CN107007936B - Novel transcranial magnetic stimulation positioning device - Google Patents
Novel transcranial magnetic stimulation positioning device Download PDFInfo
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- CN107007936B CN107007936B CN201710362735.2A CN201710362735A CN107007936B CN 107007936 B CN107007936 B CN 107007936B CN 201710362735 A CN201710362735 A CN 201710362735A CN 107007936 B CN107007936 B CN 107007936B
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- 238000011491 transcranial magnetic stimulation Methods 0.000 title claims abstract description 21
- 238000000034 method Methods 0.000 claims abstract description 14
- 210000003128 head Anatomy 0.000 claims description 28
- 210000001061 forehead Anatomy 0.000 claims description 6
- 210000004556 brain Anatomy 0.000 claims description 5
- 239000013013 elastic material Substances 0.000 claims description 2
- 230000000694 effects Effects 0.000 abstract description 4
- 238000002653 magnetic therapy Methods 0.000 abstract 1
- 230000000638 stimulation Effects 0.000 description 13
- 230000002123 temporal effect Effects 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 2
- 241000746998 Tragus Species 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000001054 cortical effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 210000005069 ears Anatomy 0.000 description 1
- 230000005684 electric field Effects 0.000 description 1
- 230000004886 head movement Effects 0.000 description 1
- 210000004373 mandible Anatomy 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000002232 neuromuscular Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 210000003625 skull Anatomy 0.000 description 1
- 238000011179 visual inspection Methods 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N2/00—Magnetotherapy
- A61N2/02—Magnetotherapy using magnetic fields produced by coils, including single turn loops or electromagnets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N2/00—Magnetotherapy
- A61N2/004—Magnetotherapy specially adapted for a specific therapy
- A61N2/006—Magnetotherapy specially adapted for a specific therapy for magnetic stimulation of nerve tissue
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Magnetic Treatment Devices (AREA)
Abstract
The invention discloses a novel transcranial magnetic stimulation positioning device, which comprises a positioning cap and a positioning cap fixing device arranged on a bed body, wherein a plurality of latitude lines, longitude lines distributed in a staggered manner with the latitude lines and marking points are arranged on the positioning cap to conveniently position the magnetic therapy position of the head; the movable plate consists of a fixed part and a head placing part arranged on the fixed part, limiting plates are arranged around the head placing part, the inner sides of the limiting plates are supporting parts, fixing rings are arranged on the limiting plates on the two sides, and a left fixing rod and a right fixing rod on the positioning cap can be respectively fixed in the fixing rings. The invention is convenient for positioning and maintaining the head position in the transcranial magnetic treatment process so as to ensure the treatment effect.
Description
Technical Field
The invention relates to the field of medical auxiliary instruments, in particular to a novel transcranial magnetic stimulation positioning device.
Background
Transcranial magnetic stimulation (Transcranial Magnetic Stimulation, TMS) is a cortical stimulation method in which magnetic signals can penetrate the skull without attenuation to stimulate the brain nerves, and in practice, the stimulation is not limited to brain stimulation, and peripheral neuromuscular stimulation can be performed as well, so that it is now called "magnetic stimulation". The magnetic stimulation is a physical stimulation form, which is a stimulation method for exciting certain excitable tissues by utilizing time-varying current to flow into a transcranial magnetic stimulation coil to generate a high-intensity time-varying pulse magnetic field and generating an induced electric field and induced current in the tissues by the time-varying pulse magnetic field, and the induced current has the advantages of no pain, no damage, simple and convenient operation, safety, reliability and the like and has wide application in clinical medicine. In the use process, an operator mainly estimates the distribution of brain functional areas and the approximate position of body surface projection to roughly position according to visual inspection and experience, and the stimulation part is found by repeatedly moving the stimulation coil, so that the time and effort are wasted. After locating the position, the head of the patient is required to be kept still in the whole stimulation treatment process, but the position between the head and the coil is easy to change due to the fact that the shell of the 8-shaped coil and the hair are very smooth, so that the treatment effect is affected. In some patients who cannot be seated and need lying treatment, a transcranial magnetic stimulation instrument special for lying treatment is needed, so that treatment cost of hospitals and patients is increased.
Disclosure of Invention
The invention aims to overcome the defects and provide the transcranial magnetic stimulation positioning device which is applied to the transcranial magnetic stimulation treatment process of lying type, assists in positioning and maintains the unchanged head position in the treatment process.
In order to achieve the above purpose, the following technical scheme is adopted: the novel transcranial magnetic stimulation positioning device comprises a positioning cap and a positioning cap fixing device arranged on a bed body, wherein the positioning cap comprises a left fixing plate and a right fixing plate which are arranged on two sides of a left ear and a right ear, a plurality of latitude lines connected with the left fixing plate and the right fixing plate, longitude lines distributed in a staggered manner with the latitude lines, and marking points distributed according to a 10/20 system electrode placement method, the left fixing plate and the right fixing plate are respectively provided with a left ear hole and a right ear hole, and are also respectively provided with a left fixing rod and a right fixing rod, and an elastic adjusting belt is arranged below the left fixing plate and the right fixing plate; the positioning cap fixing device comprises a fixed supporting plate fixedly connected to the bed body and a movable plate arranged on the fixed supporting plate, a hollowed-out part consistent with the shape of the movable plate is arranged in the middle of the fixed supporting plate, and a supporting part is formed around the hollowed-out part; the movable plate consists of a fixing part and a head placing part arranged on the fixing part, limiting plates are arranged around the head placing part, the inner sides of the limiting plates are supporting parts, fixing rings are arranged on the limiting plates on the two sides, and a left fixing rod and a right fixing rod on the positioning cap can be respectively fixed in the fixing rings on the two sides.
The fixed ring is an arc ring body with an opening at the top, and a fixed seat is arranged at the lower part of the fixed ring and is connected with the fixed part.
As a preferred mode, the support part of the head placing part is a net-shaped support part when the user lies in the supine position. When the head rest is used in prone position and lying posture, the supporting part of the head rest part comprises an upper forehead supporting pad and a lower jaw supporting pad.
The marking points are cylinders, and latitude line perforations and longitude line perforations are arranged on the cylinders.
The longitude and latitude lines are made of an elastic material.
The plurality of longitude lines comprise central longitude lines which are connected to the occipital process from the nasal root point along the central line of the nasal bridge, the plurality of latitude lines comprise central latitude lines which are connected with the front of the left side ear, the vertex of the brain and the front of the right side ear, the plurality of longitude lines are evenly distributed at intervals, and the plurality of latitude lines are evenly distributed at intervals.
The positioning cap in the transcranial magnetic stimulation positioning device is worn on the head of a patient, so that an operator can conveniently and rapidly find a stimulation point according to the positioning of the marking point on the positioning cap, and the positioning cap fixing device arranged on the bed body enables the positioning cap fixed with the positioning cap to be unable to move at will, thereby ensuring that the head does not move in the treatment process and ensuring the treatment effect of transcranial magnetic stimulation.
Drawings
FIG. 1 is a schematic view of the structure of the positioning cap of the present invention.
FIG. 2 is a schematic diagram of the structure of the marking point of the present invention.
FIG. 3 is a schematic view of the structure of the positioning cap fixing device of the present invention.
Fig. 4 is a schematic view of a first structure of the movable plate according to the present invention.
Fig. 5 is a schematic view of a second structure of the movable plate according to the present invention.
FIG. 6 is a schematic view of a retainer ring structure.
In the figure, 1 positioning cap, 11 latitude lines, 12 longitude lines, 13 mark points, 131 latitude line perforation, 132 longitude line perforation, 14 left fixing plate, 141 latitude line fixing hole, 142 left ear hole, 15 left adjusting belt, 151 thread gluing, 16 right adjusting belt, 161 fastening ring, 17 nut, 18 right fixing rod, 2 positioning cap fixing device, 21 fixing support plate, 211 support part, 212, 214 support protrusion, 213, 215 fixing hole, 216 hollow part, 22 movable plate, 221 two side support part, 222 limit plate, 223, 225 fixing hole, 224 fixing part, 226 grid, 227 fixing ring.
Detailed Description
The structure of the present invention will be described in detail with reference to the accompanying drawings.
The novel transcranial magnetic stimulation positioning device mainly comprises two parts, namely a positioning cap for assisting an operator in positioning a stimulation point of a transcranial magnetic stimulation instrument and a positioning cap fixing device for fixing the positioning cap to prevent head movement.
As shown in fig. 1 and 2, the positioning cap in this embodiment includes a left fixing plate 14, a right fixing plate, a marking point 13, a longitude line 12 and a latitude line 11, wherein left and right ear holes 142, 141, left and right fixing rods 18 are respectively provided on the left and right fixing plates 14, 141, and a plurality of latitude lines 11 pass through the latitude line fixing holes 141 on the left and right fixing plates and are distributed on the positioning cap transversely, and the longitude line 12 is distributed longitudinally. The mark point 13 is a cylinder, and latitude line perforations 131 and longitude line perforations 132 are provided on the cylinder.
The marking points 13 are arranged according to the international electroencephalogram 10-20 system electrode placement method, and specifically comprise the following steps:
1. anterior-posterior sagittal line: a line is drawn from the nasion to the out-of-occipital tuberosity, on which 5 points are marked from front to back, named in turn: frontal midpoint (Fpz), frontal midpoint (Fz), central point (Cz), vertex (Pz), occipital point (Oz). The distance from the midpoint of the forehead electrode to the root of the nose and the distance from the occipital point to the occipital tuberosity each account for 10% of the total length of the connecting line, and the rest points are separated by 20% of the total length of the connecting line.
2. Horizontal position: a line is taken from the anterior left ear point (anterior jugular notch of the tragus) to the anterior right ear point through the central point, and the left temporal center (T3), the right temporal center (T4), the left center (C3) and the right center (C4) are marked on the left side and the right side of the line symmetrically. The distance between the T3 point and the T4 point and the front ear point is 10% of the total length of the line, and the rest points (including the Cz point) are all separated by 20% of the total length of the line.
3. Side position: and respectively taking left and right side connecting lines from the Fpz point to the occipital point through T3 and T4 points, and symmetrically marking each point of a left frontal pole (Fp 1), a right frontal pole (Fp 2), a left anterior temporal (F7), a right anterior temporal (F8), a left posterior temporal (T5), a right posterior temporal (T6), a left occipital (O1) and a right occipital (O2) on the left and right side connecting lines from front to back. The distances from the Fp1 and Fp2 points to the frontal midpoint (Fpz) and the distances from the O1 and O2 points to the Oz point respectively account for 10 percent of the total length of the connecting line, and the rest points (including T3 and T4) are separated by 20 percent of the total length of the connecting line.
4. The rest left forehead (F3) and right forehead (F4) points are respectively positioned in the middle of the Fp1 and Fp2 and the C3 and C4 points; the left top (P3) and the right top (P4) are respectively positioned in the middle of the C3 and C4 points and the O1 and O2 points.
An elastic adjusting band is arranged below the left fixing plate 14 and the right fixing plate, so that the positioning cap can be conveniently fixed with the head of a patient. In this embodiment, the left adjusting belt 15 is provided with a fastening button 151, the right adjusting belt 16 is provided with a fastening ring 161, and the left adjusting belt 15 is folded through the fastening ring 161 and then the fastening button 151 is adhered and fixed. Other ways of adjusting the tightness may also be used.
As shown in fig. 3, the positioning cap fixing device 2 comprises a fixed support plate 21 fixedly connected to the bed body and a movable plate 22 mounted on the fixed support plate 21, wherein a hollowed-out part 216 with the same shape as the movable plate 22 is arranged in the middle of the fixed support plate 21, and a supporting part 211 is formed around the hollowed-out part. Preferably, the supporting portion 211 extends inward to form a plurality of supporting protrusions 212 and 214, which are shown as one supporting protrusion on each of the left and right sides and the top, and fixing holes 213 and 215 are formed in the supporting protrusions 212 and 214.
The movable plate 22 is composed of a fixing portion 224 and a head placing portion provided at the fixing portion 224, and fixing holes 223, 225 corresponding to the support boss upper fixing holes 213, 215 are provided correspondingly at the fixing portion 224, and the movable plate 22 is placed in the fixing support plate 21, and bolts or screws are sequentially inserted into the fixing holes 223, 225 at the fixing portion and the support boss upper fixing holes 213, 215 to lock the movable plate 22 with the fixing support plate 21. Limiting plates 222 are arranged around the head placing part, two side supporting parts 221 are arranged on the inner sides of the limiting plates 222, fixing rings 227 are symmetrically arranged on the limiting plates 222 on the two sides, and a left fixing rod and a right fixing rod 18 on the positioning cap 1 can be respectively fixed in the fixing rings 227. The fixing ring 227 is a circular arc ring body 227a with an opening at the top, and a fixing seat 227b is arranged at the lower part of the fixing ring and is connected with the fixing part.
When the head rest is used in the supine position, the supporting parts of the head rest are net-shaped supporting parts, and as shown in fig. 4, a net 226 is arranged between the two side supporting parts 221 and the limiting plates 222 arranged at the upper part and the lower part to form the net-shaped supporting parts. When the head rest is used in the prone position, the support part of the head rest is composed of two side support parts 221, an upper forehead support pad 228 and a lower mandible support pad 229. The head placing part is adapted to the structure of the supine position or the prone position of the head, so that the comfort level of the patient in the treatment process is improved. The movable plate 22 is matched with the hollowed-out part 216 of the fixed support plate 21, the head placing part on the movable plate can be designed into different specifications, and the proper movable plate 22 is selected according to the head of a patient to be mounted on the fixed support plate 21 in the use process, so that the invention has higher adaptability and wider application range.
When the positioning cap is worn on the head of a patient, the left ear and the right ear of the patient are exposed from the left ear hole and the right ear hole respectively, and the positions and the tightness of the left elastic band and the right elastic band are adjusted, so that the central longitude line of the positioned cap coincides with the connecting line from the nasion point to the occipital protuberance, the central latitude line coincides with the connecting line in front of the two ears, the bending of the longitude line and the latitude line is avoided as much as possible, and the distances among a plurality of longitude lines and the distances among a plurality of latitude lines are uniform. The proper movable plate is selected to be installed in the fixed supporting plate, the head of a patient is accurately placed in the positioning cap fixing device in the prone position or the supine position, and the left fixing rod and the right fixing rod on the positioning cap can be respectively fixed in the left fixing ring and the right fixing ring and locked by nuts, so that the positioning cap and the positioning cap fixing device are stably connected, and the head of the patient cannot move at will, so that the treatment effect is ensured.
Claims (6)
1. The novel transcranial magnetic stimulation positioning device is characterized by comprising a positioning cap and a positioning cap fixing device arranged on a bed body, wherein the positioning cap comprises a left fixing plate and a right fixing plate which are arranged on two sides of a left ear and a right ear, a plurality of latitude lines connected with the left fixing plate and the right fixing plate, longitude lines distributed in a staggered manner with the latitude lines, and marking points distributed according to a 10/20 system electrode placement method, the left fixing plate and the right fixing plate are respectively provided with a left ear hole and a right ear hole, and are also respectively provided with a left fixing rod and a right fixing rod, and an elastic adjusting belt is arranged below the left fixing plate and the right fixing plate; the positioning cap fixing device comprises a fixed supporting plate fixedly connected to the bed body and a movable plate arranged on the fixed supporting plate, a hollowed-out part consistent with the shape of the movable plate is arranged in the middle of the fixed supporting plate, and a supporting part is formed around the hollowed-out part; the movable plate consists of a fixed part and a head placing part arranged on the fixed part, limiting plates are arranged around the head placing part, the inner sides of the limiting plates are supporting parts, fixing rings are arranged on the limiting plates on the two sides, and a left fixing rod and a right fixing rod on the positioning cap can be respectively fixed in the fixing rings; the left fixing ring and the right fixing ring are arc-shaped ring bodies with openings at the tops, and a fixed seat is arranged at the lower part of the left fixing ring and the right fixing ring and is connected with the fixed part; the supporting part of the head placing part is a net-shaped supporting part.
2. The novel transcranial magnetic stimulation positioning device according to claim 1, wherein a mesh-shaped supporting portion is arranged between the two side supporting portions and the limiting plates arranged on the upper portion and the lower portion.
3. The novel transcranial magnetic stimulation positioning device according to claim 1, wherein the support portion of the head placement portion is composed of an upper forehead support pad and a lower mandibular support pad.
4. The novel transcranial magnetic stimulation positioning device according to claim 1, wherein the marking points are cylinders, and latitude line perforations and longitude line perforations are arranged on the cylinders.
5. The novel transcranial magnetic stimulation positioning device of claim 1, wherein the longitudinal and latitudinal lines are made of an elastic material.
6. The novel transcranial magnetic stimulation positioning device of claim 1, wherein the plurality of longitudinal lines comprises a central longitudinal line connecting from a nasal root point to an extraoccipital protuberance along a nasal bridge centerline, the plurality of longitudinal lines comprises a central latitudinal line connecting three points anterior to the left side ear, a brain vertex, and anterior to the right side ear, the plurality of longitudinal lines are evenly spaced, and the plurality of latitudinal lines are evenly spaced.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710362735.2A CN107007936B (en) | 2017-05-22 | 2017-05-22 | Novel transcranial magnetic stimulation positioning device |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710362735.2A CN107007936B (en) | 2017-05-22 | 2017-05-22 | Novel transcranial magnetic stimulation positioning device |
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| CN107007936A CN107007936A (en) | 2017-08-04 |
| CN107007936B true CN107007936B (en) | 2023-10-24 |
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| CN201710362735.2A Active CN107007936B (en) | 2017-05-22 | 2017-05-22 | Novel transcranial magnetic stimulation positioning device |
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| CN107812313B (en) * | 2017-11-23 | 2021-12-31 | 安徽安壹心理咨询有限公司 | Transcranial magnetic stimulation target positioning method |
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| CN202961525U (en) * | 2012-08-08 | 2013-06-05 | 深圳先进技术研究院 | Transcranial magnetic stimulation positioning cap |
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| CN205850001U (en) * | 2016-06-03 | 2017-01-04 | 孙伟铭 | Electrical transcranial stimulation positioning cap |
| CN106345062A (en) * | 2016-09-20 | 2017-01-25 | 华东师范大学 | Transcranial magnetic stimulation coil positioning method based on magnetic resonance imaging |
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2017
- 2017-05-22 CN CN201710362735.2A patent/CN107007936B/en active Active
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN202105319U (en) * | 2011-05-13 | 2012-01-11 | 武汉依瑞德医疗设备新技术有限公司 | Positioning cap for transcranial magnetic stimulation |
| CN102814002A (en) * | 2012-08-08 | 2012-12-12 | 深圳先进技术研究院 | Cerebral magnetic stimulation navigation system and cerebral magnetic stimulation coil positioning method |
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