GB2521609A - Device support apparatus - Google Patents

Abstract

A system for transcranial magnetic stimulation (TMS) comprises a TMS coil 112 with at least one cable 118 extending therefrom, a first arm 110 with a device attachment portion (configured to accept the device) at one end and a cable management portion 116 configured to receive the cable, a second arm 120 supporting the first arm by a coupling 114, and a base 130 defining a curve and having the second arm mounted thereon, wherein the second arm is movable along the curve, the base configured to be mounted on a portion of a chair or bed 160; for example, the base may comprise a rail in the shape of an arc, where the second arm is moveable along the length of the arc. Each of the arms may further be provided with a counterweight arrangement; for example the cable attachment portion can provide a counterweight to the TMS coil device when it is attached to the first arm.

Description

DI:K'F St lI'P.R I.-WP:\.RA ills HNLD ( )F INVI'NHON 100011 The present i nvcntlon relates to J1('S) uomriL' lix lihi and i ITh1VI nu with respeel to persons seated in a chair.

HACKGR(R NI) 1)1 IN \FN I ION 190921 Perlorming -r.iiun operations iiIi instrument, reL]1111L'., that ihe ntslrumenl.s are ctectllnttiV poslitoned wnth rcspeu to whate\ cc the operations are hemg JO on. I rrnseraniaI ma2neuc stimulation. TMS. br example. is used In silinuhule a sinai I rica inside a Ci son's brain which equn e' that the magnetic end used be t'i..si toned acctiratel. lc)r hLYrter or longer perwd ui time. at ng the outside ot the pet'sc'i iS head.

S in Hark'. !br exun ph.. radiation therapy greatly bene bits from aiming radial ion pane ru s acciiiutcl a1 malignant celis In a oid dainagintz ne;ilth tISSUe.

3 [09031 Lsing UvIS is an example. a patient may be instruetc-d to mairlini n his head innmbde hIe:t slimulaling. coil is moved aIonz the outer surthcc of lii': head. if the coil is held accurate and reii:.ibls at the correct location, the sli mulatinu ettect can be a rued at a desired li iCUtLI.}fl inidc the bntin. On Ike other hand ii the COII is inaccurttteiv placed or accidentally moves. results oH MN arc expected to be ad-e sek:itiec'icd.

[0004] TMS LIlly be Used. 10!' exitinple. to Ineate it perst'ns motor iFireshold po'dtion. o theilitate retiabiiiwtron tullinAing a stroke or to treat depression. rtadiaiicm tflcl'upv tuas be used to kill mat Ignalit Cells. t sing a nianual placenient iec-hniqie. a treaunent po:-ition on ihe paie,n's bean or -i pn-iunn used In bud a treamient pos'ton. stick a the p lefts motor threshold posttion. NI I P. may be determined in moving a I'\TS coil Fit. ur a precli ted area uelcrmined b patient anatc'rnical J:ndmarks until the desired motor responsc I" aehie ed.

ID0UJ -.S21 109227S3() describes an apparatus for positiomna a medical instrument.

ueh aa TN-iS coil. \ ith respect Ri a Patent.

SIJMMARY OF TUE pc\rE\'I)Ni 100061 \ccording to a flrst aspect of the present inventu'n, th,e s pfovided an apparattls.eornf'ri'nnu a Inst arm cunhgured to accept a device. the first arm eonlprNuw a lint c ounten eighi arranQement, a s cond arm suppcrun' the first nn bvaccntpline. and a bm<e deiinin,1 a curve and having the scnnd arm mounted thereon, "herein the second arm is mo\ able aionu tht curve, the base contiQurcd to be mounkd on a e hair.

I 0007j In some cmbodimems. the lIt st euuntei ejht <u rm&ement eornpnscs that (I cablinti of the t1C'ICC iS itiached tO the ftst arm.

100081 In Some embodiment';, the liNt eounter'*%eiant arrane.emenl comprise>. A dkIav screen attached tn the tirst arm.

[0009J According to sceund aspect @1 the pftsent inverilion. there is provided a system compnsin2 an apparatus aceord:n to the hi St aspect attached to a chair. whet cm thc' system is a U ansranial magnetic stunulitnon SVSkI'fl.

I3RIEI WSCFtlP'!'1ON 01' T'J IF DRAWINGS 100101 I I (H Ri -ii u1rales.an exampk' apparatus in aecoidance -ith at least ".omc' embod jments of the invention 100111 FlOUR I 2 illuss,rates the example apparatus ol Fl(}URf' I burn a d i1i'exent perspednvc.aiid J0012j FIGURE 3 II tuti ales another example apparatus in accordariec with at least SOiTIC cmrioc.hments ut the unenuon, :5 Dl' I All LI) DFSCRIIfl ION OF FXEMPLAft LMKODIMb.N I'S [001 3J FIGURE i illustrates an example apParatus in accordance with at least some enibodiments "I the tnv..ntion. 1 he example of FIGI RE I may relate to a F vi system uftaMe br investigating anaianiicul kawres 01 a persons brain Using elecftoinagnetie fields. or treatinL' the brain. fi-ir example. illustrated is ehwr 160. hich may comprise a rec I mmna treatmeat chah uitaNe for i NI S or radu1tu i therapy. ft'r example On cham I I fifl is dtsposed hecidresL 1 7(i* w hich may be contoured to assist a pers-n-i sIfline in chair 1 hO to m-:Lintatn his head 1mm: -i'ile Jo such ci lect. heudrct 1 70 mac he at least in pan compnsed of a mmcm ml that aeceptz and retains a shape the hack ol a pc rSOn s head. si the head can ithte easily be maj utwned sulUojian v alt it spec t to the chair.

100141 An opcrator may-place a VMS coil tbr example. next to a persons head by lund and search Ibi specific ateas @1 the brain by 1nonitoun fur reactions rcponsi ye to it) mnaneIic stimuli. Holding a cal! by hand liii an. pericK.J of time will tire the operators hand even ni ease the coil is I ahtwewin. When Inca the operator becomes less capable i-it p1 Ceisel) holdtiig I11L' ectil ill place (mCI iL resulis ol IMS are a ftecte' I. Also in case a break is needed during a VMS essic in, ccintint:ing may he Wificul I in c-use inc exact Place where the se'.sltm was interrupted is not immediatet findable.

(01)1 5j Acetiracs reqin renlenL'. in I MS r tad imtlt in therapy ma an-depending on tile app] RUOfl IMS mus require an accurnes of Ui least 2 millimeters or 2 degiecs. tom exanipic. -\naccucacs-meijuiremeni or at least 2 millimeters may mean that a measurement needs to be capable of determining a position it dc' ice 1 2 with a me;:lsurement ci rc in of at most 2 millimeters Altcrnati clv. an accuracy requrcment of 2 ni mlhmcters niav nlean that :0 a location in htan need' to be determined such diat an error iii the location in the brain is a' most iniliiinc'ters Aceurac reqwemncnts of radiation therap) may he suki-imiallv similar to that of t\-IS-. as even larger:Lnmturs have celtics that ma'-be in direct contact \t tb hcaltirc tissue.

[00 16j I)e-v ice 112 mas be operable to em it pa-dculate or eleetroniaunetmc beams U) the head of a person sitting in c-hair I 60. I)eiee I I 2 mac conipri a -l MS coil s' hcrctn the ccii niav be enabled to genem cUe an e!ectromaatlctic tield at a distance-fi'orn the coi inside the he-ad. A I Ni S Cam! ma' he a cod c indin-e device including easin and contained in WI' casng c i] \t udings oLin clecu icail -conductive material. A T\IS sstem may comprise a eonipmei ized elcctronicchanieul i nstrLmnlcrfl that ore.duces and delivers bnel' duration rapidI alternating, or pulsed. maunetjc tic-Ids to induce-eleettical duiTent' directed at localized regions of the cortex. Device I 1 2 ma' he pow ered by electrical cabling Ii N. which may he connected Lu etectrical power and control devices. A TMS coil be constructed to generate a magnetic ut. Id ot' knots n shape 1001 7J (aH in 11 8 nir cOIr.tI3TiSe one or more leads connecting device I 2 it) (flC or more units. Cab] ing 118 ma> nroviite to de ICC I I 2 c lectrienl cnergs and optionally.

conirnl siirials. tbr cxample sIgnals to begin emitling electromagnetic radiation, or to cea»=e emitting eleetromatznctic radiation. ( al'iiiig 1 I 8 may ploy ide information at iIe Iunciioiiing ol de. ice I 1 2. for eNwnple cabling 1 I 8 mas provini. information on operational parameLcr ot device 1 12. ( :abiii. 1! 8 ma' provide information on crror CL nUt iliUb dcviee I I 2 ma find itself' in.

I a 100181 Des icc' Ii 2 is in the I Ihistrated example m&iiiniccl at a first end of lir'a arm I 1 0 on a device attac' uncut portion. f r eamplc. An operator of' devie 11 2 ma> niove device I 1 2 aloni.z tIme stiriücc ot the pet on head. lirst W Hi 110 fl1UV [C supported Oti second ann 1 21) by coUpli wi I 14% C'c'upii nz 1 14 niav Ft. configured lo allow 11 rst arm 11(3 to move iii a sliding manner through coup] tue. I I 4 and*t u' Louplifig 114 mas he confignrcd I' ii ulIos hsi arm I 10 10 nflaic about section ot first ann i 10 attached to coupling 1(4. hI ecucral toe coupling inuv ne ananeed to provide lot one or moi:e than one degree of Ileedoin @1 nios emerit I& the first ann vith respect to the second arm I.}evice 1 I.? ma be attached to U ic Ii Nt end u I' first arm 1 1(1 and or Ftc des ice auachnent mntitln ia a hal] joint. Rir example. lo pros ide [or degrees cii freeclouri tbr nlaueinerift2 device 1 I 2 ak'nL tIm sw iüce of the head, the ball jniHt ma' be!ockabk individual l. [he ball joint ma bc dccl ricalls lockable by a mec h»=iiuisni s Iicrc in u o nizie aeluator is conlitzured to hck all joints ol the apparatus. In omc em bodimems eoupi ing I I 4 comprises a ball juini. hince or bean n 2 fOOl I Attached to first arm 110 may he a connecting unit I I (3. Connecting unit 116 mas be ammged to provmd icr a conneetton ol cabling I 8,o that the wcu:ht ol' cabling 118 hams a first counterssciuht. to the seiiht ofdcsiec 112 suh tespect In ecaiplui 114.

Conneetinu t'nft 11(3 nix he rekrrcd to. a cable attachment portion. 1 his makes mo ing de ice 112 eaier and lighter. hich provide ii'r improved aecurae in i udiatiun treatment or MS. An operator' hand become-lc' tired;s lien hold ne arid inns Inc. dcv ice i (2 due 3tj to the counterweiabt. Additionally, should the open;ttor let go of device 112, counterweigRung ma% keep device 112 tationar. In other voids, des ice 112 may he leli in its pnu ion simply liv letting go cn it s hich inrtv decrease posit inning errors 5%/hut ss nuld it het w i e occur due to ins ois*ement a I human i nt.eracuon. Coup! i n I 4 ma> be jHStCJ RI provide for a suitable still ness to kcep first arm 11 0 stationary in cast: an operator kL\ 0 ulcievIce 112 or first ann 11(1.

100201 C unreeling unit 1 I 6 mas c sIidtihl movable along first arm 110 Li enable LC1j usi went c' I' the first eoiuitcr' eight arrangement Additionally or alteni;itis ely.

connect uit»= unit I I 6 may enable on operain-Lu idiust the countcnverg1tine h lixiug the cabling 11 8 at di l'ftrcnt p&nts movng more or less ot' inc cabling to one or the othem rdc @1 eonneetintz till 1 11 6. Adjusting the counter\sei cht ma' be w.ettml in case devices I I 2 of ditlering weights are used. for eamplc it' coils of ditThtent weights are used. 1\diuring the I U COtifl1Cf\C! ulit ma' also he useful in case operators with different p krences usc the apparatus. tnrinccting unit 1 1 b iUUV he J i'posed at an end w' the first arm that is opposite to tue end 01 the iirst arm ts here the dc Ic': attachment Oit on aitd.'or tle ice is disposed.

100211 Alternatively to cahl I nz I I K first Ii 0 hi' f:irlli.h d w th ii di iICrCIIt eountcneJghL such as br example a weiexht attached to first arm Ii 0 to counter the weight 1 5 ut dcviic' I 1 2 In some enibodijiients. fir;t non ma' he t'urnisi-ied ith a display screen, or a combin:.itic'ii of displas Screen and at least. t of cabling 11 8 acting as a Coutitet eight to device 112. the display screen tray bc. con IultJreU to displat operational paranietci de ics. 112 tü ail pirLitur. Iii eiiibodiiicitis %\ UL'Ct C:&bliiiU 1 8 is:ti least in part connected to such a disp]u screen, the chs lay screen may obtaun inflinnation concerning the operating pai anielers directly k'm the cabli rig. 1 hits counter\ ci rhtmu nia be pro'iclccl by the dsplav screen and;fllaetted cabling.and an crier ator is c.nahled to obsers e operabonal paramelers ut device 112 front the screen acting us counietweighi.

ft)22 I \iut'nlcd on chair 1 60. or aIternati ek u'n headrest I 7u, is base 1 30. Base 130 defines:1 CUFVL'. which 11111% comprIse that base I 30 turnpikes a curved support ot raIl 2S immntedur ii mountable on chair 160 or hcadrcst I 70. C hair 160 nm comprise a hack portion arid a seat pom tR.'n. and herein a base ma" he atiached to a pot lion or the chair. tar L.\aunple lo the hack portion itt' length uii the curse nIUV riroceed in a plane, in sonic ntbodinient.s the plane may he naral Ic In the plane delined by hum-level, that i_s horizontal. When the length of' the curve prciceecls i it a single plane. the Lii rye spans that is de tincs, that niune. Second arm I 2(1 is in the example of 1 Kilt RE mounted on base 1 30 in a m,,vank\kav. tk r example so that the attachment point ul' second ann 1 20 to base I 30 Wa' be moved along Inc length ot the curve, \lovi ug the attachment point along the length (1 at the cun1e mas enable positioning of dc ice I 1 2 to diffei cut sides of the he&u Moving the attaciinknt point of' second arm I to base I..w along the length of' Inc cur* e may compnsc mo ing the point along a rail that It.u ins the cane of base 130. A rail in the thi in a curve criav be rehrrcd l.a as a rail a the shape of an arc. I he entk of the ai c may be attached d or near opposite eornen ed a top hack iru'm of the chair. 1 he second arm may FCflILIHI III lilt' S1111C ptjiflt 01 UIC cur%e in case operator lets go ola. Ilic base ma\ be adjustabi; uwtchcd to a poriitm of Ilk' CI1ZIII' suCh that IFIt DaSC CUII be LtiUSWd to a suhstantitj ly nori?ontal onentution mdependentlv ol the oricntaOon of the portion a!' the chair U wInch ii is. attached. Ill some enibodinlents. eounterwei?hting ma; he ar least U) I 0 part comprised of an actuator conligurcd to move, or cause to nia; the s,'cotid arm alor,i he curve' and an actuator conligured Ic. hick at least the coupling 100231 he mos efleflt of ilk' LtttUL'iIIiLl)t point o SCCOIIU ann 1 to base 1 30 may be rnuton?ed tar example where h -1 I 3 Ci comnpri ses a horiiontal cur ed nit i. a SUP aM C clettrie m tor max be cmploed to inoc seer mad ann i::o along the lcni.h ol' the curve of the rail, in some emhodtmcnis also coupling 1 14 may be operable h>a suitable motor. In Si >me emKdnnems the first arm tiirther cc'inpi i ses a deve,. uttachmein portion contigured to hold deviec I I 2. I he tkslL'e auachmcnt portion may be coiuieeted to tile 1!rsl arm by a first oint or first joints t\ hich allow moenk'ril oi the device attachment portion in one.

two or three decrees of freedom with repcct m the first ann. INs may allow, for example.

rotating device 1] 2. ftc first.tnt or iamb max be driven by,oitabkmoior. Rn e':anipie cieC:tnc motors. to pros ide for autumated and high lv rellanle [050 tOni!ig at device 112.

the fir,t joint or liNt jninh mu' he seiectivet' ]c'ekbk' and/c'r their mobi tit rn:iv he atijuslahic with respect to at least one ucgree 01 mO' ement hetwen the First arm and the device atiachmcm portion.

[00241 Mounting base i.30 on chair I 60 IUL'ilu.ates obtaining improved results From in radiation therapy, as inadt eritni mo emerit ot choir I 60 v ill not result in ifloyeineni t ii device I I 2 relati c' to the head. [his is am contr:st to ci dution; where the chair and Pc device are supported in a tloor independently ot each oilier. In these solutions. if ethcr the i_hair or the dc ice is math erteulk moved. the device \flfl move relative to Ilie head. Mountin base 130 on chair ftr) also provides lilt' aaxantagc that the first wd second arms mImas he built shorter, which iihereni.l; increases the act. irae pointinc as longer parts are more dilficuk to position accurately. I3asc 130 may be mounted on a buck poition of the chair. or example. AIti_niiutivei. ii basc $0 is mounted hc. adrest portion al the chair, the ICC ma\*-remain essential Iv immobile ith respect to a head resting on the headrest in cast. the headrest is adjusted..A CaInera ma) be rnotmted on a bac.k portion or headrest porti.m ol' the chair. Such a crilnera ma' be used to positon device I I 2 in a cot cet place sitIi respect it' the head. fin exam pk hs employing flliUhJIiC-eadabie V1S1J31 cUes attached to the head and device i 2. Mounie U on the chair.

the cinilcia does not nio c relative in the head in i. use the chair nitives. \louiited on the headrest. the cci mera does 1k'!. those vith respect to the head in cac' the neadrest is ad usted. in general. instead tf a t.amera. art imaging andor tracking device may be used.

[0025j Sceund arm 120 ma'. be mounted on rise I $() in a rotatable \A av. io that in 0 add1ton to being able to he 1101⁄2 ed along I ic length t 1 11)0 CUI SC.. the angle between second arm I it) and a plane spanned h du-'shapi. of the CILrVL' mat' be moth lied. this may be achieved ft providing a omt or h nge in a niet.huusni attaching ceond arm I 20 i bose I 30. Such jotutmun ma provkhe for a tilt ol We apparaws tomprising the iirst arm. second arm and device 120 toward and ma\ from the head. I o stab I e.e Ui is rolaflon, a ce' md I 5 counterweight may he provided, which is il ItisIrLUed in j; ii: R j: las cotinterwL ight 140.

[6026j (ourlterwei6ht 140 is suspended be1o'', base 31j and connected ti second am in 120 h meaim of rigid third arm I DO. 1 Turd anti I 50 may he fi.wu to seco id arm 120 near the attachment point of second at rn 12.0 k.i base 130. fur.xarnpIe. C muntet eigiil 140 may provide the bencljt tint also rcuarding the tilt ol second arm 120. whet an opet anT releases lii grip oi' de ce 112. device 11 2 remains in place and doesu I mo\'e, T. ensum c thi.1 happens. this tilt iii second arm I 20 mas' he arrange c ith a suttahie stifihess. 1 he ptisi tii in ot counters' eight 1 40 on third arm 1 5!) may he adj ustab IC (0 provide for uni form counterweightin at different tilt angles.

10027! Although i llu.tm uted usa separate vt. ight. in st'me embodunents cuunterscight 30 is arranied using cahhng I 1 8. In sonic enibodinienis, cabling I I 8 is ued to both provide the eounterv.eighthig at connecting urn I I 6 and eounterv eight I 40.

\\ hen cabling H S is used in counterweight 140. CoUr'Icr'k'cight 140 mas comprise a cnnricctin&' unit thnn igh is bich cue'1 lug 11 8 ntn traverse, and Ilk. e('flh)cctuui Unit may alloss an operator Ri adjust the counterweighting b,s fixing th cabling I I 8 at d lierenl point. moving more or It. ss ot ilk' cabling to One or the ( thei' side ut the conneet hg UVtit.

[0028J As a result of the first countet ceqtht provided at connecting unit I I b and second cowiten c. ight I 40. device I 4t) mas he stahl] lied in the sense that it is light to move

S

in at lea.t IWO degrees of ireedoin and additional] vil rt.nlain in plaeL ii case an operator releases his grip of detice 12. I Oekiiig movable couplings, hinges or joint. requires less Force hen the apparuus h countenveihted t\ tb respect to 1 he coup] ilIg. !i1U.C. or (°tflt in qucstion. Operatinu device 112 rrta' become pos:i He s ith One: band when det ice Ii 2 is cOUmcfl\'eit1.h ted.

JtIil29 I sng.tt LeXt One eountcr' Cig FIt tnd or lC}CkafllC C(3LIpLITIgs. bearings hinges and mini; thei]itate ohtainitu improcd results from TMS or indianon therap. as mud' C, tent movement of device 11 2 may be reduced or as oided In nddrtion 10 improved resul t. sessions cii XIS 01 rud;auou therapt n'.av be shorter in duration where posilioning J C) is improved En' pn Is*d] ng a stabici des cc Ii 2. Tn addition or alternati velv io being lockable, am Louph ngs. hearings. hin.'es and joints may be capable of pi os idmg adji.cstah]e or iiartl\ resinued flic)VeiiTeIli. Adit!stable or pariv resti eted I1liWCI1ICIU iflctV ccnImrLsc. Fbr examole. that intn talent rtquires more torce.

100301 Movable parts uI the apPWIUUS of FJGtR[ I rnzn be tockahie from a simile I'$ actuator. In this.ase. an operator rna\ iI nfle hand to place device 112 to:t desired po4iticw arid activate tiie Itieki fl1. aotuatw with Ii is other hand to lock de icc 11 2 into place.

Said nmv:.tblc parts. eomprisiiqi. br example coup] ing I I. attachment oF second ann 1 20 to base 1 30 and tilt (t second ann 120. nay K lockeclvt tb electrical sen us. solenoids.

brdke wires or I uncut ac tuatt'rs, f ir cKalrlpk.

m. }tJR] 2 flftutrales the example apparatus ol [ICil. Flu; I Ironi a different p r..p:en c. I_ike nurnbets dt'ltOte like structures as in P JUt -HF I F-hid support 210, svhjc] wa_s absent 1 vU. HE I. j present in FIGL1RE 2 since it ts visible 1mm the perspective u%ed i I'. ;1:R 2. i kad support 210 provdes for siahili.dng ihe head further on headrest I 71 F. In some embndhnents head uppors 2 HI 1re provded, one on each side oF' ti e head to help iminol'ilize the head. in these cases, at least one of the two head SUppL ris 2 It) max be adj ustable, I lead upporr 2 10 rw comprise a sanitary. sell surface for In gielneal N. stick and corn Fonabiv support ink' a head.

I tGLR J: ill tisuitte' anothc1 exaunpie apparatus in accorelance with at least some ernhodimem. nt' the ins enflon. I ike numbers aenote like strucwres as in I-RI I RF I and 2.-\ di lirence to the embodiment Ilusu ated in I It U Rh 1 is in the structurt. of base 30. nsrLad at' a cursed truci nrc. i it the embodiment of Fl (it RI" 3 base 130 makes. the torin of a base win 130. Base arm I 30 is rotatabis attached in chair I (0 so that the end ut hw;e arm I 3u that s not attached to chair Iou can sweepacurve. thus dcflning the cur' e.

The sc' ept curve nia be in a plane parai let to floor Iccel. lbr example. Second ann 120 is in ihk einbodtmenttiuached to ot near the end of base ami 130 that can sweep iRe cw ye.

thus enaN joe second ann I 2(1 to iros c in a simi tar.va to the second arm 1 20 a toe 3 embodiment II ustrated in FTC U -Ri 1 Also in the cmboWmeni of f:lcJ. lI.3. second arm ] 20 may be enablcd to U] with respect lo a plane spanned by the curse. Also n the ertibodinient ut JiG! RF$. counter iuhts ma' Ix. provided as n FIG1 RN I to the tilt ol second arm 1 20 s*' ith respect to:1 plane wanncd [.y the curse and the movement of' first arm lit with rcstxct to second arm I 2u pros tied by eouplinu 114 [O033,\ithouuhi dc3cnbcd above iii 1.enns of a chair. ii some em bodtmeiits base 130 may he mounted or mounuble on a bed. such as br xampk a hospital bed l3ac 30 nm'.

be cOached to a portion of a tramc ni the bed. (or example. This provids (he Nenefi that pefOfls who arc n too poor a condition o sit in a chair ma'.-he rreait-d with ike des ice.

In gencral there s pros idea an apparc.1u5, conprisin t first am configured 13 to accept a des ice, the lii 4 arm ecnnpTine -i liNt counterweight arranemenL. a sceon arm supporting the fl NI arm b\ a coupling. the second arm optionahi\ SUpf't)i 1mg ci set.ond counarweighi arrangenleilL and a base cietining a curve and having the sccniid arm mourned thereon. whe cm de second urn i', mu'. able along the cut e. the base conhgw'ed to he nouiicd on a eLm.

10035! The des ice ma comprise a I N-iS coil. flit exiuripk. l'hc first COUIitCfl%tiUllt arrincemeitI tn:iv coniprise a conneciin. nun enabled to accept nuachnient of caN toe used to po'cver ncL.c)r control the desicc. (Ur c.UunpiC.

100361 Ihe second irrrjt:rvejgilt arransiement ma' comprise a connecting unit enabled to accept attachment of cabling used to power and.'oi control the des ice. tor example. In fl rst and second courtcrw.et.hi arrangements mv both be enabled to accept uflachinent o I cabling used to power and.'c'r control the device to))rOVIdc counterweighung.

AiTernad ek at least t'ne of the liNt and second counte; weinht arrauczemcnH ma cotliprise -i eight other than 1 he cabling u:-.cd 0 power and: or L'OfltrOI the desieL. At least one oh' the f'i NI and second counterweight arrangcmenls ma' comprise both cabling and a {) separate ss eight.

I71 The bqse I fla he at lea',t in part iormed in the shape of' the curve.

Alternauvely, the base iua\ comprise a bast: arm. the base arm defining the curve by hetng u one end rotatabis fixed to the chair and tile curve teinu tonned hs movement ot the Other cuLl. Where the base is lknmcd in the shape ot a curse. it ma' COflij)tiSC a rail. Such a rail may be mounted on a chair or bed at two pomts. fbi' example at both end'. Such a rail ina he sciii ft iJ'CUiar or SCm I-Li liptical to shape. for exam Ic.

1Q03S1 The coupling nwv he conFigured to pros ide a rotating cr sliding niovement fur the first ann with respect to u-he second turin. 11w coupltng may comprise a ha! I joint.

100391 1 he second counterwewht aiTaflgemcnt may curnpnse a weight arranged in below the base by a third arm, the third aim being mounted at one end on the second ann aid the third arm supporti icr the %%ei ht at the other end ihe sc'cond eountens-eight arrange;neut mits eounter\eI!l1t a tilting ot' the Second arm with resneet to a planc spanned by the shape of the cur\-e.

IO°41 The Iirst au-in, secud ann. third arm, base and;or base arm niay be I. cunstruetcd ula suitable rigid niateriLii to allos for tehai-'ie positioning nIclevice 112 when moving parts arc lOc Red I or example, the arms niav be mcmli ie pipes built of stainless steel or aluminum.

[1)0411 En SOfl1C entbodiiiiei'its it! cast one ci the Inst arm. second arm. bird arm base and'uu base ann arc eOflStrUCLed ot non-inanneik mjtvnal to imnunize an elleets oil ct shapc ol a manei e held genet cited by di., iLe 11.1. I xamples 01 suitable non-magnetic m:terials include plastic and gTipliite.

11)1)421 Ii js to be undei..tood that the embodiments cit he hit entiuri diseloscu are not Emitted to the particu.ar structures, process steps. or matci his disclosed herein, but are extended to equivalents Lhereol as \%ouLi be recognized by thosc orcnnaruiv skilled iii the relevant arts. P should also be understood that terinillol! gv cnplcrved herein is used for the pw pose if desei'ihiti particular etnb,diinents oril md is nn intended to Ix' Limiting.

100431 Re lki'ence ii roueiiou t th is spec i licata Fl) to one embod men! or tin cmbodimcni' means that a pail icuhir tëature. strilciure, or characteristic desci ihed in connection With tnt flnhI3Lli!nL'nt iS included in Lit IctiSt one embodiment of' Wc preent ins ention. Ihtis.apperances ot me phrases iiu one emnbodinicnt or tn tir cmli' )dtment' ill Varlous ptact throug.nout this pc ci tic-anon are not necessarily all relirrinu to the zanw it efliboLlinteilt.

It4) As used herej ma plur:il't at items. structural elements. ct'riiposthurlihl elements. andior materials hid>' he prescriled in a common I 1st fOr Ckn\ Cuience. However.

these lists shOti Id he construed as thou N each member oi' the list is individually idenri iccl as a separate and unique member. I bus. rio wdj vduaI iieinber of such list shoe Id he ctistrued u. Lie lacto equivalent @1 any other member cd the Same list it!) based on their presentation in a ecmtn' n truup ithoin Hliflealicfls to the conti an. In addition.

inous embodiments md example a! the piesent invcntion nia he relci ted to herein ahwg with altertuit k es br the anous otnponents thereat. it iS understoou that such i) emhodirnenr. examples, and alternatives are Hot to ne etmnsirttctl as de!;It.li) ii\'Liitl1' s at one another. but are U' be eousRlered US separate and aulononwus rcprcscntations of the ret 113k ention.

Furthcr!ourc. the describe. I teatures. strut (tires. Or cha."actensttcs ma bc combined in an suitable mnner ri one or more ernhudinients. lit the!bllowin2 I description, numerous pecthc detaiLs are provided, such as esumples at engihs. widths, shapes. etc.. t' prok cleu thorough undcrstandiny e't' embodin ients ot' the invention. One skilled ir the rde am. art wi U recognif.e however, that the invention can be practiced " about one or inure ol die specific det?LIls. ci with other nietnocis. COmpC)IleiIt.S. inrtterials, etc in other inslances. wel t-kncn n structures. materials, or operations arc not shown or described in deu i to avoid obscum ing aspces of the invent ion.

[00461 While the iur.oi1g exaniples ìme iUusttat'c 01 thc principle ut the pi CC!It in' enhit!tl in c)fe om tuireprttcular applications. it will be apparent Lu those of ordinary skill iii the art that numerous imiodi ticati 3115 I ti lorm. ustute and duails of implementation con be mack t ithout the exercise at' hrs?end\ C tieuii\', and s thout departinp from the 2: principles and concepts of the invcnmion Aeenrdiii'jiv. 1 is ilol intended that the in eriti°n be limited. e\cept ash> the claims sct tbrth below.

Claims (5)

1. ClAiMS I A system for Transcianial Magnetic Stimulation tTMS I eumptisinw a -f MS eot dev!cc ha' mg at least one cable cxwndtng therefiom.a try at-ni havini. a det ice attachment portion at one end configured to joeb abl receive the li\ IS coi des ice, said first arm Iürthe; has mu a cable attaehmLin fiction ct'ntjgurcd to receive the at least oiw Lable cdending 1mm the [MS coil dc icc.' a secimd arm supporting the first rm liv a coupling.a base detiring a curse and haviinz the second arm mounted thereon. S\ herein the second Lcrnl is movahie Ldonu the em Ye. said ha:.;e contie.ured to be mourned on a portion at t.hair or bed.
2. 2 The;vstdni according to claim I -s herein the device atlachnent portion is eonfigui ed to hold the device in a locked position and orientation w jIb rcpeet to the dcvice attachment portion.
3. 3 Ilie s stein accor hug to claini -hercin the dc ice anaclunent portion is connected to S the first ann h' a first joint, or first otris, -hich allow movement 01 tIle device attachment port'tnn in three dcgree at freedom; ith respect to thc first at in.
4. 4. 1 he s.tcm accord ag to claim 3. \\ herein the f1 joint or tiNt Julius are seicclisclv lockable and-or their mobility is adjusiaHe \k jill espeet to at Icst one degree at ma vemc'nt between tie lirsi drill and ilic de% ICL allaclintLut portion
5. 5. The svsi.em according to an' of elainv I -4, he.rein the coupling is COIItIgLITcd to pro ide more I han one degree al' freedom for the lirst unit sith rcspc't to the seconu arm.6 The svstcin accorclim! to any aic lairns I -S whereto the cuplin& is sLIectJveL\ IO kable and 03 us imibthiv is aW ustable with respect It' at least one degrec of mo CoitnI between the first a.! ni and the second arm.7. The s\ stc*mn according in inn-ol chains I -6. wherein the cahie attachment pi riiun is capable of acting as ii cuantcrneight to the TMS coil de Ice hen the PIS coil de\ ice is iuckahl-attached to the first ann and the at least tine cab!c e1cnding from the 1' MS coil device is aunched to the cable ait:ichmem onion on the Iir't arm :. I he k.", Uent aecordi nu to any ni claims I -7, herein the cable attachnwr.t ouruon is adu,ttthle along at least a portion cita length ol' the iirn arm.c. The s> Stem aeCOrdflli! to any a] clams 1 -S. wherein the cable ttuachnient portion is ocateJ at an end of the flrst arm opposite trot tithe device attachment port ion.S I ft Thcs steni acconhntt ft any of dali is I -9. v hereto the base curnpnses a rail in the shape 01 an ate. hcrein the ends ot the.n c are ciUachcd at. or neat opposite corners of' a hip back pothor: at' the c].air, 1 I [he system ccordnnj to claim 1. \1⁄4.herein the second tarn is inos cable along the ength el the arc.0 1 2 The system according to any ol' clai Ins 1 -I 1 -Further comprisma a eounwrwc'ght pouon aflached to the second ann and located ai least part Ia [It below the base.I 5. 11w s\ stem accordinc to am ot' dan itS -1 2. tìirthei cotop: ftL11 a thaii with a hack p011100 and a seat ç'ortton. and hereirj the base is attached to a portion at the chair.14. I lie stein according to chain 13. nhe,ein the base k attached It. a hack p(.rtion Ui the ehai in a horizontal orientation.I ". FIie ss stern aCc rding It claim I 1. &hcrem the chair further cnl1pr!ses ar adjustable hc Iret ane the base is attached 10 the headrest.I I 111⁄4. tern iic. cording to any 01 claims 13. 1 5. \hcrein tlit base is adiustabh iifl:heti p nor t ion of the chair 1⁄4uch that Uk base purl ion can be adi usted to a substantial h hunt' mud one ntau on i1idepcndcntiy of' the orientath T1 of' the portion il the elia I r tO whc1i it is attached.I 1. [he rcsten1 accorditlu to nov a] c [turns I -1 2. furthet eumpi ising a bed with a frame.and wherein the base is attached to a portion aithe frame.