U.S. patent number 3,881,494 [Application Number 05/362,678] was granted by the patent office on 1975-05-06 for electro pulse arthritic physiotherapy system.
Invention is credited to James M. Paul, Jr..
United States Patent |
3,881,494 |
Paul, Jr. |
May 6, 1975 |
ELECTRO PULSE ARTHRITIC PHYSIOTHERAPY SYSTEM
Abstract
An electro-pulse system for providing temporary pain relief to
arthritic patients through therapeutic use of a circuit with a two
wire alternating current plug connected between a switch and a
transformer which in turn is connected to a bridge rectifier, and
in turn to a pulse generating portion of said circuit, said pulse
generating portion of the circuit consisting of a silicon
controlled rectifier and associated control components, said
generator portion having an output transformer coupled to a
variable amplitude, current limiting, metering, and maximum
amplitude limiting circuit with connections to electrodes designed
for attachment to the mammalian subject.
Inventors: |
Paul, Jr.; James M. (Panama
City, FL) |
Family
ID: |
23427082 |
Appl.
No.: |
05/362,678 |
Filed: |
May 22, 1973 |
Current U.S.
Class: |
607/72;
607/46 |
Current CPC
Class: |
A61N
1/36021 (20130101) |
Current International
Class: |
A61N
1/32 (20060101); A61N 1/34 (20060101); A61N
1/36 (20060101); A61n 001/36 () |
Field of
Search: |
;128/419R,419P,421,422,423,404,405,411 |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
Haas, "Radio Electronics," Dec. 1956, pp. 53-55..
|
Primary Examiner: Kamm; William E.
Attorney, Agent or Firm: Kraft & Wells
Claims
I claim:
1. An electro-pulse arthritic physiotherapy system for providing an
output electronic stimulative impulse to a mammalian subject
comprising an alternating current source; a switch means connected
to said source; a first transformer having a primary and a
secondary; said switch and primary being connected in series with
said source; a bridge rectifier; said rectifier being connected to
said secondary of said first transformer; said rectifier having
first and second outputs; a first resistance; a second transformer
having a primary and secondary; said first resistance being
connected to said first output; a circuit including a first
capacitor connected between said first resistance and the second
output; a first Zener diode; a second resistance; said Zener diode
and said second resistance being connected in a series circuit
between said first resistance and second output of said bridge
rectifier; a silicon controlled rectifier having a gate lead; the
primary of said second transformer and said silicon controlled
rectifier being connected in a circuit in series between said first
resistance and second output; and said first capacitance circuit,
said Zener diode circuit and said second transfomer primary circuit
all being arranged in parallel; said gate lead of the silicon
controlled rectifier being connected in to said Zener diode circuit
between the Zener diode and second resistance; first and second
pins forming output connections for the secondary of said second
transformer; a variable resistance connected between said first and
second pins in parallel with said secondary of said second
transformer; a first electrode for attachment to a mammalian
subject; a third resistance; means to connect said third resistance
in series with said electrode and a portion of said variable
resistance; a second electrode for attachment to a mammalian
subject; a first diode; a fourth resistance; a second Zener diode;
said second electrode, said first diode and said fourth resistance
being connected in series with said second pin; said second Zener
diode being connected between said third and fourth resistance
elements, and also in parallel with the secondary of said second
transformer; a second capacitor connected in parallel with said
first diode and said fourth resistance; a second diode connected
between said first diode and said second capacitor; a voltmeter
connected in parallel with said second capacitor; and a fifth
resistance connected between said second capacitor and said
voltmeter.
2. The system of claim 1, having direct current pulses between 175
microseconds and 5 milliseconds.
3. The system of claim 2, having an interval of time between pulses
from about 40 milliseconds to about 2 seconds.
4. The system of claim 3, wherein said Zener diodes control the
output voltage within a selected maximum range.
5. The system of claim 2, wherein said Zener diodes control the
output voltage within a selected maximum range.
6. The system of claim 1, having an interval of time between pulses
from about 40 milliseconds to about 2 seconds.
7. The system of claim 6, wherein said Zener diodes control the
output voltage within a selected maximum range.
8. The system of claim 1, wherein said Zener diodes control the
output voltage within a selected maximum range.
Description
BACKGROUND OF THE INVENTION
This invention is concerned with medical-electronic pulse
stimulators by means of an electronic circuit involving a
self-repetitive capacitive discharge technique. The prior methods
of treatment for arthritis now in use involve aspirin, endicine,
benazoladin alka, cortisone, ATCH, cortisone administered by Ion
trophoresis and ultrasonic treatment. All of these medications lose
their effectiveness as the arthritis progresses, with the exception
of ultrasonic treatment which has not been in use long enough to
determine its capability of sustained effectiveness. Also, with
ultrasonic treatment, there is a danger of damage to the bone
structure with improper use, since this treatment vibrates the bone
structure (by acoustical means) at an ultrasonic rate. The power
level of this ultrasonic treatment has to be carefully controlled
to achieve the desired effect of breaking up the calcium deposits
in the joints without damage to the bones of the affected joint or
the bone marrow of the joint. Even at the proper level of treatment
for effectiveness, if used over an extended period of time, it
could very possibly inhibit the bone marrow capability from
producing the needed components of the blood to sustain a healthy
body. This would be a more predominant side effect if the area of
exposure to treatment over the body's bone structure becomes large
with respect to the total area.
All of the medications listed above, possibly with the exception of
aspirin, in addition to losing their effectiveness and allowing the
progression of arthritis to continue, also have bad side effects on
the person's general health. They initiate a slow progressive
deterioration and shorten an otherwise normal potential life
span.
SUMMARY OF THE INVENTION
Briefly described, the apparatus of this invention comprises an
electronic circut designed to provide a medical-electrical
stimulant to a specific area of the mammalian body.
In the use of this system, a large sponge (about 3 inches wide and
4 inches long), and a small sponge (about 1 1/4 inches square) are
soaked in a strong solution of sodium chloride and water. As soon
as the sponges become flooded, they are squeezed to a damp, dry
condition. The large sponge is placed in a location above the joint
to be treated and a large electrode (E2) is placed in contact with
the upper surface of the sponge and fixed in place by a wrap-around
strap. The electrode (E2) remains in this location throughout the
treatment of this particular joint. The small sponge is placed at
the first location of treatment on the affected joint and is fixed
in place with the electrode placed on the upper surface of the
sponge and secured as explained for the large electrode (E2). The
small sponge and the other electrode (E1) are moved at various
times during treatment, to other locations of the affected joint
until the whole desired area of the affected joint has been
treated. Each time electrode (E1) is moved, it is re-secured in the
same manner as described above.
The level of current used in the treatment is the maximum level the
patient can comfortably endure. The output of this circuit is
designed in such a fashion that the maximum output level allowed by
Zener diode (D4) is within the limits of safe use. From time to
time during the treatment of each location, the output current may
be increased slowly without additional discomfort to the patient
since he gradually builds up a higher tolerance during treatment.
The patient will be able to comfortably endure more current in some
locations than others, even so the impedance load to the system
appears constant, regardless of the location on the joint. This
difference in tolerance at various locations of treatment is
apparently associated with the nerve stimulant effect of the
system.
The effectiveness of this treatment, at levels of current that are
completely comfortable to the patient, is attributable to the low
duty cycle of the output pulses. Due to the low duty cycle of the
output pulses a larger magnitude of peak current can be passed
through the affected joint without discomfort to the patient.
BRIEF DESCRIPTION OF THE DRAWING
The single FIGURE in the drawing shows an embodiment of the
apparatus of this invention.
DESCRIPTION OF THE PREFERRED EMBODIMENT
In the drawing there is shown an electro-pulse stimulant device
having a circutit with two wire AC plug connected with one wire to
the wiper arm of switch (S1) and the other wire is connected to the
remaining wiper arm of the switch (S1). A wire is connected between
one normally open contact of the switch (S1) and one side of a
transformer (T1) primary. A wire is connected between the remaining
normally open contact of the switch (S1) and the remaining side of
the transformer (T1) primary The secondary of the transformer (T1)
is connected to the AC input of the bridge rectifier (DR1). A pilot
light is provided at the transformer (T1). The positive output of
the bridge rectifier (DR1) is connected to one side of a resistor
(R1). The other side of the resistor (R1) is connected to the
positive lead of a capacitor (C1), the cathode lead of a Zener
diode (D2) and one side of the primary of an output transformer
(T2). The other side of the primary of outer transformer (T2) is
connected to the anode lead of a silicon controlled rectifier
(SCR). The anode lead of the Zener diode (D2) is connected to the
gate lead of the silicon controlled rectifier (SCR) and one side of
the resistor (R2).
The cathode lead of the silicon controlled rectifier (SCR) is
connected to the remaining side of the resistor (R2), the negative
side of the capacitor (C1) and the negative output of the bridge
rectifier (DR1). This completes the pulse generating portion of the
circuit.
The output circuit of the system is connected as follows:
The secondary lead of the output transformer (T2), that is in phase
with the primary lead of the transformer (T2) connected to the
cathode end of the Zener diode, is connected to the pin (3) of the
variable resistor (R3). The remaining lead of the secondary of the
output transformer (T2) is connected to a pin (1) of the variable
resistor (R3), then to one end of the resistor (R5), the negative
side of the capacitor (C2) and the negative side of the voltmeter
(M1). The positive end of the voltmeter (M1) is connected to one
end of the resistor (R6), the other end the resistor (R6) is
connected to the positive end of the capacitor (C2) and the cathode
side of the diode (D6). The anode side of the diode (D6) is
connected to the anode of the diode (D3). The cathode of the diode
(D3) is connected to the remaining end of the resistor (R5). The
cathode of the Zener diode (D4) is connected to the resistor (R4)
and anode of the Zener diode (D4) is connected to pin (1) of the
resistor (R3). Pin (2) of the resistor (R3) is connected to one
side of the resistor (R4), the other side of which is connected to
the cathode side of the Zener diode (D4) and pin (1) of the output
of connector terminal (J1). Pin (1) of the ristor (R3) is connected
in series with resistor (R5), diode(D3) and pin (2) of connector
terminal (J1). Pin (1) of the resistor (R3) is connected in series
with resistor (R5), diode (D3) and pin (2) of connector terminal
(J1). resistor to charge (C1). (C1) is charged to the voltage value
of zener diode (D2). When the (SCR) fires current flow is through
the primary of (T2). This current is supplied mainly by the
existing charge on (C1) and some small amount of current from (DR1)
which is limited by the value of (R1). The duration of this
discharge current from (C1) is determined by the capacitance value
of (C1) and the inductance value of the primary of (T2). (R1)
limits the current delivered from (DR1) to a value that will not
sustain current flow through the (SCR). Therefore, when (C1)
discharges to a level insufficient to sustain current flow through
the (C1) discharges to a level insufficient to sustain current flow
through the (SCR), the (SCR) turns off and allows (C1) to begin a
new charge cycle. The interval between pulses is determined by all
of the following values in combination (each of the values below
will have an effect on the pulse interval rate). The value of (R1),
the output voltage of (DR1), the value of (C1), and the voltage
breakdown value of the zener diode(D2).
The output circuit operates as follows:
The pulse generated as explained above is coupled to the secondary
of the output transformer (T2) and then it is applied across the
output voltage control (R3). The resistor (R4) limits the maximum
current available to the electrodes (E1) and (E2). The Zener diode
(D4) limits the maximum voltage available across the electrodes
(E1) and (E2). When the output voltage control (R3) is increased to
a point that delivers a voltage across the Zener diode (D4) that is
higher than its voltage breakdown rating, the Zener diode (D4)
breaks down in the reverse direction and provides the Zener effect
clamping the peak voltage output to a certain maximum as selected
by the voltage breakdown value of the Zener diode (D4). The above
explanation of the operation of the Zener diode (D4) is for the
purpose of illustrating its action when the output voltage reaches
its breakdown value. Normally the voltage value selection of the
Zener diode (D4) is selected to be just above the normal full
loaded output voltage as controlled by the resistor (R4). The Zener
diode (D4) is in the circuit acting as a safety device to clamp the
output to a selected maximum. The diode (D3) serves a double
purpose in that it eliminates the voltage overshoot, making the
output monopolar and it provides a linear function to the charging
of the capacitor (C2) so that no offset error or non-linear readout
is seen on the voltmeter (M1).
The output pulse appears across the electodes (E1 and E2), which
are connected as follows: the large electrode (E2) is connected at
a location above the arthritic joint and the small electrode (E1)
is placed at various locations around the area of the affected
joint during treatment.
The current meter circuit operates as follows: the capacitor (C2)
charges to the value of the voltage drop across the resistor (R5)
and the voltmeter (M1) circuit measures this voltage which is
directly interpolated into the current value by the calibration of
the meter scale. The diode (D6) is in the circuit to prevent the
discharge of the capacitor (C2) back through the resistor (R5).
The advantages of this treatment for arthritis is in its ability to
give pain relief from arthritis without the use of drugs that are
detrimental to the body, also its potential ability to control the
arthritis without allowing it to progress to later stages, and
hopefully, its potential curative effect over a sustained period of
treatment. The system is also small and portable.
The equipment disclosed for use in this treatment has a controlled
amplitude of very low duty cycle positive going direct current
pulses. The pulse used is between 175 microseconds wide and 5
milliseconds wide with an interval of time between pulses of 40
milliseconds to 2 seconds. The equipment has a fixed pulse width,
interval ratio.
While I have illustrated and described a presently preferred
picture of my invention in the foregoing specification, it will be
understood that this invention may be otherwise embodied within the
scope of the following claims.
* * * * *