TW201424790A - Electric stimulation device - Google Patents

Abstract

To provide an electric stimulation device that is superior in operability, safety, space conservation, and reduced cost. The present invention is provided with: output circuits (6b1-6bn) that supply an electric stimulation output to a plurality of sets of electrodes (71a, 71b to 7na, 7nb); and electrode mounting detection circuits (6c1-6cn) that detect that each electrode is mounted to a human body. One output adjuster (3) is provided that adjusts output by means of a manual operation, and the output adjuster (3) is configured in a manner so as to be able to simultaneously adjust or individually adjust the output to the plurality of sets of electrodes by means of the mounting to a human body being recognized before starting output.

Description

Electrical stimulation device

The present invention relates to an electrical stimulation device for treating an electrical stimulation current to a human body.

Previously, there have been various electrical stimulation devices as described above. Patent Document 1 discloses an electrical stimulation device including: a linkage/independent mode switching means; an output adjustment driving means; a target output setting unit; and a driving means control unit that causes the plural in the interlocking mode The output is in a manner consistent with the target output, driving the output adjustment driving means; and the recovery means is configured to automatically restore the electrical stimulation device to the independent mode after satisfying the linkage mode end condition.

Patent Document 2 discloses an electric stimulation device configured to include a detection means for detecting conductivity between electrodes attached to an affected part, and to perform an inspection before performing treatment. A current flows between the electrodes, and the conductivity between the electrodes is detected by the above-described detecting means. Based on the detected conductivity, it is determined whether the required electrode has been mounted or not mounted, or the mounting is poor.

Patent Document 3 discloses an electrical stimulation device that sets an output of each output unit to an appropriate intensity at the start of treatment, and detects an output of each output unit so that each output portion of the stimulus is generated. The respective output units are controlled by the control unit such that the ratio of the output intensity is the same as the ratio of the output strengths of the respective output portions obtained at the start of the treatment.

Patent Document 4 discloses an electric stimulation device that is an electrical stimulation device. Electrically detecting whether the electrodes are connected to the human body or not connected to the human body before use. When two or more electrodes are connected to the human body, the sine wave current is output. When a pair of electrodes are connected to the human body, the output interference Interference low frequencies generated inside the low frequency therapeutic device.

[Previous Technical Literature] [Patent Literature]

[Patent Document 1] Japanese Patent Laid-Open Publication No. 2000-325487

[Patent Document 2] Japanese Patent Laid-Open Publication No. Hei 9-84885

[Patent Document 3] Japanese Patent Laid-Open Publication No. 2005-168642

[Patent Document 4] Japanese Patent Laid-Open Publication No. 2006-141695

The above-mentioned prior electrical stimulation devices have problems in the following "operability", "safety", and "save space/cost reduction".

(operability)

Since it is not possible to automatically recognize which channel the output can be adjusted at the same time, it is necessary to perform identification by manual operation, which is cumbersome and time consuming. If you are not familiar with the device operation method at this time, it is difficult to understand the operation method of the device. If the derivation is not properly installed in the human body, proper treatment cannot be performed. Further, since a plurality of output regulators are provided, it is difficult to understand which of the output regulators is the target output regulator in the interlock mode. Moreover, if the self-linking mode is switched to the independent mode after starting the treatment, the output adjustment method is sent in the middle of the treatment. Health changes, so the method of use itself is difficult to understand. Further, there is a technique for setting an appropriate treatment condition for a guide that is recognized as being attached to a human body, energizing the guide, and not energizing a guide that is not attached to the human body, but having a plurality of outputs provided Since the regulator is required to adjust the output of all the guides mounted on the human body, it takes time and effort to adjust, or even if the output linkage function is mounted, it is difficult to understand which output regulator is operated.

(safety)

When the interlock mode is released and the mode is switched to the independent mode, if the hand is brought into contact with the output regulator for the output adjustment, if the hand touches the output regulator of the other channel by mistake, the unexpected output fluctuation will act on the patient, which is extremely dangerous. Further, even if the maximum output suppression function is mounted as a countermeasure against the above situation, the output of the target output or the like may be applied to the patient, which is dangerous. Moreover, if the locking mechanism is provided so that it cannot be adjusted to the target output or more after a certain period of time has elapsed, when the output adjustment is to be performed anyway during the treatment, the following countermeasures are required, such as performing the operation of releasing the locking mechanism, or It has been cumbersome to re-adjust from the beginning.

(saving space / cost reduction)

In order to achieve output linkage, it is necessary to separately provide a driving portion for driving the output regulator for a plurality of output regulators provided, the device becomes complicated and expensive, and there is a risk of an increase in the frequency of the failure. If the drive unit fails, the output linkage function cannot be used, and it is necessary to separately adjust a plurality of output regulators. For users who are used to the linkage mode, it is difficult to perform output adjustment to obtain an appropriate therapeutic feeling. Further, since the output regulator is provided for each channel, the size of the device is increased, and it is difficult to secure a space in a narrow facility. Moreover, there is no device that can use the same interface for low-frequency, intermediate-frequency and interference wave therapy, and the user needs to separately purchase the therapeutic device for low-frequency, intermediate-frequency and interference wave therapy, and the equipment installation space or introduction cost is increased, and also needs Be familiar with how to use each device, which can hinder device import. Furthermore, the prior electrical stimulation device having a plurality of channels has the following disadvantages. For example, since each channel requires an output regulator, the remote operation means cannot be miniaturized, and a wireless remote controller needs to be provided for each channel. It is cumbersome and inconvenient to carry, so it has not been put into practical use.

The present invention has been made in view of the above problems, and an object thereof is to provide an electric stimulation device excellent in operability, safety, and space saving/cost reduction.

In order to achieve the above object, the invention of claim 1 is characterized by comprising: an output circuit for supplying an output of electrical stimulation to a complex array derivation; and a derivation mounting detecting means for detecting the above Each group of derivations has been installed in the human body; and an output regulator for adjusting the output of the output circuit according to manual operation is provided; the output regulator can be used before the output circuit starts to perform the above output, and simultaneously The sub-mount detection means detects the output of each set of derivations that have been installed. In this case, the output may be a voltage or a current.

According to the first item of the patent application scope, the combination of the plurality of derivations whose outputs should be simultaneously adjusted is automatically recognized by the derivation mounting detection means, and the output can be adjusted at the same time by an output regulator. Therefore, the usage method is easy to understand. No need to be familiar with the use of the device, anyone can simply use it.

Further, after confirming that the guide has been installed, the operation of the power supply is completed by operating one output regulator. Therefore, it takes no effort and the pressure of the accident caused by human error can be reduced, and the operator and the patient can safely use.

Moreover, the device is compared with the configuration in which the output regulator is provided for each channel. It can be miniaturized, has a simple structure and fewer failures, and has reduced manufacturing and management costs.

In addition, compared with the configuration in which the output regulator is provided for each channel, there is no need to worry about accidental contact with the output regulator of other channels, resulting in an unexpected output change for the patient.

The invention of claim 2 is characterized in that an output regulator can be used to adjust the output of the complex array derivation separately. The invention of claim 3 of the patent application is characterized in that a channel selection means is provided.

According to the second and third items of the above patent application, an output regulator can be used to adjust the output of the complex array derivation respectively, so that a part of the derivation can be changed during the treatment according to the requirements of the user or the patient. Output, or adjust the output separately from the beginning.

The invention of claim 4 of the patent application is characterized in that a treatment mode selection means is provided. According to item 4 of the scope of patent application, electrical stimulation treatment under a wide variety of treatment conditions can be used using the same interface. Therefore, the method of use is easy to understand and can be easily used by anyone without familiar use of the device.

The invention of claim 5 is characterized in that the mode of low frequency treatment, interference wave treatment, and intermediate frequency treatment can be selected by means of treatment mode selection means.

According to item 5 of the scope of patent application, electrical stimulation treatment under a wide variety of treatment conditions can be used using the same interface. Therefore, the method of use is easy to understand and can be easily used by anyone without familiar use of the device.

Moreover, according to the fifth item of the patent application scope, compared with the case of purchasing a plurality of therapeutic devices for low frequency treatment, intermediate frequency treatment and interference wave treatment, the space is not occupied, and the introduction cost can be remarkably reduced. Moreover, in general, the medical device introduced into the electric therapy device has the problem of treating more patients and waiting for the patient, especially if the fifth application of the patent application scope is introduced. Therapeutic apparatus can perform various treatments such as low-frequency treatment, intermediate frequency treatment, and interference wave treatment on a plurality of patients or affected parts at the same time. Therefore, if a plurality of devices are introduced, for example, even if the patient who wants to perform low-frequency treatment is concentrated, Significantly reducing the waiting time of patients, improving the evaluation of medical facilities, increasing the number of patients using the medical facilities, and improving the benefits of medical facilities by efficiently treating more patients.

The invention of claim 6 is characterized in that a derivation mounting detection releasing means and/or a channel selection releasing means are provided.

According to item 6 of the scope of the patent application, for example, even if the user wants to use the method of use according to the method of using the previous therapeutic device, or when treating a plurality of affected parts of a patient, according to the affected part In the case where the size of the output is finely adjusted, it can be used in the same manner as before by the user or the request of the patient by the guide mounting detection means and/or the channel selection releasing means.

The invention of claim 7 is characterized in that the channel selection releasing means has a function of releasing the selection of the channel if the switching operation is performed or a certain period of time elapses after the output is started or adjusted.

According to the seventh item of the patent application scope, the power-on state of the channel can be maintained by a simple operation after the above-mentioned output is started or adjusted, and the output can be changed without worrying about the hand accidentally contacting the output regulator, and the treatment can be continued with peace of mind.

The invention of claim 8 is characterized in that: if the derivative of the new channel is detected after the output is started or adjusted, the channel connected to the derivative is transferred to the channel selection state, And by the above-described channel selection releasing means, the channel selection for the channel to which each of the sets of derivations whose outputs have been started or have been adjusted is connected is released.

According to item 8 of the scope of the patent application, for example, even if the patient or the object part is to be re-energized after the start of the power-on, as long as the guide is re-installed while maintaining the output of the pilot that has started the power-on, The output of the derivation is adjusted for easy and safe use.

The invention of claim 9 is characterized in that it has the function of not relocating to the channel selection state even after the derivation of the channel of the output is removed, the derivation is installed again, and the installation of the detection derivation is not performed. .

According to item 9 of the scope of application, it is possible to prevent malfunction caused by peeling of the guide or poor contact.

The invention of claim 10 is characterized in that a detonation group determining means is provided, and the derivation group determining means determines a combination of a plurality of sets of derivations in the complex array derivations. Further, the invention of claim 11 is characterized in that it is detected that a certain period of time has elapsed since the start of simultaneous adjustment of the output, whereby the combination of the plurality of derivations is determined.

According to the tenth and eleventh aspects of the patent application, by determining a combination of a plurality of derivations, for example, even when simultaneously preparing for energization for two persons or different treatment sites, the patient or the subject site to be treated can be surely Since the combination of a plurality of derivations is determined, even if the mounted guides are temporarily detached in the middle, there is no need to worry about erroneously identifying the combination of the derivations, and the safety is further improved.

The invention of claim 12 is characterized in that a derivation selection display means and/or a derivation group display means are provided.

According to the twelfth item of the patent application scope, by means of the derivation selection display means and/or the derivation group display means, a plurality of patients or subject parts as the treatment target can be confirmed at a glance The combination of the derivations makes it easy to perform safety confirmation and can be used with peace of mind.

The invention of claim 13 is characterized in that remote operation is possible by remote operation means. Further, the invention of claim 14 is characterized in that the remote operation can be performed by wireless communication by the remote operation means. Further, the invention of claim 15 is characterized in that a treatment start and/or a treatment end operation function is provided in the distal operation means.

According to the thirteenth to fifteenth items of the above patent application, there is no need to connect the remote operation means and the cord of the electrical stimulation device body, and the operator can carry or move the remote operation means, thereby enabling/stopping treatment and output adjustment, etc. anywhere. The operation or confirmation of the treatment state is therefore not limited to the layout around the electrical stimulation device, and the treatment can be started/stopped and the output adjustment operation can be performed while the patient is taking care of the patient, and the operator can utilize the treatment period during the treatment period. Remote monitoring for other jobs.

Further, according to the thirteenth to fifteenth items of the patent application, the position of the electric stimulation device and the position where the treatment is actually performed can be freely arranged without intentionally connecting the length of the cord or the route of the wiring. Therefore, the position of the main body of the electrical stimulation device is set to a position where the hand cannot reach the position where the treatment is performed. Therefore, it is possible to avoid the danger such as the patient accidentally operating the switch or the knob to cause an accident, which is safe.

The invention of claim 16 is characterized in that, in the remote operation means, an output regulator for adjusting the output of the output circuit by manual operation is provided.

According to the 16th item of the patent application, although there are a plurality of channels, the output adjuster is one, so that the remote operation means can be miniaturized.

The invention of claim 17 is characterized in that an end report and/or an abnormality report function is provided in the remote operation means.

According to the 17th article of the patent application, even if other operations are performed by remote monitoring during the treatment period, it is immediately recognized that the treatment has ended or an abnormality has occurred.

The invention of claim 18 is characterized in that a channel selection operation and/or a channel selection function are provided in the remote operation means.

According to the 18th item of the patent application, for an electrical stimulation device having a plurality of channels, a remote operation means can be used for the operation of each channel.

The invention of claim 19 is characterized in that a function of an output mode selection operation and/or an output mode display is provided in the remote operation means.

According to the 19th article of the patent application, it is always possible to know which treatment to perform even if it is away from the electrical stimulation device or the patient.

The invention of claim 20 is characterized in that an automatic power-off function is provided in the remote operation means.

According to item 20 of the patent application, battery power can be maintained for a long time.

The invention of claim 21 is characterized in that the remote operation means is provided with a function of memorizing the setting condition of the treatment condition or the action condition when the power of the remote operation means is cut off, When it is turned on again, the last setting is displayed.

According to item 21 of the patent application scope, even if the power is automatically turned off, it is possible to grasp what kind of treatment has been performed as long as the power is turned on again.

According to the present invention, operability, safety, and space saving/cost reduction can be provided Excellent electrical stimulation device.

1‧‧‧Electrical stimulation device

2‧‧‧ operations. Display department

3‧‧‧Output regulator

5‧‧‧Main Control Department

6‧‧‧Output/Detection Department

6b1~6bn‧‧‧output circuit

6c1~6cn‧‧‧guide installation detection circuit

20‧‧‧Output regulator

21 ‧ ‧ treatment start means

22‧‧‧ End of treatment

23‧‧‧ means of treatment end reporting

24‧‧‧Abnormal reporting means

25‧‧‧Channel selection means

26‧‧‧Channel selection means

27‧‧‧ Output mode selection means

28‧‧‧Output mode display means

29‧‧‧Automatic power-off means

30‧‧‧Communication means

31‧‧‧Set content memory means

32‧‧‧Last set content display means

33‧‧‧Power supply

34‧‧‧Control means

35‧‧‧Communication antenna

36‧‧‧Communication antenna

37‧‧‧ means of communication

71a, 71b; ~; 7na, 7nb‧‧‧ derivation

100‧‧‧Remote operator (remote operation)

Fig. 1 is an external view of an electric stimulation device according to an embodiment of the present invention.

Figure 2 is the operation of the electrical stimulation device of Figure 1. A diagram showing the configuration of the display unit, the main control unit, and the circuit.

Fig. 3 is a view showing the installation of a guide attached to a human body.

Figures 4(a) to (c) are diagrams of the output waveforms in the low frequency therapy mode.

Fig. 5 (a) and (b) are diagrams of respective output waveforms in the intermediate frequency treatment mode.

6(a) to (c) are diagrams of respective output waveforms in the interference wave treatment mode.

Figure 7 is a block diagram of the remote operator.

Hereinafter, an electrical stimulation device according to an embodiment of the present invention will be described with reference to the accompanying drawings. Referring to Fig. 1, the electrical stimulation device 1 of the embodiment has: operation. Display unit 2, which can perform various operations and various displays as described with reference to FIG. 2 and subsequent figures; an output regulator 3 that is operated when performing output adjustment related to electrical stimulation therapy; and a guide cord The connecting portion 4 is connected to a lead wire (not shown) in FIG. Electrical stimulation device 1 can be based on operation. The electric stimulation treatment is performed by the operation of the display unit 2, and electrical stimulation treatment can be performed by performing communication with the electrostimulation treatment between the distal end operator 100 and the distal end operator 100, which will be described later. Again, the operation. The display unit 2 is preferably a touch panel type, but is not limited thereto. The output adjuster 3 is a manual type, and is operated by a user operator when the output is adjusted, and the operation form thereof may be a twisting type that is rotated by gripping, but is not limited thereto. The derivative cord corresponding to the number of channels is connected to The derivation cord connection unit 4 is arbitrary, as long as the number of connectable numbers is equal to or greater than the number of channels.

The electrical stimulation device 1 will be described in detail with reference to Fig. 2, and the electrical stimulation device 1 is provided with: operation. The display unit 2, the output regulator 3, the main control unit 5, the output/detection unit 6, and the complex array derivations 71a and 71b; 7; 7na and 7nb. The number of the groups may be two or more, and is not particularly limited.

operating. The display unit 2 includes a channel selection means 8, a treatment mode selection means 9, a guide attachment detection canceling means 10, a channel selection canceling means 11, a sub-group determining means 12, a derivation selection display means 13, and a sub-group display means 14. The treatment start means 15, the treatment end means 16, and the output adjustment determination means 17.

In each of the above means, the means 8~12, 15~17 of the channel selection, the treatment mode selection, the demodulation installation detection release, the channel selection release, the derivation group determination, the treatment start, the treatment end, and the output adjustment determination are displayed, so that The user can operate with his finger. The touch panel operation is performed on the panel screen of the display unit 2, and the display means 13 and 14 are displayed on the panel screen.

The main control unit 5 inputs and outputs the adjustment signal from the output regulator 3, and in addition, self-operation. The display unit 2 inputs various operation signals, and on the other hand, outputs the display signals to the operation. Display unit 2. The main control unit 5 is responded by the CPU from the operation. The operation signal of the display unit 2 or the output adjustment signal is executed, and various programs related to the electrical stimulation device stored in the memory are executed, and the display signal is output to the operation. Display part 2, by operation. The display unit 2 performs the desired display.

The output/detection unit 6 includes waveform forming circuits 6a1 to 6an, output circuits 6b1 to 6bn, and derivation mounting detection circuits 6c1 to 6cn for each channel (ch1 to chn).

The complex array derivations 71a, 71b; ~; 7na, 7nb are respectively attached to the body of the human body in groups of two. Furthermore, for example, as shown in FIG. 3, the above-described derivations 71a, 71b; ~; 7na, 7nb The electrical stimulation treatment site is mounted to the human body 16 in groups of two.

In the output/detection unit 6, the waveform forming circuits 6a1 to 6an of the respective channels are controlled by the main control unit 5, and the waveform of the electrical stimulation current applied to the human body is made according to the treatment mode, and the electrical stimulation waveform is outputted and outputted. To the output circuits 6b1 to 6bn of each channel. The output circuits 6b1 to 6bn of the respective channels output currents corresponding to the electrical stimulation waveforms from the waveform forming circuits 6a1 to 6an as electrical stimulation currents, and the main control unit 5 controls the output intensity of the electrical stimulation currents and the like. The electrical stimulation currents from the output circuits 6b1 to 6bn of the respective channels are applied to the human body 16 via the guides 71a and 71b; 7; 7na and 7nb, thereby performing electrical stimulation treatment.

On the other hand, the pilot mounting detecting circuits 6c1 to 6cn detect that the electric stimulation current has flown into the human body 16 by the derivations 71a and 71b; 7; 7na and 7nb, and output the detection output to the main control unit 5. The main control unit 5 recognizes the derivations 71a and 71b by inputting the detection output; 7; 7na and 7nb are attached to the human body 16 to perform necessary control corresponding to the identification content.

Hereinafter, with reference to Figure 2 and the following figures, the output regulator 3 and operation. The circuit configuration of the display unit 2 and its operation will be described.

The output regulator 3 is an output regulator for manually or manually regulating the output of the output circuits 6b1 to 6bn of the respective channels by the user or the patient. In the electrical stimulation device 1, only one output regulator 3 is provided. The main control unit 5 performs control such that the adjustment signal from the output regulator 3 is input, and the self-guide sub-detection detection circuits 6c1 to 6cn input the detection output, and if the derivations 71a, 71b are recognized, ~; 7na, When 7nb is mounted on the human body, the electrical stimulation current corresponding to the above-mentioned adjustment signal is output from the output circuits 6b1 to 6bn.

The main control unit 5 adjusts the signal according to the output from the output of the output regulator 3, and simultaneously adjusts the output of the output circuits 6b1 to 6bn, and simultaneously adjusts the electrical stimulation of the output. The stream output is output to the complex array derivations 71a, 71b; ~; 7na, 7nb. Thereby, the output of the set of derivations that have been mounted by the derivation-mounting detection circuits 6c1 to 6cn can be adjusted by the output regulator 3 and before the output circuits 6b1 to 6bn are outputted.

In this case, according to the electrical stimulation device 1 of the present embodiment, the output of the complex array derivations 71a, 71b; ~; 7na, 7nb can be simultaneously adjusted by one output regulator 3, so that the use of the device can be easily understood. Method, so there is no need to be familiar with the use of the device.

Further, after the main control unit 5 recognizes that the derivation has been mounted, the electric stimulation current is applied from the output circuits 6b1 to 6bn to the human body, so that an accident caused by a human error can be reduced, and the operator and the patient can feel at ease. Use.

In particular, since the output regulator 3 is only one, the miniaturization of the electrical stimulation device 1 can be achieved as compared with the prior configuration in which the output regulator is provided for each channel, and the configuration of the electrical stimulation device 1 is also simple. The failure is reduced and the manufacturing or management cost of the electrical stimulation device 1 can be reduced.

Further, in the prior configuration in which the output adjuster is provided for each channel, there is a fear that the hand may accidentally contact the output regulator of the other channel, resulting in an unexpected output change action for the patient, but in the present embodiment, the output adjuster 3 For one, there is no such concern.

Then, the main control unit 5 can perform the above-mentioned simultaneous adjustment by using one output regulator 3, and can also perform the output of the electric stimulation currents of the guides 71a, 71b; 7; 7na, 7nb from the output circuits 6b1 to 6bn of the respective channels. Adjustment.

Therefore, the channel selection means 8 selects the derivations 71a, 71b as the adjustment targets; ~; 7na, 7nb, and adjusts the output by the output regulator 3 for each channel selected, and adjusts the output after the output adjustment is completed. The determining means 17 determines the output adjustment. Next, for each The output adjustment is determined by the channel, and after the treatment start means 15 is operated, the main control unit 5 outputs the above-described output-adjusted electrical stimulation currents from the output circuits 6b1 to 6bn of the respective channels for each channel.

The treatment mode selection means 9 is for selecting the three treatment modes of the low frequency treatment mode, the intermediate frequency treatment mode, and the interference wave treatment mode. Furthermore, in the embodiment, the treatment modes are three, but are not limited thereto.

The low-frequency treatment mode is a mode in which electrical stimulation is performed using a low-frequency (1 Hz to several hundreds Hz) electrical stimulation current having any of the waveforms of FIGS. 4(a) to (c), and the waveform has FIG. 4 (a) a pulsed single-phase waveform as shown, a pulsed biphasic waveform as shown in Fig. 4(b), and a sinusoidal waveform biphasic waveform as shown in Fig. 4(c), having any of the above waveforms The low frequency electrical stimulation current is used for electrical stimulation therapy.

The intermediate frequency treatment mode is as follows. As shown in Fig. 5(a)(b), the electrical stimulation current is applied by an intermediate frequency (about 1 kHz to 10 kHz) electrical stimulation current, and the waveform is shown in Fig. 5(a). The continuous waveform and the intermittent waveform shown in FIG. 5(b) are electrically stimulated by having the intermediate frequency electrical stimulation current of any of the above waveforms.

The interference wave therapy mode is a mode in which electrical stimulation therapy is performed by the following electrical stimulation current as shown in FIGS. 6( a ) to ( c ), and each of FIG. 6( a ) and FIG. 6( b ) is generated. The intermediate frequency frequency interference current (pulse) is electrically stimulated by the intermediate frequency pulse interference current, and the electrical stimulation current uses a higher intermediate frequency, and has a frequency of two or more different types, for example, FIG. 6 ( The waveform of each of a) any channel and any other channel of Figure 6(b).

The signal of the selected treatment mode is input to the treatment mode selection means 9 After the main control unit 5, the main control unit 5 performs control such that the waveforms are formed by the respective waveforms in the output/detection unit 6 by the circuits 6a1 to 6an corresponding to the treatment mode selection signal. Corresponding waveforms, electrical stimulation outputs corresponding to the generated waveforms are applied from the output circuits 6b1 to bn to the derivations 71a, 71b; ~; 7na, 7nb.

After the leader mounting detection releasing means 10 is operated, the detection of the derivations 71a, 71b; ~; 7na, 7nb for each channel is released, and after the channel selection canceling means 11 is operated, the selection of each channel is released. The derivation installation detecting means 10 and the channel selection releasing means 11 are operated in response to the request of the user or the patient, whereby the derivations 71a, 71b of the respective channels can be respectively used from the beginning; 7; 7na, 7nb The output is adjusted. In this case, both the derivation-mounting detection canceling means 10 and the channel selection canceling means 11 may be provided, or only one of them may be provided. Further, the channel selection canceling means 11 is not limited to the manual switch operation, and may be configured to cancel the selection of the channel after a certain period of time has elapsed after the start of the output or after the adjustment. Further, the configuration may be such that the time until the release is changed to a desired time by a switch operation or the like (not shown).

The derivation group determining means 12 is a means by which the user or the patient determines the derivations 71a, 71b of the respective channels; after the combination (group) of 7na, 7nb, is operated to determine the combination (group). That is, which set of derivations in the combined complex array derivations can be determined by the derivation group determining means 12. The electric stimulation device 1 of the embodiment includes the derivation group determining means 12, whereby, for example, even when the two patients are simultaneously energized, or when the patient is one, but the other treatment sites are simultaneously energized, The combination of the plurality of derivations is surely determined for the patient or the target site to be treated, and even if the mounted guide is temporarily detached in the middle, there is no need to worry about erroneously setting the combination of the derivations, and the safety is improved.

Further, the main control unit 5 can also use the output regulator 3 to detect that a certain period of time has elapsed after a certain period of time has elapsed since the start of simultaneous adjustment of the output, and then determine a combination of a plurality of derivations. In this way, more reliably, even if the installed guide is temporarily detached in the middle, there is no need to worry about erroneously identifying the combination of the guides, and the safety is further improved.

The derivation selection display means 13 displays which of the derivations 71a, 71b in response to the display signal from the main control section 5; ~; 7na, 7nb have been selected. After the derivations 71a, 71b; ~; 7na, 7nb are selected, the main control unit 5 outputs the display signal corresponding to the selection to the derivation selection display means 13 so that the derivation selection display means 13 displays which derivation 71a , 71b; ~; 7na, 7nb have been selected.

The detonation group display means 14 displays which of the derivation group has been selected in response to the display signal from the main control section 5. After the leader group is selected, the main control unit 5 outputs the display signal corresponding to the selection to the leader group display means 14, and causes the leader group display means 14 to display which leader group has been selected. According to this display, a combination of a plurality of derivations for the patient or the target site to be treated can be confirmed at a glance, and therefore, it is possible to easily perform safety confirmation and to use it with peace of mind.

As described above, the treatment starting means 15 is operated when the electrical stimulation treatment is started, and the main control unit 5 performs control for starting the electrical stimulation treatment in response to the treatment start signal from the treatment starting means 15.

The treatment end means 16 is operated when the electrical stimulation treatment is ended, and the main control unit 5 performs control for ending the electrical stimulation treatment in response to the treatment end signal from the treatment end means 16.

As described above, the output adjustment determining means 17 has been confirmed by the output regulator 3 is operated when the output is adjusted, and the main control unit 5 determines the electrical stimulation current output from the output circuits 6b1 to 6bn of the respective channels to be adjusted by the output regulator 3 in response to the input of the signal from the output adjustment determining means 17. The output.

Next, a case where the remote operation of the electrical stimulation device is performed will be described with reference to FIG. For the electrical stimulation device 1 shown in Figure 7, the remote operator 100 can remotely control the electrical stimulation device 1 as the device body. The device body has a configuration for communicating with the remote operator 100 in addition to the configuration illustrated in FIG. 2 . The remote operator 100 has the configuration described below, whereby the electrical stimulation device 1 can be remotely operated by wireless communication. The electrical stimulation device 1 can include a distal operator 100 and can also be separate from the distal operator 100. Furthermore, the electrical stimulation device 1 and the remote operator 100 can also be connected in a wired manner to remotely operate the electrical stimulation device in a wired manner.

In this embodiment, the electrical stimulation device 1 can be remotely operated wirelessly by the remote operator 100 as a remote operating means.

The remote operator 100 is provided with an output regulator 20. The output regulator 20 has the same function as the output regulator 3 of the electrical stimulation device 1. An output regulator 20 is provided in the remote operator 100 so that the remote operator 100 can be miniaturized.

The remote operator 100 further includes a treatment start means 21, a treatment end means 22, a treatment end reporting means 23, an abnormality reporting means 24, a channel selection means 25, a channel selection display means 26, an output mode selection operation means 27, and an output mode display. The means 28, the automatic power-off means 29, the communication means 30, the setting content memory means 31, the last setting content display means 32, the power source 33, the control means 34, and the communication antenna 35.

In each of the above methods, treatment start, treatment end, channel selection, and output mode The selected means 21, 22, 25, 27 are displayed so that the user can operate with a finger. The touch operation is performed on the panel screen of the display unit 2, and the means 23, 24 for the treatment end report or the abnormal report may be displayed on the panel screen or may be a means for reporting by sound. The means 26, 28, 32 for channel selection display, output mode display, and last setting content display can be displayed on the panel screen. The automatic power-off means 29, the communication means 30, the setting content memory means 31, the power source 33, and the control means 34 are built in the remote operator 100. The communication antenna 35 can be an antenna externally disposed outside the remote operator 100, or can be an internal antenna.

The control means 34 is constituted by a microcomputer, controls the above means, and also controls the power source 33. The power source 33 supplies power to the entire portion of the remote operator 100 and is constituted, for example, by a battery.

On the other hand, the electrical stimulation device 1 includes a communication antenna 36 and a communication means 37 in addition to the configuration of FIG. 2 to communicate with the remote operator 100. The main control unit 5 shown in FIG. 7 can remotely operate the electrical stimulation device 1 by the remote operator 100 by responding to the communication signal processed by the communication means 37.

After the remote operator 100 performs an output adjustment operation by the output regulator 20, the control means 34 controls the communication means 30 to wirelessly transmit the operation signal from the communication antenna 35 to the communication antenna 36 of the electrical stimulation device 1. After receiving the transmission signal by the communication antenna 36, the electrical stimulation device 1 processes the reception signal by the communication means 37, and then inputs it to the main control unit 5. After the main control unit 5 responds to the output adjustment signal received from the remote operator 100, the electrical stimulation device 1 starts electrical stimulation therapy corresponding to the output adjustment.

After the treatment start means 21 is operated, the control means 34 controls the communication means 30 to wirelessly transmit the operation signal from the communication antenna 35 to the electrical stimulation device 1. Signal antenna 36. After receiving the transmission signal by the communication antenna 36, the electrical stimulation device 1 processes the reception signal by the communication means 37, and then inputs it to the main control unit 5. The main control unit 5 starts the electrical stimulation treatment by the electrical stimulation device 1 in response to the operation signal received from the remote operator 100. When the treatment end means 12 is operated, the electrical stimulation apparatus 1 ends the electrical stimulation treatment in the same manner as described above.

Thereby, the cord of the remote operator 100 and the electrical stimulation device body 1 need not be connected, and the remote operator 100 can be carried or moved by the operator, so that the treatment can be started/stopped and the output adjustment can be performed or the treatment status can be confirmed anywhere. Therefore, it is not limited to the layout around the electrical stimulation device 1, and the treatment of the electrical stimulation device 1 can be started/stopped and the output adjustment operation can be performed while the patient is being taken care of, and the operator can use the remote monitoring during the treatment period. Conduct other business. Further, the position of the electrical stimulation device 1 and the position where the treatment is actually performed can be freely arranged without arbitrarily arranging the length of the guide wire connecting the cord or the route of the wiring. Therefore, the position of the electrical stimulation device body (the electrical stimulation device 1 when viewed from the distal operator 100 side) is set to a position where the patient's hand cannot reach the position where the treatment is performed, thereby avoiding the following dangerous situation. For example, if the patient mistakenly operates the switch or the knob and an accident occurs, it is safe.

The treatment end reporting means 23 is a means for reporting that the electrical stimulation treatment has ended, and the abnormal reporting means 24 is a means for reporting an abnormality in the electrical stimulation treatment. Even if the user performs other work by remote monitoring during the treatment period, the treatment end reporting means 23 can immediately recognize that the treatment has ended, and the abnormality reporting means 24 can immediately recognize that the abnormality has occurred.

The channel selection means 25 is operated when the channel of the electrical stimulation device 1 is selected, and the operation signal is transmitted from the remote operator 100 to the electrical stimulation device 1 in the same manner as described above, electrical The main control unit 5 of the stimulation device 1 selects a channel in response to the transmission signal. Further, the channel selection display means 26 displays which channel is selected. Thereby, for an electrical stimulation device having a plurality of channels, a remote operator 100 can be utilized for operation of each channel.

The output mode selection means 27 can perform an operation of selecting the treatment mode of the electrical stimulation device 1, and the output mode display means 28 displays the output mode. These means can select the output mode away from the electrical stimulation device 1, and it is always possible to grasp which output mode to perform treatment even if it is away from the patient.

If the power source 33 is a battery power source, the automatic power-off means 29 automatically turns off the power source 33, for example, when a certain period of time has elapsed since the end of the treatment, whereby the power source 33 can be maintained for a long time and the remote operator is operated. 100 operation.

The communication means 30 performs the above communication processing. The setting content memory means 31 stores the setting contents of the treatment condition or the operation state when the power source 33 of the remote operator 100 is turned off, and the last setting content display means 32 reads from the setting content memory means 31 when the power is turned on again. The content is set last time, and the previous setting content is read out, whereby even if the power source 33 is automatically turned off, if the power source 33 is turned on again, it can be grasped based on the display of the last setting content display means 32. What kind of treatment.

As described above, the electrical stimulation device 1 of the present embodiment is an electrical stimulation device excellent in operability, safety, and space saving/cost reduction. In addition, although the embodiment of the present invention has been described, the present invention is not limited to the embodiment described above, and various modifications can be appropriately made without departing from the spirit and scope of the invention.

For example, the output regulator is set to one, but a plurality of means can also be loaded into a therapeutic device, which is provided with an output regulator for the complex array derivation. Segment, and in this case, the installation of the derivation of other means can also be detected, and the output regulator of other means can be used for adjustment, thereby using a therapeutic device to simultaneously treat patients or treatment sites of various symptoms. Conduct a wide range of electrical treatments.

Furthermore, it is also possible to have a function of releasing the selection of the channel if the decision switch (not shown) is operated or a certain period of time has elapsed after the start or adjustment of the output. In this way, even if the operation is performed thereafter, the output does not change, and the output regulator 3 is not erroneously operated, and the safety is further improved.

Moreover, it is also possible to have a function of detecting the channel selection state in which the new channel is installed after the output is started or adjusted, and the previous channel selection state is released, and the selection state is shifted to the new channel. In this way, for example, even if the patient or the target part is to be re-energized after starting the power-on, as long as the guide is reinstalled, only the output of the guide can be adjusted, and other guides that have started to be energized will not cause an accident. Output changes can be used simply and with peace of mind.

Further, it is also possible to have a function of not changing the channel selection state even if the derivation of the above-described derivation is detected again when the derivation of the channel in the above output is removed. In this way, malfunction due to peeling of the guide or poor contact can be prevented.

2‧‧‧ operations. Display department

3‧‧‧Output regulator

5‧‧‧Main Control Department

6‧‧‧Output/Detection Department

6a1~6an‧‧‧ Waveform made circuit

6b1~6bn‧‧‧output circuit

6c1~6cn‧‧‧guide installation detection circuit

8‧‧‧Channel selection means

9‧‧‧ treatment mode selection means

10‧‧‧Derivation installation detection means

11‧‧‧ channel selection means

12‧‧‧Deductive group determination means

13‧‧‧ Derivative selection means

14‧‧‧Guide group display means

15 ‧ ‧ treatment start means

16‧‧‧ End of treatment

17‧‧‧ Output adjustment determination means

71a, 71b; ~; 7na, 7nb‧‧‧ derivation

Ch1~chn‧‧ channel

Claims (21)

An electrical stimulation device characterized by comprising: an output circuit for supplying an output of electrical stimulation to a complex array of derivations; and a derivation mounting detection means for detecting that each of the groups of derivations is mounted to a human body; and a pair is provided An output regulator for adjusting an output of the output circuit; wherein the output regulator adjusts an output of each set of derivations that have been detected by the derivation mounting detection means before the output circuit starts to perform the output . The electrical stimulation device of claim 1, wherein the output of the complex array derivative is separately adjusted by using one of the output regulators. An electrical stimulation device according to claim 1 or 2, wherein a channel selection means is provided. The electrical stimulation device according to any one of claims 1 to 3, wherein the treatment mode selection means is provided. The electrical stimulation device of claim 4, wherein each of the modes of the low frequency treatment, the intermediate frequency treatment, and the interference wave treatment can be selected by the above treatment mode selection means. The electric stimulation device according to any one of claims 1 to 5, wherein a guide mounting detection releasing means and/or a channel selection releasing means are provided. The electric stimulation device according to claim 6, wherein the channel selection releasing means has a function of releasing the selection of the channel if the switching operation is performed or a certain period of time elapses after the output is started or adjusted. The electrical stimulation device of claim 6 or 7, wherein the function is: if the derivative of the new channel is detected after the output is started or adjusted, the channel connected to the derivative is transferred to The channel selection state, and the channel selection by means of the above-described channel selection releasing means cancels the channel selection for the channel to which the respective sets of the pilots whose output has been started or has been adjusted are connected. The electrical stimulation device according to any one of claims 1 to 8, wherein the function has the following function: even after the guide of the channel in the output is removed, the guide is installed again and the installation of the guide is detected, It will not be transferred to the channel selection state. The electric stimulation device according to any one of claims 1 to 9, wherein a derivation group determining means is provided, the derivation group determining means determining a combination of the plurality of derivations of the plurality of matrix derivations. The electrical stimulation device according to any one of claims 1 to 10, wherein the combination of the plurality of matrix derivations is determined by detecting that a certain period of time has elapsed since the start of the adjustment of the output. The electric stimulation device according to any one of claims 1 to 11, wherein the derivation selection display means and/or the derivation group display means are provided. The electrical stimulation device of any one of claims 1 to 12, wherein the remote operation is performed by a remote operation means. The electrical stimulation device of claim 13, wherein the remote operation is performed by wireless communication by the remote operation means. The electrical stimulation device of claim 13 or 14, wherein the distal operation means is provided with a treatment start and/or treatment end operation function. An electrical stimulation device according to any one of claims 13 to 15, wherein in said remote operation means, an output regulator for adjusting the output of said output circuit by manual operation is provided. The electrical stimulation device of any one of claims 13 to 16, wherein an end report and/or an abnormality report function is provided in the remote operation means. The electrical stimulation device of any one of claims 13 to 17, wherein the remote operation means is provided with a channel selection operation and/or a channel selection function. The electrical stimulation device according to any one of claims 13 to 18, wherein the remote operation means is provided with an output mode selection operation and/or an output mode display function. The electrical stimulation device of any one of claims 13 to 19, wherein the remote operation means is provided with an automatic power-off function. The electrical stimulation device according to any one of claims 13 to 20, wherein the remote operation means is provided with a function of memorizing the treatment condition or when the power of the remote operation means is cut off The setting contents of the operation status display the last setting content when the power is turned on again.