Device for adjusting movements

FIELD: medical engineering.

SUBSTANCE: device has n channels where n is even number. Each channel has stimulating signal generator and stimulating signal shaper. The stimulating signal generator has delay unit, unit for blanking coincident signals, packet envelope shaper and pulse packet oscillator. The stimulating signal shaper has power amplifier and unit containing the first starting cell and the first digital display. Unit for determining mean step is introduced into each stimulating signal generator. The unit output is connected to information inputs of delay unit and of stimulating signal shaper. The first input is combined with delay unit input and is called stimulating signal generator Start input. The second one is combined with corresponding delay unit input and packet envelope shaper and is called Set Zero input of the stimulating signal generator. Output of the unit for blanking coincident signals is connected to packet envelope shaper input. I-th stimulating signal generator delay unit output (I=1...n) is connected to i-th input of the unit for blanking coincident signals and serves as output of delayed signals. Inputs of the unit for blanking coincident signals (with the exception of the i-th one) form a group of delayed signals inputs of the stimulating signals generator. Information outputs of the delay unit and of the packet envelope shaper are the first and the second information outputs of the stimulating signal generator, respectively. Packet envelope shaper output is connected to packet envelope generator start input which output is signal output of the stimulating signal generator.

Packet envelope shaper output is processes visualization output of the stimulating signals generator. Each stimulating signal shaper additionally has in series connected attenuator and output transformer symmetric output of which is shaper signal output. Inverter has input connected to power amplifier output. Switch is available between outputs from the power amplifier, inverter and attenuator input. Power amplifier input serves as signal input of the shaper. the second digital display, clock pulse oscillator, the first switch are introduced into movement corrector. The first input of the first switch is connected to clock pulse oscillator output, the output being connected to combined Start inputs of stimulating signals generators having visualization input with its signal inputs being connected to stimulating signals generators processes visualization outputs. The second switch has output connected to synchronizing output of visualization unit input. The third switch has the first and the second outputs connected to the second and the third inputs of the first switch, respectively. Three start transducers make start transducers set with the available one with the first, the second, the third and the fourth outputs are connected to the second and the third switch inputs. The fourth and the fifth switch are available between the first and the second information outputs of stimulating signals generators, respectively. Output of the delayed signals of i-th stimulating signals generator (I=1...n) is connected to inputs of delayed signals group from the remaining stimulating signals generators. Set Zero inputs of the stimulating signals generators are joined together forming movement corrector Set Zero input.

EFFECT: wide range of functional applications; enhanced effectiveness in treating patient possessing heavy locomotor apparatus disorders both in rest state and in moving.

4 cl, 5 dwg

 

The invention relates to medicine, namely to traumatology, orthopedics and neuropathology, and can be used for rehabilitation of patients after trauma, lesions and diseases of the musculoskeletal system of various origins.

A device for treatment of diseases of the musculoskeletal system (see RF patent №2126276, class a 61 N 1/18, 1995), containing the stationary unit for the generation and radiation parameters of the stimulating signals in coded form and wearable unit comprising a decoder, synchronizer, a crystal oscillator, tunable oscillator, the pulse distributor and shaper stimulating signals and sensors joint angles and the electrodes.

The disadvantages of the known devices is the lack of treatment options for patients with severe disorders of the musculoskeletal system, as well as the effective use of it by disabling the radio (not available offline installation parameters of the stimulating signal within the wearable unit).

Patients with severe disorders of the musculoskeletal system should include patients after transferring polio, spinal cord injury, acute disorders of cerebral circulation.

The closest in terms of total signs is concealer movement as the USSR №1660705, class a 61 N 1/36, 1991.

Cor is the sector movements contains a synchronization sensor, electrodes, the generator pulse distributor, the sync blocks having the threshold element, the delay unit, the driver packs of pulses, the voltage Converter and amplifier, as well as differentiating elements, the switch and blocks light and sound alarm.

The device prototype as well as the above-mentioned analogue does not allow to treat patients with severe disorders of the musculoskeletal system, but it can be used standalone with the treatment in the clinic (inpatient unit), outpatient treatment (in the form of a portable unit), and also allows the combined use of both in the treatment in a hospital.

The technical result from implementation of the proposal is the extension of functionality, aimed at treatment of patients with severe disorders of the musculoskeletal system, both at rest and in motion, as well as the adaptation of a number of stimulation parameters to change the tempo of the walk.

To do this concealer movements that contains n (n - even) channels, each of which has a generator of stimulating signals and shaper of stimulating signals, the generator enabling signal has a delay block, the block matching blanking pulse shaper envelope packs and generator to pulse sow packs, and shaper stimulating signal has a power amplifier, as well as containing the first sensor and start the first digital indicator, in addition each generator of stimulating signals introduced the definition block of the middle step, the output of which is connected with the information input unit delay and shaper envelope packs, the first input combined with the respective input of the delay block is the input "Start" generator enabling signal and the second combined with the respective input of the delay block and the shaper envelope packs and an entry of "Mouth "On" generator enabling signal, and the output of block matching blanking pulses connected to the input of the shaper envelope packs the output of the delay block of the i-th generator of the stimulating signals (i=1,...n) is connected with the i-th input block matching blanking pulse is output delayed signals, and inputs the block matching blanking pulses, except the i-th form respectively a group of inputs the delayed signal generator stimulus signals, the information outputs of the unit delay and shaper envelope packs are respectively the first and second information outputs of the generator enabling signal, the output of the shaper envelope packs connected to the input of generator run them is alsow packs, the output of which is signal generator output enabling signal, and the output of the shaper envelope stack is output visualization generator enabling signals, and each driver enabling signal inputs connected in series attenuator and output transformer, symmetrical output signal which is the output of the driver, inverter, an input connected to the output of the power amplifier between the output of the amplifier and inverter and the input of the attenuator is activated the switch, and the input of the power amplifier is the signal input of the shaper, concealer movements also introduced a second digital display, pulse generator clock frequency, the first switch, the first input connected to the generator output clock frequency and the output to the combined inputs "Start" generators stimulating signals, block imaging, signal inputs are connected to the outputs of the process visualization generators stimulating signals, the second switch, the output of which is connected to the clock input of the block visualization, the third switch, the first and second outputs of which are connected with the second and third inputs of the first switch, respectively, three sensors run that available with the SJ form a set of sensors run, first, second, third and fourth outputs of which are connected to the corresponding inputs of the second and third switches between the first and second information outputs of the generators of stimulating signals and the input of the first and second digital indicators included the fourth and fifth switches, respectively, with the output delayed signals of the i-th (i=1...n) of the generator of the stimulating signals connected to the inputs of the group of delayed signals other generators stimulating signals, and inputs the "Mouth "On" generators stimulating signals are combined to form the input of the "Mouth "Of the" corrector movements.

When the block matching blanking pulses contains n-1 serially connected chain of extender pulses and schema mismatch, the outputs of which are combined and output unit, when the i-th signal input unit (i - number generator enabling signal, which includes the block, i=1,..., n) are connected with the joint between a second input schema mismatch, the input expanders, except the i-th form the group of input signals of the block.

When this block determine the average step includes sequentially connected to the timer, the first block of keys, the first set of delay lines, the first block of registers and the second set of keys, connected in series, the second block of delay lines, the second b is OK registers, the third key block, the third block of the delay lines, the third block and fourth registers block key block subtraction, reducing input of which is connected to the output of the first block of keys, entrance wichitaeagle with the output of the second block of keys, and the output to the input of the second block of keys, the fifth block of keys, the information input which is the input code constant number "3"of the unit, the input of the divider which is connected to the output of the fifth block of keys, and the output is the output of the block definition of the middle step, and between the outputs of the subtraction unit, the third and fourth blocks of keys and entrance the dividend of the unit included the adder on three inputs, while the control inputs of the first, second, third, fourth and fifth inputs and United are the first entrance, and the entrance of "Mouth "On" timer - the second input unit of measure of the average step.

While the delay unit includes serially connected registers unit, functional Converter and a decoder, connected in series counter and the first block of keys, the pulse generator with switched RC-circuits whose inputs are connected to respective outputs of the decoder, switch, shift register, the input "Start" which is connected to the input "Start" counter and is the first input of the delay unit, the input "Shift" is connected to the output of the generator impulses switched RC-chain, and outputs connected to respective inputs of the switch, the pulse generator, the output of which is connected to the input "Account" counter, the second set of keys, an information input connected to the output of register block division, the log dividend which is connected to the output of the first block of keys, and the input of the divider with the output of the second block of keys, the third block of keys, the information input which is the input code constant number "100", between the output switch and the input "Reset" the counter is enabled delay line, and between the output unit and the third unit keys and information output of the delay block included the multiplier, and the output of the switch is connected to control inputs of the first, second and third blocks of keys and is a signal output of the delay block and the entrance of "Mouth "On" counter, the second input of the delay block.

This shaper envelope packs differs from the delay unit that inputs a trigger whose output is the signal shaper's output and inputs "Start" and "Reset" is connected to the second input of the shaper and the output of the switch, respectively.

When this sensor kit launch includes toe and heel contact switches located in the insole to the sole of the left foot and toe and heel contact switches, the arrangement is installed in the insole to the sole of the right foot this toe and heel contact switches located in the insole to the sole of the left foot, and toe and heel contact switches located in the insole to the sole of the right foot, forming respectively the first, second, third and fourth outputs of the sensors run.

We offer concealer motion depicted in figure 1, and its constituent elements: the block matching blanking pulses, the unit of measure of the average step, the delay unit and the envelope shaper packs in figure 2, figure 3, figure 4 and figure 5 respectively.

Concealer movement (figure 1) contains a set of sensors run 1, the third switch 2, the second switch 3, the block visualization 4, the pulse generator clock frequency 5, the first switch 6, the generators of the stimulating signals 7-1 to 7-n, the delay unit 8, block determine the average step 9, the block matching blanking pulses 10, envelope shaper tutu 11, the pulse generator packs of 12, the shapers of stimulating signals 13-1...13-n, the power amplifier 14, an inverter 15, a switch 16, the attenuator 17, the output transformer 18, 19 fourth and fifth 21 switches the first 20 and second 22 digital indicators.

The block matching blanking pulses (figure 2) contains extenders pulses 23-1 to 23-(n-1) and schema mismatch 24-1 to 24-(n-1).

The unit of measure of the average step (3) soda is separated by the timer 25, the first 26, 29 second, third, 33, 36 fourth and fifth 38 blocks of keys, the first 27, 31 second and third 34 units of delay lines, the first 28 and second 32 and third 35 blocks of registers, the adder 3 input 37 and the block division 39.

The delay unit (figure 4) contains serially connected registers unit 40, the functional pulse generator with switched RC-chain 43, the shift register 44, switch 45, the delay line 46, the pulse generator 47, the counter 48, the first 49, second 50 and third 51 blocks of keys, the unit 52 and the multiplier 53.

Shaper envelope packs (figure 5) contains serially connected registers unit 54, functional Converter decoder 55 and 56, the pulse generator with switched RC-chain 57, the shift register 58, the switch 59, the delay line 60, the pulse generator 61, a counter 62, the trigger 63, the first 64 and second 65 and 66 third blocks of keys, the unit multiplier 67 and 68.

We offer concealer movements is as follows.

The signals from the sensors run 1, emerging from the closed contacts of the left and right foot during walking, provide external trigger generators stimulating signals. As compared to the device prototype the number of sensors starting doubled, to reduce the amount of equipment used, the third 2, and the first 6 switches. PE is eklucation 2 allows to synchronously switch from toe to heel sensors run, and the switch 6 is to choose only one of the pair of sensors, the time of occurrence of the triggering pulse which is ahead of others. The trigger signal from the output of the switch 2 is coming to run the channels generating enabling signals 7-1 to 7-n. The first switch 6 allows you to connect a stand-alone pulse generator clock frequency used for the treatment of a patient in a rest mode when no signal external start.

The number of channels n is determined by the number of stimulating electrodes, which must be even.

The trigger signal from the sock (heel) sensors in each channel is delayed in block 8. The delay time is 0÷60% of the start-up period in increments of adjustment of the delay 300 MS.

To exclude the possibility of combining the generated stimulus signals in the channels of at least 1 MS detainees in each channel, the signals in the block 10 are checked detainees respective signals of other channels to perform the requirements of incompatibility within the specified values.

The coincidence in time with any one of the delayed signals of this channel blankarea. After conducting such checks, delayed signals launch shaper envelope of the stack 12, the rectangular pulses which are generated by the pulse generator is lsow packs of 12 and block visualization 4.

The duration of the envelope of the stack can be selected in the range 1...9 C. unlike the prototype of the delay unit 8 and the envelope shaper packs 11 are adaptive blocks. Signal parameters set by the physician-operator of these blocks, it is invariant to the rate of walking within the specified limits of the step change of the patient. These blocks allow for adaptive adjustment of parameters within the changes in average step ±40%.

The parameters of the signals that are installed in these units are relative values, taken % from the time interval of the step of the patient. The average step (which is the adaptive adjustment of parameters) is generated in block 9. Averaging is performed on the three current steps of the patient.

Block imaging allows the oscilloscope to view images of all of the generated envelope packs that run with socks (contact closure input - output 1-1 and 3-2), and heel sensors (contact closure input - output 2-1 and 4-2 switch 2).

Block imaging can be built on a personal computer using the built-in I / o Board analog signals LA to 1.5 PCI. Start the power of visualization one of the pulses start, choose a doctor by the operator by means of the second switch 3. Thus of the four pulses Zap the ska to synchronize the chosen one, that time comes before the other.

Of the four possible combinations of the envelopes of the stack using the above switches the physician-operator selects one envelope, which is then used for further generation and create a stimulating signals.

Selected final envelope packs triggers the pulse generator packs of 12, which operates in the oscillatory regime, with the peculiarity that the process of circuit pulses tutu begins with the arrival of the pulse envelope. The process demanded with the arrival of the leading edge of the pulse envelope begins always with the same polarity at the time of arrival of the leading edge. The repetition period of the pulses of the stack is selected within...33,3 12,5 MS, and the duration of pulses in a packet at the level of 0.5 is chosen 20...255 MS.

The install doctor-the operator of the values of relative delay and relative length of the stack (in % to the time period of the step of the patient) is made by using the corresponding digital indicators 20 and 22. Channel selection for setting and monitoring the above parameters can be changed using the switches 19 and 21.

Pulses packs from the outputs of the generators 12 channels are used on shapers stimulating signals 13-1...13-n.

Each shaper stimulating signals these impulses through maximizing the if power 14 is coming to the inverter 15, which allows further switch 16 to the physician-operator or the patient on the physician's recommendation to set the polarity of the stimulating signal applied to the electrodes. The level of the stimulating signal at the output of the shaper stimulating signals is determined by the attenuator 17 and the output transformer 18. The amplitude of the pulses at the input is selected in the range 20...100 V at a load of 2400 m with a parallel capacitance of 0.1 μf.

Discrete amplitude adjustment with attenuator 2 Century

In the corrector movements provided by setting to zero the elements of digital equipment (timers, counters) external pulse "Mouth "On", paired with power.

Installation of switches 2.6 and 16 in the Autonomous mode of treatment the patient should strictly conform to the recommendations of the doctor.

Below is a description of the individual blocks.

The block matching blanking pulses (figure 2) works as follows.

The delayed pulse from the delay unit of the i-th channel generating enabling signals fed to the control inputs of (n-1) schema mismatch 24-1 to 24-(n-1), signal inputs are through the respective expanders pulses 23-1 to 23-(n-1) are delayed pulses of other channels generate stimulus signals. The pulse duration after the ID which is 1 MS. If the delayed signal of the i-th channel falls in the interval of the extended impulse any other channel, it blankarea (locked) this momentum and will not get to the exit block.

The unit of measure of the average step (3) is as follows.

The measurement time interval per step is carried out using a timer 25, the first 26 and second blocks 29 keys, block registers 28 and subtraction unit 30.

The triggering pulse (pulse start traffic)coming from input 1, with the first block of keys 26 is eat count time of the timer, which after a delay block 27 are stored in the register unit 28. The delay is chosen longer than the length of the triggering pulse. The next pulse start using the unit keys 29 produces eat memorized in the registers unit time from the previous cycle and the reading of the timer time of the current. The difference in the readings is calculated by the subtraction unit 30.

The average time interval for step (when averaged over the three current steps) is achieved using the third 33, 36 fourth and fifth blocks 38 keys, second 32 and third 35 blocks of registers 31 of the second and third blocks 34 delay lines, adder on three inputs 37 and unit 39.

Received at block 30 the time interval for the step to the input of the adder 37 and Sumeru is conducted on the adder 3 entrance, and to the first input of the adder is fed directly to the second one after storing for one clock cycle (using block registers 32), and the third on two bars (using registers unit 35).

Eat the stored information for the second and third inputs of the adder is to start using the corresponding keys 33 and 36.

Averaging is performed on the unit by dividing the result of addition to the constant number "3", eat is to start with a block of keys 38.

The choice of time delays in blocks 31 and 34 are similar to those mentioned above.

The unit delay lines (figure 4) is as follows.

Code average step TSRs. is stored in the register unit 40, and is supplied to the functional Converter 41. Functional Converter establishes a one-to-one correspondence between the average value of the step of the patient TSRs. and the repetition period TP of the pulses generated by the block 43.

Period pulse generator 43 provides dial-up RC-chain and a set of keys for switching. Key management is performed using the decoder 42, which converts the code TS into a DC voltage appearing on its corresponding output bus.

The shift register 44 provides a shift pulse at the beginning of movement U. from one conclusion to another by the value of TA, which, as mentioned above, is uniquely determined by the value TSRs.

The delay pulse τCthe unit is installed by a medical operator with a switch 45.

Adaptive adjustment of the prescribed delay is as follows. When changing TSRs. from the initial change period TA of the generated pulses so that the ratio τC/TSRs. when selected, the delay remains constant. So, if we assume that the subsequent value TSRs. increased to once, and it should increase the repetition period of the generated pulses. Moreover, this condition is not violated, and other arbitrary values of the selected delay.

The value of the selected delay goes on the measuring path, which contains the pulse generator 47, the counter 48, the first 49, second 50 and third 51 blocks of keys, the unit 52 and the multiplier 53.

To measure the delay counter 48 counts the number of pulses from generator 47 since the launch, defined by a start pulse movement U..

The reading of the counter is carried out using a block of keys 50 on the delayed pulse U.., and the counter is reset at the same pulse, but delayed in time, increasing its duration by using the line C the support 46. On the side 52 is normalized latency to the duration of the middle step TSRs. and, finally, the multiplier 53 is obtained counting the relative latency (in %) by multiplying the division result by a constant number "100".

The Builder of the envelope stack (see figure 5) differs from the delay unit so that the output signal is a pulse of a given duration, obtained using a trigger that is fired by a pulse from the delay unit 8, and is discharged to the detainees in the driver with shift register 58.

1. Concealer movements containing n channels, where n is even, each of which has a generator of stimulating signals and shaper of stimulating signals, the generator enabling signal has a delay block, the block matching blanking pulse shaper envelope packs and the pulse generator packs and driver enabling signal has a power amplifier, as well as containing the first sensor and start the first digital indicator, characterized in that each generator of stimulating signals introduced the definition block of the middle step, the output of which is connected with the information input unit delay and shaper envelope packs, the first input combined with the respective input unit delay is the input "Start" is enerator stimulating signals, and the second joint to the corresponding input of the delay block and the shaper envelope packs and an entry of "Mouth "On" generator enabling signal, and the output of block matching blanking pulses connected to the input of the shaper envelope packs, the output of the delay block of the i-th generator of the stimulating signal, where i=1,...n, is connected to the i-th input block matching blanking pulse is output delayed signals, and inputs the block matching blanking pulses, except the i-th form respectively a group of inputs the delayed signal generator stimulus signals, the information outputs of the unit delay and shaper envelope packs are respectively the first and second information outputs of the generator enabling signal, the output of the shaper envelope packs connected to the input of the start pulse generator packs whose output is the signal generator output enabling signal, and the output of the shaper envelope stack is output visualization generator enabling signals, and each driver enabling signal inputs connected in series attenuator and output transformer, symmetrical output signal which is the output of the shaper, the inverter, the input of which is coupled to the output of the power amplifier, between the outputs of the amplifier and inverter and the input of the attenuator is activated the switch, and the input of the power amplifier is the signal input of the shaper, concealer movements also introduced a second digital display, pulse generator clock frequency, the first switch, the first input connected to the output of the oscillator clock frequency, and the output from the combined inputs "Start" generators stimulating signals, block imaging, signal inputs of which are connected to the outputs of the process visualization generators stimulating signals, the second switch, the output of which is connected to the clock input of the block visualization, the third switch, the first and second outputs of which are connected with the second and third inputs of the first switch, respectively, three of the starting sensor, which is available form the set of sensors start, first, second, third and fourth outputs of which are connected to the corresponding inputs of the second and third switches between the first and second information outputs of the generators of stimulating signals and the input of the first and second digital indicators included the fourth and fifth switches, respectively, with the output delayed signals of the i-th generator of the stimulating signals connected to the inputs of a group of detainees C the signals of the remaining generators of the stimulating signals, and inputs "Mouth "On" generators stimulating signals are combined to form the input of the "Mouth "Of the" corrector movements.

2. Concealer movements according to claim 1, characterized in that the block matching blanking pulses contains n-1 serially connected chain of extender pulses and schema mismatch, the outputs of which are combined and output unit, when the i-th signal input unit, where i - number generator enabling signal, which includes the block, i=1,..., n, is connected with the joint between a second input schema mismatch, the input expanders, except the i-th form the group of input signals of the block.

3. Concealer movements according to claim 1, characterized in that the unit of measure of the average step includes sequentially connected to the timer, the first key block, the first block of registers and the second set of keys, connected in series to the second register unit, the third key block, the third block and fourth registers block key block subtraction, reducing input of which is connected to the output of the first block of keys, entrance wichitaeagle with the output of the second block of keys, and the output to the input of the second register unit, the fifth unit key information input which is the input code constant number "3"of the unit, the input of the divider which is connected to the output of the fifth block of keys, and the output is the output of the block determined the value of the middle step, and between the outputs of the subtraction unit, the third and fourth blocks of keys and log dividend block division included the adder on three inputs, while the control inputs of the first, second, third, fourth and fifth keys and United are the first entrance, and the entrance of "Mouth "On" timer - the second input unit of measure of the average step.

4. Concealer movements according to claim 1, wherein the delay unit includes serially connected registers unit, functional Converter and a decoder, connected in series counter and the first block of keys, the pulse generator with switched RC-circuits, the inputs of which are connected with the corresponding outputs of the decoder, switch, shift register, the input "Start" which is connected to the input "Start" counter and is the first input of the delay unit, the input "Shift" is connected to the output of the pulse generator with switched RC-circuits, and outputs connected to respective inputs of the switch, the pulse generator, the output of which is connected to input "Account" counter, the second set of keys, an information input connected to the output of register block division, the log dividend which is connected to the output of the first block of keys, and the input of the divider with the output of the second block of keys, the third block of keys, the information input which is the input code constant is Isla "100", between the output switch and the input "Reset" the counter is enabled delay line, and between the output unit and the third unit keys and information output of the delay block is enabled, the multiplier, and the output of the switch is connected to control inputs of the first, second and third blocks of keys and is a signal output of the delay block and the entrance of "Mouth "On" counter, the second input of the delay block.



 

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5 cl, 2 dwg, 2 tbl

FIELD: medicine.

SUBSTANCE: method involves acting with bipolar pulsating current of 30-100 mcA having frequency of 0.5-10 Hz upon electrode position during 10 h. The treatment course is 4-10 days long. The electrodes are arranged in known manner. The first electrode position is anterior chest wall in heart projection zone to interscapular space on the back; the second one is from front to back of the head zone; the third one takes space from right anteroinferior part of chest in liver projection to dorsal liver projection zone.

EFFECT: enhanced effectiveness of treatment.

FIELD: medicine.

SUBSTANCE: method involves creating therapeutic circuit fixed on patient body, at least two working therapeutic electrodes, measuring and analyzing patient-dependent electrophysical parameters, charging capacitive storage and its later discharging to the working therapeutic electrodes controlled with control unit. Transmitting defibrillation impulse of given power in discharging is carried out in dosed manner first with the first portion W1 of given power dose with the second portion W2 being accumulated on inductive defibrillation power accumulator and then with the second portion W2 of given power dose. Ratio of the first portion W1 of given power dose to the second portion W2 of given power dose of defibrillation impulse is selected from the range of 0.01 to 150. Defibrillation impulse current intensity is selected only when emitting the first portion W1 of given power dose. Cardiodefibrillation impulse is built as bipolar Gurvich impulse. The given power quantity usable for charging the capacitive defibrillator storage is selected to be equal to a value from the range of 4-500 J, defibrillation impulse current intensity being selected from the range of 0.005 to 175 A and voltage equal to a value from 3 to 30000 V. Means has power supply source having unit for controlling charge level of the capacitive storage, unit for building defibrillation pulses, switchboards formed by controlled keys, at least two working therapeutic electrodes and diodes bypassing the controlled keys, resistive current transducer, analog-to-digital converter and control unit having required functional communications to the analog-to-digital converter and controlled keys. The resistive current transducer is in current feeding bus having minimum potential relative to measuring unit under operation having analog-to-digital converter in its structure.

EFFECT: enhanced effectiveness of usage; high safety of patient treatment procedure.

7 cl, 9 dwg

FIELD: medical engineering.

SUBSTANCE: device has means for stimulating sensory organs (auditory and visual analyzers), thermo- and mechanoreceptors and transcutaneous electrostimulation in various combinations and sequences. Device has technical means providing sensory irritations. A set of light-emitting diodes comprising white, blue, green, red ones or their combinations are applied in particular for stimulating visual analyzer. Some of them are located on internal surfaces of sun-protection glasses and others arranged on periphery as radial divergent lines. To stimulate auditory analyzer, a set of micro speakers is used, one of which is mounted in the center of head phone and the others are concentrically arranged at least in two rows on periphery. To stimulate mechanoreceptors, a set of infrared light-emitting diodes is used, one of which is mounted in the center of thermode and the others are concentrically arranged at least in two rows on periphery. To carry out transcutaneous electrostimulation, electrodes with centrally arranged contact plate and electrically isolated contact plates concentrically arranged at least in two rows on periphery. Sensory irritation generators have independent communication channels having centrally and peripherally arranged stimulators. The generators are electrically connected to control unit connected to PC.

EFFECT: wide range of functional applications; enhanced effectiveness of human organism mental correction.

2 dwg, 1 tbl

FIELD: medicine; infectious therapy.

SUBSTANCE: device for plasma-dynamic treatment of infected wounds and cavities has high voltage electric pulse oscillator provided with low-sized high voltage pulse electric-charge unit housed inside carrier dielectric case. The case has co-axial electrode system which has ring-shaped and rod electrodes separated by dielectric insulator. Co-axial electrode system is placed inside optical-transparent quartz member made in form of flask which has perforated semispherical working end. Co-axial system is disposed to have space relatively inner surface of carrier case of unit. Part of internal surface of the unit - at the area of semispherical working end of flask - is made of material which is able to reflect radiation of visible and UF range of spectrum. Removable outlet union, provided with branch pipe connected to union, is mounted onto working part of carrier case of unit. Branch pipe is connected with member having perforated semispherical working end at the opposite side. Opposite edge part of carrier case has support sealing bushing with inlet pipe which is connected with ozone generator conjugated with vessel for containing oxygen. Inlet pipe communicates with space to inner surface of carrier case of the unit and outer surface of flask.

EFFECT: improved efficiency of treatment; improved reliability of operation.

10 cl, 2 ex

FIELD: medicine.

SUBSTANCE: method involves filling vitreous cavity with perfluororganic compound. Two electrodes manufactured from platinum group metal are intravitreally, transretinally introduced into intraocular neoplasm. Electrochemical destruction is carried out with current intensity of 10-100 mA during 1-10 min in changing electrodes polarity and their position in the intraocular neoplasm space, and the electrodes are removed. 0.1-1% 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 fluorescence is carried out by applying fluorescent diagnosis methods. After saturating the intraocular neoplasm with the photosensitizer to maximum saturation level, intravitreous, transretinal laser radiation of 661-666 nm large wavelength is applied at a dose of 30-120 J/cm2 in perfluororganic compound medium. The transformed retina and tumor destruction products are intravitreally removed with perfluororganic compound volume being compensated with its additional introduction. Boundary-making endolasercoagulation of retinotomy area is carried out. The perfluororganic compound is substituted with silicon oil. The operation is ended in placing sutures over sclerotmy areas and over conjunctiva. Perfluormetylcyclohexylperidin, perfluortributylamine or perfluorpolyester or like are used as the perfluororganic compound for filling vitreous cavity. Platinum, iridium or rhodium are used as the platinum group metals.

EFFECT: complete destruction of neoplasm; reduced dissemination risk.

6 cl, 12 dwg

FIELD: medicine.

SUBSTANCE: method involves intravitreously introducing two electrodes into intraocular neoplasm after carrying out vitrectomy and retinotomy to expose the intraocular neoplasm. The electrodes are manufactured from platinum group metal. Electrochemical destruction is carried out with current intensity of 100 mA during 1-10 min or 10 mA during 10 min in changing electrodes polarity and their position in the intraocular neoplasm space, and the electrodes are removed. 0.1-1% 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 fluorescence is carried out by applying fluorescent diagnosis methods. After saturating the intraocular neoplasm with the photosensitizer to maximum saturation level, intravitreous laser radiation is carried out in parallel light beam of wavelength equal to 661-666 nm is applied at a dose of 30-120 J/cm2.The transformed retina and tumor destruction products are intravitreally removed. Boundary-making endolasercoagulation of retinotomy area is carried out after having smoothed and compressed retina with perfluororganic compound. The operation is finished with placing sutures on sclerotomy and conjunctiva. Platinum, iridium or rhodium are used as the platinum group metals. Another embodiment of the invention involves adjusting position and size of the intraocular neoplasm in trans-scleral diaphanoscopic way. Rectangular scleral pocket is built above the intraocular neoplasm to 2/3 of sclera thickness with its base turned away from limb. Several electrodes are introduced into intraocular neoplasm structure via the built bed. The electrodes are manufactured from platinum group metal. Electrochemical destruction is carried out with the same current intensity in changing electrodes polarity and their position in the intraocular neoplasm space, and the electrodes are removed. Superficial scleral flat is returned to its place and fixed with interrupted sutures. 0.1-1% 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 after having carried out vitrectomy and retinotomy. Visual control of intraocular neoplasm cells fluorescence is carried out by applying fluorescent diagnosis methods. After saturating the intraocular neoplasm with the photosensitizer to maximum saturation level, intravitreous laser radiation is carried out in parallel light beam of wavelength equal to 661-666 nm is applied at a dose of 30-120 J/cm2. The transformed retina and tumor destruction products are intravitreally removed using vitreotome. Boundary-making endolasercoagulation of retinotomy area is carried out after having smoothed and compressed retina with perfluororganic compound. The operation is finished with placing sutures on sclerotomy and conjunctiva. Platinum, iridium or rhodium are used as the platinum group metals. The number of electrodes is equal to 4-8.

EFFECT: reduced risk of metastasizing.

4 cl, 13 dwg

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

The invention relates to medicine, namely to physiotherapy, and is intended for the rehabilitation of patients in the treatment of fractures of the pelvis

Galvanic comb // 2240840
The invention relates to medicine, namely to prevention devices, and is intended to affect the scalp, stimulation and hair growth

The invention relates to veterinary therapy, namely the treatment of cats in posleoperazionny period

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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