JPS62501192A - Electric therapy signal supply method and device - Google Patents

Abstract

(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

[Detailed description of the invention] Electric therapy signal supply method and device Background of the invention The present invention relates generally to devices for providing electrical signals to a patient.

In particular, the present invention provides accurate and reproducible programmable voltage waveforms, especially complex intermediate waveforms. It relates to a device that generates shapes. More particularly, the invention relates to selective elements of the ear or mastoid. Directly apply therapeutic signals via arranged electrodes or located at the point of application Radio transmit control signals so that the radio receiver can receive the therapeutic signals A device of the type consisting of a means for supplying electrotherapeutic signals programmed by Regarding the location.

Monitors the signal applied to the patient and compares it with prescribed characteristics to detect discrepancies and apply the signal Means are provided for correcting the signal.

The detected difference is used to correct the original output of the supply device. signal to the patient The memory data representing the applied force is analyzed using beadance matching as a conductive medium. It is designed to be optimized.

The waveform includes frequency, positive and negative voltage amplitude, zero net charge, duration of each particular pulse, and number of pulses in a packet, time between adjacent packets of pulses, number of packets in each row, Regarding the inter-row time between adjacent packets of pulses and the number of pulses in the treatment content. be analyzed. Such a synthetic pulse train depolarizes the nerve sheath, electrodes and Precise brain communication protocols that eliminate demyelination and demyelination Give maximum opportunity for milling.

Methods and devices for doing so are known. Among these methods, transcutaneous electrolysis Transmission simulation (TEMS) applies a signal voltage to the electrode placed on the local painful area. It is used for giving more. Wall and Merzack's ``gate theory'' In this case, the synthetic afferent sensory signals compete with the human-generated pain signals, resulting in no It becomes a pain sensation.

Electrical simulation known in the art as percutaneous induced nerve stimulation (PINS) Another type of fusion technique can make procedures difficult and painful to follow after major surgeries such as spinal surgery. , treated by applying electrodes implanted under the skin and stimulated by an external power source. It has been used for.

Yet another painless sensation technique involves inserting electrodes directly into the brain and applying voltage to the brain. Some use implanted deep brain globes (DBPs) that produce pain sensations. .

In general, the TBNS and PINS methods have essentially the same mechanism in human tissues. cause rhythm. Pain is transmitted to the brain through the dorsal spinal cord by a combination of electrical conduction and chemical diffusion. It is known that pain signals induce electrical signals that are transmitted, and here pain signals are Interpreted in the brain for cell-induced activity.

In TENS and PrN5 applications, pain signals are transmitted to TENS and PINS methods. more effectively diluted due to competition induced by cardiac sensory signals. child Effectively alleviate extremes of pain interpreted by the brain by diluting the pain signals of let

On the other hand, the DBP method is completely different. Directly applied to the entrance and exit space around the cerebral aqueduct in the brain The electrical signal that is transmitted acts to inhibit the reception of distress signals at the interpreting end. induces additional easiness in the process. The bottom line is that pain signals are normally interpreted in the brain and create a sense of painlessness. They are prevented from reaching their intended destination.

Specifically, the DBP method requires destructive techniques to treat terminal conditions with abnormal unresponsive pain. However, it is not satisfactory as it is generally limited to patients with certain conditions. in its destructive application It is desirable to utilize mechanisms that alleviate the pain of DBP methods that are not inconvenient. .

Therefore, as described herein, it is an object of the present invention to develop a method similar to the DBP method. A device that applies electrotherapeutic signals to the patient to stimulate β-endorphin production. The main purpose is to provide T　E　N　S　,! : P I N S side Although these methods are advantageous because they are non-destructive, these methods have limited efficacy. Therefore, there are limits to the degree of application. These methods determine the degree of insensitivity caused by the application of the method. Limited to a wide range of cases and a spectrum of heel pain.

It is therefore another principal object of the present invention to provide relief from the affliction of a wide range of diseases, conditions and symptoms. A device that applies electrical signals effective in relieving pain to an extent unknown since then. The goal is to provide the following.

Related to withdrawal from nicotine or other drug addictive effects through the use of electrical stimulation Attempts to treat stress, obesity, insomnia and related disorders as well as to treat pain It is also looked after.

In this regard, important research has been carried out by Ifor D., Dr. Capel, and a special For wavenumber sets, transcutaneous voltage induces the release of β-endorphin to the brain and increases DBP. The method has been shown to cause the same type of analgesia. Dr. Capel also Different sets of frequencies can be used to treat withdrawal as well as to treat the psychological symptoms associated with withdrawal. It has been shown to be effective in treating the associated pain. This kind of effort is 1 The subject matter of related U.S. Patent Application Serial No. 626.335, filed June 29, 984, and The disclosure is hereby cited.

In general, Dr. Capel has shown that the electrical signals to the mechanisms for neurotransmission in the brain are We investigated the impact. The addictive effects of drugs on brain chemistry and cellular activity are stimulants and inhibitors both have a debilitating effect on neural activity, resulting in permanent physical changes and ultimately It is such that it causes deterioration of the affected cells. related to certain drugs By utilizing specially discovered frequencies, we can reverse the effects of drugs on cellular membranes. The debilitating effects can be reversed in a similar way. Therefore, following Dr. Cavell's teachings, The use of sterile drugs can be beneficial and provide psychological benefits related to pain relief and cessation of sterile drug use. It is a treatment that helps recovery from drug addiction from the perspective of paying attention to physical changes. .

Therefore, another primary objective of the present invention is to improve the duration, amplitude, and , presents a device capable of providing a defined therapeutic voltage signal with modulation and intermittency. It is about providing.

There are several analogues that generate psychological waveforms suitable for applying the TENS and PINS methods. devices are known.

Generally, these devices rely primarily on the use of resonant tank analog circuits. Ru. However, in order to commercialize such devices as reliable devices, does not produce a signal that is fully reproducible, controlled, and accurate.

Accordingly, another principal object of the invention as set forth below is as fully described herein. The system uses techniques that are sufficiently different to achieve optimality in the parameters mentioned above. The aim is to provide a

Furthermore, another main object of the invention is to develop a digital circuit for producing a device of the above type. Microprocessing design and its use by researchers in the field of technology, The object of the present invention is to effectively use the device for applying such signals to a patient.

These and other objects of the invention will be found in the detailed description of the invention set forth below. This is more obvious.

Brief summary of the invention In order to achieve the above objects and the objects of the present invention, the method and apparatus according to the present invention are as follows. A reliable, reproducible program with the desired therapeutic and analgesic effects The device is controlled by a ram and consists of means for generating and transmitting all waveforms for electrical therapy.

The system using this device generates and stores therapeutic waveforms of the type described in the generation station. It consists of a control unit that can be inserted into a personal dispensing device (PDI). It is Noh.

The personal dispensing device of the present invention is controlled for precisely controlled dispensing of waveforms to the patient. It consists of means for receiving and storing the electric therapy signals generated by the unit.

PDI is a voltage source driven by a battery that programs all ROM and R It has a central processing unit with AM1 and transmits the desired waveform to the patient's head through the skull. It is set to be sent.

Monitors the signals applied to the patient and stores them according to commands from the control unit. A means is provided to compare the applied signal characteristics with the friend treatment signal characteristics and correct the applied signal if there is a discrepancy. Ru. The difference between the signals actually applied to the patient and the treatment can be used to define the application to the patient or others. to the patient for subsequent use for analysis and improvement of subsequent treatment programs. transmitting data to the control unit that stores data representing the actual application of the treatment signal; is stored for reference.

PDI precisely controls each pulse-specific parameter and adjusts the signal so that it The net voltage accumulation applied to is zero. For purposes of this specification, a set of pulses is A sequence refers to a set of packets. Therefore, the definition of waveform is (1) pulse The present specification includes pulses supplied at frequencies exceeding 0 and 1, where fi is (2) the frequency of each packet in each column forming the treatment content; A positive pulse amplitude Api for each pulse at (3) Positive pulse for each pulse in each packet of each column forming the treatment content. (4) each parameter in each packet of each column forming the treatment content; Negative pulse oscillation 65 A n j for the pulse, and (5) form the treatment content The negative pulse duration Sni for each pulse in each packet of each column is ( 6) The number of pulses in packet i is ni, and (7) the time between packets in column J is Between (i-1) ti 'C exists, (8) the number of columns in packet i is J, and (9) the column The number of packets in j is Nj, and the time between rows in αO treatment content (j− 1) At Tj, the time changes between mutually adjacent columns during the treatment content between columns J=M. .

Therefore, in the general case, the device has the above parameter set, i.e. Rx==(f　,A p　lsp　+An　, Sn　, n+　t, J　+N+T) A treatment program waveform can be provided.

In addition, in the above summary, the contents regarding treatment include packets and pulses of different frequencies. May include. The packets then differ in amplitude and pulse width. Generally, the device Within either packet there is no net charge. To achieve this, ApSp=AnSn. Once Ap and Sp are fixed Then, the product AnSn can be obtained by setting An and Sn independently to match the equation. It is fixed by

The method of the present invention also takes into consideration a number of internal tests and safety and monitoring checks. Show.

From the PDI to the auricle, auriculum, mastoid process or diemen or from a machine attached to the needle point. Means is provided for providing signals to the patient via leads. Worn on a separate patient A computer with an integrated receiver and patient programs for specific treatment waveforms. Signal transmission by using radio transmission of signals from userized control transmitters Alternatives are provided. The patient receiver disconnects the signal and outputs the treatment waveform. Ru.

These and other features of the invention will be explained in more detail in conjunction with the accompanying drawings. It should be clear from the explanation.

Brief description of the drawing In the drawing, FIG. 1 shows a device for transcutaneously applying therapeutic signals to a patient according to the present invention, including a delivery device. Figure 2 is a block diagram of the components of the system that FIG. Figure 2A is an overall waveform diagram showing the representative pulse wave bucket This is an overall waveform diagram of a representative row of packet j, and FIG. 2C shows typical treatment contents of row J. Figure 2D is a parameter diagram of the treatment contents supplied by the device, and Figure 3 is a diagram of the parameters of the treatment content supplied by the device. More complex types of patients that can be analyzed by the system according to the invention Figure 4 shows how the device is used when analyzing the waveform shown in Figure 3. This is a diagram similar to Figure 3, and Figure 5 inputs the treatment waveform from the control unit to the PDI. Figure 6 shows an example of a program sequence for Z treatment that is supplied from the PDI to the patient. This is an example of a program sequence for monitoring waveforms, and Figure 7 shows the patient's needle point. FIGS. 8A to 8C are representative diagrams showing the application of the treatment waveform to the patient. 9 is a block diagram illustrating several modes of transmitting therapeutic waveforms to a patient; FIG. The type shown in the figure is a more detailed functional block diagram of the feeding device, and FIG. FIG. 3 is a more detailed functional block diagram of the control signal generator unit of the PDr.

Detailed description of the preferred embodiment In Figure 1, the transcutaneous electrical nerve simulator device and system? Reference number 1 throughout 5, which reduces pain or reduces pain by applying electrotherapeutic waves to the patient throughout the skin is a treatment that helps alleviate all stress- or anxiety-related disorders and relieves medicinal addiction. For therapeutically effective, reliable and reproducible program controlled electrical therapy It generates a waveform.

The above system is for personal use with supply device CPDI) [6, control unit 18. and occurrence It consists of 20 stations. When PD116 is programmed with electrical therapy signals Direct connection 22 as shown in FIG. 1 or worn on the patient as shown in FIG. into the patient's head 21, either by radio transmission to a device implanted in the patient's head 21. Used to give a current signal cutaneously. Control unit 18 is required for PD116. It can be used by medical personnel to program necessary treatment signals. Occurrence stay The system 20 generates all competition data in the control unit 18 and transmits the data to the control unit 18 and PD1. Results from 16 were used for the full analysis.

Broad transdermal effect? Therapeutic waveforms include the aforementioned pending patent application of Ifor D. While developing all approved prescriptions, the patient or animal Other signal treatment content was known to the study investigators. The device according to the present invention When delivering one of the therapeutic waveforms to the patient It is possible that

The predetermined disturbance or research treatment directions stored for the lateral system in the control unit 18 correspond to the waveforms. Starting with a therapeutic waveform that has the desired or intended transdermal effect, the program The programmed waveform program can be programmed by connecting between the PD 116 and the control unit 18. is provided via interface connection 17. The PD 116 is in contact with the patient's head 21. A power supply connected to the power supply 28a is connected to the connected output lead 22 to obtain the desired waveform at full speed. A central processing unit 25 that precisely programs the operation of the power supply 28. ROM26 and It consists of a supply control unit 24 having RA M 27k. Confidence instilled in the patient The supply control unit 24 monitors all the issues and uses the supply control unit 24. stored in itself from the control unit 18. A monitoring means 29 is installed to detect a discrepancy by comparing the specified characteristics with the specified characteristics, and to completely correct the applied signal. I'm being kicked.

The detected differences will be used for analysis and will be sent to the patient for the purpose of generating a complete program for the next treatment. ? : memorize data indicating that the signal was applied correctly and store it in the patient's or someone else's body. Current therapeutic programs to apply to any? Regarding output 30 to improve By returning the stored data to the control unit 18, the source station 20 and the For individuals who interface with the cable 31, the original signal output of the supply device @ (PDI) is fully supplemented. used to correct As is clear, the preparation was made at the generation station 20. The generated or modified treatment program is sent to the control unit via the interface 19. transferred to multiple control units located at several locations, such as a factory 18 or hospital. It's fine.

Control unit 18 also operates to perform several additional functions for PD 116. do. The control unit 18 therefore sets the PD 116't 1,1 and starts a new treatment. Receive the program for the application, make adjustments for the current operating status and errors, and apply it. PDI and selected applications in simple or ciphertext format without proper internal verification. I also confirmed that the treatment program was properly received by PD116 and the following things were confirmed. Then, it transmits the entire current time and requests statistical data from the PD 116.

On the other hand, the PD 116 outputs an electrical signal after transmitting a series of commands from the control unit 18. do. Basic components include programmable frequency, shape, duration, amplitude and It is a pulse with a number of pulses. What is the feature of PDI between two output electrodes? of the current passing through This means that the time average is zero over the entire output area. PD116 is also used for output pulses. low frequency so that the output pulse becomes the modulation envelope for IF modulation. Alternatively, it may be programmed to produce a modulated sound of a high frequency sequence wave. frequency change The key is programmed into device 16 as the time to cross from zero to normal amplitude (i.e. ramp time). grammed.

System 15 has the advantage of making full use of currently available equipment. for example , for PDI, the 146805 CMOS microcomputer is byte wide. Interacts with CMO8RAM27 and EPROM26 (as a signal source) It has a CPU 25 and a low power operation amplifier and outputs a signal? Occur It consists of a programmable D/A converter and 0MO3LSI logic. Compatibility The control unit 18 is a 16-bit computer with a 70-bit disk. The program sequence parameters are memorized using the data source station 20. The compatibility of all media is ensured. Occurrence station conducts research analysis and report creation Compatible with accessories to utilize readily available stock software It may consist of a personal computer.

An important feature of the invention is that the specific parameters of the wave train applied to the patient can be controlled depending on the treatment. It is in the precise control of each of the data.

Figure 2, including Figures 2A to 2D, shows an irregular pattern in which the pulses of each packet are further controlled. Electrical waves for analyzing entire pulse trains consisting of regularly spaced packets of pulses shape? - Generally indicated.

Therefore, PD116 has a waveform consisting of the components shown in 2A, 2B and 2C, respectively. Generates a full pulse profile controller.

As shown in FIG. 2A, a representative wave packet i of pulses at frequency fi is a packet i For positive amplitude Ar1, negative flea width An, positive pulse duration Sp, and negative pulse Duration Sn? The number of pulses n is three. Pulse frequency f1 is packet i or between adjacent packets, so the therapeutic waveform has a pulse frequency fi including standards. In that case f1 is the pulse frequency at packet i.

For a packet l of pulses at frequency fi, the PD 116 For each pulse in each packet of each column, the pulse having a positive pulse amplitude Api' Lus full supply. On the other hand, FIG. 2A shows positive and negative pulses A of approximately the same respective amplitudes. , , Ant-indicated, but the amplitude may vary from adjacent positive or varies between negative pulses. Similarly, the PD 116 displays each row of each column forming the entire treatment content. For each pulse of a packet, the positive pulse duration S,i is specified by Kanakura for each packet. Same as the number of pulses ni, the negative value for each pulse of each packet in each column forming the entire standard is A full waveform with pulse duration Snik is generated.

As shown in FIG. 2B, the PD 116 also provides a pulse output of the type shown in FIG. 2A. Send column jt. PD 116 therefore determines whether each time between the provision of adjacent packets? control do. In that case, the time between the first packet and the second packet is denoted by 1t, and that Therefore, in general, the device supplies all packets to packet i in time (i-1)ji. do.

As shown in FIG. 2C, device 16 also provides treatment for column J of packet i, in which case the adjacent The time between adjacent columns is controlled according to the general formula IJ-1)Tj. In this case, cure The time between each adjacent row during treatment varies.

For the generalized treatment diagram shown in Figure 2D, the entire treatment consists of column M in column j and Contains N packets. Therefore, in general, the device 16 has a net channel whose product ApSp is zero. In order to supply the entire range, the parameters shown in Figure 2D should be used under the same conditions as AnSn. It is possible to provide a treatment program waveform defined by:

These synthetic pulse trains can, to some extent, eliminate polarization and demyelination of the patient's nerve sheath. provides researchers with the best tools for accurate simulation of communication protocols with patient brains. give a great opportunity.

FIG. 3 shows a more complex waveform that may also be analyzed depending on the application of the present technique. T.E. Traditional devices that apply NS signals to patients produce signals similar to those shown in Figure 3. This particular waveform is of special interest to researchers because it tends to be.

Such a waveform 63 is inputted in its entirety by the device of the present invention or sent to the monitoring means 29. Generate a program that reproduces the waveform and approximately determines all the constituent elements as shown in Figure 4. be analyzed as follows.

Therefore, researchers need a common basis for comparison of new treatments with all previous applications. and have money.

Figure 5 shows a program for transferring all specified signal contents from the control unit 18 to the PD 116. It is a program. For safety reasons, patient identification such as name and code number must be kept in the control unit. A brief description of the patient's profile and other identifying data entered in the unit 18. The data is input into steps 36 and 37. Patient code is safe at step 39 The system is checked for accuracy and user identification at all times. And if it's right, it will be cured The treatment content is loaded from the control unit 18 to the PD 116, and the program is entered at the input step. Return to step 36.

If correct, the treatment code specifies the treatment for the precise wave train applied to the patient in sequence. Entered to include. It is understood that more than one therapy may be applied to the patient. cormorant. Then step 40°41.42.43. and the frequency of the positive pulse at 44 , amplitude Ap.

Frequency Spi of positive pulse, amplitude Ani of negative pulse * and duration of negative pulse The treatment details are given by sequentially inputting the time Sni.

Thereafter, in step 45, the product Apis,i is calculated, the product AniSni is calculated, and the The calculated products are compared to give a net zero current and a correction signal is generated in step 45a. is input. After that, the number of pulses of each packet N, the number of buckets in the 12 columns, and the number of buckets y　Time between 1 row, number of rows in treatment, and other necessary variables , meters and additional treatments for the patient's treatment in steps 46 to 521. Therefore, in step 53, the voltage is input to the PD 116. Steshi 52, if desired, to ensure a complete supply of all treatments. The final check is held.

Figure 6 is a flow diagram of a typical sequence for checking and modifying treatment delivery. Ru. The device is connected to the device and the appropriate connections are made in step 55 and step 56 After the master clock is started at step 57, the system performs an internal supply service check. In sequence 58, Babteri is ordered to perform a check in sequence 59. is in RAM 59a and in step 60 in any other appropriate component. Perform a complete series of service checks by monitoring the circuits that are under pressure. . Step 55 determines whether the electrode is open, loose, or occluded. The power supply of the version shall be checked for suitability and other preliminary verification tests shall be carried out.

Due to an operation other than the predetermined parameters in any of these statics 59 to 59a. operator's caution in step 61? corresponding report signals 58b, 59b, 60b output? start.

If the internal supply service check is accurate and meets the acceptance criteria, it will be stored in accordance with Figure 5. The therapeutic wave train is started at step 62 and the treatment content is sequentially distributed at intervals Q. Monitoring is performed at predetermined intervals by making inquiries in steps 70-74. after that There is a clock test on Stesive 75 where it goes to the next packet or pulse train. The command is given as follows. If any of the parameters are outside the acceptance criteria, a correction signal is issued. A zero level reset (for zero net charge) is also preferably performed after each pulse. ! Samurai has a low frequency transmission frequency) υj target ζ. If the signal is within acceptance criteria, the patient The data supplied to 11] is then transferred to the control unit 18 for subsequent transfer. Recorded for use at generation station 20 for analysis.

Figure 7 shows the application of the voltage to the electrode 22 to the seventh point of the patient's ear. Part of the ear is shown. electrical signals in a past sexual manner on the selective element of the ear or on the mastoid The therapeutic voltage was delivered to the patient by direct application of all the therapeutic voltages through electrodes placed in the patient.

Preferably, the precisely controlled electrical command signal according to the present invention is or applied to other acqui-points of the ear. By applying a therapeutic signal to this location, The impedance match between the output of the system 15 and the patient is optimal as a conductive medium. I believe it will be appropriate.

8A to 8C 1, it is possible to connect directly to the unit using the lead wire 22 in FIG. 1. Alternative modes of delivering therapeutic 'electrical signals to the patient without the need for treatment are fully illustrated.

Accordingly, Figure 8A shows a small hearing aid or an enlarged hearing aid that can be worn on the patient. The same applies to non-destructive application to glasses with ear lobes. A miniaturized supply control unit 24' is shown.

In this embodiment, a control unit 18' similar to the control unit I 18 is connected to the RFF signal 1. 02, and the RFF transmitter 102 transmits all signals to the supply control unit. 24', and the NRF receiver 104 receives all therapeutic waveforms. Therefore, If all elements of the supply control unit 24' are chip type, the supply control unit 24' is loaded and therapeutic electrical signals are sent to the patient.

All such radio transmissions must be removed from the preloaded supply control unit 24. That all requires an extra safety cord to prevent all the damage.

In a simpler embodiment, the supply control unit 24' could be a cassette or a reliable RFF signal. Pre-loaded with electrical therapy signals from control unit 18' to drive by signal consists of a cassette or cartridge. Treated by any of the above examples The patient's freedom of movement during treatment can be significantly increased.

FIG. 8B shows control unit 18' and feed control unit 24' operating in conjunction with FIG. The therapeutic waveform is transmitted by the RF' transmitter 102' to the earpiece or radio receiver. received by the patient-side RFF signal 104' on the appropriate patient device 105. It will be done.

In either of the embodiments of FIGS. 8A and 8B, as described in connection with FIG. When monitoring is desired, a pair of RF transmitter/receiver transmits and monitors data in two-way communication. It consists of a pair of transmitters and receivers that are properly secured against each other.

Figure 8C is similar to Figure 8B, and the patient-side device is used to achieve the desired therapeutic effect. An example where the treatment waveform is radio transmitted to the patient's implant receiver? ins to show It is blunt 105a.

Figure 9 shows an example of a PD116 built into a portable desktop unit. It is a functional block diagram. However, the spirit of the invention has been explained in connection with FIG. While receiving the applied signal characteristics as shown in FIG. It is applied specifically to the device in which the method was formed.

The embodiment shown in Fig. 9 shows the required power, required memory capacity 1, keyboard, connector, and Electrical signal characteristics such as operating conditions? The present invention is designed to accomplish all of the intended purposes. ing. The output current pulse characteristics provided by the unit range from zero to maximum current. Programmable over a positive 35% limit to maximum output current for patient safety Zero cumulative current Kanakura with a peak output current of milliamps. Pulse frequency 0. Therapeutic waveforms according to the previously mentioned patent specification in the range of 5 Hz to 500 Hz 1% or less from the optimum value over the range of interest for all earth removal operations. Supplied out of alignment. The frequency range and pulse shape are programmable, e.g. It is given with a sampling interval of 00 microseconds. Where wave modulation is necessary or desirable In this case, the modulating wave is a suitable range from 5.0 kHz to 100 kHz for high frequency modulation. The low frequency modulation of the output current pulse is provided in the range 0.1 Selectable in predetermined time increments from minutes to 20 minutes.

Preferably, the wave pulse (i.e., the wave pulse required to change from zero to the programmed output current) The ramp time indicated by (time lapse) is typically 100 microseconds. .

10000 ohms in parallel with a unit U0.05 microfarad capacitance The load characteristics are similar to those of the system. Also, the units are preferably Bavterii and Batsukua. It is powered by an internal power supply with a power supply for all data preservation in case of power failure. De The features of data storage are also provided as described below. Preferably, the internal clock is 0. Accurate to 1%. The display preferably generates numbers from zero to 91. It is a 1-digit LED display that can be rotated seven times. On the other hand, a keyboard has one button. units are preferred.

The loudspeaker that generates the full audible warning signal will generate the full desired acoustic signal in 2 second to 5 minute increments. It's okay to occur. The connection from the PD116 to the patient is a conventional plug and jack. As described above, the unit performs self tenuto sequence and main line sequence. monitoring and storage sequences are possible. As mentioned above, the unit is 0.05 Hz to 5 Hz depending on the therapeutic waveforms described in connection with FIGS. 2 and 5. Electric current of specified amplitude and duration with high and low frequency modulation over 0.000 Hz. Generation of flow pulses is possible.

The entire self-diagnosis sequence for the unit will be described with reference to FIG. unit is good 1 is operated over a period of 5 hours and therefore the 1 applied to the IOK ohm load Current pulses in units of 0 milliamps or less should be 0, 1 watt signal to enable selection of bahenoteri Njffj, Requires.

Therefore, as shown in FIG. 9, the PD 116 consists of a plurality of functional modules. control The device 80 is responsible for any two of the units, l, and all timing and control H'l Acted as an interface between modules. Display number module 81 is status The keyboard module 82 is used as an indicator and commands data input, as shown in Fig. 5. is used to start the program sequences mentioned in connection with . alarm module The rule 86 is to obtain the operator's attention as described in connection with step 61. It is driven as described in connection with FIG. Therefore the warning module is used as an alarm Function not only to link time between activities and data generation and patient status money Monitor start and stop times. Program storage module 84 and data storage module The modules 85 each contain test results and signal schedules within the data storage module 85. - therapy electrical signals and self-test schedules in the program storage module 84 along with the Memorize the rules.

Does the battery indicator module 86 indicate the status of the battery power supply in the system? surveillance The IO boat module 8 issues an instruction when the battery requires full power storage. 7 outputs the aggregate data and inputs a new program 7-cans? Receive. signal generation Module 87 is programmed according to the program sequence as described in FIGS. 1 and 3. Therapeutic electrical signals with the duration and waveform of the signal created are all generated. Therefore, The PD116 shown in FIG. G9. Data output.

It is possible to perform battery storage or exchange7.

Wait, controller 80 is a single-chip design 8-bit microcomputer with random The interface between different modules is controlled to enable signal generation at regular time intervals. Face and control. Therefore, the control 2 (80 is the CPU mentioned in connection with FIG. 1, Includes ROM and RA M dagger.

Display module 81 preferably receives 4 bits from the microprocessor of controller 80. It consists of an LCD character generator driven by a word of text. This signal is suitable Converted to the conventionally known format to drive an LCD Multiplexed. A 32 kHz Kurofuku is used to drive the entire generator. . Chronocutinobu is an oscillator for generating multi-level waveforms. Kuramu.

Signal generator module 87 is shown in detail in FIG. The signal generator is an operational amplifier from an 8-bit D/A converter 90 connected to 91 to obtain the required voltage level. Become. The microprocessor of the controller 80 programs the D/A unit 90'. Apply current at desired level. The output level from the D/A converter is therefore divided between two outputs. It is sent to the operational amplifier and generates an electrical differential at the output. Master control unit 80 to D /Binary number to A converter 90? Bipolar from the op amp by adjusting The signal flows in either direction through electrodes 22 connected to terminals E1 and E2. Can generate electric current. Binary number is 8 vias) Pulse with resolution gold or vice versa The current direction signal is selected to be fully generated. As mentioned above, the microprocessor i? The 11 control unit selects all binary numbers determined by the software.

The I10 module 87 controls all PDI input/output activities. Therefore, the output is Multiple signals for outputting status information and inputting program sequences Two channels are dedicated to the electrodes and the other is a cable bar for recharging. When a battery is selected, it is used to recharge.

The invention may be carried out in other specific forms without departing from its spirit or essential characteristics. can be hit. The examples are therefore intended to be illustrative in all respects and not restrictive. The scope of the invention is indicated in the frames below rather than in the foregoing description, and all modifications are incorporated herein by reference. The meaning and range of equivalents of im are included below.

FIG, 20° FIG. 3. FIG, 4゜ FIG, 9゜ FIG. 10 international search report

Claims (44)

[Claims] 1. Pre-programmed from an external source and consisting of its own parameters receives a treatment signal containing treatment details and stores the signal for supplying the signal to the living entity. means for supplying the treatment signal to the living entity upon command; and means for supplying the treatment signal to the living entity upon command; signal to generate a signal sequence for use in comparing the signal to a predetermined treatment signal. a predetermined preprogrammed therapeutic signal wave comprising: means for monitoring the therapeutic signal; A device that supplies shapes. 2. The treatment signal receiving and storing means is configured to provide predetermined parameters defined for the signal. Generates electrical signals to be supplied to the living entity in accordance with the treatment details of the patient. 2. Apparatus according to claim 1, comprising means for controlling the signal source. 3. The monitoring means cooperates with the therapeutic signal receiving and storing means to detect the supplied signal. the selection parameters of one or more supplied signals; is outside the predetermined limits for one or more selected parameters. 3. Apparatus according to claim 2, wherein the storage means corrects the supplied signal. 4. The parameters of the treatment signal are the amplitude Ap of the positive pulse of packet i, the positive pulse duration Sp of packet i, amplitude An of negative pulse of packet i, duration of negative pulse The supply means includes a standard of Sn, and each product ApSp and AnSn are equal to each other. 2. The device of claim 1, wherein zero net storage is provided to the living entity. 5. The parameters of the treatment signal are the treatment contents Rx = (f, Ap, Sp, An, S n, n, t, j, N, T), f = frequency, Ap = voltage amplitude of the positive pulse, Sp = duration of each positive pulse, Sn = duration of each negative pulse, n = packet where t = number of pulses in a column, j = number of columns of packets, and N = number of columns in column j. 2. A device according to claim 1, wherein the number of packets T=time between rows. 6. The treatment signal has the formula Rx=(f, Ap, Sp, An, Sn, n, t, j, N, T) treatment of a train of packets of pulses, where f = frequency, Ap = voltage amplitude of positive pulses; width, Sp = duration of each positive pulse, An = voltage amplitude of each negative pulse, Sn = each negative pulse duration of the pulse, n = time between packets in a train, t = time between packets in a train , N = number of packets in a row, and T = time between rows. The device according to item 1 of the box. 7. The patent includes a means for directly applying the signal transcutaneously to a living organism. An apparatus according to claim 1. 8. 8. The device according to claim 7, wherein the living entity is a human being. 9. Claims wherein said signal is applied to said person's Xiangmen Accupoint. 8. The device according to paragraph 8. 10. The means for supplying the signal includes the signal and a patient device worn on the patient. 8. The apparatus according to claim 7, comprising means for receiving. 11. 11. The device of claim 10, wherein the patient device is an earpiece. 12. 11. The device of claim 10, wherein the patient device is an implant. 13. The monitoring device includes means for providing waveforms to the receiving and storing means for analysis. An apparatus according to claim 1. 14. The receiving and storing means stores a RAM and a set of instructions for generating the therapeutic signal. R for controlling a signal source in circuit with the battery that generates the treatment signal for delivery; 14. The apparatus of claim 13, comprising a central processing unit having an OM. 15. Said signal storage and supply means stores said command programming and said supply means. Claim No. 1 including a control unit serving as an external program source to the stage The device according to item 14. 16. The control unit is configured to control the receiving and storing means representing the signals actually supplied. 16. The device according to claim 15, further comprising means for receiving signals from the user. 17. The control unit includes means for receiving and correcting the supplied treatment signal. Apparatus according to claim 16. 18. The signal supply means provides the biological entity with optimal impedance matching. Claim 1, further comprising means for applying the signal to a region of the epidermis of the living organism. equipment. 19. 2. The device of claim 1, wherein the power source of the device is a battery. 20. The supplying means transmits selected parameters of the treatment signal to the parameters at predetermined intervals. to determine whether the parameters are within accepted limits for each selected parameter. Apparatus according to claim 1, comprising test means for: 21. The supply means further provides corrections for selected parameters that are outside acceptance limits. 21. Apparatus according to claim 20, including means for commanding. 22. means for monitoring the selection function of said device by inputting a test signal; 21. The apparatus according to claim 20. 23. a means for receiving a programmed therapeutic signal waveform from an external power source; means for supplying a programmed therapeutic waveform to the living entity; The waveform is a packet train of pulses, and the programmed treatment signal waveform is a packet train of pulses. contains specifications for the frequency fi of the pulses of packet i, and the specifications for each pulse of each packet in each column. , the positive amplitude Api forms the treatment content, and for each pulse of each packet of each column The positive pulse duration Spi forms the treatment content, and for each pulse of each packet of each column On the other hand, the negative pulse amplitude Ani forms the treatment content, and each pulse of each packet of each column On the other hand, the negative pulse duration forms the treatment content, the number of pulses ni of packet i, the sequence J with time t between packets, number of columns j, each of which has i packets, and packets of column j It is programmed into the living body to have the number of rows Nj and the time T between rows in the treatment content. Device that provides therapeutic signal waveforms 24. 24. The method of claim 23, wherein the pulses are provided at different frequencies. Device. 25. Claim 24, wherein the pulses are provided with different amplitudes and pulse widths. The device described. 26. The means for supplying the pulse supplies zero net current to the living entity and In one packet, ApSp is equal to AnSn. Device. 27. The device meets the specified conditions once Ap and Sp are fixed. 27. The apparatus of claim 26, including means for independently setting AnSn. 28. In a device that applies an electrical signal to a living organism, the signal is used to relieve pain and stress. The signal is of the type that helps alleviate stress or other anxiety disorders. consists of an orderly sequence of electrical waveforms, which corresponds to the neural network of the organism and an optimal model. from means for supplying said signal to said living entity to a point on the skin that provides an embedance matching. A device. 29. The living entity is a human being and the sample point is a Shenmen Acu point. An apparatus according to claim 28. 30. It is equipped with a therapeutic program of electrical signals consisting of a set of interrupts in a pulse train. A point on the skin that provides optimal impedance matching of the signal to the neural network of the organism. From the step of supplying a command program of electrical signals to a human by applying A method of applying electrical signals transcutaneously. 31. Claim 30, wherein the sample point is a Shenmen Accu point. equipment. 32. Positive pulse amplitude Ap, positive pulse duration Sp, negative pulse amplitude An, negative For an electrical signal defined by a parameter consisting of a pulse duration Sn of Store to supply a program, calculate the product of Ap and Sp, Calculate the product of An and Sn, Compare each calculated product, Set the products to be equal to each other so that zero net storage is supplied to the living entity. A method of supplying electrical therapy waveforms to a living organism, which consists of the following steps: 33. For given Ap and Sp, set An or Sn so that each product is equal. 33. The apparatus of claim 32, including the step of adjusting. 34. Input each of the parameters into the supply control unit and input into said control unit provides an output electrical signal according to the parameters to be Parameters of the supplied electrical signal and electrical commands input to the supply control unit Specified by the parameters that monitor the supplied electrical signal so as to compare the parameters of the signal. A method for delivering preprogrammed electrotherapy signals that are determined. 35. The step of inputting the positive pulse amplitude Ap and the positive pulse duration Sp input, calculate the product of Ap and Sp, negative pulse amplitude An and negative pulse duration S including the steps of calculating n, calculating the product of An and Sn, and comparing each calculated product. A method according to claim 34. 36. Said comparing step compares one or more of An, Sn, Ap and Sp. The step of setting each calculation product to be equal to each other by adjusting the step. 36. The apparatus of claim 35, comprising: 37. determining whether a selected one of said parameters is within predetermined limits; stored in the supply control unit or supplied from the supply control unit in order to 36. The apparatus of claim 35, further comprising testing the treatment waveform when the treatment is performed. 38. a step for commanding corrections to each test parameter other than the predetermined limits; 38. The apparatus of claim 37, further comprising: 39. The parameters are f, Ap, Sp, An, Sn, n, t, j, N and T. 35. The apparatus of claim 34. 40. inputting each of said parameters into said supply control unit. An apparatus according to claim 39. 41. The supply step controls the battery voltage source to provide an optimal electrotherapy waveform. 35. The method of claim 34, including the step of providing an electrical signal to 42. The supplying step includes applying an output electrical signal transcutaneously to the living entity. 35. The apparatus of claim 34. 43. The applying step provides optimal impedance matching to the neural network. Claim 1 comprising the step of applying the output electrical signal to a portion of the skin of the living entity. The method according to item 42. 44. The supplying step transmits the output electrical signal and receives it at a part of the living body. 35. The apparatus of claim 34, comprising steps.