The present application claims priority to Japanese Patent Application No. 2018-082429 filed on Apr. 23, 2018 the entire content of which is incorporated herein by reference.
The presently disclosed subject matter relates to a stimulation probe and a stimulation apparatus.
In acquiring EMG data by a measuring apparatus, a stimulation probe connected to a main unit of a stimulation apparatus is used. See, e.g., Neuropack X1 by Nihon Kohden (https://us.nihonkohden.com/media/1066/meb-2300-brochure_nmlb-27c-co-02162. pdf). According to a related art stimulation probe, a position of an electrode is fixed.
To apply the electrode to a suitable site, it is sometimes necessary to change a direction of the stimulation probe or a direction of a patient. It adds a burden on the patient when the patient is moved to so as to make the electrode easier to be attached. It is also inconvenient to change the direction of the stimulation probe or the direction of the patient for each examination.
Illustrative aspects of presently disclosed subject matter provide a stimulation probe and a stimulation apparatus including the probe, by which a burden on a medical personnel or a patient during an examination can be reduced.
According to an illustrative aspect of the presently disclosed subject matter, the stimulation probe has a housing, an electrode, and a direction adjusting mechanism configured to set a direction of the electrode. The direction adjusting mechanism is configured to selectably fix the electrode in one of a plurality of directions with respect to the housing.
According to an illustrative aspect of the presently disclosed subject matter, the stimulation apparatus has a stimulation probe, and a main unit connected to the stimulation probe. The stimulation probe has a housing, an electrode, and a direction adjusting mechanism configured to set a direction of the electrode. The direction adjusting mechanism is configured to selectably fix the electrode in one of a plurality of directions with respect to the housing.
Hereinafter, an embodiment of the presently disclosed subject matter is described with reference to the drawings.
In the description, a “left-right direction”, a “front-rear direction”, and a “up-down direction” will be used for the purpose of illustration. These directions are defined with reference to a front direction being a direction of the electrode 22 of the stimulation probe 2. The “up-down direction” includes an “upper direction” and a “lower direction”. The “front-rear direction” includes the “front direction” and a “rear direction”. The “left-right direction” includes a “left direction” and a “right direction”.
The housing 21 has an opening portion 211, an electrode moving slot 212, a first switch hole 213, and a second switch hole 214. The opening portion 211 is provided in the front of each of an upper surface and a lower surface of the housing 21. The upper surface and the lower surface of the housing 21 are symmetrical with respect to a connection surface between the upper surface and the lower surface. Two opening portions 211 are formed at positions that are symmetrical with respect to the connection surface. An operating portion 83 of a movable switch 8, which is a part of the direction adjusting mechanism 24, is exposed from the opening portion 211. The operating portion 83 has a convex shape. The movable switch 8 is movable in a front-rear direction, i.e., the longitudinal direction of the housing 21.
Two electrode moving slots 212 are provided on a front surface of the housing 21. The electrodes 22 (22a, 22b) protrude from the electrode moving slots 212, respectively. The electrode 22 includes an electrode body 221 and a contact portion 222. The electrode body 221 has a cylindrical shape and extends forward. The contact portion 222 is provided at the front side of the electrode body 221. The contact portion 222 has a circular arc shape. The pulse current or the pulse voltage output from the pulse generation device is transmitted to the electrode 22 via the cord 4. The pulse current or the pulse voltage transmitted to the electrode 22 flows to a surface of a subject via the contact portion 222 of the electrode 22. In the present embodiment, the electrodes 22 are paired, in which the electrode 22a is a positive electrode and the electrode 22b is a negative electrode.
The first switch hole 213 is provided on each lateral surface, which is located in the left-right direction of the opening portion 211, of the housing 21. Two first switch holes 213 are disposed in positions that are symmetrical with a center line of the housing 21 in the front-rear direction. The first switch hole 213 is a circular hole. The discharge switch 25 is exposed from the first switch hole 213. The discharge switch 25 has a circular shape. A diameter of the first switch hole 213 is slightly larger than a diameter of the discharge switch 25. When the discharge switch 25 is pressed, a pulse current or a pulse voltage is discharged from the electrode 22.
The second switch hole 214 is provided at the rear side of the first switch hole 213, and is provided on each lateral surface of the housing 21. Two second switch holes 214 are disposed in positions that are symmetrical with the center line of the housing 21 in the front-rear direction. The second switch hole 214 is an elongated hole extending in the front-rear direction, and an end portion thereof has a round shape. The control switch 26 is exposed from the second switch hole 214. A length of an outer circumference of the second switch hole 214 is slightly larger than a length of an outer circumference of the control switch 26. When a front portion 26a of the control switch 26 is pressed, the intensity of electrical stimulation caused by the pulse current or the pulse voltage is increased. Conversely, when a rear portion 26b of the control switch 26 is pressed, the intensity of the electrical stimulation caused by the pulse current or the pulse voltage is weakened.
The direction adjusting mechanism 24 is described with reference to
The direction fixing element 7 includes a base portion 71 and a rod portion 72. The base portion 71 has a U shape when viewed in the II-II cross section. An upper portion 74 and a lower portion 75 of the direction fixing element 7 are both in contact with the movable switch 8 and the elastic member 11. A rod portion 72 is provided substantially at the center of a front portion 76, which is perpendicular to the longitudinal direction of the housing 21 and extends in the up-down direction, of the direction fixing element 7. The rod portion 72 extends forward and is parallel to the longitudinal direction of the housing 21. A rounded portion 73 is formed at a front end of the rod portion 72. The rounded portion 73 has a circular arc shape. The front portion 76 is in contact with the elastic member 11 on a surface opposite to a surface on which the rod portion 72 is provided, that is, on a rear surface.
The movable switch 8 has a substantial U shape when viewed in the II-II cross section. An operating portion 83 is formed on each of an upper portion 81 and a lower portion 82 of the movable switch 8, which are parallel to the longitudinal direction of the housing 21 and extend in the front-rear direction. When two operating portions 83 are provided as shown in the drawing, the thumb or other fingers (e.g., the index finger) can also operate the operating portion. Accordingly, it is preferable that two operating portions 83 are provided. However, two operating portions 83 are not necessarily required, and only one operating portion 83 may be provided. An insertion hole, through which the rod portion 72 of the direction fixing element 7 can be inserted, is formed substantially at the center of a front portion 84 of the movable switch 8. The front portion 84 is perpendicular to the longitudinal direction of the housing 21 and extends in the up-down direction. A width of the insertion hole is slightly larger than the width of the rod portion 72.
A base portion 71 is disposed in space formed by the movable switch 8.
The selector element 9 has a circular shape when viewed in the II-II cross section. An outer circumferential surface 95 is formed on a circumference of the selector element 9. Two receiving portions 91 are formed in the front of the selection portion 9. A rear end of the electrode body 221 can be inserted into the receiving portion 91. When the rear end of the electrode body 221 is inserted into the receiving portion 91, the electrode 22 is integrally connected with the selector element 9.
A selection hole 92 is provided at the rear side of the selector element 9. In the present embodiment, three selection holes 92 are provided in the selector element 9. A front end 94 of the selection hole 92 has a circular arc shape. A rounded portion 93 is formed at the rear end of the selection hole 92. The rounded portion 93 can contact the rounded portion 73 of the rod portion 72.
The holding base 10 has a convex shape when viewed in the II-II cross section. The holding base 10 includes a planar portion 101 and a protruding portion 102. The protruding portion 102 extends forward from the planar portion 101. The protruding portion 102 can be inserted into the elastic member 11. The elastic member 11 is held by inserting the protruding portion 102 into the elastic member 11 and bringing the elastic member 11 into contact with the front portion 76. The elastic member 11 in the present embodiment is a coil spring.
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When the rounded portion 73 slides over the rounded portion 93, the rod portion 72 moves rearward from the second position. When the rod portion 72 moves rearward, a force is also applied to the direction fixing element 7 in contact with the rod portion 72 in the rear direction. Therefore, a rearward compressive force is applied to the elastic member 11, and thus the elastic member 11 is further compressed. As a result, the direction fixing element 7 is displaced to a third position that is further rearward from the second position. At this time, the movable switch 8 does not move rearward. That is, the position of the movable switch 8 remains unchanged even when the direction fixing element 7 is displaced to the third position.
When the medical personnel applies a force to the electrode 22 to rotate the selector element 9 based on the state in which the direction fixing element 7 is in the third position, the rounded portion 73 of the rod portion 72 contacts the rounded portion 93 of another selection hole 92 that is different from the selection hole 92 inserted by the rounded portion 73 in the first position. At this time, the elastic biasing force of the elastic member 11 acting forward is also applied to the direction fixing element 7. Therefore, the rod portion 72 is inserted into the other selection hole 92 when the rounded portion 73 of the rod portion 72 moves and slides over the rounded portion 93 of the other selection hole 92, and moves a predetermined distance. The direction fixing element 7 returns to the first position together with the movable switch 8.
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According to the stimulation probe 2 of the above configuration, the electrode 22 can be fixed in a plurality of directions, so that the electrode 22 can be applied to a suitable place without changing the direction of the housing 21 of the stimulation probe 2 and the direction of the patient.
As described above, according to the stimulation probe 2 of the above configuration, the burden on the medical personnel or the patient during the examination can be reduced.
According to the stimulation probe 2 of the above configuration, when the medical personnel moves the movable switch 8 and the electrode 22, the selector element 9 moves, which is integrally installed together with the electrode 22. When the movable switch 8 returns to an original position thereof (first position), the rod portion 72 provided in the direction fixing element 7 is inserted into any one of the selection holes 92. Accordingly, the direction of the electrode 22 is set Therefore, the medical personnel can apply the electrode 22 to a suitable place without changing the direction of the stimulation probe main body and the direction of the patient.
As described above, according to the stimulation probe 2 of the above configuration, the burden on the medical personnel or the patient during the examination can be reduced.
According to the stimulation probe 2 of the above configuration, the direction of the electrode 22 can be set by simply rotating the selector element 9.
According to the stimulation probe 2 of the above configuration, the state in which the rod portion 72 is inserted into the selection hole 92 is maintained by the elastic biasing force, toward the direction of the selector element 9, of the elastic member 11, unless the movable switch 8 is moved by the medical personnel.
According to the stimulation probe 2 of the above configuration, the direction of the electrode 22 is also maintained since the distal end of the rod portion 72 is maintained in contact with the portion of the selector element 9 defining the entrance of the selection hole
According to the stimulation probe 2 of the above configuration, the direction fixing element 7 is displaced to the second position when the medical personnel moves the movable switch 8 rearward. In the second position, the selector element 9 does not rotate since the rounded portion 73 formed on the distal end of the rod portion 72 is in contact with the rounded portion 93 formed on the portion of the selector element 9 defining the entrance of of the selection hole 92. Further, when the medical personnel applies rotary power to the selector element 9, the distal end of the direction fixing element 7 slides over the rounded portion 93 of the selector element 9 and contacts the outer circumferential surface 95 of the selector element 9. Accordingly, the direction fixing element 7 is displaced to the third position. In the third position, the rod portion 72 is inserted into another selection hole 92 by further rotating the selector element 9.
According to the stimulation probe 2, of the above configuration, the electrode 22 can be fixed in the same direction as the longitudinal direction of the housing 21 or in a direction vertically inclined with respect to the longitudinal direction of the housing 21. Therefore, the electrode 22 can be applied to a suitable place regardless of the direction of the patient.
Further, according to stimulation probe 2 of the above configuration, the operating portions 83 are provided on the upper and lower surfaces of the housing 21, so that the medical personnel can operate the operating portion 83 regardless of the direction of the stimulation probe 2 when the medical personnel picks up the stimulation probe 2. Therefore, an easily operable state can be maintained without being influenced by a dominant hand or the operation state of the medical personnel. Further, the same operability can be realized even when the upper and lower surfaces are changed since the upper and lower surfaces of the housing 21 are plane-symmetrical.
According to the stimulation apparatus 1 of the above configuration, the electrode 22 can be fixed in a plurality of directions, so that the electrode 22 can be applied to a suitable place without changing the direction of the stimulation probe 2 connected to the main unit and the direction of the patient.
As described above, according to the stimulation apparatus 1 of the above configuration, the burden on the medical personnel or the patient during the examination can be reduced.
In the example described above, the electrode 22 is fitted into the selector element 9, and the selector element 9 is rotated by rotation of the electrode 22. However, this is a non-limiting example. For example, an insertion hole for inserting the electrode 22 may be provided in the selector element 9, and the direction of the electrode 22 may be changed by inserting the electrode 22 in various directions into the insertion hole,
In the example described above, three selection holes 92 are provided in the selector element 9. However, this is a non-limiting example. Two or more selection holes 92 may be provided in the selector element 9.
The stimulation probe 2 is connected with the main unit via the cord 4 in the present embodiment, but the presently disclosed subject matter is not limited to this example. For example, the stimulation probe 2 may be connected with the main unit by wireless communication.
In the example described above, the movable switch 8 is movable in the front-rear direction, i.e., the longitudinal direction of the housing 21. However, this is a non-limiting example. The movable switch 8 may be, for example, a switch that is movable in the left-right direction, which is the direction of the short side of the housing 21, or may be a switch to be pressed. In this case, when the movable switch 8 is moved or pressed, the direction fixing element 7 may move in the front-rear direction by a mechanical element that converts a direction of a force.
While the presently disclosed subject matter has been described with reference to certain embodiments thereof, the scope of the presently disclosed subject matter is not limited to the embodiments described above, and it will be understood by those skilled in the art that various changes and modifications may be made therein without departing from the scope as defined by the appended claims.
Number | Date | Country | Kind |
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2018-082429 | Apr 2018 | JP | national |