RU2262957C1 - Electric neuroadaptive stimulator and electrode device - Google Patents

Abstract

FIELD: medical engineering.

SUBSTANCE: device has DC power supply source, unit for shaping trigger pulses, electrode unit, bisectional highly regenerative inductance coil, N electronic controlled keys for switching-in active electrode mode, N electrodes of electrode unit, key amplifier, N electronic controlled keys for switching-in electrode unit electrodes into passive electrode mode and unit for setting electrode function. The electrode unit has socket for connecting electric neuroadaptive stimulator, current-conducting conductors, electrodes, flexible base plate having contact sockets connecting electrodes. Each plug-and-socket contact for making connection to neuroadaptive stimulator is attached to mating contactor socket with a current-conducting conductor. The electrodes and connector sockets for receiving them are mounted on the flexible base plate underside. The device has removable electrodes of various patterns for acting upon various innervation zones like lumbosacral, bronchopulmonary zones, pancreas projection zone, gallbladder projection zone. Every electrode is functionally applied as active and passive electrode.

EFFECT: enhanced effectiveness in treating expanding innervation zones; enabled prognosis of required treatments number.

18 cl, 15 dwg

Description

The invention relates to medical equipment, namely to electrical stimulants, and can be used for general regulatory healing effect on the physiological systems of the human body.

From the description of the patent of the Russian Federation No. 2017508, IPC ⁵ A 61 N 1/36, publ. 1994, an electric stimulator is known that contains N pairs of electrodes connected to the corresponding inputs of the switching unit, a synchronization unit, the first input of which is connected to an external source of sinusoidal modulated current, the second input to the first output of the control unit, the first output to the first input of the timer , the second output is to the first input of the control unit, the second output of which is connected to the second input of the timer, the third output is to the first input of the program setting unit, and the fourth output is to the control input of the switching unit, you One of which is connected to the second input of the program unit, the timer output is connected to the second input of the control unit, the third input of which is connected to the output of the program unit, characterized in that a pseudo-random binary sequence generator and a polarity switch are inserted into it, the third output of the synchronization unit is connected to the input of the generator of a pseudo-random binary sequence of signals, the output of which is connected to the first input of the polarity switch, the second input of which is connected to the first input of the switch block synchronization, and the output is connected to the input of the switching unit. The disadvantage of such an electric stimulator is the inability to automatically dose electrical stimulation, depending on the individual characteristics of the patient’s body, which not only reduces the effectiveness of the therapeutic effect, but can also lead to undesirable consequences. In addition, the fixation of the electrodes with elastic bandages, due to non-comfort, adversely affects the psychological state of the patient, which also reduces the effectiveness of treatment.

From the description of the patent of the Russian Federation No. 2135226; IPC A 61 N 1/36 publ. 1999, a neuro-adaptive electrical stimulator is known, which contains a block for the generation of acting pulses, a block for generating modulation control signals, a block for analyzing adaptive processes, a controlled generator, N pairs of electrodes, a block for switching stimulation channels, a frequency generator for the action of electrodes, and a channel code generator. In comparison with the previously described, such an electrical stimulator provides the possibility of individually dosed, determined by the group of selected zones and cyclic in time exposure to electric pulses on the skin of a person. The disadvantage of such an electric stimulator is the impossibility of affecting the extended innervation zone.

From the description of the patent of the Russian Federation No. 2198695, IPC ⁷ A 61 N 1/36, publ. 2003, an adaptive stimulator with a virtual electrode is known, which contains a block of rectangular pulses, a block of pulse train generation, a control block, an energy control unit, an output block, a feedback pulse analysis block, an individual norm memory block, a probe signal memory block, the first control the input of the adaptive electric stimulator with a virtual electrode is connected to the control input of the block of rectangular pulses, the installation input of which is connected to the first installation the input of the adaptive pacemaker with a virtual electrode, the signal output of the block of rectangular pulses is connected to the signal input of the block of formation of bursts of pulses and the first signal input of the control unit, the second, third and fourth installation inputs of the adaptive pacemaker with a virtual electrode are connected respectively to the first, second and third installation inputs unit of formation of bursts of pulses, the signal output of which is connected to the second signal input of the control unit, the second and third control The corresponding inputs of the adaptive electrical stimulator with a virtual electrode are connected respectively to the first and second control inputs of the control unit, the fifth and sixth installation inputs of the adaptive electrical stimulator with a virtual electrode are connected respectively to the first and second installation inputs of the control unit, the first signal output of which is connected to the signal input of the energy control unit action, the first and second control inputs of which are connected respectively to the fourth and fifth control the inputs of an adaptive electrical stimulator with a virtual electrode, the seventh and eighth installation inputs of which are connected respectively to the first and second installation inputs of the energy impact control unit, the signal output of which is connected to the signal input of the output unit, the first control input of which is connected to the sixth control input of the adaptive electric stimulator with a virtual an electrode, the ninth and tenth installation inputs of which are connected respectively to the first and second installation inputs and an output unit, the first signal output of which is connected to the third signal input of the control unit, the first control output of which is connected to the control input of the feedback pulse analysis unit, the first and second installation inputs of which are connected respectively to the eleventh and twelfth installation inputs of an adaptive electric stimulator with a virtual electrode, 2N inputs of the group of installation inputs of which are connected to 2N inputs of the group of installation inputs of the feedback pulse analysis unit, the signal the path of which is connected to the fourth signal input of the control unit, (N + 1) groups of the first information inputs of the feedback pulse analysis unit are connected respectively to the outputs (N + 1) of the groups of information outputs of the individual norm memory block, the inputs (N + 1) of the second information groups the inputs of the feedback pulse analysis block are connected respectively to the outputs (N + 1) of the information output groups of the probe signal parameter recording block, the clock inputs of the individual norm memory block and the feedback pulse analysis block with monitors are combined with the clock output of the control unit, the second control output of which is connected to the control input of the individual norm memory unit, the third control output is connected to the control input of the probe parameter recording unit, the second signal output of the output unit is connected to the signal inputs of the individual norm memory unit and recording unit parameters of the probe signal, characterized in that it is additionally introduced a block of controlled electrodes and a block for setting a virtual electrode, the first signal the lane input of the block of controlled electrodes is connected to the second signal output of the block of control, and the second signal input of the block of controlled electrodes is connected to the second signal output of the block and signal inputs of the memory block of the probe signal and the memory block of the individual norm, the inputs of the first and second groups of control inputs of the block of controlled electrodes connected respectively to the outputs of the first and second groups of control outputs of the virtual electrode job unit. The disadvantage of an adaptive electrostimulator with a virtual electrode is that when exposed to extended zones of innervation, the areas under the passive electrodes are outside the effect, which reduces the effectiveness of electrical stimulation and the inability to predict the number of electrical stimulation sessions.

From the description of the patent of the Russian Federation No. 2068277, IPC ⁶ A 61 N 1/36, A 61 H 39/00, publ. 1996, the bioelectric regulator of psychosomatic homeostasis (electron-neuroadaptive stimulator) is known, which contains a square-wave pulse generator, a stimulating signal generating unit, a key amplifier with a transformer output, to which active and passive electrodes are connected, and a stimulating signal parameter setting unit connected to the unit the formation of stimulating signals and connected to the active electrode in series connected half-wave straighten l, the duration of the measurement unit the first half wave of forced oscillations, and the display and control unit. The disadvantage of this electron-adaptive stimulator is the inability to change the frequency characteristics of the electrical oscillations of stimulating signals.

Known electro-adaptive stimulator "Cosmodic" (see the patent of the Russian Federation for utility model No. 33006, IPC A 61 H 39/00, A 61 N 1/36, publ. 2003), containing a direct current source, a control unit and the formation of triggering pulses and an electrode device, including a passive and several (two or more) active electrodes, a two-section high-quality inductor, sections of which are included according to, and a decoder, one of the poles of a DC source is connected to the connection point of the sections of a two-section high-quality ohm inductor and passive electrode of the electrode device, the second end of the section with fewer turns through the key amplifier is connected to the second pole of the DC source, the second end of the section with more turns is connected to the input of the feedback signal of the control unit and the formation of triggering pulses and through controlled electronic keys with each active electrode, the pulse output of the control unit and the formation of trigger pulses is connected to the input of the key amplifier, code output d control unit and forming trigger pulses connected to the input of the decoder, the outputs of which are connected each to an input of a corresponding electronic key managed control. This electroneuroadaptive stimulator, as coinciding in most essential respects, is selected as a prototype. The disadvantages of the prototype are the inability to affect the extended zone without changing the position of the electrode device, the inability to predict the number of sessions of electrical stimulation.

The technical result from the use of the invention is the possibility of influencing extended zones of innervation, the ability to predict the required number of sessions of electrical stimulation before treatment.

The specified technical result in the first embodiment is achieved by the fact that the electron-neuroadaptive stimulator containing a direct current source, a triggering pulse generating unit, an electrode device, a two-section high-quality inductor, the sections of which are connected according to, the connection point of the sections of a two-section high-quality inductor is connected to the first pole of the direct current source , the second end of the section with fewer turns through the key amplifier is connected to the second pole DC source, the second end of the section with a large number of turns is connected to the input of the feedback signal of the triggering pulse generating unit and through N electronic controlled activation keys to the “active electrode” mode with N electrodes of the electrode device, the signal output of the triggering pulse generating unit is connected to the signal input key amplifier, additionally contains N electronic controlled keys for switching on the electrodes of the electrode device in the "passive electrode" mode and the unit electrodes, the code input of which is connected to the code output of the control unit and generating triggering pulses, the control input with the control output of the control unit and generating triggering pulses, and 2N outputs with the corresponding control inputs N electronic keys for switching the electrodes of the electrode device into the "active electrode" mode and N electronic controlled keys for turning on the electrodes of the electrode device in the "passive electrode" mode, the switched input of each of the N electronic keys is turned on I electrodes of the electrode device in the "passive electrode" mode is connected to the first pole of the DC source, the output of each of the N electronic controlled keys to turn on the electrodes of the electrode device in the "active electrode" mode is combined with the output of the corresponding electronic controlled key to turn on the electrodes of the electrode device in the "passive mode electrode "and is connected to the corresponding input of the electrode device. The triggering pulse generation unit contains an operation mode setting unit, including at least stimulus energy level control elements and a power-on element, an indication unit, and pulse analysis, control and generation unit made in the form of an extra-large integrated circuit (VLSI), while the VLSI installation inputs are connected with the outputs of the unit for setting operating modes, the inputs of the display unit are connected to the information outputs of the VLSI, the signal output of the VLSI is the signal output of the control unit and I launch pulses, the VLSI code output is the code output of the control unit and the formation of start pulses, the VLSI control output is the control output of the control unit and the formation of start pulses, the VLSI signal input is the input of the feedback signal of the control unit and the formation of start pulses, and the VLSI has at least two operating modes, in the first of which at the pulse output of the control unit and the formation of triggering pulses there are a series of triggering pulses with a fixed number by the number of pulses in the series, and at the code output, the sequence of codes is from 1 to N, where N is the number of controlled electronic keys, the code change in which occurs with each series of triggering pulses, and in the second, on the pulse output, a continuous sequence or sequence of series of triggering pulses, at the code output, immutable code. The node analysis, control and pulse shaping, made in the form of an ultra-large integrated circuit (VLSI), contains a serially connected clock pulse generator, a trigger pulse generation circuit, a control signal generation circuit and an analog-to-digital converter connected in series, a feedback signal parameter measurement circuit, a circuit measuring the rate of change of the parameters of the feedback signal, the allocation circuit of the feedback signal with a maximum rate of change of parameters and with the circuit for fixing the absence of changes in the parameters of the feedback signal, while the input of the analog-to-digital converter is the input of the feedback signal, the output of the triggering pulse generation circuit is the VLSI signal output and is connected to the second input of the measurement circuit of the rate of change of the feedback signal parameters, the first output of the signal conditioning circuit control is the VLSI control output, the second output is the VLSI code output and is connected to the second input of the feedback signal allocation circuit with a maximum the second parameter of the feedback signal extraction circuit with the maximum parameter change rate is connected to the second input of the control signal generation circuit, the third the input of which is connected to the first output of the fixation circuit of the absence of changes in the parameters of the feedback signal, the second output of the fixation circuit of the absence changes in the parameters of the feedback signal and the third outputs of the circuit for measuring the speed of changes in the parameters of the feedback signal and the circuit for extracting the feedback signal with the maximum change in the parameters are VLSI information outputs. The electrode assignment setting unit contains sequentially connected subblock for storing the results of the search mode, the subunit for determining the assignment of electrodes and the subunit for turning on the electrodes according to the assignments, while the input of the subunit for storing the results of the search mode is the code input of the electrode assignment setting unit, and the second input of the subunit for determining the assignments electrodes - the control input of the unit for setting the electrodes. A high-quality two-section inductor has an inductance of 0.1 ... 2.0 H, the ratio of the number of turns of a section with a smaller number of turns to the total number of turns is 0.05 ... 0.3, and the quality factor of the inductor exceeds 100.

In the second embodiment, the technical result is achieved by the fact that the electroneuroadaptive stimulator containing a direct current source, a key amplifier, a control unit and the formation of triggering pulses, the signal output of which is connected to the signal input of the key amplifier, an electrode device including N electrodes, N electronic controlled switching keys electrodes of the electrode device in the "active electrode" mode and a two-section high-quality inductor, sections of which are included as Certainly, the connection point of the sections is connected to the first pole of the DC source, the second end of the section with fewer turns through the key amplifier is connected to the second pole of the DC source, additionally contains N electronic keys for switching the electrodes of the electrode device into the "passive electrode" mode, the second key an amplifier, the signal input of which is connected to the second signal output of the control unit and the formation of triggering pulses, the second two-section high-quality coil inductance, the sections of which are connected according to, the connection point of the sections is with the first pole of the DC source, and the second end of the section with fewer turns through the second key amplifier with the second pole of the DC source, a switch whose switching inputs are connected to the second ends of the sections with a large number turns of the first and second two-section high-quality inductors, and the output with the input of the feedback signal of the control unit and the formation of triggering pulses and a switched input each of the N electronic controlled keys for turning on the electrodes of the electrode device in the "active electrode" mode, and an electrode assignment setting unit, the code input of which is connected to the code output of the control unit and generating triggering pulses, the control input to the first control output of the control unit and generating triggering pulses , a 2N outputs - with the corresponding control inputs of N electronic controlled keys for switching on the electrodes of the electrode device in the "active electrode" mode and N electronic electronic devices the switch keys for turning on the electrodes of the electrode device in the "passive electrode" mode, the switched input of each electronic switch for turning on the electrodes of the electrode device in the "passive electrode" mode is connected to the first pole of the DC source, the second control input of the control unit and generating triggering pulses is connected to the control input of the switch , the output of each of the N electronic controlled keys to turn on the electrodes of the electrode device in the "active electrode" mode is combined with the output, respectively the existing electronic controlled key to turn on the electrodes of the electrode device in the "passive electrode" mode and connected to the corresponding input of the electrode device. The triggering pulse generation unit contains an operation mode setting unit, including at least stimulus energy level control elements and a power-on element, an indication unit and pulse analysis, control and generation unit made in the form of an extra-large integrated circuit (VLSI), while the VLSI installation input is connected with the output of the unit for setting operating modes, the inputs of the display unit are connected to the information outputs of the VLSI, the first and second signal outputs of the VLSI are the first and second signal outputs of the control unit the occurrence and formation of trigger pulses, the VLSI code output is the code output of the control block and the formation of trigger pulses, the first and second control outputs of the VLSI circuit are the first and second control outputs of the control block and the formation of trigger pulses, the VLSI signal input is the input of the feedback signal of the control and generation block triggering pulses, and VLSI has at least two operating modes, in the first of which, at one of the signal outputs of the control unit and forming their pulses are a series of triggering pulses with a fixed number of pulses in a series, and at the code output a sequence of codes from 1 to N, where N is the number of controlled electronic keys, the code change in which occurs with each series of triggering pulses, and in the second one signal outputs a continuous sequence or sequence of series of triggering pulses, on the code output - an unchangeable code. The analysis, control and pulse shaping unit, made in the form of an extra-large integrated circuit (VLSI), contains a clock pulse generator connected in series, a trigger pulse generation circuit, a control signal generation circuit, and an analog-to-digital converter connected in series, a feedback signal parameter measurement circuit, a measurement circuit the rate of change of the parameters of the feedback signal, the allocation circuit feedback signal with a maximum rate of change of parameters and it detects the absence of changes in the parameters of the feedback signal, while the input of the analog-to-digital converter is the input of the feedback signal, the second input of the triggering pulse generating circuit is the VLSI setup input, the second and third outputs of the triggering pulse generating circuit are the first and second signal VLSI signals, fourth the output of the triggering pulse formation circuit is connected to the second input of the circuit for measuring the rate of change of the feedback signal parameters, the first and second output The control signal generation circuits are the first and second VLSI control outputs, the third output is the VLSI code output and is connected to the second input of the feedback signal isolation circuit with the maximum parameter change rate, the fourth output is to the third input of the triggering pulse generation circuit, and the second output of the measurement circuit the rate of change of the parameters of the feedback signal is connected to the second input of the fixation circuit; there is no change in the parameters of the feedback signal, the second output of the signal allocation circuit fraternal communication with a maximum rate of change of parameters is connected to the second input of the control signal generation circuit, the third input of which is connected to the first output of the fixation circuit of the absence of change in the parameters of the feedback signal, the second output of the fixation circuit of the absence of change in the parameters of the feedback signal and the third outputs of the measurement circuit of the rate of change of parameters feedback signal and feedback signal extraction circuits with maximum parameter change are VLSI information outputs. The electrode assignment setting unit contains sequentially connected subblock for storing the results of the search mode, the subunit for determining the assignment of electrodes and the subunit for turning on the electrodes according to the assignments, while the input of the subunit for storing the results of the search mode is the code input of the electrode assignment setting unit, and the second input of the subunit for determining the assignments electrodes - the control input of the unit for setting the electrodes. Each high-quality two-section inductor has an inductance of 0.1 ... 2.0 H, the ratio of the number of turns of a section with a smaller number of turns to the total number of turns is 0.05 ... 0.3, the quality factor of the inductance exceeds 100, but they differ they are 1.5 to 2.5 times inductance from each other.

The electrode device used in the inventive electroneuroadaptive stimulator is an independent object of the invention.

From the description of the patent of the Russian Federation No. 2083236, IPC ⁶ A 61 N 1/04, A 61 H 39/00, publ. 1997, an electrode device is known that is used in medical technology in combination with an electrostimulator for non-pharmacological treatment of a wide class of diencephalic disorders. It is a frame consisting of three electrically conductive elastic arcs interconnected by hinged elements, each of the arcs consists of two halves interconnected in the middle part by a dielectric element, one electrode is located on each of the halves, the ends of the electrically conductive elastic arcs made in the form of electrical contacts.

This electrode device is designed to relieve pain in diseases of the temporomandibular joint, i.e. is highly specialized.

An electrode device for electrical stimulation of the neuromuscular apparatus, protected by the patent of the Russian Federation No. 2124344, IPC ⁶ A 61 H 39/00, A 61 V 5/05, publ. 1999, intended for restorative treatment in case of traumatic injuries in conditions of impaired innervation, contains a fixed electrode made in the form of an electrically conductive plate and a movable electrode. The movable electrode is made of two layers, with one layer made of elastic electrically conductive material, and the second layer of electrically insulating elastic material and equipped with fasteners to the palm of the operator. By attaching the electrode device to the operator’s hand, palpation control of the effectiveness of electrical stimulation is provided. The disadvantage of such an electrode device is that it is unsuitable for use with electro-adaptive stimulators due to the lack of fixing the distance between the passive and active electrodes.

In the published application for the grant of a patent of the Russian Federation No. 96124755/14, IPC A 61 B 5/00, publ. 1999, an electroencephalographic electrode is described containing contact elements made in the form of electrically conductive pins with rounded contact surfaces and fixed to an electrically conductive base equipped with a lead-out conductor. The contact elements are made elastic, and the electrically conductive base is made in the form of an elastic membrane, while the diameter of the contact elements is 0.1-0.2 mm, and the distance between their axes is 1.0-1.5 mm. The implementation of the contact elements in the form of electrically conductive spikes provides reliable contact with the skin even in the presence of hair. The described electrode is structurally complex and therefore has limited use.

Patent of the Russian Federation No. 2071271, IPC A 61 B 5/04, publ. 1997, a fast-mounted electrode, Blatova IV, is protected, containing a matrix in a dielectric casing and characterized in that the electrode further comprises at least one hair extender formed by the outer walls of two shoulders located relative to each other under a sharp or straight angle. The matrix is located inside the corner formed by the shoulders. The walls of the flanges, facing the inside of the corner, have a lower height compared to the outer walls. The disadvantage of such an electrode is structural complexity.

Known photomatric therapeutic device for the treatment of long pathologies (see patent of the Russian Federation No. 2145247 IPC ⁷ A 61 N 5/06, 2/00, A 61 B 18/02, A 61 F 7/00, publ. 02.10.2000, ), containing radiation sources of various spectral ranges connected to control and power units, as well as additional physiotherapeutic modules (magneto, electro, and other types of therapy) placed in a substrate with a working surface shape similar to the shape of a spatially extended pathological zone. The number of sources N, the distance between them d and the radiation intensity I on the surface of a biological object are determined from a system of interrelated expressions. The surface of the substrate between the sources is made mirror; introduced a holder for fixing the substrate relative to the biological object; introduced a switching unit connected to the control unit and additional physiotherapeutic modules, and biofeedback sensors connected to the switching unit, which provides switching sources of different spectral composition and additional physiotherapeutic modules according to a given program. The device allows to increase the effectiveness of light therapy for the treatment of various pathologies along the surface of a biological object, including dermatology, cosmetology, treatment of injuries, bruises, edema, varicose veins, blood therapy, treatment of infected processes, etc. The disadvantage of this device is the complexity of the design, which greatly complicates disinfection.

The closest technical solution to the claimed is, according to the applicant, an electrode device for puncture electrotherapy, protected by a patent

Russian Federation No. 2202381, IPC ⁷ A 61 N 1/18, A 61 N 39/00, publ. 2003. This electrode device contains indifferent and active electrodes. A current-carrying wire with a plug to which an indifferent lead electrode is connected is soldered to the screen of the flexible cable. The cable is branched into 2-5 electric wires with plugs to which 2-5 round electrodes are connected. The indifferent electrode is made of lead, the active electrodes are made of steel. The disadvantages of the prototype are - the impossibility of electrotherapeutic effects on extended pathological zones, the impossibility of selective effects on the zones under one electrode with the simultaneous exclusion of effects on the zones under other electrodes, the lack of fixation of a given distance between active and indifferent electrodes, the excessive locality of the electrotherapeutic effect.

The technical result from the use of the invention is the elimination of these disadvantages, i.e. increasing the effectiveness of electrotherapeutic effects in the treatment of extended pathological zones.

. Контактные гнезда размещены на эластичной подложке в шахматном порядке в узлах координатной сетки с равным шагом координат. Контактные гнезда размещены на эластичной подложке с равномерным шагом на ленточной подложке. Эластичная подложка выполнена из силиконовой резины толщиной 2...8 мм, а токоподводящие провода и контактные гнезда скреплены с эластичной подложкой самотвердеющим двухсторонним скотчем.The specified technical result is achieved in that the electrode device containing a connector for connecting an electro-adaptive stimulator, current-conducting conductors and electrodes, further comprises an elastic substrate with contact slots for connecting electrodes fixed to it, each contact of a connector for connecting an electro-adaptive stimulator with a current-conducting conductor is connected to a corresponding contact socket, and the electrodes and contact sockets for their connection are located on the reverse Oron flexible substrate. Each electrode is connected to the corresponding contact socket by a push-button connection, while a sanitary pad is placed between the electrodes and the elastic substrate. Contact slots are placed on a flexible substrate in a checkerboard pattern in the nodes of the coordinate grid with the ratio of the grid spacing in one coordinate to the grid spacing in the other coordinate as 1 to

. Contact slots are placed on an elastic substrate in a checkerboard pattern in the nodes of the coordinate grid with an equal coordinate step. Contact slots are placed on an elastic substrate with a uniform pitch on the tape substrate. The elastic substrate is made of silicone rubber 2 ... 8 mm thick, and the current-carrying wires and contact sockets are bonded to the elastic substrate with self-hardening double-sided tape.

, на фиг.13 показан пример включения электродов в режимы "активный электрод" и "пассивный электрод" при размещении контактных гнезд на подложке в узлах координатной сетки с равным шагом по координатам, на фиг.14 показан пример включения электродов в режимы "активный электрод" и "пассивный электрод" при размещении контактных гнезд на ленточной подложке, на фиг.15 - укрупненный алгоритм работы блока управления и формирования запускающих импульсов.The invention is illustrated by drawings. In Fig.1 shows a functional diagram of an electro-adaptive stimulator (first option), Fig.2 is a functional diagram of an electro-adaptive stimulator (second option), Fig.3 is a structural diagram of a control unit and the formation of trigger pulses (first option), in Fig.4 - structural diagram of the unit of analysis, control and formation of triggering pulses (first option), figure 5 - structural diagram of the control unit and the formation of triggering pulses (second option), Fig.6 - structural diagram of the site of analysis, control and pho start pulses (second option), Fig. 7 is a block diagram of a unit for setting electrodes, Fig. 8 is a circuit diagram of a key amplifier, Fig. 9 is a circuit diagram of an electronic controlled key, and Fig. 10 schematically shows the construction of an electrode device , Fig. 11 shows an example of installing an electrode in a contact socket; Fig. 12 shows an example of turning on the electrodes in the "active electrode" and "passive electrode" modes when placing contact sockets on a substrate in nodes of the coordinate grid with the ratio taking steps in coordinates 1 to

, FIG. 13 shows an example of turning on the electrodes in the “active electrode” and “passive electrode” modes when placing contact sockets on the substrate in nodes of the coordinate grid with equal steps in coordinates, FIG. 14 shows an example of turning on the electrodes in the “active electrode” modes and a "passive electrode" when placing contact sockets on a tape substrate, Fig. 15 is an enlarged algorithm of the operation of the control unit and the formation of triggering pulses.

In Fig. 1 ... 15, the numbers denote:

1 - direct current source;

2 - control unit and the formation of triggering pulses;

3 - unit for setting electrodes;

4. 4 ₁ , 4 ₂ - key amplifiers;

5. 5 ₁ , 5 ₂ - two-section high-quality inductance coils;

6 - semiconductor triode;

7 - damping diode;

8-1 ... 8-N - electronic keys to turn on the electrodes in the "passive electrode" mode;

9-1 ... 9-N - electronic keys to turn on the electrodes in the "active electrode" mode;

10 - block of electrodes;

11 - sections switch with a large number of turns of two-section high-quality inductance coils;

12 - input signal feedback control unit and the formation of triggering pulses;

13 - code output of the control unit and the formation of trigger pulses;

14 - the first control output of the control unit and the formation of trigger pulses;

15, 15 ₁ , 15 ₂ - signal outputs of the control unit and the formation of trigger pulses;

16 - the second control output of the control unit and the formation of trigger pulses;

17 - node analysis, control and formation of triggering pulses;

18 - node job modes;

19 - display unit;

20 - installation input node analysis, control and formation of triggering pulses;

21 - information outputs node analysis, control and formation of triggering pulses;

22 - clock generator (GTI);

23 is a diagram of the formation of triggering pulses (FZI);

24 is a diagram of the formation of control signals (FSU);

25 - analog-to-digital Converter (ADC);

28 is a circuit for measuring parameters of a feedback signal (SIP);

27 is a diagram for measuring a rate of change of parameters of a feedback signal (SIS);

28 is a feedback signal extraction circuit with a maximum rate of change of parameters (CB);

29 is a diagram of the fixation of the absence of changes in the parameters of the feedback signal (SF);

30 - the third input of the control signal generation circuit;

31 - the second input of the control signal generation circuit;

32 - the first input of the circuit fixing the absence of changes in the parameters of the feedback signal;

33 - the second input of the circuit fixing the absence of changes in the parameters of the feedback signal;

34 - information output of the circuit of the rate of change of the feedback signal parameters;

35 - information output of the circuit maximum speed of the parameters of the feedback signal;

36 - information output of the circuit for the absence of changes in the parameters of the feedback signal;

37 - subunit storing the results of the search mode;

38 - subunit determining the appointment of the electrodes;

39 - subunit of the inclusion of electrodes according to the purpose;

40 - information output subunit storing the results of the search mode;

41 - connector connecting the electrode device to the electro-adaptive stimulator;

42 - current-carrying conductor;

43 - contact socket;

44 - elastic substrate;

45 - electrode;

46 - sanitary pad.

R ₁ ... R _L , S ₁ ... S _M , E1 ... EN - the coordinates of the coordinate grid of the placement of the electrodes.

The electro-adaptive stimulator according to the first embodiment (Fig. 1) contains a direct current source 1, a control and generating pulses block 2, an electrode assignment setting unit 3, a code input 13 of which is connected to a code output of a block 2, and a control input with a first control output 14 of a block 2, a key amplifier 4, the signal input of which is connected to the signal output 15 of block 2, a two-section high-quality inductor 5, the connection point of the sections of which is connected to the first pole of the source 1, and the section with a smaller the number of turns through a key amplifier 4, including, for example, a semiconductor triode 6 and a damping diode 7, is connected to the second pole of the source 1. The second end of the section with a large number of turns of a high-quality inductor 5 is connected to the feedback input 12 of the block 2. N electrodes of the electrode device 10 through electronic controlled keys 8-1 ... 8-N of switching electrodes into the passive electrode mode are connected to the first pole of source 1 and through electronic controlled keys 9-1 ... 9-N of switching electrodes into passive mode electrode "with the second end of the section with a large number of turns of a two-section high-quality inductor 5. Control inputs of electronic controlled keys 8-1 ... 8-N, 9-1 ... 9-N are connected to the corresponding outputs of block 3. High-quality two-section coil inductance 5 has an inductance of 0.1 ... 2.0 H, the ratio of the number of turns of the section with fewer turns to the total number of turns is 0.05 ... 0.3, and the quality factor of the inductance coil exceeds 100.

The electron-adaptive stimulator according to the second embodiment (Fig. 2) contains a direct current source 1, a control pulse generation unit 2, an electrode assignment unit 3, a code input 13 of which is connected to a code output of a block 2, and a control input with a first control output 14 of the block 2, two two-section high-quality inductors 5 ₁ , 5 ₂ , the connection points of the sections of which are connected to the first pole of the source 1, and sections with fewer turns through key amplifiers 4 ₁ , 4 ₂ , each of which includes t, for example, a semiconductor triode 6 and a damping diode 7 are connected to the second pole of the source 1. Each of the high-quality two-section inductors 5 ₁ , 5 ₂ has an inductance of 0.1 ... 2.0 H, the ratio of the number of turns of the section with a smaller number turns to the total number of turns is 0.05 ... 0.3, quality factor of at least 100, while they differ from each other in inductance by 1.5 ... 2.5 times. The signal inputs of the key amplifiers 4 ₁ , 4 _{2 are} connected to the signal outputs 15 ₁ , 15 _{2 of} block 2, respectively. The second ends of the sections with a large number of turns of high-quality inductance coils 5 ₁ , 5 _{2 are} connected to the switched inputs of the switch 11, the control input of which is connected to the second control output 16 of block 2, and the output to the input 12 of the feedback signal of block 2. N electrodes of the electrode device 10 through the electronic controlled keys 8-1 ... 8-N, the electrodes are switched on in the passive electrode mode and connected to the first pole of the source 1 and through the electronic controlled keys 9-1 ... 9-N the electrodes are switched on in the "active electrode" mode with exit to Mutator 11. The control inputs of electronic controlled keys 8-1 ... 8-N, 9-1 ... 9-N are connected to the corresponding outputs of block 3.

Block 2 (figure 3), designed to select operating modes, control the level of stimulus energy and analyze feedback signals, in the electro-adaptive stimulator according to the first embodiment contains a node 17 for analysis, control and formation of triggering pulses, a node 18 for specifying operating modes and a node 19 for indication . The node 18 includes at least controls for the stimulus energy level and a power-on element. The output of node 18, by commands from which continuous or periodic modes of operation of the electro-adaptive stimulator are set and the duration of the triggering pulses and their number in a series is set, is connected to the installation input 20 of node 17. The first control output of node 17 is the first control output 14 of block 2, code output node 17 - with the code output 13 of block 2, the signal output - with the signal output 15 of block 2, and the signal input with the input 12 of the feedback signal of block 2. Node 17, made in the form of an extra-large integrated circuit (SBI) ), has at least two operating modes, in the first of which at the output 15 of block 2 there are a series of triggering pulses with a fixed number of pulses in the series, and at code output 13 a sequence of codes from 1 to N, where N is the number of electrodes in the electrode device 10 A change in code in a sequence of codes occurs with each series of triggering pulses. In the second mode of operation of the node 17 at the output 15 is a continuous sequence or sequence of series of triggering pulses, at the code output 13 is an unchanged code, at the control input 14 is a command pulse for setting the electrode assignments. The information outputs 21 of the node 17 are connected to the input of the node 19, intended for display by the indicator of the operating mode of the electron-adaptive stimulator and the parameters of the stimulating effect.

The node 17 analysis, control and formation of triggering pulses in an electro-neuroadaptive stimulator according to the first embodiment (Fig. 4) is made in the form of an ultra-large integrated circuit - VLSI, which contains a series-connected clock pulse generator - GTI 22, the circuit for generating triggering pulses - FZI 23, a control signal generation circuit - FSU 24 and an analog-to-digital converter - ADC 25 connected in series, a feedback signal parameter measurement circuit - SIP 26, a parameter change rate measurement circuit feedback needle — SIS 27, a feedback signal allocation circuit with a maximum rate of change of parameters — SV 28 and a fixation circuit for the absence of feedback signal parameter changes — SF 29. The second input of the FDI 23 is the installation input 20 of the node 17, the second output is the signal output of the 15 node 17 and connected to the second input of the SIS 27. The first output of the FSU 24 is the control output 14 of the node 17, the second output of the FSU 24 is the code output 13 of the node 17 and connected to the second input of the CB 28. The input of the ADC 25 is the signal input 12 of the node 17. The second output SIS 27 soy inen with the second input 32 of the SF 28. The second output of the CB 28 is connected to the second input 31 of the FSU 24, the third input of which 30 is connected to the first output of the SF 29. The second output of the SF 29 and the third outputs of the SIS 27 and CB 28 are information outputs 34, 35 and 36 combined in the information output 21 of the node 17.

Block 2 (Fig. 5) in the electron-adaptive stimulator according to the second embodiment comprises a node 17 for analyzing, controlling and generating triggering pulses, a node 18 for setting operation modes, and an indication node 19. The output of the node 18, by commands from which continuous or periodic modes of operation of the electron-adaptive stimulator are set and the duration of the triggering pulses and their number in the series is set, is connected to the installation input 20 of the node 17. The first and second control outputs of the node 17 are the first 14 and second 16 control outputs unit 2, coded output node 17 - the code output 13 of the frame 2, the first and second signal outputs - the first 15 ₁ and second ₁₅ February unit 2 outputs the signal, and the signal input - input 12 of the feedback signal unit 2. Uz L 17, made in the form of large-scale integrated circuits (VLSI) has at least two modes, the first of which at a yield of 15 _1, 15 ₂ unit 2 are present a series of trigger pulses with a fixed number of pulses in the series, seven outlet 13 a sequence of codes from 1 to N, where N is the number of electrodes in the electrode device 10, at the second control output 16 is a command to connect the corresponding two-section high-quality inductor 5 ₁ or 5 ₂ . Changing the code in the sequence of codes at the output 13 occurs with each series of triggering pulses. In the second mode of operation of the node 17 at one of the outputs 15 ₁ , 15 ₂ is a continuous sequence or sequence of series of triggering pulses, at the code output 13 is an unchanged code, at the second control output 16 is a command to connect the corresponding two-section high-quality inductor 5 ₁ or 5 ₂ , and at the first control output 14, a command pulse to set the electrode assignments. The information outputs 21 of the node 17 are connected to the input of the node 19, designed to display on the indicators the operating mode of the electro-adaptive stimulator and the parameters of the stimulating effect.

The node 17 analysis, control and formation of triggering pulses in an electro-neuroadaptive stimulator according to the second embodiment (Fig.6) is made in the form of an ultra-large integrated circuit - VLSI, which contains a series-connected clock pulse generator - GTI 22, the circuit for generating triggering pulses - FZI 23, a control signal generation circuit - FSU 24 and an analog-to-digital converter - ADC 25 connected in series, a feedback signal parameter measurement circuit - SIP 26, a parameter change rate measurement circuit feedback needle — SIS 27, a feedback signal allocation circuit with a maximum rate of change of parameters — SV 28 and a fixation circuit for the absence of feedback signal parameter changes — SF 29. The second input of the FDI 23 is the installation input 20 of node 17, the second and third outputs are the first 15 ₁ and the second 15 ₂ outputs of the node 17, the fourth output of the FDI 23 is connected to the second input of the SIS 27. The first output of the FSU 24 is the control output 14 of the node 17, the second output of the FSU 24 is the code output 13 of the node 17 and connected to the second input of the SV 28, fourth output FSU 24 connections n with the third input of the PDF 27. The input of the ADC 25 is the signal input 12 of the node 17. The second output of the SIS 27 is connected to the second input 32 of the SF 28. The second output of the CB 28 is connected to the second input 31 of the FSU 24, the third input of which 30 is connected to the first output of the SF 29. The second output of the SF 29 and the third outputs of the SIS 27 and SV 28 are information outputs 34, 35 and 36, combined into an information output 21 of the node 17.

The unit 3 for setting the assignments of the electrodes (Fig. 7) in both versions of the electro-adaptive stimulator is performed identically and contains sequentially connected subunits 37 for storing the results of the "search" mode, subunits 38 for determining the assignments of the electrodes and subunits 39 for activating the electrodes according to the assignments. Subunit 37 may have an additional information output 40.

The electrical circuits of the key amplifier 4 and the electronic controlled key, for example 9-1, used in the electro-adaptive stimulator according to the first or second variants (Fig. 8 and Fig. 9) do not require any explanation.

(фиг.12) или с равным шагом координат (фиг.13). На ленточной эластичной подложке 44 контактные гнезда 43 размещены по линии с равномерным шагом (фиг.14).The electrode device used in the claimed electro-adaptive stimulators contains (Figs. 10 and 11) a connector 41 for connecting to an electro-adaptive stimulator, current-conducting conductors 42, contact sockets 43 fixed to the elastic substrate 44, and electrodes 45. Each terminal contact 41 of the current-conducting conductor 42 connected to the corresponding contact socket 43. The elastic substrate 44 can be made of silicone rubber with a thickness of 2 ... 8 mm, on one side of which self-hardening double-sided tape is fixed t conductive conductors 42 and contact sockets 43. On the other hand, electrodes 45 are inserted into the contact sockets 43. Each electrode 45 can be connected to the corresponding contact socket 44 by push-button connection, and a sanitary napkin 46 is placed between the electrodes 45 and the elastic substrate 44. The dimensions of the elastic the substrates 44 should be such as to overlap the innervation zone. The contact slots 43 can be placed on the elastic substrate 44 in a checkerboard pattern in the nodes of the coordinate grid with the ratio of the grid pitch in one coordinate to the grid pitch in another coordinate as 1 to

(Fig. 12) or with an equal coordinate step (Fig. 13). On the elastic ribbon substrate 44, the contact slots 43 are placed along the line with a uniform pitch (Fig. 14).

The proposed device is operated as follows. Sanitized electrodes 45 are inserted into the contact slots 43. A sanitary napkin 46 (FIG. 11) between the contact slots 43 and the electrodes 45 covers the resilient pad 44. The electrode device 10, for example, with a linear arrangement of electrodes, is superimposed on the selected zone of innervation of the human body with electrodes 45 to the skin and connected to an electro-adaptive stimulator. The electrode device 10 is fixed on the human body by any known method - an elastic bandage, adhesive plaster, etc. The power turns on and the operation of the electro-adaptive stimulator begins in the "search" mode. In this mode, at the output 15 of block 2 there are a series of triggering pulses with a fixed number of pulses in a series (2 ... 3 pulses of a fixed duration), and at code output 13 a sequence of codes from 1 to N, where N is the number of electrodes in an electrode device 10 and the current code value corresponds to the number of the electrode included in the "active electrode" mode. A code change in the sequence of codes occurs with each series of triggering pulses. With the input of the block number 3 code of the electrode number, included in the "active electrode" mode, for example, "k", the control signals from block 3 are fed to the input of the electronic controlled key 9-k and to the inputs of the controlled keys 8-k-1 and 8 -k + 1, while the electrode "k" is connected to the second end of the two-section high-quality inductor 5, and the electrodes "k-1" and "k + 1" to the first pole of the DC source 1. With a trigger pulse applied to the input of the key amplifier 4 section with fewer turns of high-Q inductor 5 includes I between the poles of the DC power source 1 and for the duration of the trigger pulse is saturated with electromagnetic energy. The energy power of the stimulating signal is greater, the longer the duration of the triggering pulse. At the end of the triggering pulse, the key amplifier is locked and the oscillatory circuit formed by the circuit: active electrode "k" → interelectrode fabric → passive electrodes "k-1" and "k + 1" → section with a large number of turns of a two-section high-quality inductor 5 → active electrode "k", electrical vibrations occur, which are an electrostimulating signal. This signal, approaching the phase structure to the current of action of the membrane of the neuromuscular cells of a healthy person, changes the concentration of tissue ions in the cell membrane and, changing its permeability, acts like natural biocurrents through the peripheral parts of the nervous system located in the sub-electrode tissues, on the corresponding zone impacts of the autonomic nervous system, and is best perceived by excitable structures and cause the most adequate body responses. The nerve impulses coming from this area to the treated area by the principle of positive feedback cause normalization of the state of the treated area, i.e. self-regulation of the body occurs. A change in the state of the sub-electrode tissue (reactive and active components of the impedance) causes a change in the characteristics of the resonant circuit, and hence the parameters of the electrostimulating signal. Thus, by the rate of change of the parameters of the electro-stimulating signal, one can judge the degree of normalization of the treated area. The task of the “search” operating mode is to identify those areas for impact on the innervation zone that primarily need this impact. The problem is solved by alternately turning on the electrodes 45 in the "active electrode" mode and measuring the rate of change of parameters (a parameter determined by the impedance of the sub-electrode tissue) of the electrostimulating signal. The results of the electro-adaptive stimulator in the search mode in the form of electrode numbers 45, when a series of several (two or more) electro-stimulating signals are fed to them, the rate of change of their parameters exceeds the measurement error or a priori specified threshold is stored in subunit 37 of block 3. At the end the operation of the electro-adaptive stimulator in the "search" mode, the "stimulation" operating mode is turned on. In this mode, for those electronic controlled keys 9-1 ... 9-N, the numbers of which correspond to the numbers of electrodes 45 stored in the subunit 37 when operating in the "search" mode, and for those controlled keys 8-1 ... 8- N, the numbers of which correspond to the numbers of the electrodes 45 spatially located on the substrate 44 next to the electrodes 45 stored in the subunit 37, are sent from the unit 3 to turn on the electrodes 45 stored in the subunit 37 to the "active electrode" mode, and to the electrodes, spatially located next to them, commands for switching to passive mode electrode". The remaining electrodes 45 remain in an unconnected state. 12 ... 14, the electrodes 45 included in the "active electrode" mode are colored gray, those included in the "passive electrode" mode are black, and unconnected ones are not colored. A neural-like pulse is supplied to the electrodes 45 included in the active electrode mode, the zero potential (constant potential) is applied to the electrodes 45 included in the passive electrode mode, the remaining electrodes remain unconnected. Thus, exposure to an electro-stimulating signal is carried out on those parts of the innervation zone that need it. The impact is carried out until there is a change in the parameters of the electrostimulating signal (change in the impedance of the interelectrode tissue), and as soon as the impedance of the interelectrode tissue ceases to change, the effect ceases. From the output 40 of block 3 (subunit 37), the numbers of electrodes 45, the number of which determines the dimensions of the portion of the innervation zone with a deviation from the norm, can be read into an external device. By changing this amount from session to session, a conclusion is drawn on the effectiveness of treatment and a forecast for its end, which cannot be done using a prototype or any of the described analogues.

The operation of the claimed variants of the electro-adaptive stimulator will be explained using the algorithm of operation of the control unit 2 and the formation of triggering pulses shown in Fig. 15. First, we consider the operation of the electron-adaptive stimulator according to the first option. After turning on the power, a continuous mode of operation and a minimum duration of triggering pulses at the output 15 of block 2 are established. Gradually increasing the duration of the triggering pulses using the controls in node 18, the stimulating energy energy is set at the sensitivity threshold level, i.e. in which the effect is felt in the form of slight tingling or tickling. Next, the operating mode is turned on. At the beginning, the "search" operating mode is turned on. In this mode, at the output 15 of block 2 there are a series of triggering pulses with a fixed number of pulses in a series, for example, two or three pulses in a series, and at the code output 13, a sequence of codes in accordance with which the outputs of block 3 are switched. Thus, with the mode "search" a series of two pulses is alternately fed to the electrodes 45 with numbers from 1 to N via electronic keys 9-1 ... 9-N. The feedback signal is fed to the input 12 of the node 17, is converted to digital form by the ADC 25 and in the SIP 26 the parameters (parameter) of the feedback signal are measured. Further, in SIS 27, the rate of change of the feedback signal parameters from the first triggering pulse in the series to the last (second or third) -Δ ² P is determined. The rate of change of the feedback signal parameters determined for the current series of triggering pulses in SV 28 is compared with the threshold of the rate of change of parameters and if it is equal to or greater then the NE 28 is carried out of the fixing speed value n ² -Δ _a and code number of the electrode 45 - N _a in the sub-block 37. As a result, when operating mode "search" identifies those electrodes, n and applying to that observed electroneurostimulating signal exceeds threshold rate of change of the parameters of the feedback signal. At the end of the enumeration of codes (N _tech = N _con - the current number is equal to the final one), the code number N _{A is} set at the FSU 24 code output and the “stimulation” operating mode is turned on. When working in this mode, at the output 15 of block 2, a continuous sequence of triggering pulses or a series of pulses is observed, the number of pulses in which is not normalized, and at output 13 the code of the number of the electrode included in the "active electrode" mode is N _A. In SF 28, a change in the parameters of the feedback signal is measured, and when this change is absent, i.e. when the parameters of the previous feedback signal are equal to the parameters of the subsequent feedback signal, the effect ceases. When the electrode device 10 is superimposed on a new innervation zone, the "search" mode is again switched on by the signal at the input 30 of the FSU 24. The operation of the second variant of the electron-adaptive stimulator (Figs. 2, 5 and 6) differs in that in the "search" mode, first the triggering pulses with output 15 ₁ are fed to the input of the key amplifier 4 ₁ , and the input of the switch 11 is a command to connect to its output sections with a large number of turns of a two-section high-quality inductor 5 ₁ . When alternately applying an electrostimulating signal to the electrodes 1 ... N, as described previously, electrodes are detected with a rate of change of parameters above the threshold. If such electrodes are absent, or their number will be less than the predetermined one, which may indicate insufficient stimulating effect, then from the output 16 of the FSU 24, a command is sent to the input of the switch 11 to connect to its output a section with a large number of turns of a two-section inductor 5 ₂ , the triggering pulses from the output 15 ₂ are fed to the input of the key amplifier 42 and the operation in the "search" mode is repeated, after which the "stimulation" operating mode and the electro-stimulating effect are turned on The signal is applied to all electrodes identified for inclusion in the “active electrode” mode during operation in both “search” modes, and a command is sent to the input of switch 11 to connect a section with a large number of turns of that two-section high-quality inductor 5, when connected the number of electrodes identified for inclusion in the "active electrode" mode was large. The need for the second variant of the electron-adaptive stimulator arose due to the fact that with large sizes of the innervation zone, there are differences in the impedance of the sub-electrode tissue in patients. The authors experimentally established that to ensure the necessary frequency range of electrical oscillations in the resonant circuit formed by the inductance of the inductor and the impedance of the electrode tissue during electrical stimulation, it is sufficient that the parameters of two-section high-quality induction coils 5 ₁ and 5 ₂ differ by 1.5 ... 2, 5 times.

(фиг.12) позволяет окружить одиночный активный электрод шестью пассивными электродами. Электродное устройство 10 с таким размещением электродов 45 используется для иннервации зоны прямой проекции бронхолегочного дерева и легких. Размещение электродов 45 в узлах равномерной координатной сетки (фиг.13) позволяет окружить одиночный активный электрод четырмя пассивными электродами. Электродное устройство 10 с таким размещением электродов 45 используется для иннервации зоны ромб Михаэлиса, прямой проекции поджелудочной железы и т.п. Электродное устройство 10 с линейным размещением электродов 45 используется при иннервации зоны "три дорожки", зоны проекции желчного пузыря, зоны шейного кольца и т.д.The inventive electroneuroadaptive stimulator may have interchangeable electrode devices 10 of various configurations designed to affect various zones of innervation, such as lumbosacral, collar, direct projection zones of the bronchopulmonary tree and lungs, etc. The electrodes 45 are placed on the substrate 44 at distances from each other within technological tolerances with a minimum distance when applied to the innervation zone of 1.5 ... 2.0 mm. From all other electrical stimulants, the claimed ones differ primarily in that each electrode can perform the functions of both an active and a passive electrode. To localize the area of influence, it is desirable that the active electrode be spatially surrounded by passive electrodes. This is possible when placing the electrodes 45 on the substrate in the nodes of the coordinate grid as shown in FIGS. 12 and 14, with the restriction that the extreme electrodes 45 in the initial and final rows of the coordinate grid can only be included in the “passive electrode” mode. The placement of the electrodes 45 in the nodes of the coordinate grid with the ratio of the coordinates of the grid 1:

(Fig) allows you to surround a single active electrode with six passive electrodes. An electrode device 10 with such an arrangement of electrodes 45 is used to innervate the direct projection zone of the bronchopulmonary tree and lungs. The placement of the electrodes 45 in the nodes of the uniform coordinate grid (Fig) allows you to surround a single active electrode with four passive electrodes. An electrode device 10 with such an arrangement of electrodes 45 is used to innervate the Michaelis rhombus zone, a direct projection of the pancreas, and the like. An electrode device 10 with a linear arrangement of electrodes 45 is used for the innervation of the three-track zone, the projection zone of the gallbladder, the zone of the cervical ring, etc.

The use of the claimed electrode device can significantly reduce the treatment time and increase its effectiveness by increasing the accuracy of dosing and focus.

Claims (18)

1. An electro-adaptive stimulator containing a direct current source, a key amplifier, a control unit for generating triggering pulses, the signal output of which is connected to the signal input of the key amplifier, an electrode device including N electrodes, N electronically controlled keys to turn on the electrodes of the electrode device in the "active electrode" mode "And a two-section high-quality inductor, the sections of which are included according to, the connection point of the sections is connected to the first pole of the source current, the second end of the section with fewer turns through the key amplifier is connected to the second pole of the DC source, and the second end of the section with more turns is connected to the input of the feedback signal of the control unit and the formation of triggering pulses and the switched input of each of the N electronic keys turning on the electrodes of the electrode device in the "active electrode" mode, characterized in that it further comprises N electronic controlled keys for turning on the electrodes of the elec of the native device into the “passive electrode” mode and the electrode assignment setting unit, the code input of which is connected to the code output of the control unit and generating triggering pulses, the control input with the control output of the control unit and generating triggering pulses, and 2N outputs with the corresponding control inputs of N electronic managed keys to turn on the electrodes of the electrode device in the "active electrode" mode and N electronic keys to turn on the electrodes of the electrode device in the "pass “live electrode”, the switched input of each of the N electronic keys to turn on the electrodes of the electrode device to the “passive electrode” mode is connected to the first pole of the DC source, the output of each of the N electronic keys to turn on the electrodes of the electrode device to the “active electrode” mode is combined with the output of the corresponding electronic controlled key to turn on the electrodes of the electrode device in the "passive electrode" mode and connected to the corresponding input of the electrode device. 2. The electron-adaptive stimulator according to claim 1, characterized in that the triggering pulse generating unit comprises an operation mode setting unit including at least stimulus energy level control elements and a power-on element, an indication unit and an impulse analysis, control and pulse generating unit configured as extra-large integrated circuit (VLSI), while the VLSI installation inputs are connected to the outputs of the operation mode setting node, the inputs of the indication node are connected to the VLSI information outputs, the VLSI signal output is VLSI is the signal output of the control unit and the formation of triggering pulses, the VLSI code output is the code output of the control unit and the formation of triggering pulses, the VLSI control output is the control output of the control unit and the generation of triggering pulses, the VLSI signal input is the input of the feedback signal of the control unit and the generation of triggering pulses , and VLSI has at least two operating modes, in the first of which the pulse output of the control unit and the formation of triggering impulse there are a series of triggering pulses with a fixed number of pulses in a series, and at the code output a sequence of codes from 1 to N, where N is the number of controlled electronic keys, the code change in which occurs with each series of triggering pulses, and in the second - on a pulse output sequence or sequence of series of triggering pulses; on the code output, an unchangeable code. 3. The electron-adaptive stimulator according to claim 2, characterized in that the node analysis, control and pulse generation, made in the form of an ultra-large integrated circuit (VLSI), contains a serially connected clock pulse generator, a trigger pulse generation circuit, a control signal generation circuit, and series-connected analog-to-digital converter, feedback signal parameter measurement circuit, feedback signal parameter change measurement circuit, signal extraction circuit feedback with a maximum rate of change of parameters and a fixation circuit for the absence of a change in the parameters of the feedback signal, while the input of the analog-to-digital converter is a feedback signal input, the output of the triggering pulse generation circuit is a VLSI signal output and is connected to the second input of the circuit for measuring the rate of change of signal parameters feedback, the first output of the control signal generation circuit is the VLSI control output, the second output is the VLSI code output and is connected to the second input of the feedback signal allocation circuit with the maximum rate of change of parameters, the second output of the feedback measurement parameter measuring circuit of the feedback signal is connected to the second input of the feedback detection circuit of no change in the feedback signal parameters, the second output of the feedback signal allocation circuit with the maximum parameter change rate is connected to the second input of the control signal generation circuit, the third input of which is connected to the first output of the no-change fixation circuit, parameter in the feedback signal, the second output circuit fixation no change of parameters of the feedback signal and outputs the third parameter change rate measuring circuit of the feedback signal and the allocation scheme of the feedback signal with a maximum variation of parameters are data outputs VLSI. 4. The electro-adaptive stimulator according to claim 1, characterized in that the electrode assignment setting unit comprises sequentially connected subblock for storing the results of the “search” mode, the subunit for determining electrode destinations and the subunit for turning on the electrodes according to the assignments, while the input of the subunit for storing the results of the “search” mode is the code input of the electrode assignment setting unit, and the second input of the electrode assignment determination subunit - the control input of the electrode assignment setting unit. 5. The electron-adaptive stimulator according to claim 1, characterized in that the high-quality two-section inductor has an inductance of 0.1-2.0 H, the ratio of the number of turns of the section with fewer turns to the total number of turns is 0.05-0.3, and the quality factor of the inductor exceeds 100. 6. An electro-adaptive stimulator containing a direct current source, a key amplifier, a control unit for generating triggering pulses, the signal output of which is connected to the signal input of a key amplifier, an electrode device including N electrodes, N electronically controlled keys to turn on the electrodes of the electrode device in the "active electrode" mode "And a two-section high-quality inductor, the sections of which are included according to, the connection point of the sections is connected to the first pole of the source current, the second end of the section with fewer turns through the key amplifier is connected to the second pole of the DC source, characterized in that it additionally contains N electronic controlled keys to turn on the electrodes of the electrode device in the "passive electrode" mode, the second key amplifier, the signal input of which connected to the second signal output of the control unit and the formation of triggering pulses, the second two-section high-quality inductor, the sections of which are included in but, the connection point of the sections is with the first pole of the DC source, and the second end of the section with fewer turns through the second key amplifier with the second pole of the DC source, a switch whose switching inputs are connected to the second ends of the sections with a large number of turns of the first and second two-section high-quality inductors, and the output is with the input of the feedback signal of the control unit and the formation of triggering pulses and a switched input of each of the N electronic controlled keys switching the electrodes of the electrode device into the “active electrode” mode, and an electrode assignment setting unit, the code input of which is connected to the code output of the control unit and generating triggering pulses, the control input to the first control output of the control unit and generating triggering pulses, and 2N outputs from the corresponding control inputs of N electronic controlled keys to turn on the electrodes of the electrode device in the "active electrode" mode and N electronic controlled keys to turn on the electrodes of the ele of the cathode device in the “passive electrode” mode, the switched input of each electronic key for turning on the electrodes of the electrode device in the “passive electrode” mode is connected to the first pole of the DC source, the second control input of the control unit and the formation of trigger pulses is connected to the control input of the switch, the output of each N electronic controlled keys to turn on the electrodes of the electrode device in the "active electrode" mode is combined with the output of the corresponding electronic controlled Lyucha enable electrodes of the electrode arrangement in a "passive electrode" mode, and is connected to a corresponding input electrode device. 7. The electron-adaptive stimulator according to claim 6, characterized in that the triggering pulse generation unit comprises an operation mode setting unit including at least stimulus energy level control elements and a power-on element, an indication unit, and pulse analysis, control and pulse generating unit, made in the form extra-large integrated circuit (VLSI), while the VLSI installation input is connected to the output of the operation mode setting node, the inputs of the display node are connected to the VLSI information outputs, the first and second signal outputs VLSI codes are the first and second signal outputs of the control unit and the formation of triggering pulses, VLSI code output is the code output of the control unit and the formation of triggering pulses, the first and second control outputs VLSI are the first and second control outputs of the control unit and the formation of triggering pulses, VLSI signal input is the input of the feedback signal of the unit for generating triggering pulses, and VLSI has at least two operating modes, in the first of which one of the signal x of the outputs of the control unit and the formation of triggering pulses are a series of triggering pulses with a fixed number of pulses in a series, and the code output is a sequence of codes from 1 to N, where N is the number of controlled electronic keys, the code change in which occurs with each series of triggering pulses, and in the second - on one of the signal outputs a continuous sequence or sequence of series of triggering pulses, on the code output - an unchangeable code. 8. The electron-adaptive stimulator according to claim 7, characterized in that the analysis, control and pulse shaping unit, made in the form of an ultra-large integrated circuit (VLSI), contains serially connected clock pulses generator, trigger pulses generating circuit, control signal generating circuit, and series connected analog-to-digital converter, feedback signal parameter measurement circuit, feedback signal parameter measurement circuit, signal extraction circuit feedback with the maximum rate of change of parameters and the fixation circuit for the absence of changes in the parameters of the feedback signal, while the input of the analog-to-digital converter is the input of the feedback signal, the second input of the triggering pulse generating circuit is the VLSI setup input, the second and third outputs of the triggering pulse generating circuit are the first and second signal outputs of the VLSI, the fourth output of the triggering pulse generating circuit is connected to the second input of the speed measuring circuit change the parameters of the feedback signal, the first and second outputs of the control signal generation circuit is the first and second control outputs of the VLSI, the third output is the VLSI code output and is connected to the second input of the feedback signal allocation circuit with the maximum rate of change of parameters, the second output of the change rate measurement circuit feedback signal parameters connected to the second input of the fixation circuit of the absence of changes in the parameters of the feedback signal, the second output of the feedback signal allocation circuit at a maximum rate of change of parameters, it is connected to the second input of the control signal generation circuit, the third input of which is connected to the first output of the fixation circuit of the absence of change in the parameters of the feedback signal, the second output of the fixation circuit of the absence of change in the parameters of the feedback signal and the third outputs of the circuit for measuring the rate of change of signal parameters feedback and feedback signal extraction circuits with maximum parameter changes are VLSI information outputs. 9. The electro-adaptive stimulator according to claim 6, characterized in that the electrode assignment setting unit comprises sequentially connected subblock for storing the results of the “search” mode, the subunit for determining electrode destinations and the subunit for turning on the electrodes according to the assignments, wherein the input of the subunit for storing the results of the “search” mode is the code input of the electrode assignment setting unit, and the second input of the electrode assignment determination subunit - the control input of the electrode assignment setting unit. 10. The electron-adaptive stimulator according to claim 6, characterized in that each high-quality inductor has an inductance of 0.1-2.0 H, the ratio of the number of turns of a section with a smaller number of turns to the total number of turns is 0.05-0.3, the quality factor inductors exceed 100 and at the same time they differ from each other in inductance by 1.5-2.5 times. 11. An electrode device comprising a connector for connecting an electro-adaptive stimulator, current-conducting conductors and electrodes, characterized in that it further comprises an elastic substrate with contact slots for connecting electrodes fixed to it, each contact of a connector for connecting an electron-adaptive stimulator with a current-conducting conductor is connected to a corresponding contact socket, and the electrodes and contact sockets for their connection are located on the reverse sides of the elastic substrate and. 12. The electrode device according to claim 11, characterized in that the elastic substrate is made of 2-8 mm thick silicone rubber, and the lead wires and contact sockets are bonded to the elastic substrate with self-hardening double-sided tape. 13. The electrode device according to claim 11, characterized in that the contact slots are placed on an elastic substrate in a checkerboard pattern in the nodes of the coordinate grid with an equal coordinate step. 14. The electrode device according to item 13, wherein the contact nests are placed on an elastic substrate in a checkerboard pattern in the nodes of the coordinate grid with a grid coordinate ratio of 1:

. 15. The electrode device according to claim 11, characterized in that each electrode is connected to the corresponding contact socket by a push-button connection, and a sanitary towel is placed between the electrodes and the elastic substrate. 16. The electrode device according to clause 15, characterized in that the contact nests are placed on an elastic substrate in a checkerboard pattern in the nodes of the coordinate grid with an equal coordinate step. 17. The electrode device according to p. 15, characterized in that the contact nests are placed on an elastic substrate in a checkerboard pattern in the nodes of the coordinate grid with a grid coordinate ratio of 1:

. 18. The electrode device according to claim 11, characterized in that the contact slots are placed on an elastic substrate with a uniform step along the line.

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