合の良い時に膀胱を空にすることができる。
心電図:心臓の電気的な活動の記録は、心臓発作及び調律異常を診断するために広く用いられている。調律異常を検出するために24時間以上この活動を記録する必要がある場合がある。スマートフォン又はコンピュータネットワークと無線で通信するスマート・バンド・エイドは、これを本システムによりもより簡素に実現する。
治療及び機能の回復のための電気的な刺激の多くの潜在的な用途が存在する。しかし、手頃な便利さ及び容易に制御可能な刺激システムが欠如しているため、これらのいくつかしか商業化されていない。一部の用途は図15に示されている。
下肢
1)下垂足:脳卒中のある人々は、しばしば、前足が上がらず、地面につま先を引きずっている。スマート・バンド・エイドは、スマート・バンド・エイドにおけるセンサによってトリガーされる適切な時間に前足を上げるように筋肉を刺激するために共通の腓骨神経に亘る膝直下に適用される。
1)手を握る:脳卒中又は脊髄損傷からの麻痺のある人々は、手を開閉するために筋肉の電気刺激により回復される単純な手の握りがある。これは、前腕の前後に適用されるスマート・バンド・エイドにより生成され、スマート・バンド・エイドにおけるセンサ及びスマートフォンにおけるアプリケーションにより連動される。
スポーツトレーニング
複数の肢区分の位置及び向きの検出は、スマートフォンに、例えばゴルフスイングの視覚フィードバックを提供し、ユーザのアクションをどのように変えるかを示すためにスイング時の特定の時間にユーザに機械的又は電気的なフィードバックを提供するために用いられる。筋肉の筋電図は、1つ又は多数のスマート・バンド・エイドからも記録され、より詳細な分析に用いられる。
腕、脚及び身体の残り部分の位置及び向きの検出は、インターネット上で他のプレイヤーと相互作用しうるオンスクリーン・プレイヤーの画像を生成する。触覚フィードバックは、身体の各種部位上のスマート・バンド・エイド内のアクチュエータによってプレイヤーに提供され、ボールを打つ感覚などを与える。
無線TNSSは、身体の複数の部位の位置、加速度及び向きをキャプチャする。このデータは、ヒト又は哺乳類のアニメーションに用いられてもよく、ヒューマンファクタ及びデザインのための用途を有する。
SBAシステムは、少なくとも単一のコントローラ及び単一のSBAからなる。ユーザの皮膚へのSBAの適用に続いて、ユーザは、近距離通信を用いてコントローラのアプリケーションを介してSBAを制御する。アプリケーションは、スマートフォン画面上に現れ、ユーザによってタッチ制御されることができ、キーフォブ型コントローラに対して、SBAは、キーフォブ上のボタンを押すことにより制御される。
Claims (14)
- 局所神経刺激パッチであって、
フレキシブル基板と、
接着剤を含み、真皮に接着するように構成された、前記フレキシブル基板の底部側における真皮順応底面と、
前記真皮順応底面に略平行な前記フレキシブル基板のフレキシブルな上部外面と、
前記真皮順応底面の近位の前記パッチ上に配置され、前記上部外面の下に位置し、前記フレキシブル基板に直接接する一つ以上の電極と、
前記上部外面の下に配置され、前記パッチにおける前記フレキシブル基板にパッケージングされる、集積回路として統合された電子回路であって、
前記一つ以上の電極を電気的に活性化するように構成された前記真皮順応底面に統合された電気信号生成器と、
前記電気信号生成器と結合される信号活性化器と、
1つ以上の神経刺激に応じてフィードバックを提供する神経刺激センサと、
を含む電子回路と、
リモート活性化装置と通信するように構成されるアンテナと、
前記電気信号生成器および前記信号活性化器の電気通信用の電源と、
を備え、
前記信号活性化器は、前記アンテナによる前記リモート活性化装置との通信の受信に応じて活性化するように構成され、
前記電気信号生成器は、前記信号活性化器による活性化に応じて一つ以上の電気刺激を生成するように構成され、
前記一つ以上の電気刺激は、前記パッチ付近の少なくとも1つの位置で当該パッチを着用しているユーザの1つ以上の神経を刺激するように構成される、
局所神経刺激パッチ。 - 前記パッチが真皮の曲がった部分にフレキシブルに結合されるとき、前記上部外面は、前記真皮順応底面と略平行な関係を維持するように構成される、前記請求項1に記載の局所神経刺激パッチ。
- 前記神経刺激に応じてユーザの筋肉活性化を検知するように構成されるセンサをさらに備える請求項1又は2に記載の局所神経刺激パッチ。
- 前記アンテナは、前記リモート活性化装置へ筋肉活性化データを伝達するように構成される請求項1〜3のいずれか一つに記載の局所神経刺激パッチ。
- 前記電気信号生成器は、刺激のパターンを生成し、検出および分析に応じて該パターンを変えるように構成される、請求項1〜4のいずれか一つに記載の局所神経刺激パッチ。
- 前記パターンの生成については最初に、刺激前の検出と分析から始められる、請求項5に記載の局所神経刺激パッチ。
- 前記一つ以上の電極は複数の同心電極として準備され、該電極での前記電源からの電力量を変化させると、刺激の組織の深さが変化する、請求項1〜6のいずれか一つに記載の局所神経刺激パッチ。
- 前記一つ以上の電極は複数の平行片に配置され、前記一つ以上の電気刺激は、パッチに対して平行または垂直に生成され得る、請求項1〜6のいずれか一つに記載の局所神経刺激パッチ。
- 前記一つ以上の電極はマトリックスに配置され、前記一つ以上の電気刺激は該マトリックス内の2つ以上の電極のいずれかの間で生成可能である、請求項1〜6のいずれか一つに記載の局所神経刺激パッチ。
- 前記一つ以上の電極は、時変電圧の印加に応じてビーム形成を提供する電極のインターロックされた電極対として準備される、請求項1〜9のいずれか一つに記載の局所神経刺激パッチ。
- 前記神経刺激センサは、超音波信号を受信するように構成された位相アンテナアレイとして機能するセンサのアレイを含む、請求項1〜10のいずれか一つに記載の局所神経刺激パッチ。
- 前記センサのアレイは、圧電センサまたは電気的、機械的変動によるセンサを含む、請求項11に記載の局所神経刺激パッチ。
- 前記一つ以上の電極は、接着性の導電性パッドを含む、請求項1〜12のいずれか一つに記載の局所神経刺激パッチ。
- 前記集積回路はSOC(システムオンチップ)として構成される、請求項1〜13のいずれか一つに記載の局所神経刺激パッチ。
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