SI25942A - Device for magnetic nerve muscle stimulation by measuring voltage variation on a capacitor - Google Patents
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Abstract
Naprava (1) za magnetno živčno mišično stimulacijo, ki je značilna po tem, da zaznava material v prostoru v bližini aplikatorja (3). Naprava meri napetost na kondenzatorju (2) v napravi (1), ter na podlagi spremembe napetosti med delovanjem predpostavi lastnosti materialov v bližini aplikatorja(3) in spremembo materialov v bližini aplikatorja (3). Glede na izmerjene lastnosti materiala v bližini aplikatorja (3), spreminja parametre delovanja naprave (1).Device (1) for magnetic nerve muscle stimulation, characterized in that it detects material in the space near the applicator (3). The device measures the voltage on the capacitor (2) in the device (1), and based on the change in voltage during operation, assumes the properties of materials near the applicator (3) and the change of materials near the applicator (3). Depending on the measured properties of the material in the vicinity of the applicator (3), it changes the operating parameters of the device (1).
Description
Naprava za magnetno živčno mišično stimulacijo z merjenjem spreminjanja napetosti na kondenzatorjuDevice for magnetic nerve muscle stimulation by measuring voltage variation on a capacitor
Področje tehnikeField of technology
Magnetna živčno mišična stimulacija se uporablja v diagnostične in terapevtske namene ter za namene vračanja prvotne funkcije posameznim organom. Pri magnetni živčno mišični stimulaciji spreminjajoče se magnetno polje visokih gostot magnetnega polja povzroča aktiviranje živčnih celic in z njimi povezanih mišičnih celic.Magnetic neuromuscular stimulation is used for diagnostic and therapeutic purposes and for the purpose of restoring original function to individual organs. In magnetic neuromuscular stimulation, the changing magnetic field of high magnetic field densities causes the activation of nerve cells and related muscle cells.
Stanje tehnikeState of the art
Naprava za magnetno mišično stimulacijo je sestavljena iz kondenzatorja s shranjenim električnim nabojem, iz katerega v tuljavo, nameščeno v aplikatorju, teče električni tok. Glede na razmere na kondenzatorju in induktivnosti aplikatorskega sistema določamo lastnosti električnega toka, ki po žicah teče v tuljavo. Spreminjajoč električni tok v tuljavi in v njeni okolici povzroča magnetno polje. Tipične lastnosti običajno uporabljenega magnetnega polja so gostota magnetnega polja do 3.5 T, z dolžino monopolarnega ali bipolarnega pulza med 1 us in 10 ms, induktivnost tuljave med 1 nH do 100 mH, sprememba gostote magnetnega pretoka do 1 MT/s, pri čemer so pri delovanju uporabljene različne modulacije naprav, ter frekvenca pulzev do 900 Hz. Induktivnosti tuljave je med 1 nH do 100 mH, napetosti do 10 000V in tokovi do 10 000 A. Spreminjajoče se magnetno polje tuljave povzroča v človeškem telesu električni tok. Električni tok, ki nastane zaradi magnetnega polja, tako kot mnogo bolj znana električna stimulacija povzroča spremembo napetosti na membrani živčnih celic in posledično sproži akcijski potencial senzornih ali motoričnih živčnih celic. Proženje motoričnih živčnih celic povzroča aktivacijo mišic ter s tem odziv perifernega mišičnega sistema. Za dosego tega učinka je mnogo bolj poznana in pogosteje uporabljena električna stimulacija mišic, pri kateri električni tok povzroča aktivacijo živčnih celic. Pri električni stimulaciji električni tok v telo dovedemo prek električno prevodnih elektrod. Elektrode namestimo na kožo, v podkožje ali ob periferni živec, ki ga želimo stimulirati; pri čemer prevladuje namestitev elektrod na kožo. Elektrode so na kožo lahko pritrjene prek namestitve s pritrditvenimi trakovi ali s samolepilnimi elektrodami. Za delovanje električne stimulacije moramo na telo vedno pritrditi vsaj en par elektrod.The magnetic muscle stimulation device consists of a capacitor with stored electrical charge from which an electric current flows into a coil mounted in the applicator. Depending on the conditions on the capacitor and the inductance of the applicator system, we determine the properties of the electric current flowing through the wires into the coil. The changing electric current in and around the coil causes a magnetic field. Typical properties of a commonly used magnetic field are a magnetic field density of up to 3.5 T, with a monopolar or bipolar pulse length between 1 us and 10 ms, a coil inductance between 1 nH to 100 mH, a change in magnetic flux density of up to 1 MT / s. various modulations of the devices used in the operation, and a pulse frequency of up to 900 Hz. The inductance of the coil is between 1 nH to 100 mH, the voltage up to 10,000V and the currents up to 10,000 A. The changing magnetic field of the coil causes an electric current in the human body. The electric current generated by a magnetic field, like the much better known electrical stimulation, causes a change in the voltage across the membrane of nerve cells and consequently triggers the action potential of sensory or motor nerve cells. Triggering of motor nerve cells causes muscle activation and thus a response of the peripheral muscular system. To achieve this effect, electrical muscle stimulation is much better known and more commonly used, in which an electric current causes the activation of nerve cells. In electrical stimulation, an electric current is supplied to the body through electrically conductive electrodes. The electrodes are placed on the skin, subcutaneously, or along the peripheral nerve to be stimulated; with the placement of electrodes on the skin predominating. The electrodes can be attached to the skin through mounting with fixing tapes or self-adhesive electrodes. For electrical stimulation to work, we must always attach at least one pair of electrodes to the body.
Magnetno polje generira električni tok, ki teče po žici. Magnetno polje običajno generiramo s tuljavo. Tuljavo sestavlja žica, ki je v osrednjem delu enkrat ali večkrat zavita v zaključeno zanko, medtem ko sta oba preostala zaključka žice priklopljena na generator toka. Tako je tuljava z napravo povezana s parom žic. Magnetno polje, ki pri magnetni živčno mišični stimulaciji povzroča električno polje znotraj telesa, je odvisno od velikosti in oblike električnega toka ter oblike tuljave. Naprave za magnetno mišično stimulacijo so opisane v patentih kot so US6123658 in US 6123658, US9586057, US9974519, US9919161.The magnetic field generates an electric current flowing through the wire. The magnetic field is usually generated by a coil. The coil consists of a wire that is wound one or more times in the central part in a closed loop, while the two remaining ends of the wire are connected to a current generator. Thus, the coil is connected to the device by a pair of wires. The magnetic field that causes an electric field inside the body during magnetic neuromuscular stimulation depends on the size and shape of the electric current and the shape of the coil. Magnetic muscle stimulation devices are described in patents such as US6123658 and US 6123658, US9586057, US9974519, US9919161.
Električni naboj, ki steče skozi tuljavo je shranjen, med dvema ploščama kondenzatorja, nameščenima znotraj naprave. Električni naboj lahko merimo kot električno napetost med sponkama kondenzatorja. Glede na količino električnega toka, ki teče skozi kondenzator se manjša količina naboja shranjenega v kondenzatorju, ter s tem napetost na kondenzatorju. Količina električnega toka pri dani napetosti na kondenzatorju je odvisna od induktivnosti tuljave in razmer v okolici tuljave. Glede na električni tok, ki steče po žicah v tuljavi, se časovno spreminja napetost na kondezatorju. Električni tok je odvisen od razmer v aplikatorju in v bližini apliaktorja.The electric charge flowing through the coil is stored, between two capacitor plates mounted inside the device. The electric charge can be measured as the electrical voltage between the capacitor terminals. Depending on the amount of electric current flowing through the capacitor, the amount of charge stored in the capacitor decreases, and thus the voltage on the capacitor. The amount of electric current at a given voltage on the capacitor depends on the inductance of the coil and the conditions around the coil. Depending on the electric current flowing through the wires in the coil, the voltage across the capacitor changes over time. The electric current depends on the conditions in the applicator and in the vicinity of the applicator.
Tehnični problemTechnical problem
Tehnični problem predstavlja nepoznavanje materialov v bližini aplikatorja. Glede na lastnosti in oddaljenosti biološkega materiala ali materiala z različno prevodnostjo in induktivnostjo, bi lahko prilagajali parametre terapije, ali pa prekinili terapijo, ko pacienta ni v bližini, ali pa se pojavijo parametri za katere naprava ni dimenzionirana.The technical problem is the ignorance of the materials in the vicinity of the applicator. Depending on the properties and distances of biological material or material with different conductivity and inductance, therapy parameters could be adjusted, or therapy could be interrupted when the patient is not nearby, or parameters for which the device is not dimensioned occur.
Rešitev tehničnega problemaSolution to a technical problem
Rešitev tehničnega problema, lastnosti materiala v bližini aplikatorja, lahko razpoznamo iz karakteristik spreminjana napetosti kondenzatorja ob praznjenju električnega naboja iz kondenzatora v tuljavno nameščeno v aplikator.The solution to the technical problem, the properties of the material in the vicinity of the applicator, can be recognized from the characteristics of the changing voltage of the capacitor when discharging the electric charge from the capacitor to the coil mounted in the applicator.
Lastnosti aplikatorja, materiali v aplikatorju in materiali v bližini aplikatorja določajo induktivnost aplikatorskega sistema. Lastnosti aplikatorja in materiali v aplikatorju se tekom terapije ne spreminjajo. Vsako spremembo induktivnosti aplikatorskega sistema tako lahko nedvoumno povežemo s spremembo lastnosti materiala v bližini aplikatorja in postavitvijo materialov v neposredni bližini aplikatorja. Glavni lastnosti sta induktivnost materialov in električna prevodnost teh materialov. Induktivnost aplikatorskega sistema vpliva na količino toka, ki steče skozi tuljavo v aplikatorju. Večji tok hitreje prazni električni naboj shranjen v kondenzatorju in hitreje zmanjšuje napetost na kondenzatorju. Manjši tok počasneje prazni električni naboj shranjen v kondenzatorju in počasneje zmanjšuje napetost na kondenzatorju. S spremljanjem hitrosti in lastnosti spreminjanja napetosti na kondenzatorju, tako lahko sklepamo o materialih, ki se nahajo v bližini aplikatorja.The properties of the applicator, the materials in the applicator and the materials in the vicinity of the applicator determine the inductance of the applicator system. The properties of the applicator and the materials in the applicator do not change during therapy. Any change in the inductance of the applicator system can thus be unambiguously associated with a change in the properties of the material in the vicinity of the applicator and the placement of the materials in the immediate vicinity of the applicator. The main properties are the inductance of materials and the electrical conductivity of these materials. The inductance of the applicator system affects the amount of current flowing through the coil in the applicator. Higher current discharges the electrical charge stored in the capacitor faster and reduces the voltage on the capacitor faster. A smaller current slows down the discharged electrical charge stored in the capacitor and slows down the voltage across the capacitor. By monitoring the speed and properties of the voltage change on the capacitor, we can thus infer the materials located near the applicator.
Količino električnega toka ki zmanjšuje električni naboj shranjen v kondenzatorju, in s tem zmanjševanje napetosti na kondenzatorju lahko ocenimo iz hitrosti spremembe napetosti na kondenzatorju.The amount of electric current that reduces the electric charge stored in the capacitor, and thus the reduction of the voltage across the capacitor can be estimated from the rate of change of the voltage across the capacitor.
Iz lastnosti materialov lahko razpoznamo ali aplikator deluje v prazen prostor, biološko tkivo, ali pa v bližini materiala ki močno poveča induktivnost aplikatorskega sistema. Poleg zapisanih skrajnih stanj, lahko razpoznamo tudi vmesna stanja (npr. da je del prostora v bližini aplikatorja zapolnjen z biološkim tkivom), ter da je prišlo do premika materiala v bližini aplikatorja.From the properties of the materials, we can recognize whether the applicator works in an empty space, biological tissue, or in the vicinity of a material that greatly increases the inductance of the applicator system. In addition to the recorded extreme states, we can also recognize intermediate states (e.g., that part of the space near the applicator is filled with biological tissue), and that there has been a movement of material near the applicator.
Opisano postavitev materialov potrebujemo ne glede na to, ali se aplikator nahaja samostojno ter se ga s stojalom postavi na telo, pritrdi na telo s trakovi, ali ga terapevt drži v roki, ali pa je pa je vgrajen tako, da se pacient lahko nanj usede, na primer v stol. V opisanem primeru je lahko aplikator vgrajen v sedišče stola, hrbtišče stola, kar omogoča ciljano tretiranje medeničnega dna, ali pa drugje v stolu.The described placement of materials is necessary regardless of whether the applicator is located independently and is placed on the body with a stand, attached to the body with straps, held by the therapist, or is installed so that the patient can sit on it. , for example in a chair. In the case described, the applicator can be installed in the seat of the chair, the back of the chair, which allows targeted treatment of the pelvic floor, or elsewhere in the chair.
Slika 1: Izvedba naprave za magnetno mišično stimulacijo z aplikatorjemFigure 1: Implementation of a device for magnetic muscle stimulation with an applicator
Slika 2a: Na sliki 2a je izvedba naprave za magnetno mišično stimulacijo z aplikatorjem, poleg katerega je prazen prostor, na Sliki 2b je izvedba naprave za magnetno mišično stimulacijo z aplikatorjem, poleg katerega je biološko tkivo, na Sliki 2c je izvedba naprave za magnetno mišično stimulacijo z aplikatorjem, ki močno spremeni induktivnost aplikatorskega sistema.Figure 2a: Figure 2a shows an embodiment of a magnetic muscle stimulation device with an applicator next to which there is an empty space, Figure 2b shows an embodiment of a magnetic muscle stimulation device with an applicator next to biological tissue, Figure 2c shows an embodiment of a magnetic muscle stimulation device stimulation with an applicator that greatly alters the inductance of the applicator system.
Slika 3: Na Sliki 3a je grafično prikazan časovni potek padca napetosti na kondenzatorju, če je v bližini aplikatorja prazen prostor, na Sliki 3b je grafično prikazan časovni potek padca napetosti na kondenzatorju, če je v bližini aplikatorja poleg katerega je biološko tkivo, na Sliki 3c je grafično prikazan časovni potek padca napetosti na kondenzatorju, pri čemer se v prostoru v bližini tuljave nahaja material, ki močno spremeni induktivnost aplikatorskega sistema.Figure 3: Figure 3a graphically shows the time course of voltage drop on the capacitor if there is empty space near the applicator, Figure 3b graphically shows the time course of voltage drop on the capacitor if near the applicator next to the biological tissue, Figure 3c is a graphical representation of the time course of the voltage drop across the capacitor, with a material located in the space near the coil that greatly alters the inductance of the applicator system.
Na sliki 1 je prikazana naprava (1) s kondenzatorjem (2) ki je povezan z aplikatorjem (3), v notranjosti katerega je tuljava (4), ki generira magnetno polje v prostoru v bližini tuljave (5).Figure 1 shows a device (1) with a capacitor (2) connected to the applicator (3), inside which is a coil (4) that generates a magnetic field in the space near the coil (5).
Na sliki 2a je prikazana naprava (1) s kondenzatorjem (2) ki je povezan z aplikatorjem (3), v notranjosti katerega je tuljava (4), ki generira magnetno polje, pri čemer je v prostor bližini tuljave prazen (6).Figure 2a shows a device (1) with a capacitor (2) connected to an applicator (3), inside which is a coil (4) that generates a magnetic field, the space near the coil being empty (6).
Na sliki 2b je prikazana naprava (1) s kondenzatorjem (2) ki je povezan z aplikatorjem (3), v notranjosti katerega je tuljava (4), ki generira magnetno polje, pri čemer se v prostoru v bližini tuljave nahaja biološko tkivo (7).Figure 2b shows a device (1) with a capacitor (2) connected to an applicator (3), inside which is a coil (4) that generates a magnetic field, with biological tissue in the space near the coil (7). ).
Na sliki 2c je prikazana naprava (1) s kondenzatorjem (2) ki je povezan z aplikatorjem (3), v notranjosti katerega je tuljava (4), ki generira magnetno polje, pri čemer se v prostoru v bližini tuljave nahaja material, ki močno spremeni induktivnost aplikatorskega sistema (8).Figure 2c shows a device (1) with a capacitor (2) connected to an applicator (3), inside which is a coil (4) that generates a magnetic field, with a material in the space near the coil that strongly changes the inductance of the applicator system (8).
Na sliki 3a je grafično prikazan časovni potek padca napetosti na kondenzatorju (U) v odvisnosti od časa (t), če je v bližini aplikatorja prazen prostor (6).Figure 3a graphically shows the time course of the voltage drop across the capacitor (U) as a function of time (t) if there is an empty space (6) near the applicator.
Na sliki 3b je grafično prikazan časovni potek padca napetosti na kondenzatorju (U) v odvisnosti od časa (t), če se v bližini aplikatorja nahaja biološko tkivo (7).Figure 3b graphically shows the time course of the voltage drop across the capacitor (U) as a function of time (t) if biological tissue is located near the applicator (7).
Na sliki 3c je grafično prikazan časovni potek padca napetosti na kondenzatorju (U) v odvisnosti od časa (t), če je v bližini aplikatorja nahaja material, ki močno spremeni induktivnost aplikatorskega sistema (8).Figure 3c graphically shows the time course of the voltage drop across the capacitor (U) as a function of time (t) if there is a material near the applicator that greatly alters the inductance of the applicator system (8).
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