U.S. patent number 3,920,025 [Application Number 05/488,266] was granted by the patent office on 1975-11-18 for electro-medical stimulator system.
This patent grant is currently assigned to Medtronic, Inc.. Invention is credited to Harry G. Friedman, Peter Stasz.
United States Patent |
3,920,025 |
Stasz , et al. |
November 18, 1975 |
Electro-medical stimulator system
Abstract
A body stimulation system including a remote low frequency
transmitter, a low frequency receiver, a power transmitter
controlled by the low frequency receiver, and an implantable
stimulator device with means for receiving signals from the power
transmitter. The power signal is synchronized to the low frequency
transmitter, and interference protection circuitry is included in
the system. Special circuitry is also provided to decrease the
effect of the spacial relationships between the power antenna and
the implanted receiver.
Inventors: |
Stasz; Peter (Minneapolis,
MN), Friedman; Harry G. (Plymouth, MN) |
Assignee: |
Medtronic, Inc. (Minneapolis,
MN)
|
Family
ID: |
23939021 |
Appl.
No.: |
05/488,266 |
Filed: |
July 15, 1974 |
Current U.S.
Class: |
607/61; 607/49;
607/63; 607/72; 607/70 |
Current CPC
Class: |
A61N
1/372 (20130101) |
Current International
Class: |
A61N
1/372 (20060101); A61N 001/36 () |
Field of
Search: |
;128/419C,419E,419P,419PG,419PS,421,422,423,2.5R,2.6R,2.1R |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
Thumim et al., "IEEE Transactions on Magnetics," Vol. Mag-6, No. 2,
June, 1970, pp. 326-332. .
Su, "Medical Instrumentation," Vol. 7, No. 1 Jan.--Feb. 1973, pp.
80 & 81..
|
Primary Examiner: Kamm; William E.
Attorney, Agent or Firm: Schwartz; Lew Sivertson; Wayne
A.
Claims
What is claimed is:
1. A body stimulation system comprising: first means adapted to be
implanted in a body and including receiver means for receiving
externally transmitted signals of radio frequency energy and means
adapted to connect the receiver means to a portion of the body;
second means adapted to be mounted external to the body for
establishing an electromagnetic connection with said receiver means
and including controlled radio frequency energy transmitter means
for transmitting signals of radio frequency energy to the receiver
means; third means for controlling the transmission of radio
frequency energy from the second means, and including low frequency
electromagnetic receiver means; fourth means including remote low
frequency electromagnetic energy transmitter means for transmitting
energy waves at a frequency in the range of approximately 2
kilohertz to 10 kilohertz, and including switch means connected to
the low frequency transmitter means for controlling the operation
thereof; and synchronizer means connected to the third means for
turning the controlled radio frequency energy transmitter means on
and off substantially coincident with a switching of the low
frequency transmitter means between on and off states.
2. The apparatus of claim 1 in which the third means includes:
protection circuit means connected between the low frequency
receiver means and the second means and including frequency
detection means, pulse height detection means and pulse width
detection means, for blocking interference energy signals from
effecting the second means.
3. The apparatus of claim 1 in which: the third means is potted in
a substance resistant to vibration for minimizing magneto-strictive
reaction in the third means due to mechanical forces striking the
third means.
4. The apparatus of claim 1 including: cycler means for providing
selectable series of control pulses to the second means for
actuating the controlled transmitter means, said apparatus further
including means for selectively connecting one of said cycler means
and said third means to said second means.
5. The apparatus of claim 1 in which the switch means includes:
means for selectively providing a signal to actuate the low
frequency transmitter means; and electrical time constant means
connected to the switch means and the low frequency transmitter
means for deactuating the low frequency transmitter means after the
switch means signal has ended for a predetermined period of
time.
6. The apparatus of claim 1 in which the second means includes:
output voltage control means connected to the controlled
transmitter means, and including means manually adjustable for
setting a maximum voltage output level, means manually adjustable
for setting a minimum voltage output level and means manually
adjustable for selecting an output voltage between the maximum and
minimum set levels.
7. The apparatus of claim 1 in which the second means includes
means for detuning the electromagnetic connection between the
controlled energy transmitter means and the receiver means, to
allow for less critical placement of the controlled energy
transmitter means with respect to the receiver means.
Description
BACKGROUND OF THE INVENTION
Implantable body stimulators exist in the prior art and are of many
types and for many purposes. A particular function of the system of
this invention is as an orthotic system, such as for stimulating
the peroneal nerve to aid paraplegic patients. The prior art
includes such orthotic systems including one described in
"Development of Orthotic Systems Using Functional Electrical
Stimulation and Myoelectric Control," UNIVERSITY OF LJUBLJANA,
Faculty for Electrical Engineering, Project No. SRS-YUGO 23-68,
Progress Report No. 2, Apr., 1970. The system described in that
article has a remote transmitter which gives a high frequency
signal burst. The signal is picked up by a high frequency receiver
which then causes a power transmitter to emit a predetermined
number of pulses, which are in turn picked up by an implanted
stimulator.
The apparatus of this invention has advantages over the prior art,
some of which derive from the use of the low frequency transmitter,
including the ability to synchronize the stimulation signal with
the remote transmitter signal, a decreased use of power, and an
increased ability to block interference signals. The apparatus of
this invention has further advantages over the prior art including
structure for loading the power antenna to flatten the curve of the
antenna field to avoid rapid changes due to minor spacial
displacements between the power antenna and the implanted
receiver.
SUMMARY OF THE INVENTION
Briefly described, the apparatus of this invention in its preferred
embodiment comprises a low frequency electromagnetic transmitter
which can be remotely located with respect to the portion of the
body to be stimulated. The low frequency transmissions are picked
up by an electromagnetic receiver which includes interference
detection circuitry for removing unwanted noise signals. The
receiver controls the output of a power transmitter which is
connected to a power antenna adapted to be placed in spaced
relation to an implanted power receiver which receives the power
signals and in turn provides stimulation pulses to implanted
electrodes connected to the portion of the body to be
stimulated.
In the preferred embodiment, the system is in modular form and the
low frequency receiver can be unplugged from the power transmitter
which carries the power supply for the receiver-transmitter system.
When the receiver is unplugged from the power transmitter, the
transmitter will provide continuous stimulation signals. A cycler
module is provided which may be plugged into the power transmitter
in place of the low frequency receiver. The cycler module will
provide control of the power transmitter such that the stimulation
signals are turned on and off for adjustable periods of time.
Also provided in the power transmitter is a control comprised of
three adjustable members whereby an attending physician can set the
limits of maximum and minimum power for the stimulation signal, to
assure that the patient is receiving benefit from the stimulation
without undue discomfort; the patient is free to adjust a third
control which will vary the power output between the maximum and
minimum controls to the patient's feeling of greatest comfort.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a block diagram of the system of this invention;
FIG. 2 is a schematic diagram of the low frequency transmitter of
the apparatus of this invention;
FIG. 3 is a combined block and schematic diagram of the low
frequency receiver and interference signal detector portion of the
apparatus of this invention;
FIG. 4 is a combined block and schematic diagram of the power
transmitter apparatus of this invention;
FIG. 5a is a graph of a prior art antenna field plot;
FIG. 5b is a graph of the power antenna field plot of the system of
this invention; and
FIG. 6 is a schematic diagram of the cycler module of this
invention.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring first to FIG. 1 there is shown a low frequency
transmitter 10 which carries its own power supply and includes a
switch by means of which a patient may cause operation of the
transmitter from a remote portion of his body, for example by
placing his weight on one foot or the other.
There is also shown a low frequency receiver 11 which is
constructed to receive the low frequency signals from transmitter
10. Preferrably, the low frequency range will be from about 2
kilohertz to approximately 10 kilohertz. Low frequency receiver 11
provides the received signals to interference protection circuitry
12 which will reject all signals which are not of the proper
frequency, which do not have the proper pulse height and which do
not have the proper pulse width. The output signal of circuitry 12
is provided to power transmitter 13 which is connected to power
supply 14. Supply 14 is connected to circuitry 12 and receiver 11
through transmitter 13.
Power transmitter 13 provides radio frequency signals to power
antenna 15 which is placed in space relation to an implanted
receiver such as implantable receiver 16. Receiver 16 is adapted to
be connected to electrodes connected to the portion of the body to
be stimulated, and receiver 16 will accept the RF signals from
power antenna 15 and provide stimulation pulses to the
electrodes.
Referring now to FIG. 2 there is shown a schematic of low frequency
transmitter 10. A power supply 20 has one terminal connected to a
conductor 21, and another terminal connected to a conductor 22.
Conductor 21 is connected to one terminal of a normally open switch
23. The other terminal of normally open switch 23 is connected to a
conductor 24. A resistor 25 and a capacitor 26 are serially
connected between conductors 24 and 22. A programable unijunction
transistor 27 has its anode 28 connected to a junction between
resistor 25 and capacitor 26. The cathode 29 of transistor 27 is
connected through a resistor 31 to conductor 22. A pair of
resistors 32 and 33 are serially connected between conductors 24
and 22, and the gate 34 of transistor 27 is connected to a junction
between resistors 32 and 33. The cathode 29 of transistor 27 is
also connected to the base of a transistor 35. The emitter of
transistor 35 is connected to conductor 22. A collector of
transistor 35 is connected through a coil 36 to conductor 24. A
capacitor 37 is connected in parallel with coil 36.
In operation, the circuitry operates in the manner of a relaxation
oscillator utilizing the properties of the programable unijunction
transistor. When switch 23 is closed, capacitor 26 will begin to
charge through resistor 25. When capacitor 26 has charged to a
predetermined level dependent on the biasing at the gate 34,
transistor 27 will turn on causing a current flow through resistor
31 and a resultant turn on of transistor 35. When transistor 35
turns on there will be a current flow through the tank circuit
comprising coil 36 and capacitor 37, thus transmitting the desired
signals to be received by low frequency receiver 11. The selected
circuitry is designed to use a minimum of power and to provide a
low frequency output, preferably in the range of 2 to 10
kilohertz.
Referring now to FIG. 3 there is shown a combined block diagram and
schematic of low frequency receiver 11 and interference detection
circuitry 12. A receiving coil 38 is connected in parallel across a
capacitor 39 which is connected to the input of a tuned amplifier
40. Tuned amplifier 40 has internal bandpass circuitry 43.
Amplifier 40 is connected to a Schmitt trigger 41. Schmitt trigger
41 is connected to a differentiater 42. Blocks 40-43 represent
circuitry well-known to those skilled in the art, and have been
shown here in block diagram to facilitate understanding of the
operation of the apparatus of this invention and avoid unnecessary
description and extensive drawings.
Also shown in FIG. 3 are a positive power input terminal 44 and a
negative power input terminal 45. Terminal 44 is connected to a
conductor 46 which is connected through a diode 47 to a conductor
48. Conductor 48 is connected to each of blocks 40, 41 and 42.
Terminal 45 is connected to a conductor 50 which is connected to
each of blocks 40, 41, 42 and 43.
The output of differentiater 42 is connected to the base of a
transistor 51. The emitter of transistor 51 is connected to
conductor 48. The collector of transistor 51 is connected through a
serial combination of diodes 53, 54 and 55 to the base of a
transistor 56. The collector of transistor 51 is also connected to
a parallel combination of a resistor 57 and a capacitor 58 to
conductor 50. The base of transistor 56 is connected through a
parallel combination of a resistor 61 and a capacitor 62 to
conductor 50.
The collector of transistor 56 is connected through a serial
combination of resistors 63 and 64 to conductor 46. The emitter of
transistor 56 is connected through a resistor 65 to conductor 50. A
transistor 66 has its base connected to a junction between
resistors 63 and 64, its emitter connected to conductor 46 and its
base connected to the base of a transistor 67. The collector of
transistor 67 is connected to conductor 46, and the emitter of
transistor 67 is connected through a resistor 68 to conductor 50.
The emitter of transistor 67 is also connected through a diode 69
to the base of a transistor 70. The emitter of transistor 70 is
connected to conductor 46, and the collector of transistor 70 is
connected through a capacitor 71 to conductor 50. The collector of
transistor 70 is also connected to an output signal terminal 72. A
negative power output terminal 73 is connected to conductor 50.
In operation, the apparatus of FIG. 3 will receive signals from low
frequency transmitter 10 at the tank comprising coil 38 and
capacitor 39. These signals are provided to tuned amplifier 40
where they will not only be amplified but where frequency detection
will take place to prevent the passage of noise signals outside the
tuned range of amplifier 40. The signals will then be presented
from amplifier 40 to Schmitt trigger 41. Here pulse height
detection takes place, for if the input pulses are not of
sufficient magnitude they will not be able to turn on Schmitt
trigger 41. The output of Schmitt trigger 41 is a well-known pulse
shape dependent on the length of time between the turn on of the
Schmitt trigger and its turn off by the input pulses. These Schmitt
trigger output pulses are differentiated by circuitry 42 which has
the effect of pulse width detection to further eliminate noise
signals. The output of differentiater 42 is presented to the base
of transistor 51 which is connected as a current source. Diodes 53,
54 and 55 act as a threshold detector and will cause the turn on of
transistor 56 when the charge on capacitor 58 has reached the
threshold level of transistor 56. Transistors 66 and 67 act as a
complementary current driver, well-known to those familiar with the
art, and transistor 67 will turn on when transistor 56 turns on.
This in turn will cause transistor 70 to turn off thus providing an
output signal at terminal 72.
When the signal from low frequency transmitter 10 ceases, and no
further input is provided to amplifier 40, the lack of output at
differentiater 42 will cause the turn off of transistor 67 to turn
on transistor 70. The signal to enable power transmitter 13 can be
taken off terminal 72 or from the emitter of transistor 67. If the
signal is taken from terminal 72, the transmitter 13 will be off
during the time the low frequency transmitter 10 is transmitting.
If the signal is taken from the emitter of transistor 67, the
transmitter 13 will be on during the time the low frequency
transmitter 10 is transmitting. Thus, the output signal is
synchronized to the input signal from low frequency transmitter 10.
It is important to recognize that the advantage of synchronization
is offered in the apparatus of this invention with comparatively
low power drain because of the use of the low frequency system.
Prior art systems used high frequency and did not synchronize but
merely used a burst from the remote transmitter to turn on the
signal for a predetermined period of time. This was because of the
significant power drain required to provide continuous high
frequency signals from the remote transmitter. The synchronous
signal has many advantages; for example, when the device is being
used to help a paraplegic patient to walk, he can control his own
gait through the synchronous method.
In the preferred embodiment of FIG. 3, it has been found to be of
great value to pot the circuitry in a substance resistant to
vibration for minimizing magneto-strictive reaction due to
mechanical shocks.
Referring now to FIG. 4, there is shown a block diagram and
schematic diagram of power transmitter 13 and power supply 14 of
FIG. 1.
A rate and pulse width generator 75 is connected between a positive
power conductor 76 and a negative power conductor 77. The output of
generator 75 is connected to the input of a Colpitts oscillator 78
which is also connected to conductor 77. A stabilizing amplifier 79
is connected between conductor 76 and oscillator 78. Blocks 75, 78
and 79 are well-known to those familiar with the art and have been
shown in block diagram form to avoid excessive description and
drawings.
The output of oscillator 78 is connected through a potentiometer 80
through a junction 81. Junction 81 is connected through a serial
combination of diodes 82, 83 and 84 to conductor 77. The wiper arm
of potentiometer 80 is connected through a potentiometer 85 to
junction 81. The wiper arm of potentiometer 80 is also connected
through a potentiometer 86 to the wiper arm of potentiometer 85.
The wiper arm of potentiometer 86 is connected to the base of a
transistor 87. The collector of transistor 87 is connected through
a resistor 88 to a positive power conductor 90. The emitter of
transistor 87 is connected through a resistor 91 to conductor 77. A
transistor 92 has its base connected through a resistor 93 to
conductor 90, its collector connected to conductor 90 and its
emitter connected to conductor 76. A transistor 94 has its base
connected to the collector of transistor 87, its collector
connected to conductor 77 and its emitter connected to the base of
a transistor 95. The collector of transistor 95 is connected to
conductor 77. The emitter of transistor 95 is connected through a
coil 96 to an output terminal 97. The emitter of transistor 95 is
also connected through a portion of coil 96 to conductor 90. The
emitter of transistor 95 is further connected through a capacitor
98 to an output terminal 99. Terminals 97 and 99 are adapted to be
connected to power antenna 15 as shown in FIG. 1.
A power switch 100 has one terminal connected to conductor 90, and
the other terminal connected to the positive terminal of a power
supply 101. The negative terminal of supply 101 is connected to
conductor 77. A capacitor 102 is connected in parallel across
supply 101. A positive power output terminal 103 is connected to
conductor 90, and a negative power output terminal 104 is connected
to conductor 77. A negative power input terminal 105 is connected
to the base of transistor 92. An input signal terminal 106 is
connected to conductor 76.
To best understand the operation of the apparatus of FIG. 4, it
should be understood that the apparatus of this invention is
intended in its preferred embodiment to be in modular form.
Preferably, blocks 11 and 12 of FIG. 1 would be in a single module
which would be plugged through standard connectors into a second
module which would comprise blocks 13 and 14. Therefore, power
output terminal 103 of FIG. 4 would connect to power input terminal
44 of FIG. 3. Power output terminal 104 of FIG. 4 would connect to
terminal 45 of FIG. 3. Power output terminal 73 of FIG. 3 would
connect to power input terminal 105 of FIG. 4, and signal output
terminal 72, or the emitter junction of transistor 67, of FIG. 3
would connect to input signal terminal 106 of FIG. 4.
Referring now to the operation of FIG. 4, assume first that the two
modules have not been plugged together. When switch 100 is closed,
which can be manually done by the patient, power will be applied
between conductor 90 and conductor 77. Transistor 92 will be biased
on and positive power will appear on conductor 76. This will cause
rate and pulse width generator 75 to operate, in the preferred
embodiment at a rate of from 20 to 50 pulses per second. The output
of rate generator 75 will be felt on Colpitts oscillator 78 to
provide a current flow through potentiometer 80. Stabilizing
amplifier 79 serves to stabilize the amplitude of the system as
supply 101 ages. The current flow through potentiometer 80 will be
felt on potentiometers 85 and 86. These three potentiometers
comprise a unique circuit for setting an adjustable range for an
individual patient using the system of this invention.
Potentiometer 80 can be adjusted by an attending physician to set a
maximum level for the power of the output signal. Potentiometer 85
can be used by the physician to set a minimum setting for the power
of the output signal. Thereafter, the patient may have available to
him the control of potentiometer 86 which will allow him to adjust
the power of the output signal between the maximum and minimum
settings. Therefore, he has full control over the entire range of
potentiometer 86 to find the most comfortable setting for his own
reactions to the stimulation signal but cannot adjust the signal to
be above maximum, thus avoiding unpleasant sensations, or below
minimum to a point where the signals would not cause the desired
function.
The wiper arm of potentiometer 86 is connected to transistor 87 to
provide the signal on the wiper arm of potentiometer 86 to the
power amplifier combination of transistors 94 and 95. The output of
the power amplifiers will be felt across coil 96 and through
capacitor 98 on the power antenna output terminals 97 and 99. The
function of coil 96 in the apparatus of this invention will be more
fully described below in a discussion of FIGS. 5a and 5b.
It is apparent from the above description that the apparatus of
FIG. 4 will continually provide stimulation signals when the module
containing receiver 11 and circuitry 12 is not plugged into it.
When the module is plugged in, not only is power from supply 14
provided to receiver 11 and enter interference protection circuitry
12 through the above described terminals, but the base of
transistor 92 is connected to the negative power line through the
connection of terminal 105 to terminal 73. Thus, transistor 92 will
be turned off and no positive power from conductor 90 will reach
conductor 76. The apparatus of FIG. 4 therefore stops providing
stimulation signals until a signal appears at input terminal 106 in
the manner described in the operation of FIG. 3 above.
From the above description of the operation of the circuitry shown
in the drawings, it becomes apparent that when transmitter 10 is
on, its signal turns off the stimulation signal, and when there is
no signal from transmitter 10, the stimulation signal is operable.
This on-off relationship could be reversed, but has been chosen as
described in the preferred embodiment to perform in the situation
where the stimulator is implanted and connected to the peroneal
nerve of a paraplegic patient and where switch 23 is located in the
shoe of the patient. Thus, when the patient's foot is down the low
frequency transmitter will be on and no stimulation will occur.
However, when the patient raises his foot to step, switch 23 will
open and transmitter 10 will turn off thus allowing stimulation. In
the specific case described the stimulation will result from the
lifting of the patient's foot to enable walking without dragging
the foot.
One of the major problems in a patient used stimulation system,
such as the apparatus of this invention, is that of spacial
relationship between power antenna 15 and the receiving coil of
receiver 16. Two of the factors involved are the depth of the
implant and the lateral displacement between the power antenna and
the implanted receiver. As can be seen in the graph of the prior
art antenna field of FIG. 5a, the voltage peaks sharply when there
is no lateral displacement between the power antenna and the
implanted receiver, however, when lateral displacement occurs, the
voltage drops off sharply. This causes a problem as it is difficult
for the patient to place and keep the external power antenna in the
most desirable spaced relation to the implanted receiver.
To avoid this problem the apparatus of this invention includes
circuitry which results in the antenna field shown in the graph of
FIG. 5b. Here it is seen that the curve has been deliberately
flattened and that lateral displacement of the power antenna from
the implanted receiver has much less effect until the displacement
becomes great.
The flattening of the curves as shown in FIG. 5b is accomplished
through detuning. As can be seen in FIG. 4, the apparatus of this
invention does not use an output power oscillator which would
result in the curves of FIG. 5a, but uses a power amplifier which
is loaded with the receiver. The output tank is driven by a voltage
source, which is preferable over a current source because with a
current source the available voltage will not enable the output
tank to have a lower impedance as desired. By loading the output
power amplifier with the mutual conductance of the receiver, the
desired result is achieved.
Reference is now made to FIG. 6, which comprises a schematic
diagram of a cycler module to be used with the apparatus of this
invention. As described above, in this preferred embodiment the
system is comprised of modules, and the cycler can be plugged into
power transmitter 13 in place of receiver 11 and circuitry 12. The
purpose of the cycler of FIG. 6 is to enable a patient to exercise
his muscles, for example, when he is bedridden. The effect of the
cycler is to cause the stimulation signal from transmitter 13 to
alternately turn on and off. Provision is made for varying the
proportions between the on and off parts of the cycle.
Referring now to FIG. 6 there is shown a positive power input
terminal 110 and a negative power input terminal 111. When the
cycler is plugged into transmitter 13, terminal 110 will be
connected to terminal 103, and terminal 111 will be connected to
terminal 104. Terminal 110 is connected to a conductor 112 and
terminal 111 is connected to a conductor 113.
A capacitor 114 is connected between the conductors 112 and 113. A
transistor 115 has its emitter connected to conductor 113, its
collector connected through a resistor 116 to conductor 112, and
its base connected through a serial combination of a resistor 117
and a variable resistor 118 to conductor 112. The collector of
transistor 115 is also connected through a capacitor 119 to the
base of a transistor 120. The base of transistor 120 is also
connected through a resistor 121 to conductor 112. The base of
transistor 115 is connected through a capacitor 122 to the
collector of transistor 120. The collector of transistor 120 is
connected through a serial combination of resistors 123 and 124 to
conductor 112, and is directly connected to the collector of a
transistor 125. The emitters of transistors 120 and 125 are
connected to conductor 113. The base of transistor 125 is connected
through a serial combination of a resistor 126 and a resistor 127
to conductor 113. A capacitor 128 is connected from a junction
between resistors 126 and 127 to conductor 112. A resistor 129 is
connected from a junction between resistors 123 and 124 to the base
of a transistor 130. Transistor 130 has its emitter connected to
conductor 112, and its collector connected to the base of a
transistor 131. The collector of transistor 131 is connected to
conductor 112, and the emitter of transistor 131 is connected to an
output terminal 132 which connects to input signal terminal 106 of
FIG. 4. A negative power output terminal 133 is connected to
conductor 113, and when the cycler is plugged into transmitter 13,
power output terminal 133 will be connected to power input terminal
105 as shown in FIG. 4.
It will be recognized by those skilled in the art that the
circuitry shown in FIG. 6 comprises an astable multivibrator
connected to amplifiers which provide the output signal. The
astable multivibrator has a period which is controlled by
adjustment of variable resistor 118, which will vary the charging
time of capacitor 122, thus apportioning the on/off cycle of the
astable multivibrator, and thus controlling the amount of time that
a stimulation signal will be provided to the patient.
When the module of FIG. 6 is plugged into the apparatus of FIG. 4,
the connection of terminal 133 to terminal 105 will cause
transistor 92 to turn off, and the input signal from terminal 132
will appear at terminal 106 to control the on off time of
transistor 95 in the same manner as for the above description of
the operation of the circuitry when the module including the
apparatus of FIG. 3 was plugged into the apparatus of FIG. 4.
Therefore utilizing much of the same circuitry, the patient can be
provided with the cycler module of FIG. 6 to provide him a
capability for controlling the exercise of his muscles.
It will be apparent that what has been described specifically above
is the preferred embodiment of the apparatus of this invention and
that variations can be made therefrom without departing from the
scope of the invention.
* * * * *