Apparatus for electrical stimulation, in particular for bruxism

• US 10,292,638 B2
• Filed: 03/04/2010
• Issued: 05/21/2019
• Est. Priority Date: 03/04/2009
• Status: Active Grant

• Current Assignee: Sunstar Suisse S.A (Hosei Gijuku Luxembourg SA)
• Original Assignee: Sunstar Suisse S.A (Hosei Gijuku Luxembourg SA)
• Inventors: Mortensen, Troels Bierman, Steen, Claus, Rasmussen, Erling, Haugland, Morten
• Primary Examiner(s): Abouelela, May A
• Application Number:
  US13/254,314
• Publication Number:
  US 20120271190A1
• Time in Patent Office: 3,365 Days
• Field of Search: 600587, 600595, 600546, 600544, 600545, 600300, 607 48, 128905
• CPC Class Codes: A61B 5/389 Electromyography [EMG]
• CPC Class Codes: A61B 5/395 Details of stimulation, e.g. nerve stimulation to elicit EMG response
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/4547 Evaluating teeth
• CPC Class Codes: A61B 5/4557 Evaluating bruxism
• CPC Class Codes: A61B 5/7257 using Fourier transforms
• CPC Class Codes: A61F 2005/563 Anti-bruxisme
• CPC Class Codes: A61N 1/0452 Specially adapted for transcutaneous muscle stimulation [TMS]
• CPC Class Codes: A61N 1/36031 using physiological parameters for adjustment
• CPC Class Codes: A61N 1/36034 specified by the stimulation parameters

Abstract

The present invention relates to a method and an apparatus for preventing, diagnosing, monitoring, and/or treating bruxism as well as related diseases of an individual. In a first aspect the invention relates to an apparatus for preventing bruxism of an individual, comprising: means for applying a plurality of stimulation signals for providing relaxation of at least one of the masticatory and/or facial muscles of said individual, means for applying said stimulations signals with a predefined setting, and means for applying said stimulations signals independent of activity of said muscle(s). The invention may be suitable for both nocturnal and awake bruxism.

Claims

1. A method for preventing bruxism of an individual in a period of time by application of electric stimuli in a randomly selected frequency, comprising the steps of:

a. attaching at least one electrode assembly to the skin of the individual in a region effective to treat bruxism before occurrence of bruxism;

b. providing an electric stimulus by a processing control unit as a packet, the packet having a pulse train with predefined parameters including;

start current, end current, start voltage, end voltage, pulse width, pulse train duration, inter-pulse spacing, duty cycle of each pulse, and pulse set spacing;

c. applying the electric stimulus to the region by the at least one electrode assembly attached to the skin of the individual for relaxation of at least one of a masticatory and/or facial muscles of the individual, wherein the processing control unit is not processing monitoring signals;

d. randomly selecting by the processing control unit a packet frequency between 0.001 and 1 Hz, where the packet frequency is defined as a rate of packets during the period of time, where a time duration between two packets in the period of time defines an inter-packet interval;

e. at an end of the inter-packet interval, providing the electric stimulus with the predefined parameters in b and repeating c; and

f. repeating d and e until the period of time ends;

whereby the electric stimuli are provided to the individual where the processing control unit is not processing monitoring signals during the period of time, such that the application of the electric stimulus results in relaxation of at least one of the masticatory and/or facial muscles of the individual, thereby preventing the bruxism before occurrence of the bruxism.

2. The method according to claim 1, wherein the duration between two subsequent electric stimuli is selected randomly between 1 and 10 seconds, or between 10 and 100 seconds or between 100 and 1000 seconds.

3. The method according to claim 1, wherein each electric stimulus has a current of at least 0.5 mA, or at least 2.0 mA, or at least 10.0 mA, or at least 20.0 mA.

4. The method according to claim 1, wherein each pulse train comprises at least 5 pulses, or least 10 pulses, or at least 50 pulses.

5. The method according to claim 1, wherein the duration of each pulse train is at least 10 milliseconds, or at least 50 milliseconds, or at least 100 milliseconds, or at least 400 milliseconds.

6. The method according to claim 1, wherein an intensity of the pulse is increased during each pulse train.

7. The method according to claim 1, wherein an intensity of the pulse decreases towards the end of each pulse train.

8. The method according to claim 1, wherein the duration of each pulse is at least 50 microseconds, or at least 100 microseconds, or at least 200 microseconds.

9. The method according to claim 1, wherein said period of time is a predefined period of time during night time.

10. The method according to claim 1, wherein said period of time is a predefined period of time during a predefined sleep cycle of the individual.

11. The method according to claim 1, wherein a setting of the electric stimulus is selected to be sufficient for inducing an exteroceptive suppression period for the muscle(s) involved in bruxism.

12. The method according to claim 1, wherein the frequency and/or an intensity of the applied stimulation signals are adjusted in response to intensity, impact, frequency and/or duration of detected bruxism episodes.

13. The method according to claim 1, for treatment of one or more of the following disorders:

bruxism, awake bruxism, chronic bruxism, night time bruxism, dental wear, temporal mandibular joint disease (TMJ), tinnitus, migraine, headache, tension headache.

14. An apparatus for preventing bruxism of an individual, comprising:

a housing;

the at least one electrode assembly accommodated in the housing and configured to be attached to the skin of the individual, the at least one electrode configured to apply a plurality of electrical stimulation signals to at least one of the masticatory and/or facial muscles of said individual for providing relaxation of said muscle(s);

the processing control unit;

a main terminal interface; and

an energy supply source for applying energy to the electrode assembly and the processing control unit,

wherein the processing control unit is configured to carry out the method of claim 1.

15. An apparatus according to claim 14, wherein an electrical stimulation signal is a pulse train with a one or more of the following parameters being predefined:

start current, end current, start voltage, end voltage, pulse width, pulse train duration, inter-pulse spacing, duty cycle (pulse), pulse set spacing, duty cycle (pulse set).

16. An apparatus according to claim 14,

wherein said housing having outer dimensions of:

length less than 50 mm, or less than 20 mm,

width less than 40 mm, or less than 10 mm, and

height less than 20 mm, or less than 10 mm, or less than 2 mm.