Device for deep impact

 

(57) Abstract:

The invention relates to medical equipment. The device comprises a cylindrical housing within which is located an active electrode, a directional light guide, the light guide with a regular structure, a heater, a temperature sensor, the vibrator pipe, discharge pipe, an inductor, a source of mechanical vibrations, the emitter of microwave energy, the emitter short-wave energy and thermoelectric cooler. The device also includes a source of optical radiation, the indifferent electrode, the vibration exciter, the control unit and generating a set of sensors biological parameters, the source of ozone and other gaseous preparations, a pumping device, a suction device, an eyepiece with illuminated piezo, hub and ultrasonic waveguide. The device has a higher therapeutic efficiency by reducing the intensity of influencing factors and the duration of each procedure, reduce treatment time, reducing the number of drugs used during the procedures. This is achieved by the introduction of such types of impact, as the magnetic field, cold, ultrasound, ozone, microwave energy, ale, 2 Il.

The invention relates to medical equipment and can be used in urology, gynecology, gastroenterology, proctology, ENT and other areas of medicine dealing with the internal cavities of the human body.

A device for abdominal impacts (see and.with. USSR N 738596, A 61 B 1/00, 1977), which is made in the form of a flexible tube mounted inside the electrode, the sensor and conductors. However, this device does not provide the possibility of intracavitary treatment of disease through the stimulation, vibrostimulation, heat therapy and other effective methods of physiotherapy treatment. In addition, it does not provide visual observation of the lesion, and when used in urology does not allow the extraction of the secret of the prostate without first massage last, which may be contraindicated (e.g., hemorrhoids).

It is also known a device for band exposure (C. C. Rabinsky and other "Direct electrical stimulation of the prostate gland in chronic prostatitis". The journal "Urology and Nephrology". M., 1983, S. 4). This device contains a monopolar and indifferently, that it is only one therapeutic function - stimulation, and, in addition, no visual control of action.

The closest is a device for deep impact, taken as a prototype, described in the patent of Russian Federation N 2057557. This device contains a means for electric shocks affecting element of which consists of the active electrode and the indifferent electrode, means for optical impact of the influencing element in the form of directional fiber, mechanically connected to the source of optical radiation, means for effects of heat through the heater, means for vibration containing vibrated, mechanically coupled to the vibration exciter, means for visual observation, consisting of fiber with a regular structure, mechanically connected to the eyepiece with illuminated, means for leading liquid and gaseous drugs through the pipe, a means for temperature control using the temperature sensor and a cylindrical casing made with the possibility of placement in the cavity and inside of which are active electrode aimed svetovno allows constant visual surveillance of object impact, the measurement of its electrical resistance and temperature, the effect on pain hearth electric signals, low-frequency mechanical vibrations, optical and thermal radiation to irrigation medicines.

However, the device does not allow for the effects of magnetic and electromagnetic fields, cold, ozone, ultrasound, and synchronization effects with the biorhythms of the body and flushing of the lesion. All this reduces therapeutic efficacy of the device.

Object of the present invention is to provide a device for abdominal impacts with higher therapeutic efficacy of intracavitary treatment of disease.

This is achieved by a device for deep impact, containing means for electric shocks affecting element of which consists of the active electrode and the indifferent electrode, means for optical impact of the influencing element in the form of directional fiber, mechanically connected to the source of optical radiation, means for effects of heat through the heater, means for vibration, sod who its from a fiber with a regular structure, mechanically connected to the eyepiece with illuminated, means for leading liquid and gaseous drugs through the pipe, means for temperature control using the temperature sensor and a cylindrical casing made with the possibility of placement in the cavity and which are located inside the active electrode, the directional light guide with a regular structure, a heater, a temperature sensor, the vibrator and the supply pipe, further comprises a control unit and generating electrically connected to the active electrode, the indifferent electrode, a heater, a vibration exciter, a sensor and a source of optical radiation, means for magnitokontaktnye, electrically connected with the control unit and generating means for discharge of the contents of the cavity, a source of ozone and other gaseous preparations, the pumping device, the means for applying ultrasound, coupled with the control unit and generating means for headofstate, electrically connected with the control unit and generating means for exposure to electromagnetic fields microwave and millimeter-wave electrically connected with the control unit and generation.

In addition, exciting element cf the inductor.

Means for discharge of the contents of the cavity in the device may consist of a tube drainage and suction device made with the possibility of a mechanical connection with the drain hose, the drain hose can be positioned in the cylindrical housing.

In addition, in the device for abdominal impact of the pumping device can be made with the possibility of a mechanical connection with the supply pipe and with a source of ozone and other gaseous products.

In addition, the device for abdominal impacts may further comprise a means of measuring a biological parameter of the person, consisting of a set of sensors biological parameters, which are electrically connected with the control unit and generation.

In addition, in the device for abdominal exposure means exposure to ultrasound may contain a source of mechanical vibrations of ultrasonic frequency, which is located in the cylindrical housing.

The source of mechanical vibrations of ultrasonic frequency may be in the form of a piezoelectric plate, a supply pipe having a slot and a cylindrical casing having in the side surface near the working todesca plate, and the active electrode has an additional output in the specified hole, which combined the slotted pipe.

Means for exposure to ultrasound may further comprise an ultrasonic transducer electrically connected with the control unit and generating and consisting of a piezoelectric element, rigidly connected through a hub with an ultrasonic waveguide, made with the possibility of placement in the supply pipe.

In addition, in the device for abdominal impact tool for headofstate may contain thermoelectric cooler located in the cylindrical housing.

In addition, in the device for abdominal impact tool for electromagnetic field of the microwave may contain emitter of microwave energy, electrically connected to the coaxial cable with the control unit and generating and located in the cylindrical housing.

In addition, in the device for abdominal impact tool for electromagnetic EHF field may contain the emitter of EHF signals, located in the cylindrical housing.

The emitter of microwave energy can be done in a lateral p which began to rise wavelength of the microwave signal in biological tissues, and at the midpoint along the length l of the slit has a contact with one side of the inner conductor of the coaxial cable, on the other hand has contact with the external conductor of the coaxial cable.

The emitter EHF can be made in the form of a dielectric waveguide with location inside the tube removal.

In Fig. 1 shows a device for deep impact, Fig. 2 is an example of structural embodiment of the cylindrical body of the unit: (a) view from the working end, b) side view, b) - section in the plane a-a in Fig. 2B).

Device for abdominal impacts (Fig. 1) comprises a cylindrical housing 1 in which there are active electrode 2, the directional light guide 3, the light guide with a regular structure 4, the heater 5, the temperature sensor 6, the vibrator 7, the supply pipe 8, the discharge pipe 9, the inductor 10, a source of mechanical vibrations of ultrasonic frequency 11, the emitter of microwave energy 12, the emitter of EHF signals 13, thermoelectric cooler 14. Device for urology also contains a source of optical radiation 15 is mechanically connected to the directional light guide 3, the indifferent electrode 16, the vibration exciter 17, mechanically coupled with shaking what STRADOM 16, the heater 5, the vibration exciter 17, the temperature sensor 6, the optical radiation source 15, the inductor 10, the emitter of microwave energy 12, the emitter of EHF signals 13, thermoelectric cooler 14, a source of mechanical vibrations of ultrasonic frequency 11. In addition, the device for abdominal exposure contains a set of sensors biological parameters 19, each of which is connected to the control unit 18, a source of ozone and other gaseous preparations 20 and the pumping device 21 which is mechanically connected with a supply pipe 8 and a source of ozone and other gaseous preparations 20, the suction device 22 which is mechanically connected with the drain hose 9, the eyepiece with backlight 23 is mechanically connected to the optical fiber with a regular structure 4.

A cylindrical housing 1 must be made with the possibility of placement in a hollow internal organ (in prostatic Department of the urethra, the stomach, the rectum, the forward channel). An example of executing a cylindrical body 1 located therein acting elements and sensors shown in Fig. 2.

In Fig. 2A have access to the working face of the cylindrical housing 1 affecting the following elements: an active electrode 2, the directional light guide 3, the fountain roller 10, thermoelectric cooler 14.

In Fig. 2B shows a source of mechanical vibrations of ultrasonic frequency 11 made in the form of a piezoelectric plate with a mechanical amplifier, the emitter of microwave energy 12 made in the form of slits in the cylindrical housing 1.

In Fig. 2B shows a cylindrical housing 1, the active electrode 2, the directional light guide 3, the light guide with a regular structure 4, the temperature sensor 6, the vibrator 7, the supply pipe 8, the discharge pipe 9, the inductor 10, thermoelectric cooler 14, a source of mechanical vibrations of ultrasonic frequency 11 made in the form of a piezoelectric plate with a mechanical amplifier.

Means for exposure to ultrasound may be supplemented by an ultrasonic transducer electrically connected to the control unit and generating 18 and consisting of a piezoelectric element 24 (Fig. 1) rigidly connected through the hub 25 with ultrasonic waveguide 26. Ultrasonic waveguide 26 is a metal rod with a diameter that allows it to be placed in the supply pipe 8. To obtain the maximum amplitude of mechanical vibrations of the length of the ultrasonic waveguide 26 should be commensurate with the half wavelength of the diseases of the prostate, represents a metal tube with a beveled working edge. For this and other cases where structural and biochemical parameters of the cylindrical body 1 should be made of elektroprovidnogo material, the emitter of microwave energy 12 may be made in the form of slit length, l, done in a metallic cylindrical housing 1 near the working end. Slit length l is determined by the wavelength of the microwave signal in biological tissues and is approximately equal to , where is the wavelength of the excited electromagnetic waves in the air, the relative dielectric constant of body tissues. The exact value of l is determined experimentally when the load on the biological tissue. In the middle of the slit on both sides have the contacts from the inner and outer conductors of the coaxial cable, respectively.

The device may have a microprocessor control. In this case, the control unit and generating 18 includes a microprocessor, RAM, ROM, block parameters, power supply, block matching, interconnected via a shared bus. The block matching contains a power amplifier connected to the piezoelectric plate, the microwave generator is directly connected to the coaxial cable with the emitter Soskin waveguide.

The role of the control unit and generating 18 may also play a personal computer with communication interfaces with acting elements and measuring sensors. A set of sensors biological parameters may include a sensor for measuring the pulse, performed, for example, on the basis of the load cell, sensor, breathing frequency is performed, for example, on the basis of the temperature sensor.

The device operates as follows.

Before a session of physical therapy effects cylindrical body 1 is sterilized, the drain hose 8 and the pipe 9 is washed with an antiseptic solution. Then slow rotational movements of the cylindrical body 1 is introduced into the cavity, light and observing through the eyepiece 23, determine the lesion or the place of the internal cavity, which should be carried out physiotherapeutic effect. Record the location of the cylindrical body 1, and then include the device in the network and on the Board of the control unit and the generation of 18 to exhibit the required parameters physiotherapy treatment (exposure time, type, intensity, frequency), dimension (type of the measured value) and synchronization (view biorhythms of the body, which is than the onset of feeding control signals according to the display parameters, determining one of the following operating modes of the device.

1. Mode heat.

The signal from the control unit and generating 18 is supplied to the heater 5, the heat radiation which affects the object directly, or through drug environment.

2. The mode of vibration.

The low-frequency signal (1 - 100 Hz) via the amplifier is fed to the vibration exciter 17, which activates the vibrator 7, the mechanical vibrations of low frequency which is directly or through drug environment is transferred to the biological object.

3. The mode of stimulation.

The electrical signal from the control unit and generating 18 is fed between the active electrode 2 and the indifferent electrode 16, through the stimulation of affected object.

4. The flushing mode of the cavity, irrigation, drugs and aspiration.

Using the pumping device 21 and the suction device 22 to the supply pipe 8 and the drain hose 9 is transported medicinal fluid to the biological object, as necessary, make the removal of the contents of the cavity. If necessary, exposure to ozone and other gaseous preparations East is testing the drug is delivered to the object.

5. Mode headofstate.

The electric signal from the control unit and generating 18 is supplied to thermoelectric cooler 14, which is in contact with a biological object, it cools to a certain temperature.

6. Mode magnitokontaktnye.

The inductor 10 is powered by an electric current of predetermined parameters, which, flowing in coils of the coil, it creates a working end of the cylindrical housing 1 of a magnetic field acting on the object. Magnetic field member can have both a variable and a constant (current = const) component of tension depending on the kind of the current flowing in the inductor.

Thus you can set the exposure to an alternating magnetic field, the influence of the static magnetic field or the impact of constant and variable magnetic fields at the same time.

7. Mode optical effect.

According to the signal BU 18 enters the optical radiation source 15, a stream of rays which are transmitted through the directional light guide 3 to the working end of the cylindrical body 1 and slucas it comes to the object of influence.

8. The mode of ultrasonic influence.

The signal generator output is Latino with mechanical amplifier through the power amplifier, providing the necessary level of intensity of the signal. The piezoelectric plate with a mechanical amplifier converts the electric signal into mechanical vibrations of ultrasonic frequency, which directly or through medicinal fluid impinges on the fabric inner surface of a hollow organ.

Simultaneously or sequentially with the sound of a hollow organ transverse oscillations may sound longitudinal waves. When setting this mode on Board control unit and generating 18 electric signal to the piezoelectric element 24 and converts them into mechanical vibrations. Vibrations through the hub 25 is transmitted to the ultrasonic waveguide 26 that before the procedure, the sound is inserted in the supply pipe 8. Thus the longitudinal vibrations are transmitted directly or via a medicinal fluid in the area of effect. It is advisable therefore by introducing ultrasonic vibrations of low frequency 20 - 70 kHz, while using piezoelectric plate with a mechanical amplifier that is located in the cylindrical housing 1, it is expedient to introduce RF oscillations with a frequency of 1000 kHz.

When implementing electrophorese supply 8 and the opening in the cylindrical housing 1. Voltage from the control unit and generating 18 is fed between the active electrode 2 and the indifferent electrode 16. Electric current of predetermined parameters begins to flow between the indifferent electrode 16 and the output of the active electrode 2 into the hole in the cylindrical housing 1. At the same time is ultrasonic effect.

In the process the procedure is performed periodically suction the contents of the cavity through the drain hose 9.

9. Mode of microwave exposure.

When exposed to a microwave field emitter of microwave energy 12 working surface is imposed on the inflamed biological tissue, and thus the area of influence is limited only by the size of the radiator (20 mm at a frequency of 900 MHz). The distribution of energy in space for contact emitters is determined mainly by the presence of biological tissue on the outside of the cavity of the emitter. Biological tissue is in this case made external filler resonator, its constructive part, and concentrates the radiation energy in the direction of the impact. The level of lateral radiation of the slot radiator is attenuated in 30-40 times.

Thus contact is to improve the accuracy of dose absorbed power when modifying biological tissue. Optimum matching of the radiator is carried out on the equivalent of the muscle tissue with 80.

Microwave energy from the microwave generator through a matching transformer and coax cable to the input of the emitter of microwave energy 12 and through one or more slits cut in the cylindrical housing 1, is emitted into the tissue of the organism, thereby providing a deep heating is required when the number of inflammatory diseases and other pathologies.

10. Mode EHF-influence.

EHF EHF signal from the generator through the horn transition comes in a dielectric waveguide, next to its output section and irradiates a biological tissue, which has a pronounced therapeutic effect in a number of functional and organic disorders of the body.

Simultaneously or sequentially with the modes of therapy can be carried out visual observation of the internal organs, their diagnosis, and measurement characteristics of the body (heart rate, breathing rate...) with sensors biological parameters 19, the signals from which are received on the paper 18.

Diagnosis of hollow organs can be conducted on the following parameters: electrical resistance, the temperature sensor 6 is coming to BU 18, after signal processing code given parameter highlights on the scoreboard.

Measurement of electrical resistance of a biological object is carried out by passing a current between the active electrode 2 and the indifferent electrode 16, the signal is processed in BU 18 and displayed on the scoreboard.

Effectiveness of physical therapy effects is the possibility of modulating intensity of the vibration, magnitokontaktnye, teplootdache, headofstate, exposure to electromagnetic radiation as a signal defined externally (using the display control unit and generating or incorporated in the program memory), and a signal coming from one of the sensors of biological parameters and the respective biorhythm of the body.

Thus, increasing therapeutic efficacy of the device by reducing the intensity of influencing factors and the duration of each procedure, reduce treatment time, reducing the number of drugs used during procedures, is achieved by the introduction of such types of impact, as the magnetic field, the cold, Ultrazvuk the via with a frequency amplitude and duration of a particular biological parameter.

1. Device for deep impact, containing means for electric shocks affecting element of which consists of the active and indifferent electrodes, means for optical impact of the influencing element in the form of directional fiber, mechanically connected to the source of optical radiation, means for exposure to the heat from affecting element in the form of a heater, means for vibration containing a vibrator mechanically coupled to the vibration exciter, means for visual observation, consisting of fiber with a regular structure, mechanically connected to the eyepiece with illuminated, means for leading liquid and gaseous drugs through the pipe, a means for temperature control using the temperature sensor and a cylindrical casing made with the possibility of placement in the cavity and inside which there is an active electrode, a directional light guide, the light guide with a regular structure, a heater, a temperature sensor, the vibrator and the supply pipe, characterized in that it further comprises a unit driven by what roosmalen, the sensor and the source of optical radiation, means for magnitokontaktnye, electrically connected with the control unit and generating means for discharge of the contents of the cavity, a source of ozone and other gaseous preparations, the pumping device, the means for applying ultrasound, coupled with the control unit and generating means for headofstate, electrically connected with the control unit and generating means for exposure to electromagnetic fields microwave and millimeter-wave electrically connected with the control unit and generation.

2. The device under item 1, characterized in that the exciting element means for magnitokontaktnye is a located in the cylindrical housing inducer.

3. The device according to PP.1 and 2, characterized in that the means for discharge of the contents of the cavity consists of a tube drainage and suction device made with the possibility of a mechanical connection with the drain hose and the drain hose is located in the cylindrical housing.

4. The device according to PP.1 to 3, characterized in that the pumping device is made with the possibility of a mechanical connection with the supply pipe and with a source of ozone and other gazoobrazovania biological parameters of the person, consisting of a set of sensors biological parameters, which are electrically connected with the control unit and generation.

6. The device according to PP.1 to 5, characterized in that the means for applying ultrasound provides a source of mechanical vibrations of ultrasonic frequency, located in the cylindrical housing at the working end.

7. The device according to PP.1 - 6, characterized in that the source of mechanical vibrations of ultrasonic frequency is made in the form of a piezoelectric plate, a supply pipe has a slot and the cylindrical body has a side surface near the working end of the hole, which is adjacent the inner surface of the cylindrical body of the piezoelectric plate, and the active electrode has an additional output in the specified hole, which combined the slotted pipe.

8. The device according to PP.1 to 7, characterized in that the means for applying ultrasound further comprises an ultrasonic transducer electrically connected with the control unit and generating and consisting of a piezoelectric element, rigidly connected through a hub with an ultrasonic waveguide, made with locations in Trou thermoelectric cooler, located in the cylindrical housing.

10. The device according to PP.1 to 9, characterized in that the means for electromagnetic field of the microwave contains the emitter of microwave energy, electrically connected to the coaxial cable with the control unit and generating and located in the cylindrical housing.

11. The device according to PP. 1 to 10, characterized in that the means for electromagnetic EHF field contains the emitter of EHF signals, located in the cylindrical housing.

12. The device according to PP.1 - 11, characterized in that the emitter of microwave energy made as done in the side surface of the metallic cylindrical body parallel to its axis near the working end of the slit length, l, determined by the wavelength of the microwave signal in biological tissues, and at the midpoint along the length l of the slit has a contact with one side of the inner conductor of the coaxial cable, on the other hand has contact with the external conductor of the coaxial cable.

13. The device according to PP.1 - 12, characterized in that the emitter EHF made in the form of a dielectric waveguide having the ability to location in the drain hose.

 

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