WO2023101629A1

WO2023101629A1 - A smart electrotherapy system

Info

Publication number: WO2023101629A1
Application number: PCT/TR2022/050091
Authority: WO
Inventors: Mustafa Savaş TORLAK; Saim ERVURAL
Original assignee: Torlak Mustafa Savas; Ervural Saim
Priority date: 2021-12-02
Filing date: 2022-02-01
Publication date: 2023-06-08
Also published as: TR2021018987A2

Abstract

The invention relates to a system that can be programmed via a computer or mobile phone, that can automatically apply any electrotherapy treatment program planned by doctors, thus minimizing human errors that may arise and reducing the density in treatment centers.

Description

A SMART ELECTROTHERAPY SYSTEM

TECHNICAL FIELD

BACKGROUND

Electrotherapy applications (heating and electrical agents) are applied separately and cause loss of work and time. In addition, treatment errors and related injuries due to human factor are seen in these applications.

Electrotherapy applications are in separate places in many clinics and cause the patient to be transferred from room to room. These transfers are difficult for both the patient and the employee, as physical therapy patients are generally elderly individuals and have difficulty in movement. Elderly patients sometimes have difficulty leaving the house and going to treatment centers. In addition, in cases of pandemics and other epidemics to be experienced, leaving the house carries a risk for both patients and employees.

In electrotherapy applications, depending on the human factor, malpractices in the treatment and related injuries and situations occur (burning, fainting, electric shock, the development of serious complications such as heart attack and stroke as a result of the wrong treatment).

Physical therapy centers work very intensively. As a result, patients are given appointments for very long periods and their treatment is disrupted and workforce loss occurs.

Due to the intensity of electrotherapy patients, employees (physiotherapists or technicians) can disrupt the treatment of patients and make them inadequate. Therefore, patients do not fully recover and receive physical therapy repeatedly and treatment costs increase. BRIEF DESCRIPTION OF THE INVENTION

In response to the problems mentioned in the background section, the invention;

- Enables treatment at a single point because it carries all electrotherapy elements,

- While providing the optimum treatment, at the same time minimizes human errors,

- Reduces the workload of physiotherapists and enables providing better quality service to patients,

- Thanks to the integrated software and remote connection option it contains, it enables the treatment method to be regulated remotely by the doctor, also enables the treatment record to be taken, and enables the patients to have the right and appropriate treatment at home by monitoring

- is about a smart electrotherapy system that provides the treatment that patients need without being affected by pandemic situations.

LIST OF FIGURES

Figure 1 . General View of the Invention

Figure 2. Electrode layout diagram

Figure 3a. Application Regions

Figure 3b. Application Regions

Figure 4. Remote Control

The equivalents of the numbers given in the figures

1. Bed

2. Camera

3. Infrared Unit

4. Control Unit

5. Tens, interference, diadynamic, intermittent direct current and russian current therapy application unit

6. Electrode

7. Current Socket

8. Electrode Socket

9. Bearing Ball Screw 10. Stepper Motor

11. Linear Rail

12. Robotic Application Unit Skeleton

13. Vertical Ball Screw

14. Stepper Motor

15. Horizontal Ball Screw

16. Stepper Motor

17. Aluminum Plate

18. Middle Bar Rail

19. Oscillator Plate

20. Oscillator Bearing

21 . Stepper Motor

22. Ultrasound Probe

23. Gel Feed Tank

24. Gel Nozzle

25. Cold Spray

26. Infrared Unit Rotation Center

27. Infrared Unit Movement Mechanism

28. Infrared Unit Heating Surface

29. Remote Control

30. Emergency Stop Button

31 . Start, hold and stop Button

32. Infrared Control Button

33. Control Screen

DETAILED DESCRIPTION OF THE INVENTION

The smart electrotherapy device subject to the invention can perform therapy techniques using electrodes (6) and probes. While it has the ability to administer treatment autonomously, it enables the treatment procedure to be followed remotely by the treating specialist and is able to follow-up the patient.

The smart electrotherapy device comprises a robotic control, an image processing, an artificial intelligence and a remote communication technology.

Robotic application unit: Patient bed (1), electrotherapy system, interfaces connected to this system (ultrasound probe (22), infrared unit (3), camera (2), robot mechanism, cold spray (25) unit, ultrasound gel unit) robotics are the elements that make up the application unit. This unit is managed by the control card. First, the body surface of the patient lying on the patient bed (1 ) is recorded by the camera (2) and the electrotherapy application areas of the patient (Figure 3a and Figure 3b) are detected by artificial intelligence. According to the treatment program, the information on which limbs of the patient will be electrotherapy is defined by the expert to the user identity. Then, when this user ID is entered, the treatment application areas of the patient are automatically detected by the system. When the patient lies down on the bed (1 ) during the application of the treatment, the camera (2) scans the patient's body surface once again and reads the position of the application areas in three dimensions. The reason why this imaging process is repeated before each treatment session is to ensure that the application location is determined without error, with the foresight that the position of the patient on the bed (1 ) may be different. Based on the reference points recorded in the first body scan of the patient, the application location is determined according to these reference points during the treatment.

Image processing and artificial intelligence process: One of the main features of the smart electrotherapy system is image processing and artificial intelligence process. The purpose of image processing and artificial intelligence application is to scan the patient's body and to determine the correct contact point of the robotic application unit to the scanned body surface and to perform the ultrasound application with the most appropriate treatment movements. In order to determine the correct contact surface, firstly, the images recorded from the patient's via the camera (2) are used and the number of patient images need by deep learning models are recorded. For the training of the model, patient images with separate application coordinates are used for each treatment area. At the output of the model, the application areas of the patients are segmented. When a new patient is defined to the system for treatment, the camera (2) integrated on the robot arm of the smart electrotherapy system records the patient's image at a right angle. The trained deep learning model performs the segmentation of the body surface of the patient lying on the bed for treatment and transfers the coordinates of the application area (Figure 2) to the control unit (4).

By using the electrodes (6) of the invention, TENS, interference, diadynamic, intermittent direct current and Russian current therapies are applied. It is performed ultrasound using the probe. In addition, the integrated operation of the infrared unit (3) and the electrotherapy device in the system is one of the features that distinguishes the invention from the previous technique. Device functions, auxiliary functions and intermediate functions are given in Table 1 .

Table 1 . Main function and side function representation of the invention

The invention includes an infrared unit (3). There is an infrared unit heating surface (28), which can emit infrared waves between 7600-150000 nanometers and provides surface heating, positioned at the top and at a distance of at least 50 cm from the patient. In case the patient feels too much or too little heat, the remote control (29) can change the off - medium intensity - high intensity modes, or it can be closed or opened completely. The height adjustment of the infrared unit (3) can be done manually by the patient or the technician. The operating time, height and steepness parameters of the infrared unit (3) are defined specifically for the patient by the specialist. Animations and graphics that appear on the touch screen of the device are guiding in making the height and angle settings of the device and giving the start/stop commands to the device. Even though the working time is determined by the specialist, if the patient feels overheating in his body, he can switch the device on/off with the remote control (29) of the device in his hand. The remote control (29) to be given to the patient's control is designed to be easy to use and simple to perform only simple operations.

TENS, Interferential, Diadynamic, Intermittent Direct Current and Russian Current Therapies Application Unit (5): The electrodes (6) are adhered to the body area marked by the doctor by the patient or the patient's relative. In this bonding process, exactly how the plus and minus electrodes (6) will be placed is displayed on the device screen. Then the patient lies on the bed and gives the start command with the help of the touch screen on the device or the remote control (29) in his hand. Electrotherapy process sends the necessary signals to the electrodes (6) adhered to the body, according to the treatment program determined by the specialist who will administer the treatment via remote software or interface, and the treatment process takes place. After the treatment process programmed by the specialist is completed, the device stops automatically and informs the patient that the process is complete with voice commands. The touch screen and voice command system provide the necessary guidance for the next step. The next step is to remove the electrodes (6) from the body and throw them away and proceed to the next treatment stage. Treatment stages can be electrotherapy on a different body surface, or it can be a transition to a different treatment technique. The invention contains in its system what needs to be done regarding the applications of TENS, interferential, diadynamic, intermittent direct current and russian current therapies, and conveys instructions for the patient to apply the treatment methods that the specialist wants to be applied, again in the order specified by the specialist.

The TENS, interferential, diadynamic, intermittent direct current and russian current therapies application unit (5) includes four types of current generating TENS units. The mentioned TENS types are; Conventional TENS, acupuncture-like TENS, short intense TENS and burst TENS. For conventional TENS, low intensity (10-30 mA), high frequency (50-100 Hz) and current is applied for 40-75 ps. For acupuncture TENS, current is applied with a frequency of 1 -10 Hz, an intensity of 50-60 mA and a duration of 200-300 ps. For short intense TENS, current is applied at a frequency of 100-150 Hz, with an intensity of 80 mA and a duration of 150-250 ps. For burst TENS, on the other hand, current is applied with a frequency of 50-150 Hz, an intensity of 80 mA and a duration of 100-200 ps.

The interference current unit is the current formed by the intersection of two medium frequency currents (a1 :4000 Hz and a2: 3900-4100 hz). As a result, a current of 1 -100 mA in the frequency range of 0-100 Hz is obtained to be applied to the patient.

Diadynamic current unit produces five types of current. These currents; diphase fixe, monophase fixe, courtes periodes, longues periodes and rhythm syncope currents. Diphase fixe current consists of 100 Hz, 10 ms current. Monophase fixe, 50 Hz, 10 ms current. Courtes periodes current, as a mixture of diphase and monophase fixation, is in the range of 50-100 Hz and has a duration of 10 ms. The longues periodes current is formed by the intersection of two monophase currents. Rhythm syncope current is created by interrupting the monophase fixed current for 1 second.

Intermittent direct current unit: With the addition of a capacitor made to this unit, a trapezoidal intermittent galvanic current, whose intensity slowly rises and falls, is applied through the electrodes (6). The current transition time will be up to 100 ms. The system treats of the relevant paralysed muscle by placing the positively charged (+) electrode (6) and the negatively charged (-) electrode (6) on the motor point of the muscle.

Russian current unit: It is formed by interrupting a continuous alternating sine wave of 2500 Hz 50 times per second. The system performs the treatment by placing the positively charged (+) electrode (6) on the origin of the relevant muscle and the negatively charged (-) electrode (6) on the motor point of the muscle.

The polarization of the electrode (6) used for the applications to be carried out using the electrode (6) is made as shown in Figure 1.

Ultrasound Application Unit: Ultrasound (US) is a high frequency sound wave. Sound waves have the properties of reflection, refraction, propagation and absorption by the medium in which they propagate. US energy is converted into heat energy by being absorbed in tissues due to acoustic impedance. The ultrasound probe (22) contains quartz, synthetic plumbium zirconium titanate (PZT), barium titanate crystals. The unit is designed to produce 1 -3 Mhz sound waves and a maximum intensity of 3 W/cm².Tthe ultrasound probe (22) is connected to the robotic arm, there is a gel nozzle (24) on the arm where the ultrasound gel is located. Before the ultrasound, the gel nozzle applies the required amount of ultrasound gel to the area where the ultrasound will be applied.

Ultrasound application is carried out with the help of a robot arm. The handles at the far end of the robot arm mechanism of the smart electrotherapy system are designed in accordance with the ultrasound probe (22). The patient lies on the bed (1 ) where the application will be made, as shown in the treatment application instruction on the touch screen. Then, the patient gives the start command with the help of the touch screen on the device or the remote control (29) in his hand. The robot arm moves to the correct treatment position, transmits the contact information of the proximity sensor on the ultrasound probe (22) to the microprocessor, and performs its application between the reference points determined by the expert, together with the oscillation movement defined by the expert. The adjustment of the above-mentioned values by the expert is carried out remotely by connecting with the software or through the interface on the system.

Control unit (4); It consists of control card, power unit, communication unit and touch control panel. The control card is the processing center where the treatment can be programmed by the doctor, the stepper motors (10, 14, 16, 21 ) work synchronously, can be reprogrammed, and the data is saved and transferred to the computer environment via wireless connection. The touch control panel is used to select the package work programs created by the specialist for the patient, to monitor the parameters of the treatment (duration, current intensity) on the screen and to provide manual control of the device by the patient. In addition, thanks to Android and IOS based applications, smart mobile phones and tablet PCs can act as control panels. The communication unit is the unit containing the wireless communication equipment, where the data sent by the specialist is transferred to the control unit and the feedback of the treatment process is sent back to the specialist.

One of the most important superiorities of the smart electrotherapy system is remotely controllable. The therapy program can be designed by the expert from the application and can be sent to the remote device through the cloud system. The fact that the therapy session is simultaneously supplied to the expert's interface and allow the expert's intervention is within the characteristics of the system's software and wireless equipment. On the device side and on the expert side, an active internet access is required. If internet access is cut or limited, the treatment data will be recorded in the storage unit in the device processor and will be sent to the specialist when the device is connected to the Internet. In addition, using the USB port on the device, all data kept on the device can be taken from the device via portable storage units (USB memory, external hard disk, SSD etc.).

In order to register all patients who are assigned a treatment program, information such as their personal data (identity information, disease history, diagnosis and treatment information) as well as electrotherapy programs, treatments performed within the framework of the program, answers to the questions asked of the patient are recorded online and each patient's information is recorded online. A personal database is created and presented to the treating specialist. After recording the patient's data such as height, weight, age, gender, a user ID is assigned to the patient. This user ID is kept both in the treatment planning interface and in the device control unit, which will be used by the specialist who performs the treatment from the PC or mobile device.

Patient's anamnesis (history of disease, chronic diseases, allergic condition, loss of limbs, blood type, etc.) is registered under this identity. The specialist can identify the standard treatment templates that should be applied for diseases using this interface and send these standard templates to the device. At the same time, new patient-specific treatment templates can be created. The appropriate treatment template can be viewed from the device screen after the user ID is entered by the patient from the touch device screen after the device is sent to the control unit. The patient can self-administer the treatment by pressing the start button after taking the appropriate position as shown on the screen for treatment.

The user interface consists of the processor of the device and the touch screen connected to this processor. The monitor connected to the controller (4) can be controlled via the device on a touch- touch basis. The appropriate therapy program from the treatment planning unit by the specialist who will administer the treatment informs and guides the patient after arriving at the control unit on the device.

The user ID field is the area where the patient information and treatment program are displayed by typing the user ID number recorded in the planning unit in the interface.

The patient referral area shows how to position the patient within the interface, how to use the emergency stop button (30), possible problems and solutions during treatment. It also informs the effects of electrotherapy to be applied in the patient, the steps and durations of treatment.

The robot arm unit is designed to perform ultrasound application. On the linear rail (11 ) containing rack gear next to the patient bed (1 ), all system components (3), TENS, interference, diadynamic, intermittent direct current and russian current therapy system (5), ultrasound probe (22), cold spray (25), gel nozzle (24) etc.) make the slide movement. Robot arm provides a stable distance of device components to the entire body surface from the neck to the ankles. It connected to the main body of the device is designed to perform four axis movements. The first axis will provide the sliding movement on the linear rail (11 ) on the bearing (1 ), the second and third axes will provide the necessary convergence for contact with the body. The fourth axis will perform the oscillation movement. To adjust the appropriate contact violence, the feedback from the contact sensor of the ultrasound probe (22) is used. The movement of the robot arm axes is carried out by stepper motors (10, 14, 16, 21 ).

The system comprises a remote control (29) that allows the patient to manually control the system during the application. The remote control (29) realizes the operation of the treatment and to be switched on and off the infrared unit (3) and the emergency stop functions.

Cold spray (25): During electrotherapy application, if the application area is edematous or inflamed, cold spray is applied by the device to cool the area. This process is autonomous with the cold spray (25) units fixed in the robot arm. The cold spray (25) unit is receiving the command from the control card and sprayed at certain intervals (such as 30 cc in 2 minutes) during treatment. When the electrotherapy application is completed, the spray unit is also drawn back with the robot arm and the spray is ended.

Gel Feeding Tank (23): During the ultrasound application, the gel feeding tank (23) leaves the gel on the body surface at a suitable dosage for the movement of the ultrasound probe (22).

The hardware of our invention will be explained in detail below with their individual functions. Thus, the advantages provided compared to the previous technique will be seen more clearly.

Bed (1 ): This hardware is on all system components and constitute the system's backbone. The installation-disassembly of all system components on durable material, feet and on, are easily achieved.

Camera (2): First, he records the patient's body surface extending to the patient bed and the patient's ultrasound application regions are determined by artificial intelligence. According to the treatment program, the patient's knowledge of which limbs will be applied to the Ultrasound, the user ID is defined by remote connection or interface. When this user ID is then entered, the patient's treatment application regions are automatically recognized by the system previously entered and identify. When the patient extends to the bed during the implementation of the treatment, the camera once again scans the patient's body surface and re-read the position of the application zones in three dimensions. The reason for the recurrence of this imaging process to be performed prior to each treatment session is to ensure that the application location is faultlessly detected with the forecast of the patient's position on the bed. According to the reference points recorded in the first body scan of the patient, application locations are determined according to these reference points during treatment.

Infrared Unit (3): It is the part that can emit infrared waves between 7600- 150000 nanometers and provides surface heating, which is located on the upper part and at a distance of at least 50 cm from the patient. In case the patient feels too much heat or less, it can be turned on and off in off - medium intensity - high intensity modes via the remote control. The height setting of the infrared unit (3) is manually performed by the patient or specialist. The operating time, height and steepness parameters of the infrared unit (3) are defined specifically for the patient by the treating specialist. Animations and graphics that appear on the touch screen of the device are guiding in making the height and angle settings of the device and giving the start/stop commands to the device. Although the working time is determined by the specialist, if the patient feels overheating in his body, he can turn the device on or off with the device remote in his hand.

Control Unit (4): This unit consists of the control board, power unit, communication unit and touch panel. The control card is the process center that allows the treatment to be scheduled by the specialist, to be re-programmed and transferred to the computer environment by saving the data to work as a synchronous. The touch panel is used to select the package work programs that the specialist formed for the patient is used to monitor the parameters (time, current intensity) of the treatment and to ensure manual control of the device by the patient. Thanks to Android and iOSbased applications, smart mobile phones and tablet PCs can be served as a control panel. The communication unit is the unit where the data sent by the specialist is transferred to the control unit and the feedback of the treatment process is sent to the specialist.

TENS, Interference, Diadynamic, Direct Current and Russian Current Therapy System (5): The control unit (4) is linked to the main control board that can produce direct current, alternative current and dashed current and the current types of current varieties are defined to the main control board.

There are four electrodes (6), two plus (+), two minus (-) poles, which will conduct the interferencial, diadynamic, dashed direct current and the Russian current of the patient over the patient's skin. The electrodes (6) are self-adhesive and hypoallergic and in the necessary situations.

The electrode (6) cables connect the control unit (4) to the current socket (7). Electrode sockets (8): Provide integration of disposable electrodes to the system.

Screw shaft (9): Both sides of the bed have two screw shafts in diameter of 180 cm tall 16 mm. The robot mechanism built on the nut that moves on the axis of the screw (9) are provided with the forward-back movement of this screw shaft (9) throughout the bed (1 ). Two separated shaft (9) are driven by two separate stepper motor (10).

Stepper motor (10): The two identical stepper motor on the head of the bed on the side of the bed is positioned to drive the screw shaft (9) that provides the forward- back movement of the robotic application unit throughout the bed (1 ).

Linear Ray (11 ): The vertical load of the robotic application unit, which will act linearly throughout the bed, does not create a number of vertical loads on the screw shaft. During the linear movement, the ball bearings are moving on the rail to minimize the friction force to effect. There is one linear rail 11 on the right and left side of the bed (1 ).

Robotic Application Unit Skeleton (12): The components of the robotic application unit are manufactured from the skeleton, aluminum box profiles. Two of the two aluminum box profiles, which are on the top, one on the top, the camera, infrarion unit and robotic application units are mounted on the skeleton formed in the form in the form "U" form. In addition, the passage of the cables from the grooves in the profile is provided.

Vertical Screw Shafts (13): Two vertical screw shafts (13) to provide the vertical movement of the middle bar in the robotic application unit is located on the side profiles of the skeleton made of aluminum box profile. The two vertical screw shaft (13) will be driven by two separate stepper motor (14).

The vertical screw shaft stepper motors (14): The step-in step motors that will drive the vertical screw shafts.

Horizontal Screw Shaft (15): One horizontal screw shaft (15) to provide the rightleft movement of oscillator mechanism on the horizontal axis of the middle bar in the robotic application unit, on the middle bar aluminum profile of the robotic application unit of the robotic application unit (12) made of aluminum box profile (12) is located.

Horizontal Screw Shaft Stepper Motor (16): One stepper motor (15) to drive the horizontal screw shaft in the middle bar of the robotic application unit, is positioned at the screw shaft axis. Medium Bar Aluminum Plate (17): It is the aluminum plate on which the oscillator mechanism in the robotic application unit and the ultrasound probe (22) on it are connected to the gel nozzle and spray unit. The aluminum plate (17) also features a rail assembly, horizontal screw shaft (15) and stepper motor (16) that provides oscillaring.

Medium bar rail (18): In order to minimize the friction force that will effect friction force on parts during the right-left movement during the right-left movement, the ball bearings are moving on the middle bar aluminum profile ray assembly.

Oscillator plate (19): Aluminum plate, which is carried the ultrasound probe, the gel nozzle and cold spray unit.

Oscillator roller (20): The rotational movement of the stepper motor (21 ) axis, and which transmits part of the oscillator plate (19).

Oscillators stepper motor (21 ): Oscillator bearing of the stepper motor is connected. In the most appropriate angle, the patient provides oscillation from the movement of rotation and contact for contact.

Ultrasound Probe (22): has a surface area of 10 cm2. The application frequency can be changed in the form of 1 -3 MHz. There is a heated end feature. Due to its selfcontact sensor, the current is interrupted when contact with the body surface is interrupted.

Gel Feed Tank (23): Help the ultrasound waves penetrating and the ultrasound probe is stored the gel at the facilitating gel on the patient skin surface and the gel nozzle is pumped to the gel nozzle autonomous.

Gel nozzle (24) In order to achieve the penetration of the ultrasound waves are applied to the affected outlets for the required amount of the ultrasound gel.

Cold Spray (25): If the application region is issued or inflammated, the cold spray process is carried out to cool the region if the application zone is edema or inflammation. This is done autonomously by the robot arm fixed to the cold spray unit. The cold spray unit is receiving the command from the control board and sprayed at certain intervals (30 cc in 2 minutes) during treatment. When the electrotherapy application is completed, the spray unit is also drawn back with the robot arm and the spray is ended.

Infrative unit rotation center (26): This piece can rotate infinite around its axis. Thanks to the over-ring, it provides 360-degree rotations of the infrared head without allowing the cables to wander. The infrared unit movement mechanism (27): Thanks to the three joints that are on, the infrared head can be moved forward, backward, upward. Thus, the infrared lamps are conveniently close to the patient body.

The infrared unit heating surface (28): The surface is covered with the material to reflect the light. There are three infrared lamps on the surface and these lamps can be controlled by the remote control.

Remote Control (29): Some functions in the touch screen interface in the control panel are used remote control to control the patient during application. The remote control performs the operation of the treatment, the open I off control of the infrared unit and the emergency stop functions. Control functions are synchronous with the touch screen in the control unit, given a command from the remote control is also provided on the screen.

Emergency stop button (30): The treatment is stopped by the emergency stop button if a situation will result in discomfort during the application.

Start, Pause and Stop Button (31 ): Through this button, the patient can start, pause or stop the treatment program that is registered in the system after lying on the bed.

Infrared control button (32): The temperature of the infrared unit is three-stage controlled by this button. The stages are closed, low and high temperature modes.

Remote Control Screen (33): The remaining treatment time is the LCD display in which information such as the infrared temperature level, ambient temperature and treatment status.

Claims

1 . A smart electrotherapy system that can perform therapy techniques using electrodes and probes characterized by comprising:

- a robotic application unit,

- an infrared unit (3),

- a TENS, interferential, diadynamic, intermittent direct current and russian current therapies application unit (5),

- a multiple of electrodes (6),

- an ultrasound application unit,

- a control unit (4)

- a remote control (29)

- a USB port,

- a touch screen with user interface,

- a software.

2. The robotic application unit of Claim 1 characterized by comprising;

- a hospital bed (1 ), a camera (2) that records the body surface of the patient lying on the patient bed (1 ) and scans the patient's body surface once again when the patient lies on the bed (1 ) during the application of the treatment, and reads the position of the application areas in three dimensions,

- a robot mechanism that provides the movement of the device components at a fixed distance from the neck to the ankles by making the slide movement with all the system components on the linear rail (11 ) containing the rack gear next to the patient bed (1 ).

3. The robot mechanism of Claim 2 characterized by comprising;

Ball screw (9),

- a stepper motor (10) driving the ball screw (9),

- a robotic application unit skeleton (12),

- a multiple of vertical ball screws (13),

- a stepper motor (14) driving the vertical ball screws (13),

- a horizontal ball screw (15),

- a horizontal ball screw stepper motor (16),

- a center bar aluminum plate (17), - a center bar rail (18),

- an oscillator plate (19),

- an oscillator bearing (20),

- an oscillator stepper motor (21 ).

4. The infrared unit (3) of Claim 1 characterized by comprising; an infrared unit heating surface (28), which can emit infrared waves between 7600-150000 nanometers, which is positioned at the top and at a distance of at least 50 cm from the patient, provides surface heating, is covered with a material to reflect light, and contains three infrared lamps.

5. The application unit (5) of TENS, interference, diadynamic, intermittent direct current and russian current therapies of Claim 1 characterized by producing conventional TENS, acupuncture-like TENS, short intense TENS and explosive (burst) TENS current through electrodes (6) and comprising an interference current unit, diadynamic current unit, pulsed direct current unit and Russian current unit.

6. The ultrasound application unit of Claim 1 characterized by comprising an ultrasound probe (22) a proximity sensor located at the end of the ultrasound probe (22) that transmits the contact information to the microprocessor, a gel feeding tank (23) and a gel nozzle (24).

7. The control unit (4) of Claim 1 characterized by comprising;

- a control card that allows the treatment to be programmed by the doctor, enables the stepper motors (10, 14, 16, 21 ) to work synchronously, which can be reprogrammed, which saves the data and transfers it to the computer environment via wireless connection, and sends the operating command to the cold spray (25).

- a power unit

- a communication unit that includes wireless communication equipment that enables the selection of package work programs created by the specialist for the patient, monitoring of the parameters of the treatment (duration, current intensity) on the screen, and the transfer of the data sent by the specialist to the control unit, which provides manual control of the device by the patient, and the feedback of the treatment process is sent back to the specialist and a touch control panel.

8. The remote control (29) of Claim 1 characterized by comprising an emergency stop button (30), a start, a hold and a stop button (31 ), an infrared control button (32) and a control screen (33).

9. The smart electrotherapy system that can perform therapy techniques using electrodes and probes of Claim 1 characterized by comprising a software;

- Using the images recorded from the patients via the camera (2), the patient images are recorded as needed by the deep learning models, marking the application coordinates separately for each treatment area on the patient images, segmenting the application areas of the patients at the exit of the model, and lying on the bed (1 ) for treatment, segmentation of the body surface, transferring the coordinates of the application area to the control unit (4),

- According to the treatment program, the information on which limbs of the patient will be electrotherapy is defined by the specialist to the user identity,

- Allows the system to automatically detect the treatment application areas of the patient when the user ID is entered,

- Based on the reference points recorded in the first body scan of the patient, determining the application location according to these reference points during the treatment,

- After defining the patient's data such as height, weight, age, gender, assigning a user ID to the patient, ensuring that this user ID is kept both in the treatment planning interface to be used by the treating specialist from a PC or mobile device and in the device control unit, recording the patient's medical history (disease history, chronic diseases, allergic condition, limb loss, blood type, etc.) under this identity, providing this definition of the standard treatment templates that should be applied for the diseases, allowing the creation of new treatment templates specific to the patient, It is characterized by software that allows the appropriate treatment template to be displayed on the device screen after the user enters the user ID number on the touch device screen after it is sent to the device control unit, and when the patient takes the appropriate position corresponding to the treatment shown on the screen and presses the start button, he can administer the treatment himself.

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