WO2019216509A1 - Appareil de thérapie par ondes de choc extracorporel piézoélectrique à réseaux multiples - Google Patents

Appareil de thérapie par ondes de choc extracorporel piézoélectrique à réseaux multiples Download PDF

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Publication number
WO2019216509A1
WO2019216509A1 PCT/KR2018/013950 KR2018013950W WO2019216509A1 WO 2019216509 A1 WO2019216509 A1 WO 2019216509A1 KR 2018013950 W KR2018013950 W KR 2018013950W WO 2019216509 A1 WO2019216509 A1 WO 2019216509A1
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Prior art keywords
array
piezo
piezo element
shock wave
handpiece
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PCT/KR2018/013950
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English (en)
Korean (ko)
Inventor
모성희
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(주)웨버인스트루먼트
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Publication of WO2019216509A1 publication Critical patent/WO2019216509A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/008—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms using shock waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • A61H23/0245—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with ultrasonic transducers, e.g. piezoelectric
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B2017/22025—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement applying a shock wave
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B2017/22027—Features of transducers

Definitions

  • the present invention relates to a multi-array piezoelectric multi-array piezoelectric shock wave treatment apparatus, and more particularly to applying a shock wave stimulation to the body part using a shock wave generated in a multi-array piezoelectric, foot fasciitis, tennis Multi-array piezo-multiple piezoelectric shock wave therapy device that can effectively treat chronic pain syndrome of musculoskeletal system by relieving pain in joint area such as elbow, Achilles tendon, shoulder, elbow, ankle and awakening self-healing process It is about.
  • Korean Patent Laid-Open Publication No. 10-2011-0055519 discloses a magnetic field treatment apparatus for generating nuclear magnetic resonance in skin tissue to be treated.
  • the disclosed magnetic field treatment apparatus includes a base in which coils are integrally integrated. And it comprises a structure comprising two side portions, it is characterized in that to maintain a large therapeutic volume, excellent magnetic field homogeneity.
  • the conventional magnetic field treatment device provides only a magnetic field function, it cannot perform a function such as pain relief in addition to magnetic field treatment, and for this purpose, a treatment process is complicated and costs are increased because a separate laser treatment device must be provided for treatment. There was a problem.
  • the present invention is to overcome the above-mentioned problems of the prior art, the piezo handpiece formed by forming a multi-array piezo multi-array piezoelectric element by the epoxy mold method, a stainless circular case for attaching a single element and an array array element to the outside
  • a shock wave stimulating pain in the joints such as foot fasciitis, tennis elbow, Achilles tendon, shoulder, elbow, ankle and at the same time awakening the self-healing process
  • An object of the present invention is to provide a multi-array piezo-multiple piezoelectric shock wave treatment apparatus capable of effectively treating the chronic pain syndrome of the musculoskeletal system.
  • a multi-array piezoelectric multi-array piezoelectric shock wave treatment apparatus is provided with a power supply for inputting a commercial power supply and converting a voltage of AC220V into a DC voltage required for each component.
  • a power input unit for supplying power to the array piezo handpiece;
  • a power supply that receives AC power and converts it into DC (+ 5V, + 24V, + 12V, -12V) power and supplies a constant voltage to each part of the device;
  • a charge / discharge unit for charging or discharging the voltage supplied from the power supply;
  • a control unit which receives a setting parameter of a user and selectively operates the compressor and the multi-array piezo handpiece;
  • a display unit which transmits a parameter to the controller and displays data received from the controller when a parameter is input by a user;
  • a multi-array which generates a high voltage and the high voltage is transmitted to the piezo element of the piezoelectric handpiece to generate a shock wave, but passes through a plurality of gel pads having different penetration depths to generate respective shock waves according to the penetration depth.
  • the compressor is operated by receiving AC power from the power input unit, and generates a constant air pressure under the control of the microcomputer.
  • the multi-array piezo handpiece includes;
  • the head is formed with a concave hemispherical gel pad insertion groove for accommodating the gel pad therein, and the inner surface of the head is selectively composed of a multilayer multi-array piezo element or a single-layer multi-array piezo element according to a set value, the head Gel pad insertion grooves of the front is characterized in that the gel pad of the different thickness is detachable to adjust the depth of the shock wave transmitted to the skin.
  • the multi-array piezo handpiece The inner surface of the head is composed of a multilayer multi-array piezo element or a single-layer multi-array piezo element, and may be configured together with each single piezo element.
  • the multi-array piezo handpiece Each of the multilayer multiarray piezoelectric elements, the single layer multiarray piezoelectric element, and the single piezoelectric element may be enclosed in a stainless steel circular outer case.
  • the multi-array piezo handpiece In order to generate an external shock wave (piezoelectric-Type), a shock wave is generated in the piezoelectric element as a transducer by the instantaneous high voltage generated in the ultrasonic high-pressure generator, and a shock wave whose proper energy intensity and triggering period is controlled by the controller
  • the gel may be delivered inside the human body via a gel-type delivery medium (gel pad).
  • a multi-array piezo multi-array piezoelectric element is formed by an epoxy mold method, and a stainless circular case attaching a single element and an array array element is provided.
  • shock wave stimulation is applied to the body part using the generated shock wave to alleviate the pain occurring in joint parts such as foot fasciitis, tennis elbow, achilles tendon, shoulder, elbow, ankle and At the same time, it can effectively treat chronic pain syndrome of musculoskeletal system by arousing self-healing process.
  • the multi-array piezo multi-array piezoelectric element is configured in the form of a head of a single layer or a multilayer structure, and mixed with a single element, thereby controlling the depth of the shock wave transmitted to the skin, thereby further increasing the pain treatment effect.
  • FIG. 1 is a block diagram showing a preferred embodiment of a multi-array piezo multi-array piezoelectric shock wave treatment apparatus according to the present invention
  • Figure 2 is a perspective view showing the appearance of the multi-array piezo multi-array piezoelectric shock wave treatment apparatus according to the present invention
  • FIG. 3 is a view showing a multi-array piezo handpiece according to the present invention.
  • FIG. 4 and 5 is a schematic view showing the operation of the multi-array piezo handpiece of FIG.
  • FIG. 6 is a view showing a stainless circular outer case for attaching a multi-array piezo element of the present invention
  • FIG. 7 is a front view showing a single element of the present invention.
  • FIG. 8 is a side view showing a single element of FIG.
  • FIG. 9 is a back view of the single device of FIG.
  • FIG. 10 is a view showing the arrangement of the multi-array piezo element of the present invention.
  • FIG. 11 is a view showing a handpiece manufacturing process using the multi-array piezo element of FIG.
  • Figure 13 is a view showing a stainless cover that covers the outside after the epoxy mold of the present invention.
  • spatially relative terms below “, “ beneath “, “ lower”, “ above “, “ upper” It can be used to easily describe a component's correlation with other components. Spatially relative terms are to be understood as including terms in different directions of components in use or operation in addition to the directions shown in the figures. For example, when flipping a component shown in the drawing, a component described as “below” or “beneath” of another component may be placed “above” the other component. Can be. Thus, the exemplary term “below” can encompass both an orientation of above and below. Components may be oriented in other directions as well, so spatially relative terms may be interpreted according to orientation.
  • Figure 1 is a block diagram showing a preferred embodiment of a multi-array piezo multi-array piezoelectric shock wave treatment apparatus according to the present invention
  • Figure 2 is an external appearance of the multi-array piezo multi-array piezoelectric shock wave treatment apparatus according to the present invention. It is a perspective view shown.
  • the air gun piezo handpiece complex treatment apparatus As shown, the air gun piezo handpiece complex treatment apparatus according to the present invention, the power input unit 100, power supply 110, charging and discharging unit 120, control unit 130, switch input unit 140, display unit ( 150, the compressor 160, the air gun 170, the multi-array piezo handpiece 180, and the main body 10 to which the moving wheel 20 is attached.
  • the power input unit 100 receives AC power from an external power source and supplies it to each part of the device. That is, the power supply unit 100 is supplied with AC220V power, and some power is supplied to the power supply (SMPS) 110 through a noise filter (not shown), and some power is supplied to the controller 130, the compressor 160, and the multi-array piezo. Supplied to the handpiece 180.
  • SMPS power supply
  • the power supply 110 receives AC power from the power input unit 100, converts the AC power into DC power, and supplies a predetermined voltage to each part of the device. That is, the power supply 110 converts the input voltage of AC220V into the voltages required for each component (+ 5V, + 24V, + 12V, -12V) and supplies it to the compressor and the multi-array piezo handpiece, and the constant voltage embedded in the SMPS.
  • the DC24V / 12V / 5V made through the circuit is supplied to the control PCB, LCD and driving power of each part.
  • the charge / discharge unit 120 may be configured as a normal charge / discharge battery, and charge or discharge the voltage supplied from the power supply 110 as necessary.
  • the controller 130 is operated by the voltage supplied from the power supply 110 or the charge / discharge unit 120, and controls the operation of each unit of the device.
  • the controller 130 is supplied with a driving voltage of DC5V. Used to control the function execution and display according to the switch input.
  • controller 130 may selectively operate the compressor 160 and the multi-array piezo handpiece 180.
  • the controller 130 controls the operation of the device and the functions of the flash memory (storage mode) by the MCU, and also controls the input / output control of each signal, the screen display and touch signal control, the generation cycle of each function, and the output. It can be configured as a control PCB that is in charge of.
  • the control unit 120 gives a signal (voltage intensity and generation period) set to the ultrasonic high pressure generator from the control PCB, generates a high voltage and transmits it to the piezoelectric element, and controls functions such as a counter function, a memory function, and an output control.
  • Piezo can provide extracorporeal shock waves. That is, when a parameter for generating a Piezo-Type external shock wave is input by a user, a high voltage is generated by an ultrasonic high pressure generator (not shown) to generate a shock wave, and the high voltage is a piezoelectric element of the piezoelectric handpiece 180. Is transmitted to the shock wave.
  • the switch input unit 140 turns on / off the operation power of the device, and the display unit 150 displays the operation state of the device under the control of the controller 130.
  • the compressor 160 is operated by receiving AC power from the power input unit 100, and generates a predetermined air pressure under the control of the controller 130.
  • the air gun 170 generates a shock wave by the air pressure generated by the compressor 160 under the control of the controller 130.
  • the main body 10 may be composed of a touch screen type operation panel, a gun connection part, a power switch, a power cable connection part, and the operation panel is preferably configured to select pressure control, MODE, SHOCKS, and START / STOP.
  • FIG. 3 is a view showing a multi-array piezo handpiece according to the present invention
  • Figures 4 and 5 is a schematic view showing the action of the multi-array piezo handpiece of FIG.
  • the multi-array piezo handpiece of the present invention uses a shock wave of a piezoelectric system.
  • the piezoelectric shock wave is a method of arranging a plurality of piezoelectric elements 188 having a small size and arranging them, and focusing individual shock waves of each element to obtain shock wave energy.
  • the advantage of this method is that the correct focus, longer service life, the procedure can be performed without anesthetic.
  • the piezo handpiece 180 of the present invention is a handle 182, the head 181 is formed in front of the handle 182, the multi-array piezo element is built-in; A gel pad 183 is detached in front of the 181 to adjust the depth of the shock wave transmitted to the skin.
  • the gel pad 183 has a single shape, but may be formed in various thicknesses, and accordingly, a predetermined distance between the head 181 and the user's skin may be determined. It is possible to adjust the depth of the shock wave transmitted to the skin as shown in FIG.
  • the head 181 is formed in a hemispherical concave forward.
  • the head 181 may be a piezoelectric element of a single layer or a double layer form on the inner surface of the hemispherical shape. That is, depending on the conditions of use, the multilayer multi-array piezo element 184 or the single-layer multi-array piezo element 185 may be used, or the multilayer multi-array piezo element 184 and the single-layer multi-array piezo element 185 may be used together. have.
  • Piezoceramic elements are geometrically arranged on concave surfaces so that they can be expanded several micrometers to produce pressure pulses when simultaneously stimulated by short high voltage pulses. Piezo elements are precisely arranged so that each generated pressure pulse can be concentrated at a specific point. The precise focus of the impulse produces shock waves at the focal point. Piezo shock waves' "direct focus" technology eliminates the need for additional reflectors, allowing the treatment source to be compactly designed and provide precise and precise focus areas. It is a painless treatment technology that can be treated without noise and the energy can be adjusted freely with little effect on the size of the focus area. In addition, piezo shock wave technology is particularly durable, the piezo shock wave treatment source can be used as a single layer or double layer technology depending on the energy required, the maximum pressure is preferably within 82MPa.
  • FIG. 6 is a view showing a stainless circular outer case for attaching a multi-array piezo element of the present invention.
  • 7 is a front view showing a single device of the present invention
  • FIG. 8 is a side view showing the single device of FIG. 7
  • FIG. 9 is a back view showing the single device of FIG. 7.
  • the present invention can form a stainless circular outer case 187 for attaching the multi-array piezo element 184, 185.
  • the single piezo element 186 of the present invention can be configured, and the multilayer multi-array piezo element 184 or the single-layer multi-array piezo element 185, as necessary. By using it in combination, it is possible to further enhance the pain treatment effect by controlling the depth of the shock wave transmitted to the skin.
  • FIG. 10 is a view showing the arrangement of the multi-array piezo element of the present invention
  • Figure 11 is a view showing a handpiece manufacturing process using the multi-array piezo element of FIG.
  • Figure 12 is a view showing an epoxy molded state in the multi-array piezo element of the present invention
  • Figure 13 is a view showing a stainless steel cover outside the epoxy mold of the present invention.
  • the multi-array piezo handpiece 180 of the present invention A head 181 having a concave hemispherical gel pad insertion groove 189 for accommodating the gel pad 183 therein, and a plurality of piezo elements 188 arranged on the inner surface of the head 181.
  • the multi-array piezo element 184 or the single-layer multi-array piezo element 185 is selectively configured according to a set value, and the gel pad 183 having a different thickness is formed in the gel pad insertion groove 189 in front of the head 181. Detachable can adjust the depth of the shock wave delivered to the skin.
  • the multi-array piezo handpiece 180 is composed of a multilayer multi-array piezo element 184 or a single-layer multi-array piezo element 185 on the inner surface of the head 181, each of the single piezo element 186 Each of the elements 184, 185, and 186 may be wrapped in a stainless circular outer case 187.
  • the multi-array piezo handpiece 180 generates a shock wave at the piezoelectric element, which is a transducer, by an instantaneous high voltage generated by the ultrasonic high pressure generator in order to generate an external shock wave (piezoelectric-type).
  • the shock wave controlled by the appropriate energy intensity and triggering period is transmitted to the inside of the human body via the gel-shaped transmission medium (gel pad) 183.
  • the piezo handpiece 180 formed on the outside is formed, and a shock wave stimulus is applied to the body part by using the generated shock wave, which occurs in the joint part such as foot fasciitis, tennis elbow, achilles tendon, shoulder 180, elbow, ankle, etc. It can effectively treat chronic pain syndrome of the musculoskeletal system by relieving pain and arousing self-healing processes.
  • the multi-array piezo multi-array piezoelectric element may be configured in the form of a head of a single layer or a multilayer structure, and mixed with a single element to adjust the depth of the shock wave transmitted to the skin, thereby further increasing the pain treatment effect.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Rehabilitation Therapy (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Pain & Pain Management (AREA)
  • Epidemiology (AREA)
  • Surgery (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Mechanical Engineering (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un appareil de thérapie par ondes de choc extracorporel piézoélectrique à réseaux multiples comprenant : une unité d'entrée de puissance ; une alimentation électrique ; une unité de commande ; une unité d'affichage ; et une pièce à main piézoélectrique à réseaux multiples dans laquelle une haute tension est transmise à un élément piézoélectrique de la pièce à main de type piézoélectrique pour générer des ondes de choc et passe à travers une pluralité de pastilles de gel ayant différentes profondeurs de pénétration pour générer des ondes de choc selon des profondeurs de pénétration, la pièce à main piézoélectrique à réseaux multiples comprenant une tête apte à recevoir les pastilles de gel en son sein ; la tête comprend un élément piézoélectrique à réseaux multiples multicouche ou un élément piézoélectrique à réseaux multiples à couche unique, chacun étant conçu conjointement avec un seul élément piézoélectrique et sur la surface interne de la tête ; et chacun de l'élément piézoélectrique à réseaux multiples multicouche, l'élément piézoélectrique à réseaux multiples à couche unique et l'élément piézoélectrique unique est entouré par un boîtier externe en acier inoxydable circulaire.
PCT/KR2018/013950 2018-05-11 2018-11-15 Appareil de thérapie par ondes de choc extracorporel piézoélectrique à réseaux multiples WO2019216509A1 (fr)

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KR1020180054339A KR101954746B1 (ko) 2018-05-11 2018-05-11 멀티어레이 피에조 다중배열 압전식 체외충격파 치료장치

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WO2023076915A3 (fr) * 2021-10-27 2023-06-29 Curative Sound, LLC Dispositif de thérapie par ondes de choc extracorporel focalisé, portatif, kit et procédé

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KR102228743B1 (ko) * 2019-07-01 2021-03-17 주식회사 리메드 커패시터에 충전된 전하를 방전시키기 위한 수단을 가지는 의료용 장치
KR102321645B1 (ko) * 2019-12-11 2021-11-04 주식회사 리메드 체외 충격파 치료기
KR102360057B1 (ko) * 2019-12-17 2022-02-08 주식회사 리메드 체외 충격파 치료기
KR102377259B1 (ko) 2020-05-15 2022-03-22 (주)영인바이오텍 압전식 체외충격파와 레이저의 복합 발생장치 및 이를 포함하는 복합 치료장치
KR102645074B1 (ko) * 2023-08-09 2024-03-08 (주)웨버인스트루먼트 4세대형 선형포커스방식의 고강도 집속형 초음파 시스템

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JP2015080671A (ja) * 2013-10-24 2015-04-27 株式会社東芝 超音波プローブ、音響カプラおよび超音波プローブ本体
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WO2023076915A3 (fr) * 2021-10-27 2023-06-29 Curative Sound, LLC Dispositif de thérapie par ondes de choc extracorporel focalisé, portatif, kit et procédé

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