涡流密度用于功能性连续磁刺激器(FCMS)无创尿失禁治疗系统

N. Ishikawa, S. Suda, T. Sasaki, H. Hosaka, T. Yamanishi, K. Yasuda, H. Ito
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引用次数: 2

摘要

作者设计了一种由功能性连续磁刺激器(FCMS)和大鞍型线圈组成的无创无痛尿失禁治疗系统,用于治疗尿失禁,特别是压力性尿失禁和急迫性尿失禁。首先,作者假设电流密度适用于一般电刺激的客观刺激区域。因此,计算假设的绝对电流密度|Je|为12.7 /spl mu/ a /mm/sup 2/。其次,他们为FCMS开发了一种鞍型线圈,可以在大多数医院实际使用,并连续刺激15分钟。线圈具有冷却功能,以保持线圈温度在20/spl度/C-25/spl度/C之间有效安全地使用线圈。鞍型线圈的尺寸为长21厘米,宽12厘米,厚3厘米。肛门至会阴为尿失禁最适合的部位,鞍型线圈适合于此部位。在狗的实验中,我们证实,当会阴周长接受脉冲宽度720 /spl μ s(上升时间180 /spl μ s)、频率10 Hz、电容充电电压约500 V的连续磁刺激(CMS)时,尿道压力增加。提示磁刺激作为应激性尿失禁和急迫性尿失禁的治疗是有效的。FCMS的规格为最大电功率2kw,最大刺激强度800v,脉冲宽度720 /spl mu/s(上升时间180 /spl mu/s),频率5 ~ 30hz。频率选择在5 - 10hz之间治疗急迫性尿失禁,在25 - 30hz之间治疗压力性尿失禁。
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Eddy current density for non-invasive treatment system for urinary incontinence using Functional Continuous Magnetic Stimulator (FCMS)
The authors have devised a non-invasive, painless treatment system composed of a Functional Continuous Magnetic Stimulator (FCMS) and a large saddle type coil for urinary incontinence, especially stress incontinence and urge incontinence. First, the authors assumed the current density to apply to the objective stimulation region by general electrical stimulation. As a result, the absolute current density |Je| assumed by calculation was 12.7 /spl mu/A/mm/sup 2/. Second, they have developed a saddle type coil for the FCMS which can be used practically in most hospital and stimulate continuously for 15 minutes. The coil has a cooling function to maintain the coil temperature to use the coil efficiently safely between 20/spl deg/C-25/spl deg/C. The size of the saddle type coil is 21 cm long, 12 cm wide and 3 cm thick. The most suitable region for urinary incontinence is from the anus to perineum and the saddle type coil can fit on this region. In experiments with dogs, we confirmed that the urethral pressure increased when the circumference of the perineum received Continuous Magnetic Stimulation (CMS) with 720 /spl mu/s pulse width (180 /spl mu/s risetime), 10 Hz frequency and about 500 V capacitor charge voltage. This result suggest that magnetic stimulation is effective as a stress urinary incontinence and urge urinary incontinence therapy. The specifications of the FCMS are 2 kW maximum electrical power consumption, 800 V maximum stimulation intensity, 720 /spl mu/s pulse width (180 /spl mu/s risetime), 5-30 Hz frequency. The frequency is selected to treat urge incontinence between 5 and 10 Hz and to treat stress incontinence between 25 and 30 Hz.
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