U.S. patent application number 14/644067 was filed with the patent office on 2015-07-02 for electrode system for transcutaneous nerve and/or muscle stimulation.
The applicant listed for this patent is DJO Global Switzerland Sarl. Invention is credited to Felix Buhlmann, Pierre Rigaux, Klaus Schonenberger.
Application Number | 20150182752 14/644067 |
Document ID | / |
Family ID | 36353364 |
Filed Date | 2015-07-02 |
United States Patent
Application |
20150182752 |
Kind Code |
A1 |
Buhlmann; Felix ; et
al. |
July 2, 2015 |
ELECTRODE SYSTEM FOR TRANSCUTANEOUS NERVE AND/OR MUSCLE
STIMULATION
Abstract
An electrode system for transcutaneous nerve and/or muscle
stimulation that includes a pair of stimulating electrodes and a
stimulation current generator for generating a nerve and/or muscle
stimulation current between the stimulating electrodes. The system
also includes a current-injecting electrode arranged in proximity
to one of the stimulating electrodes, and an injection-current
generator located in the area of the current-injecting electrode.
The current-injecting electrode and the corresponding
injection-current generator reduce, or even eliminate, undesirable
sensations resulting from an excitation of subcutaneous receptors
by the stimulation current.
Inventors: |
Buhlmann; Felix; (Lausanne,
CH) ; Schonenberger; Klaus; (Mex, CH) ;
Rigaux; Pierre; (Verlain, BE) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
DJO Global Switzerland Sarl |
Ecublens |
|
FR |
|
|
Family ID: |
36353364 |
Appl. No.: |
14/644067 |
Filed: |
March 10, 2015 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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11792635 |
Aug 20, 2008 |
9008791 |
|
|
PCT/IB2005/054156 |
Dec 9, 2005 |
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14644067 |
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Current U.S.
Class: |
607/63 |
Current CPC
Class: |
A61N 1/3904 20170801;
A61N 1/372 20130101; A61N 1/0452 20130101; A61N 1/0456 20130101;
A61N 1/046 20130101; A61N 1/3625 20130101; A61N 1/36021
20130101 |
International
Class: |
A61N 1/372 20060101
A61N001/372 |
Foreign Application Data
Date |
Code |
Application Number |
Dec 9, 2004 |
CH |
02044/04 |
Claims
1-8. (canceled)
9. An electrode system for transcutaneous nerve and/or muscle
stimulation, comprising: a pair of stimulating electrodes; a
stimulation current generator configured for generating a nerve
and/or muscle stimulation current between the stimulating
electrodes; a current-injecting electrode arranged in proximity to
one of the stimulating electrodes; and an injection current
generator in an area of the current-injecting electrode, wherein
the current-injecting electrode and the injection-current generator
are configured, in use, to reduce undesirable sensations resulting
from an excitation of subcutaneous receptors by the nerve and/or
muscle stimulation current.
10. The electrode system of claim 9, wherein the current-injecting
electrode is arranged around the pair of stimulating
electrodes.
11. The electrode system of claim 9, wherein each stimulating
electrode is surrounded by a current-injecting electrode.
12. The electrode system of claim 11, wherein the stimulating
electrode comprises at least a first part surrounded by a first
part of the current-injecting electrode, wherein the first part of
the current-injecting electrode is surrounded by a second part of
the stimulating electrode, and wherein the second part of the
stimulating electrode is surrounded by a second part of the
current-injecting electrode.
13. A method of generating a nerve and/or muscle stimulation
current, comprising: placing the electrodes of the electrode system
for transcutaneous nerve and/or muscle stimulation of claim 1 on a
patient's skin; delivering a stimulation current to the patient;
and delivering an injection current generated by the injection
current generator in the area of the current-injecting electrode to
the patient, wherein a form of the injection current is selected so
as to reduce undesirable sensations resulting from excitation of
subcutaneous receptors by the stimulation current.
14. The method of claim 13, wherein the form of the injection
current is selected so as to reduce a total current circulating in
an area of the subcutaneous receptors.
15. The method of claim 13, wherein the form of the injection
current is selected so as to induce a blockage of nerve
transmission between the subcutaneous receptors and the patient's
brain.
16. The method of claim 13, wherein the form of the stimulation
current and the form of the injection current are selected so as to
obtain a painless excitation of an area surrounding the
subcutaneous receptors.
Description
INCORPORATION BY REFERENCE TO RELATED APPLICATIONS
[0001] Any and all priority claims identified in the Application
Data Sheet, or any correction thereto, are hereby incorporated by
reference under 37 CFR 1.57. This application is a continuation of
U.S. application Ser. No. 11/792635, filed on Aug. 20, 2008, which
is national phase under 35 U.S.C. .sctn.371 of prior PCT
International Application No. PCT/IB2005/054156 which has an
International Filing Date of Dec. 9, 2005, which designates the
United States of America, and which claims priority to Switzerland
Application No. CH 02044/04 filed Dec. 9, 2004. Each of the
aforementioned applications is incorporated by reference herein in
its entirety, and each is hereby expressly made a part of this
specification.
TECHNICAL FIELD
[0002] The present invention relates to the transcutaneous
electrical stimulation of nerves and muscles by means of a system
that comprises a pair of electrodes connected to a current
generator.
[0003] This type of stimulation can be used in a large number of
fields. Examples that may be mentioned include the fields of
neuromuscular electrostimulation for sport or medical purposes,
anesthesia, defibrillation, or regulation of heart beat by means of
an external pacemaker.
PRIOR ART
[0004] For transcutaneous nerve and/or muscle stimulation, it is
known to generate a current between two electrodes placed on the
skin. By way of an illustrative example, the application EP 1 095
670, incorporated by reference in the present application,
describes such an electrical neuromuscular stimulator that uses
stimulating electrodes and a generator of electrical impulses.
[0005] In addition to stimulating the nerves and/or muscles, the
current also stimulates the subcutaneous receptors that are
situated between the skin surface and the nerves and/or muscles
that are to be stimulated.
[0006] However, the subcutaneous receptors are sensitive to various
factors, such as temperature, pressure or pain. Consequently, their
excitation by an electrical current may induce undesirable effects
as far as the user is concerned, for example pain, stinging
sensation, etc.
[0007] There is therefore a need to be able to reduce, or even
completely eliminate, the undesirable sensations that are
experienced during transcutaneous nerve and/or muscle stimulation
by electrodes.
SUMMARY OF THE INVENTION
[0008] It is therefore an object of the invention to improve the
systems known from the prior art.
[0009] More particularly, it is an object of the invention to make
available a system for transcutaneous electrical stimulation of
nerves and muscles that overcomes the aforementioned problem of the
occurrence of undesirable sensations during the stimulation.
[0010] It is another object of the invention to make available a
simple device that is easy to use and that is effective and
provides improved comfort for the user.
[0011] To this end, the invention relates to an electrode system
for transcutaneous nerve and/or muscle stimulation, comprising at
least: a pair of stimulating electrodes, stimulating means for
generating a nerve and/or muscle stimulation current between said
stimulating electrodes, said system further comprising a
current-injecting electrode arranged in proximity to one of the
stimulating electrodes, current-generating means in the area of
said injecting electrode, between said injecting electrode and the
nearest stimulating electrode, in such a way as to reduce, or even
eliminate, the undesirable sensations possibly resulting from the
excitation of the subcutaneous receptors by said stimulation
current.
[0012] By "proximity", we mean a distance that is shorter than the
distance between the stimulating electrodes.
[0013] Thus, according to the invention, the system comprises two
circuits, one for stimulating the muscles and/or nerves, and the
other for making the subcutaneous receptors less excitable, thereby
improving user comfort. This specific action on the subcutaneous
receptors is made possible by the presence of electrodes that are
located near one another, such that the injected current does not
extend depthwise but instead remains at the surface. Moreover, the
forms of injected current are chosen in such a way as to achieve
this object.
[0014] The current-injecting electrode is advantageously arranged
around the stimulating electrode.
[0015] According to a particular embodiment of the invention, each
stimulating electrode is surrounded by a current-injecting
electrode.
[0016] According to another particular embodiment, the stimulating
electrode comprises a first part surrounded by a first part of the
current-injecting electrode, itself being surrounded by a second
part of the stimulating electrode, which is itself surrounded by a
second part of the current-injecting electrode. This configuration
can repeat itself several times.
[0017] The invention also relates to a method of use of the
aforementioned electrode system, said method being characterized in
that a form of current generated by the current-generating means in
the area of said injecting electrode is chosen in such a way as to
reduce, or even eliminate, the undesirable sensations possibly
resulting from the excitation of the subcutaneous receptors by said
stimulation current.
[0018] A first way of achieving this object is to choose an
injection current strength in such a way as to reduce or to annul
the total current circulating in the area of the subcutaneous
receptors. In this case, the injected current, which is directed
toward the corresponding stimulating electrode, compensates for the
stimulation current emerging from the stimulating electrode.
[0019] It will be noted here that the compensation between
stimulation current and injected current results in annulment of
the total current exclusively in the area of the subcutaneous
receptors. Such annulment of the current is not produced in the
area of the nerves and/or muscles that are to be stimulated.
[0020] A second way of proceeding is to choose a form of injection
current in such a way as to induce a blockage of the nerve
transmission to the subcutaneous receptors. This provides an
anesthetizing effect on the subcutaneous receptors.
[0021] A third approach is to excite the area surrounding the
subcutaneous receptors (TENS effect), without inducing pain. In
this case, the pain signal sent by the receptors to the brain is
embedded in a general signal. Typically, in the TENS effect, a
permanent tingling sensation is experienced by the user, said
tingling sensation masking other sensations such as pain. In this
way, one sensation is covered by another.
[0022] Another approach is to first send a local current, which
renders the subcutaneous receptors less excitable, and then to send
the stimulation current.
[0023] Different currents can be used at staggered intervals.
[0024] According to one variant, the receptors are charged, and
they will be less sensitive to the stimulation current.
[0025] Typically, the principles set out in the publications WO
02/065896 or US 2004/0127953 can be applied for the forms of
current generated in the system according to the invention, these
publications being incorporated by reference in the present
application in respect of the signals that can be used. Other
examples are given in the following publications:
[0026] Bhadra N, Kilgore K L, "Direct current electrical conduction
block of peripheral nerve", IEEE Trans Neural Syst Rehabil Eng.
2004 September; 12(3): 313-324;
[0027] Kilgore K L, Bhadra N, "Nerve conduction block utilising
high-frequency alternating current", Med Biol Eng Comput. 2004 May;
42(3): 394-406;
[0028] Bhadra N, Kilgore K L, Creasey G H, "Block of Mammalian
Motor Nerve Conduction Using High Frequency Alternating Current",
10th Annual Conference of the International FES Society, July 2005,
Montreal, Canada;
[0029] Kilgore K L, Bhadra N, "Block of Nerve Conduction Using High
Frequency Alternating Current", 9th Annual Conference of the
International FES Society, September 2004, Bournemouth, UK.
[0030] These documents provide explanations of the various methods
for obtaining a conduction block (collision block,
hyperpolarization, depolarization, high-frequency AC block).
[0031] As has been indicated above, it is also possible to use
current forms that either mask the sensations of pain (TENS) or
reduce the current density or the electrical charge density in the
area of the sensitive fibers of the skin. Of course, this list is
not exhaustive, and other forms may be envisioned, the idea being
to send an injection current to the subcutaneous receptors in order
to make them less excitable.
BRIEF DESCRIPTION OF THE FIGURES
[0032] The invention will be better understood from the following
detailed description of two embodiments thereof. To this end, a
non-limiting example is shown schematically in the following
figures, in which:
[0033] FIG. 1 illustrates a cross section of the system according
to the invention placed on the skin.
[0034] FIG. 2 shows a plan view of the system from FIG. 1.
[0035] FIG. 3 illustrates another embodiment of the invention.
DETAILED DESCRIPTION OF THE EMBODIMENTS OF THE INVENTION
[0036] The system according to the first embodiment illustrated in
FIGS. 1 and 2 comprises two stimulating electrodes 1, 2 that are
connected to a means 3 for generating a stimulation current.
Beneath the skin 8, a stimulation current 9 moves between the
stimulating electrodes 1, 2 and stimulates a muscle 6.
[0037] Each stimulating electrode 1, 2 is surrounded by a
current-injecting electrode 4, 11, respectively, which is of
annular shape in the example shown. The current-injecting
electrodes 4, 11 are connected to the stimulating electrodes 1, 2
by an injection current generator 5, 12, respectively.
[0038] The desired effect is achieved depending on the arrangement
of the electrodes, on their geometry and on the forms of current
chosen, for example a partial or even complete elimination of the
current moving in the area of the subcutaneous receptors 7, a
blockage of the nerve transmission between the receptors and the
brain (anesthetizing effect), or an excitation of the area
surrounding the receptors (TENS effect).
[0039] The undesirable sensations induced by a parasitic excitation
of the subcutaneous receptors 7 are thus reduced, or masked, or
even completely eliminated.
[0040] In the embodiment illustrated in FIG. 3, the stimulating
electrode comprises a first part 1' surrounded by a first part of
the current-injecting electrode 4', itself being surrounded by a
second part of the stimulating electrode 1'', which is itself
surrounded by a second part of the current-injecting electrode 4''.
This configuration can of course repeat itself
[0041] It goes without saying that the invention is not limited to
the aforementioned examples.
[0042] Generally, it concerns any electrode configuration of the
kind described above that makes it possible to reduce or eliminate
the undesirable sensations resulting from an excitation of the
subcutaneous receptors. In particular, the more one wishes the
injection current to remain at the surface in the area of the
subcutaneous receptors, the more the injecting and stimulating
electrodes have to be placed near one another.
LIST OF REFERENCE NUMBERS
[0043] 1 first stimulating electrode
[0044] 2 second stimulating electrode
[0045] 3 means for generating a stimulation current
[0046] 4 first current-injecting electrode
[0047] 5 first injection current generator
[0048] 6 muscle
[0049] 7 subcutaneous receptor
[0050] 8 surface of the skin
[0051] 9 stimulation current
[0052] 10 compensating current
[0053] 11 second current-injecting electrode
[0054] 12 second injection current generator
[0055] 1' first part of stimulating electrode (2nd embodiment)
[0056] 1'' second part of stimulating electrode (2nd
embodiment)
[0057] 4' first part of injecting electrode (2nd embodiment)
[0058] 4'' second part of injecting electrode (2nd embodiment)
* * * * *