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CN118217531A - Non-invasive pelvic floor electrical stimulation and biofeedback device and implementation method thereof - Google Patents

Non-invasive pelvic floor electrical stimulation and biofeedback device and implementation method thereof Download PDF

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CN118217531A
CN118217531A CN202410194994.9A CN202410194994A CN118217531A CN 118217531 A CN118217531 A CN 118217531A CN 202410194994 A CN202410194994 A CN 202410194994A CN 118217531 A CN118217531 A CN 118217531A
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muscle
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CN118217531B (en
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陈勇
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Philips Suzhou Medical Technology Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36007Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/389Electromyography [EMG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/3603Control systems
    • A61N1/36031Control systems using physiological parameters for adjustment

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Abstract

A non-invasive pelvic floor electrical stimulation and biofeedback device and method of practicing same, comprising: the main machine comprises a main machine shell, a main control module, a muscle/nerve stimulation electric pulse signal generating module and an electromyographic signal collecting and processing module, wherein the main control module is respectively connected with the muscle/nerve stimulation electric pulse signal generating module and the electromyographic signal collecting and processing module; the non-invasive electrode slice assembly comprises an electrode I, an electrode II and an electrode III which are respectively arranged outside the body and is of a non-invasive design. The non-invasive pelvic floor electric stimulation and biofeedback device and the implementation method thereof adopt the design of the non-invasive three electrodes, so that not only can the sanitary health problem possibly caused by cross use be avoided, but also the stimulation effect similar to the invasive electric stimulation can be achieved, the use experience of a user is improved, the device has high intelligent degree, the adjustment is convenient, and the user can also detect and observe the treatment effect in real time.

Description

非侵入式盆底电刺激和生物反馈装置及其实施方法Non-invasive pelvic floor electrical stimulation and biofeedback device and implementation method thereof

技术领域Technical Field

本发明属于康复治疗与评估技术领域,具体涉及一种非侵入式盆底电刺激和生物反馈装置及其实施方法。The present invention belongs to the technical field of rehabilitation treatment and assessment, and in particular relates to a non-invasive pelvic floor electrical stimulation and biofeedback device and an implementation method thereof.

背景技术Background technique

盆底肌指封闭骨盆底的肌肉群,用以支撑盆腔脏器的正常位置,以维持其正常生理功能。盆底功能障碍性疾病常见于老年人、产后妇女和接受了前列腺癌手术的男性中。近年来我国盆底功能障碍性疾病患病人数逐渐增多,给家庭和社会造成极大的经济和精神负担,引起临床医务工作者的重点关注。盆底功能障碍性疾病包括各种类型疾病,例如盆腔器官脱垂、性功能障碍、压力性尿失禁、慢性盆腔疼痛等。有盆底功能障碍性疾病的患者盆底肌肉松弛、阴道松弛,多个器官会发生移位、脱垂,从而导致性生活质量差,大笑、咳嗽时候漏尿等问题,对患者的身心健康造成很大影响。The pelvic floor muscles refer to the muscle groups that close the pelvic floor and are used to support the normal position of the pelvic organs to maintain their normal physiological functions. Pelvic floor dysfunction is common in the elderly, postpartum women, and men who have undergone prostate cancer surgery. In recent years, the number of patients with pelvic floor dysfunction in my country has gradually increased, causing great economic and mental burdens on families and society, and has attracted the attention of clinical medical workers. Pelvic floor dysfunction includes various types of diseases, such as pelvic organ prolapse, sexual dysfunction, stress urinary incontinence, chronic pelvic pain, etc. Patients with pelvic floor dysfunction have loose pelvic floor muscles and vaginal relaxation, and multiple organs will shift and prolapse, resulting in poor quality of sex life, urinary incontinence when laughing or coughing, and other problems, which have a great impact on the patient's physical and mental health.

侵入式盆底肌肉和神经电刺激仪是目前临床上常用的盆底肌肉和神经电刺激设备,主要由主机和电极探头组成。侵入式电极的刺激部位是阴道内侧壁,需要将电极或探头插入阴道或肛门。这种治疗方式操作复杂,不方便在家中自行操作,并且可能造成不适感或感染风险,降低用户治疗体验。同时,目前对于盆底肌肉和神经康复的评估也主要采用侵入式方案,在评估和训练过程中有诸多不便和不适。例如,中国专利公告号CN218685741U公开了一种盆底肌治疗探头、中国专利公告号CN116763315B公开了一种盆底电极,以及中国专利公告号CN116173404A公开了一种体外盆底肌电刺激仪及电刺激方法(该专利的说明书[0036]记载了:本体至少包括以下电极或电极组:阴道电极组 12,包括对称设置在小突起11表面的一对电极,在本体贴合外阴安装到位时,小突起 11 置入阴道中使阴道电极组能够贴合阴道内壁;腱中心电极组13,包括十字排列的两对电极,当小突起 11 正确置入阴道中时,所述腱中心电极组13能够贴合会阴中心腱;阴唇电极组 14,包括左右对称设置的一对电极,当小突起 11 正确置入阴道中时,阴唇电极组 14 能够贴合小阴唇中段两侧),上述专利中的探头均采用侵入式探头,在治疗过程中,成圆柱棒状的探头会伸入女性患者的阴道或者男性患者的直肠,这种坚硬的物体伸入体内,患者会有明显不适感,此外,这种侵入式探头对其制作工艺要求非常高,结构件的任何不平整,以及金属电极与壳体之间接缝的不完美,都会给患者带来压迫,刺痛等不适感,严重者可能会划伤阴道或者直肠内壁。The invasive pelvic floor muscle and nerve electrical stimulator is a commonly used pelvic floor muscle and nerve electrical stimulation device in clinical practice, which is mainly composed of a host and an electrode probe. The stimulation site of the invasive electrode is the inner wall of the vagina, and the electrode or probe needs to be inserted into the vagina or anus. This treatment method is complicated to operate, inconvenient to operate at home, and may cause discomfort or infection risks, reducing the user's treatment experience. At the same time, the current evaluation of pelvic floor muscle and nerve rehabilitation also mainly adopts invasive solutions, which cause many inconveniences and discomforts during the evaluation and training process. For example, Chinese Patent Publication No. CN218685741U discloses a pelvic floor muscle treatment probe, Chinese Patent Publication No. CN116763315B discloses a pelvic floor electrode, and Chinese Patent Publication No. CN116173404A discloses an in vitro pelvic floor muscle electrical stimulator and electrical stimulation method (the specification [0036] of the patent states: the body includes at least the following electrodes or electrode groups: a vaginal electrode group 12, including a pair of electrodes symmetrically arranged on the surface of a small protrusion 11, when the body is installed in place against the vulva, the small protrusion 11 is inserted into the vagina so that the vaginal electrode group can fit the inner wall of the vagina; a tendon center electrode group 13, including two pairs of electrodes arranged in a cross, when the small protrusion 11 is correctly inserted into the vagina, the tendon center electrode group 13 can fit the perineum center tendon; a labia electrode group 14, including a pair of electrodes symmetrically arranged on the left and right, when the small protrusion 11 is correctly inserted into the vagina, the labia electrode group 14 The probes in the above patents are all invasive probes. During the treatment, the cylindrical rod-shaped probe will be inserted into the vagina of female patients or the rectum of male patients. When this hard object is inserted into the body, the patient will feel obvious discomfort. In addition, this invasive probe has very high requirements for its manufacturing process. Any unevenness of the structural parts and imperfections in the joints between the metal electrodes and the shell will cause discomfort such as pressure and tingling to the patient. In severe cases, the inner wall of the vagina or rectum may be scratched.

而非侵入式盆底肌肉和神经电刺激仪相较而言无需内置探头,使用更方便。中国专利公告号CN112190266B公开了一种非侵入式盆底肌训练治疗系统,是以腹带式压电薄膜传感装置为原理,通过与电荷放大器耦合的信号调理电路,将电压信号进行去噪和放大,由信号输出模块将电压信号转化为可视化信号并输出。该专利未提及本发明的非侵入式电刺激方案,同时该专利采用非侵入式压力传感器接收的体内肌力信号会较弱,本发明采用的肌电信号评估,相比于肌力信号更可靠有效。中国专利公告号CN216855515U公开了一种医学电刺激治疗装置,通过将电极贴靠在预定部位,不必置入患者的体内,可避免给患者带来不适的体验。该专利只给出概念性构想,并没有给出具体的发明实施方案,例如主机的具体实现、电极的设计、一体机中的隔离设计、肌电信号采集的深度补偿等。并且,该专利只具有电刺激功能,不包括肌电强度测量以及功能评估、生物反馈训练的功能。并且,由于非侵入电极处在体外,这使得非侵入电极相比于侵入电极更加远离盆底肌群,所以非侵入电极采集到的盆底肌电信号必然弱于侵入式电极。因此,解决非侵入电极采集到的盆底肌电信号较弱的问题是非常有必要的。In comparison, non-invasive pelvic floor muscle and nerve electrical stimulators do not require built-in probes and are more convenient to use. Chinese Patent Announcement No. CN112190266B discloses a non-invasive pelvic floor muscle training treatment system, which is based on the principle of an abdominal belt-type piezoelectric film sensor device. Through a signal conditioning circuit coupled to a charge amplifier, the voltage signal is denoised and amplified, and the voltage signal is converted into a visual signal and output by a signal output module. The patent does not mention the non-invasive electrical stimulation scheme of the present invention. At the same time, the in vivo muscle force signal received by the patent using a non-invasive pressure sensor will be weak. The electromyographic signal evaluation used in the present invention is more reliable and effective than the muscle force signal. Chinese Patent Announcement No. CN216855515U discloses a medical electrical stimulation treatment device, which can avoid giving patients an uncomfortable experience by placing the electrodes against a predetermined position without having to be placed in the patient's body. The patent only gives a conceptual idea, and does not give a specific invention implementation plan, such as the specific implementation of the host, the design of the electrodes, the isolation design in the all-in-one machine, and the depth compensation of the electromyographic signal acquisition. Moreover, this patent only has the function of electrical stimulation, and does not include the functions of EMG strength measurement, functional evaluation, and biofeedback training. Moreover, since the non-invasive electrodes are outside the body, they are farther away from the pelvic floor muscles than the invasive electrodes, so the pelvic floor EMG signals collected by the non-invasive electrodes are necessarily weaker than those collected by the invasive electrodes. Therefore, it is very necessary to solve the problem of weak pelvic floor EMG signals collected by the non-invasive electrodes.

此外,传统盆底肌肉和神经电刺激一体机的操控界面在机身上,按键和触控屏在机身的前上方,这个位置正好对着男性和女性的生殖器,患者需要低头操控,不但极其不方便,而且也不卫生,人的隐私也不能得到很好保护,特别是仪器在工作过程中,患者身体的不自主移动以及大腿的微弱抖动都有可能会误触碰主机上的按钮和触摸屏,干扰和影响机器的正常工作,特别是男性使用者,因为男性的生殖器为突出物,非常容易影响和误触碰主机上的控制按钮和触摸屏。In addition, the control interface of the traditional pelvic floor muscle and nerve electrical stimulation all-in-one machine is on the body, and the buttons and touch screen are on the front upper part of the body, which is right in front of the male and female genitals. Patients need to lower their heads to operate, which is not only extremely inconvenient, but also unhygienic, and people's privacy cannot be well protected. Especially when the instrument is working, the patient's involuntary movement of the body and the slight shaking of the thigh may accidentally touch the buttons and touch screen on the host, interfering with and affecting the normal operation of the machine, especially for male users, because the male genitals are protrusions, which are very easy to affect and accidentally touch the control buttons and touch screen on the host.

因此,本发明的目的是提供一种非侵入式盆底电刺激和生物反馈装置及其实施方法,采用非侵入式电极,完全在体外,接触的是体外的会阴处和尾骨部位的皮肤,完全解决了侵入式电极的不足,装置集成度更高、操作更加智能化和人性化,采用智能手机APP软件结合蓝牙技术,将对主机的操控移植到智能手机上,彻底解决了患者使用中的诸多不便,形成强度更大并且互补的电流刺激,有利于患者处于一个稳定的治疗过程,还具有肌电强度测量以及功能评估、生物反馈训练的功能,同时解决了非侵入电极采集到的盆底肌电信号较弱的问题。Therefore, the purpose of the present invention is to provide a non-invasive pelvic floor electrical stimulation and biofeedback device and an implementation method thereof, which uses non-invasive electrodes, is completely outside the body, and contacts the skin of the perineum and coccyx outside the body, completely solving the shortcomings of invasive electrodes, and the device has a higher degree of integration, and the operation is more intelligent and humanized. It uses a smartphone APP software combined with Bluetooth technology to transplant the control of the host to the smartphone, which completely solves many inconveniences in patient use, forms a more intense and complementary current stimulation, and is conducive to the patient being in a stable treatment process. It also has the functions of electromyography intensity measurement, functional evaluation, and biofeedback training, and at the same time solves the problem of weak pelvic floor electromyography signals collected by non-invasive electrodes.

发明内容Summary of the invention

发明目的:为了克服上述背景技术中现有技术的不足,本发明的目的是提供一种非侵入式盆底电刺激和生物反馈装置及其实施方法,采用非侵入式三电极的设计,既能避免交叉使用可能导致的卫生健康问题,又能达到与侵入式电刺激相近的治疗效果,提高了使用者的治疗体验感,可以实施盆底肌肉和神经电刺激、盆底肌功能评估、生物反馈,智能化程度高,方便调节,还可以让使用者实时检测并且观察治疗效果,应用前景广泛。Purpose of the invention: In order to overcome the deficiencies of the prior art in the above-mentioned background technology, the purpose of the present invention is to provide a non-invasive pelvic floor electrical stimulation and biofeedback device and an implementation method thereof, which adopts a non-invasive three-electrode design, which can not only avoid the health problems that may be caused by cross-use, but also achieve a therapeutic effect similar to that of invasive electrical stimulation, thereby improving the user's treatment experience, and can implement pelvic floor muscle and nerve electrical stimulation, pelvic floor muscle function assessment, and biofeedback. It has a high degree of intelligence and is easy to adjust. It can also allow users to detect and observe the treatment effect in real time, and has broad application prospects.

本发明的目的是通过以下技术方案实现的:The objective of the present invention is achieved through the following technical solutions:

非侵入式盆底电刺激和生物反馈装置,包括:Non-invasive pelvic floor electrical stimulation and biofeedback device, including:

主机,所述主机包括主机外壳、主控模块、肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块、隔离电路,所述主控模块、肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块、隔离电路设置在主机外壳内部,所述主控模块分别与肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块相连接;所述肌肉/神经刺激电脉冲信号发生模块与肌电信号采集处理模块之间设置有隔离电路;在体表肌电信号采集过程中,通过所述肌电信号采集处理模块设置了路径补偿机制,补偿盆底肌传播到体表的肌电信号衰减,所述肌电信号采集处理模块包括肌电信号放大模块、肌电信号补偿模块、ADC(模数转换器);A host, the host comprising a host housing, a main control module, a muscle/nerve stimulation electric pulse signal generating module, an electromyographic signal acquisition and processing module, and an isolation circuit. The main control module, the muscle/nerve stimulation electric pulse signal generating module, the electromyographic signal acquisition and processing module, and the isolation circuit are arranged inside the host housing, and the main control module is respectively connected to the muscle/nerve stimulation electric pulse signal generating module and the electromyographic signal acquisition and processing module; an isolation circuit is arranged between the muscle/nerve stimulation electric pulse signal generating module and the electromyographic signal acquisition and processing module; in the process of collecting electromyographic signals on the body surface, a path compensation mechanism is arranged through the electromyographic signal acquisition and processing module to compensate for the attenuation of the electromyographic signals transmitted from the pelvic floor muscles to the body surface, and the electromyographic signal acquisition and processing module comprises an electromyographic signal amplification module, an electromyographic signal compensation module, and an ADC (analog-to-digital converter);

非侵入式电极片组件,所述非侵入式电极片组件包括电极一、电极二、电极三,所述电极一、电极二设置在主机外壳上表面上部左、右两侧并且分别与肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块相连接,所述电极三设置在主机外壳外一侧并且通过导线分别与肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块相连接;使用时,人体坐在主机上,所述电极一与电极二对应人体会阴,所述电极三对应人体尾骨部位;所述非侵入式电极片组件、肌电信号放大模块、肌电信号补偿模块、ADC、主控模块依次连接;A non-invasive electrode sheet assembly, the non-invasive electrode sheet assembly includes electrode 1, electrode 2, and electrode 3. The electrode 1 and electrode 2 are arranged on the left and right sides of the upper surface of the mainframe housing and are respectively connected to the muscle/nerve stimulation electric pulse signal generating module and the electromyographic signal acquisition and processing module. The electrode 3 is arranged on one side outside the mainframe housing and is respectively connected to the muscle/nerve stimulation electric pulse signal generating module and the electromyographic signal acquisition and processing module through wires. When in use, a human body sits on the mainframe, the electrode 1 and the electrode 2 correspond to the perineum of the human body, and the electrode 3 corresponds to the coccyx of the human body. The non-invasive electrode sheet assembly, the electromyographic signal amplification module, the electromyographic signal compensation module, the ADC, and the main control module are connected in sequence.

控制系统,所述控制系统与主控模块相连接。A control system is connected to the main control module.

本发明所述的非侵入式盆底电刺激和生物反馈装置,设计合理,采用非侵入三电极的设计,2个电极对应人体会阴、1个电极对应人体尾骨部位,在保证刺激效果的同时,大大提升使用者的体验感和接收程度,特别是电极三的引入,可以将肌电刺激脉冲信号引入深部盆底肌,达到更好的刺激效果。采用非侵入式的设计,能避免交叉使用可能导致的卫生健康问题,达到与侵入式电刺激相近的治疗效果,并且让使用者对该治疗方法具有更高的接受度,提高使用者治疗体验感。The non-invasive pelvic floor electrical stimulation and biofeedback device described in the present invention is reasonably designed and adopts a non-invasive three-electrode design, with two electrodes corresponding to the human perineum and one electrode corresponding to the human coccyx. While ensuring the stimulation effect, it greatly improves the user's experience and reception, especially the introduction of electrode three, which can introduce the myoelectric stimulation pulse signal into the deep pelvic floor muscle to achieve a better stimulation effect. The non-invasive design can avoid the health problems that may be caused by cross-use, achieve a treatment effect similar to that of invasive electrical stimulation, and allow users to have a higher degree of acceptance of the treatment method, thereby improving the user's treatment experience.

所述主机集合盆底肌肉和神经电刺激仪和生物反馈装置的功能于一体。使用时,人体坐在主机上,通过控制系统控制主机的主控模块,然后主控模块控制肌肉/神经刺激电脉冲信号发生模块,可产生输出不同电刺激参数的电脉冲进行康复治疗,主控模块控制肌电信号采集处理模块,可采集肌电信号并且传输到控制系统上显示肌电信号的能量强弱,进一步引导使用者进行盆底肌的收缩生物反馈训练等,使用方便。在体表肌电信号采集过程中,通过所述肌电信号采集处理模块设置了路径补偿机制,补偿盆底肌传播到体表的肌电信号衰减,解决了非侵入电极采集到的盆底肌电信号较弱的问题。The host integrates the functions of pelvic floor muscle and nerve electrical stimulator and biofeedback device. When in use, the human body sits on the host, and the control system controls the main control module of the host, and then the main control module controls the muscle/nerve stimulation electric pulse signal generating module, which can generate and output electric pulses with different electrical stimulation parameters for rehabilitation treatment. The main control module controls the electromyographic signal acquisition and processing module, which can collect electromyographic signals and transmit them to the control system to display the energy strength of the electromyographic signals, and further guide the user to perform pelvic floor muscle contraction biofeedback training, etc., which is easy to use. In the process of surface electromyographic signal acquisition, a path compensation mechanism is set by the electromyographic signal acquisition and processing module to compensate for the attenuation of the electromyographic signals transmitted from the pelvic floor muscles to the surface of the body, solving the problem of weak pelvic floor electromyographic signals acquired by non-invasive electrodes.

进一步的,上述的非侵入式盆底电刺激和生物反馈装置,是一种非侵入式电极设计,非侵入式电极完全放置在使用者体外,其中两个电极置于人体会阴,第三个电极置于尾骨部位,本发明不同于现有技术中的侵入式方案,侵入式方案对于女性用户需要将电极置于阴道内,而对于男性用户则需要将电极置于直肠内,侵入式方案不但用户体验感受很差,而且存在消毒,交叉感染等风险。所述主机外壳具有0-20°的倾斜角度,所述主机外壳包括:Furthermore, the above-mentioned non-invasive pelvic floor electrical stimulation and biofeedback device is a non-invasive electrode design, in which the non-invasive electrodes are completely placed outside the user's body, two electrodes are placed on the perineum, and the third electrode is placed on the coccyx. The present invention is different from the invasive solution in the prior art. The invasive solution requires the electrodes to be placed in the vagina for female users and in the rectum for male users. The invasive solution not only has a poor user experience, but also has risks such as disinfection and cross infection. The host housing has a tilt angle of 0-20°, and the host housing includes:

上壳;Upper shell;

医用硅胶垫,所述上壳上表面与人体臀部相贴合,并且上壳上表面与人体臀部坐骨相接触的地方设置有医用硅胶垫;所述医用硅胶垫的厚度为1-10mm;所述电极一、电极二设置在上壳上表面与人体会阴对应接触的地方,所述电极一、电极二左右对称并且位于医用硅胶垫内侧、突出于医用硅胶垫;A medical silicone pad, wherein the upper surface of the upper shell fits the buttocks of a human body, and the medical silicone pad is arranged at the place where the upper surface of the upper shell contacts the ischium of the buttocks of a human body; the thickness of the medical silicone pad is 1-10 mm; the electrode 1 and the electrode 2 are arranged at the place where the upper surface of the upper shell contacts the corresponding perineum of a human body, and the electrode 1 and the electrode 2 are symmetrical and located on the inner side of the medical silicone pad and protrude from the medical silicone pad;

下壳,所述下壳设置在上壳下方并且与上壳相连接;A lower shell, the lower shell is arranged below the upper shell and connected to the upper shell;

防滑硅胶垫,所述下壳底部设置有防滑硅胶垫。Anti-skid silicone pad: an anti-skid silicone pad is arranged at the bottom of the lower shell.

所述主机外壳具有一定的倾斜角度,使得主机外壳上的电极一、电极二也具有适宜的倾斜角度,电极一、电极二突出,从而能更好的与人体会阴区皮肤贴合。上壳上表面与人体臀部相贴合,并且与人体臀部坐骨相接触的地方设置有医用硅胶垫,医用硅胶垫具有1-10mm的厚度,提高了使用的舒适度。在下壳底部设置有防滑硅胶垫,防止使用过程中主机滑动,影响使用效果。The host shell has a certain tilt angle, so that the electrode 1 and the electrode 2 on the host shell also have a suitable tilt angle, and the electrode 1 and the electrode 2 are protruding, so that they can better fit the skin of the perineum of the human body. The upper surface of the upper shell fits the human buttocks, and a medical silicone pad is provided at the place where it contacts the ischium of the human buttocks. The medical silicone pad has a thickness of 1-10mm, which improves the comfort of use. An anti-slip silicone pad is provided at the bottom of the lower shell to prevent the host from sliding during use and affecting the use effect.

进一步的,上述的非侵入式盆底电刺激和生物反馈装置,采用三电极设计,特别是尾骨部位第三电极的引入,可以将刺激电流引导到深部盆底肌组织,在增强电刺激效果的同时,也可以有效采集到深部盆底肌的反馈信号,而现有技术中两电极设计中刺激脉冲的能量只能集中在电极附近以及很小的范围之内,也无法采集到深部的盆底肌电信号。所述电极一、电极二的结构相同,均包括:Furthermore, the above-mentioned non-invasive pelvic floor electrical stimulation and biofeedback device adopts a three-electrode design, especially the introduction of the third electrode at the coccyx, which can guide the stimulation current to the deep pelvic floor muscle tissue, while enhancing the electrical stimulation effect, it can also effectively collect the feedback signal of the deep pelvic floor muscle. In the prior art, the energy of the stimulation pulse in the two-electrode design can only be concentrated near the electrode and within a very small range, and it is impossible to collect the deep pelvic floor muscle electroelectric signal. The structure of the electrode one and the electrode two is the same, both including:

金属电极,所述金属电极采用316L不锈钢;Metal electrode, the metal electrode is made of 316L stainless steel;

PI加热片,所述PI加热片贴合设置在金属电极内;A PI heating sheet, wherein the PI heating sheet is laminated and arranged inside the metal electrode;

所述电极三为硅胶电极片,包括:The electrode three is a silicone electrode sheet, comprising:

硅胶片;Silicone sheet;

导电水凝胶片,所述硅胶片与导电水凝胶片组合为电极三。Conductive hydrogel sheet, the silicone sheet and the conductive hydrogel sheet are combined to form electrode three.

所述电极一、电极二采用316L不锈钢材料制作的金属电极,316L不锈钢是一种高度耐腐蚀的材料,可以在潮湿环境下长时间使用而不容易受到腐蚀,这使得金属电极能够在接触人体组织和液体时保持较高的稳定性和耐久性,还具有良好的导电性能,能够有效地传递电刺激。PI加热片是一种新型的加热元件(也称Kapton加热膜),被广泛应用于高精度温度控制和加热系统中,其材料为聚酰亚胺(PI),可以承受高温、高压、强酸强碱等恶劣环境,具有良好的稳定性和耐腐蚀性,将其用于金属电极内部可以实现对金属电极的加热,既可以使电极一、电极二具有36-42摄氏度的恒温(即体温),使用更舒适,还可以加热到42-45摄氏度之间起到热疗的效果,舒缓盆底肌肉神经、筋膜组织,有助于盆底修复效率的提升。The electrode 1 and the electrode 2 are metal electrodes made of 316L stainless steel. 316L stainless steel is a highly corrosion-resistant material that can be used for a long time in a humid environment without being easily corroded. This allows the metal electrode to maintain high stability and durability when in contact with human tissue and liquids, and also has good electrical conductivity and can effectively transmit electrical stimulation. The PI heating sheet is a new type of heating element (also known as Kapton heating film), which is widely used in high-precision temperature control and heating systems. Its material is polyimide (PI), which can withstand high temperature, high pressure, strong acid and alkali and other harsh environments, and has good stability and corrosion resistance. It can be used inside the metal electrode to heat the metal electrode, which can make the electrode 1 and the electrode 2 have a constant temperature of 36-42 degrees Celsius (i.e. body temperature), which is more comfortable to use, and can also be heated to between 42-45 degrees Celsius to achieve the effect of thermal therapy, soothing the pelvic floor muscle nerves and fascia tissues, and helping to improve the efficiency of pelvic floor repair.

所述电极三采用硅胶电极片,由柔软的硅胶片和导电水凝胶片组合而成,具有较好的柔软性和弹性,这使得电极三能够更好地贴合人体尾骨部位皮肤,提供舒适的治疗体验。硅胶电极片对人体组织不会产生刺激或不适感,提供良好的电传导性能,并且长时间使用不易损坏,后期耗材使用成本低,性价比高。The electrode three is a silicone electrode sheet, which is composed of a soft silicone sheet and a conductive hydrogel sheet, and has good softness and elasticity, which enables the electrode three to better fit the skin of the coccyx area of the human body and provide a comfortable treatment experience. The silicone electrode sheet will not cause irritation or discomfort to human tissue, provides good electrical conductivity, and is not easily damaged after long-term use. The cost of later consumables is low and the cost performance is high.

本发明采用3个电极,电极一、电极二为2个会阴电极,电极三为尾骨部位电极,均与肌肉/神经刺激电脉冲信号发生模块连接,使用时,可以不断的切换正、负极位置,使用中一直在变幻,这样不容易产生疲劳,并且有助于肌肉神经的修复效率。The present invention uses three electrodes, electrode one and electrode two are two perineal electrodes, and electrode three is a coccyx electrode, all of which are connected to a muscle/nerve stimulation electric pulse signal generating module. When in use, the positive and negative pole positions can be continuously switched, and they are constantly changing during use, which is not easy to cause fatigue and helps to improve the repair efficiency of muscles and nerves.

进一步的,上述的非侵入式盆底电刺激和生物反馈装置,所述控制系统为手机,所述手机上设置有与主机相配合的APP软件,所述主控模块通过蓝牙与手机连接,实现所述主机与手机的信息交互。相对于现有技术中将操控界面设置在主机上,通过触摸屏来操控的设计,本发明通过智能手机APP,可以完全避免使用者不自主运动等对使用过程的干扰。Furthermore, in the above-mentioned non-invasive pelvic floor electrical stimulation and biofeedback device, the control system is a mobile phone, the mobile phone is provided with an APP software that matches the host, and the main control module is connected to the mobile phone via Bluetooth to realize information interaction between the host and the mobile phone. Compared with the design of setting the control interface on the host and controlling it through the touch screen in the prior art, the present invention can completely avoid the interference of the user's involuntary movement and the like on the use process through the smart phone APP.

为了方便使用,选择手机进行控制。所述手机里有与主机相配合的APP软件,通过手机的APP软件可以调试主机的各项参数,以来进行盆底肌肉和神经电刺激、盆底肌功能评估、生物反馈等操作并且将操作情况传输到手机上,帮助使用者更好地了解治疗效果,大大提升使用方便性和使用者的体验感,方便操控和感受治疗效果。For ease of use, a mobile phone is selected for control. The mobile phone has an APP software that matches the host. Through the APP software of the mobile phone, various parameters of the host can be adjusted to perform pelvic floor muscle and nerve electrical stimulation, pelvic floor muscle function assessment, biofeedback and other operations, and the operation status is transmitted to the mobile phone, helping users to better understand the treatment effect, greatly improving the convenience of use and the user's experience, and facilitating control and feeling of the treatment effect.

进一步的,上述的非侵入式盆底电刺激和生物反馈装置,集成电刺激与肌电生物反馈于一体,并且通过隔离电路设计,有效避免两个模块之间的相互干扰。所述主机还包括:Furthermore, the above-mentioned non-invasive pelvic floor electrical stimulation and biofeedback device integrates electrical stimulation and electromyographic biofeedback, and through the isolation circuit design, effectively avoids mutual interference between the two modules. The host also includes:

电源管理模块,所述电源管理模块用于主机的供电;A power management module, which is used to supply power to the host;

加热模块,所述隔离电路、加热模块依次连接,所述加热模块与非侵入式电极片组件连接。A heating module, the isolation circuit and the heating module are connected in sequence, and the heating module is connected to the non-invasive electrode sheet assembly.

主控模块接收手机的APP软件输入的参数控制,控制肌肉/神经刺激电脉冲信号发生模块的工作并且产生刺激脉冲,同时主控模块也可以采集肌电信号采集处理模块采集到的肌电信号并且通过蓝牙传送给手机的APP软件。电源管理模块向主机的其他模块供电。肌肉/神经刺激电脉冲信号发生模块向人体产生电刺激用以治疗。肌电信号采集处理模块接收人体的肌电信号并加以处理,包括放大肌电信号和去除非盆底肌肌肉产生的肌电信号,完成生物反馈过程。由于电刺激信号较强,而肌电信号较弱,因此,两个模块之间需要隔离电路。最后整个主机通过蓝牙与手机的使用者端相连接。加热模块,可根据使用者的体感或者治疗需求,将非侵入式电极片组件加热到体温(36-42摄氏度)附近,以减少不适,同时还可以加热到42-45摄氏度,达到辅助热疗的效果。The main control module receives the parameter control input by the mobile phone APP software, controls the operation of the muscle/nerve stimulation electric pulse signal generation module and generates stimulation pulses. At the same time, the main control module can also collect the electromyographic signals collected by the electromyographic signal acquisition and processing module and transmit them to the mobile phone APP software via Bluetooth. The power management module supplies power to other modules of the host. The muscle/nerve stimulation electric pulse signal generation module generates electrical stimulation to the human body for treatment. The electromyographic signal acquisition and processing module receives and processes the electromyographic signals of the human body, including amplifying the electromyographic signals and removing the electromyographic signals generated by non-pelvic floor muscles to complete the biofeedback process. Since the electrical stimulation signal is strong and the electromyographic signal is weak, an isolation circuit is required between the two modules. Finally, the entire host is connected to the user end of the mobile phone via Bluetooth. The heating module can heat the non-invasive electrode sheet assembly to near body temperature (36-42 degrees Celsius) according to the user's body sensation or treatment needs to reduce discomfort, and can also be heated to 42-45 degrees Celsius to achieve the effect of auxiliary heat therapy.

具体地:首先,安装有与主机配套APP软件的手机,打开蓝牙工作模式,查询与之配对的蓝牙设备并成功连接,启用APP软件,该APP软件主要有电刺激(肌肉/神经刺激电脉冲信号发生模块)以及温度操控(加热模块)、肌电强度测量(肌电信号采集处理模块)以及功能评估、生物反馈训练等功能。(1)电刺激以及温度操控:电刺激参数的配置主要通过选择刺激模式来实现,不同的刺激模式已经固化了一套刺激参数,具体刺激参数包括刺激脉冲的宽度、刺激脉冲的重复周期、刺激脉冲的持续的时间、空闲间隔时间、总的治疗时长等。刺激脉冲的强度即电压幅度,在不同刺激模式下,用户都可以根据自身的耐受程度灵活调节,关于电极一、电极二的温度调控,用户也可以根据周围环境温度以及自己的体感进行自主选择;(2)肌电强度测量以及功能评估:肌电信号采集处理模块的启用是独立的,以避免肌肉/神经刺激电脉冲信号发生模块与肌电信号采集处理模块两个模块相互之间的干扰,在APP软件的语音提示下,用户收缩自己的会阴或者完成提肛等运动以带动盆底肌活动,主机采集传导到体表的表面肌电,并完成传输衰减损耗补偿,最后通过无线蓝牙传输到手机,手机根据肌电信号的强弱对肌电的功能做出等级评价,并反馈给用户,进一步了解治疗效果;(3)生物反馈训练:APP软件还可以实现生物反馈训练,手机APP软件通过语音提醒用户收缩盆底肌,并且将盆底肌收缩的轨迹以视觉形式呈现给用户,提醒用户加强收缩力道,保持收缩时间,放松盆底肌等功能锻炼,最后达到生物反馈的训练结果。总之,手机APP软件的引入,帮助使用者更好地了解治疗效果,大大提升使用方便性和使用者的体验感,方便操控和感受治疗效果。Specifically: First, install the mobile phone with the APP software matching the host, turn on the Bluetooth working mode, query the paired Bluetooth device and successfully connect, and enable the APP software. The APP software mainly has functions such as electrical stimulation (muscle/nerve stimulation electric pulse signal generation module) and temperature control (heating module), electromyographic strength measurement (electromyographic signal acquisition and processing module) and functional evaluation, biofeedback training, etc. (1) Electrical stimulation and temperature control: The configuration of electrical stimulation parameters is mainly achieved by selecting the stimulation mode. Different stimulation modes have solidified a set of stimulation parameters. The specific stimulation parameters include the width of the stimulation pulse, the repetition period of the stimulation pulse, the duration of the stimulation pulse, the idle interval time, the total treatment time, etc. The intensity of the stimulation pulse, i.e., the voltage amplitude, can be flexibly adjusted by the user according to his or her tolerance in different stimulation modes. Regarding the temperature control of electrode 1 and electrode 2, the user can also make independent choices based on the ambient temperature and his or her own body sensation. (2) EMG intensity measurement and functional evaluation: The activation of the EMG signal acquisition and processing module is independent to avoid interference between the muscle/nerve stimulation pulse signal generation module and the EMG signal acquisition and processing module. Under the voice prompt of the APP software, the user contracts his or her perineum or performs exercises such as anal lifting to activate the pelvic floor muscles. The host collects the surface EMG transmitted to the body surface and completes the transmission attenuation loss compensation. Finally, it is transmitted to the mobile phone via wireless Bluetooth. The mobile phone makes a grade evaluation of the EMG function based on the strength of the EMG signal and gives feedback to the user to further understand the treatment effect. (3) Biofeedback training: The APP software can also realize biofeedback training. The mobile phone APP software reminds the user to contract the pelvic floor muscles through voice, and presents the trajectory of the pelvic floor muscle contraction to the user in a visual form, reminding the user to strengthen the contraction force, maintain the contraction time, relax the pelvic floor muscles and other functional exercises, and finally achieve the biofeedback training results. In short, the introduction of mobile phone APP software helps users better understand the treatment effects, greatly improves the ease of use and user experience, and facilitates the control and feeling of treatment effects.

进一步的,上述的非侵入式盆底电刺激和生物反馈装置,设计了肌电信号采集路径补偿机制,根据体外电极的位置以及所收缩的盆底肌的深度,补偿盆底肌电信号传输到体表的衰减,可获取更加准确的盆底肌电信号,用于生物反馈。所述肌肉/神经刺激电脉冲信号发生模块包括电荷放大模块、电信号输出模块,所述主控模块、电荷放大模块、电信号输出模块、非侵入式电极片组件依次连接;所述肌电信号放大模块包括低通滤波模块、高通滤波模块、后置放大模块,所述非侵入式电极片组件、低通滤波模块、高通滤波模块、后置放大模块、肌电信号补偿模块、ADC、主控模块依次连接。Furthermore, the above-mentioned non-invasive pelvic floor electrical stimulation and biofeedback device is designed with an electromyographic signal acquisition path compensation mechanism, which compensates for the attenuation of the pelvic floor electromyographic signal transmitted to the body surface according to the position of the external electrode and the depth of the contracted pelvic floor muscle, and can obtain more accurate pelvic floor electromyographic signals for biofeedback. The muscle/nerve stimulation electric pulse signal generation module includes a charge amplification module and an electrical signal output module, and the main control module, the charge amplification module, the electrical signal output module, and the non-invasive electrode sheet assembly are connected in sequence; the electromyographic signal amplification module includes a low-pass filter module, a high-pass filter module, and a post-amplification module, and the non-invasive electrode sheet assembly, the low-pass filter module, the high-pass filter module, the post-amplification module, the electromyographic signal compensation module, the ADC, and the main control module are connected in sequence.

盆底肌肉和神经电刺激时,主控模块根据手机APP软件下发的电刺激参数,通过电荷放大模块、电信号输出模块产生恒流的刺激脉冲,并通过电极一和电极二向人体会阴施加电刺激、电极三向人体尾骨部位施加电刺激。During electrical stimulation of the pelvic floor muscles and nerves, the main control module generates constant current stimulation pulses through the charge amplification module and the electrical signal output module according to the electrical stimulation parameters sent by the mobile phone APP software, and applies electrical stimulation to the perineum of the human body through electrode 1 and electrode 2, and to the coccyx of the human body through electrode 3.

采集人体肌电信号时,通过电极一、电极二、电极三采集人体会阴和尾骨部位的肌电信号,通过肌电信号放大模块将肌电信号放大,即先采用低通滤波模块进行低通滤波,将高于设定的特定频率滤除,以降低杂波信号造成的影响,既可以很好地保存肌电信号,又可以降低采集过程工频的干扰,然后再采用高通滤波模块进行高通滤波,通过低通滤波电路后可以将高于截止频率的波形滤除,然后使用高通滤波将低于截止频率的信号滤除,确保肌电信号不失真,滤除干扰信号后,再通过后置放大电路进放大处理。由肌电信号补偿模块建立补偿机制,补偿在传输过程中损失的肌电信号,计算其有效值并最后传输到手机上,可以让使用者实时检测并且观察治疗效果。When collecting human electromyographic signals, the electromyographic signals of the perineum and coccyx of the human body are collected through electrodes 1, 2, and 3, and the electromyographic signals are amplified through the electromyographic signal amplification module, that is, the low-pass filter module is first used for low-pass filtering to filter out the specific frequency higher than the setting to reduce the influence of the clutter signal, which can not only well preserve the electromyographic signal, but also reduce the interference of the power frequency in the collection process, and then the high-pass filter module is used for high-pass filtering. After passing through the low-pass filter circuit, the waveform higher than the cut-off frequency can be filtered out, and then the high-pass filter is used to filter out the signal lower than the cut-off frequency to ensure that the electromyographic signal is not distorted. After filtering the interference signal, it is amplified by the post-amplification circuit. The electromyographic signal compensation module establishes a compensation mechanism to compensate for the electromyographic signal lost during the transmission process, calculates its effective value and finally transmits it to the mobile phone, so that the user can detect and observe the treatment effect in real time.

本发明还涉及所述非侵入式盆底电刺激和生物反馈装置的实施方法,包括盆底肌肉和神经电刺激的实施方法、盆底肌功能评估的实施方法、生物反馈的实施方法。The present invention also relates to an implementation method of the non-invasive pelvic floor electrical stimulation and biofeedback device, including an implementation method of pelvic floor muscle and nerve electrical stimulation, an implementation method of pelvic floor muscle function assessment, and an implementation method of biofeedback.

进一步的,上述的非侵入式盆底电刺激和生物反馈装置的实施方法,所述盆底肌肉和神经电刺激的实施方法,包括如下步骤:Furthermore, the implementation method of the above-mentioned non-invasive pelvic floor electrical stimulation and biofeedback device, the implementation method of the pelvic floor muscle and nerve electrical stimulation, comprises the following steps:

S12:通过手机的APP软件设置盆底肌肉和神经电刺激的各项参数,所述参数包括但不限于治疗时长、脉冲宽度、脉冲幅度、电极温度;S12: Setting various parameters of pelvic floor muscle and nerve electrical stimulation through the mobile phone APP software, including but not limited to treatment duration, pulse width, pulse amplitude, and electrode temperature;

S13:使用者正坐在主机上,确保所述电极一与电极二对应人体会阴,电极一与电极二与人体会阴处紧密贴合;确保所述电极三对应人体尾骨部位,电极三与人体尾骨部位紧密贴合;S13: The user is sitting on the host, ensuring that the electrode 1 and the electrode 2 correspond to the human perineum, and the electrode 1 and the electrode 2 are closely attached to the human perineum; ensuring that the electrode 3 corresponds to the human coccyx, and the electrode 3 is closely attached to the human coccyx;

S14:主机通电,并且通过手机的APP软件开启盆底肌肉和神经电刺激,通过硅胶电极片直接接触人体皮肤,使电刺激信号有效地传递到盆底肌肉群;S14: The host is powered on, and the pelvic floor muscle and nerve electrical stimulation is turned on through the mobile phone APP software. The silicone electrode directly contacts the human skin, so that the electrical stimulation signal is effectively transmitted to the pelvic floor muscle group;

S15:使用者根据自身体验,通过手机的APP软件调整主机的电刺激强度及非侵入式电极片组件的各电极片的温度;S15: The user adjusts the electrical stimulation intensity of the host and the temperature of each electrode of the non-invasive electrode assembly through the APP software of the mobile phone according to his own experience;

S16:等到一周期治疗时长结束,盆底肌肉和神经电刺激停止。S16: When one treatment cycle is over, the electrical stimulation of the pelvic floor muscles and nerves is stopped.

进一步的,上述的非侵入式盆底电刺激和生物反馈装置的实施方法,所述盆底肌功能评估的实施方法,包括如下步骤:Furthermore, the implementation method of the above-mentioned non-invasive pelvic floor electrical stimulation and biofeedback device and the implementation method of the pelvic floor muscle function assessment include the following steps:

S21:选一平整、坚硬地方,将主机水平位置摆放;S21: Choose a flat and hard place and place the host in a horizontal position;

S22:使用者正坐在主机上,确保所述电极一与电极二对应人体会阴,电极一与电极二与人体会阴处紧密贴合;确保所述电极三对应人体尾骨部位,电极三与人体尾骨部位紧密贴合;S22: The user is sitting on the host, ensuring that the electrode 1 and the electrode 2 correspond to the human perineum, and the electrode 1 and the electrode 2 are closely attached to the human perineum; ensuring that the electrode 3 corresponds to the human coccyx, and the electrode 3 is closely attached to the human coccyx;

S23:主机通电开启盆底肌功能评估或者是在进行盆底肌肉和神经电刺激后再进行盆底肌功能评估;S23: The host is powered on to start the pelvic floor muscle function assessment or the pelvic floor muscle function assessment is performed after the pelvic floor muscle and nerve electrical stimulation;

S24:手机的APP软件通过语音引导使用者收缩盆底肌,包括但不限于提肛或者收缩会阴,同时采集肌电信号;S24: The mobile phone APP software guides the user to contract the pelvic floor muscles through voice, including but not limited to lifting the anus or contracting the perineum, and collects electromyographic signals at the same time;

S25:通过肌电信号放大模块将采集的肌电信号放大,通过肌电信号补偿模块补偿在传输过程中损失的肌电信号,通过ADC转换为主控模块可以处理的数字信号,主控模块计算其有效值并且传输到手机上进行显示,对盆底肌肌力进行功能评估,供使用者参考。S25: The collected electromyographic signal is amplified by the electromyographic signal amplification module, the electromyographic signal lost in the transmission process is compensated by the electromyographic signal compensation module, and the signal is converted into a digital signal that can be processed by the main control module through the ADC. The main control module calculates the effective value and transmits it to the mobile phone for display, and the pelvic floor muscle strength is functionally evaluated for the user's reference.

采集被试收缩会阴或者提肛运动引起的肌电信号,进行肌力评估并划分能量强弱等级。The electromyographic signals caused by the subjects' perineal contraction or anal levator movements were collected to evaluate the muscle strength and divide the energy intensity into different levels.

进一步的,上述的非侵入式盆底电刺激和生物反馈装置的实施方法,所述生物反馈的实施方法,包括如下步骤:Furthermore, the implementation method of the above-mentioned non-invasive pelvic floor electrical stimulation and biofeedback device, the implementation method of the biofeedback, comprises the following steps:

S31:选一平整、坚硬地方,将主机水平位置摆放;S31: Choose a flat and hard place and place the host in a horizontal position;

S32:使用者正坐在主机上,确保所述电极一与电极二对应人体会阴,电极一与电极二与人体会阴处紧密贴合;确保所述电极三对应人体尾骨部位,电极三与人体尾骨部位紧密贴合;S32: The user is sitting on the host, ensuring that the electrode 1 and the electrode 2 correspond to the human perineum, and the electrode 1 and the electrode 2 are closely attached to the human perineum; ensuring that the electrode 3 corresponds to the human coccyx, and the electrode 3 is closely attached to the human coccyx;

S33:主机通电开启生物反馈或者是在进行盆底肌肉和神经电刺激后再进行生物反馈;S33: Biofeedback is started after the host is powered on or after pelvic floor muscle and nerve electrical stimulation;

S34:手机的APP软件通过语音引导使用者收缩盆底肌,包括但不限于提肛或者收缩会阴,并且采集肌电信号,同时通过视角引导使用者将收缩力度达到期望值,并且维持一段时间;S34: The mobile phone APP software guides the user to contract the pelvic floor muscles through voice, including but not limited to lifting the anus or contracting the perineum, and collects electromyographic signals, and guides the user through the visual angle to reach the desired contraction strength and maintain it for a period of time;

S35:手机的APP软件通过语音引导使用者放松盆底肌,休息1-10分钟;S35: The mobile phone APP software guides the user to relax the pelvic floor muscles through voice and rest for 1-10 minutes;

S36:根据手机的APP软件设定的生物反馈模式的训练方案,重复上述过程,完成通过生物反馈训练盆底肌的效果。S36: Repeat the above process according to the training program of the biofeedback mode set by the mobile phone APP software to achieve the effect of training the pelvic floor muscles through biofeedback.

利用非侵入式电极片组件对肌肉的收缩情况进行反馈,根据使用者的评估结果提供锻炼方案,引导被试进行盆底肌的生物反馈康复训练,增强盆底肌的机能。The non-invasive electrode assembly is used to provide feedback on muscle contraction, and an exercise plan is provided based on the user's evaluation results to guide the subject to perform biofeedback rehabilitation training for the pelvic floor muscles to enhance the function of the pelvic floor muscles.

在底肌电刺激治疗、盆底肌功能评估、生物反馈任一实施时,肌肉/神经刺激电脉冲信号发生模块均采用4种不同频率的低频脉冲进行组合(20Hz、30Hz、50Hz、80Hz、300Hz五种频率脉冲),相对单一频率的脉冲更容易修复神经肌肉组织,还可以防止20分钟的长时间电刺激导致肌肉耐受度增加。When implementing pelvic floor muscle electrical stimulation therapy, pelvic floor muscle function assessment, and biofeedback, the muscle/nerve stimulation electrical pulse signal generation module uses a combination of 4 low-frequency pulses with different frequencies (five frequency pulses: 20Hz, 30Hz, 50Hz, 80Hz, and 300Hz). Compared with a single frequency pulse, it is easier to repair neuromuscular tissue and can also prevent the increase in muscle tolerance caused by long-term electrical stimulation for 20 minutes.

与现有技术相比,本发明具有如下的有益效果:Compared with the prior art, the present invention has the following beneficial effects:

(1)本发明公开的非侵入式盆底电刺激和生物反馈装置,设计合理,实现了在不影响刺激效果以及能采集有效的肌电信号的同时、改善使用者的治疗体验感并能够让使用者了解治疗效果的技术目的,具有方便易用、提高舒适度、保障治疗效果、避免感染风险的有益效果;1、方便易用、提高舒适度:与传统的盆底肌肉和神经电刺激仪器以及方法相比,采用非侵入式三电极的设计,2个电极对应人体会阴、1个电极对应人体尾骨部位,不需要插入电极或探头,造成伤害小,在保证刺激效果的同时,大大提升使用者的体验感和接收程度,使用者可以在家中自行进行治疗,不需要专业人员的操作;2、保障治疗效果:通过尾骨部位电极三的引入以及硅胶电极片直接接触人体皮肤,使电刺激信号更加直接、有效地传递到盆底肌肉群,从而保障并增强治疗效果,也使肌电信号更直接地传输,减少肌电信号的损失和衰弱,实时给使用者反馈治疗效果;3、避免感染风险:每个使用者使用时,可以配备独立的非侵入式电极片组件,避免了多人间的电极交叉使用可能带来的交叉感染和卫生问题,保证了治疗的安全性和卫生性;4、解决了非侵入电极采集到的盆底肌电信号较弱的问题;(1) The non-invasive pelvic floor electrical stimulation and biofeedback device disclosed in the present invention has a reasonable design and achieves the technical purpose of improving the user's treatment experience and allowing the user to understand the treatment effect without affecting the stimulation effect and being able to collect effective electromyographic signals. It has the beneficial effects of being convenient and easy to use, improving comfort, ensuring treatment effects, and avoiding infection risks; 1. Convenient and easy to use, improving comfort: Compared with traditional pelvic floor muscle and nerve electrical stimulation instruments and methods, it adopts a non-invasive three-electrode design, 2 electrodes correspond to the human perineum, and 1 electrode corresponds to the human coccyx. It does not need to insert electrodes or probes, causing less damage. While ensuring the stimulation effect, it greatly improves the user's experience and reception. The user can perform the treatment at home by himself without the need for professional operation; 2. Ensure the treatment effect: Through the introduction of the third electrode in the coccyx area and the direct contact of the silicone electrode sheet with the human skin, the electrical stimulation signal is transmitted to the pelvic floor muscle group more directly and effectively, thereby ensuring and enhancing the treatment effect, and also making the electromyographic signal more directly transmitted, reducing the loss and weakening of the electromyographic signal, and providing real-time feedback on the treatment effect to the user; 3. Avoid infection risks: Each user can be equipped with an independent non-invasive electrode sheet assembly when using it, avoiding the cross-infection and hygiene problems that may be caused by the cross-use of electrodes by multiple people, and ensuring the safety and hygiene of the treatment; 4. Solve the problem of weak pelvic floor electromyographic signals collected by non-invasive electrodes;

(2)本发明公开的非侵入式盆底电刺激和生物反馈装置的实施方法,操作简单可调节且具有很高的灵活性,通过手机的APP软件可以调试主机不同模式下的各项参数,以来进行盆底肌肉和神经电刺激、盆底肌功能评估、生物反馈等操作并且将操作情况传输到手机显示屏上,帮助使用者更好地了解治疗效果,大大提升使用方便性和使用者的体验感,方便操控和感受治疗效果。(2) The implementation method of the non-invasive pelvic floor electrical stimulation and biofeedback device disclosed in the present invention is simple to operate, adjustable and highly flexible. Through the APP software of the mobile phone, various parameters of the host in different modes can be debugged to perform pelvic floor muscle and nerve electrical stimulation, pelvic floor muscle function assessment, biofeedback and other operations, and the operation status is transmitted to the mobile phone display screen, which helps users better understand the treatment effect, greatly improves the ease of use and the user's experience, and facilitates the control and feeling of the treatment effect.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1为本发明所述非侵入式盆底电刺激和生物反馈装置的结构简图;FIG1 is a schematic structural diagram of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图2为本发明所述非侵入式盆底电刺激和生物反馈装置的结构示意图;FIG2 is a schematic diagram of the structure of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图3为本发明所述非侵入式盆底电刺激和生物反馈装置的主机外壳结构示意图;FIG3 is a schematic diagram of the structure of the mainframe housing of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图4为本发明所述非侵入式盆底电刺激和生物反馈装置的主机外壳底部示意图;FIG4 is a schematic diagram of the bottom of the main housing of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图5为本发明所述非侵入式盆底电刺激和生物反馈装置的金属电极结构示意图;FIG5 is a schematic diagram of the metal electrode structure of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图6为本发明所述非侵入式盆底电刺激和生物反馈装置的PI加热片结构示意图;FIG6 is a schematic diagram of the structure of the PI heating plate of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图7为本发明所述非侵入式盆底电刺激和生物反馈装置的电极三结构示意图;FIG7 is a schematic diagram of the electrode structure of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图8为本发明所述非侵入式盆底电刺激和生物反馈装置的框架图;FIG8 is a framework diagram of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图9为本发明所述非侵入式盆底电刺激和生物反馈装置的肌肉/神经刺激电脉冲信号发生模块示意图;FIG9 is a schematic diagram of a muscle/nerve stimulation electrical pulse signal generating module of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图10为本发明所述非侵入式盆底电刺激和生物反馈装置的肌电信号采集处理模块示意图;FIG10 is a schematic diagram of an electromyographic signal acquisition and processing module of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图11为本发明所述非侵入式盆底电刺激和生物反馈装置的盆底肌电信号传输给人体体表各电极片示意图;FIG11 is a schematic diagram of the transmission of pelvic floor electromyographic signals from the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention to various electrodes on the human body surface;

图12为本发明所述非侵入式盆底电刺激和生物反馈装置的电极三位于体表尾骨部位的示意图;FIG12 is a schematic diagram of the electrode three of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention being located at the coccyx area of the body surface;

图13为传统侵入式两电极设计(a)与本发明所述非侵入式盆底电刺激和生物反馈装置的侵入式三电极设计(b)的对比图;FIG13 is a comparison diagram of a conventional invasive two-electrode design (a) and an invasive three-electrode design (b) of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图14为本发明所述非侵入式盆底电刺激和生物反馈装置的刺激电场分布截面图;FIG14 is a cross-sectional view of the stimulation electric field distribution of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图15为本发明所述非侵入式盆底电刺激和生物反馈装置的刺激电场分布三维图;FIG15 is a three-dimensional diagram of the stimulation electric field distribution of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图16为本发明所述非侵入式盆底电刺激和生物反馈装置的盆底肌电信号随传输距离增大而衰减示意图;FIG16 is a schematic diagram showing attenuation of pelvic floor electromyographic signals of the non-invasive pelvic floor electrical stimulation and biofeedback device according to the present invention as the transmission distance increases;

图17为本发明所述非侵入式盆底电刺激和生物反馈装置的补偿在传输过程中损失的盆底肌电信号示意图;FIG17 is a schematic diagram of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention compensating for pelvic floor electromyographic signals lost during transmission;

图18为本发明所述非侵入式盆底电刺激和生物反馈装置的盆底肌电信号补偿机制效果示意图;FIG18 is a schematic diagram of the effect of the pelvic floor electromyographic signal compensation mechanism of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图19为本发明所述非侵入式盆底电刺激和生物反馈装置的盆底肌电信号补偿机制效果实际测试图;FIG19 is a diagram showing an actual test of the effect of the pelvic floor electromyographic signal compensation mechanism of the non-invasive pelvic floor electrical stimulation and biofeedback device of the present invention;

图中:主机1、主机外壳11、上壳111、医用硅胶垫112、下壳113、防滑硅胶垫114、非侵入式电极片组件2、电极一21、金属电极211、PI加热片212、电极二22、电极三23、硅胶片231、导电水凝胶片232、导线233、控制系统3、侵入式电极一 c、侵入式电极二d。In the figure: host 1, host shell 11, upper shell 111, medical silicone pad 112, lower shell 113, non-slip silicone pad 114, non-invasive electrode sheet assembly 2, electrode one 21, metal electrode 211, PI heating sheet 212, electrode two 22, electrode three 23, silicone sheet 231, conductive hydrogel sheet 232, wire 233, control system 3, invasive electrode one c, invasive electrode two d.

具体实施方式Detailed ways

下面将实施例1、实施例2、实施例3、实施例4结合具体实验数据、附图1-19,对本发明实施例中的技术方案进行清楚、完整的描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通的技术人员在没有做出创造性劳动的前提下所获得的所有其它实施例,都属于本发明的保护范围。The following examples 1, 2, 3 and 4 are combined with specific experimental data and Figures 1-19 to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work belong to the protection scope of the present invention.

实施例1提供了一种非侵入式盆底电刺激和生物反馈装置。Embodiment 1 provides a non-invasive pelvic floor electrical stimulation and biofeedback device.

实施例1Example 1

如图1-19所示,实施例1为一种非侵入式盆底电刺激和生物反馈装置,包括主机1、非侵入式电极片组件2、控制系统3。As shown in Figure 1-19, Example 1 is a non-invasive pelvic floor electrical stimulation and biofeedback device, including a host 1, a non-invasive electrode sheet assembly 2, and a control system 3.

如图1、2、8所示,所述主机1集合盆底肌肉和神经电刺激仪和生物反馈装置的功能于一体,所述主机1包括主机外壳11、主控模块、肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块。所述非侵入式电极片组件2包括电极一21、电极二22、电极三23,所述电极一21、电极二22设置在主机外壳11上表面上部左、右两侧并且分别与肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块相连接,所述电极三23设置在设置在主机外壳11外一侧并且通过导线233分别与肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块相连接。As shown in Figures 1, 2, and 8, the host 1 integrates the functions of a pelvic floor muscle and nerve electrical stimulator and a biofeedback device, and the host 1 includes a host housing 11, a main control module, a muscle/nerve stimulation electrical pulse signal generating module, and an electromyographic signal acquisition and processing module. The non-invasive electrode sheet assembly 2 includes an electrode 1 21, an electrode 2 22, and an electrode 3 23. The electrode 1 21 and the electrode 2 22 are arranged on the upper left and right sides of the upper surface of the host housing 11 and are respectively connected to the muscle/nerve stimulation electrical pulse signal generating module and the electromyographic signal acquisition and processing module. The electrode 3 23 is arranged on one side outside the host housing 11 and is respectively connected to the muscle/nerve stimulation electrical pulse signal generating module and the electromyographic signal acquisition and processing module through a wire 233.

使用时,人体坐在主机1上,所述电极一21与电极二22对应人体会阴,所述电极三23对应人体尾骨部位。所述控制系统3为手机,所述手机上设置有与主机1相配合的APP软件,通过蓝牙实现所述主机1与手机的信息交互。When in use, a person sits on the host 1, the electrode 1 21 and the electrode 2 22 correspond to the perineum of the human body, and the electrode 3 23 corresponds to the coccyx of the human body. The control system 3 is a mobile phone, which is provided with an APP software that matches the host 1, and realizes information exchange between the host 1 and the mobile phone through Bluetooth.

进一步的,如图3、4所示,所述主机外壳11包括上壳111、医用硅胶垫112、下壳113、防滑硅胶垫114,所述上壳111上表面与人体臀部相贴合,并且上壳111上表面与人体臀部坐骨相接触的地方设置有医用硅胶垫112,所述医用硅胶垫112的厚度为5mm,提高了使用的舒适度。所述电极一21、电极二22设置在上壳111上表面与人体会阴对应接触的地方,由于主机外壳11具有一定的倾斜角度,使得主机外壳11上的电极一21、电极二22也具有适宜的倾斜角度,电极一21、电极二22突出,从而能更好的与人体会阴区皮肤贴合。在下壳113底部设置有防滑硅胶垫114,防止使用过程中主机1滑动,影响使用效果。Further, as shown in Fig. 3 and Fig. 4, the host housing 11 includes an upper housing 111, a medical silicone pad 112, a lower housing 113, and an anti-skid silicone pad 114. The upper surface of the upper housing 111 fits with the buttocks of the human body, and the upper surface of the upper housing 111 is provided with a medical silicone pad 112 where it contacts the ischium of the buttocks of the human body. The thickness of the medical silicone pad 112 is 5 mm, which improves the comfort of use. The electrode 1 21 and the electrode 2 22 are provided at the corresponding contact place of the upper surface of the upper housing 111 and the perineum of the human body. Since the host housing 11 has a certain tilt angle, the electrode 1 21 and the electrode 2 22 on the host housing 11 also have a suitable tilt angle, and the electrode 1 21 and the electrode 2 22 are protruding, so that they can better fit with the skin of the perineum of the human body. An anti-skid silicone pad 114 is provided at the bottom of the lower housing 113 to prevent the host 1 from sliding during use and affecting the use effect.

进一步的,如图5所示,所述电极一21、电极二22采用316L不锈钢材料制作的金属电极211,316L不锈钢是一种高度耐腐蚀的材料,可以在潮湿环境下长时间使用而不容易受到腐蚀,这使得金属电极211能够在接触人体组织和液体时保持较高的稳定性和耐久性,还具有良好的导电性能,能够有效地传递电刺激。如图6所示,PI加热片212是一种具有良好绝缘性和耐高温性能的材料,将其用于金属电极211内部可以实现对金属电极的加热,既可以使电极一21、电极二22具有36-42摄氏度的恒温(即体温),使用更舒适,还可以加热到42-45摄氏度之间起到热疗的效果,舒缓盆底肌肉神经、筋膜组织,有助于盆底修复效率的提升。Further, as shown in FIG5 , the electrode 1 21 and the electrode 2 22 are metal electrodes 211 made of 316L stainless steel. 316L stainless steel is a highly corrosion-resistant material that can be used for a long time in a humid environment without being easily corroded, which enables the metal electrode 211 to maintain high stability and durability when in contact with human tissue and liquid, and also has good electrical conductivity, and can effectively transmit electrical stimulation. As shown in FIG6 , the PI heating plate 212 is a material with good insulation and high temperature resistance. Using it inside the metal electrode 211 can achieve heating of the metal electrode, which can make the electrode 1 21 and the electrode 2 22 have a constant temperature of 36-42 degrees Celsius (i.e., body temperature), which is more comfortable to use, and can also be heated to between 42-45 degrees Celsius to achieve the effect of thermal therapy, soothing the pelvic floor muscle nerves and fascia tissues, and helping to improve the efficiency of pelvic floor repair.

如图7所示,所述电极三23由柔软的硅胶片231和导电水凝胶片232组合而成,具有较好的柔软性和弹性,这使得电极三23能够更好地贴合人体尾骨部位皮肤,提供舒适的治疗体验。硅胶电极片对人体组织不会产生刺激或不适感,提供良好的电传导性能,并且长时间使用不易损坏,后期耗材使用成本低,性价比高。As shown in FIG7 , the electrode three 23 is composed of a soft silicone sheet 231 and a conductive hydrogel sheet 232, and has good softness and elasticity, which enables the electrode three 23 to better fit the skin of the coccyx of the human body and provide a comfortable treatment experience. The silicone electrode sheet does not cause irritation or discomfort to human tissue, provides good electrical conductivity, and is not easily damaged after long-term use. The cost of later consumables is low and the cost performance is high.

本发明采用3个电极,电极一21、电极二22为2个会阴电极,电极三23为尾骨部位电极,均与肌肉/神经刺激电脉冲信号发生模块连接,使用时,可以不断的切换正、负极位置,使用中一直在变幻,这样不容易产生疲劳,并且有助于肌肉神经的修复效率。The present invention uses three electrodes, electrode one 21 and electrode two 22 are two perineal electrodes, and electrode three 23 is a coccyx electrode, all of which are connected to a muscle/nerve stimulation electric pulse signal generating module. When in use, the positive and negative pole positions can be continuously switched, and they are constantly changing during use, which is not easy to cause fatigue and helps to improve the repair efficiency of muscles and nerves.

进一步的,如图8所示,所述主机1包括主控模块、肌肉/神经刺激电脉冲信号发生模块、电源管理模块、隔离电路、加热模块、肌电信号采集处理模块。所述主控模块通过蓝牙实现与手机的信息交互,所述主控模块与肌肉/神经刺激电脉冲信号发生模块连接,所述主控模块与肌电信号采集处理模块连接;电源管理模块,所述电源管理模块为主机1的其他模块供电,所述肌肉/神经刺激电脉冲信号发生模块与肌电信号采集处理模块之间设置有隔离电路,所述隔离电路、加热模块依次连接,所述加热模块分别与电极依次连接。Further, as shown in Fig. 8, the host 1 includes a main control module, a muscle/nerve stimulation electric pulse signal generating module, a power management module, an isolation circuit, a heating module, and an electromyographic signal acquisition and processing module. The main control module realizes information interaction with the mobile phone through Bluetooth, the main control module is connected to the muscle/nerve stimulation electric pulse signal generating module, and the main control module is connected to the electromyographic signal acquisition and processing module; the power management module, the power management module supplies power to other modules of the host 1, an isolation circuit is provided between the muscle/nerve stimulation electric pulse signal generating module and the electromyographic signal acquisition and processing module, the isolation circuit and the heating module are connected in sequence, and the heating module is connected to the electrodes in sequence.

进一步的,如图9所示,所述肌肉/神经刺激电脉冲信号发生模块包括电荷放大模块、电信号输出模块,所述主控模块(CPU)、电荷放大模块、电信号输出模块、非侵入式电极片组件2依次连接。盆底肌肉和神经电刺激时,主控模块(CPU)根据手机APP软件下发的电刺激参数,通过电荷放大模块、电信号输出模块产生恒流的刺激脉冲,并通过电极一21和电极二22向人体会阴施加电刺激、电极三23向人体尾骨部位施加电刺激。Further, as shown in FIG9 , the muscle/nerve stimulation electric pulse signal generating module includes a charge amplification module and an electric signal output module, and the main control module (CPU), the charge amplification module, the electric signal output module, and the non-invasive electrode sheet assembly 2 are connected in sequence. When the pelvic floor muscles and nerves are electrically stimulated, the main control module (CPU) generates constant current stimulation pulses through the charge amplification module and the electric signal output module according to the electric stimulation parameters sent by the mobile phone APP software, and applies electric stimulation to the perineum of the human body through electrode 1 21 and electrode 2 22, and applies electric stimulation to the coccyx of the human body through electrode 3 23.

电极三23位于人体尾骨部位的体表如图12所示,电极三23的设计引入可以很好地将电刺激信号引导传递到深部盆底组织,同时,也可以通过电极三23有效采集深部盆底肌的肌电信号。如图13(b)所示,本发明设计的是一种完全的非侵入式电极设计,其中两个电极(电极一21、电极二22)位于会阴两侧,另外一个电极(电极三23)位于尾骨位置的体表,该设计完全不同与位于腔内的侵入式电极设计(如图13(a),包括侵入式电极一 c、侵入式电极二d),极大地提高使用者的方便性和体验感。本发明采用非侵入式三电极的设计,尾骨部位第三个电极的引入,可以有效将电刺激引导到深部盆底肌群,能达到与侵入式电刺激相近的刺激效果,同时有助于采集盆底肌的肌电信号,刺激电场的的分布如图14、15所示。Electrode three 23 is located on the body surface of the coccyx as shown in FIG12. The design and introduction of electrode three 23 can well guide the electrical stimulation signal to the deep pelvic floor tissue. At the same time, the myoelectric signals of the deep pelvic floor muscles can also be effectively collected through electrode three 23. As shown in FIG13 (b), the present invention is designed to be a completely non-invasive electrode design, in which two electrodes (electrode one 21 and electrode two 22) are located on both sides of the perineum, and another electrode (electrode three 23) is located on the body surface of the coccyx. This design is completely different from the invasive electrode design located in the cavity (as shown in FIG13 (a), including invasive electrode one c and invasive electrode two d), which greatly improves the convenience and experience of the user. The present invention adopts a non-invasive three-electrode design. The introduction of the third electrode in the coccyx can effectively guide the electrical stimulation to the deep pelvic floor muscle group, and can achieve a stimulation effect similar to that of invasive electrical stimulation. At the same time, it is helpful to collect the myoelectric signals of the pelvic floor muscles. The distribution of the stimulation electric field is shown in FIGS. 14 and 15.

进一步的,如图10所示,所述肌电信号采集处理模块包括肌电信号放大模块、肌电信号补偿模块、ADC,所述非侵入式电极片组件2、肌电信号放大模块、肌电信号补偿模块、ADC、主控模块(CPU)依次连接。如图11所示,采集人体肌电信号时,通过电极一21、电极二22、电极三23采集人体会阴和尾骨部位的肌电信号。Further, as shown in Fig. 10, the electromyographic signal acquisition and processing module includes an electromyographic signal amplification module, an electromyographic signal compensation module, and an ADC, and the non-invasive electrode sheet assembly 2, the electromyographic signal amplification module, the electromyographic signal compensation module, the ADC, and the main control module (CPU) are connected in sequence. As shown in Fig. 11, when collecting human electromyographic signals, the electromyographic signals of the perineum and coccyx of the human body are collected through electrode 1 21, electrode 2 22, and electrode 3 23.

进一步的,通过肌电信号放大模块将肌电信号放大,即先采用低通滤波模块进行低通滤波,将高于设定的特定频率滤除,以降低杂波信号造成的影响,既可以很好地保存肌电信号,又可以降低采集过程工频的干扰,然后再采用高通滤波模块进行高通滤波,通过低通滤波电路后可以将高于截止频率的波形滤除,然后使用高通滤波将低于截止频率的信号滤除,确保肌电信号不失真,滤除干扰信号后,再通过后置放大电路进放大处理。由肌电信号补偿模块建立补偿机制,补偿在传输过程中损失的肌电信号,计算其有效值并最后传输到手机上,可以让使用者实时检测并且观察治疗效果。Furthermore, the electromyographic signal is amplified by the electromyographic signal amplification module, that is, the low-pass filtering module is first used for low-pass filtering to filter out the specific frequency higher than the setting to reduce the influence of the clutter signal, which can not only well preserve the electromyographic signal, but also reduce the interference of the power frequency in the acquisition process, and then the high-pass filtering module is used for high-pass filtering. After passing through the low-pass filtering circuit, the waveform higher than the cut-off frequency can be filtered out, and then the high-pass filtering is used to filter out the signal lower than the cut-off frequency to ensure that the electromyographic signal is not distorted. After filtering out the interference signal, it is amplified by the post-amplification circuit. The electromyographic signal compensation module establishes a compensation mechanism to compensate for the electromyographic signal lost during the transmission process, calculates its effective value and finally transmits it to the mobile phone, so that the user can detect and observe the treatment effect in real time.

由于非侵入电极处在体外,这使得非侵入电极,相比于侵入电极更加远离盆底肌群,所以非侵入电极采集到的盆底肌电信号必然弱于侵入式电极。Since the non-invasive electrodes are outside the body, they are farther away from the pelvic floor muscles than the invasive electrodes. Therefore, the pelvic floor electromyographic signals collected by the non-invasive electrodes are inevitably weaker than those of the invasive electrodes.

如图16-19所示,通过在肌电信号采集处理模块中增加肌电信号补偿模块,设计了路径补偿机制,可以补偿盆底肌传播路径造成的衰减,盆底肌发出的肌电信号随着传输距离的增加呈指数衰减:As shown in Figure 16-19, by adding an EMG signal compensation module to the EMG signal acquisition and processing module, a path compensation mechanism is designed to compensate for the attenuation caused by the pelvic floor muscle propagation path. The EMG signal emitted by the pelvic floor muscle decays exponentially with the increase of the transmission distance:

;

其中α是衰减指数,x是传输距离。Where α is the attenuation exponent and x is the transmission distance.

因此,通过肌电信号补偿模块建立肌电信号的补偿机制:Therefore, the compensation mechanism of the electromyographic signal is established through the electromyographic signal compensation module:

.

使得到补偿后的肌电信号数值为盆底肌实际产生的肌电信号大小:The compensated electromyographic signal value is the actual electromyographic signal size generated by the pelvic floor muscles:

.

在做盆底肌功能评估及生物反馈的操作前,本发明先将采集到的补偿之后的盆底肌电信号进行有效值计算,对于肌电信号的有效值计算公式,如下式所示:Before performing pelvic floor muscle function assessment and biofeedback, the present invention first calculates the effective value of the collected compensated pelvic floor electromyographic signal. The calculation formula is as follows:

;

其中v是采集到的肌电信号的电压,t是时间,T是有效值计算的平均时间。Where v is the voltage of the collected electromyographic signal, t is the time, and T is the average time for effective value calculation.

采用实施例1的非侵入式盆底电刺激和生物反馈装置进行治疗,是一种非侵入式的治疗方式,能够改善使用者的体验感。相比于传统的治疗方法,实施例1的非侵入式盆底电刺激和生物反馈装置避免了多人间的电极交叉使用可能带来的交叉感染和卫生问题。同时,将电极一21和电极二22安装固定在主机1上,这种连接方式相对简单易行,并且有良好的耐久性和可靠性,减少了电极片的移动,保持治疗过程的稳定性。The non-invasive pelvic floor electrical stimulation and biofeedback device of Example 1 is used for treatment, which is a non-invasive treatment method that can improve the user's experience. Compared with traditional treatment methods, the non-invasive pelvic floor electrical stimulation and biofeedback device of Example 1 avoids cross-infection and hygiene problems that may be caused by cross-use of electrodes between multiple people. At the same time, the electrode 1 21 and the electrode 2 22 are installed and fixed on the host 1. This connection method is relatively simple and easy, and has good durability and reliability, reduces the movement of the electrode sheet, and maintains the stability of the treatment process.

实施例2提供了一种采用实施例1的非侵入式盆底电刺激和生物反馈装置的盆底肌肉和神经电刺激的实施方法。Example 2 provides a method for implementing pelvic floor muscle and nerve electrical stimulation using the non-invasive pelvic floor electrical stimulation and biofeedback device of Example 1.

实施例2Example 2

如图1-19所示,实施例2的非侵入式盆底电刺激和生物反馈装置的盆底肌肉和神经电刺激的实施方法,具体包括如下步骤:As shown in FIGS. 1-19 , the implementation method of the pelvic floor muscle and nerve electrical stimulation of the non-invasive pelvic floor electrical stimulation and biofeedback device of Example 2 specifically includes the following steps:

S11:选一平整、坚硬地方,将主机1水平位置摆放;S11: Select a flat and hard place and place the host 1 in a horizontal position;

S12:通过手机的APP软件设置盆底肌肉和神经电刺激的各项参数,所述参数包括但不限于治疗时长、脉冲宽度、脉冲幅度、电极温度;S12: Setting various parameters of pelvic floor muscle and nerve electrical stimulation through the mobile phone APP software, including but not limited to treatment duration, pulse width, pulse amplitude, and electrode temperature;

S13:使用者正坐在主机1上,确保所述电极一21与电极二22对应人体会阴,电极一21与电极二22与会阴处紧密贴合;确保所述电极三23对应人体尾骨部位,电极三23与尾骨部位紧密贴合;S13: The user is sitting on the host 1, ensuring that the electrode 1 21 and the electrode 2 22 correspond to the human perineum, and the electrode 1 21 and the electrode 2 22 are closely attached to the perineum; ensuring that the electrode 3 23 corresponds to the coccyx of the human body, and the electrode 3 23 is closely attached to the coccyx;

S14:主机1通电,并且通过手机的APP软件开启盆底肌肉和神经电刺激,通过非侵入式电极片组件2直接接触人体皮肤,使电刺激信号有效地传递到盆底肌肉群;S14: The host 1 is powered on, and the pelvic floor muscle and nerve electrical stimulation is turned on through the mobile phone APP software, and the non-invasive electrode sheet assembly 2 directly contacts the human skin, so that the electrical stimulation signal is effectively transmitted to the pelvic floor muscle group;

S15:使用者根据自身体验,通过手机的APP软件调整主机1的电刺激强度及非侵入式电极片组件2的各电极片212的温度;S15: The user adjusts the electrical stimulation intensity of the host 1 and the temperature of each electrode sheet 212 of the non-invasive electrode sheet assembly 2 through the APP software of the mobile phone according to his own experience;

S16:等到一周期治疗时长结束,盆底肌肉和神经电刺激停止。S16: When one treatment cycle is over, the electrical stimulation of the pelvic floor muscles and nerves is stopped.

实施例3提供了一种采用实施例1的非侵入式盆底电刺激和生物反馈装置的盆底肌功能评估的实施方法。Example 3 provides an implementation method for evaluating pelvic floor muscle function using the non-invasive pelvic floor electrical stimulation and biofeedback device of Example 1.

实施例3Example 3

如图1-19所示,实施例3的非侵入式盆底电刺激和生物反馈装置的盆底肌功能评估的实施方法,具体包括如下步骤:.As shown in Figures 1-19, the implementation method of the non-invasive pelvic floor electrical stimulation and biofeedback device for pelvic floor muscle function assessment in Example 3 specifically includes the following steps:

S21:选一平整、坚硬地方,将主机1水平位置摆放;S21: Select a flat and hard place and place the host 1 in a horizontal position;

S22:使用者正坐在主机1上,确保所述电极一21与电极二22对应人体会阴,电极一21与电极二22与会阴处紧密贴合;确保所述电极三23对应人体尾骨部位,电极三23与尾骨部位紧密贴合;S22: The user is sitting on the host 1, ensuring that the electrode 1 21 and the electrode 2 22 correspond to the human perineum, and the electrode 1 21 and the electrode 2 22 are closely attached to the perineum; ensuring that the electrode 3 23 corresponds to the coccyx of the human body, and the electrode 3 23 is closely attached to the coccyx;

S23:通过手机关闭盆底肌功能评估的实施,进行盆底肌功能评估的实施;S23: Turn off the implementation of pelvic floor muscle function assessment through mobile phone and conduct the implementation of pelvic floor muscle function assessment;

S24:手机的APP软件通过语音引导使用者收缩盆底肌,包括但不限于提肛或者收缩会阴,同时采集肌电信号;S24: The mobile phone APP software guides the user to contract the pelvic floor muscles through voice, including but not limited to lifting the anus or contracting the perineum, and collects electromyographic signals at the same time;

S25:通过肌电信号放大模块将采集的肌电信号放大,通过肌电信号补偿模块补偿在传输过程中损失的肌电信号,通过ADC转换为主控模块可以处理的数字信号,主控模块计算其有效值并且传输到手机上进行显示,对盆底肌肌力进行功能评估,供使用者参考。S25: The collected electromyographic signal is amplified by the electromyographic signal amplification module, the electromyographic signal lost in the transmission process is compensated by the electromyographic signal compensation module, and the signal is converted into a digital signal that can be processed by the main control module through the ADC. The main control module calculates the effective value and transmits it to the mobile phone for display, and the pelvic floor muscle strength is functionally evaluated for the user's reference.

实施例4提供了一种采用实施例1的非侵入式盆底电刺激和生物反馈装置的生物反馈的实施方法。Example 4 provides a method for implementing biofeedback using the non-invasive pelvic floor electrical stimulation and biofeedback device of Example 1.

实施例4Example 4

如图1-19所示,实施例4的非侵入式盆底电刺激和生物反馈装置的生物反馈的实施方法,具体包括如下步骤:As shown in FIGS. 1-19 , the implementation method of the biofeedback of the non-invasive pelvic floor electrical stimulation and biofeedback device of Example 4 specifically includes the following steps:

S31:选一平整、坚硬地方,将主机1水平位置摆放;S31: Select a flat and hard place and place the host 1 in a horizontal position;

S32:使用者正坐在主机1上,确保所述电极一21与电极二22对应人体会阴,电极一21与电极二22与会阴处紧密贴合;确保所述电极三23对应人体尾骨部位,电极三23与尾骨部位紧密贴合;S32: The user is sitting on the host 1, ensuring that the electrode 1 21 and the electrode 2 22 correspond to the human perineum, and the electrode 1 21 and the electrode 2 22 are closely attached to the perineum; ensuring that the electrode 3 23 corresponds to the coccyx of the human body, and the electrode 3 23 is closely attached to the coccyx;

S33:通过手机关闭盆底肌功能评估的实施,进行生物反馈的实施;S33: Implementation of biofeedback by turning off the pelvic floor muscle function assessment via mobile phone;

S34:手机的APP软件通过语音引导使用者收缩盆底肌,包括但不限于提肛或者收缩会阴,并且采集肌电信号,同时通过视角引导使用者将收缩力度达到期望值,并且维持一段时间;S34: The mobile phone APP software guides the user to contract the pelvic floor muscles through voice, including but not limited to lifting the anus or contracting the perineum, and collects electromyographic signals, and guides the user through the visual angle to reach the desired contraction strength and maintain it for a period of time;

S35:手机的APP软件通过语音引导使用者放松盆底肌,休息1-10分钟;S35: The mobile phone APP software guides the user to relax the pelvic floor muscles through voice and rest for 1-10 minutes;

S36:根据手机的APP软件设定的生物反馈模式的训练方案,重复上述过程,完成通过生物反馈训练盆底肌的效果。S36: Repeat the above process according to the training program of the biofeedback mode set by the mobile phone APP software to achieve the effect of training the pelvic floor muscles through biofeedback.

本发明具体应用途径很多,以上所述仅是本发明的优选实施方式。应当指出,以上实施例仅用于说明本发明,而并不用于限制本发明的保护范围。对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以做出若干改进,这些改进也应视为本发明的保护范围。The present invention has many specific application paths, and the above is only a preferred embodiment of the present invention. It should be pointed out that the above embodiments are only used to illustrate the present invention, and are not used to limit the protection scope of the present invention. For those of ordinary skill in the art, without departing from the principle of the present invention, several improvements can also be made, and these improvements should also be regarded as the protection scope of the present invention.

Claims (7)

1.非侵入式盆底电刺激和生物反馈装置,其特征在于,包括:1. A non-invasive pelvic floor electrical stimulation and biofeedback device, comprising: 主机(1),所述主机(1)包括主机外壳(11)、主控模块、肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块、隔离电路,所述主控模块、肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块、隔离电路设置在主机外壳(11)内部,所述主控模块分别与肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块相连接;所述肌肉/神经刺激电脉冲信号发生模块与肌电信号采集处理模块之间设置有隔离电路;在肌电信号采集过程中,通过所述肌电信号采集处理模块设置了路径补偿机制,补偿盆底肌传播到体表的肌电信号衰减,所述肌电信号采集处理模块包括肌电信号放大模块、肌电信号补偿模块、ADC;A host (1), the host (1) comprising a host housing (11), a main control module, a muscle/nerve stimulation electric pulse signal generating module, an electromyographic signal acquisition and processing module, and an isolation circuit, wherein the main control module, the muscle/nerve stimulation electric pulse signal generating module, the electromyographic signal acquisition and processing module, and the isolation circuit are arranged inside the host housing (11), and the main control module is connected to the muscle/nerve stimulation electric pulse signal generating module and the electromyographic signal acquisition and processing module respectively; an isolation circuit is arranged between the muscle/nerve stimulation electric pulse signal generating module and the electromyographic signal acquisition and processing module; during the electromyographic signal acquisition process, a path compensation mechanism is arranged through the electromyographic signal acquisition and processing module to compensate for the attenuation of the electromyographic signal transmitted from the pelvic floor muscle to the body surface, and the electromyographic signal acquisition and processing module comprises an electromyographic signal amplification module, an electromyographic signal compensation module, and an ADC; 非侵入式电极片组件(2),所述非侵入式电极片组件(2)包括电极一(21)、电极二(22)、电极三(23),所述电极一(21)、电极二(22)设置在主机外壳(11)上表面上部左、右两侧并且分别与肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块相连接,所述电极三(23)设置在主机外壳(11)外一侧并且通过导线(233)分别与肌肉/神经刺激电脉冲信号发生模块、肌电信号采集处理模块相连接;使用时,人体坐在主机(1)上,所述电极一(21)与电极二(22)对应人体会阴,所述电极三(23)对应人体尾骨部位;所述非侵入式电极片组件(2)、肌电信号放大模块、肌电信号补偿模块、ADC、主控模块依次连接;A non-invasive electrode sheet assembly (2), the non-invasive electrode sheet assembly (2) comprising an electrode 1 (21), an electrode 2 (22), and an electrode 3 (23); the electrode 1 (21) and the electrode 2 (22) are arranged on the left and right sides of the upper part of the upper surface of a host housing (11) and are respectively connected to a muscle/nerve stimulation electric pulse signal generating module and an electromyographic signal acquisition and processing module; the electrode 3 (23) is arranged on one side outside the host housing (11) and is respectively connected to the muscle/nerve stimulation electric pulse signal generating module and the electromyographic signal acquisition and processing module through a wire (233); when in use, a human body sits on the host (1), the electrode 1 (21) and the electrode 2 (22) correspond to the perineum of the human body, and the electrode 3 (23) corresponds to the coccyx of the human body; the non-invasive electrode sheet assembly (2), the electromyographic signal amplification module, the electromyographic signal compensation module, the ADC, and the main control module are connected in sequence; 控制系统(3),所述控制系统(3)与主控模块相连接。A control system (3), wherein the control system (3) is connected to a main control module. 2.根据权利要求1所述的非侵入式盆底电刺激和生物反馈装置,其特征在于,所述主机外壳(11)具有0-20°的倾斜角度,所述主机外壳(11)包括:2. The non-invasive pelvic floor electrical stimulation and biofeedback device according to claim 1, characterized in that the main housing (11) has an inclination angle of 0-20°, and the main housing (11) comprises: 上壳(111);Upper shell (111); 医用硅胶垫(112),所述上壳(111)上表面与人体臀部相贴合,并且上壳(111)上表面与人体臀部坐骨相接触的地方设置有医用硅胶垫(112);所述医用硅胶垫(112)的厚度为1-10mm;所述电极一(21)、电极二(22)设置在上壳(111)上表面与人体会阴对应接触的地方,所述电极一(21)、电极二(22)左右对称并且位于医用硅胶垫(112)内侧、突出于医用硅胶垫(112);A medical silicone pad (112), wherein the upper surface of the upper shell (111) fits against the buttocks of a human body, and the medical silicone pad (112) is arranged at a location where the upper surface of the upper shell (111) contacts the ischium of the buttocks of a human body; the thickness of the medical silicone pad (112) is 1-10 mm; the electrode 1 (21) and the electrode 2 (22) are arranged at a location where the upper surface of the upper shell (111) contacts the perineum of a human body, and the electrode 1 (21) and the electrode 2 (22) are symmetrical and located on the inner side of the medical silicone pad (112) and protrude from the medical silicone pad (112); 下壳(113),所述下壳(113)设置在上壳(111)下方并且与上壳(111)相连接;A lower shell (113), wherein the lower shell (113) is arranged below the upper shell (111) and connected to the upper shell (111); 防滑硅胶垫(114),所述下壳(113)底部设置有防滑硅胶垫(114)。An anti-skid silicone pad (114), wherein an anti-skid silicone pad (114) is arranged at the bottom of the lower shell (113). 3.根据权利要求1所述的非侵入式盆底电刺激和生物反馈装置,其特征在于,所述电极一(21)、电极二(22)的结构相同,均包括:3. The non-invasive pelvic floor electrical stimulation and biofeedback device according to claim 1, characterized in that the electrode 1 (21) and the electrode 2 (22) have the same structure, both comprising: 金属电极(211),所述金属电极(211)采用316L不锈钢;A metal electrode (211), wherein the metal electrode (211) is made of 316L stainless steel; PI加热片(212),所述PI加热片(212)贴合设置在金属电极(211)内;A PI heating sheet (212), wherein the PI heating sheet (212) is disposed in close contact with the metal electrode (211); 所述电极三(23)为硅胶电极片,包括:The electrode three (23) is a silicone electrode sheet, comprising: 硅胶片(231);Silicone sheet (231); 导电水凝胶片(232),所述硅胶片(231)与导电水凝胶片(232)组合为电极三(23)。A conductive hydrogel sheet (232), wherein the silicone sheet (231) and the conductive hydrogel sheet (232) are combined to form an electrode three (23). 4.根据权利要求1所述的非侵入式盆底电刺激和生物反馈装置,其特征在于,所述控制系统(3)为手机,所述手机上设置有与主机(1)相配合的APP软件,所述主控模块通过蓝牙与手机连接,实现所述主机(1)与手机的信息交互。4. The non-invasive pelvic floor electrical stimulation and biofeedback device according to claim 1 is characterized in that the control system (3) is a mobile phone, the mobile phone is provided with an APP software that matches the host (1), and the main control module is connected to the mobile phone via Bluetooth to realize information interaction between the host (1) and the mobile phone. 5.根据权利要求1所述的非侵入式盆底电刺激和生物反馈装置,其特征在于,所述主机(1)还包括:5. The non-invasive pelvic floor electrical stimulation and biofeedback device according to claim 1, characterized in that the host (1) further comprises: 电源管理模块,所述电源管理模块用于主机(1)的供电;A power management module, the power management module is used to supply power to the host (1); 加热模块,所述隔离电路、加热模块依次连接,所述加热模块与非侵入式电极片组件(2)连接。A heating module, the isolation circuit and the heating module are connected in sequence, and the heating module is connected to the non-invasive electrode sheet assembly (2). 6.根据权利要求5所述的非侵入式盆底电刺激和生物反馈装置,其特征在于,所述肌肉/神经刺激电脉冲信号发生模块包括电荷放大模块、电信号输出模块,所述主控模块、电荷放大模块、电信号输出模块、非侵入式电极片组件(2)依次连接;所述肌电信号放大模块包括低通滤波模块、高通滤波模块、后置放大模块,所述非侵入式电极片组件(2)、低通滤波模块、高通滤波模块、后置放大模块、肌电信号补偿模块、ADC、主控模块依次连接。6. The non-invasive pelvic floor electrical stimulation and biofeedback device according to claim 5 is characterized in that the muscle/nerve stimulation electrical pulse signal generating module comprises a charge amplification module and an electrical signal output module, and the main control module, the charge amplification module, the electrical signal output module, and the non-invasive electrode sheet assembly (2) are connected in sequence; the electromyographic signal amplification module comprises a low-pass filter module, a high-pass filter module, and a post-amplification module, and the non-invasive electrode sheet assembly (2), the low-pass filter module, the high-pass filter module, the post-amplification module, the electromyographic signal compensation module, the ADC, and the main control module are connected in sequence. 7.根据权利要求1-6任一项所述的非侵入式盆底电刺激和生物反馈装置的实施方法,其特征在于,包括盆底肌肉和神经电刺激的实施方法、盆底肌功能评估的实施方法、生物反馈的实施方法。7. An implementation method of the non-invasive pelvic floor electrical stimulation and biofeedback device according to any one of claims 1 to 6, characterized in that it includes an implementation method of pelvic floor muscle and nerve electrical stimulation, an implementation method of pelvic floor muscle function assessment, and an implementation method of biofeedback.
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