CN109498989A - One kind is for judging the whether effective device of stomach and intestine electro photoluminescence and its application method - Google Patents

One kind is for judging the whether effective device of stomach and intestine electro photoluminescence and its application method Download PDF

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Publication number
CN109498989A
CN109498989A CN201811565078.2A CN201811565078A CN109498989A CN 109498989 A CN109498989 A CN 109498989A CN 201811565078 A CN201811565078 A CN 201811565078A CN 109498989 A CN109498989 A CN 109498989A
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CN
China
Prior art keywords
intestine
stomach
electro photoluminescence
electrode
human body
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Pending
Application number
CN201811565078.2A
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Chinese (zh)
Inventor
陈建峰
麻利义
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MEDKINETIC Inc.
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NINGBO BETH TRANSLATIONAL MEDICINE RESEARCH CENTER Co Ltd
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Priority to CN201811565078.2A priority Critical patent/CN109498989A/en
Publication of CN109498989A publication Critical patent/CN109498989A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36007Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0507Electrodes for the digestive system
    • A61N1/0509Stomach and intestinal electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37217Means for communicating with stimulators characterised by the communication link, e.g. acoustic or tactile
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings

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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)
  • Gastroenterology & Hepatology (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Acoustics & Sound (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The present invention relates to one kind for judging the whether effective device of stomach and intestine electro photoluminescence and its application method, it is related to a kind of medical instrument, solve the problems, such as that not all diabetes and fat complication with diabetes patient adapt to electronic stimulation mode, it includes the intraluminal catheter ontology for being inserted into small intestine by human body nasal cavity to simulate stomach and intestine electro photoluminescence in advance, the intraluminal catheter is provided with stimulating electrode in its close end position for being inserted into small intestine, and electromyographic electrode, for judging that the whether effective device of stomach and intestine electro photoluminescence further includes being set to outside human body and connecting with intraluminal catheter ontology close to its end position for being inserted into small intestine to judge the whether effective external control of stomach and intestine electro photoluminescence and detection terminal to receive intestinal wall electromyography signal caused by electromyographic electrode.The present invention has the effect of prejudging diabetes by the data for simulating stomach and intestine electro photoluminescence in advance to diabetes and fat complication with diabetes patient and fat complication with diabetes patient is appropriate for Gastroenteric Electrical boosting operation.

Description

One kind is for judging the whether effective device of stomach and intestine electro photoluminescence and its application method
Technical field
The present invention relates to the technical fields of medical instrument, more particularly, to one kind for judging whether stomach and intestine electro photoluminescence is effective Device and its application method.
Background technique
Diabetes and obesity are the common public health problems in the whole world, and disease incidence is just in troubling speed It rises.Type-2 diabetes mellitus case accounts for the overwhelming majority of all diabetes, and most of type 2 diabetes patient is by obesity Cause.The drug therapy of two kinds of diseases because side effect or lack long-term efficacy due to prospect it is not good enough.In order to solve fat and diabetes And the problem of depositing, now, western countries and China treated using a kind of invasive surgical operation for being called gastric bypass with Fat diabetic, but the complication rate of gastric bypass operation is very high, in addition, irreversible due to operative treatment Property, the patient invalid to those treatments is brought very big problem by it.
Currently, being the fresh approach for diabetes and obesity, bulletin based on stomach/intestines electricity myoelectrical activity electronic stimulation Number for CN105521561A and a kind of entitled authorization patent of invention of closed circuit small intestine electrical stimulation device of theme describes specific reality Apply mode comprising electrical stimulation device ontology, electrical stimulation device ontology is mainly by control device, stimulator, output electrode, input Electrode, amplifier, wireless module and power supply composition.The invention has the benefit that 1. accelerating Intestinal transit and reducing fat suction It receives: the intestinal absorption time is reduced, faster by more nutrient transports to distal small bowel;2. postponing gastric emptying: increasing postprandial full Swollen sense extends interval time of having meal, to reduce food-intake;3. activating the glutted neuron of maincenter, make the long-acting of small intestine electro photoluminescence Property is protected.
Although the secretion of insulin can be promoted to decline blood glucose by implementing above-mentioned patent, to treatment diabetes and obesity Complication with diabetes patient is highly beneficial, but in actual application, not all diabetes and fat complication with diabetes Patient adapts to electronic stimulation mode, and patient once occurs and be not suitable with electronic stimulation mode, on the one hand due to patient Unconformable reason, which will lead to operation, cannot generate beneficial effect, and on the other hand invalid operation will also result in patient and expend for no reason Mint of money, there is room for improvement.
Summary of the invention
The purpose of the present invention one is to provide a kind of with by simulating in advance to diabetes and fat complication with diabetes patient The data of stomach and intestine electro photoluminescence prejudge diabetes and fat complication with diabetes patient is appropriate for Gastroenteric Electrical boosting operation Effect is used to judge the whether effective device of stomach and intestine electro photoluminescence.
Foregoing invention purpose of the invention has the technical scheme that
One kind is used to judge the whether effective device of stomach and intestine electro photoluminescence, including is inserted into small intestine by human body nasal cavity to simulate stomach in advance The intraluminal catheter ontology of intestines electro photoluminescence, the intraluminal catheter ontology are several in being provided with close to its end position for being inserted into small intestine For generate pulse signal and by intrinsic frequency electric pulse stimulation intestinal muscle to change intestines peristalsis frequency stimulating electrode, And the electromyographic electrode of several intestinal wall myoelectricities generated for obtaining intestines peristalsis;
For judging that the whether effective device of stomach and intestine electro photoluminescence further includes being set to outside human body and with intraluminal catheter ontology close to it The end position connection of small intestine is inserted into receive intestinal wall electromyography signal caused by electromyographic electrode to judge stomach and intestine electro photoluminescence Whether effectively external control and detection terminal.
It, can be with by the setting of intraluminal catheter ontology, stimulating electrode and electromyographic electrode by using above-mentioned technical proposal Realize the simulation of stomach and intestine electro photoluminescence, and the setting for controlling and detecting terminal in vitro can be based on the intestinal wall flesh that electromyographic electrode is fed back Electric signal judges the corresponding human body if appropriate for carrying out stomach and intestine electro photoluminescence.
The present invention is further arranged to: the intraluminal catheter ontology is also set up in the end setting for being inserted into small intestine close to it Have for obtaining intestines peristalsis in the process to reflect enteron aisle cavity pressure situation of change and feed back to external control and detection terminal Pressure sensor.
By using above-mentioned technical proposal, external control can be convenient by the setting of pressure sensor and detection terminal obtains The case where taking stomach and intestine electro photoluminescence simulation test lower intestinal tract cavity pressure, to judge corresponding human body if appropriate for progress stomach indirectly Intestines electro photoluminescence operation.
The present invention is further arranged to: the quantitative range of the pressure sensor is [Isosorbide-5-Nitrae 0], and independent pressure sensor Length range be [1,25] mm.
By using above-mentioned technical proposal, [Isosorbide-5-Nitrae 0] and pressure sensing are set by the quantitative range of pressure sensor The setting of device length range [1,25] mm can increase it to acquisition intestines peristalsis mistake as far as possible in the case where guaranteeing cost The detection of enteron aisle cavity pressure in journey.
The present invention is further arranged to: the communication modes between the external control and detection terminal and the electrode module Including wire communication mode and wireless communication mode.
By using above-mentioned technical proposal, due to having controlled and having detected the communication modes between terminal and electrode module in vitro both There is wire communication mode to have wireless communication mode again, improve external control and detection terminal and stimulating electrode, electromyographic electrode it Between the diversity that communicates.
The purpose of the present invention two is to provide a kind of for judging the application method of the whether effective device of stomach and intestine electro photoluminescence.
It is a kind of for judging the application method of the whether effective device of stomach and intestine electro photoluminescence, it is characterised in that:
Step 1: intraluminal catheter ontology is inserted into human small intestine by human body nasal cavity;
Step 2: individually opening electromyographic electrode and pressure sensor by controlling and detecting terminal in vitro first, acquisition is not being opened The human body basis signal in the case of stimulator electrode pulse signal is opened, human body reference signal includes external control and detects eventually Open myoelectricity and force samples signal in end;
Step 3: restarting electromyographic electrode, pressure sensor, stimulating electrode by controlling and detecting terminal in vitro, obtain in stimulation electricity Myoelectricity and force samples signal under polar stimulation, and and the human body basis signal in the case of stimulator electrode pulse signal is not opened Comparative analysis, while the blood sugar concentration of human body instantly and human blood glucose concentration under normal circumstances are detected by blood sugar monitor It is compared, to sum up whether effective to diabetes and fat complication with diabetes patient analysis prejudges Gastroenteric Electrical boosting operation.
By using above-mentioned technical proposal, realize that intraluminal catheter ontology is inserted into human body is small by the setting of step S1 Intestines are the necessary conditions of experiment, and the setting of step S2 can be obtained effectively and not open stimulator electrode pulse signal situation Under human body basis signal, and step S3 setting can by by step S2 human body reference signal and stimulating electrode stimulate In the case of somatic data compare, to judge the operation whether effectively to the diabetes of user before Gastroenteric Electrical boosting operation And fat progress effectively medical treatment.
In conclusion advantageous effects of the invention are as follows: by the setting for controlling and detecting terminal, electrode module in vitro Gastroenteric Electrical stimulation test can be simulated, and be based on being obtained effectively according to control peristalsis frequency of the intraluminal catheter ontology based on small intestine The Gastroenteric Electrical stimulation test data taken judge corresponding user if appropriate for progress Gastroenteric Electrical stimulation test.
Detailed description of the invention
Fig. 1 is the present invention for judging the system schematic of the whether effective device of stomach and intestine electro photoluminescence.
Fig. 2 is the enlarged diagram in the portion A in Fig. 1.
Fig. 3 is the schematic diagram of external control and detection terminal.
Fig. 4 is the step schematic diagram of application method of the present invention for judging the whether effective device of stomach and intestine electro photoluminescence.
In figure, 1, intraluminal catheter ontology;2, electrode module;3, control in vitro and detection terminal;4, stimulating electrode;5, myoelectricity Electrode;6, pressure sensor.
Specific embodiment
Below in conjunction with attached drawing, invention is further described in detail.
As shown in Figure 1, 2, a kind of for judging that the whether effective device of stomach and intestine electro photoluminescence includes being inserted by human body nasal cavity Small intestine to simulate the intraluminal catheter ontology 1 of stomach and intestine electro photoluminescence in advance, and intraluminal catheter is in close to its end position for being inserted into small intestine It is provided with electrode module 2, wherein electrode module 2 includes several for generating pulse signal and by intrinsic frequency electric pulse stimulation intestines Road muscle is to change the stimulating electrode 4 and several intestinal wall fleshes generated for obtaining intestines peristalsis of intestines peristalsis frequency The number range of the electromyographic electrode 5 of electricity, stimulating electrode 4 and electromyographic electrode 5 is that [1,5] is a.
For judging that the whether effective device of stomach and intestine electro photoluminescence further includes being set to outside human body and leaning on intraluminal catheter ontology 1 Its nearly end position connection for being inserted into small intestine is to receive intestinal wall electromyography signal caused by electromyographic electrode 5 to judge Gastroenteric Electrical The whether effective external control of stimulation and detection terminal 3, external control and detection terminal 3 (referring specifically to Fig. 3) are by being set to The pulse of its internal impulse generator output is controlled, and pulse width is less than 2ms, the pulse of impulse generator output herein The mode of the preferred dipulse of mode, i.e., by way of short pulse and long pulse combination, dipulse IES can make intestines thyroid gland function The not normal normalization of energy, and the symptom of nausea and vomiting caused by infusion pitressin can be improved, therefore the dipulse side IES proposed Method is than being used only short pulse or long pulse but not using traditional electrical stimulation method of short pulse or long pulse more attractive simultaneously.
Further, more accurately to reflect the human body situation under stomach and intestine electro photoluminescence, intraluminal catheter is in close to its insertion It is additionally provided with to the setting of the end of small intestine for obtaining during intestines peristalsis to reflect enteron aisle cavity pressure situation of change and anti- It is fed to the pressure sensor 6 of external control and detection terminal 3, the quantitative range of pressure sensor 6 is a for [Isosorbide-5-Nitrae 0], and individually pressure The length of force snesor 6 is [1,25] mm.
Communication modes between above-mentioned controlling terminal and electrode module 2 include wire communication and wireless communication mode, nothing Line communication includes the communication modes such as WIFI, infrared ray, electromagnetic wave, but is not limited to upper type.
The above are for judging the detailed description of the whether effective device of stomach and intestine electro photoluminescence, the following are be used to judge to one kind The detailed description of the application method of the whether effective device of stomach and intestine electro photoluminescence.
As shown in figure 4, it is a kind of for judging the application method of the whether effective device of stomach and intestine electro photoluminescence the following steps are included: Step S1: intraluminal catheter ontology 1 is inserted into human small intestine by human body nasal cavity;Step S2: first by controlling and detecting in vitro Terminal 3 individually opens electromyographic electrode 5 and pressure sensor 6, obtains when not opening stimulator electrode pulse signal Human body basis signal, human body reference signal include that external control and detection terminal 3 open myoelectricity and force samples signal;Step Rapid S3: electromyographic electrode 5, pressure sensor 6, stimulating electrode 4 are restarted by controlling and detecting terminal 3 in vitro, is obtained in stimulation electricity The stimulation of pole 4 lower myoelectricity and force samples signal, and believe with the human body basis do not opened in the case of stimulator electrode pulse signal Number comparative analysis, while the blood sugar concentration of human body and blood sugar for human body under normal circumstances are dense instantly by blood sugar monitor detection Degree is compared, and to sum up analysis prejudges whether Gastroenteric Electrical boosting operation has diabetes and fat complication with diabetes patient Effect.
The implementation principle of the present embodiment are as follows: before user needs to carry out Gastroenteric Electrical boosting operation, first by controlling in vitro Electromyographic electrode 5 is activated individually in system and detection device and pressure sensor 6 obtains human body people under the case where non-stimulated electrode 4 acts on The myoelectricity and force samples signal on body basis, later by issuing 4 pulse signal starting stimulating electrode 4 of stimulating electrode, to obtain The myoelectricity and force samples signal of the human body under the effect of stimulating electrode 4 are taken, external control and detection device pass through in stimulating electrode 4 It acts on the lower myoelectricity of human body and the myoelectricity and force samples signal on force samples signal and human body basis judges corresponding people in advance Whether body is by effective to its fat and diabetes treatment after Gastroenteric Electrical boosting operation, it should be noted that above embodiment has There is regular hour boundary, generally at 3 to 5 days.
The embodiment of present embodiment is presently preferred embodiments of the present invention, not limits protection of the invention according to this Range, therefore: the equivalence changes that all structures under this invention, shape, principle are done, should all be covered by protection scope of the present invention it It is interior.

Claims (5)

1. one kind is for judging the whether effective device of stomach and intestine electro photoluminescence, which is characterized in that small including being inserted by human body nasal cavity Intestines to simulate the intraluminal catheter ontology (1) of stomach and intestine electro photoluminescence in advance, and the intraluminal catheter ontology (1) is in being inserted into small intestine close to it End position be provided with electrode module (2), wherein electrode module (2) includes several for generating pulse signal and by intrinsic frequency Rate electric pulse stimulation intestinal muscle is to change the stimulating electrode (4) of intestines peristalsis frequency and several for obtain enteron aisle compacted Dynamic and the intestinal wall myoelectricity of generation electromyographic electrode (5);
For judge the whether effective device of stomach and intestine electro photoluminescence further include be set to outside human body and with intraluminal catheter ontology (1) it is close Its end position connection for being inserted into small intestine is to receive intestinal wall electromyography signal caused by electromyographic electrode (5) to judge Gastroenteric Electrical The whether effective external control of stimulation and detection terminal (3).
2. according to claim 1 for judging the whether effective device of stomach and intestine electro photoluminescence, which is characterized in that described intracavitary Catheter body (1) is additionally provided in the end setting for being inserted into small intestine close to it for obtaining intestines peristalsis in the process to reflect intestines Road cavity pressure situation of change and the pressure sensor (6) for feeding back to external control and detection terminal (3).
3. according to claim 2 for judging the whether effective device of stomach and intestine electro photoluminescence, which is characterized in that the pressure The quantitative range of sensor (6) is that [Isosorbide-5-Nitrae 0] is a, and individually the length range of pressure sensor (6) is [1,25] mm.
4. according to claim 1 for judging the whether effective device of stomach and intestine electro photoluminescence, which is characterized in that described external Communication modes between control and detection terminal (3) and the electrode module (2) include wire communication mode and wireless telecommunications Mode.
5. a kind of for judging the application method of the whether effective device of stomach and intestine electro photoluminescence, it is characterised in that:
Step S1: intraluminal catheter ontology (1) is inserted into human small intestine by human body nasal cavity;
Step S2: individually opening electromyographic electrode (5) and pressure sensor (6) by controlling and detecting terminal (3) in vitro first, The human body basis signal when not opening stimulator electrode pulse signal is obtained, human body reference signal includes external control Myoelectricity and force samples signal are opened in system and detection terminal (3);
Step S3: electromyographic electrode (5), pressure sensor (6), stimulating electrode are restarted by controlling and detecting terminal (3) in vitro (4), the myoelectricity and force samples signal stimulated in stimulating electrode (4) is obtained, and and does not open stimulator electrode pulse signal feelings Human body basis signal comparative analysis under condition, while the blood sugar concentration of human body and positive reason instantly are detected by blood sugar monitor Human blood glucose concentration under condition is compared, and to sum up whether analysis prejudges Gastroenteric Electrical boosting operation to diabetes and fat conjunction And diabetic is effective.
CN201811565078.2A 2018-12-20 2018-12-20 One kind is for judging the whether effective device of stomach and intestine electro photoluminescence and its application method Pending CN109498989A (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101060884A (en) * 2004-09-23 2007-10-24 内测公司 Responsive gastric stimulator
CN102500057A (en) * 2011-09-28 2012-06-20 上海交通大学 Multifunctional implanted gastrointestinal electrical stimulation system
CN102770151A (en) * 2009-08-03 2012-11-07 因卡伯实验室有限责任公司 Swallowable capsule and method for stimulating incretin production within the intestinal tract
US20140243814A1 (en) * 2012-03-01 2014-08-28 Mark D. Noar Catheter structure and method for locating tissue in a body organ and simultaneously delivering therapy and evaluating the therapy delivered
CN105521561A (en) * 2015-12-30 2016-04-27 宁波贝思转化医学研究中心有限公司 Closed-circuit small intestine electrical stimulation device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101060884A (en) * 2004-09-23 2007-10-24 内测公司 Responsive gastric stimulator
CN102770151A (en) * 2009-08-03 2012-11-07 因卡伯实验室有限责任公司 Swallowable capsule and method for stimulating incretin production within the intestinal tract
CN102500057A (en) * 2011-09-28 2012-06-20 上海交通大学 Multifunctional implanted gastrointestinal electrical stimulation system
US20140243814A1 (en) * 2012-03-01 2014-08-28 Mark D. Noar Catheter structure and method for locating tissue in a body organ and simultaneously delivering therapy and evaluating the therapy delivered
CN105521561A (en) * 2015-12-30 2016-04-27 宁波贝思转化医学研究中心有限公司 Closed-circuit small intestine electrical stimulation device

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Effective date of registration: 20210917

Address after: 315000 No. 167-8, Lushan West Road, bonded South District, Ningbo City, Zhejiang Province

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Address before: 315800-23, building 1, No. 491, Mingzhou West Road, Beilun District, Ningbo City, Zhejiang Province

Applicant before: NINGBO BETH TRANSLATIONAL MEDICINE RESEARCH CENTER Co.,Ltd.

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Application publication date: 20190322