CN105327449B - A kind of sacral nerve stimulator program control instrument - Google Patents
A kind of sacral nerve stimulator program control instrument Download PDFInfo
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- CN105327449B CN105327449B CN201510866215.6A CN201510866215A CN105327449B CN 105327449 B CN105327449 B CN 105327449B CN 201510866215 A CN201510866215 A CN 201510866215A CN 105327449 B CN105327449 B CN 105327449B
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- control modules
- arm control
- sacral nerve
- communication module
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- 210000005036 nerve Anatomy 0.000 title claims abstract description 46
- 238000004891 communication Methods 0.000 claims abstract description 41
- 230000002093 peripheral effect Effects 0.000 claims abstract description 13
- 230000000638 stimulation Effects 0.000 claims abstract description 7
- 239000013078 crystal Substances 0.000 claims description 3
- 238000012360 testing method Methods 0.000 claims description 3
- 230000005540 biological transmission Effects 0.000 claims description 2
- 230000005611 electricity Effects 0.000 claims 3
- 238000011282 treatment Methods 0.000 abstract description 6
- 239000007943 implant Substances 0.000 abstract description 4
- 206010046555 Urinary retention Diseases 0.000 abstract description 3
- 230000000694 effects Effects 0.000 abstract description 3
- 206010046543 Urinary incontinence Diseases 0.000 abstract description 2
- 238000000338 in vitro Methods 0.000 abstract description 2
- 208000004296 neuralgia Diseases 0.000 abstract description 2
- 210000001032 spinal nerve Anatomy 0.000 abstract description 2
- 238000005516 engineering process Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 230000027939 micturition Effects 0.000 description 4
- 238000005424 photoluminescence Methods 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 230000011514 reflex Effects 0.000 description 3
- 210000005070 sphincter Anatomy 0.000 description 3
- 208000020431 spinal cord injury Diseases 0.000 description 3
- 230000004936 stimulating effect Effects 0.000 description 3
- 238000010276 construction Methods 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 230000013872 defecation Effects 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 230000036724 intravesical pressure Effects 0.000 description 2
- 210000003141 lower extremity Anatomy 0.000 description 2
- 206010056948 Automatic bladder Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 239000012636 effector Substances 0.000 description 1
- 238000004134 energy conservation Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000003739 neck Anatomy 0.000 description 1
- 230000007433 nerve pathway Effects 0.000 description 1
- 230000001537 neural effect Effects 0.000 description 1
- 210000002569 neuron Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
- 210000001635 urinary tract Anatomy 0.000 description 1
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- Electrotherapy Devices (AREA)
Abstract
The invention discloses a kind of sacral nerve stimulator program control instrument, including ARM control modules, USB communication module, charging module, medical implantable device-specific communication module, memory module, display module, key-press module and power management module, each module is controlled ARM control modules or input and output；USB communication module is connected with peripheral control unit；Charging module obtains the electric energy of external equipment or power supply from USB communication module, is charged to power management module；Medical implantable device-specific communication module, for realizing that sacral nerve stimulator program control instrument connects with the communication of implanted sacral nerve stimulator；Power management module switches between the voltage for voltage and the peripheral control unit input that rechargeable battery provides.Sacral nerve stimulator program control instrument of the present invention is controlled to implant stimulator in vitro, and the application in fields such as the urinary incontinence, the retention of urine, Parkinson, spinal nerve pain, Peripheral electrical stimulation treatments obtains gratifying effect.
Description
Technical field
The present invention relates to medical instruments field, more particularly to a kind of sacral nerve stimulator program control instrument.
Background technology
For the patient of spinal cord injury, often there is high reflection of detrusor urinae of bladder and detrusor sphincter collaboration
The phenomenon of obstacle, cause the retention of urine and renal damage, in the past mostly using drug therapy, interrupted catheterization treatment and various operative treatments
Etc., but the shortcomings of effect is undesirable, treatment cycle is long, complication is more be present, until the appearance of sacral nerve rootses stimulator, it is
, can be during stimulating twice when being stimulated using discontinuous pulses based on the detrusor principle different with sphincter biological characteristics
Because persistently elevated intravesical pressure is urinated, but this urination mode belongs to a kind of artificial urination pattern, and stimulation parameter is not
Can suitably it be adjusted, intravesical pressure is very high sometimes to cause injury of kidney, and secondly root includes some domination lower limb before sacral nerve
Nerve fibre, the shakes of lower limb can occur when stimulating, it has not been convenient to which the use of patient, root thorn swashs before using early stage sacral nerve
During device program control instrument, it is necessary to carry out sacral posterior rhizotomy, can so eliminate the height reflection of detrusor, but so do and also can
Some problems are produced, such as：Defecation reflex and erection reflex are lost, for some male patients, such cost is
It is unacceptable.
Rijkhoff in 1991 etc. proposes anode block technique, can select to suppress big neural of diameter by this technology
Conduction, realize that minor diameter nerve is individually excited, this technology is applied to before sacral nerve during root electro photoluminescence by we, so that
Urination pattern more physiological.It can not only be used for changing using the method for root before anode block technique progress electro photoluminescence sacral nerve
Kind urination, convenient use, it is also possible to improve defecation in the future, sacral nerve root stimulation technology is more suitable for the trouble of incomplete injury of spinal cord
Person, eliminate pain problem during incomplete injury of spinal cord patient's electro photoluminescence.In addition, by such a method treat spastic bladder and
Sacral posterior rhizotomy, which need not be carried out, will also be possibly realized.
The frequency range that in general sacral nerve stimulator program control instrument uses differs, and the feelings of interference and non-effective control can usually occur
Condition；The arrangement of outer body and implant part is indefinite；The problem of invalid be present in communication therebetween.
The content of the invention
In view of this, it is an object of the invention to propose a kind of sacral nerve stimulator program control instrument, using intervening means by one
The stimulating current of kind short pulse continuously puts on specific sacral nerve, and the electrophysiological characteristics of nerve cell in itself is deprived with this, with
Just artificially activation is excited or suppresses nerve pathway, disturbs abnormal sacral nerve reflex arc, and then influences and regulation bladder, urethra
The behavior for the effector organ that the sacral nerve such as sphincter and basin bottom dominates, play a part of nerve modulation, treat lower urinary tract and basin bottom
Dysfunction disease.
Based on a kind of above-mentioned purpose sacral nerve stimulator program control instrument provided by the invention, for being implanted in internal implantation
Formula sacral nerve stimulator transmits boosting control signal, realizes the effective stimulus to sacral nerve, including ARM control modules, USB communication
Module, charging module, medical implantable device-specific communication module, memory module, display module, key-press module and power management
Module, wherein,
The ARM control modules and USB communication module, charging module, medical implantable device-specific communication module, storage
Module, display module, key-press module and power management module connect respectively, each module are controlled or input and output；
The USB communication module is connected with peripheral control unit, realize debugging of the peripheral control unit to stimulator program control instrument with
Test；
The charging module is connected respectively with ARM control modules, USB communication module and power management module, is communicated from USB
Module obtains the electric energy of external equipment or power supply, receives the charging control signal of ARM control modules, is carried out to power management module
Charging；
The medical implantable device-specific communication module, for realizing sacral nerve stimulator program control instrument and implanted sacrum god
Communicate and connect through stimulator, used is medical implantable device-specific frequency range, including RF units, the impedance matching list being sequentially connected
Member and antenna；
The memory module is used to preserve system information, supports the read-write operation of data, is connected with ARM control modules, double
To transmission data；
The display module is connected with the output of ARM control modules, including flash units, LCD driver elements and LCD show
Show unit, wherein, flash units are connected by data address bus with ARM control modules, and ARM control modules are read by data
Extract operation obtains the data of display, while the part pin of flash units is by the direct control of ARM control modules；LCD drives
Unit is connected by data address bus with ARM control modules, and the display data of flash units is obtained by ARM control modules,
The normal display of LCD display unit is controlled, while the I/O port of LCD driver elements is controlled by ARM control modules；
The key-press module includes the button for being arranged to difference in functionality, is connected with the I/O port of ARM control modules, for passing through
Press different keys to switch over stimulation parameter, while operation of the ARM control modules to different buttons detects；
The power management module is respectively connected with charging module and ARM control modules, including rechargeable battery and power supply pipe
Chip is managed, power management chip receives the voltage inputted by charging module, rechargeable battery charged and Charge Management, filled
Cut between the voltage for the peripheral control unit input that the voltage and charging module that battery provides obtain from USB communication module
Change, the output of power management chip is powered for other modules, and ARM control modules are carried out by I/O port to power management chip
Control.
Preferably, USB communication module is connected with ARM control modules by differential lines.
Preferably, the RF units are connected by SPI interface and I/O port with ARM control modules.
Preferably, the memory module is connected by SPI interface or I2C interface or UART interface with ARM control modules.
Preferably, the ARM control modules periphery sets coupled reset chip, crystal oscillator, debugging mouth and buzzer.
From the above it can be seen that sacral nerve stimulator program control instrument provided by the invention, can be set with minimum module
Meter, reaches the effect of effective output boosting control signal, power management module, charging module and USB communication module three it
Between ingenious cooperation so that while whole program control instrument energy-conservation, increase the service life；Using medical implantable device-specific frequency range
Communication module so that the communication of the implanted sacral nerve stimulator of external sacral nerve stimulator program control instrument and et al. Ke is without dry
Disturb, high efficient and reliable, patient can hold stimulator program control instrument and the embedded nerve stimulator to implant is controlled in vitro
System, embedded nerve stimulator can carry out electro photoluminescence at multiple positions by producing lasting electric pulse to target nerve.This
The sacral nerve stimulator program control instrument of invention is in necks such as the urinary incontinence, the retention of urine, Parkinson, spinal nerve pain, Peripheral electrical stimulation treatments
The application in domain has gratifying achievement.
Brief description of the drawings
Fig. 1 is the entire block diagram of sacral nerve stimulator program control instrument of the embodiment of the present invention；
Fig. 2 is the detailed construction schematic diagram of sacral nerve stimulator program control instrument of the embodiment of the present invention.
Embodiment
For the object, technical solutions and advantages of the present invention are more clearly understood, below in conjunction with specific embodiment, and reference
Accompanying drawing, the present invention is described in more detail.
Refering to shown in Fig. 1,2, show for the entire block diagram and detailed construction of sacral nerve stimulator program control instrument of the embodiment of the present invention
It is intended to.Sacral nerve stimulator program control instrument includes ARM control modules 101, USB communication module 102, charging module 103, medical treatment implantation
Formula device-specific communication module 104, memory module 105, display module 106, key-press module 107 and power management module 108, its
In,
The ARM control modules 101 communicate with USB communication module 102, charging module 103, medical implantable device-specific
Module 104, memory module 105, display module 106, key-press module 107 and power management module 108 connect respectively, to each module
It is controlled or input and output；
The USB communication module 102 is connected with peripheral control unit, realizes debugging of the peripheral control unit to stimulator program control instrument
With test；
Charging module 103 and ARM control modules 101, USB communication module 102 and the power management module 108 connect respectively
Connect, the electric energy of external equipment or power supply obtained from USB communication module 102, receive the charging control signal of ARM control modules 101,
Charged to power management module 108；
The medical implantable device-specific communication module 104, for realizing sacral nerve stimulator program control instrument and implanted
Sacral nerve stimulator communication connection, used be medical implantable device-specific frequency range, including be sequentially connected RF units 141, hinder
Anti- matching unit 142 and antenna 143；
The memory module 105 is used to preserve system information, the read-write operation of data is supported, with the phase of ARM control modules 101
Even, bi-directional transfer of data；
The display module 106 is connected with the output of ARM control modules 101, including flash units 161, LCD driving are single
Member 162 and LCD display unit 163, wherein, flash units 161 are connected by data address bus with ARM control modules 101,
The image that be so stored in needs to show in flash module 161 has the address determined, and ARM control modules 101 are read by data
Extract operation obtains the data of display, while the part pin of flash units 161 is by the direct control of ARM control modules 101；
LCD driver elements 162 are connected by data address bus with ARM control modules 101, are obtained by ARM control modules 101
The display data of flash units 161, control the normal display of LCD display unit 163, while the I/O port of LCD driver elements 162
By the control of ARM control modules 101；
The key-press module 107 includes the button for being arranged to difference in functionality, is connected with the I/O port of ARM control modules 101, uses
Stimulation parameter is switched in by pressing different keys, while operation of the ARM control modules 101 to different buttons detects；
The power management module 108 is respectively connected with charging module 103 and ARM control modules 101, including rechargeable battery
181 and power management chip 182, power management chip 182 receive the voltage inputted by charging module 103, to rechargeable battery 181
Charged and Charge Management, what the voltage and charging module 103 provided in rechargeable battery 181 obtained from USB communication module 102
Switched between the voltage of peripheral control unit input, the output of power management chip 182 is powered for other modules, ARM
Control module 101 is controlled by I/O port to power management chip 182.
Further, USB communication module 102 is connected with ARM control modules 101 by differential lines.
Further, the RF units 141 are connected by SPI interface and I/O port with ARM control modules 101.
Further, the memory module 105 passes through SPI interface or I2C interface or UART interface and ARM control modules
101 are connected.
Further, the periphery of ARM control modules 101 sets coupled reset chip 109, crystal oscillator 110, debugging
Mouth 111 and buzzer 112, buzzer 112 have been given user to provide and preferably supported, pass through I/O ports and ARM control modules 101
Be connected, One function be when sacral nerve stimulator program control instrument and implant implanted sacral nerve stimulator communication when,
Send sound；Sounding when other functions are included in start, user's switching stimulus modality, adjustment stimulus intensity.
Those of ordinary skills in the art should understand that：The specific embodiment of the present invention is the foregoing is only, and
The limitation present invention is not used in, within the spirit and principles of the invention, any modification, equivalent substitution and improvements done etc.,
It should be included within protection scope of the present invention.
Claims (5)
- A kind of 1. sacral nerve stimulator program control instrument, it is characterised in that including ARM control modules, USB communication module, charging module, Medical implantable device-specific communication module, memory module, display module, key-press module and power management module, wherein,The ARM control modules and USB communication module, charging module, medical implantable device-specific communication module, storage mould Block, display module, key-press module and power management module connect respectively, each module are controlled or input and output；The USB communication module is connected with peripheral control unit, realizes debugging and test of the peripheral control unit to stimulator program control instrument；The charging module is connected respectively with ARM control modules, USB communication module and power management module, from USB communication module The electric energy of external equipment or power supply is obtained, the charging control signal of ARM control modules is received, is filled to power management module Electricity；The medical implantable device-specific communication module, for realizing that sacral nerve stimulator program control instrument pierces with implanted sacral nerve Swash device communication connection, used is medical implantable device-specific frequency range, including be sequentially connected RF units, impedance matching unit and Antenna；The memory module is used to preserve system information, supports the read-write operation of data, is connected with ARM control modules, two-way biography Transmission of data；The display module is connected with the output of ARM control modules, including flash units, LCD driver elements and LCD displays are single Member, wherein, flash units are connected by data address bus with ARM control modules, and ARM control modules are grasped by digital independent Make to obtain the data shown, while the part pin of flash units is by the direct control of ARM control modules；LCD driver elements It is connected by data address bus with ARM control modules, the display data of flash units, control is obtained by ARM control modules The normal display of LCD display unit, while the I/O port of LCD driver elements is controlled by ARM control modules；The key-press module includes the button for being arranged to difference in functionality, is connected with the I/O port of ARM control modules, for by by not Stimulation parameter is switched over key, while operation of the ARM control modules to different buttons detects；The power management module is respectively connected with charging module and ARM control modules, including rechargeable battery and power management core Piece, power management chip receive the voltage inputted by charging module, rechargeable battery charged and Charge Management, in charging electricity Switched between the voltage for the peripheral control unit input that the voltage and charging module that pond provides obtain from USB communication module, electricity The output of source control chip is that other modules are powered, and ARM control modules are controlled by I/O port to power management chip.
- 2. sacral nerve stimulator program control instrument according to claim 1, it is characterised in that USB communication module and ARM control moulds Block is connected by differential lines.
- 3. sacral nerve stimulator program control instrument according to claim 1, it is characterised in that the RF units pass through SPI interface It is connected with I/O port with ARM control modules.
- 4. sacral nerve stimulator program control instrument according to claim 1, it is characterised in that the memory module is connect by SPI Mouth or I2C interface or UART interface are connected with ARM control modules.
- 5. sacral nerve stimulator program control instrument according to claim 1, it is characterised in that the ARM control modules periphery is set Put coupled reset chip, crystal oscillator, debugging mouth and buzzer.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510866215.6A CN105327449B (en) | 2015-12-01 | 2015-12-01 | A kind of sacral nerve stimulator program control instrument |
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| CN201510866215.6A CN105327449B (en) | 2015-12-01 | 2015-12-01 | A kind of sacral nerve stimulator program control instrument |
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| CN105327449A CN105327449A (en) | 2016-02-17 |
| CN105327449B true CN105327449B (en) | 2017-11-17 |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107261323A (en) * | 2017-07-07 | 2017-10-20 | 北京品驰医疗设备有限公司 | A kind of implanted is without wire sacral nerve stimulator |
| CN109525115B (en) * | 2018-12-21 | 2020-10-27 | 厦门固立电子科技有限公司 | Communication power supply synthesis and separation system based on intelligent medical equipment terminal |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201205405Y (en) * | 2008-01-22 | 2009-03-11 | 徐文东 | Peripheral nerve semi-implantation type electric stimulation control device |
| CN201921317U (en) * | 2010-11-17 | 2011-08-10 | 鼎迈医疗科技(苏州)有限公司 | Remote doctor program controller and implantable medical system |
| CN104096313A (en) * | 2014-06-17 | 2014-10-15 | 华中科技大学 | Implantable nerve electrical stimulation device and system |
| CN205268833U (en) * | 2015-12-01 | 2016-06-01 | 杭州承诺医疗科技有限公司 | Sacrum neural stimulator program control instrument |
-
2015
- 2015-12-01 CN CN201510866215.6A patent/CN105327449B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201205405Y (en) * | 2008-01-22 | 2009-03-11 | 徐文东 | Peripheral nerve semi-implantation type electric stimulation control device |
| CN201921317U (en) * | 2010-11-17 | 2011-08-10 | 鼎迈医疗科技(苏州)有限公司 | Remote doctor program controller and implantable medical system |
| CN104096313A (en) * | 2014-06-17 | 2014-10-15 | 华中科技大学 | Implantable nerve electrical stimulation device and system |
| CN205268833U (en) * | 2015-12-01 | 2016-06-01 | 杭州承诺医疗科技有限公司 | Sacrum neural stimulator program control instrument |
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