U.S. patent number 3,774,620 [Application Number 05/152,596] was granted by the patent office on 1973-11-27 for electromedicinal apparatus for interference current therapy.
This patent grant is currently assigned to Deutsche Nemection Gesellschaft m.b.H.. Invention is credited to Achim Hansjurgens.
United States Patent |
3,774,620 |
Hansjurgens |
November 27, 1973 |
ELECTROMEDICINAL APPARATUS FOR INTERFERENCE CURRENT THERAPY
Abstract
An electromedicinal apparatus for use in interference current
therapy. The apparatus has at least two circuits which act on the
patient through electrodes, the circuits producing a
stimulation-active interference on a target area on the patient by
superimposing the two or more currents which by themselves have no
stimulating effect, the currents differing from each other by a low
frequency value. A particular feature of the apparatus is that the
circuits produce an optimum interference at the treatment area and
include a current strength regulating member which can be set in
operation during treatment.
Inventors: |
Hansjurgens; Achim (Karlsruhe,
DT) |
Assignee: |
Deutsche Nemection Gesellschaft
m.b.H. (Karlsruhe, DT)
|
Family
ID: |
22543582 |
Appl.
No.: |
05/152,596 |
Filed: |
June 14, 1971 |
Current U.S.
Class: |
607/67 |
Current CPC
Class: |
A61N
1/323 (20130101) |
Current International
Class: |
A61N
1/32 (20060101); A61m 001/38 () |
Field of
Search: |
;128/419R,420,421,422 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Kamm; William E.
Claims
We claim:
1. An electromedical instrument for interference current thereby
comprising at least two independent circuit means each having two
electrodes for positioning on a subject to be treated, each of said
circuit means providing a current of a frequency value which
differs by a low frequency value from the current of another of
said circuit means for application to the subject for producing an
optimal stimulation active interference by superposition of the at
least two currents on a target position on the subject, and current
strength regulating control means for altering the current strength
of at least one of the circuit means in a first direction and for
altering the current strength of at least another of the circuit
means in an opposite direction for shifting the optimal
stimulation-active interference during treatment of the
subject.
2. An instrument as defined in claim 1, wherein said current
strength regulating means includes means for altering the current
strength of the at least one circuit means by an amount X in the
first direction and for altering the current strength of the at
least another circuit means by an amount AX in the opposite
direction, where A is any number.
3. An instrument as defined in claim 2, where A is 2.
4. An instrument as defined in claim 2, wherein said current
strength regulating means includes means for continuously
alternating the direction of alteration of current strength for the
regulated circuit means such that the alteration is effected
rhythmically.
5. An instrument as defined in claim 1, wherein said current
strength regulating means includes means for continuously
alternating the direction of alteration of current strength for the
regulated circuit means such that the alternation is effected
rhythmically.
6. An instrument as defined in claim 1, wherein each circuit means
includes oscillator means for providing a desired output frequency
value of current, amplifier means connected to said oscillator
means and said electrodes being connected to said amplifier means,
said current strength regulating means being connected between the
oscillator means and amplifier means of each of said circuit
means.
7. An instrument as defined in claim 6, wherein said current
strength regulating means includes a current strength regulating
member connected between the oscillator means and amplifier means
of each of said circuit means, and coupling means interconnecting
said regulating members.
8. An instrument as defined in claim 7, wherein said coupling means
includes motor means for continuously alternating the direction of
alteration of the current strength of the regulated circuit means
by the interconnected current strength regulating members.
9. An instrument as defined in claim 1 wherein said current
strength regulating means includes means for simultaneous altering
the current strength of the regulated circuit means in the
different directions.
10. An instrument as defined in claim 9, wherein said current
strength regulating means includes a current strength regulating
member for each of said circuit means and coupling means for
interconnecting said regulating members.
Description
The invention relates to an electromedical instrument for
interference current therapy with at least two circuits acting by
way of electrodes on the object of the treatment, by means of which
circuits an interference effective for stimulation purposes is
produced at a target position on the object by superimposition of
two or more currents which are in themselves ineffective alone for
stimulation purposes and which differ from one another by a
low-frequency value.
With this method of therapeutic treatment, the effect is utilised
that, by the superimposition of at least two medium frequency
currents of about 4 kc/s which are below the compatibility limit
and which differ from one another by a low frequency amount of
about 0 to 200 c/s, beats or interference occur in the
superimposition range. These beats in the region of intersection of
the current paths cause a therapeutically effective stimulation at
a corresponding place on the subject of the treatment.
As is known, the most important requirement of interference current
therapy is that the stimulation should be accurately localised, for
example, on a member, on parts of a muscle or nerve or even on
individual fibres. This means that the superimposition region of
the current paths must coincide as accurately as possible with the
place of treatment, in order to localise the stimulation produced
by interference on this spot.
The fulfilment of this requirement depends essentially on the
geometry of the electrode arrangement, to which however a limit is
set as regards the free selection thereof by the object. Moreover,
the object in its turn, for example, the path of a muscle or nerve
fibre, is included in this calculation.
Apart from the localisation of the stimulation, naturally the
intensity thereof also plays a part in the production of a best
possible therapeutic effect. This intensity depends on the
electrical values of the arrangement, of which the optimum has been
established empirically over a period of time.
It has now been shown in practice that cases arise with which a
stimulating effect is not formed, despite keeping to the empirical
values and despite an arrangement of the electrodes which per se
promises a successful result, and therefore a therapeutic effect is
not produced.
In such cases, it has hitherto been attempted nevertheless to
achieve the object by changing the position of the electrodes.
Naturally, this requires a considerable number of treatments before
a conclusion can be reached on the basis of the therapeutic effect
as regards the efficiency of one or other of the arrangements of
the electrodes. Seen from the point of view of the phsician, this
is unsatisfactory, since it leads to a tedious trial and error
procedure and involves unpleasantness for the patients, for
example, a large number of treatments and the like. In addition, as
already explained, it is not possible arbitrarily to select the
electrode arrangement, since a natural limit is set for this
arrangement by the shape of the surface of the body.
It is the object of the invention to provide a remedy in this
respect, the said object being based on the knowledge that
interference or equally strong interference does not obtain in the
entire range of intersection, but that rather with constant
electrical values of the instrument and a constant arrangement of
the electrodes for the interference region, a vector field is to be
assumed, of which the vectors indicate the percentage amount of the
interference and the direction thereof. Consequently, the shape of
this interference field depends on the arrangement of the
electrodes.
According to the invention, for producing an optimal interference
at the place of treatment in the circuits of the instrument which
are independent of one another, a regulating member for the current
strength and to be set in operation during the treatment is
arranged in each circuit.
By variation of the current strength, it is possible to displace
the interference field in such a way that optimal interference
exists at the place of treatment. This optimalisation can be
effected independently of the accurate position of the place of
treatment and also of the electrodes. The engagement with the
subject of the treatment can thus be substantially eliminated.
Furthermore, not only is it guaranteed that a stimulating action is
in fact obtained at the place of treatment in a location which is
of difficult access, but in addition this stimulation occurs with
the maximum possible intensity.
According to another feature of the invention, the regulating
members of two circuits can be controlled in opposition, the
regulating members or the control means advantageously being so
developed that, corresponding to the alteration of the current
strength in one circuit by a certain amount is an opposite change
in the other circuit by advantageously double the said amount. With
this opposite or reciprocal alteration, the interference intensity
remains constant.
In this way, the interference intensity which has been adjusted
with synchronism, for example, to compatibility, is obtained.
Hence, in the current region provided by the instrument, it is of
no importance that the current strength is increased in one of the
circuits, since the compatibility of a medium frequency current
lies considerably higher.
Finally, in a further development of the invention, provision is
made for the reciprocal alteration of the two or more circuits to
be effected rhythmically.
The rhythmic change, which can be obtained by suitable technical
control coupling of the regulating members, results in a
rhythmically changing stimulating effect at the place of treatment,
which is desired in certain cases.
Other features, details and advantages of the invention will be
apparent from the following description of the drawing, which shows
one constructional form as a diagrammatic circuit diagram.
Indicated at 1 is a geometrically simplified object of the
treatment, in the depth of which a stimulation is to become
effective as a result of interference of two medium frequency
currents of about 4 kc/s, which differ from one another by a low
frequency amount up to 200 c/s. For this purpose, there are used in
known manner two circuits 2, 3 with a current strength up to 60 mA,
of which the oscillators 21 and 31, respectively, supply the
required frequency. Each of these oscillators is followed by an
amplifier 22 or 32, to which are connected the patient circuits
comprising the electrodes 23, 24 and 33, 34, respectively.
For reasons of more easy representation, a square arrangement of
the electrodes 23, 24 and 33, 34 has been chosen in the drawing,
but this is not essential as regards the ability to carry the
invention into effect. Likewise, only two circuits 2 and 3 are
shown, but these can if necessary be supplemented by other
circuits. Moreover, two or more different circuits can belong to
one electrode. The choice of these parameters depends essentially
on the position of the point of treatment and on the surface form
of the object of the treatment.
With a certain arrangement of the electrodes 23, 24 and 33, 34, for
example, of the arrangement which is shown, it is possible to
establish the vector field for the interference on the basis of the
potential distribution which, in the slowly variable field, is
approximately the same as in the electrostatic field. The object of
the treatment is in this case to be considered approximately as
homogeneous. Consequently, 100 percent interference is produced in
the indicated direction on the vectors which are indicated at 4.
With the square arrangement which has been chosen, this extends at
45.degree. to the connecting straight lines 5 of the electrodes 23,
24 and 33, 34 associated with one another. These straight lines
simultaneously represent the equipotential lines with the highest
potential difference for one of the pairs of the electrodes and
with the zero potential difference for the other pair of
electrodes. On both sides of this vector 4, the intensity of the
interference decreases and reaches the value 0 percent in the
region of the equipotential lines 5.
From this, the following can be appreciated:
If the place of treatment is for example situated in the region
indicated by 6, this is not reached by the maximum interference
intensity, but rather the main stimulating effect is applied to
some healthy regions. The same conditions are produced in respect
of filamentary treatment points crossing the object 1 being
treated, as indicated at 7. It is even possible to conceive of
still more unfavourably disposed places of treatment, namely, those
which lie immediately in the region of the equipotential lines
5.
Consequently, a regulating member 25 or 35 is connected into each
circuit between the oscillator 21 or 31 and the amplifier 22 or 32.
A mechanical coupling arrangement 38 of these regulating members
25, 35 is provided in such a way that, with alteration of the
current strength in the circuit 2 in the direction 26, there is an
opposite alteration of the current strength in the circuit 3 in the
direction 36. Particularly favourable results can then be obtained
if the alteration in current in one circuit by the value 2x has
corresponding thereto an alteration in the other circuit by the
value -x. In this case, the vector 4 travels with an intensity of
100 percent into the position 8 or 9 which is shown in the drawing.
22
By way of example, if the initial current strength in both circuits
2 and 3 amounts to I.sub.2 = I.sub.3 = 20mA, then initially the
vector 4 is provided for the interference optimum. If I.sub.2 is
increased by 50 percent by means of the regulating member 25, that
is to say, if it is adjusted to 30 mA, and accordingly I.sub.3 is
lowered by 25 percent, i.e., to 15 mA, the vector 4 is displaced
into the position 9. In the case under consideration of the
filamentary treatment point 7, the latter is consequently treated
with the maximum interference of 100 percent, i.e., the therapeutic
stimulation at this point is localised in optimum manner. This
applies in like manner for the circular treatment point indicated
at 6.
With a given treatment area, it was necessary hitherto to be
satisfied by only parts thereof being acted upon with 100 percent
interference. By means of the invention, the possibility is now
disclosed of covering the entire treatment surface with 100 percent
interference. This is effected by the fact that the current
strength in the circuits 2, 3 is rhythmically changed, i.e., in the
direction 26, 36 and 27, 37, respectively. The vector 4 thus moves
backwards and forwards according to the double arrow 10 between the
positions 8, 9, so that the maximum interference of 100 percent
sweeps over a comparatively large area. Such a rhythmic change,
which can be effected automatically by a setting motor controlled
by limit switches which forms a part of the coupling arrangement
38, is not only advantageous in respect of treatment points of
large dimensions, but is also to be considered when an increasing
and decreasing stimulation is to be produced for medical
reasons.
The construction according to the invention therefore not only
permits an optimal interference to be achieved at the point of
treatment, but in addition a stimulation can be localised extremely
accurately on comparatively small and also on large treatment
points, independently of their shape. In addition, a rhythmically
increasing and decreasing stimulation therapy is possible.
The foregoing explanations, and also the diagrammatic drawing, are
primarily applicable to a homogeneous treatment medium, but with
small deviations are also valid for the human body with its
non-homogenous structures. Furthermore, the invention can
appropriately be transferred to electrode arrangements differing
from the square arrangement and also to more than two circuits.
* * * * *