CN118286598A - Apparatus, system, method, and storage medium for neural stimulation - Google Patents
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Abstract
Description
技术领域Technical Field
本披露一般涉及医疗技术领域。更具体地,本披露涉及一种用于神经刺激的设备、系统、方法及存储介质。The present disclosure generally relates to the field of medical technology. More specifically, the present disclosure relates to an apparatus, system, method and storage medium for neural stimulation.
背景技术Background technique
目前,通过植入的脉冲发生器或神经刺激器递送的神经刺激疗法被越来越多地用于各种慢性疾病和神经障碍,例如癫痫、帕金森病、疼痛管理和运动障碍等等。神经刺激的目的是以某种期望的方式调节患者的神经组织,以治疗疾病或病症本身或改变疾病或病症的发作症状。例如,对于癫痫,神经刺激的目标可以是减少患者经历的癫痫发作次数。对于运动障碍,神经刺激的目标可以是减少震颤。Currently, neurostimulation therapy delivered by implanted pulse generators or neurostimulators is increasingly used for a variety of chronic diseases and neurological disorders, such as epilepsy, Parkinson's disease, pain management, and movement disorders, among others. The purpose of neurostimulation is to modulate the patient's neural tissue in some desired way to treat the disease or condition itself or to change the symptoms of the disease or condition. For example, for epilepsy, the goal of neurostimulation can be to reduce the number of seizures a patient experiences. For movement disorders, the goal of neurostimulation can be to reduce tremors.
现有的闭环神经刺激设备无法在患者预知风险的情况下主动介入并干预。另外,受限于体内空间,体内植入设备的体积有限,因此植入体内的设备的功耗有所限制,无法满足高精度检测刺激算法的功耗需求。而且体积过大的设备在植入生物体体内时,还会对患者造成较为严重的手术创伤。Existing closed-loop neural stimulation devices cannot proactively intervene and intervene when patients are aware of the risks. In addition, due to the limited space in the body, the size of the implanted device is limited, so the power consumption of the device implanted in the body is limited and cannot meet the power consumption requirements of the high-precision detection and stimulation algorithm. Moreover, when a device is too large, it will cause more serious surgical trauma to the patient when implanted in the body.
有鉴于此,亟需提供一种用于神经刺激的方案,以便实现减小设备植入部分的体积,从而减少植入手术的创伤,提高植入位置的灵活性,以降低颅骨弧度造成的植入位置的限制。与此同时,还可以突破现有神经刺激设备的功耗限制,支持患者自主介入,从而实现个性化且高精度的神经刺激治疗。In view of this, it is urgent to provide a solution for neurostimulation, so as to reduce the volume of the implanted part of the device, thereby reducing the trauma of the implantation surgery, and improving the flexibility of the implantation position to reduce the limitation of the implantation position caused by the curvature of the skull. At the same time, it can also break through the power consumption limitation of existing neurostimulation devices, support patients' autonomous intervention, and thus achieve personalized and high-precision neurostimulation treatment.
发明内容Summary of the invention
为了至少解决如上所提到的一个或多个技术问题,本披露在多个方面中提出了用于神经刺激的方案。In order to at least solve one or more of the technical problems mentioned above, the present disclosure proposes a solution for neural stimulation in multiple aspects.
在第一方面中,本披露提供一种用于神经刺激的设备包括:刺激控制模块,其设置在生物体体外,用于生成刺激指令;遥控模块,其设置在生物体体外并与刺激控制模块通信连接,用于生成用于激活刺激控制模块的模块激活指令;以及电极模块,其用于植入在生物体体内并与刺激控制模块通信连接,以执行刺激控制模块发出的刺激指令。In a first aspect, the present disclosure provides a device for neural stimulation comprising: a stimulation control module, which is disposed outside the body of a biological body and is used to generate stimulation instructions; a remote control module, which is disposed outside the body of the biological body and is communicatively connected to the stimulation control module, and is used to generate module activation instructions for activating the stimulation control module; and an electrode module, which is used to be implanted in the body of the biological body and is communicatively connected to the stimulation control module to execute the stimulation instructions issued by the stimulation control module.
在一些实施例中,该用于神经刺激的设备的电极模块还用于采集生物电信号并将其发送给所述刺激控制模块;刺激控制模块还用于分析获取的所述生物电信号,以生成刺激指令。In some embodiments, the electrode module of the device for neural stimulation is also used to collect bioelectric signals and send them to the stimulation control module; the stimulation control module is also used to analyze the acquired bioelectric signals to generate stimulation instructions.
在一些实施例中,该用于神经刺激的设备还包括:电源模块,其设置在生物体体外,用于为电极模块供电。In some embodiments, the device for neural stimulation further includes: a power supply module, which is disposed outside the body and is used to supply power to the electrode module.
在一些实施例中,该用于神经刺激的设备还包括:远程终端,远程终端与刺激控制模块通信连接,用于接收刺激控制模块发出的治疗请求和分析数据。In some embodiments, the device for neural stimulation further includes: a remote terminal, which is communicatively connected to the stimulation control module and is used to receive treatment requests and analyze data issued by the stimulation control module.
在一些实施例中,分析数据包括:患者的生物电信号、基于生物电信号的分析结果和/或刺激指令对应的刺激控制内容。In some embodiments, the analysis data includes: bioelectric signals of the patient, analysis results based on the bioelectric signals, and/or stimulation control content corresponding to the stimulation instructions.
在一些实施例中,遥控模块还用于生成治疗请求并将其发送给刺激控制模块;刺激控制模块还用于将治疗请求转发至远程终端。In some embodiments, the remote control module is further configured to generate a treatment request and send it to the stimulation control module; the stimulation control module is further configured to forward the treatment request to the remote terminal.
在一些实施例中,刺激控制模块包括:体外通信组件,其用于与遥控模块和电极模块建立通信;以及分析芯片,其与体外通信组件连接,用于通过体外通信组件获取患者的生物电信号并分析,以生成刺激指令。In some embodiments, the stimulation control module includes: an extracorporeal communication component, which is used to establish communication with the remote control module and the electrode module; and an analysis chip, which is connected to the extracorporeal communication component and is used to obtain and analyze the patient's bioelectric signals through the extracorporeal communication component to generate stimulation instructions.
在一些实施例中,电极模块包括:体内通信组件,其用于与体外通信组件建立通信;采集单元,其与体内通信组件连接,并配置成:响应于通过体内通信组件获取到采集指令,采集患者的生物电信号并经由体内通信组件发出;其中采集指令为刺激控制模块响应于模块激活指令,通过体外通信组件发出的指令;以及植入电极,其与体内通信组件连接,用于通过体内通信组件获取刺激指令,并根据刺激指令向生物体体内输出电刺激。In some embodiments, the electrode module includes: an in vivo communication component, which is used to establish communication with an extracorporeal communication component; an acquisition unit, which is connected to the in vivo communication component and is configured to: in response to acquisition instructions obtained through the in vivo communication component, acquire the patient's bioelectric signals and send them through the in vivo communication component; wherein the acquisition instructions are instructions issued by the stimulation control module through the extracorporeal communication component in response to the module activation instructions; and an implanted electrode, which is connected to the in vivo communication component, and is used to acquire stimulation instructions through the in vivo communication component, and output electrical stimulation to the body of the organism according to the stimulation instructions.
在一些实施例中,遥控模块被配置成:响应于接收到患者在遥控模块预设位置所反馈的预设指令,生成模块激活指令并发送给刺激控制模块;和/或,响应于遥控模块的传感器组件感应到预设姿态,生成模块激活指令并发送给刺激控制模块。In some embodiments, the remote control module is configured to: generate a module activation instruction and send it to the stimulation control module in response to receiving a preset instruction fed back by the patient at a preset position of the remote control module; and/or, generate a module activation instruction and send it to the stimulation control module in response to the sensor component of the remote control module sensing a preset posture.
在一些实施例中,刺激控制模块被配置成:响应于模块激活指令,向电极模块的采集单元发出采集指令;分析采集单元基于采集指令采集的生物电信号,以确定是否具有发作风险;响应于具有发作风险,根据生物电信号生成刺激指令;以及将刺激指令发送给电极模块的植入电极以执行。In some embodiments, the stimulation control module is configured to: in response to a module activation instruction, issue an acquisition instruction to the acquisition unit of the electrode module; analyze the bioelectric signals acquired by the acquisition unit based on the acquisition instruction to determine whether there is a risk of seizure; in response to the risk of seizure, generate stimulation instructions based on the bioelectric signals; and send the stimulation instructions to the implanted electrodes of the electrode module for execution.
在一些实施例中,刺激控制模块还被配置成:在分析采集单元根据采集指令采集的生物电信号之后,若经过预设时长后仍未确定具有发作风险,则自动关闭。In some embodiments, the stimulation control module is further configured to automatically shut down if, after analyzing the bioelectric signals collected by the collection unit according to the collection instruction, no seizure risk is determined after a preset period of time.
在一些实施例中,刺激控制模块被配置成:判断是否有预设触发事件发生;响应于预设触发事件发生,向远程终端发出的治疗请求和分析数据;接收远程终端反馈的治疗指令;以及将治疗指令转发给电极模块的植入电极以执行。In some embodiments, the stimulation control module is configured to: determine whether a preset trigger event occurs; in response to the preset trigger event, send a treatment request and analyze data to a remote terminal; receive treatment instructions fed back by the remote terminal; and forward the treatment instructions to the implanted electrodes of the electrode module for execution.
在一些实施例中,预设触发事件包括:到达预设周期节点,电极模块采集的生物电信号存在异常,和/或刺激指令满足预设异常条件。In some embodiments, the preset trigger events include: reaching a preset cycle node, an abnormality in the bioelectric signal collected by the electrode module, and/or the stimulation instruction meets a preset abnormal condition.
在一些实施例中,刺激控制模块默认处于关闭状态,当接收到模块激活指令或预设触发事件发生时,切换为激活状态。In some embodiments, the stimulation control module is in a closed state by default, and is switched to an activated state when a module activation instruction is received or a preset trigger event occurs.
在第二方面中,本披露提供一种用于神经刺激的系统包括:神经刺激设备,其包括刺激控制模块、遥控模块和电极模块,其中刺激控制模块和遥控模块通信连接且均设置在生物体体外,遥控模块用于生成用于激活刺激控制模块的模块激活指令,刺激控制模块用于生成刺激指令,电极模块用于植入在生物体体内并与刺激控制模块通信连接,以执行刺激控制模块发出的刺激指令;数据存储设备,其与神经刺激设备通信连接,用于存储刺激控制模块发出的刺激指令。In a second aspect, the present disclosure provides a system for neural stimulation comprising: a neural stimulation device, which includes a stimulation control module, a remote control module and an electrode module, wherein the stimulation control module and the remote control module are communicatively connected and are both arranged outside the body of a biological body, the remote control module is used to generate a module activation instruction for activating the stimulation control module, the stimulation control module is used to generate a stimulation instruction, and the electrode module is used to be implanted in the body of the biological body and communicatively connected to the stimulation control module to execute the stimulation instruction issued by the stimulation control module; a data storage device, which is communicatively connected to the neural stimulation device, and is used to store the stimulation instructions issued by the stimulation control module.
在一些实施例中,电极模块还用于采集生物电信号并将其发送给刺激控制模块;刺激控制模块还用于分析获取的生物电信号,以生成刺激指令;数据存储设备还用于存储电极模块采集的生物电信号。In some embodiments, the electrode module is also used to collect bioelectric signals and send them to the stimulation control module; the stimulation control module is also used to analyze the acquired bioelectric signals to generate stimulation instructions; the data storage device is also used to store the bioelectric signals collected by the electrode module.
在第三方面中,本披露提供一种用于神经刺激的方法,该方法应用于刺激控制模块,其设置在生物体体外,并分别与遥控模块和电极模块通信连接,包括:响应于模块激活指令,切换为激活状态,其中模块激活指令为遥控模块发出的;生成刺激指令;以及将刺激指令发送给所述电极模块以执行。In a third aspect, the present disclosure provides a method for neural stimulation, which is applied to a stimulation control module, which is arranged outside the body of a biological body and is communicatively connected to a remote control module and an electrode module, respectively, and includes: switching to an activation state in response to a module activation instruction, wherein the module activation instruction is issued by the remote control module; generating a stimulation instruction; and sending the stimulation instruction to the electrode module for execution.
在一些实施例中,其中在切换为激活状态之后,该方法还包括:向电极模块发出采集指令;接收并分析生物电信号以确定是否具有发作风险,其中生物电信号为电极模块基于采集指令采集的信号;其中生成刺激指令包括:响应于具有发作风险,根据生物电信号生成刺激指令。In some embodiments, after switching to an activated state, the method further includes: issuing an acquisition instruction to the electrode module; receiving and analyzing a bioelectric signal to determine whether there is a risk of seizure, wherein the bioelectric signal is a signal acquired by the electrode module based on the acquisition instruction; wherein generating a stimulation instruction includes: in response to the risk of seizure, generating a stimulation instruction based on the bioelectric signal.
在一些实施例中,其中在接收并分析生物电信号以确定是否具有发作风险之后,方法还包括:响应于不具有发作风险,在预设时长内持续监控生物电信号以确定是否具有发作风险;以及若预设时长后仍未能确定具有发作风险,则关闭刺激控制模块。In some embodiments, after receiving and analyzing the bioelectric signal to determine whether there is a risk of seizure, the method also includes: in response to not having a risk of seizure, continuously monitoring the bioelectric signal for a preset time period to determine whether there is a risk of seizure; and if the risk of seizure cannot be determined after the preset time period, turning off the stimulation control module.
在第四方面中,本披露提供一种计算机可读存储介质,其上存储有计算机可读指令,该计算机可读指令被一个或多个处理器执行时,实现如第三方面任意一项的方法。In a fourth aspect, the present disclosure provides a computer-readable storage medium having computer-readable instructions stored thereon, which, when executed by one or more processors, implement the method of any one of the third aspects.
通过如上所提供的用于神经刺激的设备,患者可以通过设置在生物体外的遥控模块主动激活刺激控制模块,从而在预知风险的情况下及时进行干预,降低潜在风险。由于刺激控制模块设置在生物体外,因此神经刺激时所执行的检测刺激算法能够一定程度上忽略体积所导致的功耗限制,从而使用更高精度的算法,实现效果更佳的神经刺激治疗。由于植入于生物体体内的电极模块的功能得以简化,体积减小,功耗降低,能够更加灵活和低创伤地植入至生物体体内。With the device for neural stimulation provided above, the patient can actively activate the stimulation control module through the remote control module disposed outside the body, so as to intervene in time when risks are foreseen, thereby reducing potential risks. Since the stimulation control module is disposed outside the body, the detection stimulation algorithm executed during neural stimulation can ignore the power consumption limitation caused by the volume to a certain extent, thereby using a higher precision algorithm to achieve better neural stimulation treatment. Since the function of the electrode module implanted in the body of the organism is simplified, the volume is reduced, and the power consumption is reduced, it can be implanted into the body of the organism more flexibly and with less trauma.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
通过参考附图阅读下文的详细描述,本披露示例性实施方式的上述以及其他目的、特征和优点将变得易于理解。在附图中,以示例性而非限制性的方式示出了本披露的若干实施方式,并且相同或对应的标号表示相同或对应的部分,其中:By reading the detailed description below with reference to the accompanying drawings, the above and other objects, features and advantages of the exemplary embodiments of the present disclosure will become readily understood. In the accompanying drawings, several embodiments of the present disclosure are shown in an exemplary and non-limiting manner, and the same or corresponding reference numerals represent the same or corresponding parts, wherein:
图1示出了本披露一些实施例的用于神经刺激的设备的示例性结构图;FIG1 shows an exemplary structural diagram of a device for neural stimulation according to some embodiments of the present disclosure;
图2示出了本披露另一些实施例的用于神经刺激的设备的示例性结构图;FIG2 shows an exemplary structural diagram of a device for neural stimulation according to some other embodiments of the present disclosure;
图3示出了本披露实施例的刺激控制模块激活方法的示例性流程图;FIG3 shows an exemplary flow chart of a method for activating a stimulus control module according to an embodiment of the present disclosure;
图4示出了本披露实施例的神经刺激控制方法的示例性流程图;FIG4 shows an exemplary flow chart of a neural stimulation control method according to an embodiment of the present disclosure;
图5示出了本披露另一实施例的神经刺激控制方法的示例性流程图;FIG5 shows an exemplary flow chart of a neural stimulation control method according to another embodiment of the present disclosure;
图6示出了本披露再一些实施例的用于神经刺激的设备的示例性结构图;FIG6 shows an exemplary structural diagram of a device for neural stimulation according to still other embodiments of the present disclosure;
图7示出了本披露另一些实施例的神经刺激控制方法的示例性流程图。FIG. 7 shows an exemplary flow chart of a neural stimulation control method according to other embodiments of the present disclosure.
具体实施方式Detailed ways
下面将结合本披露实施例中的附图,对本披露实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是本披露一部分实施例,而不是全部的实施例。基于本披露中的实施例,本领域技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本披露保护的范围。The following will be combined with the drawings in the embodiments of the present disclosure to clearly and completely describe the technical solutions in the embodiments of the present disclosure. Obviously, the described embodiments are part of the embodiments of the present disclosure, not all of the embodiments. Based on the embodiments in the present disclosure, all other embodiments obtained by those skilled in the art without creative work are within the scope of protection of the present disclosure.
应当理解,本披露的说明书和权利要求书中使用的术语“包括”和“包含”指示所描述特征、整体、步骤、操作、元素和/或组件的存在,但并不排除一个或多个其它特征、整体、步骤、操作、元素、组件和/或其集合的存在或添加。It should be understood that the terms "include" and "comprising" used in the specification and claims of the present disclosure indicate the presence of described features, integers, steps, operations, elements and/or components, but do not exclude the presence or addition of one or more other features, integers, steps, operations, elements, components and/or collections thereof.
还应当理解,在此本披露说明书中所使用的术语仅仅是出于描述特定实施例的目的,而并不意在限定本披露。如在本披露说明书和权利要求书中所使用的那样,除非上下文清楚地指明其它情况,否则单数形式的“一”、“一个”及“该”意在包括复数形式。还应当进一步理解,在本披露说明书和权利要求书中使用的术语“和/或”是指相关联列出的项中的一个或多个的任何组合以及所有可能组合,并且包括这些组合。It should also be understood that the terms used in this disclosure are only for the purpose of describing specific embodiments and are not intended to limit the disclosure. As used in this disclosure and claims, the singular forms of "a", "an", and "the" are intended to include the plural forms unless the context clearly indicates otherwise. It should also be further understood that the term "and/or" used in this disclosure and claims refers to any combination of one or more of the associated listed items and all possible combinations, including these combinations.
如在本说明书和权利要求书中所使用的那样,术语“如果”可以依据上下文被解释为“当...时”或“一旦”或“响应于确定”或“响应于检测到”。类似地,短语“如果确定”或“如果检测到[所描述条件或事件]”可以依据上下文被解释为意指“一旦确定”或“响应于确定”或“一旦检测到[所描述条件或事件]”或“响应于检测到[所描述条件或事件]”。As used in this specification and claims, the term "if" may be interpreted as "when" or "upon" or "in response to determining" or "in response to detecting," depending on the context. Similarly, the phrase "if it is determined" or "if [described condition or event] is detected" may be interpreted as meaning "upon determination" or "in response to determining" or "upon detection of [described condition or event]" or "in response to detecting [described condition or event]," depending on the context.
下面结合附图来详细描述本披露的具体实施方式。The specific implementation of the present disclosure is described in detail below with reference to the accompanying drawings.
示例性应用场景Example application scenarios
神经刺激是通过激活或调控神经系统、神经网络的一部分以达到治疗慢性疾病和神经障碍的效果。与外科手术相似,神经刺激以特定的解剖学定位点为靶点,但与传统外科手术不同的是,神经刺激可调节且可逆,刺激装置在必要时可以被关闭。神经刺激适用于诸如癫痫、帕金森病、疼痛管理和运动障碍等在内的神经类疾病。Neurostimulation is the process of activating or modulating parts of the nervous system or neural network to treat chronic diseases and neurological disorders. Similar to surgery, neurostimulation targets specific anatomical locations, but unlike traditional surgery, neurostimulation is adjustable and reversible, and the stimulation device can be turned off when necessary. Neurostimulation is suitable for neurological diseases such as epilepsy, Parkinson's disease, pain management and movement disorders.
以治疗癫痫的神经刺激设备为例,现有设备往往是基于预设治疗方案/预制定的刺激规则发出刺激信号。一则,在患者感知到癫痫发作征兆时,患者无法主动介入以进行设备控制,需等待设备自主识别到癫痫发作/到达预设治疗方案的刺激节点时方才发出刺激信号,导致癫痫发作征兆无法及时得到处理。二则,受限于体内空间,体内植入设备的体积有限,因此植入体内的设备的功耗有所限制,现有设备往往无法采用高精度检测刺激算法。三则,体积过大的设备在植入生物体体内时,会对生物体产生较大手术创伤。Taking the neurostimulation equipment for treating epilepsy as an example, existing equipment often sends out stimulation signals based on preset treatment plans/pre-established stimulation rules. First, when the patient perceives signs of an epileptic seizure, the patient cannot actively intervene to control the equipment, and must wait for the device to autonomously identify the epileptic seizure/reach the stimulation node of the preset treatment plan before sending out the stimulation signal, resulting in the inability to deal with the signs of epileptic seizure in a timely manner. Second, due to the limited space in the body, the size of the implanted device is limited, so the power consumption of the implanted device is limited, and existing equipment often cannot use high-precision detection stimulation algorithms. Third, when a device is too large, it will cause greater surgical trauma to the organism.
示例性应用方案Exemplary Application Scenarios
有鉴于此,本披露实施例提供了一种用于神经刺激的方案,其通过设置在生物体外的遥控模块主动激活刺激控制模块,从而满足患者主动干预神经刺激的需求,降低发作的潜在风险。并且通过将刺激控制模块设置在生物体外,突破植入空间体积有限所导致的功耗限制,从而使用更高精度的算法,实现效果更佳的神经刺激治疗以及减小手术创伤。In view of this, the disclosed embodiment provides a solution for nerve stimulation, which actively activates the stimulation control module through a remote control module set outside the body, thereby meeting the patient's need for active intervention in nerve stimulation and reducing the potential risk of seizures. In addition, by setting the stimulation control module outside the body, the power consumption limitation caused by the limited volume of the implant space is broken, so that a higher-precision algorithm can be used to achieve better nerve stimulation treatment and reduce surgical trauma.
图1示出了本披露一些实施例的用于神经刺激的设备的示例性结构图,如图1所示,该用于神经刺激的设备100包括:刺激控制模块101、遥控模块102和电极模块103。FIG1 shows an exemplary structural diagram of a device for neural stimulation according to some embodiments of the present disclosure. As shown in FIG1 , the device 100 for neural stimulation includes: a stimulation control module 101 , a remote control module 102 , and an electrode module 103 .
其中,刺激控制模块101和遥控模块102均设置在生物体体外,并且刺激控制模块101和遥控模块102通过无线通信或有线通信的方式建立通信连接。示例性地,刺激控制模块101和遥控模块102通过无线通信方式建立通信连接时,可采用诸如蓝牙协议、无线局域网络和红外通信等方式,此处不作过多的限制。The stimulation control module 101 and the remote control module 102 are both arranged outside the body of the organism, and the stimulation control module 101 and the remote control module 102 establish a communication connection through wireless communication or wired communication. Exemplarily, when the stimulation control module 101 and the remote control module 102 establish a communication connection through wireless communication, such as Bluetooth protocol, wireless local area network and infrared communication can be used, and no excessive restrictions are made here.
在本披露实施例中,遥控模块102用于生成用于激活刺激控制模块101的模块激活指令,具体地,遥控模块102可以根据患者行为生成模块激活指令。在一些实施例中,患者行为可以包括患者对自身情况作出判断后主动通过遥控模块102向设备做出的信息反馈行为。在另一些实施例中,患者行为也可以包括遥控模块102在非患者控制下主动感应到的患者的行为,以帕金森病症为例,遥控模块102可以通过感应患者存在缓慢节律性震颤的行为生成模块激活指令。In the disclosed embodiment, the remote control module 102 is used to generate a module activation instruction for activating the stimulation control module 101. Specifically, the remote control module 102 can generate the module activation instruction according to the patient's behavior. In some embodiments, the patient's behavior can include the patient's active information feedback behavior to the device through the remote control module 102 after making a judgment on his or her own situation. In other embodiments, the patient's behavior can also include the patient's behavior actively sensed by the remote control module 102 without the patient's control. Taking Parkinson's disease as an example, the remote control module 102 can generate a module activation instruction by sensing the patient's slow rhythmic tremor behavior.
为了便于患者通过遥控模块102向设备进行信息反馈,遥控模块102可以采用便于患者操作的设计。示例性地,遥控模块102可以为按钮式遥控模块、旋钮式遥控模块、感应式遥控模块或触屏式遥控模块等多种遥控模块中的一种或若干种的组合,此处不作过多的限制。In order to facilitate the patient to provide information feedback to the device through the remote control module 102, the remote control module 102 can be designed to be easy for the patient to operate. For example, the remote control module 102 can be one or a combination of multiple remote control modules such as a button remote control module, a knob remote control module, an inductive remote control module, or a touch screen remote control module, and no excessive restrictions are made here.
以按钮式遥控模块为例,在患者感知到自身有病症发作征兆时,患者可以按下遥控模块102上的指定按钮,遥控模块102生成的模块激活指令并将其通过无线通信或有线通信的方式传输给刺激控制模块101,刺激控制模块101在接收到该指令后,切换为激活状态。当刺激控制模块101切换为激活状态后,其能够生成刺激指令并将其发送给电极模块103。电极模块103执行刺激控制模块101发出的刺激指令,对患者进行神经刺激。Taking the button-type remote control module as an example, when the patient senses that he or she has symptoms of an onset of the disease, the patient can press the designated button on the remote control module 102. The remote control module 102 generates a module activation instruction and transmits it to the stimulation control module 101 through wireless communication or wired communication. After receiving the instruction, the stimulation control module 101 switches to an activated state. When the stimulation control module 101 switches to an activated state, it can generate a stimulation instruction and send it to the electrode module 103. The electrode module 103 executes the stimulation instruction issued by the stimulation control module 101 to perform nerve stimulation on the patient.
又以感应式遥控模块为例,患者在执行指定动作时遥控模块102生成的模块激活指令并将其通过无线通信或有线通信的方式传输给刺激控制模块101,例如佩戴于患者手腕处的遥控模块102可以通过感应患者手部频繁震颤的方式,发出模块激活指令。Taking the inductive remote control module as an example, when the patient performs a specified action, the remote control module 102 generates a module activation instruction and transmits it to the stimulation control module 101 through wireless communication or wired communication. For example, the remote control module 102 worn on the patient's wrist can issue a module activation instruction by sensing the frequent tremors of the patient's hands.
在本披露实施例中,电极模块103用于植入在生物体体内,并与刺激控制模块101通信连接,从而执行刺激控制模块101发出的刺激指令。在一些实施例中,刺激控制模块101发出的刺激指令对应的神经刺激方案为预设方案,即预先设置好神经刺激信号的神经刺激治疗方案。具体地,在此实施例中,电极模块103可以不具备/不执行采集患者生物电信号的功能,对应地,刺激控制模块101也可以不具备/不执行对生物电信号进行分析的功能,当刺激控制模块101在接收到遥控模块102发送的激活指令后,其作出响应并切换为激活状态,并即刻生成刺激指令,该刺激指令匹配的即为前文描述的预设方案。刺激控制模块101将生成的刺激指令发送给电极模块103,此时电极模块103仅执行刺激控制模块101发出的刺激指令,对患者进行神经刺激。In the disclosed embodiment, the electrode module 103 is used to be implanted in the body of a living organism and communicate with the stimulation control module 101 to execute the stimulation instruction issued by the stimulation control module 101. In some embodiments, the neural stimulation scheme corresponding to the stimulation instruction issued by the stimulation control module 101 is a preset scheme, that is, a neural stimulation treatment scheme with a neural stimulation signal pre-set. Specifically, in this embodiment, the electrode module 103 may not have/not perform the function of collecting the patient's bioelectric signal, and correspondingly, the stimulation control module 101 may not have/not perform the function of analyzing the bioelectric signal. When the stimulation control module 101 receives the activation instruction sent by the remote control module 102, it responds and switches to an activated state, and immediately generates a stimulation instruction, which matches the preset scheme described above. The stimulation control module 101 sends the generated stimulation instruction to the electrode module 103, and at this time, the electrode module 103 only executes the stimulation instruction issued by the stimulation control module 101 to perform neural stimulation on the patient.
通过此实施例提供的神经刺激方案,患者能够在预知发作风险时主动介入干预,并且整个神经刺激设备的功耗也得以大幅度地降低。Through the neural stimulation scheme provided in this embodiment, the patient can actively intervene when the risk of an attack is foreseen, and the power consumption of the entire neural stimulation device is also greatly reduced.
在另一些实施例中,电极模块103进行的神经刺激是基于患者当前实时状态定制的。在本实施例中,电极模块103不仅需要执行释放神经刺激信号的动作,还需要执行生物电信号的采集动作,刺激控制模块101不仅仅执行信号收发动作,还需要执行信号处理的任务。具体地,在此实施例中,电极模块103能够实时采集其所植入的患者的生物电信号并将其实时发送给刺激控制模块101。刺激控制模块101在激活状态下能够实时分析患者的生物电信号,从而生成刺激指令并将其发送给电极模块103。电极模块103执行刺激控制模块101发出的刺激指令,对患者进行神经刺激。In other embodiments, the neural stimulation performed by the electrode module 103 is customized based on the patient's current real-time status. In this embodiment, the electrode module 103 not only needs to perform the action of releasing the neural stimulation signal, but also needs to perform the action of collecting the bioelectric signal. The stimulation control module 101 not only performs the action of sending and receiving signals, but also needs to perform the task of signal processing. Specifically, in this embodiment, the electrode module 103 can collect the bioelectric signals of the patient in which it is implanted in real time and send them to the stimulation control module 101 in real time. The stimulation control module 101 can analyze the patient's bioelectric signals in real time when activated, thereby generating stimulation instructions and sending them to the electrode module 103. The electrode module 103 executes the stimulation instructions issued by the stimulation control module 101 to perform neural stimulation on the patient.
通过此实施例提供的神经刺激方案,患者能够在预知发作风险时主动介入干预,并且神经刺激设备能够根据患者的生理状态对其施加针对性的神经刺激信号,从而实现个性化、定制化的神经刺激治疗,神经刺激的效果更佳。Through the neurostimulation scheme provided in this embodiment, patients can actively intervene when they foresee the risk of an attack, and the neurostimulation device can apply targeted neurostimulation signals to the patient according to his or her physiological state, thereby achieving personalized and customized neurostimulation treatment with better neurostimulation effects.
需要说明的是,在本实施例中,生物电信号可以为脑电信号或其他电信号。示例性地,当电极模块103植入于生物体的心脏位置时,电极模块103则可以用于采集患者的心电信号。与之类似地,电极模块103还可以采集诸如肌电信号、胃电信号和视网膜电信号等其他生物电信号。It should be noted that, in this embodiment, the bioelectric signal may be an electroencephalogram signal or other electrical signal. For example, when the electrode module 103 is implanted in the heart of a living body, the electrode module 103 may be used to collect the patient's electrocardiogram signal. Similarly, the electrode module 103 may also collect other bioelectric signals such as electromyographic signals, gastric electrical signals, and retinal electrical signals.
脑电信号是大脑神经元活动产生的电信号,神经元通过突触彼此连接,形成复杂的神经网络,神经元激活时会产生生物电信号,此时植入于生物体体内的电极能够捕捉该生物电信号,观察其波形变化即可从而反映患者的神经活动是否存在异常。EEG signals are electrical signals generated by the activity of brain neurons. Neurons are connected to each other through synapses to form a complex neural network. When neurons are activated, they will generate bioelectric signals. At this time, electrodes implanted in the body can capture the bioelectric signals and observe the changes in their waveform to reflect whether there are abnormalities in the patient's neural activity.
在本实施例中,脑电信号的产生和采集位于患者的颅部,由于颅部结构的特殊性,对植入的电极模块的多项属性提出了较高要求,例如:体积属性。由于颅部可允许植入设备的空间有限,且神经密度很高,因此植入体积过大的电极不仅难度极高,还会使患者神经因植入操作受损的风险大幅提升。为此,需要对神经刺激设备进行设计以尽可能减小植入部分的体积。In this embodiment, the generation and collection of EEG signals are located in the patient's skull. Due to the particularity of the skull structure, high requirements are placed on multiple properties of the implanted electrode module, such as volume properties. Since the skull allows limited space for implanted devices and the nerve density is very high, implanting electrodes that are too large is not only extremely difficult, but also greatly increases the risk of damage to the patient's nerves due to the implantation operation. For this reason, the neurostimulation device needs to be designed to minimize the volume of the implanted part.
进一步地,图2示出了本披露另一些实施例的用于神经刺激的设备的示例性结构图,如图2所示,系统中的刺激控制模块101可以包括:体外通信组件1011和分析芯片1012。Furthermore, FIG2 shows an exemplary structural diagram of a device for neural stimulation according to other embodiments of the present disclosure. As shown in FIG2 , the stimulation control module 101 in the system may include: an extracorporeal communication component 1011 and an analysis chip 1012 .
其中,体外通信组件1011用于与遥控模块102和电极模块103建立通信,分析芯片1012与体外通信组件1011连接,用于通过体外通信组件1011从电极模块103获取患者的生物电信号并分析,从而生成刺激指令。Among them, the extracorporeal communication component 1011 is used to establish communication with the remote control module 102 and the electrode module 103, and the analysis chip 1012 is connected to the extracorporeal communication component 1011, and is used to obtain and analyze the patient's bioelectric signals from the electrode module 103 through the extracorporeal communication component 1011, thereby generating stimulation instructions.
进一步地,如图2所示,在本实施例中,系统中的电极模块103可以包括:体内通信组件1031、采集单元1032和植入电极1033。Further, as shown in FIG. 2 , in this embodiment, the electrode module 103 in the system may include: an in-vivo communication component 1031 , a collection unit 1032 , and an implanted electrode 1033 .
其中,体内通信组件1031用于与刺激控制模块101建立通信,具体地,体内通信组件1031用于与体外通信组件1011建立通信,以接收刺激控制模块101发出的刺激指令,以及向刺激控制模块101发送生物电信号。Among them, the in-vivo communication component 1031 is used to establish communication with the stimulation control module 101 , specifically, the in-vivo communication component 1031 is used to establish communication with the out-vivo communication component 1011 to receive stimulation instructions issued by the stimulation control module 101 and send bioelectric signals to the stimulation control module 101 .
采集单元1032与体内通信组件1031连接,并配置成:响应于采集指令,采集患者的生物电信号并经由体内通信组件1031发出。其中采集指令为刺激控制模块101响应于模块激活指令,通过体外通信组件1011发出的指令。The collection unit 1032 is connected to the in-vivo communication component 1031 and is configured to: in response to a collection instruction, collect the patient's bioelectrical signal and send it through the in-vivo communication component 1031. The collection instruction is an instruction sent by the stimulation control module 101 through the in-vivo communication component 1011 in response to the module activation instruction.
植入电极1033与体内通信组件1031连接,其通过体内通信组件1031获取刺激控制模块101发出的刺激指令,并根据刺激指令向生物体体内输出刺激信号。The implanted electrode 1033 is connected to the in-vivo communication component 1031 , and obtains the stimulation instruction issued by the stimulation control module 101 through the in-vivo communication component 1031 , and outputs a stimulation signal to the biological body according to the stimulation instruction.
需要说明的是,在图2示出的用于神经刺激的设备中,对生物电信号进行数据处理由位于生物体外的分析芯片来执行,即需要大量运算资源或搭载复杂算法的模块并不占用患者的颅部空间,这就使得需要植入至患者体内的电极模块的体积得到大幅缩减。植入至患者体内的电极模块只需要执行数据采集和数据收发的任务,实现该功能的模块体积较小,适配植入空间的体积要求,并且不容易在植入时对患者神经造成损失。It should be noted that in the device for nerve stimulation shown in FIG. 2, data processing of bioelectric signals is performed by an analysis chip located outside the body, that is, a module that requires a large amount of computing resources or carries a complex algorithm does not occupy the patient's cranial space, which greatly reduces the volume of the electrode module that needs to be implanted in the patient's body. The electrode module implanted in the patient's body only needs to perform the tasks of data collection and data transmission and reception. The module that realizes this function is small in size, adapts to the volume requirements of the implantation space, and is not easy to cause damage to the patient's nerves during implantation.
更进一步地,体外通信组件1011作为刺激控制模块101中实现数据收发功能的组件,其可以包括通信天线和发射线圈,类似地,体内通信组件1031作为电极模块103中实现数据收发功能的组件,其可以包括通信天线和接收线圈。Furthermore, the extracorporeal communication component 1011, as a component for realizing the data transceiving function in the stimulation control module 101, may include a communication antenna and a transmitting coil. Similarly, the intracorporeal communication component 1031, as a component for realizing the data transceiving function in the electrode module 103, may include a communication antenna and a receiving coil.
基于前文结合图1或图2描述的系统,本披露还提供了一种适用于上述遥控模块的刺激控制模块激活方法,图3示出了本披露实施例的刺激控制模块激活方法300的示例性流程图。Based on the system described above in combination with FIG. 1 or FIG. 2 , the present disclosure further provides a stimulation control module activation method applicable to the above remote control module. FIG. 3 shows an exemplary flow chart of a stimulation control module activation method 300 of an embodiment of the present disclosure.
如图3所示,在步骤S301中,响应于接收到患者反馈的预设指令或感应到预设姿态,生成模块激活指令。在此步骤中,患者反馈的预设指令为患者在遥控模块预设位置所反馈的指令,例如,患者按压按钮式遥控模块的激活按钮所产生的触发指令,患者在触屏式遥控模块上通过触控操作反馈的触发指令。As shown in FIG3 , in step S301, in response to receiving a preset instruction fed back by the patient or sensing a preset gesture, a module activation instruction is generated. In this step, the preset instruction fed back by the patient is an instruction fed back by the patient at a preset position of the remote control module, for example, a trigger instruction generated by the patient pressing an activation button of a button-type remote control module, or a trigger instruction fed back by the patient through a touch operation on a touch-screen remote control module.
在一些实施例中,遥控模块中还设有传感器组件,其可以感应患者当前的动作和姿态,并在感应到预设姿态时,生成模块激活指令。例如,遥控模块可以佩戴在患者手部,如检测到患者出现诸如剧烈震颤等较大肢体动作,遥控模块则可以生成模块激活指令。In some embodiments, the remote control module is further provided with a sensor component, which can sense the patient's current movements and postures, and generate a module activation instruction when a preset posture is sensed. For example, the remote control module can be worn on the patient's hand, and if a large limb movement such as severe tremor is detected in the patient, the remote control module can generate a module activation instruction.
在步骤S302中,将模块激活指令发送给刺激控制模块,以激活刺激控制模块。在一些实施例中,刺激控制模块默认处于关闭状态,当接收到模块激活指令时,其切换为激活状态。In step S302, a module activation instruction is sent to the stimulus control module to activate the stimulus control module. In some embodiments, the stimulus control module is in a closed state by default, and when the module activation instruction is received, it switches to an activated state.
进一步地,在另一些实施例中,刺激控制模块还在预设触发事件发生时切换为激活状态,其中预设触发事件可以包括但不限于:到达预设预先设定的进行神经刺激的时间点,以及电极模块采集的生物电信号存在异常。Furthermore, in other embodiments, the stimulation control module also switches to an activated state when a preset trigger event occurs, where the preset trigger event may include but is not limited to: reaching a preset time point for neural stimulation, and the presence of an abnormality in the bioelectric signal collected by the electrode module.
需要说明的是,到达预设预先设定的进行神经刺激的时间点的预设触发事件可以理解为预先设置好一个触发周期,每过一个周期则刺激控制模块由关闭状态切换为激活状态。本实施例对触发周期的取值没有严格的限制,在实际应用时,可以根据实际情况将触发周期设置为1天、3天、1周或其他时长,此处不作过多的限制。It should be noted that the preset trigger event of reaching the preset time point for nerve stimulation can be understood as a preset trigger cycle, and the stimulation control module switches from the closed state to the activated state after each cycle. This embodiment has no strict restrictions on the value of the trigger cycle. In actual application, the trigger cycle can be set to 1 day, 3 days, 1 week or other durations according to actual conditions, and no excessive restrictions are made here.
刺激控制模块切换成激活状态后,控制电极模块进行生物电信号的采集并对其进行分析,从而确定进行神经刺激。为了本领域技术人员更加清楚地了解刺激控制模块的功能,下面结合图4对刺激控制模块的运行过程进行说明。After the stimulation control module is switched to the activated state, the electrode module is controlled to collect and analyze the bioelectric signal, thereby determining to perform nerve stimulation. In order for those skilled in the art to more clearly understand the function of the stimulation control module, the operation process of the stimulation control module is described below in conjunction with FIG.
图4示出了本披露实施例的神经刺激控制方法400的示例性流程图,如图4所示,在步骤S401中,响应于模块激活指令,切换为激活状态。在本实施例中,模块激活指令由遥控模块发送至刺激控制模块,该模块激活指令可以为患者通过操作遥控模块主动发出的,或遥控模块通过感应患者姿态而自动发出的。遥控模块的运行过程已经在前文结合图3描述的实施例中进行了详细说明,此处不再赘述。FIG4 shows an exemplary flow chart of a neural stimulation control method 400 of an embodiment of the present disclosure. As shown in FIG4 , in step S401, in response to a module activation instruction, the state is switched to an activated state. In this embodiment, the module activation instruction is sent by the remote control module to the stimulation control module. The module activation instruction can be actively issued by the patient by operating the remote control module, or the remote control module can be automatically issued by sensing the patient's posture. The operation process of the remote control module has been described in detail in the embodiment described in conjunction with FIG3 above, and will not be repeated here.
在步骤S402中,生成刺激指令。刺激控制模块切换至激活状态后,其可以根据预先设置好神经刺激信号的神经刺激治疗方案生成对应的刺激指令。该刺激指令也可以为预先存储好的指令,当刺激控制模块切换至激活状态后,其直接调用该刺激指令。In step S402, a stimulation instruction is generated. After the stimulation control module is switched to the activated state, it can generate a corresponding stimulation instruction according to the pre-set neural stimulation treatment plan of the neural stimulation signal. The stimulation instruction can also be a pre-stored instruction, and when the stimulation control module is switched to the activated state, it directly calls the stimulation instruction.
在步骤S403中,将刺激指令发送给电极模块以执行。在本实施例中,刺激控制模块生成刺激指令之后,可以通过体外通信组件向电极模块的体内通信组件发出刺激指令,并通过体内通信组件传达给电极模块的植入电极,植入电极执行该刺激指令以进行神经刺激。In step S403, the stimulation instruction is sent to the electrode module for execution. In this embodiment, after the stimulation control module generates the stimulation instruction, the stimulation instruction can be sent to the in-vivo communication component of the electrode module through the in-vivo communication component, and transmitted to the implanted electrode of the electrode module through the in-vivo communication component, and the implanted electrode executes the stimulation instruction to perform nerve stimulation.
在以上实施例中,电极模块可以不具备/不执行采集患者生物电信号的功能,对应地,刺激控制模块也可以不具备/不执行对生物电信号进行分析的功能。下面对具备且执行分析功能的刺激控制模块的运行过程进行说明。In the above embodiments, the electrode module may not have/not perform the function of collecting the patient's bioelectrical signals, and correspondingly, the stimulation control module may not have/not perform the function of analyzing the bioelectrical signals. The operation process of the stimulation control module that has and performs the analysis function is described below.
图5示出了本披露另一实施例的神经刺激控制方法500的示例性流程图,如图5所示,在步骤S501中,响应于模块激活指令,向电极模块发出采集指令。具体地,刺激控制模块通过体外通信组件向电极模块的体内通信组件发出采集指令,植入电极从体内通信组件处获取该采集指令。FIG5 shows an exemplary flow chart of a neural stimulation control method 500 according to another embodiment of the present disclosure. As shown in FIG5, in step S501, in response to a module activation instruction, a collection instruction is issued to the electrode module. Specifically, the stimulation control module issues a collection instruction to the in-vivo communication component of the electrode module through the in-vitro communication component, and the implanted electrode obtains the collection instruction from the in-vivo communication component.
在步骤S502中,接收并分析生物电信号以确定是否具有发作风险。若是,则执行步骤S503至步骤S504;若否,则执行步骤S505。在本实施例中,生物电信号为电极模块基于采集指令所采集的患者的脑电信号。In step S502, the bioelectric signal is received and analyzed to determine whether there is a risk of seizure. If yes, steps S503 to S504 are executed; if no, step S505 is executed. In this embodiment, the bioelectric signal is the patient's EEG signal collected by the electrode module based on the collection instruction.
在步骤S503中,根据生物电信号生成刺激指令。在一些实施例中,刺激控制模块除分析生物电信号以确定是否具有发作风险以外,还可以根据生物电信号的具体波形生成相应的刺激指令,以用于靶向治疗。In step S503, a stimulation instruction is generated according to the bioelectric signal. In some embodiments, in addition to analyzing the bioelectric signal to determine whether there is a risk of seizure, the stimulation control module can also generate corresponding stimulation instructions according to the specific waveform of the bioelectric signal for targeted treatment.
在一些实施例中,刺激控制模块在接收到电极模块采集的生物电信号后,可以将其与历史记录中的生物电信号进行比对,在找到相似度达到阈值的历史生物电信号后,将该历史生物电信号对应的刺激指令作为当前采集的生物电信号相适配的刺激指令发出,从而减少重复的运算,释放不必要占用的运算资源,进而提高刺激控制模块的运算效率。In some embodiments, after receiving the bioelectric signal collected by the electrode module, the stimulation control module can compare it with the bioelectric signal in the historical record. After finding the historical bioelectric signal whose similarity reaches a threshold, the stimulation instruction corresponding to the historical bioelectric signal is issued as the stimulation instruction adapted to the currently collected bioelectric signal, thereby reducing repeated calculations, releasing unnecessary computing resources, and improving the computing efficiency of the stimulation control module.
在步骤S504中,将刺激指令发送给电极模块的植入电极以执行。在本实施例中,步骤S504与前文实施例中的步骤S403的内容一致,此处不再赘述。In step S504, the stimulation instruction is sent to the implanted electrode of the electrode module for execution. In this embodiment, the content of step S504 is consistent with that of step S403 in the above embodiment, and will not be repeated here.
在步骤S505中,在预设时长内持续监控生物电信号以确定是否具发作风险。若是,则执行步骤S503至步骤S504;若否,则执行步骤S506。若步骤S502未识别到发作风险,则在预设时长内持续监控生物电信号,以免遗漏潜在风险。In step S505, the bioelectric signal is continuously monitored for a preset time period to determine whether there is a risk of seizure. If so, steps S503 to S504 are executed; if not, step S506 is executed. If no risk of seizure is identified in step S502, the bioelectric signal is continuously monitored for a preset time period to avoid missing potential risks.
在步骤S506中,关闭刺激控制模块。若经过预设时长后仍未能确定患者具有发作风险,则自动关闭刺激控制模块,从而避免刺激控制模块长时间处于激活状态,达到节省功耗的效果。In step S506, the stimulation control module is turned off. If the patient is still not determined to have a seizure risk after the preset time, the stimulation control module is automatically turned off, thereby preventing the stimulation control module from being activated for a long time, thereby achieving the effect of saving power consumption.
前文介绍了借助刺激控制模块完成神经刺激控制的设备与方法,在此基础上,还可以引入远程终端以实现供专业人员远程控制的平台。The previous article introduced the equipment and method for completing neural stimulation control with the help of the stimulation control module. On this basis, a remote terminal can also be introduced to realize a platform for remote control by professionals.
图6示出了本披露再一些实施例的用于神经刺激的设备的示例性结构图,如图6所示,在图1或图2示出的设备系统的基础上,其还包括:远程终端104,远程终端104设置在生物体体外并与刺激控制模块101通信连接,具体地,二者通过无线通信的方式进行数据传输。FIG6 shows an exemplary structural diagram of a device for neural stimulation according to some other embodiments of the present disclosure. As shown in FIG6 , based on the device system shown in FIG1 or FIG2 , it also includes: a remote terminal 104, which is disposed outside the body and is communicatively connected to the stimulation control module 101. Specifically, the two transmit data by wireless communication.
需要说明的是,在本实施例中,远程终端104起到远程调控的作用,因此,远程终端104与刺激控制模块101所采用的无线通信方式优先采用远距离通信的无线通信方式,以保证远程终端104与刺激控制模块101能够稳定地进行收据交互,保证远程调控的稳定性。It should be noted that in the present embodiment, the remote terminal 104 plays the role of remote control. Therefore, the wireless communication method adopted by the remote terminal 104 and the stimulation control module 101 preferably adopts the wireless communication method of long-distance communication to ensure that the remote terminal 104 and the stimulation control module 101 can stably interact with each other and ensure the stability of remote control.
在本实施例中,远程终端104能够接收刺激控制模块101发出的治疗请求和分析数据,其中,分析数据包括:患者的生物电信号、基于生物电信号的分析结果和/或刺激指令对应的刺激控制内容。示例性地,基于生物电信号的分析结果可以包括:基于生物电信号判断得到的发作风险判定结果,刺激指令对应的刺激控制内容可以包括:刺激控制模块生成的治疗方案。In this embodiment, the remote terminal 104 can receive the treatment request and analysis data issued by the stimulation control module 101, wherein the analysis data includes: the patient's bioelectric signal, the analysis result based on the bioelectric signal and/or the stimulation control content corresponding to the stimulation instruction. Exemplarily, the analysis result based on the bioelectric signal may include: the seizure risk determination result obtained based on the bioelectric signal, and the stimulation control content corresponding to the stimulation instruction may include: the treatment plan generated by the stimulation control module.
在一些实施例中,医生可以通过远程终端查看患者的生物电信号、基于生物电信号的分析结果和/或刺激指令对应的刺激控制内容,从而根据上述分析数据生成或修改治疗方案。远程终端还可以将更新后的治疗方案返回给刺激控制模块,由刺激控制模块转发给电极模块。在另一些实施例中,远程终端也可以与电极模块直接通信,接收电极模块采集的生物电信号和/或将更新后的治疗方案发送给电极模块。In some embodiments, the doctor can view the patient's bioelectric signals, analysis results based on the bioelectric signals, and/or stimulation control content corresponding to the stimulation instructions through the remote terminal, so as to generate or modify the treatment plan based on the above analysis data. The remote terminal can also return the updated treatment plan to the stimulation control module, which is forwarded to the electrode module by the stimulation control module. In other embodiments, the remote terminal can also communicate directly with the electrode module, receive the bioelectric signals collected by the electrode module and/or send the updated treatment plan to the electrode module.
进一步地,在一些实施例中,远程终端介入神经刺激可以通过遥控模块主动触发,也可以通过预设触发事件触发。Furthermore, in some embodiments, the remote terminal interventional neural stimulation may be actively triggered by a remote control module or may be triggered by a preset trigger event.
在通过遥控模块主动触发的方式中,遥控模块102还用于根据患者行为生成治疗请求并将其发送给刺激控制模块101,刺激控制模块101则将治疗请求转发至远程终端104。In the method of active triggering by the remote control module, the remote control module 102 is also used to generate a treatment request according to the patient's behavior and send it to the stimulation control module 101, and the stimulation control module 101 forwards the treatment request to the remote terminal 104.
在通过预设触发事件触发的方式中,刺激控制模块的所执行的神经刺激控制方法如图7所示,图7示出了本披露另一些实施例的神经刺激控制方法700的示例性流程图。In the manner of being triggered by a preset trigger event, the neural stimulation control method executed by the stimulation control module is shown in FIG. 7 , which shows an exemplary flow chart of a neural stimulation control method 700 of other embodiments of the present disclosure.
在步骤S701中,响应于预设触发事件发生,向远程终端发出的治疗请求和分析数据。在此步骤中,预设触发事件包括:到达预设周期节点,电极模块采集的生物电信号存在异常,和/或刺激指令满足预设异常条件。In step S701, in response to a preset trigger event, a treatment request and analysis data are sent to a remote terminal. In this step, the preset trigger event includes: reaching a preset cycle node, an abnormality in the bioelectric signal collected by the electrode module, and/or the stimulation instruction meets a preset abnormal condition.
具体地,预设周期节点为将分析数据上传至远程终端的周期节点,电极模块采集的生物电信号存在异常指的是生物电信号反映出患者存在发作风险,刺激指令满足预设异常条件可以包括刺激指令异常或刺激指令次数过多等等。Specifically, the preset cycle node is the cycle node for uploading the analysis data to the remote terminal. The abnormality of the bioelectric signal collected by the electrode module means that the bioelectric signal reflects that the patient is at risk of seizure. The stimulation instruction meets the preset abnormal conditions, which may include abnormal stimulation instruction or too many stimulation instructions, etc.
需要说明的是,预设周期节点可以根据实际情况进行调整,例如,分析数据可以每间隔1天、3天或1周上传至远程终端,此处仅是一种示例。It should be noted that the preset periodic nodes can be adjusted according to actual conditions. For example, the analysis data can be uploaded to the remote terminal every 1 day, 3 days or 1 week. This is just an example.
在步骤S702中,接收远程终端反馈的治疗指令。在本实施例中,远程终端反馈的治疗指令为基于远程终端生成/修改的治疗方案所生成的刺激指令。In step S702, the treatment instructions fed back by the remote terminal are received. In this embodiment, the treatment instructions fed back by the remote terminal are stimulation instructions generated based on the treatment plan generated/modified by the remote terminal.
在步骤S703中,将治疗指令转发给电极模块的植入电极以执行。在一些实施例中,治疗指令可以先发送至刺激控制模块,由刺激控制模块转发给电极模块。在另一些实施例中,治疗指令也可以直接发送至电极模块以执行。In step S703, the treatment instruction is forwarded to the implanted electrode of the electrode module for execution. In some embodiments, the treatment instruction can be first sent to the stimulation control module, which is then forwarded to the electrode module. In other embodiments, the treatment instruction can also be directly sent to the electrode module for execution.
进一步地,刺激控制模块默认处于关闭状态,当预设触发事件发生时则切换为激活状态。Furthermore, the stimulation control module is in a closed state by default, and is switched to an activated state when a preset trigger event occurs.
通过在用于神经刺激的系统中引入远程终端,可以让医生在医院或医生诊疗远程终端站远程获取到患者的生理状态相关数据,从而实现对患者体内植入的电极模块的无线程控。通过医生远程介入,神经刺激的治疗方案能够根据患者的生理状态得到进一步地完善,从而实现个性化、定制化、高精度的神经刺激治疗。By introducing a remote terminal into the system for neurostimulation, doctors can remotely obtain data related to the patient's physiological status in the hospital or the doctor's diagnosis and treatment remote terminal station, thereby realizing wireless control of the electrode module implanted in the patient's body. Through the doctor's remote intervention, the neurostimulation treatment plan can be further improved according to the patient's physiological state, thereby realizing personalized, customized, and high-precision neurostimulation treatment.
在前文结合图1、图2或图6描述的用于神经刺激的设备的基础上,设备还可以进一步包括:电源模块(图中未示出)。电源模块设置在生物体体外,用于为电极模块供电。电源模块设置在体外可以实时供电,并且体外没有体积的限制,电源模块可以采用大容量型号以提供足够电能。在本实施例中,电极模块内部未设有储能器件,电极模块的体积得以进一步缩减,患者因设备植入手术而受到的手术损失进一步减小。On the basis of the device for nerve stimulation described in the previous text in combination with Figures 1, 2 or 6, the device may further include: a power module (not shown in the figure). The power module is arranged outside the body of the organism and is used to power the electrode module. The power module is arranged outside the body to provide power in real time, and there is no volume restriction outside the body. The power module can adopt a large-capacity model to provide sufficient electrical energy. In this embodiment, no energy storage device is provided inside the electrode module, the volume of the electrode module is further reduced, and the surgical loss suffered by the patient due to the device implantation surgery is further reduced.
在前文实施例描述的用于神经刺激的设备的基础上,本披露的一些实施例还提供了一种用于神经刺激的系统,其除前文实施例描述的神经刺激设备以外,还包括数据存储设备。其中,神经刺激设备包括刺激控制模块、遥控模块和电极模块,刺激控制模块、遥控模块和电极模块的具体结构和功能已经在前文实施例中进行了详细说明,此处不再赘述。Based on the device for nerve stimulation described in the previous embodiment, some embodiments of the present disclosure further provide a system for nerve stimulation, which, in addition to the nerve stimulation device described in the previous embodiment, also includes a data storage device. The nerve stimulation device includes a stimulation control module, a remote control module and an electrode module. The specific structures and functions of the stimulation control module, the remote control module and the electrode module have been described in detail in the previous embodiment and will not be repeated here.
在该系统中,数据存储设备与神经刺激设备通信连接,用于存储电极模块采集的生物电信号和/或刺激控制模块发出的刺激指令。示例性地,当电极模块不具备/不执行采集动作时,数据存储设备可以无需存储生物电信号。为了缩减植入部分的体积,该数据存储设备设置在生物体外,其可以与神经刺激设备集成于同一区域,也可以采用云端存储的方式进行数据存储。In this system, the data storage device is connected to the neurostimulation device for storing the bioelectric signals collected by the electrode module and/or the stimulation instructions issued by the stimulation control module. For example, when the electrode module does not have/does not perform the collection action, the data storage device may not need to store the bioelectric signals. In order to reduce the volume of the implanted part, the data storage device is disposed outside the body, and it can be integrated with the neurostimulation device in the same area, or it can be stored in the cloud.
数据存储设备可以将电极模块采集并发出的生物电信号,以及刺激控制模块基于该生物电信号生成的刺激指令关联后储存,在数据存储设备中,生物电信号可以按照采集的时间有序存储,以便于远程终端和/或刺激控制模块进行调用和查看。The data storage device can associate and store the bioelectric signals collected and emitted by the electrode module and the stimulation instructions generated by the stimulation control module based on the bioelectric signals. In the data storage device, the bioelectric signals can be stored in order according to the time of collection, so that the remote terminal and/or the stimulation control module can call and view them.
示例性地,医生可以通过远程终端发出查看请求,远程终端可以直接读取数据存储设备中存储的生物电信号、基于生物电信号的分析结果和/或刺激指令对应的刺激控制内容,或者远程终端也可以接收刺激控制模块读取并转发的此类数据,从而根据上述分析数据生成或修改治疗方案。Exemplarily, a doctor can issue a viewing request through a remote terminal, and the remote terminal can directly read the bioelectric signals stored in the data storage device, the analysis results based on the bioelectric signals, and/or the stimulation control content corresponding to the stimulation instructions, or the remote terminal can also receive such data read and forwarded by the stimulation control module, thereby generating or modifying a treatment plan based on the above analysis data.
综上,本披露实施例提供了一种用于神经刺激的设备,其设置了与刺激控制模块通信连接的遥控模块,在患者感知到病症发作征兆时,患者可以通过在遥控模块上进行操作,从而向刺激控制模块发出模块激活指令,从而激活刺激控制模块发出刺激指令以指示电极模块进行神经刺激,从而保证患者在预知风险的情况下及时进行干预,得到有效的神经刺激治疗。In summary, the disclosed embodiments provide a device for neural stimulation, which is provided with a remote control module that is communicatively connected to a stimulation control module. When a patient senses signs of an onset of a disease, the patient can operate on the remote control module to issue a module activation instruction to the stimulation control module, thereby activating the stimulation control module to issue a stimulation instruction to instruct the electrode module to perform neural stimulation, thereby ensuring that the patient can intervene in time when risks are foreseen and receive effective neural stimulation treatment.
另外,本披露实施例提供的用于神经刺激的设备还将刺激控制模块和遥控模块设置在体外,从而缩减电极模块的体积。由于患者体内可供植入的空间有限,允许植入的体积有限,无法支持体积过大的电源植入,这就导致无法使用功耗较大的植入设备。本披露实施例通过使用体外的电源模块和分析芯片等方式进一步突破了体积所导致的功耗限制,从而有利于采用更高精度的神经刺激算法。In addition, the device for neural stimulation provided by the disclosed embodiment also sets the stimulation control module and the remote control module outside the body, thereby reducing the volume of the electrode module. Since the space available for implantation in the patient's body is limited and the volume allowed for implantation is limited, it is impossible to support the implantation of power supplies that are too large, which makes it impossible to use implant devices with high power consumption. The disclosed embodiment further breaks through the power consumption limitation caused by volume by using external power supply modules and analysis chips, which is conducive to the use of higher-precision neural stimulation algorithms.
附加地或可选地,本披露还可以实施为一种非暂时性机器可读存储介质(或计算机可读存储介质、或机器可读存储介质),其上存储有计算机程序指令(或计算机程序、或计算机指令代码),当所述计算机程序指令(或计算机程序、或计算机指令代码)被电子设备(或电子设备、服务器等)的处理器执行时,使所述处理器执行根据本披露的上述方法的各个步骤的部分或全部。Additionally or optionally, the present disclosure may also be implemented as a non-temporary machine-readable storage medium (or computer-readable storage medium, or machine-readable storage medium) on which computer program instructions (or computer program, or computer instruction code) are stored. When the computer program instructions (or computer program, or computer instruction code) are executed by a processor of an electronic device (or electronic device, server, etc.), the processor executes part or all of the steps of the above-mentioned method according to the present disclosure.
虽然本文已经示出和描述了本披露的多个实施例,但对于本领域技术人员显而易见的是,这样的实施例只是以示例的方式来提供。本领域技术人员可以在不偏离本披露思想和精神的情况下想到许多更改、改变和替代的方式。应当理解的是在实践本披露的过程中,可以采用对本文所描述的本披露实施例的各种替代方案。所附权利要求书旨在限定本披露的保护范围,并因此覆盖这些权利要求范围内的等同或替代方案。Although multiple embodiments of the present disclosure have been shown and described herein, it will be apparent to those skilled in the art that such embodiments are provided by way of example only. Those skilled in the art may think of many changes, modifications, and alternatives without departing from the thought and spirit of the present disclosure. It should be understood that in the process of practicing the present disclosure, various alternatives to the embodiments of the present disclosure described herein may be adopted. The attached claims are intended to define the scope of protection of the present disclosure, and therefore cover equivalents or alternatives within the scope of these claims.
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