RU175753U1 - Apparatus physiotherapy audio simulator - electrical stimulator of the gastrointestinal tract - Google Patents

Abstract

An emulator-stimulator device for physiotherapy refers to devices in the field of gastroenterology for restoring the function of the gastrointestinal tract. The sounds of intestinal motility are recorded on the sd memory card using a voice recorder, and a sound simulation is performed on the nervous system of the abdominal cavity from the micro-memory card through a losing device, with ULF through a dynamic emitter. The device is characterized in that electrical stimulation is simultaneously performed. Pulses from the VLF (7) through the USB extension cord (14) are sent to the UT (11), the control pulse generator (9) controls the switching of the relay block (10), the pulses from the switch (12) are sent to 6 electrodes mounted on a plastic grid ( 13), are located in a circle on the abdominal cavity of the gastrointestinal tract, switch in pairs, the positive potential changes to negative: 1.4: 2.5: 3.6 in a circle. From the text of the abstract it can be seen that it includes all the essential features of the device’s formula in the field application and technical effect. 6 l

Description

The apparatus for physiotherapy relates to methods and devices of pulsed medical equipment, namely to the field of gastroenterology, to mobile devices for physiotherapeutic effects on diseases of the gastrointestinal tract (GIT), irritable bowel syndrome (IBS) and atony. It can be used in stationary, field and spa resorts and at home. The natural sounds of intestinal motility are recorded on a micro-sd-memory card and sound simulation of the nervous system of the abdominal organs by sound waves is carried out through a playback device, a low-frequency amplifier (ULF) and a dynamic emitter. At the same time, pulse stimulation is performed with 6 electrodes arranged in a circle on the abdominal cavity (GIT), currents converted from the sound wave of the natural sounds of intestinal motility into electrical impulses. (IBS) is currently considered a biopsychosocial disorder, which is formed by two pathological mechanisms: psychosocial effects and sensory-motor dysfunction, which is based on a change in visceral sensitivity.

A known device is an electrical stimulator of the gastrointestinal tract (GIT). Patent for invention №: 2236267 Author: Glushchuk S.F. (RU), Pekker Ya.S. (RU) Published: 09/20/2004 The gastrointestinal tract electrical stimulator contains electrodes made in the form of two electrically isolated parts of the drug capsule, a pulse generator connected by leads to a power source, and the first key element installed with the ability to short-circuit the electrodes during pauses, placed inside the capsule. In addition, a second key element has been introduced, connected to the signal enable signal with the first output of the pulse generator, the output with the control input of the pulse generator, and the input and the general power output with the poles of the power source, and the general power output with the output of the pulse generator connected to the power source . The invention allows to increase the shelf life of electrical stimulators by eliminating the dynamic current consumption of the pulse generator in the storage mode of the electrical stimulator.

However, the disadvantage of this electric stimulator is the presence of a dynamic current consumption of the pulse generator in the storage mode of the electric stimulator, leading to a reduction in its shelf life. Method and device for electrical stimulation of the gastrointestinal tract Invention patent No. 2173567 Date of publication: 10.06. 2000. Author: Pyrlyk A.V., Tyazhev A.I., Petrov Vladimir Alexandrovich V.A. Patent holder: Petrov Vladimir. In the method of electrical stimulation of the gastrointestinal tract, pulses of electric current are supplied by the principle of "traveling wave" to the active parts of the electrodes in an amount of at least two. The device for electrical stimulation is equipped with a converter of electrical pulses on the principle of "traveling wave". The probe is additionally equipped with at least two electrodes with active parts sequentially located along the length. The effectiveness of the treatment is carried out due to the possibility of combining decompression of the gastrointestinal tract with its electrical stimulation, directly affecting the wall of the gastrointestinal tract, the occurrence of peristaltic waves in a given direction, the ability to control the frequency and speed of peristaltic waves.

However, the disadvantages are low efficiency, poor differentiation of exposure.

The closest coinciding with the essential features of the known device Sound stimulator Patent No: 2014061 Date of publication: 15.06. 1994. IPC: A61H Author: Vasiliev A.I., Guskov A.R., Khvostova M.M. Patent holder: Vasiliev Alexander Ivanovich, Guskov Alexander Robertovich Date of publication: 06.15.1994. Usage: in medical technology, namely, devices for treating internal organs by mechanical action on the human body and can improve the effectiveness of treatment. The essence of the invention: according to the signal from the parameter setting unit, sound vibrations are received at the input of the control pulse generation block, where the required pulses are generated in the block, which, after conversion, are transmitted to the sound vibration emitter. On the parameter display unit, sound vibrations indicate the signals generated by the unit.

However, sound vibrations generated by the device cannot effectively affect the abdominal organs with control impulses, they are not perceived by the nervous system as sounds of their own peristalsis.

From a known device that coincides with the essential features of the apparatus with a physiotherapeutic emulator - an electrical stimulator of the gastrointestinal tract. It uses a power supply, a generator for generating control pulses, an emitter of sound vibrations.

The problem to be solved by the claimed utility model is designed of an apparatus of an audio simulator - an electrical stimulator of the gastrointestinal tract with the aim of speedy restoration of motor function in diseases (gastrointestinal tract), irritable bowel syndrome (IBS) and atony.

The problem is solved by using the apparatus of a physiotherapeutic audio simulator - an electrical stimulator related to devices in the field of gastroenterology, to pulsed mobile devices for restoring the function of the gastrointestinal tract from irritable bowel syndrome and atony.

The use of simulation is characterized by the use of natural sounds of intestinal motility recorded on a micro-SD memory card using a voice recorder isolated from extraneous sounds, the microcard is installed in a playback device that is mounted on the abdominal cavity of the gastrointestinal tract on a plastic mesh with possible correction and amplitude filtering pulses from low delta waves to high beta. A playing device, which includes: a micro-sd-memory card, a digital analog converter (DAC), a low-frequency amplifier (VLF), and through a dynamic emitter, sound simulation is performed on the nervous system of the projections of the abdominal organs, increases the activity of the enteric nervous system.

It is necessary to exclude or reduce the activity of the human herpes virus from the family Herpesviridae. The most common type 1 human herpes simplex virus and type 2 genital virus. Type 7 virus causes the so-called chronic fatigue syndrome, which many people treat unsuccessfully for years, visiting a gastroenterologist, psychotherapist, cardiologist. When the herpes virus enters the body, it can live in it for many years, causing a latent long-term infection and damaging the brain and nerve cells all this time. The herpes virus can be responsible for the defeat of nerve endings. In this case, they speak of autonomic neuropathy. Many diseases of the digestive system are triggered by life in the body of this virus. Irritable bowel syndrome is currently considered a biopsychosocial disorder, which is formed by two pathological mechanisms: psychosocial effects and sensory-motor dysfunction, which is based on a change in visceral sensitivity of the enteric nervous system.

In parallel with drug treatment, it is necessary to influence electrostimulation through the converted natural sounds of intestinal motility into electrical impulses on diseases of the gastrointestinal tract in case of irritable bowel syndrome.

The apparatus is a physiotherapeutic audio simulator - an electrical stimulator of the gastrointestinal tract, characterized in that it simultaneously performs pulsed electrical stimulation, converted from the sound wave by the natural sounds of intestinal motility. Through a digital to analog converter (DAC). From a low-frequency amplifier (VLF), through a generator for generating control pulses, through a relay unit, a current amplifier (UT), from a switch, pulses are fed to 6 electrodes mounted on a plastic grid, arranged in a circle and mounted on the abdominal cavity of the gastrointestinal tract and switched in pairs with the help of a switch; in this case, the positive potential changes in pairs to negative: 1.4; 2.5; 3.6 and so on in a circle with a possible adjustment of the voltage at the electrodes, and the duration between switching. All units are connected to a 12 V power supply.

The technical result, providing a set of features, is a mechanism by which a very complex, to some extent coordinated activity of the gastrointestinal tract is carried out, and the enteral nervous system cannot be ignored. It is localized in the wall of the digestive tube from the esophagus to the anal canal. It consists of at least ten billion neurons represented by the Auerbach and Meissner plexuses. The next mechanism that takes part in the formation of motor or motor activity of the gastrointestinal tract are interstitial cells of Cahal. They are drivers of a steady rhythm of various departments (GIT). Besides the fact that they themselves directly generate slow waves in smooth muscles, they probably play the role of mediators of neuromuscular transmission (transmission of impulses from nerve tissue to smooth muscle cells). Introduced sounds of intestinal motility convey information directly stimulating brain activity in the range of delta, theta, alpha, beta or gamma waves. For various reasons, the brain is not capable of generating a sufficient amount of alpha and theta waves in the normal state.

The use of the physiotherapeutic apparatus of an audio simulator - an electrical stimulator increases the activity of the enteric nervous system. When there are waves of different types, one of them provides mixing of food with gastric juice, is peristaltic in nature, determines the tone of the stomach.

Other waves provide a propulsive nature that are mainly related to the pyloric stomach. In addition, the contractions of the stomach, on the one hand, provide phase activity on the other hand, the tonic activity of the stomach.

The claimed solution of the simulation device is illustrated in the block diagram shown in the drawing, where the positions indicated: FIG. 1 there is an upper projection view from above, a playback device 7 consisting of a micro-sd memory card, a digital analog converter (DAC), a low-frequency amplifier (ULF), and through a dynamic emitter, sound simulation is performed on the projection of the abdominal organs, 6 electrodes 1 , 2, 3, 4, 5, 6 arranged in a circle and mounted on a plastic mesh 13 indicated by a dotted line.

In FIG. 1 in the lower projection shows a cross section, a section in profile along AA, of a playing device with a dynamic emitter 7.

The claimed solution of the device is illustrated in the block diagram shown in the drawing, where the positions indicated: In FIG. 2. Schematically shows a General view of the device. The device physiotherapeutic audio simulator - electrical stimulator consists of: a power supply unit 8 connected to a generator forming control pulses 9, a relay unit 10, pulses from (VLF) 7, via (USB) extension cord 14, are fed to a current amplifier (UT) 11, switch 12 switches connected 6 electrodes 1, 2, 3, 4, 5, 6 mounted on a plastic grid 13, located in a circle of the playing device 7. Using the switch 12, the electrodes are switched in pairs while the positive potential changes in pairs to negative: 1.4; 2.5; 3.6 and so on in a circle with a possible adjustment of the voltage at the electrodes, and the duty cycle of the pulses on each pair of electrodes between switching.

In FIG. 3. The general view of the device, the block of the audio simulator located on a grid with 6 electrodes and connected via an USB extension cord to the electric stimulator block and the power supply is shown.

In FIG. 4. A top view of an audio simulator device with a playing device with a micro-SD memory card, a digital analog converter (DAC), a low-frequency amplifier (ULF), a dynamic emitter, and 6 electrodes arranged in a circle is shown.

In FIG. 5. A bottom view of an audio simulator device with a playback device mounted on a grid with a micro-sd card, digital analog converter (DAC), low-frequency amplifier (ULF), dynamic emitter, 6 electrodes is shown.

In FIG. 6. The general view of the device is shown, consisting of a generator for generating control pulses, a current amplifier with a regulator, a relay unit, a switch, a frequency regulator for switching pulses on the electrodes, through a USB connector, the pulses are fed to 6 electrodes.

The description of the essence of the utility model is as follows: physiotherapeutic audio simulator device - an electrostimulator refers to devices in the field of gastroenterology for pulsed mobile devices for restoring the function of the gastrointestinal tract in case of irritable bowel syndrome and atony.

The simulation device is characterized in that it uses the natural sounds of intestinal motility to restore the function of the gastrointestinal tract (GIT) Sounds of intestinal motility recorded on a micro-sd memory card and through a playback device (7), which includes: a micro-sd memory card , a digital analog converter (DAC), a low-frequency amplifier (ULF) with a power of 2w, a dynamic emitter are mounted on a plastic grid 13 and installed on the abdominal cavity (GIT). Through a dynamic emitter, sound simulation is performed by sounds of intestinal motility, which contributes to an increase in the activity of the enteric nervous system of the abdominal organs.

In parallel with drug treatment, it is necessary to act by stimulation on diseases of the gastrointestinal tract in order to restore motor evacuation activity (GIT) in case of a disease (IBS).

The apparatus physiotherapeutic audio simulator - an electrical stimulator of the gastrointestinal tract simultaneously provides pulsed electrical stimulation, converted from a sound wave by the natural sounds of intestinal motility. C (VLF) 7, via (USB) extension cord 14, the analog pulses are fed to the current amplifier (UT) 11. From the control pulse generator 9, the control pulses are sent to the relay unit 10. Through the relay contacts of the switch 12, the current amplifier is switched ( UT) 11. From a current amplifier (UT), pulses are fed to 6 electrodes 1, 2, 3, 4, 5, 6, made of some grades of stainless steel of asthenic class (12X18H9, 12X18H9T, 12X18H10T), cobalt-nickel alloys (40KNXM, 40K27NXM with tantalum)

to are mounted on a plastic grid 13, located in a circle with fastening on the abdominal cavity (GIT), switched in pairs using the switch 12, while the pulses of the positive potential change in pairs to negative: 1.4; 2.5; 3.6 and so on in a circle with a possible adjustment of the voltage at the electrodes from 2 to 15v, and the duty cycle of pulses on each pair of electrodes between switching. All units are connected to a 12 V power supply (8).

The main characteristics of ion-exchange processes in stimulated tissue cells are considered, depending on which the effect on electrical stimulation is set.

When there are waves of different types, one of them provides mixing of food with gastric juice, is peristaltic in nature, determines the tone of the stomach.

Other waves provide a propulsive nature and relate mainly or are related to the pyloric stomach.

In addition, contractions of the stomach, on the one hand, provide phase activity.

On the other hand, the tonic activity of the stomach.

An important role in the functioning of the intestine in normal conditions and in pathology is played by central nervous regulation, in particular the so-called “brain-gut axis”. So, on the one hand, recurring stresses are accompanied by motor disorders of the intestine, on the other hand, against the background of an increased receptor reaction in the intestine, afferent stimuli are produced that reach the cortical and vagus nerves of the central subcortical and cortical parts of the central nervous system (CNS), which in turn change their functional activities.

Currently, the following methods are known to stimulate intestinal motility in the postoperative period: a - medications; b - novocaine blockades (perinephral intrathoracic, round ligament of the liver, etc.); in - epidural anesthesia; d - external decompression of the upper digestive tract (stomach, small intestine), which is most often combined with enteral probe nutrition with salt nutrient mixtures (saline enteric solution, Ringer's solution, etc.); d - electrical stimulation; e - oxygenobarotherapy; g - detoxification by extracorporeal methods; h - correction of water-electrolyte shifts in the body; and - exposure to sound waves.

Based on the established fact of the presence of a connection between electrical and motor activity (GIT), the material concerning the mechanism of spontaneous activity of cells of the smooth muscle of the intestine was analyzed in order to adequately model the "external stimulus", and it allowed to determine the approximate characteristics of the stimulating current, which put the therapeutic effect: The basic provisions of the action of electric current on organs and tissues are considered. When treating a patient, it is necessary to influence the stimulator on the abdominal cavity (GIT) with the possible simultaneous administration of antibiotics and other medications prescribed by the doctor.

All units are connected to a 12 V power supply.

The shape of the current pulse generated by the stimulator at an active load is the sounds of intestinal motility recorded on a micro-sd card and converted into electrical pulses by a low-frequency amplifier (ULF) and a 2w emitter.

The pulse voltage at the electrodes is adjustable from 2 to 15v.

The pulse duration and tonality, high or low, depends on the individual recording on the micro-sd card when scanned by a doctor after using the drug for stimulation (GIT). Due to the fact that the nervous system and rhythms of life of each person are individual, the recorded sounds of peristalsis should be applied only to those with whom the recording was made.

The pulse repetition rate (duty cycle) is adjustable from - 0.5 sec. up to 20 sec. between switching electrodes; Duration - a course of treatment from 20 to 30 minutes, 2-3 times a day before meals for 1 hour and after meals after 2-3 hours for 10 days with a possible resumption of procedures.

The control unit and the power supply unit are located separately and are connected via (USB) an extension cord from 2x to 5 meters long with an audio simulator unit - an electrical stimulator located and fixed on the abdominal cavity (GIT).

The electrodes 12X18H9, 12X18H9T, 12X18H10T should be 0.2-0.3 mm thick so that they fit the body area at the points of contact, the electrodes have 3 sizes of 15 by 30 mm; 15 by 40 mm; 15 by 55 mm, the size of the connected electrodes depends on the size of the surface of the abdominal cavity.

The weight of the device is an audio simulator with a playing device mounted on the grid with a micro-sd card, DAC, (ULF), a dynamic emitter, 6 electrodes arranged in a circle designed to be installed and fixed on the abdominal cavity, weight - 150 g. The total weight of the apparatus of the physiotherapeutic audio simulator - electrical stimulator of the gastrointestinal tract - 1 kg.

List of sources used:

1) A brief history of gastrointestinal electrical stimulation in surgery.

http://medom.ru/publikacii/kxatkaya-istoriya-elektricheskoj-stimulyacii-zhkt-v-hirurgii.html

2) Herpes - what to expect from an innocent infection.

http://www.a2news.ru/novosti/gerpes-chto-zhdat-ot-nevinnoj-infekczii/

3) Abstract of dissertation for the degree of Doctor of Technical Sciences. Specialty 05.11.17 Medical devices, systems and products. Tomsk - 2008. Glushuk Sergey Fedorovich. On the rights of the manuscript AUTONOMOUS ELECTRONIC STIMULANTS OF BODIES AND TISSUES.

4) ELECTROSTIMULATION OF THE INTESTINE (REVIEW OF LITERATURE) O.Yu. Kushnirenko, S.S. Shestopalov Ural State Medical Academy of Continuing Education, Chelyabinsk, Russia. City Clinical Hospital No. 6, e-mail: kushn@rambler.ru

5) METHOD OF RESTORING CAPABILITY

The name of the patent holder: Sergey A. Hvorostov Registration number of the application: 96111947/14 Published: 1997.06.20 Pathophysiological basis of gastrointestinal motility disorders. Recovery mechanisms. XXV All-Russian Educational Internet Session for doctors http://internist.ru/publications/detail/6651/

6) M.D. Ardat Department of Gastroenterology of the Federal State Educational Institution Educational and Scientific Medical Center of the Office of the President of the Russian Federation, Moscow Drug Supply http://www.poliklin.ru/article201005LO_60-65.php

7) From remission to freedom

Sergey Nikolaevich Petrenko, psychiatrist-narcologist, psychotherapist Vladimir Anatolyevich Tsygankov, psychologist. http://ruskline.ru/analitika/2009/03/12/ot_remissii_k_svobode/

8) NON-CHEMICAL METHODS OF INFLUENCE ON THE BRAIN ⎜

Psychiatry - Psychiatrist-narcologist Mikhail Albertovich Mikhailov. Moscow http://doctormildiailov.ru/psildiiatriya/article_post/nekhimicheskiye sposoby-vozdeystviya-na-mozg

Claims (1)

Physiotherapeutic audio simulator apparatus — an electrical stimulator designed to restore the function of the gastrointestinal tract in case of diseases of the irritable bowel syndrome and atony, containing an audio simulator made with the possibility of using intestinal motility sounds recorded on a digital micro-memory card inserted into a playback device consisting of a digital analog converter, low-frequency amplifier, dynamic emitter mounted on a plastic mesh with the ability to attachment to the abdominal cavity and with the possibility of performing sound simulations with sounds that enhance the activity of the enteric nervous system, the apparatus is also configured to perform pulsed electrical stimulation by means of analog pulses coming out of a low-frequency amplifier and through a USB extension cord supplied to a current amplifier that amplifies an electrical signal, passing through the switch to 6 electrodes 1, 2, 3, 4, 5, 6, mounted on a plastic grid, located around the playing device with a speaker with a generator, the generator of the control pulse generator is configured to control the relay unit, the relay contacts in the switch provide electrode switching in pairs, while in pairs from the current amplifier, the pulses change from a positive potential to a negative: 1.4; 2.5; 3.6 and further in a circle, with the possibility of adjusting the voltage at the electrodes and the duty cycle of the pulses on each pair of electrodes between switching, all units are connected to a 12 V power supply.

Images