CN215309722U - Active and passive combined pelvic floor magnetic stimulation treatment device - Google Patents

Abstract

The utility model discloses an active and passive combined pelvic floor magnetic stimulation treatment device, which comprises a pelvic floor muscle signal acquisition cushion, a stimulation host and a stimulation seat, wherein the stimulation seat is provided with the pelvic floor muscle signal acquisition cushion, the middle part of the pelvic floor muscle signal acquisition cushion is raised, the raised part is provided with a pelvic floor muscle signal sensor which is attached to human perineum muscles, used for generating feedback signals for transmitting the pelvic floor muscle contraction state change, a stimulating coil positioned below the pelvic floor muscle signal sensor is arranged in the stimulating seat, the pelvic floor muscle active contraction training device is used for generating a pulse magnetic field, the pelvic floor muscle signal sensor is electrically connected with a signal amplifier used for amplifying a feedback signal, the signal amplifier is connected with the controller, the controller is connected with a stimulation host used for generating pulse current, and the stimulation host is connected with the stimulation coil through a stimulation connecting wire.

Description

Active and passive combined pelvic floor magnetic stimulation treatment device

Technical Field

The utility model relates to the field of medical equipment, in particular to an active and passive combined pelvic floor magnetic stimulation treatment device.

Background

Female pelvic floor dysfunctional disease (PFD) is a common disease of middle-aged and old women, the incidence rate of the PFD is about 40 percent according to statistical analysis in China, the PFD mainly comprises pelvic organ prolapse and stress urinary incontinence, the PFD seriously affects the mental health and the life quality of women, and the PFD becomes one of 5 common chronic diseases threatening the health of women. According to clinical studies, pregnancy and childbirth are major factors leading to pelvic floor dysfunctional diseases.

Current common methods of treating pelvic floor dysfunctional diseases include: kegal training, biofeedback training, pelvic floor electrical stimulation techniques, and pelvic floor magnetic stimulation techniques. Both Kegal and biofeedback training are performed by actively contracting muscles of the patient, depend on the guidance of the doctor, and require long-term training to be effective. Pelvic floor electrical stimulation, in clinical commonly used vaginal electrode place in internal laminating pelvic floor muscle, let pelvic floor muscle shrink through low frequency current, realize passive muscle training in order to reach clinical purpose, wherein vaginal electrode needs to invade the human body, has the risk of privacy nature poor and infection.

The pelvic floor magnetic stimulation is a technology which is just developed clinically in recent years, and a pelvic floor magnetic stimulation therapeutic apparatus described in patent publication No. CN107569773B is a non-invasive therapeutic apparatus for pelvic floor dysfunctional diseases, generates an induction magnetic field through a stimulation coil, can enable pelvic floor muscles to contract through skin and tissues, and only provides a passive muscle contraction training function. According to the description in the medical guideline of the Chinese medical society, the active pelvic floor muscle contraction training is a first-line treatment scheme for treating mixed urinary incontinence, and the method of combining biofeedback and pelvic floor electrical stimulation with the active pelvic floor muscle contraction training is recommended for patients who cannot actively contract the pelvic floor muscle, so that the pelvic floor magnetic stimulation therapeutic apparatus cannot provide an active and passive combined muscle training mode, and the active and passive combined pelvic floor magnetic stimulation therapeutic apparatus and the active and passive combined pelvic floor magnetic stimulation therapeutic method solve the problems.

Disclosure of Invention

The pelvic floor dysfunction disease treatment system can treat female pelvic floor dysfunction diseases by combining a pelvic floor electrical stimulation method and biofeedback of patients who can actively contract pelvic floor muscles.

In order to solve the technical problems, the utility model adopts the technical scheme that: the utility model provides an active and passive pelvic floor magnetic stimulation treatment device who combines, including pelvic floor muscle signal acquisition cushion, amazing host computer and amazing seat, install pelvic floor muscle signal acquisition cushion on the amazing seat, pelvic floor muscle signal acquisition cushion middle part is protruding, the pelvic floor muscle signal sensor who laminates with human perineum muscle is installed to protruding position, be used for producing feedback signal to pelvic floor muscle contraction state change and transmitting, amazing seat internally mounted has the stimulating coil who is located pelvic floor muscle signal sensor below, be used for producing pulsed magnetic field, pelvic floor muscle signal sensor electric connection has the signal amplifier who is used for enlargiing feedback signal, signal amplifier links to each other with the controller, be used for receiving feedback signal and carry out stimulation parameter adjustment and increase active and passive training mode, the controller with be used for producing the amazing host computer of pulsed current and link to each other, amazing host computer produces induction magnetic field through stimulating coil through producing big pulsed current, the magnetic field acts on the nerve in the human body, cause the nerve cell depolarization, then cause the muscle shrink, the stimulation host computer links to each other with stimulating coil through the stimulation connecting wire, the stimulation host computer passes through the stimulation connecting wire and passes on pulse current for stimulating coil, stimulating coil produces pulse magnetic field and stimulates the treatment to human pelvic floor muscle, pelvic floor muscle signal sensor transmits the feedback signal that the contraction variation that pelvic floor muscle produced when stimulating the treatment produced, amplify the transmission to the controller through signal amplifier feedback signal, the controller receives feedback signal and carries out the stimulation parameter adjustment and increase the active and passive training mode, the control is stimulated the host computer and is adjusted the output with pulse current's form.

Furthermore, the pelvic floor muscle signal acquisition cushion is made of a pressure film.

Further, the pelvic floor muscle signal sensor may be a pressure membrane sensor, a three-axis accelerometer, or an air pressure sensor.

Further, the pulse width of the pulse current is between 50 and 1000us, the pulse repetition frequency is between 2 and 250Hz, and the peak current is larger than 1 kA.

Compared with the prior art, the utility model has the following beneficial effects:

1. compared with the traditional passive magnetic stimulation, the utility model provides an active and passive training mode, and the training effect is better;

2. the utility model provides an automatic threshold value adjusting algorithm, which improves the effective participation rate of active and passive training of patients;

3. according to the utility model, through pelvic floor muscle signal feedback, the passive parameter setting of the patient is more scientific, and the passive training effect is improved;

4. the utility model tracks pelvic floor muscle recovery during treatment and selects a more effective training regimen.

Drawings

The device comprises a 1-pelvic floor muscle signal acquisition seat cushion, a 2-pelvic floor muscle signal sensor, a 3-stimulation seat, a 4-signal amplifier, a 5-controller, a 6-stimulation host, a 7-stimulation connecting wire and an 8-stimulation coil.

FIG. 1 is a schematic structural diagram of an active-passive combined pelvic floor magnetic stimulation treatment device according to the present invention;

fig. 2 is a schematic block diagram of an active and passive combined pelvic floor magnetic stimulation treatment device.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments, and all other embodiments obtained by a person of ordinary skill in the art without creative efforts based on the embodiments of the present invention belong to the protection scope of the present invention.

According to an embodiment of the utility model, shown by combining fig. 1 and fig. 2, an active-passive combined pelvic floor magnetic stimulation treatment device comprises a pelvic floor musclesignal collecting cushion 1, astimulation host machine 6 and astimulation seat 3, wherein thestimulation seat 3 is provided with the pelvic floor musclesignal collecting cushion 1, the middle part of the pelvic floor musclesignal collecting cushion 1 is convex, the convex part is provided with a pelvic floormuscle signal sensor 2 attached to human perineum muscles and used for transmitting feedback signals generated by the contraction state change of the pelvic floor muscles, astimulation coil 8 positioned below the pelvic floormuscle signal sensor 2 and used for generating a pulse magnetic field is arranged in thestimulation seat 3, the pelvic floormuscle signal sensor 2 is electrically connected with asignal amplifier 4 used for amplifying the feedback signals, thesignal amplifier 4 is connected with a controller 5 and used for receiving the feedback signals to adjust stimulation parameters and increase an active-passive training mode, the controller 5 is connected with astimulation host 6 for generating pulse current, thestimulation host 6 generates an induction magnetic field through astimulation coil 8 by generating large pulse current, the magnetic field acts on nerves in a human body to cause depolarization of nerve cells and further cause contraction of muscles, thestimulation host 6 is connected with thestimulation coil 8 through astimulation connecting wire 7, thestimulation host 6 transmits the pulse current to thestimulation coil 8 through thestimulation connecting wire 7, thestimulation coil 8 generates the pulse magnetic field to stimulate and treat pelvic floor muscles of the human body, the pelvic floormuscle signal sensor 2 transmits a feedback signal generated by contraction change generated by the pelvic floor muscles during stimulation treatment, the feedback signal is amplified and transmitted to the controller 5 through thesignal amplifier 4, the controller 5 receives the feedback signal to perform stimulation parameter adjustment and increase a master-and-slave training mode, and thestimulation host 6 is controlled to perform adjustment output in the form of the pulse current.

The pelvic floor musclesignal acquisition cushion 1 is made of a pressure film which can monitor the motion contraction condition of the pelvic floor muscles in real time according to the change of corresponding pressure, the pelvic floormuscle signal sensor 2 can be a pressure film sensor, a three-axis accelerometer or an air pressure sensor, the pressure film sensor, the three-axis accelerometer or the air pressure sensor can collect and amplify the pelvic floormuscle signal sensor 2, monitoring pelvic floor muscle signal contraction change in various ways, converting the contraction change into feedback signals for signal transmission, adjusting stimulation parameters of the magnetic stimulator by the controller 5 according to the feedback signals, for example, the intensity and the repetition frequency are set, the pulse width of the output pulse current of thestimulating coil 8 is between 50-1000us, the pulse repetition frequency is between 2-250Hz, and the peak current is larger than 1kA, so that a high-intensity magnetic field is generated around thestimulating coil 8 for stimulation treatment.

The specific embodiment is as follows: when a patient is treated, the patient sits on thestimulation seat 3, the perineum of the patient is opposite to the raised part of the signal acquisition pad, the controller 5 sends corresponding stimulation parameters to thestimulation host 6 and sends a stimulation starting instruction, thestimulation host 6 outputs pulse current through thestimulation connecting wire 7, the pulse width is 50-1000us, the pulse repetition frequency is 2-250Hz, the peak current is more than 1kA, thestimulation coil 8 generates a high-intensity pulse magnetic field, the maximum peak intensity of the surface of the coil is generally more than 1Tesla, the high-intensity pulse magnetic field generated by thestimulation coil 8 can penetrate through the skin to generate an induction electric field in the body, and when the induction electric field at the pelvic floor muscle is more than 100V/m, the pelvic floor muscle can be contracted, so that the purpose of training and treating the pelvic floor muscle is achieved.

Pelvic floor musclesignal acquisition cushion 1 is the cushion of special shape, and its central point puts protrudingly can just be to human perineum department, makes pelvic floormuscle signal sensor 2 hug closely perineum department muscle, and pelvic floormuscle signal sensor 2 detects the state change of pelvic floor muscle shrink to carry out signal amplification back throughsignal amplifier 4 and send for controller 5, controller 5 gathers the feedback signal of pelvic floor muscle and carries out the adjustment of stimulation parameter and increase the active passive training mode.

Mode 1, optimization of passive training mode: when the traditional pelvic floor muscle magnetic stimulation is used for treatment, the strength of the output of the magnetic field is usually determined according to the contraction condition of the pelvic floor muscle fed back by a mouth of a patient, the strength is subjective, and the treatment effect is not as expected due to the fact that the strength of the patient is unreasonable in setting due to different responses to the contraction of the pelvic floor muscle. The pelvic floor muscle stimulation device can determine whether the contraction state of the pelvic floor muscles meets the treatment requirement or not by detecting the feedback signals of the pelvic floor muscles, if the pelvic floor muscles need to contract strongly and directly for 5 seconds in stimulation, the controller 51 can determine whether the set stimulation frequency and the set stimulation intensity are met or not by monitoring the states of the pelvic floor muscles, and if the pelvic floor muscles are not met, the controller 51 can dynamically adjust the stimulation parameters until the pelvic floor muscles contract to the preset state. If the strength is too high, the pelvic floor muscles are more fatigued, and after the muscles are fatigued, the muscles can not be contracted by stimulation, so that the treatment effect is influenced. In the mode, passive stimulation with dynamic feedback is realized, and compared with the traditional passive magnetic stimulation, the stimulation parameter setting is more reasonable and scientific.

Mode 2, non-invasive actively incorporated training mode: in the pelvic floor rehabilitation training treatment period of a patient, the patient is in the early rehabilitation period, the pelvic floor muscle is poor in active control contraction capacity and suitable for passive pelvic floor muscle training, when the patient has certain muscle contraction control capacity on the pelvic floor muscle in the middle rehabilitation period, the training effect is better by adopting an active and passive combined pelvic floor muscle signal triggering magnetic stimulation mode, the active and passive training mode is that pelvic floor muscle signal evaluation is carried out before the scheme starts, the evaluation is divided into a relaxation stage and a contraction stage, the time of each stage is between 10s and 3min, according to the evaluation state of the pelvic floor muscle, a triggering threshold value can be set, and the threshold value setting mode can be a constant threshold value or an automatic threshold value. The determination of the initial threshold value may be made with reference to the following equation:

V_theshold＝K1*V_1max+K2*V_2max

wherein V_thesholdThe initial threshold value is K1 and K2 in the coefficient range of 0-0.5, V_1maxMaximum value of relaxation phase, V_2maxIs the maximum value of the contraction phase.

The method comprises the steps of determining an initial threshold value, entering a formal training stage, and when entering the formal training stage, dividing the training stage into a WORK stage and a REST stage, wherein in the WORK stage, a patient tries to actively contract pelvic floor muscles, the threshold value is reached within a set time, a controller 5 controls astimulation host 6 to output a magnetic field, the pelvic floor muscles are passively contracted, an active and passive combined training mode is realized, in the REST stage, the patient allows the pelvic floor muscles to relax, if an automatic threshold value is selected, a trigger threshold value can be dynamically adjusted according to the contraction condition of the pelvic floor muscles of the patient in the treatment process, the purpose of completing active and passive training to the maximum degree is realized, the automatic threshold value can be circularly adjusted once every 3 or more contraction/transmission stages generally, and when the patient does not reach the trigger threshold value in the contraction stage, the automatic threshold value is reduced accordingly. The following formula can be referred to:

V_{auto-theshold}＝0.25*V_t1max+0.25*V_t2max+0.5*V_t3max

wherein V_{auto-theshold}For automatic threshold, V_t1maxMaximum of muscle contraction, V, in the first contraction phase_t2maxMaximum of muscle contraction, V, in the first contraction phase_t3maxThe magnetic stimulation training mode of the pelvic floor muscles with the constant threshold value and the automatic threshold value is provided for the maximum muscle contraction value of the first contraction stage, and particularly a better training mode is provided for patients with a certain pelvic floor muscle active contraction capacity.

Mode 3, providing a non-invasive pelvic floor muscle recovery state assessment function: the pelvic floor muscle function assessment method has the advantages that the pelvic floor muscle function assessment scheme is provided after the pelvic floor muscle training is started and ended every time, the recovery state of the pelvic floor muscles of a patient can be tracked, the pelvic floor muscle function assessment is received before the patient receives treatment firstly, the passive magnetic stimulation training or active and passive combined magnetic stimulation training is selected according to assessment results, the pelvic floor muscle function assessment is carried out again after the patient receives treatment every time, and the training effect progress can be assessed, such as the pelvic floor muscle contraction maximum value tracking, the contraction keeping time tracking and the like. When the relevant evaluation parameters of pelvic floor muscle contraction reach normal values, the patient can end the treatment session.

While there have been shown and described the fundamental principles and essential features of the utility model and advantages thereof, it will be apparent to those skilled in the art that the utility model is not limited to the details of the foregoing exemplary embodiments, but is capable of other specific forms without departing from the spirit or essential characteristics thereof; the present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the utility model being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein, and any reference signs in the claims are not intended to be construed as limiting the claim concerned.

Furthermore, it should be understood that although the present description refers to embodiments, not every embodiment may contain only a single embodiment, and such description is for clarity only, and those skilled in the art should integrate the description, and the embodiments may be combined as appropriate to form other embodiments understood by those skilled in the art.

Claims (4)

1. The utility model provides an active and passive pelvic floor magnetic stimulation treatment device who combines, characterized in that, including pelvic floor muscle signal acquisition cushion (1), amazing host computer (6) and amazing seat (3), install pelvic floor muscle signal acquisition cushion (1) on amazing seat (3), pelvic floor muscle signal acquisition cushion (1) middle part is protruding, protruding position installs pelvic floor muscle signal sensor (2) with human perineum muscle laminating, be used for producing feedback signal to pelvic floor muscle contraction state change and transmitting, amazing seat (3) internally mounted has the amazing coil (8) that is located pelvic floor muscle signal sensor (2) below, be used for producing pulsed magnetic field, pelvic floor muscle signal sensor (2) electric connection has signal amplifier (4) that is used for enlarging feedback signal, signal amplifier (4) link to each other with controller (5), be used for receiving feedback signal and carry out stimulation parameter adjustment and increase the active and passive training mode, the controller (5) is connected with a stimulation host (6) for generating pulse current, and the stimulation host (6) is connected with the stimulation coil (8) through a stimulation connecting wire (7);

amazing host computer (6) give stimulating coil (8) with impulse current transfer through amazing connecting wire (7), stimulating coil (8) produce the pulsed magnetic field and carry out amazing treatment to human pelvic floor muscle, pelvic floor muscle signal sensor (2) transmit the feedback signal that the contraction variation that pelvic floor muscle produced when to amazing treatment produced, amplify transmission for controller (5) feedback signal through signal amplifier (4), controller (5) receive feedback signal and carry out amazing parameter adjustment and increase the passive training mode of owner, the control is amazing host computer (6) and is adjusted the output with impulse current's form.

2. An active-passive combination pelvic floor magnetic stimulation treatment device according to claim 1, wherein: the pelvic floor muscle signal acquisition cushion (1) is made of a pressure film.

3. An active-passive combination pelvic floor magnetic stimulation treatment device according to claim 1, wherein: the pelvic floor muscle signal sensor (2) can be a pressure film sensor, a three-axis accelerometer or an air pressure sensor.

4. An active-passive combination pelvic floor magnetic stimulation treatment device according to claim 1, wherein: the pulse width of the pulse current is 50-1000us, the pulse repetition frequency is 2-250Hz, and the peak current is larger than 1 kA.

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