WO2016171131A1 - Coil device and magnetic stimulation treatment system - Google Patents

Coil device and magnetic stimulation treatment system Download PDF

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Publication number
WO2016171131A1
WO2016171131A1 PCT/JP2016/062381 JP2016062381W WO2016171131A1 WO 2016171131 A1 WO2016171131 A1 WO 2016171131A1 JP 2016062381 W JP2016062381 W JP 2016062381W WO 2016171131 A1 WO2016171131 A1 WO 2016171131A1
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Prior art keywords
coil
housing
conductor
coil device
cable housing
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PCT/JP2016/062381
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French (fr)
Japanese (ja)
Inventor
勝志 藤本
貴光 岡山
匡道 翠川
大西 寿章
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帝人ファーマ株式会社
タツタ電線株式会社
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Priority to JP2017514134A priority Critical patent/JPWO2016171131A1/en
Publication of WO2016171131A1 publication Critical patent/WO2016171131A1/en

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  • the present invention relates to a coil device used in a repetitive transcranial magnetic stimulation treatment system.
  • the present invention also relates to a magnetic stimulation treatment system provided with the coil device.
  • Repetitive transcranial magnetic stimulation is a non-invasive method of applying magnetic stimulation to specific parts of the brain, such as nerves, to treat neurological diseases such as stroke pain, depression, Alzheimer's disease, etc. It is a treatment that can be planned.
  • magnetism generating means such as an excitation coil is arranged at a specific position on the patient's scalp surface, and magnetic stimulation is performed from the magnetism generating means to a specific part of the patient's brain.
  • Patent Documents 1 and 2 describe that a current is passed through a coil unit installed on the surface of a patient's scalp to locally generate a small pulsed magnetic field, and the principle of electromagnetic induction is used in the skull. It has been disclosed that stimulation is given to the nerves in the brain directly under the coil unit by causing eddy currents.
  • an object of the present invention is to provide a coil device in which position adjustment and angle adjustment of a magnetic stimulation coil are not restricted by a cable, and a magnetic stimulation system including the coil device.
  • one aspect of the present invention is: A coil device for use with a magnetic stimulation therapy system, A coil housing; A cable housing; A communication path communicating the internal space of the coil housing and the internal space of the cable housing; A coil comprising a coil conductor housed in the coil housing; Comprising a pair of conductors that penetrate the cable housing and are drawn from the outside to the inside of the cable housing and electrically connected to both ends of the coil;
  • the cable housing has a fixed housing part integrally connected to the coil housing, and a rotating housing part rotatably connected to the fixed housing part about a predetermined axis, The pair of conductive wires penetrates the rotating housing portion.
  • the rotating housing part to which the pair of conductors are connected can rotate around the axis with respect to the fixed housing part, the change is absorbed by the rotation of the rotating housing part even if the direction of the coil device is changed. it can. Therefore, since the movement of the coil device is not restricted by the conducting wire, the coil device can be freely rotated according to the treatment site.
  • FIG. 1 is a perspective view showing the overall configuration of a transcranial magnetic stimulation system according to the present invention.
  • the perspective view of the coil unit used for the system of FIG. The perspective view of a coil. Sectional drawing of a cable housing.
  • the top view of the coil housing part which shows the connection state of a cable conducting wire and a coil conductor.
  • the perspective view of the coil unit except an upper cable housing.
  • the top view of the coil housing part which shows the state with which resin was filled inside the cable housing.
  • Side view [FIG. 8A] and perspective view [FIG. 8B] of the cable conducting wire guide block Side view [FIG. 8A] and perspective view [FIG. 8B] of the cable conducting wire guide block.
  • the partial expanded sectional view of the coil which consists of one conductor, and a coil unit.
  • the partial expanded sectional view of the coil which consists of two conductors, and a coil unit.
  • a transcranial magnetic stimulation system (hereinafter simply referred to as “system”) 1 according to an embodiment includes a patient support mechanism (support unit) 3 that supports a patient 2.
  • the patient support mechanism 3 is a chair, but may be a bed instead.
  • the system 1 also has a magnetic stimulator 4 that provides repetitive magnetic stimulation to the brain of the patient 2 supported by the patient support mechanism 3.
  • the magnetic stimulation device 4 includes a coil unit (coil device) 5 including a coil 11 (detailed shape is shown in FIG. 3) for forming a dynamic magnetic field, and a control unit that controls a high-frequency current applied to the coil. 6.
  • the coil unit 5 is supported by a support mechanism 8 including an appropriate positioning mechanism 7 so that it can freely move to an arbitrary position along the head surface of the patient 2 and can be positioned at an arbitrary position.
  • the coil unit 5 and the control unit 6 are connected by a flexible cable 10.
  • the cable 10 includes, for example, a pair of conductive wires 12 (see FIG. 2) for supplying a high frequency current to the coil.
  • the cable 10 also includes a shield 61 that surrounds the lead 12. Therefore, even if a high frequency current is applied to the conductive wire 12 in the cable, electrical noise is not emitted to the outside and the peripheral device is not damaged.
  • the cable 10 may include a signal line of a device built in the coil unit 5.
  • the device and the signal line include, for example, an electric wire that connects a temperature detector (not shown) built in the coil unit 5 and the control unit 6.
  • the coil unit 5 includes a coil housing 13 and a cable housing 14.
  • the coil housing 13 accommodates the coil 11.
  • the coil 11 is an eccentric spiral 8-shaped coil (butterfly-shaped coil) in which conductors are arranged in two spirals, and a spiral portion 15 spirally wound is accommodated in the coil housing 13.
  • the cable housing 14 includes a cable tip (cable conductors 54 and 55 shown in FIG. 5) and a conductor end of the coil 11 electrically connected thereto (conductor end 16 a shown in FIG. 5, 16b).
  • the coil housing 13 is made of an electrically insulating material, and includes a lower coil housing portion 18 that covers the lower surface of the coil 11 and an upper coil housing portion 19 that covers the upper surface of the coil 11.
  • Spiral shapes 21, 22 (see FIG. 9) corresponding to the outer shape of the coil are provided on the upper surface of the lower coil housing portion 18 and the lower surface of the upper coil housing portion 19, respectively.
  • a spiral coil housing space 23 is formed.
  • the lower surface of the lower coil housing portion 18 is formed by a cubic curved surface similar to the shape of the human head surface.
  • the curved surface may be either a complete concave spherical surface whose distance from a certain point in space is constant or an incomplete concave curved surface whose distance is not constant like a human head surface.
  • the spiral portion 15 is formed along the curved surface of the lower coil housing portion 18.
  • the spiral part 15 may be formed along the plane of the lower coil housing part 18.
  • the cable housing 14 has a substantially cylindrical shape having a vertical shaft 25, and is composed of a lower cable housing portion 26 and an upper cable housing portion 27 made of an electrically insulating material.
  • the lower cable housing portion 26 is formed integrally with the upper coil housing portion 19 of the coil housing 13.
  • the upper cable housing portion 27 is rotatably connected to the lower cable housing portion 26 around the shaft 25 as will be described later.
  • the coil 11 is housed in a coil housing space 23 formed between the lower coil housing portion 18 and the upper coil housing portion 19.
  • the shape 22 formed on the upper surface of the lower coil housing portion 18 has a spiral groove 28 corresponding to the eccentric spiral 8-shaped coil 11 in which the coil 11 is accommodated.
  • a gap 29 (for example, a gap of about 0.1 to 1.0 mm) existing between the lower coil housing portion 18 and the upper coil housing portion 19 and the coil 11 is filled with a resin 30 of an insulating material.
  • the Joule heat of the conducting wire is efficiently dissipated through the resin by the resin filled in the gap 29.
  • the resin filling port is formed in the upper coil housing part 19 or the lower coil housing part 18 or both.
  • the communication port 20 shown in FIG. 5 functions as a filling port.
  • a preferable resin is an epoxy-based or polyester-based resin having high fluidity and adhesiveness. When heat dissipation is important, it is preferable to use a resin with excellent thermal conductivity.
  • the coil 11 is composed of one conductor 31 having a square cross section. As shown in FIG. 10, two conductors 32 having a square cross section may be arranged in parallel (superposed vertically). In this case, since the skin resistance is reduced as compared with the case of a single conductor 31, a high-frequency current can be passed through the coil more efficiently. Further, by laying the conductors up and down, the area occupied by the coil 11 becomes the same as that of a coil made of one conductor. Regardless of the number of conductors, from the viewpoint of resin filling and insulating properties, it is preferable that the conductor 31 having a rectangular cross section be chamfered at its corners so that the resin flows smoothly around the conductor.
  • the coil housing 13 is divided into the lower coil housing portion 18 and the upper coil housing portion 19, and the lower cable housing portion 26 is integrated with the upper coil housing portion 19. 31 and 32 are arranged efficiently.
  • the work of arranging the hard metal coil conductor in the spiral groove 28 is a very time-consuming work, in the embodiment, since the lower cable housing part 26 is integrated with the upper coil housing part 19, When the coil conductors 31 and 32 are disposed in the spiral groove 28 of the coil housing part 18, the lower cable housing part 26 does not get in the way.
  • the lower cable housing portion 26 has an outer peripheral cylindrical wall 33 centering on the shaft 25 and a bottom wall 34 that closes the lower end of the outer peripheral cylindrical wall 33.
  • the upper cable housing part 27 has an outer peripheral cylindrical wall 35 centered on the shaft 25 and a ceiling wall 36 that closes the upper end of the outer peripheral cylindrical wall 35.
  • the lower cable housing portion 26 and the upper cable housing portion 27 are assembled to the lower cable housing portion 26 so that the upper cable housing portion 27 can rotate around the shaft 25, and a cable housing space 37 is formed inside them. .
  • the lower cable housing portion 26 is formed integrally with the upper coil housing portion 19.
  • the cable housing space 37 and the coil housing space 23 communicate with the region where the lower cable housing portion 26 and the upper coil housing portion 19 are integrated in the region where the housing portions 26 and 19 are adjacent to each other.
  • a communication port (communication passage) 20 is formed, and both end portions (conductor end portions 16a and 16b) of the coil conductor are drawn from the coil housing space 23 to the cable housing space 37 through the communication port 20. Yes.
  • the communication port 20 is formed between the lower coil housing portion 18 and the upper coil housing portion 19 from the cable housing space 37 side because the cable housing space 37 and the coil housing space 23 are communicated with each other. It functions as a resin filling port for filling the coil housing space 23 with resin.
  • a filling port may be formed at an appropriate location of the upper coil housing portion 19, and the coil housing space 23 may be filled with resin through the filling port. .
  • a central cylindrical wall 38 is formed inside the lower cable housing portion 26 around the shaft 25 and in the center of the lower cable housing portion 26.
  • An inner cylindrical wall 39 and an outer cylindrical wall 40 are formed concentrically on the inner side of the lower cable housing portion 26 and on the outer side of the central cylindrical wall 38.
  • a conducting wire passage 41 is formed, and an outside conducting wire passage 42 is formed between the outer cylindrical wall 40 and the outer cylindrical wall 33, and the conductor end portions 16a and 16b of the coil 11 are respectively connected to the inner conducting wire passage 41 and the outer conducting wire passage 42.
  • a part of the outer cylindrical wall 40 is cut away, so that one conductor end 16 a is drawn into the inner conductor passage 41.
  • the upper cable housing portion 27 has a central cylindrical wall 43 formed around the shaft 25.
  • the lower cable housing portion 26 and the upper cable housing portion 27 are connected to the lower cable housing portion 26 so that the upper cable housing portion 27 is rotatable about the shaft 25.
  • the lower cable housing portion 26 and the upper cable housing portion 27 are inserted through the hollow cylindrical collar 44 inside the central cylindrical walls 38 and 43, and the hollow cylindrical collar 44.
  • a bolt 45 is inserted into the bolt 45, stop rings 46 and 47 are attached to the lower end and upper end of the bolt 45, and a screw 48 is fixed to the lower end of the bolt 45 to be connected.
  • the upper cable housing portion 27 is formed with an inverted U-shaped opening 51 by cutting a part of the outer cylindrical wall 35 from its lower end, and through a bush 52 (see FIG. 6) attached to the opening 51.
  • the bush 52 is designed so that the amount of protrusion into the upper cable housing portion 27 is as small as possible. Therefore, as will be described later, when the upper cable housing portion 27 rotates with respect to the lower cable housing portion 26, the bushing 52 does not contact the cable conductor and obstruct the rotation or limit the rotation angle.
  • the cable portion located outside the cable housing 14 includes a sheath 53, but the cable portion located inside the cable housing 14 has a pair of cable conductors that are covered with insulation by removing the sheath. 54 and 55 are exposed.
  • the cable conductors 54 and 55 include a core material made of a conductive metal and an insulating material covering the periphery thereof.
  • the cable conductors 54 and 55 arranged on the inner side of the cable housing 14 are arranged in a spiral shape around the shaft 25 and are preferably wound around the shaft 25 in the same direction at least once. More specifically, as shown in FIG.
  • one of the portions of the cable conductors 54 and 55 accommodated in the lower cable housing portion 26 is disposed in the inner conductor passage 41, and the other is the outer conductor passage 42.
  • the two ends of the cable conductors 54 and 55 are electrically connected to the corresponding coil conductor ends 16a and 16b via appropriate connectors 56 and 57, respectively.
  • the upper cable housing part 27 does not include a wall corresponding to the cylindrical wall of the lower cable housing part 26. Therefore, each part of the cable conductors 54 and 55 accommodated in a spiral shape in the upper cable housing portion 27 can enlarge or reduce the spiral diameter.
  • the connection tools 56 and 57 may be any of solder, crimp terminals, and dedicated connectors.
  • the coil unit 5 can be oriented in an arbitrary direction and angle without being constrained by the cable 10, so that the coil unit 5 can be installed at an optimal position and state for the treatment content.
  • the lower cable housing portion 26 and the upper cable housing portion 27 are respectively supported.
  • the rotation restriction portions 58 and 59 may be provided so that the upper cable housing portion 27 can rotate only within a predetermined angle range with respect to the lower cable housing portion 26. Specifically, when the upper cable housing portion 27 is rotated, the rotation restricting portion 59 of the outer cylindrical wall 35 provided in the upper cable housing portion 27 is brought into contact with the rotation restricting portion 58 of the lower cable housing portion 26, thereby rotating the upper cable housing portion 27.
  • the predetermined angle range is, for example, 140 to 180 degrees ( ⁇ 70 to ⁇ 90 degrees to the left and right).
  • the length (height) of the hollow cylindrical collar 44 is slightly longer than the length obtained by adding the height of the central cylindrical walls 38 and 43 in the upper and lower cable housing portions 26 and 27.
  • the rotation of the upper cable housing portion 27 relative to the lower cable housing portion 26 is smoothly performed with less resistance.
  • the conductor end portions 16 a and 16 b do not vibrate in the cable housing 14 due to the Lorentz force. Therefore, when a magnetic stimulation current pulse is applied to the exciting coil, the coil conductor is momentarily displaced by the Lorentz force, and when the current is interrupted, the vibration action is repeated, such as fatigue failure of the conductor, Noise due to vibration may occur, but there is no problem that the end portion of the vibrating coil conductor contacts other parts (housing, cable) and is damaged.
  • a sheet made of a material having excellent slipperiness (for example, polytetrafluoroethylene, polyethylene, polyacetal) is disposed on the resin 60 so that the cable conductors 54 and 55 receive the friction received from the filling resin 60. It is preferable to make it as small as possible.
  • the cable conductors 54 and 55 covered with the resin 60 are regions having a predetermined length from the connection portions with the conductor end portions 16a and 16b so that the free rotation of the upper cable housing portion 27 with respect to the lower cable housing portion 26 is not hindered. It is preferable to limit to.
  • the cable conductors 54 and 55 accommodated in the lower cable housing portion 26 are connected to the conductor end portions 16 a and 16 b at both ends, and the inner conductor passage 41 and the outer conductor passage 42.
  • it is arranged in the counterclockwise direction in the figure along the bottom.
  • the cable conductors 54 and 55 rise to a predetermined height while being wound along the inner conductor passage 41 and the outer conductor passage 42, and then appear on the resin 60 (see FIG. 7).
  • a flexible and slippery resin for example, fluororesin, silicone rubber, elastomer
  • a cable conductor guide block 65 made of
  • the vibration of the cable conductors 54 and 55 caused by the Lorentz force is absorbed by the flexible block 65, so that the cable conductors 54 and 55 do not come into contact with the housing or the solidified resin to be damaged.
  • the coil may be a coil other than the eccentric spiral 8-shaped coil, for example, a circular coil or a non-coiled 8-shaped coil.
  • the coil conductor end and the cable conductor may be connected to a place other than the inside of the cable housing, for example, inside the coil housing.
  • the resin covering the end portion of the coil conductor and the resin covering the cable conductor may be the same resin or different resins. In the latter case, the resin covering the cable conductor may be a softer resin than the resin covering the coil conductor end.
  • the surface of the filled resin is made of a material with excellent slipperiness (in order to avoid contact between the filled resin and the free part of the cable conductor not covered by the resin (for example, it is preferable to cover it with a sheet (not shown) of fluorine material.
  • the number of coil conductors housed in the groove of the coil housing is not limited to one or two, but may be three or more. In consideration of workability and skin effect, the number of coil conductors accommodated in the groove is preferably two. Further, when a plurality of conductors are arranged in the groove, it is preferable that the plurality of conductors are stacked in the vertical direction.
  • the coil 11 is not limited to a conductor having a rectangular cross section, but may be a conductor having a circular, triangular, pentagonal, or other polygonal cross section. Further, a rectangular wire or a litz wire may be used as the conductor of the coil 11.
  • the coil 11 is not limited to a coil with an insulation coating, and may be a coil without an insulation coating. In the case of a coil without insulation coating, there is an advantage that the interval between conductors adjacent to each other in the radial direction of the spiral can be reduced.
  • the cable may be connected to the cable housing from the tangential direction of the cable housing rather than from the radial direction.
  • Transcranial magnetic stimulation system 2 Patient 3: Patient support mechanism (support part) 4: Magnetic stimulation device 5: Coil unit (coil device) 6: Control unit 7: Positioning mechanism 8: Support mechanism 10: Cable 11: Coil 12: Conductor 13: Coil housing 14: Cable housing 15: Spiral portion 16 (16a, 16b): Conductor end 18: Lower coil housing portion 19 : Upper coil housing portion 21: Upper surface shape 22: Lower surface shape 23: Coil housing space 25: Shaft 26: Lower cable housing portion 27: Upper cable housing portion 28: Spiral groove 29: Clearance 30: Resin 31, 32: Conductor 33: Outer cylindrical wall 34: Bottom wall 35: Outer cylindrical wall 36: Ceiling wall 37: Cable housing space 38: Central cylindrical wall 39: Inner cylindrical wall 40: Outer cylindrical wall 41: Inner conductor passage 42: Outer conductor passage 43: Central cylinder Wall 44: Hollow cylindrical collar 45: Bolt 46, 47: Stop ring 48: Screw 51: Opening 52: Bush 53: Screw Scan 54, 55: cable leads 56, 57: connector 58,

Abstract

Provided is a coil device for use in a magnetic stimulation treatment device, the coil device comprising the following: a coil housing; a cable housing; a communication path that communicates between an internal space of the coil housing and an internal space of the cable housing; a coil comprising a coil conductor housed in the coil housing; and a pair of conductive wires that pass through the cable housing and are lead into the cable housing from outside, the pair of conductive wires being electrically connected to both ends of the coil conductor. The cable housing has a fixed housing portion that is integrally linked to the coil housing, and a rotating housing portion that is linked to the fixed housing portion so as to be rotatable about a prescribed axis. The pair of conductive wires pass through the rotating housing portion.

Description

コイル装置及び磁気刺激治療システムCoil device and magnetic stimulation treatment system
 本発明は,反復経頭蓋磁気刺激治療システムに使用されるコイル装置に関する。本発明はまた,そのコイル装置を備えた磁気刺激治療システムに関する。 The present invention relates to a coil device used in a repetitive transcranial magnetic stimulation treatment system. The present invention also relates to a magnetic stimulation treatment system provided with the coil device.
 反復経頭蓋磁気刺激法は,神経等の脳の特定部位に非侵襲的に磁気刺激を加えることにより,脳卒中の疼痛等の神経疾患やうつ病,アルツハイマー病等に対する治療,症状の緩和や改善を図ることができる治療である。この反復経頭蓋磁気刺激法は,患者の頭皮表面の特定位置に励磁コイル等の磁気発生手段を配置し,磁気発生手段から患者の脳の特定部位に対して磁気刺激を行う。具体的な手法として,特許文献1,2には,患者の頭皮表面に設置したコイルユニットに電流を流して局所的に微小なパルス磁場を生じさせ,電磁誘導の原理を利用して頭蓋内に渦電流を起こすことにより,コイルユニット直下の脳内神経に刺激を与えることが開示されている。 Repetitive transcranial magnetic stimulation is a non-invasive method of applying magnetic stimulation to specific parts of the brain, such as nerves, to treat neurological diseases such as stroke pain, depression, Alzheimer's disease, etc. It is a treatment that can be planned. In this repetitive transcranial magnetic stimulation method, magnetism generating means such as an excitation coil is arranged at a specific position on the patient's scalp surface, and magnetic stimulation is performed from the magnetism generating means to a specific part of the patient's brain. As a specific method, Patent Documents 1 and 2 describe that a current is passed through a coil unit installed on the surface of a patient's scalp to locally generate a small pulsed magnetic field, and the principle of electromagnetic induction is used in the skull. It has been disclosed that stimulation is given to the nerves in the brain directly under the coil unit by causing eddy currents.
 効果的な磁気刺激治療を行うためには,治療内容に応じた適当な場所に磁気刺激コイルを配置する必要がある。そのために,実際の治療に先立って,磁気刺激コイルを患者の頭表面に沿って動かし,最適なコイル位置を決定する必要がある。また,実際の治療時には,予め決められた最適なコイル位置にコイルを設置する必要がある。しかし,磁気刺激コイルにはこれに高周波電流を印加するためのケーブルが接続されており,コイルの位置や角度を変えようとするとその動きがケーブルによって制限され,思い通りの位置や角度に刺激コイルを設定し難いという問題がある。また,ケーブルが自由に動けるスペースを確保しようとすれば,システムの大型化に繋がるという問題がある。 ¡In order to perform effective magnetic stimulation treatment, it is necessary to arrange magnetic stimulation coils at appropriate locations according to the treatment content. Therefore, prior to actual treatment, it is necessary to move the magnetic stimulation coil along the patient's head surface to determine the optimal coil position. In actual treatment, it is necessary to install a coil at a predetermined optimal coil position. However, a cable for applying a high-frequency current is connected to the magnetic stimulation coil. If you attempt to change the position or angle of the coil, the movement is limited by the cable, and the stimulation coil is placed at the desired position or angle. There is a problem that it is difficult to set. In addition, there is a problem that an attempt to secure a space where the cable can move freely leads to an increase in the size of the system.
特開2012-125546号公報JP 2012-125546 A WO2010/147064号明細書WO2010 / 147064 specification
 そこで,本発明は,磁気刺激コイルの位置調整や角度調整がケーブルによって制約を受けることのないコイル装置,及びそのコイル装置を備えた磁気刺激システムを提供することを目的とする。 Therefore, an object of the present invention is to provide a coil device in which position adjustment and angle adjustment of a magnetic stimulation coil are not restricted by a cable, and a magnetic stimulation system including the coil device.
 この目的を達成するため,本発明の一つの形態は,
 磁気刺激治療システムとともに使用されるコイル装置であって,
 コイルハウジングと,
 ケーブルハウジングと,
 前記コイルハウジングの内部空間と前記ケーブルハウジングの内部空間を連通する連通路と,
 前記コイルハウジングに収容されたコイル導体からなるコイルと,
 前記ケーブルハウジングを貫通して前記ケーブルハウジングの外部から内部に引き込まれ,前記コイルの両端と電気的に接続された一対の導線を備えており,
 前記ケーブルハウジングは,前記コイルハウジングに一体的に連結された固定ハウジング部分と,所定の軸を中心に前記固定ハウジング部分に対して回転可能に連結された回転ハウジング部分とを有し,
 前記一対の導線は,前記回転ハウジング部分を貫通していることを特徴とする。
To achieve this object, one aspect of the present invention is:
A coil device for use with a magnetic stimulation therapy system,
A coil housing;
A cable housing;
A communication path communicating the internal space of the coil housing and the internal space of the cable housing;
A coil comprising a coil conductor housed in the coil housing;
Comprising a pair of conductors that penetrate the cable housing and are drawn from the outside to the inside of the cable housing and electrically connected to both ends of the coil;
The cable housing has a fixed housing part integrally connected to the coil housing, and a rotating housing part rotatably connected to the fixed housing part about a predetermined axis,
The pair of conductive wires penetrates the rotating housing portion.
 本形態によれば,一対の導線が接続された回転ハウジング部分は,固定ハウジング部分に対して軸を中心に回転できるため,コイル装置の方向を変えてもその変化を回転ハウジング部分の回転に吸収できる。したがって,コイル装置の動きが導線によって制約を受けることがないので,治療部位に応じてコイル装置を自由に回転できる。 According to this embodiment, since the rotating housing part to which the pair of conductors are connected can rotate around the axis with respect to the fixed housing part, the change is absorbed by the rotation of the rotating housing part even if the direction of the coil device is changed. it can. Therefore, since the movement of the coil device is not restricted by the conducting wire, the coil device can be freely rotated according to the treatment site.
本発明に係る経頭蓋磁気刺激システムの全体構成を示す斜視図。1 is a perspective view showing the overall configuration of a transcranial magnetic stimulation system according to the present invention. 図1のシステムに使用されるコイルユニットの斜視図。The perspective view of the coil unit used for the system of FIG. コイルの斜視図。The perspective view of a coil. ケーブルハウジングの断面図。Sectional drawing of a cable housing. ケーブル導線とコイル導体の接続状態を示すコイルハウジング部の平面図。The top view of the coil housing part which shows the connection state of a cable conducting wire and a coil conductor. 上部ケーブルハウジングを除いたコイルユニットの斜視図。The perspective view of the coil unit except an upper cable housing. ケーブルハウジングの内部に樹脂が充填された状態を示すコイルハウジング部の平面図。The top view of the coil housing part which shows the state with which resin was filled inside the cable housing. ケーブル導線案内ブロックの側面図[図8(a)]と斜視図[図8(b)]。Side view [FIG. 8A] and perspective view [FIG. 8B] of the cable conducting wire guide block. 1本の導体からなるコイル及びコイルユニットの部分拡大断面図。The partial expanded sectional view of the coil which consists of one conductor, and a coil unit. 2本の導体からなるコイル及びコイルユニットの部分拡大断面図。The partial expanded sectional view of the coil which consists of two conductors, and a coil unit.
 以下,添付図面を参照して本発明に係るコイル装置及び経頭蓋磁気刺激システムの実施形態を説明する。 Hereinafter, an embodiment of a coil device and a transcranial magnetic stimulation system according to the present invention will be described with reference to the accompanying drawings.
 以下の説明では、「上」,「下」などの方向を意味する用語を使用するが、それは添付図面を参照した発明の理解を容易にするためであって、それらの用語はコイル装置又は経頭蓋磁気刺激システムの実際の使用状態を示すものでない。したがって,本発明の技術的範囲は,これらの用語によって限定的に解釈されるべきでない。 In the following description, terms indicating directions such as “up” and “down” are used to facilitate understanding of the invention with reference to the accompanying drawings. It does not indicate the actual usage of the cranial magnetic stimulation system. Therefore, the technical scope of the present invention should not be limitedly interpreted by these terms.
 図1を参照すると,実施形態の経頭蓋磁気刺激システム(以下,単に「システム」という。)1は,患者2を支持する患者支持機構(支持部)3を有する。実施形態では,患者支持機構3は椅子であるが,これに代えてベッドであってもよい。システム1はまた,患者支持機構3に支持された患者2の脳に反復磁気刺激を与える磁気刺激装置4を有する。磁気刺激装置4は,動磁場を形成するためのコイル11(図3に詳細な形状を示す。)を内蔵したコイルユニット(コイル装置)5と,コイルに印加される高周波電流を制御する制御ユニット6を有する。コイルユニット5は,患者2の頭部表面に沿って任意の位置に自由に移動できるとともに任意の位置に位置決めできるように,適当な位置決め機構7を含む支持機構8に支持されている。 Referring to FIG. 1, a transcranial magnetic stimulation system (hereinafter simply referred to as “system”) 1 according to an embodiment includes a patient support mechanism (support unit) 3 that supports a patient 2. In the embodiment, the patient support mechanism 3 is a chair, but may be a bed instead. The system 1 also has a magnetic stimulator 4 that provides repetitive magnetic stimulation to the brain of the patient 2 supported by the patient support mechanism 3. The magnetic stimulation device 4 includes a coil unit (coil device) 5 including a coil 11 (detailed shape is shown in FIG. 3) for forming a dynamic magnetic field, and a control unit that controls a high-frequency current applied to the coil. 6. The coil unit 5 is supported by a support mechanism 8 including an appropriate positioning mechanism 7 so that it can freely move to an arbitrary position along the head surface of the patient 2 and can be positioned at an arbitrary position.
 コイルユニット5と制御ユニット6は可撓性のケーブル10によって接続されている。ケーブル10は,例えば,コイルに高周波電流を供給するための一対の導線12(図2参照)を含む。ケーブル10はまた,導線12を囲むシールド61を含む。したがって,ケーブル内の導線12に高周波電流を印加しても,外部に電気的ノイズが放出されて周辺機器に障害を及ぼすことはない。ケーブル10には,コイルユニット5に内蔵された機器の信号線を含めても良い。機器と信号線には,例えば,コイルユニット5に内蔵された温度検出器(図示せず)と制御ユニット6を接続する電線が含まれる。 The coil unit 5 and the control unit 6 are connected by a flexible cable 10. The cable 10 includes, for example, a pair of conductive wires 12 (see FIG. 2) for supplying a high frequency current to the coil. The cable 10 also includes a shield 61 that surrounds the lead 12. Therefore, even if a high frequency current is applied to the conductive wire 12 in the cable, electrical noise is not emitted to the outside and the peripheral device is not damaged. The cable 10 may include a signal line of a device built in the coil unit 5. The device and the signal line include, for example, an electric wire that connects a temperature detector (not shown) built in the coil unit 5 and the control unit 6.
 図2に示すように,実施形態では,コイルユニット5は,コイルハウジング13とケーブルハウジング14を有する。コイルハウジング13はコイル11を収容する。図3に示すように,コイル11は,導体を2つの渦巻き状に配置した偏心渦巻き8字コイル(蝶々型コイル)で,螺旋状に巻回された螺旋部15がコイルハウジング13に収容される。図2に戻り,ケーブルハウジング14は,ケーブル先端部(図5に示すケーブル導線54,55)と,これに電気的に接続されるコイル11の導体端部(図5に示す導体端部16a,16b)を収容する。 As shown in FIG. 2, in the embodiment, the coil unit 5 includes a coil housing 13 and a cable housing 14. The coil housing 13 accommodates the coil 11. As shown in FIG. 3, the coil 11 is an eccentric spiral 8-shaped coil (butterfly-shaped coil) in which conductors are arranged in two spirals, and a spiral portion 15 spirally wound is accommodated in the coil housing 13. . Returning to FIG. 2, the cable housing 14 includes a cable tip ( cable conductors 54 and 55 shown in FIG. 5) and a conductor end of the coil 11 electrically connected thereto (conductor end 16 a shown in FIG. 5, 16b).
 コイルハウジング13は,電気絶縁材料で構成されており,コイル11の下面を覆う下部コイルハウジング部18と,コイル11の上面を覆う上部コイルハウジング部19からなる。下部コイルハウジング部18の上面と上部コイルハウジング部19の下面のそれぞれにコイルの外形に対応した螺旋状の形状21,22(図9参照)が付与されており,これらの形状21,22の間に螺旋状のコイル収容空間23が形成されている。下部コイルハウジング部18の下面は,人の頭表面の形状に似た三次曲面によって形成されている。曲面は,空間上のある点からの距離が一定の完全な凹状球面と,人の頭表面のようにその距離が一定でない不完全な凹状曲面のいずれであってもよい。これに対応して,螺旋部15は,下部コイルハウジング部18の曲面に沿って形成されている。なお,下部コイルハウジング部18の下面を平面に形成するとともに,螺旋部15を下部コイルハウジング部18の平面に沿って形成してもよい。 The coil housing 13 is made of an electrically insulating material, and includes a lower coil housing portion 18 that covers the lower surface of the coil 11 and an upper coil housing portion 19 that covers the upper surface of the coil 11. Spiral shapes 21, 22 (see FIG. 9) corresponding to the outer shape of the coil are provided on the upper surface of the lower coil housing portion 18 and the lower surface of the upper coil housing portion 19, respectively. A spiral coil housing space 23 is formed. The lower surface of the lower coil housing portion 18 is formed by a cubic curved surface similar to the shape of the human head surface. The curved surface may be either a complete concave spherical surface whose distance from a certain point in space is constant or an incomplete concave curved surface whose distance is not constant like a human head surface. Correspondingly, the spiral portion 15 is formed along the curved surface of the lower coil housing portion 18. In addition, while forming the lower surface of the lower coil housing part 18 in a plane, the spiral part 15 may be formed along the plane of the lower coil housing part 18.
 図2に示すように,ケーブルハウジング14は,上下方向の軸25を有する略円筒形をしており,電気絶縁材料からなる、下部ケーブルハウジング部26と上部ケーブルハウジング部27によって構成されている。実施形態では,下部ケーブルハウジング部26がコイルハウジング13の上部コイルハウジング部19に一体的に形成されている。実施形態ではまた,上部ケーブルハウジング部27は,後述するように,軸25を中心に,下部ケーブルハウジング部26に対して回転可能に連結されている。 As shown in FIG. 2, the cable housing 14 has a substantially cylindrical shape having a vertical shaft 25, and is composed of a lower cable housing portion 26 and an upper cable housing portion 27 made of an electrically insulating material. In the embodiment, the lower cable housing portion 26 is formed integrally with the upper coil housing portion 19 of the coil housing 13. In the embodiment, the upper cable housing portion 27 is rotatably connected to the lower cable housing portion 26 around the shaft 25 as will be described later.
 図9に示すように,コイル11は,下部コイルハウジング部18と上部コイルハウジング部19の間に形成されたコイル収容空間23に収容されている。実施形態では,下部コイルハウジング部18の上面に形成された形状22は,偏心渦巻き8字コイル11に対応した螺旋溝28を有し,そこにコイル11が収容されている。 As shown in FIG. 9, the coil 11 is housed in a coil housing space 23 formed between the lower coil housing portion 18 and the upper coil housing portion 19. In the embodiment, the shape 22 formed on the upper surface of the lower coil housing portion 18 has a spiral groove 28 corresponding to the eccentric spiral 8-shaped coil 11 in which the coil 11 is accommodated.
 下部コイルハウジング部18及び上部コイルハウジング部19とコイル11との間に存在する隙間29(例えば,0.1~1.0mm程度の隙間)には,絶縁材料の樹脂30が充填される。隙間29に充填された樹脂によって導線のジュール熱が樹脂を介して効率良く放散される。これにより,隙間29に空気が残存する場合に比べて,高いコイルの冷却効果が得られる。樹脂の充填口は,上部コイルハウジング部19又は下部コイルハウジング部18若しくはそれらの両方に形成される。実施形態では,後述するように,図5に示す連通口20が充填口として機能する。好ましい樹脂は,流動性と固着性が高いエポキシ系又はポリエステル系の樹脂である。放熱性が重視される場合,熱伝導性に優れた樹脂を用いることが好ましい。 A gap 29 (for example, a gap of about 0.1 to 1.0 mm) existing between the lower coil housing portion 18 and the upper coil housing portion 19 and the coil 11 is filled with a resin 30 of an insulating material. The Joule heat of the conducting wire is efficiently dissipated through the resin by the resin filled in the gap 29. Thereby, compared with the case where air remains in the gap 29, a higher coil cooling effect can be obtained. The resin filling port is formed in the upper coil housing part 19 or the lower coil housing part 18 or both. In the embodiment, as will be described later, the communication port 20 shown in FIG. 5 functions as a filling port. A preferable resin is an epoxy-based or polyester-based resin having high fluidity and adhesiveness. When heat dissipation is important, it is preferable to use a resin with excellent thermal conductivity.
 本実施形態では,コイル11は,四角形断面を有する1本の導体31で構成されている。図10に示すように,四角形断面を有する2本の導体32を平行に配置して(上下に重ねて)構成してもよい。この場合,1本の導体31で構成する場合に比べて表皮抵抗が減少するため,より効率良く高周波電流をコイルに流すことができる。また,導体を上下に重ねることにより,コイル11の占有面積は1本の導体からなるコイルと同じになる。導体の数に拘わらず,樹脂の充填性及び絶縁性の点から,四角形断面の導体31は,その角部を面取し,導体の周囲に樹脂がスムーズに流れ込むようにすることが好ましい。 In this embodiment, the coil 11 is composed of one conductor 31 having a square cross section. As shown in FIG. 10, two conductors 32 having a square cross section may be arranged in parallel (superposed vertically). In this case, since the skin resistance is reduced as compared with the case of a single conductor 31, a high-frequency current can be passed through the coil more efficiently. Further, by laying the conductors up and down, the area occupied by the coil 11 becomes the same as that of a coil made of one conductor. Regardless of the number of conductors, from the viewpoint of resin filling and insulating properties, it is preferable that the conductor 31 having a rectangular cross section be chamfered at its corners so that the resin flows smoothly around the conductor.
 実施形態では,コイルハウジング13を下部コイルハウジング部18と上部コイルハウジング部19に分割するとともに、下部ケーブルハウジング部26を上部コイルハウジング部19に一体化しているため、コイルハウジング13に対してコイル導体31,32が効率良く配置される。 In the embodiment, the coil housing 13 is divided into the lower coil housing portion 18 and the upper coil housing portion 19, and the lower cable housing portion 26 is integrated with the upper coil housing portion 19. 31 and 32 are arranged efficiently.
 また、硬い金属のコイル導体を螺旋溝28に配置する作業は非常に手間のかかる作業であるが,実施形態では,下部ケーブルハウジング部26は上部コイルハウジング部19に一体化されているので,下部コイルハウジング部18の螺旋溝28にコイル導体31,32を配置するにあたって下部ケーブルハウジング部26が邪魔になることがない。 Further, although the work of arranging the hard metal coil conductor in the spiral groove 28 is a very time-consuming work, in the embodiment, since the lower cable housing part 26 is integrated with the upper coil housing part 19, When the coil conductors 31 and 32 are disposed in the spiral groove 28 of the coil housing part 18, the lower cable housing part 26 does not get in the way.
 実施形態では,図4に示すように,下部ケーブルハウジング部26は,軸25を中心とする外周円筒壁33と,該外周円筒壁33の下端を塞ぐ底壁34を有する。上部ケーブルハウジング部27は,軸25を中心とする外周円筒壁35と,該外周円筒壁35の上端を塞ぐ天井壁36を有する。下部ケーブルハウジング部26と上部ケーブルハウジング部27は,上部ケーブルハウジング部27が軸25を中心に回転可能に,下部ケーブルハウジング部26に組み付けられて,それらの内側にケーブル収容空間37が形成される。 In the embodiment, as shown in FIG. 4, the lower cable housing portion 26 has an outer peripheral cylindrical wall 33 centering on the shaft 25 and a bottom wall 34 that closes the lower end of the outer peripheral cylindrical wall 33. The upper cable housing part 27 has an outer peripheral cylindrical wall 35 centered on the shaft 25 and a ceiling wall 36 that closes the upper end of the outer peripheral cylindrical wall 35. The lower cable housing portion 26 and the upper cable housing portion 27 are assembled to the lower cable housing portion 26 so that the upper cable housing portion 27 can rotate around the shaft 25, and a cable housing space 37 is formed inside them. .
 上述のように,下部ケーブルハウジング部26は上部コイルハウジング部19に一体的に形成される。図5に示すように,下部ケーブルハウジング部26と上部コイルハウジング部19が一体化された領域には,両ハウジング部26,19が隣接する領域に,ケーブル収容空間37とコイル収容空間23を連通する連通口(連通路)20が形成されており,この連通口20を介して,コイル収容空間23からケーブル収容空間37に,コイル導体の両端部分(導体端部16a,16b)が引き出されている。 As described above, the lower cable housing portion 26 is formed integrally with the upper coil housing portion 19. As shown in FIG. 5, the cable housing space 37 and the coil housing space 23 communicate with the region where the lower cable housing portion 26 and the upper coil housing portion 19 are integrated in the region where the housing portions 26 and 19 are adjacent to each other. A communication port (communication passage) 20 is formed, and both end portions ( conductor end portions 16a and 16b) of the coil conductor are drawn from the coil housing space 23 to the cable housing space 37 through the communication port 20. Yes.
 上述のように,連通口20は,ケーブル収容空間37とコイル収容空間23を連通しているため,ケーブル収容空間37側から,下部コイルハウジング部18と上部コイルハウジング部19の間に形成されたコイル収容空間23へ樹脂を充填するための樹脂充填口として機能する。連通口20に代えて,又は,連通口20に加えて,上部コイルハウジング部19の適当な箇所に充填口を形成し,その充填口を介してコイル収容空間23に樹脂を充填してもよい。 As described above, the communication port 20 is formed between the lower coil housing portion 18 and the upper coil housing portion 19 from the cable housing space 37 side because the cable housing space 37 and the coil housing space 23 are communicated with each other. It functions as a resin filling port for filling the coil housing space 23 with resin. Instead of the communication port 20 or in addition to the communication port 20, a filling port may be formed at an appropriate location of the upper coil housing portion 19, and the coil housing space 23 may be filled with resin through the filling port. .
 図4,5に示すように,下部ケーブルハウジング部26の内側には,軸25の周りに,下部ケーブルハウジング部26の中央に中央円筒壁38が形成されている。下部ケーブルハウジング部26の内側にはまた,中央円筒壁38の外側に,内側円筒壁39と外側円筒壁40が同心的に形成されており,内側円筒壁39と外側円筒壁40の間に内側導線通路41が形成され,外側円筒壁40と外周円筒壁33の間に外側導線通路42が形成されており,コイル11の導体端部16a,16bが内側導線通路41と外側導線通路42にそれぞれ引き込まれている。外側円筒壁40の一部は切除されており,これにより一方の導体端部16aが,内側導線通路41に引き込まれるように構成されている。 As shown in FIGS. 4 and 5, a central cylindrical wall 38 is formed inside the lower cable housing portion 26 around the shaft 25 and in the center of the lower cable housing portion 26. An inner cylindrical wall 39 and an outer cylindrical wall 40 are formed concentrically on the inner side of the lower cable housing portion 26 and on the outer side of the central cylindrical wall 38. A conducting wire passage 41 is formed, and an outside conducting wire passage 42 is formed between the outer cylindrical wall 40 and the outer cylindrical wall 33, and the conductor end portions 16a and 16b of the coil 11 are respectively connected to the inner conducting wire passage 41 and the outer conducting wire passage 42. Has been drawn. A part of the outer cylindrical wall 40 is cut away, so that one conductor end 16 a is drawn into the inner conductor passage 41.
 図4に示すように,上部ケーブルハウジング部27は,軸25の周りに中央円筒壁43が形成されている。 As shown in FIG. 4, the upper cable housing portion 27 has a central cylindrical wall 43 formed around the shaft 25.
 下部ケーブルハウジング部26と上部ケーブルハウジング部27は,下部ケーブルハウジング部26に対して,上部ケーブルハウジング部27が軸25を中心として回転自在に連結される。そのために,例えば,図4に示すように,下部ケーブルハウジング部26と上部ケーブルハウジング部27は,それらの中央円筒壁38,43の内側に中空円筒カラー44を挿通するとともに,該中空円筒カラー44にボルト45を挿通し,ボルト45の下端と上端にストップリング46,47を取り付け,ボルト45の下端にねじ48を固定して連結される。 The lower cable housing portion 26 and the upper cable housing portion 27 are connected to the lower cable housing portion 26 so that the upper cable housing portion 27 is rotatable about the shaft 25. For this purpose, for example, as shown in FIG. 4, the lower cable housing portion 26 and the upper cable housing portion 27 are inserted through the hollow cylindrical collar 44 inside the central cylindrical walls 38 and 43, and the hollow cylindrical collar 44. A bolt 45 is inserted into the bolt 45, stop rings 46 and 47 are attached to the lower end and upper end of the bolt 45, and a screw 48 is fixed to the lower end of the bolt 45 to be connected.
 上部ケーブルハウジング部27には,外周円筒壁35の一部をその下端から切除して逆U状の開口51が形成されており,該開口51に装着されたブッシュ52(図6参照)を介して,ケーブル10が接続されている。ブッシュ52は,上部ケーブルハウジング部27内への突出量が出来るだけ小さくなるように設計されている。そのため,後述するように上部ケーブルハウジング部27が下部ケーブルハウジング部26に対して回転する際,ブッシュ52がケーブル導線に接触して回転を邪魔する又は回転角を制限するということはない。 The upper cable housing portion 27 is formed with an inverted U-shaped opening 51 by cutting a part of the outer cylindrical wall 35 from its lower end, and through a bush 52 (see FIG. 6) attached to the opening 51. Thus, the cable 10 is connected. The bush 52 is designed so that the amount of protrusion into the upper cable housing portion 27 is as small as possible. Therefore, as will be described later, when the upper cable housing portion 27 rotates with respect to the lower cable housing portion 26, the bushing 52 does not contact the cable conductor and obstruct the rotation or limit the rotation angle.
 図6に示すように,ケーブルハウジング14の外側に位置するケーブル部分はシース53を備えているが,ケーブルハウジング14の内側に位置するケーブル部分はシースが除かれ,絶縁被覆された一対のケーブル導線54,55が露出している。図示しないが,ケーブル導線54,55は,導電性金属からなる芯材と,その周囲を覆う絶縁材料の被覆を含む。ケーブルハウジング14の内側に配置されたケーブル導線54,55は,軸25を中心に螺旋状に配置されており,軸25の周りに一周以上,同一方向に巻回されていることが好ましい。具体的に説明すると,図5に示すように,下部ケーブルハウジング部26に収容されているケーブル導線54,55のそれぞれの部分は,一方が内側導線通路41に配置され,他方が外側導線通路42に配置されており,それぞれのケーブル導線54,55の両端導線部分が対応するコイル導体端部16a,16bに,適当な接続具56,57を介して電気的に接続されている。上部ケーブルハウジング部27は,下部ケーブルハウジング部26の円筒壁に相当する壁を備えていない。そのため,上部ケーブルハウジング部27内に螺旋状に収容されているケーブル導線54,55のそれぞれの部分はその螺旋径を拡大・縮小できる。接続具56,57は,はんだ,圧着端子,専用コネクタのいずれであってもよい。 As shown in FIG. 6, the cable portion located outside the cable housing 14 includes a sheath 53, but the cable portion located inside the cable housing 14 has a pair of cable conductors that are covered with insulation by removing the sheath. 54 and 55 are exposed. Although not shown, the cable conductors 54 and 55 include a core material made of a conductive metal and an insulating material covering the periphery thereof. The cable conductors 54 and 55 arranged on the inner side of the cable housing 14 are arranged in a spiral shape around the shaft 25 and are preferably wound around the shaft 25 in the same direction at least once. More specifically, as shown in FIG. 5, one of the portions of the cable conductors 54 and 55 accommodated in the lower cable housing portion 26 is disposed in the inner conductor passage 41, and the other is the outer conductor passage 42. The two ends of the cable conductors 54 and 55 are electrically connected to the corresponding coil conductor ends 16a and 16b via appropriate connectors 56 and 57, respectively. The upper cable housing part 27 does not include a wall corresponding to the cylindrical wall of the lower cable housing part 26. Therefore, each part of the cable conductors 54 and 55 accommodated in a spiral shape in the upper cable housing portion 27 can enlarge or reduce the spiral diameter. The connection tools 56 and 57 may be any of solder, crimp terminals, and dedicated connectors.
 したがって,下部ケーブルハウジング部26に対して上部ケーブルハウジング部27及びこれに連結されたケーブル10を回転すると,ケーブルハウジング14内,特に上部ケーブルハウジング部27に巻回収容されているケーブル導線54,55のそれぞれの部分は,回転方向に応じてその螺旋径が拡大又は縮小する。そのため,コイルユニット5の位置や方向を変えると,それに応じて,上部ケーブルハウジング部27が下部ケーブルハウジング部26に対して回転する。結果,コイルユニット5はケーブル10に拘束されることなく任意の方向及び角度に向けることができるので,治療内容に最適の位置及び状態にコイルユニット5を設置できる。 Accordingly, when the upper cable housing portion 27 and the cable 10 connected thereto are rotated with respect to the lower cable housing portion 26, the cable conductors 54 and 55 accommodated in the cable housing 14, particularly the upper cable housing portion 27. Each portion of the helix diameter expands or contracts depending on the direction of rotation. Therefore, when the position or direction of the coil unit 5 is changed, the upper cable housing part 27 rotates relative to the lower cable housing part 26 accordingly. As a result, the coil unit 5 can be oriented in an arbitrary direction and angle without being constrained by the cable 10, so that the coil unit 5 can be installed at an optimal position and state for the treatment content.
 ただし,下部ケーブルハウジング部26に対して上部ケーブルハウジング部27が過度に回転されるのを防止するために,図5に示すように,下部ケーブルハウジング部26と上部ケーブルハウジング部27にはそれぞれ対応する回転規制部58,59を設け,下部ケーブルハウジング部26に対して上部ケーブルハウジング部27は所定角度範囲でのみ回転できるようにしてもよい。具体的には,上部ケーブルハウジング部27の回転時は,上部ケーブルハウジング部27に設けた外周円筒壁35の回転規制部59が下部ケーブルハウジング部26の回転規制部58が接触することで,回転が規制される。好ましくは,この所定角度範囲は,例えば140~180度(左右に±70~±90度)である。 However, in order to prevent the upper cable housing portion 27 from being excessively rotated with respect to the lower cable housing portion 26, as shown in FIG. 5, the lower cable housing portion 26 and the upper cable housing portion 27 are respectively supported. The rotation restriction portions 58 and 59 may be provided so that the upper cable housing portion 27 can rotate only within a predetermined angle range with respect to the lower cable housing portion 26. Specifically, when the upper cable housing portion 27 is rotated, the rotation restricting portion 59 of the outer cylindrical wall 35 provided in the upper cable housing portion 27 is brought into contact with the rotation restricting portion 58 of the lower cable housing portion 26, thereby rotating the upper cable housing portion 27. Is regulated. Preferably, the predetermined angle range is, for example, 140 to 180 degrees (± 70 to ± 90 degrees to the left and right).
 なお,図4に示すように,中空円筒カラー44の長さ(高さ)を,上下ケーブルハウジング部26,27における中央円筒壁38,43の高さを足した長さよりも僅かに長くすることによって中央円筒壁38,43とストップリング46,47との間に僅かな隙間を設けることで,下部ケーブルハウジング部26に対する上部ケーブルハウジング部27の回転は,より少ない抵抗でスムーズに行われる。 As shown in FIG. 4, the length (height) of the hollow cylindrical collar 44 is slightly longer than the length obtained by adding the height of the central cylindrical walls 38 and 43 in the upper and lower cable housing portions 26 and 27. By providing a slight gap between the central cylindrical walls 38 and 43 and the stop rings 46 and 47, the rotation of the upper cable housing portion 27 relative to the lower cable housing portion 26 is smoothly performed with less resistance.
 本発明においては,コイルハウジング13内に収容されたコイル11の周囲の隙間に絶縁樹脂を充填するだけでなく,図7に示すように,ケーブルハウジング14の内部に引き出されたコイルの導体端部16a,16bを樹脂60で覆うことが好ましい。この実施形態によれば,ローレンツ力に起因して導体端部16a,16bがケーブルハウジング14の中で振動することはない。したがって,磁気刺激用電流パルスを励磁コイルに印加すると,コイル導体が瞬間的にローレンツ力で変位し,電流を遮断すると原形に復帰する,といった振動動作が繰り返され,導体の疲労破壊や,導体の振動に起因する騒音が生じることがあるが,振動するコイル導体端部が他の部品(ハウジング,ケーブル)に接触してこれを損傷する,という問題がない。また,図示しないが,樹脂60の上に,滑り性に優れた材料(例えば,ポリテトラフルオロエチレン,ポリエチレン,ポリアセタール)からなるシートを配置し,ケーブル導線54,55が充填樹脂60から受ける摩擦を出来るだけ小さくすることが好ましい。 In the present invention, not only the gap around the coil 11 accommodated in the coil housing 13 is filled with insulating resin, but also the conductor end of the coil drawn into the cable housing 14 as shown in FIG. It is preferable to cover 16a and 16b with resin 60. According to this embodiment, the conductor end portions 16 a and 16 b do not vibrate in the cable housing 14 due to the Lorentz force. Therefore, when a magnetic stimulation current pulse is applied to the exciting coil, the coil conductor is momentarily displaced by the Lorentz force, and when the current is interrupted, the vibration action is repeated, such as fatigue failure of the conductor, Noise due to vibration may occur, but there is no problem that the end portion of the vibrating coil conductor contacts other parts (housing, cable) and is damaged. Although not shown, a sheet made of a material having excellent slipperiness (for example, polytetrafluoroethylene, polyethylene, polyacetal) is disposed on the resin 60 so that the cable conductors 54 and 55 receive the friction received from the filling resin 60. It is preferable to make it as small as possible.
 コイル導体端部16a,16bとともに,これに接続されたケーブル導線54,55の両端導線部分を,樹脂60で覆うことが好ましい。この実施形態によれば,ローレンツ力に起因して振動するケーブル導線54,55が他の部品(ハウジング,ケーブル,他のケーブル部分)に接触して損傷するという問題がない。 It is preferable to cover both ends of the cable conductors 54 and 55 connected to the coil conductor ends 16 a and 16 b with the resin 60. According to this embodiment, there is no problem that the cable conductors 54 and 55 that vibrate due to the Lorentz force come into contact with other parts (housing, cables, and other cable portions) and are damaged.
 下部ケーブルハウジング部26に対する上部ケーブルハウジング部27の自由な回転を阻害しないように,樹脂60で覆われるケーブル導線54,55は,導体端部16a,16bとの接続部から所定の長さの領域に限ることが好ましい。例えば,図5に示すように,下部ケーブルハウジング部26に収容されたケーブル導線54,55は,その両端導線部分が導体端部16a,16bに接続され,内側導線通路41と外側導線通路42の底部に沿って,例えば図中の反時計回り方向に配置される。さらに,ケーブル導線54,55は,内側導線通路41と外側導線通路42に沿って巻回されながら所定の高さまで上昇し,そこから樹脂60の上に表れる(図7参照)。 The cable conductors 54 and 55 covered with the resin 60 are regions having a predetermined length from the connection portions with the conductor end portions 16a and 16b so that the free rotation of the upper cable housing portion 27 with respect to the lower cable housing portion 26 is not hindered. It is preferable to limit to. For example, as shown in FIG. 5, the cable conductors 54 and 55 accommodated in the lower cable housing portion 26 are connected to the conductor end portions 16 a and 16 b at both ends, and the inner conductor passage 41 and the outer conductor passage 42. For example, it is arranged in the counterclockwise direction in the figure along the bottom. Further, the cable conductors 54 and 55 rise to a predetermined height while being wound along the inner conductor passage 41 and the outer conductor passage 42, and then appear on the resin 60 (see FIG. 7).
 樹脂60から表れたケーブル導線部分(自由部分)が充填樹脂60に接触するのを避けるために,図8に示すように,柔軟で滑り性に優れた樹脂(例えば,フッ素樹脂,シリコーンゴム,エラストマー)からなるケーブル導線案内ブロック65を充填してもよい。この実施形態では,図示するように,ケーブル導線案内ブロック65に2つの導線案内傾斜通路66,67を形成し,これらの傾斜通路66,67にケーブル導線54,55を収容することが好ましい。この場合,ローレンツ力に起因するケーブル導線54,55の振動は柔軟なブロック65に吸収されるため,ケーブル導線54,55がハウジングや固化した樹脂に接触して損傷するということがない。また,樹脂60に埋もれたケーブル部分(固定部分)と樹脂60から浮き出たケーブル導線部分(自由部分)の境界には,ローレンツ力によって大きな繰り返し曲げ応力が作用することによって疲労する可能性があるが,柔軟なブロック65によって保持されているため,固定部分と自由部分の境界に作用する繰り返し応力は最小限に抑えられる。 In order to avoid the cable conductor portion (free portion) appearing from the resin 60 from coming into contact with the filling resin 60, as shown in FIG. 8, a flexible and slippery resin (for example, fluororesin, silicone rubber, elastomer) May be filled with a cable conductor guide block 65 made of In this embodiment, as shown in the figure, it is preferable to form two conductor guide inclined passages 66 and 67 in the cable conductor guide block 65 and accommodate the cable conductors 54 and 55 in these inclined passages 66 and 67. In this case, the vibration of the cable conductors 54 and 55 caused by the Lorentz force is absorbed by the flexible block 65, so that the cable conductors 54 and 55 do not come into contact with the housing or the solidified resin to be damaged. Further, there is a possibility that fatigue is caused by a large repeated bending stress acting on the boundary between the cable portion (fixed portion) buried in the resin 60 and the cable conductor portion (free portion) floating from the resin 60 by Lorentz force. , Since it is held by the flexible block 65, the repetitive stress acting on the boundary between the fixed portion and the free portion is minimized.
 上述の実施形態は限定的なものでなく,種々改変可能である。 The above-described embodiment is not limited and can be variously modified.
 例えば,コイルは偏心渦巻き8字コイル以外のその他のコイル,例えば,円形コイル,非渦巻き型8字コイルであってもよい。 For example, the coil may be a coil other than the eccentric spiral 8-shaped coil, for example, a circular coil or a non-coiled 8-shaped coil.
 コイル導体端部とケーブル導線は,ケーブルハウジングの内部以外の場所,例えばコイルハウジングの内部で接続してもよい。 The coil conductor end and the cable conductor may be connected to a place other than the inside of the cable housing, for example, inside the coil housing.
 ケーブルハウジングの中で,コイル導体端部を覆う樹脂とケーブル導線を覆う樹脂は同じ樹脂でもよいし,異なる樹脂でもよい。後者の場合,ケーブル導線を覆う樹脂はコイル導体端部を覆う樹脂よりも柔らかい樹脂であってもよい。 In the cable housing, the resin covering the end portion of the coil conductor and the resin covering the cable conductor may be the same resin or different resins. In the latter case, the resin covering the cable conductor may be a softer resin than the resin covering the coil conductor end.
 ケーブルハウジングの中に樹脂を充填する場合,充填された樹脂と,樹脂に覆われていないケーブル導線の自由部分との接触を避けるために,充填された樹脂の表面を滑り性に優れた材料(例えば,フッ素系材料)のシート(図示せず)で覆うことが好ましい。 When filling the resin into the cable housing, the surface of the filled resin is made of a material with excellent slipperiness (in order to avoid contact between the filled resin and the free part of the cable conductor not covered by the resin ( For example, it is preferable to cover it with a sheet (not shown) of fluorine material.
 コイルハウジングの溝に収容するコイル導体の本数は1本又は2本に限らず,3本以上であってもよい。作業性と表皮効果を考慮した場合,溝に収容するコイル導体の本数は2本が好ましい。また,複数の導体を溝に配置する場合,これら複数の導体は上下方向に積層することが好ましい。 The number of coil conductors housed in the groove of the coil housing is not limited to one or two, but may be three or more. In consideration of workability and skin effect, the number of coil conductors accommodated in the groove is preferably two. Further, when a plurality of conductors are arranged in the groove, it is preferable that the plurality of conductors are stacked in the vertical direction.
 コイル11は,四角形断面の導体に限らず,円形,三角形,五角形,その他の多角形の断面の導体であってもよい。また,コイル11の導体に,平角線又はリッツ線を使用してもよい。 The coil 11 is not limited to a conductor having a rectangular cross section, but may be a conductor having a circular, triangular, pentagonal, or other polygonal cross section. Further, a rectangular wire or a litz wire may be used as the conductor of the coil 11.
 コイル11は,絶縁被覆のあるコイルに限らず,絶縁被覆の無いコイルであってもよい。絶縁被覆の無いコイルの場合,螺旋の径方向に隣接する導体の間隔を小さくできるという利点がある。 The coil 11 is not limited to a coil with an insulation coating, and may be a coil without an insulation coating. In the case of a coil without insulation coating, there is an advantage that the interval between conductors adjacent to each other in the radial direction of the spiral can be reduced.
 ケーブルは,ケーブルハウジングに対してその放射方向からではなく,ケーブルハウジングの接線方向から連結してもよい。 The cable may be connected to the cable housing from the tangential direction of the cable housing rather than from the radial direction.
1:経頭蓋磁気刺激システム
2:患者
3:患者支持機構(支持部)
4:磁気刺激装置
5:コイルユニット(コイル装置)
6:制御ユニット
7:位置決め機構
8:支持機構
10:ケーブル
11:コイル
12:導線
13:コイルハウジング
14:ケーブルハウジング
15:螺旋部
16(16a,16b):導体端部
18:下部コイルハウジング部
19:上部コイルハウジング部
21:上面形状
22:下面形状
23:コイル収容空間
25:軸
26:下部ケーブルハウジング部
27:上部ケーブルハウジング部
28:螺旋溝
29:隙間
30:樹脂
31,32:導体
33:外周円筒壁
34:底壁
35:外周円筒壁
36:天井壁
37:ケーブル収容空間
38:中央円筒壁
39:内側円筒壁
40:外側円筒壁
41:内側導線通路
42:外側導線通路
43:中央円筒壁
44:中空円筒カラー
45:ボルト
46,47:ストップリング
48:ねじ
51:開口
52:ブッシュ
53:シース
54,55:ケーブル導線
56,57:接続具
58,59:回転規制部
60:樹脂
65:ブロック
66,67:傾斜通路
1: Transcranial magnetic stimulation system 2: Patient 3: Patient support mechanism (support part)
4: Magnetic stimulation device 5: Coil unit (coil device)
6: Control unit 7: Positioning mechanism 8: Support mechanism 10: Cable 11: Coil 12: Conductor 13: Coil housing 14: Cable housing 15: Spiral portion 16 (16a, 16b): Conductor end 18: Lower coil housing portion 19 : Upper coil housing portion 21: Upper surface shape 22: Lower surface shape 23: Coil housing space 25: Shaft 26: Lower cable housing portion 27: Upper cable housing portion 28: Spiral groove 29: Clearance 30: Resin 31, 32: Conductor 33: Outer cylindrical wall 34: Bottom wall 35: Outer cylindrical wall 36: Ceiling wall 37: Cable housing space 38: Central cylindrical wall 39: Inner cylindrical wall 40: Outer cylindrical wall 41: Inner conductor passage 42: Outer conductor passage 43: Central cylinder Wall 44: Hollow cylindrical collar 45: Bolt 46, 47: Stop ring 48: Screw 51: Opening 52: Bush 53: Screw Scan 54, 55: cable leads 56, 57: connector 58, 59: the rotation regulating portion 60: Resin 65: Block 66: inclined path

Claims (27)

  1.  磁気刺激治療システムに使用されるコイル装置であって,
     コイルハウジングと,
     ケーブルハウジングと,
     前記コイルハウジングの内部空間と前記ケーブルハウジングの内部空間を連通する連通路と,
     前記コイルハウジングに収容されたコイル導体からなるコイルと,
     前記ケーブルハウジングを貫通して前記ケーブルハウジングの外部から内部に引き込まれ,前記コイル導体の両端と電気的に接続された一対の導線を備えており,
     前記ケーブルハウジングは,前記コイルハウジングに一体的に連結された固定ハウジング部分と,所定の軸を中心に前記固定ハウジング部分に対して回転可能に連結された回転ハウジング部分とを有し,
     前記一対の導線は,前記回転ハウジング部分を貫通していることを特徴とするコイル装置。
    A coil device used in a magnetic stimulation treatment system,
    A coil housing;
    A cable housing;
    A communication path communicating the internal space of the coil housing and the internal space of the cable housing;
    A coil comprising a coil conductor housed in the coil housing;
    A pair of conductors that penetrates the cable housing and is drawn from the outside to the inside of the cable housing and electrically connected to both ends of the coil conductor;
    The cable housing has a fixed housing part integrally connected to the coil housing, and a rotating housing part rotatably connected to the fixed housing part about a predetermined axis,
    The coil device characterized in that the pair of conducting wires penetrates the rotating housing portion.
  2.  前記一対の導線と前記コイル導体の両端は,前記コイルハウジングの内部又は前記ケーブルハウジングの内部で接続されていることを特徴とする請求項1のコイル装置。 The coil device according to claim 1, wherein both ends of the pair of conductive wires and the coil conductor are connected inside the coil housing or inside the cable housing.
  3.  前記一対の導線の前記ケーブルハウジングの内部に位置する内側導線部分は,前記軸を中心とする周方向に配置されていることを特徴とする請求項1又は2のコイル装置。 The coil device according to claim 1 or 2, wherein the inner conductor portions of the pair of conductors located inside the cable housing are arranged in a circumferential direction around the axis.
  4.  前記一対の導線の前記ケーブルハウジングの内部に位置する内側導線部分は,前記軸を中心とする一つの周方向に配置されていることを特徴とする請求項3のコイル装置。 The coil device according to claim 3, wherein inner conductor portions of the pair of conductors located inside the cable housing are arranged in one circumferential direction centering on the axis.
  5.  前記内側導線部分は,前記軸を中心とする円周方向に一周以上巻かれていることを特徴とする請求項3又は4のコイル装置。 The coil device according to claim 3 or 4, wherein the inner conductor portion is wound one or more times in a circumferential direction around the axis.
  6.  前記所定の軸は,前記ケーブルハウジングの中心に位置することを特徴とする請求項1~5のいずれか1項に記載のコイル装置。 The coil device according to any one of claims 1 to 5, wherein the predetermined axis is located at a center of the cable housing.
  7.  前記ケーブルハウジングの内部に位置する内側導線部分は,所定の軸を中心としてらせん状に伸びていることを特徴とする請求項6に記載のコイル装置。 The coil device according to claim 6, wherein the inner conductor portion located inside the cable housing extends spirally around a predetermined axis.
  8.  前記ケーブルハウジングは,前記回転ハウジング部分の回転角度を所定範囲に規制する規制部を有することを特徴とする請求項1~7のいずれか1項に記載のコイル装置。 The coil device according to any one of claims 1 to 7, wherein the cable housing includes a restricting portion that restricts a rotation angle of the rotating housing portion within a predetermined range.
  9.  前記所定範囲が180度以下であることを特徴とする請求項8に記載のコイル装置。 The coil device according to claim 8, wherein the predetermined range is 180 degrees or less.
  10.  前記コイルは一本の導体又は平行に配置された複数の導体からなることを特徴とする請求項1~9のいずれか1項に記載のコイル装置。 The coil device according to any one of claims 1 to 9, wherein the coil includes one conductor or a plurality of conductors arranged in parallel.
  11.   前記一対の導線は,前記一対の導線の周囲に配置されたシールドを有することを特徴とする請求項10に記載のコイル装置。 The coil device according to claim 10, wherein the pair of conductive wires has a shield disposed around the pair of conductive wires.
  12.  前記一対の導線の前記ケーブルハウジングの外部に位置する外側導線部分は絶縁シースに覆われていることを特徴とする請求項1~11のいずれか1項に記載のコイル装置。 The coil device according to any one of claims 1 to 11, wherein an outer conductor portion of the pair of conductors located outside the cable housing is covered with an insulating sheath.
  13.  前記外側導線部分はブッシュを介して前記ケーブルハウジング部分に固定されていることを特徴とする請求項12に記載のコイル装置。 The coil device according to claim 12, wherein the outer conductor portion is fixed to the cable housing portion via a bush.
  14.  前記コイルハウジングが,螺旋状の溝を有し,
     前記溝に沿って螺旋状に配置されたコイルを備えていることを特徴とする,請求項1~13のいずれか1項に記載のコイル装置。
    The coil housing has a spiral groove;
    The coil device according to any one of claims 1 to 13, further comprising a coil arranged spirally along the groove.
  15.  前記コイルは,前記溝の深さ方向に重ねて配置された第1と第2の導体を有することを特徴とする,請求項14に記載のコイル装置。 15. The coil device according to claim 14, wherein the coil includes first and second conductors arranged to overlap in the depth direction of the groove.
  16.  前記第1の導体と前記第2の導体は四角形断面を有することを特徴とする請求項15に記載のコイル装置。 The coil device according to claim 15, wherein the first conductor and the second conductor have a rectangular cross section.
  17.  前記溝は,前記溝の深さ方向に重ねて配置された前記第1の導体と前記第2の導体に対応する四角形断面を有することを特徴とする請求項15又は16に記載のコイル装置。 The coil device according to claim 15 or 16, wherein the groove has a rectangular cross section corresponding to the first conductor and the second conductor arranged to overlap in the depth direction of the groove.
  18.  前記螺旋状の溝は所定の曲面に沿って形成されていることを特徴とする請求項14~17のいずれか1項に記載のコイル装置。 The coil device according to any one of claims 14 to 17, wherein the spiral groove is formed along a predetermined curved surface.
  19.  前記曲面は球面であることを特徴とする請求項14~18のいずれか1項に記載のコイル装置。 The coil device according to any one of claims 14 to 18, wherein the curved surface is a spherical surface.
  20.  前記溝と前記コイルの隙間に充填された絶縁性の樹脂を備えていることを特徴とする請求項14~19のいずれか1項に記載のコイル装置。 The coil device according to any one of claims 14 to 19, further comprising an insulating resin filled in a gap between the groove and the coil.
  21.  前記コイルハウジング部と前記ケーブルハウジング部の間に前記樹脂が充填されていることを特徴とする請求項20に記載のコイル装置。 21. The coil device according to claim 20, wherein the resin is filled between the coil housing portion and the cable housing portion.
  22.  前記コイルは表面に絶縁被覆の無い導体で構成されていることを特徴とする請求項1~21のいずれか1項に記載のコイル装置。 The coil device according to any one of claims 1 to 21, wherein the coil is made of a conductor having no insulation coating on a surface thereof.
  23.  前記コイルハウジング部又は前記ケーブルハウジング部の少なくともいずれか一方に,
    前記樹脂の充填口が形成されていることを特徴とする請求項20~22のいずれか1項に記載のコイル装置。
    At least one of the coil housing part and the cable housing part,
    The coil device according to any one of claims 20 to 22, wherein a filling port for the resin is formed.
  24.  前記ケーブルハウジングの内部に位置する前記コイル導体の両端部分と,前記ケーブルハウジングの内部に位置する導線の一部であって少なくとも前記コイル導体の両端部分に電気的に接続される両端導線部分は,前記ケーブルハウジングの内部に充填された絶縁材料の樹脂に囲まれて固定されていることを特徴とする請求項1~23のいずれか1項に記載のコイル装置。 Both end portions of the coil conductor located inside the cable housing, and both end conductor portions that are part of the conductor located inside the cable housing and are electrically connected to at least both end portions of the coil conductor, The coil device according to any one of claims 1 to 23, wherein the coil device is fixed by being surrounded by a resin of an insulating material filled in the cable housing.
  25.  前記ケーブルハウジング内部に位置する前記コイル導体の両端部分は第1の樹脂で固定されており,前記ケーブルハウジングの内部に位置する前記導線の一部であって少なくとも前記コイル導体の両端部分に電気的に接続される両端導線部分は,第2の樹脂で固定されており,前記第2の樹脂は前記第1の樹脂よりも柔らかいことを特徴とする請求項20~24のいずれか1項に記載のコイル装置。 Both end portions of the coil conductor located inside the cable housing are fixed with a first resin, and are electrically connected to at least both end portions of the coil conductor that are part of the conducting wire located inside the cable housing. The both-end conductive wire portion connected to the second resin is fixed with a second resin, and the second resin is softer than the first resin. Coil device.
  26.  前記導線部分は,前記コイル導体の両端と接続する前記樹脂に固定された固定部分に続いて前記樹脂に固定されていない自由部分があり,前記自由部分は弾性部材によって保持されていることを特徴とする請求項20~25のいずれか1項に記載のコイル装置。 The conductive wire part has a free part not fixed to the resin following the fixed part fixed to the resin connected to both ends of the coil conductor, and the free part is held by an elastic member. The coil device according to any one of claims 20 to 25.
  27.  請求項1~26のいずれか1項に記載のコイル装置を備えたことを特徴とする磁気刺激治療システム。 A magnetic stimulation treatment system comprising the coil device according to any one of claims 1 to 26.
PCT/JP2016/062381 2015-04-22 2016-04-19 Coil device and magnetic stimulation treatment system WO2016171131A1 (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003311673A (en) * 2002-04-26 2003-11-05 Kondo Seisakusho:Kk Rotary joint
JP2004276233A (en) * 2003-02-27 2004-10-07 Fanuc Ltd Wiring/piping handling device
JP2006109534A (en) * 2004-09-30 2006-04-20 Toshiba Corp Turnable connection device
JP2012125546A (en) * 2010-11-25 2012-07-05 Osaka Univ Magnetic coil, and transcranial magnetic stimulation system

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003311673A (en) * 2002-04-26 2003-11-05 Kondo Seisakusho:Kk Rotary joint
JP2004276233A (en) * 2003-02-27 2004-10-07 Fanuc Ltd Wiring/piping handling device
JP2006109534A (en) * 2004-09-30 2006-04-20 Toshiba Corp Turnable connection device
JP2012125546A (en) * 2010-11-25 2012-07-05 Osaka Univ Magnetic coil, and transcranial magnetic stimulation system

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