Electrical neuromuscular stimulator for measuring muscle responses to electrical stimulation pulses

• US 6,324,432 B1
• Filed: 11/01/1999
• Issued: 11/27/2001
• Est. Priority Date: 11/01/1999
• Status: Expired due to Term

• Current Assignee: Compex Medical S.A. (Enovis Corp.)
• Original Assignee: Compex Inc (Medical Technology Solutions LLC)
• Inventors: Rigaux, Pierre, Müller, Pierre-Yves, Buhlmann, Félix
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US09/431,080
• Time in Patent Office: 757 Days
• Field of Search: 607/62, 607/48, 607/148, 607/115, 600/546, 600/554, 600/595, 600/372, 600/393, 128/905
• US Class Current: 607/62
• CPC Class Codes: A61N 1/0452 Specially adapted for transcutaneous muscle stimulation [TMS]
• CPC Class Codes: A61N 1/0456 Specially adapted for transcutaneous electrical nerve stimulation [TENS]
• CPC Class Codes: A61N 1/048 Electrodes characterised by a specific connection between lead and electrode
• CPC Class Codes: A61N 1/0492 Patch electrodes A61N1/0412, A61N1/0428 take precedence
• CPC Class Codes: A61N 1/36003 of motor muscles, e.g. for walking assistance
• CPC Class Codes: A61N 1/36014 External stimulators, e.g. with patch electrodes external pacemakers A61N1/3625

Abstract

The electrical stimulator includes an electrical pulse generator arranged in a case, stimulation electrodes (7) to be placed on a user'"'"'s skin on the motor points of the muscles to be stimulated, each electrode (7) being connected to an electric cable (5) connector, the other end of the cable being connected in a removable manner to a signal input and/or output socket of the case for receiving the electric pulses, at least one sensor (11) for measuring the muscle reactions caused by the electric pulses, and electronic means in the case for receiving the measurements from the sensor. The sensor (11) is intrinsically linked to one of the electrodes (7) or to the connector (6). At least one conductor wire (15) of the cable connects the electrode (7) independently of the sensor (11).

The stimulator finds application in particular in the field of sports for the passive exercising of muscles stimulated by electric pulses, or in the re-education of atrophied muscles. In this case, the sensor (11) is used to provide data as to the reactivity of the stimulated muscles and their fatigue level. This data is seen on a display of the stimulator and is used to adjust the stimulation parameters manually or automatically.

Claims

1. An electrical neuromuscular stimulator for measuring muscle reactions generated by electrical stimulation pulses, comprising

a stimulator case, two electric cables each having at least one conductor wire,

an electrical pulse generator arranged in said case of the stimulator for stimulating muscles,

at least one pair of stimulation electrode structures adapted to be placed on an user'"'"'s skin on motor points of muscles to be stimulated, each electrode being connected to a first end of a respective one of said two electric cables, the other end of which is connected to the case to receive the electric pulses from the generator, and

at least one measuring sensor sensitive to the muscle reactions caused by the electric stimulation pulses and arranged for transmitting electric measuring signals representative of said muscle reactions to an electronic means, for processing said measuring signals, said electronic means being housed in said case,

wherein the sensor is mechanically connected to one of the electrodes or to the first end of one of the cables, and

wherein at least one conductor wire per electric cable connects the respective electrode independently of the sensor.

2. The stimulator according to claim 1, wherein each first end of the electric cables is securely fixed to a respective electrode structure.

3. The stimulator according to claim 1, wherein each first cable end has a connector connected to a respective electrode structure by removable fixing means.

4. The stimulator according to claim 3, wherein the removable fixing means is a snap fastening device also acting as electric contact between the connector and at least one active conducting surface of the respective electrode.

5. The stimulator according to claim 3, wherein the removable fixing means, acting also as electric contact between the connector and at least two active surfaces of the electrode, includes at least two conductive studs inserted with a certain mechanical resistance in two conductive pots, the studs forming part of the electrode structure and the pots forming part of the connector, or vice versa.

6. The stimulator according to claim 3, wherein the connector includes at least a part of said sensor sensitive to muscle reactions, and wherein each cable includes at least one conductor wire for connecting at least one active surface of the stimulation electrode independently of the sensor.

7. A stimulator according to claim 1, wherein the measuring sensor is an electromyographical sensor having at least one active conductive surface placed without electric contact beside at least one other active conductive surface of the electrode receiving the electric pulses, said active surfaces being placed on the motor points of the muscles to be stimulated.

8. The stimulator according to claim 1, wherein the measuring sensor is an acceleration meter or a microphone integrated in a connector of the first end of each cable or in a structure of one of the respective electrodes.

9. The stimulator according to claim 8, wherein the electronic means for processing the signals received from the sensor is integrated in the connector or in the electrode structure.

10. A stimulator according to claim 1, wherein the sensor is in communication with the electronic means of the stimulator via one of a wireless signal transmitting means and a wireless signal receiving means housed in a connector on the first end of the cable or in said electrode structure, or is in communication via said at least one conductor wire of the cable other than that of the electrode.

11. The stimulator according to claim 10, wherein an electric power source is housed in the connector or in the electrode structure for supplying power to electronic components of said connector or of said electrode structure for measuring muscle reactions.

12. A stimulator according to claim 1, wherein the case includes a visual display device (3) capable of displaying in particular electric stimulation programmes and data relating to the electric muscle reaction measuring signals.

13. The stimulator according to claim 1, wherein each electrode has a structure which is flexible and is adapted to match the shape onto which the structure is placed, and

wherein a portion of the structure, surrounding at least one active surface of the electrode and is coated or covered with a self-adhesive material or film and is adapted to stay on the skin without using additional holding elements.