U.S. patent number 3,918,459 [Application Number 05/433,923] was granted by the patent office on 1975-11-11 for constant current electrotherapy device with plug-in current control means.
This patent grant is currently assigned to Sybron Corporation. Invention is credited to Anton James Horn.
United States Patent |
3,918,459 |
Horn |
November 11, 1975 |
Constant current electrotherapy device with plug-in current control
means
Abstract
A low intensity direct current device for treating skin ulcers
and the like by electrotherapy, the device having a simple
tamper-proof arrangement to prevent the patient or other uninformed
persons from changing the intensity of the prescribed current, and
an alarm to indicate an improper patient connection, or defective
battery.
Inventors: |
Horn; Anton James (Creve Coeur,
MO) |
Assignee: |
Sybron Corporation (Rochester,
NY)
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Family
ID: |
26936829 |
Appl.
No.: |
05/433,923 |
Filed: |
January 16, 1974 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
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244843 |
Apr 17, 1972 |
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Current U.S.
Class: |
607/64;
607/75 |
Current CPC
Class: |
A61N
1/20 (20130101); A61N 2001/083 (20130101) |
Current International
Class: |
A61N
1/20 (20060101); A61N 1/08 (20060101); A61N
001/36 () |
Field of
Search: |
;128/2.1P,2.1R,2.6A,172.1,404,405,410,411,418P,418PT,419B,421F,422,1D |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
Assimacopoulous, "The American Surgeon" Vol. 34, No. 6, June 1968,
pp. 423-431, 128/419F. .
Friedenberg et al., "Surgery Gyneclogy & Obstetrics," Vol. 131,
No. 5, Nov. 1970, pp. 894-899..
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Primary Examiner: Kamm; William E.
Attorney, Agent or Firm: Roessel; Theodore B. Aceto; Roger
Yeo; J. Stephen
Parent Case Text
CROSS REFERENCE TO RELATED APPLICATION
This application is a continuation of my application, Ser. No.
244,843, filed Apr. 17, 1972, now abandoned.
Claims
Having thus described the invention in detail, what is claimed as
new is:
1. A low intensity direct current device for electrotherapy uses
comprising:
a. an electrical circuit means for producing a constant direct
current of a predetermined value within a range of currents which
promotes healing when passed through tissue containing a skin
lesion, said circuit means having a pair of output terminals;
b. a cable for conducting the direct current produced by said
circuit means to a patient, said cable having a socket at one end
for connection to said terminals and a pair of electrodes at its
other end for attachment to a patient;
c. a battery connected to said circuit means for powering said
circuit means;
d. said circuit means having a sensor portion and electrically
connected to at least one of said terminals and said battery, for
comparing the voltage across said terminals to said battery
voltage; and
e. said circuit means having an alarm actuated by said sensor
portion when the voltage across said terminals is within about one
volt of said battery voltage.
2. A device as set forth in claim 1 wherein said sensor portion
includes a transistor having its emitter electrically connected to
said battery, its base electrically connected to one of said
terminals, and its collector electrically connected to said alarm,
said alarm being electrically connected to said battery the flow of
collector current of said transistor being initiated when the
voltage on the base thereof is within one volt of the emitter
voltage, the flow of collector current resulting in the sounding of
said alarm.
3. A device as set forth in claim 1 in which said circuit means
includes:
a. a first transistor means functioning as a constant direct
current source and connected to a first terminal of said two
terminals and said battery for delivering a constant direct current
through said first terminal and said cable to said patient, said
direct current returning through said cable and the second
terminal;
b. a second transistor means functioning as a bias for said first
transistor means; and
c. a resistor electrically connected to said second tranistor means
for determining the bias level of said first transistor means and
thereby the level of said constant direct current.
4. A device as set forth in claim 3 wherein said resistor is
incorporated into said cable socket.
Description
BACKGROUND OF THE INVENTION
The present invention relates to apparatus for the treatment of
skin ulcers with a low intensity direct current to accelerate
healing. More particularly, the present invention relates to such
device having a relatively tamper-proof switching arrangement, for
changing the intensity of the current.
Electrotherapy devices and techniques for accelerating the healing
of skin lesions and ulcers are known. For a discussion of the
treatment procedures and general description of the apparatus,
reference is made to an article appearing on pages 795-801 of the
Southern Medical Journal, Volume 62, No. 7, July 1969, and the
reference cited therein. It is sufficient for purposes of the
present invention merely to say that there are clinical tests which
appear to demonstrate that healing of various skin lesions an
ulcers can be accelerated by electrotherapy technique involving the
application of low intensity direct current through electrodes
attached to the area adjacent the lesion.
The devices in use to apply such a low intensity direct current are
fairly large, cumbersome, and not easily transportable because of
their size and weight. The switching mechanism used in such devices
for varying the current flow is also a problem area. Regulation of
current flow is important in that tests have shown that healing is
promoted and the ulcer is kept dry when a proper amount of current
is applied. Too much current results in the ulcer bleeding, and too
little current results in secretion of serous fluid from the
ulcer.
One common way of switching to provide the proper current is to
have a simple stepping switch, or variable rheostat, to change the
value of the resistance in series with the patient. With such an
arrangement, however, the patient himself or some uninformed person
could intentionally or accidentally move the switch so as to change
the prescribed current value. Any increase or decrease from the
prescribed proper value, that is one which maintains the ulcer in a
substantially dry condition, will cause the wound to either bleed,
or secrete serous fluid as set out above, and will not promote
healing.
The device of the present invention is relatively small, compact,
and the current setting is patient safe, in that there is no switch
or dial which can be manipulated by the patient to change the
current. The device also incorporates a sensing portion which
sounds an alarm whenever the electrode attaching the device to the
patient is improperly applied, or the voltage of the battery
powering the device drops below an acceptable level.
SUMMARY OF THE INVENTION
The present invention may be characterized in one aspect thereof by
the provision of a battery-powered device, capable of producing a
low intensity direct current within a range suitable for
electrotherapy of skin ulcers and the like. A cable having a pair
of electrodes for delivering a prescribed current to the patient is
plugged into the device, the cables placing a known resistance in
series with the patient current, wherein varying the level of the
current is accomplished by changing cables. Incorporated into the
device is a circuit portion which sounds an alarm whenever the
voltage across the patient and cable resistor is about one volt of
the battery voltage.
OBJECTS OF THE INVENTION
One object of the present invention is to provide a low-intensity
direct current electrotherapy device wherein the output of the
device is not changeable by the patient.
Another object of the present invention is to provide a
low-intensity, direct current electrotherapy device havig a
selection of output ranges, wherein the means for changing the
output is patient safe.
A further object of the present invention is to provide a
low-intensity, direct current electrotherapy device having a
self-contained alarm system which sounds when the output of the
battery powering the device falls below a desired level or when the
resistance between electrodes is excessive.
A still further object of the present invention is to provide a
low-intensity, direct current electrotherapy device which is
relatively small, lightweight, battery-powered, and relatively
inexpensive to manufacture.
A yet further object of the present invention is to provide a
low-intensity direct current electrotherapy device having easily
replaceable cables, wherein each cable includes a resistor of known
value, the changing of cables comprising means for changing the
current output of the device.
These and other objects, advantages and characterizing features of
the present invention will become more apparent upon consideration
of the following detailed description thereof, taken in connection
with the accompanying drawings depicting the same.
DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of the low intensity direct current
device of the present invention; and
FIG. 2 is an electrical schematic of the apparatus of the present
invention .
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring to the drawings, FIG. 1 shown the device generally
indicated at 10. Also shown is a recharger 12 for recharging the
battery in device 10. The recharger itself forms no part of the
present invention.
The circuit for producing the low intensity direct current is
described hereinbelow. FIG. 1, however, shows a socket 14 on the
device to which is releasably attached the plug 16 of cable 18. The
cable terminates in two electrodes, 20, 22, which are attached to
the patient adjacent the ulcer or lesion for purposes of delivering
a low intensity direct current to the patient.
FIG. 2 shows the low intensity direct current circuit. The circuit
has generally three portions, a sensor portion 24 enclosed in
dotted line; and alarm portion 26 which is generally that portion
of the circuit to the right of the sensor; and a working portion 28
for supplying a constant flow intensity direct current to the
patient, this circuit portion being shown to the left of sensor 24.
The main power source for operating the device is a battery 30,
which in the embodiment shown is preferably a 9 v. battery.
Referring to the operating portion of the circuit, the schematic
shows that socket 14 has three terminals, 32, 34 and 36; terminal
36 represents common, terminal 34 is a reference terminal, and
terminal 32 is the patient terminal. Terminals 32 and 34 are
connected to the patient schematically shown at 38 via cable 18,
its 3-prong plug 16 and electrodes 20, 22. The electrodes are
attached to the patient in a manner well known in the art to ensure
the flow of current to the patient adjacent the ulcer to be
treated.
When plug 16 is connected to socket 14, a resistor R2 incorporated
into the plug, or cable, is connected across reference terminal 34
and common terminal 36 for purposes set out hereinbelow.
The operating portion 28 of the circuit which is connected to
terminals 32, 34 and 36, includes a resistor R1, a PNP transistor
T1, a NPN transistor T2, a diode 40 and a biasing battery 42, the
biasing battery of the preferred embodiment being approximately
1.35 volts. This voltage, plus the voltage drop across diode 40 is
sufficient to provide a bias of 1.6 volts on the base of transistor
T2, to cause the transistor to conduct when plug 16 in inserted
into socket 14, and the emitter circuit of transistor T2 is
completed through reference terminal 34, resistor R2 and common
terminal 36. The flow of the emitter current from transistor T2
placed a sufficient bias on the base of transistor T1 to start the
flow of collector current from the transistor when the electrodes
are attached to the patient. In other words, the patient is in the
collector circuit of transistor T1, the circuit including patient
terminal 32, electrode 20, electrode 22, resistance R2 and common
terminal 36.
It should be apparent from FIG. 2 that raising or lowering the
value of resistance R2 will in turn decrease or increase
respectively the emitter current of transistor T2. Any increase or
decrease in the emitter current of transistor T2 changes the bias
on the base of transistor T1 to respectively decrease or increase
the collector current of transistor T1. Thus, R2 can be used to
effectively control the amount of current delivered to the patient
in that any increase or decrease in the value of R2 will be
reflected as a decrease or increase respectively in the low
intensity direct current output or patient current.
It has been determined empirically that a direct current of between
200 and 800 micro-amperes will accelerate healing. Typically in
this procedure, patient impedances run somethat less than 8,500
ohms. This value varies somewhat depending upon the size of the
ulcer and the distance between electrodes 20, 22. However, the
direct current applied is not determined by the Patient reistance
but by the value of resistance R2 in that the collector current of
transistor T1, or patient current can be changed by changing the
value of resistance R2.
As set out hereinabove, resistance R2 is incorporated into cable
18. For example, as shown in FIG. 2, resistance R2 can be located
in the plug poriton 16, so as to be connected across reference
terminal 34 and common terminal 36 when the plug and socket are
connected. If several cables 18 are employed, each having a
different value of resistance R2, it should be appreciated that
each separate lead can be made to correspond to a desired current
flow, and switching of current values can be accomplished by
switching cables. With such an arrangement, the patient or
un-informed person cannot change the current being applied to the
patient, as in the case of having the current varied by a stepping
switch or rheostat on the device.
In the present invention, changing of the current can only be
accomplished by changing cables, that is unplugging plug 16 from
socket 14 and removing the electrodes from the patient,
substituting a new cable and attaching its electrodes to the
patient.
Preferably, the present invention contemplates the use of four such
cables, wherein resistance R2 for each cable has a value of about
1,500, 2,000, 3,000 or 6,200 ohms in order to provide currents
respectively of 800, 600, 400 and 200 microamperes. With such an
arrangement, the physician selects any one of the cables and
observes the ulcer for bleeding or weeping of serous fluid. If
there is no bleeding or weeping, the cable which has been selected
remains with electrodes attached to the patient throughout the
period of treatment. If either bleeding or weeping is observed, the
cable initially selected would be replaced by a one providing
respectively a lesser or greater amount of current flow. This
procedure would be repeated until a cable 18 is selected which
delivers the proper amount of current.
Describing now briefly the sensor portion 24 and alarm portion 26
of the circuit, it should be apparent from FIG. 2 that the voltage
between patient terminal 32 and common terminal 36 is a function of
transistor T1 collector current and the sum of the patient
impedance and R2. This voltage drop is impressed upon the base of a
PNP transistor T3 in the sensor portion of the circuit. The emitter
of this transistor is connected to the positive terminal of battery
30, and therefore the emitter voltage is the same as the battery
voltage. The sensor portion 24 of the circuit is arranged so that
when the emitter voltage of transistor T3 drops to within less than
1 volt of the voltage on the base of the transistor, the transistor
will begin conducting, which results in the sounding of an alarm 44
in the alarm portion 26 of the circuit. Thus, the sounding of alarm
44 indicates that the voltage of battery 30 has fallen to the point
where it is within one volt of the transistor T1 collector voltage,
that is the voltage drop between patient terminal 32 and common 36.
This in turn indicates that battery 30 has decayed to a point where
a replacement of the battery or recharge is desirable. In the
alternative, the sounding of alarm 44 may indicate that there is an
improper connection of electrodes 20, 22 to the patient. Such an
improper connection would produce a relatively large voltage drop
between patient terminal 32 and common terminal 36, and this also
would result in a firing of transistor T3.
While all portions of the circuit have not been discussed in
detail, it is believed that the portions which have been described
together with the schematic of FIG. 2 and the parts list set out
below will be sufficient to enable one skilled in the art to
construct the device according to the present invention.
______________________________________ Parts List
______________________________________ R1 3.9 Meg C1 1.0 .mu.f R3
3.9 Meg T1,T3 & T4 2N 4250 R4 1.0 Meg T2 & T5 2N 3565 R5
2.2 Meg T6 2N 4871 R6 10.0 K Diode 40 IN914 R7 3.3 K Battery 42
1.35 v.mercury R8 10.0 K Battery 30 g v. dry cell R 2 Patient
Electrode Current 6.2 K 200 .mu.a 3.0 K 400 .mu.a 2.0 K 600 .mu.a
1.5 K 800 .mu.a ______________________________________
Thus, it should be appreciated that the present invention
accomplishes its intended objects in providing low intensity direct
current apparatus suitable for electrotherapy having a patient safe
"switch" for setting the amount of current programmed into the
patient. The amount of current can only be changed by unplugging
cable 18, disconnecting electrodes 20, 22 from the patient, and
then connecting a new cable to the device and new electrodes to the
patient. The danger of having a manually operated step switch or
rheostat for varying the current is eliminated. Furthermore, having
a sensor portion of the circuit programmed to sound an alarm
whenever the voltage drop across the patient is within one volt of
the battery powering the circuit ensures that an improper electrode
attachment to the patient or weak battery will be quickly detected,
thereby reducing any danger of injury to the patient and increasing
the effectiveness of the electrotherapy treatment.
* * * * *