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WO2010058184A1 - Dispositif de vérification de la sortie électrique d’un dispositif de thérapie par micro-courants - Google Patents

Dispositif de vérification de la sortie électrique d’un dispositif de thérapie par micro-courants Download PDF

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Publication number
WO2010058184A1
WO2010058184A1 PCT/GB2009/002728 GB2009002728W WO2010058184A1 WO 2010058184 A1 WO2010058184 A1 WO 2010058184A1 GB 2009002728 W GB2009002728 W GB 2009002728W WO 2010058184 A1 WO2010058184 A1 WO 2010058184A1
Authority
WO
WIPO (PCT)
Prior art keywords
voltage
current
predefined
supplied
threshold
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/GB2009/002728
Other languages
English (en)
Inventor
Charles Richard Elliott
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Synapse Microcurrent Ltd
Original Assignee
Synapse Microcurrent Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Synapse Microcurrent Ltd filed Critical Synapse Microcurrent Ltd
Priority to EP09760274.2A priority Critical patent/EP2379167B1/fr
Priority to DK09760274.2T priority patent/DK2379167T3/en
Priority to ES09760274.2T priority patent/ES2626816T3/es
Priority to US13/130,096 priority patent/US9999766B2/en
Publication of WO2010058184A1 publication Critical patent/WO2010058184A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014—External stimulators, e.g. with patch electrodes
    • A61N1/3603—Control systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/326—Applying electric currents by contact electrodes alternating or intermittent currents for promoting growth of cells, e.g. bone cells
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014—External stimulators, e.g. with patch electrodes
    • A61N1/36017—External stimulators, e.g. with patch electrodes with leads or electrodes penetrating the skin

Definitions

  • the present invention relates to a method and device for verifying the electrical output of a microcurrent therapy device, in particular for verifying that the electrical output is being correctly supplied.
  • Microcurrent therapy devices are well known in the prior art. Such devices are used in the treatment of animal or human tissue, for example damaged skin tissue which might have wounds or muscle tissue that might be torn. Typically, such devices comprise a control unit which is connected to electrodes. The control unit supplies a current, typically in the range of 0 to 1000 ⁇ A through electrodes which are in contact with the damaged tissue or overlaying tissue. There may be two electrodes, namely a positive and a negative electrode, and the control unit comprises a current generator which supplies current at a particular level from one electrode to the other electrode.
  • the current that is being supplied has a particular predefined waveform, for example an analogue alternating current (AC) waveform or a square-tooth pulse waveform, having both positive and negative components at particular times in a cycle.
  • the current generator attempts to regulate current at a level demanded by the predefined waveform, which may be user-selected. This is done by controlling the voltage across the electrodes. The voltage is varied because the resistance to current flow through tissue varies according to a number of factors, for example tissue thickness, distance between the electrodes, resistance to electrical current and contact between the electrodes and tissue,
  • control unit and electrodes are normally supplied and packaged as separate components; the control unit must be connected to electrodes prior to use. In this regard, the electrodes must be placed into good electrical contact with the tissue to ensure effective treatment.
  • These tasks are often undertaken by the individual requiring treatment or another unskilled operator of the device, for example someone that is not a medical practitioner. This often means that the device may not end up being correctly connected to the electrodes or the electrodes may not end up being placed in good contact with the tissue to provide effective treatment.
  • the present invention aims to solve the aforementioned problems.
  • the present invention provides an indication via the control unit as to whether the device has been correctly connected to electrodes and placed into contact with tissue for effective treatment to take place.
  • a microcurent therapy device comprising: a control unit adapted to output an electrical signal to an electrode adapted to contact tissue, the current and/or voltage of the electrical signal being supplied according to a predefined waveform, wherein the control unit is further adapted to measure the current and/or voltage of the electrical signal being supplied and detect a difference in the current or voltage of the electrical pulse being supplied with respect to the current or voltage of the predefined waveform.
  • a method for verifying the electrical output of a microcurrent therapy device comprising: measuring the current and/or voltage of an electrical pulse being supplied to an electrode adapted to contact tissue, the current and/or voltage being supplied according to a predefined waveform; detecting a difference in the current or voltage of the electrical pulse being supplied with respect to the current or voltage of the predefined waveform.
  • a tissue dressing comprising the aforementioned microcurrent therapy device.
  • any variation in the voltage or current supplied to tissue can be detected and used to indicate an error in the integrated device/tissue configuration.
  • Fig. 1 is a microcurrent therapy device according to one embodiment of the present invention
  • Fig. 2 is a schematic diagram of the circuitry in the control unit of the microcurrent therapy device of Fig. 1;
  • Fig. 3 is a diagram of idealised and actual waveforms of the current output by the control unit shown in Fig. 2. Detailed Description of the Invention
  • Fig. 1 shows a microcurrent therapy device 1 according to the present invention.
  • a control unit 100 is connected via first and second output wires 101a, 101b to first and second input wires 102a, 102b of first and second electrodes 103 a, 103b via connector 104.
  • Fig. 2 shows a schematic representation of the internal components of the control unit 100 of Fig. 1.
  • Electrical current is output by the control unit 100 to pass along a first output wire 101a through a first connector 104a, along a first input wire 102a to the first electrode 103 a, through tissue located against the electrodes 103a, 103b and into the second electrode 103b, along the second input wire 102b, through a second connector 104b, along the second output wire 101b and into the control unit 100.
  • the direction of current flow can be in either direction and, depending upon the direction of current flow, one of the electrodes 103 a, 103b will be a source electrode from which current is output into tissue, whilst the other electrode will be a receiving electrode into which current is received from the tissue.
  • the control unit 100 is configured to pass the current at a predefined current level from the first electrode 103 a to the second electrode 103b by controlling the voltage so that the supplied current is set at the predefined level.
  • the predefined levels of current are set according to predefine current levels stored in treatment programs contained in memory in the control unit 100.
  • the control unit 100 and electrodes 103 a, 103b may be integrated into a single integrated unit, for example into a dressing which can be applied to tissue.
  • a microcontroller 202 is supplied with electrical power from a battery 205 with supply voltage Vs via a power supply 204.
  • the microcontroller 202 is connected to a current generator 206 to control the current level that is output to the electrodes 103 a, 103b.
  • the current generator 206 is also connected directly to the power supply 204 to receive electrical current at the output voltage of the power supply 204.
  • the current generator 206 outputs a particular level of current between the electrodes 103 a, 103b to the microcontroller 202.
  • a push button switch 208 is connected to the power supply 204 and microcontroller 202 to control the on/off status of the control unit 100.
  • a light emitting diode (LED) 210 is also connected to and controlled by the microcontroller 202 to provide visual feedback to a user of the therapy device 1.
  • LED light emitting diode
  • the current generator 206 is configured to output electrical current between the electrodes 103a, 103b at a level demanded of it by the microcontroller 202.
  • the microcontroller 202 comprises memory stored with pre-defined programs of waveforms which have been deemed to be effective in treating damaged tissue.
  • the microcontroller 202 demands a particular current level to be output from the current generator 206 according to the pre-defined programs which are stored within the microcontroller 202. Examples of programs which are effective in treating damaged tissue are described in the present applicant's co-pending United Kingdom patent nos. 2406519, 2432323, 2432320, 2432321 and 2432322, which are herein incorporated by reference.
  • Fig. 3 shows simplified waveforms of an idealised demanded current waveform 301 and an actual supplied current waveform 302 which passes between the electrodes 103 a, 103b.
  • the idealised waveform 301 is a square-tooth waveform having a particular amplitude X and frequency f of pulse P.
  • the duration of the supplied current over a particular time period is fixed for a particular level of current being supplied.
  • the actual current that passes between the electrodes is measured by the current generator 206 and this information is passed to the microcontroller 202.
  • the current generator 206 comprises a feedback loop to vary the voltage supplied across the electrodes to keep the current at the demanded level for the particular time period.
  • the impedance presented by tissue and electrodes 103 a, 103b is approximated to have resistive and capacitive components. Providing good electrical contact is made between the . electrodes and the tissue, the electrodes 103a, 103b will be able to promote efficient ion creation in the tissue and the current generator 206 can maintain current according to the idealised waveform. However, if the electrodes 103 a, 103b are not properly connected to the current generator 206 or the electrodes 103 a, 103b are not in effective contact with the tissue, the impedance presented by the electrodes 103 a, 103b and tissue
  • the current generator 206 will attempt to increase the voltage across the electrodes 103 a, 103b to keep the current at the predefined level.
  • the supply voltage V 5 from the battery 205 is fed to the power supply 204.
  • the supply voltage has a maximum level Vs.
  • the power supply 204 may (or may not) boost the supply voltage V 3 to a higher level.
  • the power supply therefore has a maximum level of output voltage (which may be higher than the supply voltage V 8 ) to be output to the current generator 206.
  • This maximum level of output voltage cannot be exceeded.
  • the current generator will no longer be able to increase the voltage across the electrodes beyond the maximum level and the current passing between the electrodes 103a, 103b will fall towards the end of a pulse. This is shown as a current drop in the current pulse P of the actual waveform 302 depicted in Fig. 3.
  • the capacitive nature of the tissue and electrodes 103 a, 103b means that, despite the tissue and electrode resistance being too high, the predefined level of current can still be achieved.
  • the current gradually falls until it reaches a lower resistively limited value at point B.
  • the current falls because the current generator 206 cannot increase the voltage across the electrodes 103 a, 103b any higher than the maximum level after time A, so the capacitive potential presented by the charge stored in the electrodes 103 a, 103b and tissue gradually drops as the charge passes our of the tissue through the electrodes 103a, 103b.
  • the microcontroller 202 is configured to detect any drop in the actual supplied current before the end of the current pulse via measurement of the current and voltage regulated by the current generator 206 and passed back to the microprocessor 202 via feedback line 212.
  • the microcontroller 202 comprises an analogue to digital converter (ADC) to sample analogue current feedback and voltage feedback.
  • ADC analogue to digital converter
  • a fault counter has a one value added to it.
  • the counter is implemented as a register in the microcontroller 202.
  • the actual supplied current is above the threshold defined with respect to the idealised waveform for a.
  • the microcontroller 202 is configured to check whether the fault counter exceeds a particular value (for example a value of 5). If the fault counter exceeds a fault threshold value, then the LED 210 is activated and/or its flash rate is changed by the microcontroller 202 to give a visual indication to a user of the therapy device 1 that there is a problem with passing current through the tissue. For example, this problem might be as a result of a bad connection between the control unit and the electrodes or between the electrodes and tissue.
  • the function of the fault counter is to prevent activation of the visual indicator for a one-off fault, for example as a result of an occasional glitch in the electrode/tissue connection.
  • the counter provides a form of filtering on the fault indicator to ensure that faulty trips of the fault indicator do not occur.
  • the current level may be negative, i.e. the current is passing in an opposite direction between the electrodes 103a, 103b. This will mean that a fault is indicated by a rise from a minimum level of the actual supplied current.
  • the change in actual supplied current can be detected for both positive and negative parts of the current waveform at a particular point in the current pulse P, i.e. towards the end of a pulse.
  • Examples of detection levels used when there is a positive current pulse might be:-
  • a demanded current target of 40 ⁇ A might have a threshold of 25 ⁇ A; a demanded current of 50 ⁇ A might have a threshold of 40 ⁇ A; and a demanded current of lOO ⁇ A might have a threshold of 90 ⁇ A.
  • the aforementioned levels would be negative if a negative current pulse was being supplied to the electrodes 103 a, 103b.
  • the microprocessor 202 averages the current or voltage difference with respect to the idealised waveform over a predefined time period at the end of the pulse to give a variable value corresponding to the quality of the signal output.
  • a variable value is used to give a graduated indication of the signal quality, for example via a plurality of LEDs or an LCD display (either a displayed value or level indicator).
  • a drop in the current with, respect to the idealised waveform can be for a number of reasons, for example: battery charge becoming low, incorrect placement of electrodes (e.g. too large a separation or insufficient tissue contact) and inadequate connection between the electrodes and the control unit etc.
  • the microcontroller 202 is also configured to detect the voltage being supplied to the current generator 206 and provide an indication when the voltage to the current generator 206 is at its maximum towards the end of a current pulse, thereby indicating that no further current can be supplied and that there is a fault with the connection of the control unit 100 to the electrodes 103a, 103b.
  • a further fault is detected by the microcontroller 202 detecting a sudden drop in the voltage supplied to the current generator 206 at anytime during the current pulse. This might indicate a shorting of the electrodes.
  • the demanded current would be set at a particular level, but, in an attempt to supply this current when there is a short between the electrodes, the voltage level demanded by the current generator 206 would drop to a very low level and this is detected as falling below a particular threshold voltage, thereby indicating to the microcontroller 202 that there is a short between the electrodes 103 a, 103b.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Cell Biology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Electrotherapy Devices (AREA)
  • Neurology (AREA)

Abstract

L’invention concerne un dispositif de vérification de la sortie électrique d’un dispositif de thérapie par micro-courants, ainsi qu’un procédé associé. Le courant et/ou la tension d’une impulsion électrique appliquée à une électrode conçue pour être mise au contact d’un tissu sont mesurés par une unité de commande. Un courant et/ou une tension sont fournis par l’unité de commande avec une forme d’onde prédéfinie. Un écart éventuel entre le courant et/ou la tension de l’impulsion électrique appliqués et le courant et/ou la tension de la forme d’onde prédéfinie est détecté.
PCT/GB2009/002728 2008-11-20 2009-11-20 Dispositif de vérification de la sortie électrique d’un dispositif de thérapie par micro-courants Ceased WO2010058184A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP09760274.2A EP2379167B1 (fr) 2008-11-20 2009-11-20 Dispositif de vérification de la sortie électrique d un dispositif de thérapie par micro-courants
DK09760274.2T DK2379167T3 (en) 2008-11-20 2009-11-20 Device for verifying the electrical output of a microcurrent therapy device
ES09760274.2T ES2626816T3 (es) 2008-11-20 2009-11-20 Dispositivo para verificar la salida eléctrica de un dispositivo de terapia microcorriente
US13/130,096 US9999766B2 (en) 2008-11-20 2009-11-20 Device for verifying the electrical output of a microcurrent therapy device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB0821280.5A GB2465581B (en) 2008-11-20 2008-11-20 Method and device for verifying the electrical output of a microcurrent therapy device
GB0821280.5 2008-11-20

Publications (1)

Publication Number Publication Date
WO2010058184A1 true WO2010058184A1 (fr) 2010-05-27

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2009/002728 Ceased WO2010058184A1 (fr) 2008-11-20 2009-11-20 Dispositif de vérification de la sortie électrique d’un dispositif de thérapie par micro-courants

Country Status (7)

Country Link
US (1) US9999766B2 (fr)
EP (1) EP2379167B1 (fr)
DK (1) DK2379167T3 (fr)
ES (1) ES2626816T3 (fr)
GB (1) GB2465581B (fr)
PT (1) PT2379167T (fr)
WO (1) WO2010058184A1 (fr)

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DK3349844T3 (da) 2015-09-15 2021-03-22 I Lumen Scient Inc Indretning til okulær mikrostrømsstimulationsterapi
US10603504B2 (en) 2017-09-08 2020-03-31 Alacrity, Inc. Methods and apparatus for electrically inducing net macro-current across neuronal cell membranes
CN108039694A (zh) * 2017-11-20 2018-05-15 欣旺达电子股份有限公司 电源接触不良检测控制方法、装置及电源开关
WO2020131329A1 (fr) 2018-12-20 2020-06-25 I-Lumen Scientific, Inc. Appareil et procédé pour thérapie de stimulation par micro-courant
CN115113668A (zh) * 2022-03-01 2022-09-27 厦门松霖科技股份有限公司 一种微电流指示灯电路和微电流花洒

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US20080103549A1 (en) 2006-10-30 2008-05-01 Stuart Wenzel Wound healing patch with guard electrodes

Also Published As

Publication number Publication date
PT2379167T (pt) 2017-07-06
EP2379167B1 (fr) 2017-04-19
EP2379167A1 (fr) 2011-10-26
GB0821280D0 (en) 2008-12-31
DK2379167T3 (en) 2017-07-03
US20110279280A1 (en) 2011-11-17
ES2626816T3 (es) 2017-07-26
GB2465581B (en) 2013-03-20
GB2465581A (en) 2010-05-26
US9999766B2 (en) 2018-06-19

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