Pacemaker neuromuscular structures of the pelvis

 

(57) Abstract:

The invention relates to medicine, and is intended for electrical stimulation of the neuromuscular structures of the pelvis, in particular for the treatment of patients with chronic prostatitis. The pacemaker includes a pulse generator, a pair of electrodes, one of which is placed inside transretinol catheter, amplifier, meter setting neuromuscular patterns, the transmitter is an increasing function K = f(P), additional electrodes of the first group, additional amplifiers, additional measuring parameters of neuromuscular patterns, additional evaluators increasing function Ki = f(P), additional electrodes of the second group. The invention provides the process automation of electrical stimulation neuromuscular patterns, expansion of influence on it. 2 C.p. f-crystals, 3 ill.

The invention relates to medicine, and is intended for electrical stimulation of the neuromuscular structures of the pelvis, in particular for the treatment of patients with chronic prostatitis.

Known pacemaker neuromuscular structures of the pelvis, including the pulse generator and a pair of electrodes, one of which is connected to common bus pulse generator).

The known pacemaker involves patient participation in the treatment process, because the feedback on neuromuscular structure (e.g., the prostate) is a state change (conductivity, temperature, amplitude, etc.,) that requires a change of parameters of electric pulses (amplitude). Because the patient's feelings of subjective and give information only about uncomfortable conditions of the body, they are unreliable as a diagnostic tool, but the treatment is not effective enough. In addition, the effects on neuromuscular structure is produced in a narrow sector of the interelectrode space.

The technical result of the proposed use of the pacemaker is to automate the process of neuromuscular electrical stimulation patterns and the expansion of our impact on it.

This technical result is achieved that the pacemaker includes a pulse generator and a pair of electrodes, one of which is connected to a common bus, one of the pair of electrodes placed within a transurethral catheter, the output of pulse generator connected to one of the pair of electrodes via the amplifier input or temperature, or amplitude neuromuscular patterns, the output of which is connected to the input of the gain control amplifier via the transmitter an increasing function of K

The technical result is also achieved by the fact that the electrode is placed inside a transurethral catheter, connected to a shared bus, entered N of additional amplifiers whose inputs are connected to the output of the pulse generator, and the outputs from the respective electrodes of the first group of N additional electrodes, N meters parameter neuromuscular patterns, each of which is made in the form of measuring electrical resistance, or temperature, or vibration amplitude neuromuscular patterns, and N solvers increasing function of Kiconnected between the outputs of the respective sensors of the parameter neuromuscular patterns and inputs control the gain of the respective amplifiers, where N is a positive integer, i=[1,N].

The technical result is also achieved by the fact that the input is placed inside a transurethral catheter, a second group of N additional electrodes connected to a common bus.

The possibility of achieving this effect is due to the fact that (kakulas, affecting various sectors of neuromuscular patterns with increasing (decreasing) the value of any of the following neuromuscular patterns: electrical resistance, temperature, amplitude of oscillation. Pie also the location of the pairs of electrodes provides an opportunity to consider the status of individual pieces of neuromuscular patterns.

In Fig. 1 shows a functional circuit diagram of the pacemaker of Fig. 2 - scheme of transurethral catheter and electrodes on the patient's body, Fig. 3 - layout of the electrodes inside the transurethral catheter.

The pacemaker comprises a generator 1 pulse, the electrode 2 placed inside a transurethral catheter 3, the electrode 4, the amplifier 5, the 6 meter parameter, the transmitter 7 is an increasing function of K, the additional electrodes 8 of the first group, additional amplifiers 9, additional measures 10 option, additional solvers 11 increasing function of Kiadditional electrodes 12 of the second group.

A pacemaker is used after the introduction of prostatic Department urethra transurethral catheter at the distal end segment and/or koltseobraznoe thus, make a pair of electrodes 2-4 and 8-12 provided the effect of electric pulses on different areas of neuromuscular patterns.

The pacemaker operates in the following manner. Electrical impulses from the generator 1 are amplified in the amplifier 5 and additional amplifiers 9 and the through electrodes 2, 4 and additional electrodes 8, 12 affect neuromuscular structure, changing its conductivity, temperature, amplitude, etc., the Meter 6, made for example in the form of measuring electrical resistance, and additional gauges 10, made for example in the form of temperature measurement and amplitude, measure the appropriate parameters neuromuscular patterns. The transmitter 7 and the solvers 11 calculate values increasing functions K and Kirespectively. As a result, the gain of the amplifier 5 and additional amplifiers 9 increase with increasing any measured parameter values neuromuscular patterns or decrease with decrease. This sets the optimal ratio between the amplitude of the pulses affecting various sectors of neuromuscular patterns, and its current status, providing maximum terator pulses and a pair of electrodes, one of which is connected to a common bus, one of the pair of electrodes placed within a transurethral catheter, characterized in that the output of the pulse generator is connected to one of the pair of electrodes via the amplifier, put the meter parameter P neuromuscular patterns, made in the form of measuring electrical resistance or temperature, or vibration amplitude neuromuscular patterns, the output of which is connected to the input of the gain control amplifier via the transmitter an increasing function K=f(P).

2. The pacemaker under item 1, characterized in that the electrode is placed inside a transurethral catheter, connected to a shared bus, entered N of additional amplifiers whose inputs are connected to the output of the pulse generator, and the outputs from the respective electrodes of the first group of N additional electrodes, N meters parameter neuromuscular patterns, each of which is made in the form of measuring electrical resistance or temperature, or vibration amplitude neuromuscular patterns, and N solvers increasing functions Ki, included between the outputs of the respective sensors of the parameter neuromuscular patterns and control inputs ratios p. 1 or 2, characterized in that the input is placed inside a transurethral catheter, a second group of N additional electrodes connected to a common bus.

 

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FIELD: medicine.

SUBSTANCE: method involves applying transscleral diaphanoscopic examination method for adjusting intraocular neoplasm localization and size. Rectangular scleral pocket is built 2/3 times as large as sclera thickness which base is turned from the limb. Several electrodes manufactured from a metal of platinum group are introduced into intraocular neoplasm structure via the built scleral pocket. Next to it, intraocular neoplasm electrochemical destruction is carried out in changing electrodes polarity with current intensity of 100 mA during 1-10 min, and the electrodes are removed. Superficial scleral flap is returned to its place and fixed with interrupted sutures. 0.1-2% aqueous solution of khlorin as photosensitizer, selected from group containing photolon, radachlorine or photoditazine, is intravenously introduced at a dose of 0.8-1.1 mg/kg. Visual control of intraocular neoplasm cells is carried out by applying fluorescence and fluorescent diagnosis methods. After saturating the intraocular neoplasm with the photosensitizer to maximum saturation level, transpupillary laser radiation of 661-666 nm large wavelength is applied at a dose of 30-120 J/cm2. the operation is ended with placing sutures on conjunctiva. Platinum, iridium or rhodium are used as the metals of platinum group. The number of electrodes is equal to 4-8. 0.1-1% khlorin solution, selected from group containing photolon, radachlorine or photoditazine, is additionally repeatedly intravenously introduced in 2-3 days at a dose of 0.8-1.1 mg/kg. Visual control of intraocular neoplasm cells is carried out by applying fluorescence and fluorescent diagnosis methods. After saturating the intraocular neoplasm with the photosensitizer to maximum saturation level, repeated laser irradiation of the intraocular neoplasm is carried out with radiation dose of 30-45 J/cm2.

EFFECT: complete destruction of neoplasm; excluded tumor recurrence; reduced risk of tumor cells dissemination.

3 cl, 3 dwg

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