JPS61164565A - Urination trouble treatment apparatus - Google Patents
Urination trouble treatment apparatusInfo
- Publication number
- JPS61164565A JPS61164565A JP545085A JP545085A JPS61164565A JP S61164565 A JPS61164565 A JP S61164565A JP 545085 A JP545085 A JP 545085A JP 545085 A JP545085 A JP 545085A JP S61164565 A JPS61164565 A JP S61164565A
- Authority
- JP
- Japan
- Prior art keywords
- electrode
- urinary disorder
- treatment device
- pulse
- stimulation
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Abstract
(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.
Description
【発明の詳細な説明】
〔産業上の利用分野〕
本発明は、神経因性膀胱による排尿障害に対して、仙骨
部体表面への電気刺激を与えることによって、それを治
療する排尿障害治療装置に関するものである。[Detailed Description of the Invention] [Industrial Application Field] The present invention provides a urinary disorder treatment device for treating urinary disorder caused by neurogenic bladder by applying electrical stimulation to the body surface of the sacral region. It is related to.
神経因性膀胱による排尿障害は、脳・を髄等の中枢神経
系の外傷・腫瘍・炎症あるいは末梢神経の障害などで生
じる。原因が明確で手術によって改善が見込まれる場合
には、それによって排尿障害を治療することが可能であ
る。しかし、手術によっても排尿障害が残存する場合や
手術適応のない場合には、従来薬物治療や経尿道的膀胱
頚部切除術のような対症治療法的手術が行われている。Urinary dysfunction due to neurogenic bladder occurs due to trauma, tumor, inflammation of the central nervous system such as the brain and spinal cord, or damage to peripheral nerves. If the cause is clear and improvement is expected with surgery, it is possible to treat urinary dysfunction. However, in cases where urinary dysfunction persists even after surgery, or in cases where surgery is not suitable, conventional drug treatment and symptomatic surgical operations such as transurethral bladder neck resection have been performed.
又近年手術的にを髄内に刺激電極を埋め込み、仙髄の排
尿中枢を電気刺激することによって排尿を促す試みも行
われている。In recent years, attempts have also been made to stimulate urination by surgically implanting stimulation electrodes into the spinal cord and electrically stimulating the urinary center in the sacral spinal cord.
上述の如〈従来は、基本的には手術によって排尿障害を
治療するため、患者にとって苦痛を伴うことは勿論、様
々な精神的、肉体的負担がかかつていた。また、手術に
よっても排尿障害が残存する場合や手術適応のない場合
に採られる治療では、充分な効果が得られない例も少な
くないというのが現状である。As mentioned above, in the past, urinary disorders were basically treated by surgery, which not only caused pain for the patient but also caused various mental and physical burdens. Furthermore, the current situation is that there are many cases in which sufficient effects cannot be obtained from treatments that are used in cases where urinary dysfunction persists even after surgery, or in cases where surgery is not suitable.
本発明は、上記の考察に基づくものであって、手術をす
ることな（、しかも簡便な手段により排尿障害を治療す
ることができる排尿障害治療装置を提供することを目的
とするものである。The present invention is based on the above consideration, and an object of the present invention is to provide a urinary disorder treatment device that can treat urinary disorder without surgery (and by simple means).
そのために本発明の排尿障害治療装置は、仙骨部に電気
刺激を与えて排尿障害を治療する排尿障害治療装置であ
って、仙骨部体表面に張り付けられる電極と該電極にパ
ルス電圧を供給するパルス供給手段とを備えたことを特
徴とするものである。To this end, the urinary disorder treatment device of the present invention is a urinary disorder treatment device that treats urinary disorder by applying electrical stimulation to the sacral region, and includes an electrode that is attached to the body surface of the sacral region, and a pulse voltage that supplies a pulse voltage to the electrode. The present invention is characterized by comprising a supply means.
〔作用〕
本発明の排尿障害治療装置では、手術を行った°り尿道
にカテーテルを入れたりするような処置は行わず、仙骨
部に装着する電極と該電極にパルスを供給するパルス供
給手段とを使って仙骨部にパルスを加えるだけであるた
め、携帯に容易で簡便な装置として構成できる。そして
、このような装置を使って仙骨部にパルスを加えること
により、膀胱の利尿筋を収縮させ内尿道括約筋を弛緩さ
せる骨盤内臓神経を電気刺激して排尿を促すことができ
る。また、この電気刺激は仙髄の排尿中枢に対し便通効
果をもたらし、排尿困難を持続的に軽快させる治療を持
つ、この電気刺激はことに中枢性の神経因性膀胱に有効
である。[Function] The urinary disorder treatment device of the present invention does not involve surgery or inserting a catheter into the urethra, but instead uses an electrode attached to the sacrum and a pulse supply means for supplying pulses to the electrode. Since the device only applies pulses to the sacral region using the device, it can be constructed as a portable and simple device. By applying pulses to the sacral region using such a device, it is possible to induce urination by electrically stimulating the pelvic splanchnic nerve, which contracts the diuretic muscle of the bladder and relaxes the internal urethral sphincter. In addition, this electrical stimulation has a defecation effect on the urinary center in the sacral spinal cord, and has a treatment that continuously relieves dysuria.This electrical stimulation is particularly effective for the central neurogenic bladder.
以下、実施例を図面を参照しつつ説明する。 Examples will be described below with reference to the drawings.
第１図は本発明の排尿障害治療装置の１実施例を説明す
るための図、第２図は本発明の排尿障害治療装置の電極
に印加されるパルス電圧波形の１例を示す図、第３図は
本発明の排尿障害治療装置を構成する刺激装置の１実施
例回路構成を示す図である。図において、工は電極、２
は刺激装置、３はバンド、４はスイッチ、５はポリニウ
ム、１）は発信器、１２は振幅変調回路、１３は振幅変
調波形発生回路、１４は電圧調整回路、１５と１６は昇
圧トランスをそれぞれ示している。FIG. 1 is a diagram for explaining one embodiment of the urinary disorder treatment device of the present invention, and FIG. 2 is a diagram showing an example of a pulse voltage waveform applied to the electrodes of the urinary disorder treatment device of the present invention. FIG. 3 is a diagram showing the circuit configuration of one embodiment of the stimulation device constituting the urinary disorder treatment device of the present invention. In the figure, engineering is the electrode, 2
is a stimulator, 3 is a band, 4 is a switch, 5 is a polynium, 1) is an oscillator, 12 is an amplitude modulation circuit, 13 is an amplitude modulation waveform generation circuit, 14 is a voltage adjustment circuit, 15 and 16 are step-up transformers, respectively. It shows.
第１図（ａ）は本発明の排尿障害治療装置を装着した状
態を後から見た図であり、第１図（ｂｌは左横から見た
図である０本発明の排尿障害治療装置は、第１図に示す
如く基本的に電極１及び刺激装置２より構成するもので
ある。電極１は、例えば導電ゴムなどを使った刺激用表
面電極であり、仙骨部体表面に張り付けられ対になって
パルス電圧が印加される。刺激装置２は、具体的な構成
例は第３図により後述するが、電源や発振手段、電圧調
整手段、変調手段などを有し、所望のパルス電圧を生成
して電極１にパルス電圧を供給するものである。仙骨後
面左右には後仙骨孔という穴があり、この第２第３後仙
骨孔部位にあたる仙骨部体表面に対になった電極１の関
電極側が張り付けられ、その他の部位に対になった電極
１の不関電極側が張り付けられる。従って、電極１は、
第１図図示の例では仙骨部の左右それぞれの穴の部位に
張り付けられるように２対で構成している力（，１対或
いは３対以上であってもよい、また、対を構成する電極
１の不関電極側は、共通にしてもよい、バンド３は、電
極１が所定の仙骨部体表面に張り付けられるように刺激
電極圧着装具などを使って電極ｌを固定するとともに、
刺激装置２を保持するものである。電極圧着装具は、電
極１を仙骨部の定位置に装着させるためのものであり、
患者若しくはその付き添い者が容易に装着することがで
き、それによって常に一定の部位に安全な刺激が供給で
きるようにするものである。また、刺激装置２に取り付
けられたスイッチ４やボリュウム５は、患者若しくはそ
の付き添い者が操作して起動／停止の制御、パルス電圧
の値（最大値）の調節をできるようにするものである。FIG. 1(a) is a view of the urinary disorder treatment device of the present invention as seen from the rear, and FIG. 1 (bl is a view from the left side). As shown in Fig. 1, the device basically consists of an electrode 1 and a stimulation device 2.The electrode 1 is a stimulation surface electrode made of, for example, conductive rubber, and is attached to the surface of the sacral body in pairs. The stimulator 2 has a power source, oscillation means, voltage adjustment means, modulation means, etc., and generates a desired pulse voltage.The specific configuration example will be described later with reference to FIG. There is a hole called the posterior sacral foramen on the left and right sides of the back surface of the sacrum, and the pair of electrodes 1 are connected to the body surface of the sacrum, which corresponds to the second and third posterior sacral foramina. The electrode side is pasted, and the unrelated electrode side of the paired electrodes 1 is pasted on the other parts.Therefore, the electrodes 1 are
In the example shown in Figure 1, two pairs of electrodes are used to attach the electrodes to the holes on the left and right sides of the sacrum. The indifferent electrode side of 1 may be shared, and the band 3 fixes the electrode 1 using a stimulation electrode crimping device or the like so that the electrode 1 is stuck to a predetermined sacral body surface.
It holds the stimulation device 2. The electrode crimping device is for attaching the electrode 1 to a fixed position in the sacral region,
It can be easily worn by the patient or his/her attendant, thereby ensuring that safe stimulation can always be supplied to a certain area. Further, the switch 4 and volume 5 attached to the stimulator 2 are operated by the patient or his/her attendant to control start/stop and adjust the value (maximum value) of the pulse voltage.
刺激装置２から電極１に供給されるパルス電圧波形の１
例を示したのが第２図である。刺激装置２は、スイッチ
４をオンにすると起動されるが、いきなり所定の値（最
大値）のパルス電圧を印加すると、人体に不快感やショ
ックを与えることになる。従って刺激装置２では、パル
ス電圧値が第２図Ｔａｌに示す如く起動時は小さく、そ
して時間とともに徐々に大きくして所定の値（最大値）
に落ち着くように制御される。パルス電圧の周期や幅は
、例えば１０〜５０Ｈｚ、 ０．１〜２ｍ５ｅｃ程度
に設定される。1 of the pulse voltage waveform supplied from the stimulator 2 to the electrode 1
An example is shown in FIG. The stimulation device 2 is activated when the switch 4 is turned on, but if a pulse voltage of a predetermined value (maximum value) is suddenly applied, it will give discomfort or shock to the human body. Therefore, in the stimulation device 2, the pulse voltage value is small at startup as shown in FIG. 2 Tal, and gradually increases over time until it reaches a predetermined value (maximum value).
controlled to settle down. The period and width of the pulse voltage are set, for example, to about 10 to 50 Hz and about 0.1 to 2 m5ec.
上述した刺激装置２の具体的な１構成例を示したのが第
３図である。刺激装置２は、第３図図示の如く発信器１
）、振巾変調回路１２、振巾変調波形発生回路１３、電
圧調整回路１４、昇圧トランス１５．１６、及び起動／
停止用のスイッチ４などによって構成することができる
０発信器１）は、非安定マルチバルブレーク−であり、
先に述べた如く例えばパルス幅０．１〜２１）ＳｅＣ％
周波数１０〜５０Ｈｚ程度の負性矩形波を発生するもの
であればよい、その次段に設けた振巾変調回路１２は、
起動時すなわち刺激開始時の急激な刺激による不快感を
避けるため、刺激開始時から刺激パルスの電圧を徐々に
増加して所定時間例えば２〜５秒経過後に最大振幅とな
るようにするものであり、その振幅変調の包絡線波形を
与えるのが振巾変調波形発生回路１３である。FIG. 3 shows a specific example of the configuration of the stimulation device 2 described above. The stimulation device 2 includes a transmitter 1 as shown in FIG.
), amplitude modulation circuit 12, amplitude modulation waveform generation circuit 13, voltage adjustment circuit 14, step-up transformer 15, 16, and starting/
The 0 transmitter 1), which can be constituted by a stop switch 4, etc., is an unstable multival break,
As mentioned earlier, for example, the pulse width is 0.1 to 21) SeC%
The amplitude modulation circuit 12 provided at the next stage is sufficient as long as it generates a negative rectangular wave with a frequency of about 10 to 50 Hz.
In order to avoid discomfort due to sudden stimulation at the time of startup, that is, the start of stimulation, the voltage of the stimulation pulse is gradually increased from the start of stimulation, and reaches the maximum amplitude after a predetermined period of time, for example, 2 to 5 seconds. , the amplitude modulation waveform generation circuit 13 provides the envelope waveform of the amplitude modulation.
起動／停止用のスイッチ４は、図示の如くこの振巾変調
波形発生回路１３に設けてもよいが、電源投入回路に設
けてもよい。その次の段に設けた電圧調整回路１４は、
可変抵抗器により刺激最大電圧の設定を行うものであり
、その可変抵抗器を操作するのが電圧調整用のボリュウ
ム５である。そして最終段の昇圧トランス１５．１６は
、刺激に必要な電圧を得るための昇圧作用と不必要な直
流電圧を遮断するものである。以上の如き構成の刺激装
置２は、仙骨部に与える電気刺激に適当なパルス電圧が
供給できる程度のものとして考えた場合には、３〜９Ｖ
程度の乾電池もしくは充電式乾電池で駆動することがで
き、軽量小型で携帯可能なものとすることができる。The start/stop switch 4 may be provided in the amplitude modulation waveform generation circuit 13 as shown, but it may also be provided in the power supply circuit. The voltage adjustment circuit 14 provided at the next stage is
The maximum stimulation voltage is set using a variable resistor, and the voltage adjusting volume 5 operates the variable resistor. The step-up transformers 15 and 16 at the final stage serve to boost the voltage necessary for stimulation and cut off unnecessary DC voltage. The stimulation device 2 configured as described above is considered to be capable of supplying an appropriate pulse voltage for electrical stimulation to the sacral region, and has a voltage of 3 to 9V.
It can be driven by a dry cell battery or a rechargeable dry cell battery, and can be made lightweight, small, and portable.
以上、第１図ないし第３図に示す構成の実施例を説明し
たが、本発明の排尿障害治療装置は、これに限定される
ものでなく、具体的に例示した数値なども個人差に応じ
て適宜変えてもよいことばいうまでもない。第３図に示
す所謂パルス供給手段も、周知のトランジスタ回路その
他のパルス処理回路を使うことによって種々の変形した
回路構成を採用することができるものである。従って、
本発明の排尿障害治療装置は、このようなパルス供給手
段の構成をも特に限定するものでない。Although the embodiments having the configurations shown in FIGS. 1 to 3 have been described above, the urinary disorder treatment device of the present invention is not limited thereto, and the specific numerical values etc. may vary depending on individual differences. It goes without saying that the words may be changed as appropriate. The so-called pulse supply means shown in FIG. 3 can also adopt various modified circuit configurations by using well-known transistor circuits and other pulse processing circuits. Therefore,
The urinary disorder treatment device of the present invention does not particularly limit the configuration of such a pulse supply means.
なお、本願の発明者等は、を髄腫瘍およびを柱管狭窄症
術後患者で排尿困難のある患者の仙骨部に、本発明の排
尿障害治療装置の電極をはりつけ電気刺激を与えてみた
。その結果、刺激時に排尿が促進されると共に、翌日よ
り自発的排尿時においても排尿困難が著明に改善される
ことを認めることができた。この刺激は１日１０〜１５
分程度で充分効果があり、しかもその効果は２日位持続
することが判明した。The inventors of the present application attached the electrodes of the urinary disorder treatment device of the present invention to the sacral region of a patient with a medullary tumor or trabecular canal stenosis who had difficulty urinating and applied electrical stimulation to the sacral region. As a result, we were able to see that urination was promoted during stimulation and that dysuria was significantly improved even during spontaneous urination from the next day. This stimulation is 10 to 15 times a day.
It was found that it was sufficiently effective in about a minute, and the effect lasted for about two days.
以上の説明から明らかなように、本発明によれば、橿め
て顕著な効果としては、手術を行ったり、尿道にカテー
テルを入れたりするといったような々ルＷが仝 〈、Ｉ
／、Ｈｆｘ＜ −半音ｒＯｔ日ｆ＋＜ ｆｒｚ ４＋
ｚ Ｑ ｆ！ イ、ｗと、電極も表面電極を仙骨部に当
てるだけで済み非常に簡便であることである。従って、
患者自身若しくはその付き添い者により電極を仙骨部皮
膚の一定部位に装着することによって、排尿時毎に排尿
を促進することができるのみならず、その持続効果によ
りさらに容易な排尿が期待できる。しかも、本発明の排
尿障害治療装置は、軽量、小型で装着に簡便な携帯式の
装置として構成することができる。As is clear from the above description, according to the present invention, the most significant effect is that operations such as performing surgery or inserting a catheter into the urethra are not possible.
/, Hfx< - semitone rOt day f+< frz 4+
z Q f! Second, the electrodes are very simple, as you only need to apply the surface electrodes to the sacral region. Therefore,
By attaching the electrode to a certain part of the sacral skin by the patient or his/her attendant, it is possible not only to promote urination each time urinating, but also to expect easier urination due to its long-lasting effect. Furthermore, the urinary disorder treatment device of the present invention can be configured as a portable device that is lightweight, small, and easy to wear.
第１図は本発明の排尿障害治療装置の１実施例を説明す
るための図、第２図は本発明の排尿障害治療装置の電極
に印加されるパルス電圧波形の１例を示す図、第３図は
本発明の排尿障害治療装置を構成する刺激装置の１実施
例回路構成を示す図である。
１・・・電極、２・・・刺激装置、３・・・バンド、４
・・・スイッチ、５・・・ポリニウム、１）・・・発信
器、１２・・・振幅変調回路、１３・・・振幅変調波形
発生回路、１４・・・電圧調整回路、１５と１６・・・
昇圧トランス。
第１図
（ａ、） 、 （ｂ＞第２図
ｔ（０，１−２ｍ５ｅｃ＞ ｆｃｔＯ−５ＯＨ１）第３
図FIG. 1 is a diagram for explaining one embodiment of the urinary disorder treatment device of the present invention, and FIG. 2 is a diagram showing an example of a pulse voltage waveform applied to the electrodes of the urinary disorder treatment device of the present invention. FIG. 3 is a diagram showing the circuit configuration of one embodiment of the stimulation device constituting the urinary disorder treatment device of the present invention. 1... Electrode, 2... Stimulator, 3... Band, 4
... Switch, 5 ... Polynium, 1) ... Transmitter, 12 ... Amplitude modulation circuit, 13 ... Amplitude modulation waveform generation circuit, 14 ... Voltage adjustment circuit, 15 and 16 ...・
Step-up transformer. Figure 1 (a,), (b> Figure 2 t(0,1-2m5ec> fctO-5OH1) 3rd
figure
Claims (4)
尿障害治療装置であって、仙骨部体表面に張り付けられ
る電極と該電極にパルス電圧を供給するパルス供給手段
とを備えたことを特徴とする排尿障害治療装置。(1) A urinary disorder treatment device that treats urinary disorder by applying electrical stimulation to the sacral region, comprising an electrode that is attached to the body surface of the sacral region and a pulse supply means that supplies pulse voltage to the electrode. Features of urinary disorder treatment device.
して最大値になるパルス電圧を供給するように構成した
ことを特徴とする特許請求の範囲第（１）項記載の排尿
障害治療装置。(2) The treatment for urinary disorder according to claim (1), characterized in that the pulse supply means is configured to supply a pulse voltage whose voltage gradually increases from the time of activation and reaches a maximum value. Device.
るための電圧可変手段を備えたことを特徴とする特許請
求の範囲第（２）項記載の排尿障害治療装置。(3) The urinary disorder treatment device according to claim (2), wherein the pulse supply means includes voltage variable means for adjusting the maximum value of the pulse voltage.
パルス供給手段を保持するバンドを備えたことを特徴と
する特許請求の範囲第（１）項記載の排尿障害治療装置
。(4) Attach the electrode to a predetermined position on the sacrum,
The urinary disorder treatment device according to claim 1, further comprising a band for holding the pulse supply means.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP545085A JPS61164565A (en) | 1985-01-16 | 1985-01-16 | Urination trouble treatment apparatus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP545085A JPS61164565A (en) | 1985-01-16 | 1985-01-16 | Urination trouble treatment apparatus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPS61164565A true JPS61164565A (en) | 1986-07-25 |
| JPH0326623B2 JPH0326623B2 (en) | 1991-04-11 |
Family
ID=11611545
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP545085A Granted JPS61164565A (en) | 1985-01-16 | 1985-01-16 | Urination trouble treatment apparatus |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPS61164565A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH0564665A (en) * | 1991-09-09 | 1993-03-19 | Teijin Ltd | Low frequency electric therapeutic apparatus |
| JP2007075304A (en) * | 2005-09-14 | 2007-03-29 | Tohoku Univ | Electrostimulator and pelvic viscera dysfunction or pain treatment apparatus |
| JP2009517101A (en) * | 2005-11-24 | 2009-04-30 | フェメダ リミテッド | Self-contained electrical stimulator with treatment cycle |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2007037853A (en) * | 2005-08-04 | 2007-02-15 | Lintec Corp | Sleep disorder treatment device |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS5715910A (en) * | 1980-07-03 | 1982-01-27 | Toshiba Mach Co Ltd | Molding method for pellet and screw and die plate used for said method |
| JPS5727468U (en) * | 1980-07-19 | 1982-02-13 | ||
| JPS5772656A (en) * | 1980-10-21 | 1982-05-07 | Matsushita Electric Ind Co Ltd | Low frequency treating device |
| JPS5880100U (en) * | 1981-11-27 | 1983-05-30 | 松下電器産業株式会社 | toilet device |
-
1985
- 1985-01-16 JP JP545085A patent/JPS61164565A/en active Granted
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS5715910A (en) * | 1980-07-03 | 1982-01-27 | Toshiba Mach Co Ltd | Molding method for pellet and screw and die plate used for said method |
| JPS5727468U (en) * | 1980-07-19 | 1982-02-13 | ||
| JPS5772656A (en) * | 1980-10-21 | 1982-05-07 | Matsushita Electric Ind Co Ltd | Low frequency treating device |
| JPS5880100U (en) * | 1981-11-27 | 1983-05-30 | 松下電器産業株式会社 | toilet device |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH0564665A (en) * | 1991-09-09 | 1993-03-19 | Teijin Ltd | Low frequency electric therapeutic apparatus |
| JP2007075304A (en) * | 2005-09-14 | 2007-03-29 | Tohoku Univ | Electrostimulator and pelvic viscera dysfunction or pain treatment apparatus |
| JP2009517101A (en) * | 2005-11-24 | 2009-04-30 | フェメダ リミテッド | Self-contained electrical stimulator with treatment cycle |
| JP2013126590A (en) * | 2005-11-24 | 2013-06-27 | Femeda Ltd | Self-contained electric stimulator with treatment cycle |
Also Published As
| Publication number | Publication date |
|---|---|
| JPH0326623B2 (en) | 1991-04-11 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EXPY | Cancellation because of completion of term |