Electrostimulation device arranged for electrostimulation on a user and installation

Abstract

The system comprises the electrostimulation device (100), which includes a plurality of electrodes (1), a generator (10) controlled by a computer (20), and software (30). The computer (20) includes at least one memory (40) containing user-related data. The generator (10) includes a plurality of excitatory pathways (11), each connected to a cable (12) carrying a plurality of electrodes (1), arranged to control the transmission of excitation signals to the various excitatory pathways (11). The electrostimulation device (100) is configured for electrostimulation of a user of large build. The Installations include an electrostimulation device (100).

Description

[0001] [The present invention relates to a means of maintaining muscle mass for a user of large build during the calorie restriction phase.

[0002] Traditionally, several methods are known for weight loss, including surgical procedures such as liposuction, medications, often anti-diabetic medications, exercises with gym equipment, and the use of electrodes.

[0003] These means have limitations or disadvantages.

[0004] Liposuction causes sagging skin and bruising for three weeks. It's devastating for the body. In addition to these drawbacks, liposuction has the limitation of being ineffective in the long term. In fact, it is followed up after a certain time when the original weight returns.

[0005] Anti-diabetic drugs. Developed for the treatment of type 2 diabetes, the drug Ozempic can greatly improve the daily lives of people struggling with this disease. However, it's another effect that's attracting the attention of the public and pharmaceutical companies. It slows the rate at which the stomach empties and directly affects the feeling of fullness. According to a 2021 study published in the New England Journal of Medicine, Ozempic resulted in an average weight loss of 14.9% in overweight or obese patients who also changed their lifestyle habits. Unfortunately, such weight loss leads to muscle loss, a gradual loss of muscle mass and strength that occurs with aging. This is why it's essential to have an adequate protein intake and regular strength training alongside weight loss.

[0006] This method falls into the category of reducing calorie intake and has disadvantages of the same nature as diets and good nutrition.

[0007] The question arises: what does it mean to eat well? There is no true definition of a good diet. The universal example of dietary heterogeneity is breakfast.

[0008] However, eating well means eating as little processed food as possible. This requires cooking. The calorie reduction is measurable.

[0009] It is necessary to prevent the risk of malnutrition.

[0010] Age, illness, or even medication can cause a loss of appetite or taste, leading to a risk of malnutrition. Weight loss and a decrease in muscle mass can then occur. To avoid any risk of malnutrition, it is important to maintain a sufficient diet spread over three daily meals.

[0011] The origin of these incontinences comes from the fact that muscle mass protects against diseases. It limits the impact of poor diet.

[0012] Thus, a free-falling decrease in muscle mass is pathogenic.

[0013] Another limitation is that if the weight loss is rapid, the skin collapses (apron effect).

[0014] Diet alone does not lead to lasting weight loss.

[0015] To achieve this, a balanced diet must be combined with muscular activity, often regular physical activity, to prevent overweight and avoid several conditions or risks that become more common with age. This is the case for diabetes, high blood pressure, high cholesterol, osteoporosis, or even memory problems or constipation.

[0016] To have regular physical activity, the user knows the weight rooms.

[0017] A weight room has the following characteristics and limitations: • Equipment and apparatus to work the muscles. • No balance by agonist and antagonist muscle: risk of injury. • Requires numerous repetitions and a high frequency. • Intensity is necessary, but difficult to control and sometimes impossible depending on the physical and physiological state of the patient. • No consistency in duration and repetition: risk of demotivation linked to fatigue and loss of efficiency, significant accumulation of lactate.

[0018] Recent work suggests that it is useful to clearly distinguish between the two phases of treatment for excess weight (the weight loss phase and the weight stabilization phase) in terms of therapeutic means (diet and physical activity).

[0019] Weight loss strategies are fairly well understood, while weight stabilization after weight loss remains a difficult problem.

[0020] However, research has shown that 20% of overweight people have achieved long-term weight loss when defined as a loss of at least 10% of initial body weight and maintenance of the loss for at least 1 year. (Wing & Phelan, 2005).

[0021] Management strategies are most effective when they are multifactorial and act on several levels of behavior. It currently appears that the combination of caloric restriction and an increase in the level of physical activity is the one that seems most effective in maintaining long-term weight loss (Stiegler & Cunliffe, 2006). In the short term, of these two factors, caloric restriction remains the most effective intervention for correcting excess fat mass, but muscular exercise allows the maintenance of lean mass, thus promoting the long-term maintenance of weight loss. (Curioni, Lourenço, Int J Obes (Lond) 2005).

[0022] It is important to understand that calorie restriction leads to muscle loss of up to 30% of total weight, compared to 12% if a diet is combined with an endurance program (Ballor and Poehlman 1994) and especially compared to 0% if a combination of calorie restriction and aerobic-muscle-building physical activity is carried out jointly. (Kraemer et al.)

[0023] Despite a consensus on the effective modalities of physical activity for maintaining long-term weight loss (consensus for 45-60 minutes per day of moderate intensity or between 3 and 6 METS, versus 30 minutes of brisk walking per day (Saris, 2003), there is evidence in the literature that suggests that more intense exercise programs induce greater benefits; indeed, the role of intensity should be emphasized rather than the volume of physical activity. (Gutin et al. 2002).

[0024] Calorie restriction must be accompanied by muscle development. This requires intensity, i.e., muscular endurance (aerobic) sports activity, or cardio. But gaining weight is not the same as building muscle,

[0025] Furthermore, it is important to highlight the various constraints linked to overweight and obesity in the context of sports activity and muscle development. Indeed, difficulties in moving, increased fatigue, shortness of breath, cardiovascular, respiratory, metabolic, osteoarticular and rheumatic complications are all increased factors preventing the practice of continuous physical activity, while adding the disturbance of body image and therefore self-esteem, raising the question of the use of new tools to replace physical activity.

[0026] Thus, taking into account the cardiovascular, respiratory and osteo-articular complications of overweight or obese patients when resuming physical activity and its importance in maintaining muscle mass, it seems interesting to be able to provide physical assistance capable of reproducing effects similar to APS (physical and sporting activity) as electrostimulation would (Banerjee et al. 2005)37 on energy expenditure (Hsu, Wei, Chang. 2011).

[0027] Muscle mass is measurable.

[0028] The invention aims to overcome these drawbacks. The basis of the invention lies in the fact that despite scientific progress, there is currently no device capable of comprehensively, quickly and sustainably managing muscle recapitalization. The devices of the state of the art (internal knowledge of the applicant) are of a design that does not allow effective management, particularly for overweight people or for certain parts of the body. In addition, these devices remain a complex technology that results in significantly increased costs.

[0029] The invention relates to a system comprising electrostimulation electrodes known as integral or whole body EMS, their means of supplying them, in particular direct supply, and the implementation of the method of using the electrostimulation system.

[0030] Firstly, the invention relates to an electrostimulation device.

[0031] The present invention aims to achieve a major breakthrough in the aim of maintaining health and preventing muscle loss linked to advancing age. It makes the management of overweight people during their calorie restriction phase accessible and effective, which concerns a significant number of people, by using a novel combination of ultrasound and EMS Stabile.

[0032] Electrostimulation is the principle of having electrodes on all the muscles that will contract involuntarily but regularly and effectively. It mobilizes more than 400 muscles at the same time for 20 minutes, no movement depending on the level (push-ups, planking, squats, etc.).

[0033] For the electrodes, the invention uses silicone and especially "type electrodes" in conductive TPE; model with single-size electrodes, RFID model with electrode sizes and integrated software.

[0034] The invention aims to achieve 100% contraction of the muscle group. To achieve this, it is: placed an electrode per muscle group / morphology, obtained simultaneous work of agonist and antagonist muscles, an impulse wave: excitomotor current + anti-pain current (tens), used connected electrodes: knowledge of the power delivered specific to the S 2< of the electrode, used electrode assemblies adapted to overweight or obese people.

[0035] The table below shows the design and characteristics of the EMS electrodes according to the invention: Designation Dimensions Area Mass (estimated) (Width x height x thickness) HTC-ELEC-192 160 x 120 x 2 mm 192 mm 2< 50 g

[0036] Electrostimulation is measurable in its frequency and amplitude. Pulse waves with the highest possible amplitudes are sought.

[0037] An amplitude of 85 Hz of the machine's capabilities is effective in muscle development and muscle fiber conversion.

[0038] Firstly, the invention relates to an electrostimulation device arranged for electrostimulation on a user of large build, having a body mass index greater than 26 to 32 kg / m 2 < , a waist circumference greater than 108 cm, a mass greater than 100 kg, said electrostimulation device comprising a plurality of electrodes.

[0039] To solve the above technical problems, the electrostimulation device according to the invention comprises a generator controlled by a computer and software means, said computer comprising at least one memory comprising data relating to said user predefined by a prior examination, said generator comprising a plurality of excitomotor pathways, each attached to a cable carrying a plurality of said electrodes, and being arranged to control the sending of simultaneous or separate excitation signals to the different excitomotor pathways.

[0040] According to other characteristics of said electrostimulation device: each said cable has a minimum length of 120 to 150 cm; at least one said electrode comprises a conductive thermoplastic elastomer casing, which comprises at least one RFID chip arranged for the identification of said electrode;

[0041] The invention also relates to a physical training installation, comprising at least one piece of apparatus or a muscle exercise machine or an exercise mat, and comprising at least one electrostimulation device according to at least one of the characteristics described above.

[0042] The invention also relates to a relaxation installation, comprising a seat or a layer to support the user, and comprising at least one electrostimulation device according to at least one of the characteristics described above.

[0043] The invention will be better understood by reading the figures given as non-limiting examples and in which:

[0044] There Fig. 1 schematically represents, seen from above, an electrostimulation device according to the invention comprising a supporting structure, a generator, software means, cables and electrostimulation electrodes.

[0045] There Fig. 2represents, seen from the front and ¾ above, a housing, apparatus of the electrostimulation device according to the invention comprising a generator comprising a plurality of excitomotor pathways with eight means of connection to cables carrying said electrodes, comprising four means of adjusting the intensity.

[0046] There Fig. 3 represents seen in elevation the apparatus housing of the electrostimulation device according to the invention comprising eight means of connection to cables and comprising four means of adjusting the intensity and a so-called Bluetooth antenna.

[0047] There Fig. 4 represents, seen from above, the conductive thermoplastic elastomer casing of an electrostimulation electrode which includes an RFID chip.

[0048] There Fig. 5represents seen in elevation the system with device comprising identical and interchangeable electrostimulation electrodes connected in pairs to cables according to the invention in operation in a variant of location of the electrodes on the user.

[0049] There Fig. 6 is a functional diagram of the measurements carried out with a reference device during the tests of the invention.

[0050] THE Figures 1 to 5concerning an apparatus, they represent an electrostimulation device 100 arranged for electrostimulation on a user of large build, having a body mass index greater than 26 to 32 kg / m 2 < , a waist circumference greater than 108 cm, a mass greater than 100 kg. Said electrostimulation device 100 comprises a plurality of electrodes 1. The electrodes 1 are an envelope, a means of supplying current to the patient's body for electrostimulation. Said electrostimulation device 100 comprises a generator 10 controlled by a computer 20 and software means 30. Said computer 20 comprises a memory 40 comprising data relating to said user predefined by a prior examination. Said generator 10 comprises a plurality of excitomotor pathways 11, each attached to a cable 12 carrying a plurality of said electrodes 1.Said generator 10 is arranged to control the sending of simultaneous or separate excitation signals to the different excitomotor pathways 11. Each said cable 12 has a minimum length of 150 cm. At least one said electrode 1 comprises a conductive thermoplastic elastomer casing, which comprises at least one RFID chip 2 arranged for the identification of said electrode 1. At least one said carrier structure 50 is flexible and spongy, and comprises humidification means 70. Said electrostimulation device 100 comprises at least one of the carrier structures 50 forming a belt or an armband or a sheath or a sleeve, said at least carrier structure 50 being arranged to be slipped onto a limb or the body of the user and to carry at least one said electrode 1 in immediate contact with the body of the user. At least one said cable 12 carries an even number of said electrodes 1.At least one said carrier structure 50 comprises a plurality of housings allowing diametrically opposed positioning of the two said electrodes 1 around a limb or the body of said user and / or comprises inflation means for tightening it around the user. At least one said carrier structure 50 comprises means for holding it in position around a limb or the body of said user, and at least one strap made of self-gripping fabric; so that the electrodes are fixed, centered and balanced. Said generator 10 comprises several intensity adjustment means 60, typically thumbwheels, each arranged for simultaneous intensity control on at least two said excitomotor pathways 11, each said intensity adjustment means 60 being independent and adjustable independently of the other said intensity adjustment means 60.In an alternative embodiment, the housing of the device 100 is provided for four adjustment buttons for intensity, frequency, amplitude, etc.; the eight connections for cables 12 are divided into two. Two means are applied to the device, an RFID reader 2 and a Bluetooth antenna 3.

[0051] The RFID reader 2 allows to identify the electrodes 1 dedicated to the device and specially designed to deliver the amplitude and frequency of current adapted

[0052] The Bluetooth 3 antenna allows the device to be connected to software

[0053] Said generator 10 is arranged to deliver, in each said electrode 1, a current of intensity less than or equal to 100 mA and to manage, for each said excitomotor pathway 11 at least 100 pulse trains of frequency between 80 Hz and 120 Hz separated in time by phases devoid of pulse.

[0054] Each said electrode 1 has a larger surface area, arranged to come into contact with the user, which is less than or equal to 100 cm 2< .

[0055] Said electrostimulation device 100 comprises a safety stop triggered by a clock limiting the operating time to 20 minutes, or by an action of the user. Said generator 10 comprises at least eight said excitomotor pathways 11 each connected to at least four said electrodes 1.

[0056] THE Figures 5 And 6 represent in operation according to the invention the system comprising identical and interchangeable electrostimulation electrodes 1 connected to cables 12. The electrodes 1 are on the user to obtain a reduction in fat mass, producing electrostimulation in parallel with the caloric reduction.

[0057] One difficulty is that muscle mass protects against disease. It limits the impact of poor diet. If weight loss is rapid, the skin collapses. Thus, a plummeting decrease in muscle mass is pathogenic.

[0058] The objective is to obtain, during the same electrostimulation time, a conversion of type 2B muscle fibers to type 2A, maintenance of muscle mass and preservation of skin suppleness.

[0059] The assembled electrostimulation device 100 comprises the fabric material of the straps allows the electrodes 1 to be held in place to ensure plating of the electrodes 1 in the sense of the electrode envelope 1 comprising conductive means embedded in the material substrate plus connection means plus transmission means to the patient's body. The whole is placed in a wet sponge electrode sheath optimal on the patient's body. The assembled electrostimulation device 100 further comprises at least two to four electrodes 1. The electrodes 1 are made of conductive TPE material comprising a thermoplastic elastomer, also called thermoplastic rubber, at least two electrodes 1 being fixed to the patient in addition to a TPE material and said body substrate in addition to a fiber-layer between said conductive silicone material and said non-conductive silicone material. The TPE in the envelope of the invention is conductive, more moldable (for molding), more resistant in ohms.It allows for multiple conductivity ranges. Carbon improves conductivity in the polarization function.

[0060] The disadvantage of silicone in known electrodes is having allergies.

[0061] Doubling the surfaces of the electrode envelope 1 responded to a problem (need for more amplitude with corpulence). However, it comes up against a constraint of natural law. An electrode surface of 10 cm 2< causes an effective contraction and ineffective for a surface of 100 cm 2< . Experience has shown that this is not sufficient. In the invention each cable 12 is divided to connect two to four electrodes 1 according to the corpulence of the patient. The invention provides for the use of small medium electrodes 1 of average size which are doubled according to the corpulence of the user.

[0062] Resuming physical activity, as well as preventing injuries, relies heavily on the proper functioning of the agonist / antagonist pair of muscle groups. Muscle balance is an essential concept in injury prevention.

[0063] One of the main causes of this imbalance in muscle strength is the sport itself. This involves the repetition of movements that result in the strengthening of the effector (agonist) muscles.

[0064] The antagonist muscles that are not used much will therefore not be able to develop in terms of strength at the same rate as the agonist without specific strengthening work.

[0065] Previous injury still in focus The antagonist is a key element of performance that is always very exposed in APS

[0066] The antagonist also plays a determining role in any sporting movement requiring speed (Jaric et al, 1997). If it were not tensioned during the movement at full speed, damage to the joint would be significant and inevitable.

[0067] For example, in football, the main muscles involved in the leg that will kick the ball are the psoas and quadriceps. Antagonist muscles such as the hamstrings will provide stability to the knee joint at the moment of contact with the ball. This will prevent it from being subjected to the mechanical constraints imposed by the ball's reaction. To another extent, they will also prevent hyperextension of the knee at the end of the movement and thus protect the meniscus and cruciate ligaments. Muscle imbalance at the heart of injury prevention The agonist / antagonist ratio: obvious for the trainer

[0068] However, it seems impossible to ignore the role of the imbalance in muscle strength between agonist and antagonist muscles. This can in fact be the cause of lesions in the musculoskeletal system, or even be the cause of accidents or musculoskeletal and joint pathologies.

[0069] It seems difficult to believe that an imbalance of strength between the quadriceps and the hamstrings would have no consequences on the stability or mechanics of a joint such as the knee.

[0070] An example of local injury prevention: The knee agonist-antagonist pair

[0071] Although the ligamentous structure provides much of the stability of this joint, the knee is subjected to significant stress during activity. It can then only support it with the help of the surrounding muscles.

[0072] These antagonist muscles therefore play a decisive role in the stability of the latter. But their role is especially relevant to the proper balance of tensions applied to it. If we take the case of the shoulder, this idea is even more true. Indeed, the majority of its stability is due to the presence of strong muscles that surround the entire joint.

[0073] Similarly, there is a theoretical basis that alternating antagonist muscle exercises has a positive effect on muscle development. In a 2005 study conducted by Dr. Dean Baker, 24 rugby players, divided into an experimental and a control group, were asked to perform a power test on a flat bench. The experimental group alternated the main movement with a pulling exercise of the muscles antagonistic to those trained on a flat bench. The results showed that muscle power increased by 4.7% for the experimental group while no change was noted for the control group, reinforcing the importance of training both muscles in the antagonist group in order to develop muscle power.

[0074] The harmful consequences of deconditioning PHYSIOLOGICAL

[0075] First, deconditioning leads to a decrease in energy expenditure and therefore muscle tone and strength. Then, in parallel, a decrease in aerobic capacity (basic endurance) because the heart is also a muscle. This situation often leads to weight gain (fat mass), which has the effect of increasing the risk of hypertension. PSYCHOLOGICAL

[0076] This imposed sedentary lifestyle can lead to depressive symptoms: anxiety, stress, chronic fatigue, decreased motivation, nutritional disorders, sleep disturbances, irritability, etc. Concentrations of endorphin, adrenaline and melatonin are altered, disrupting the circadian rhythms that condition us.

[0077] The invention seeks balance through agonist and antagonist muscle.

[0078] In an alternative embodiment, the apparatus of the invention has: a) the electrodes 1 which are positioned in sheaths composed of spongy material (Several body substrates), a fabric material allows the sponges 2 and the electrodes 1 to be strapped to the user's body. Advantage of the spongy material 2: increases conductivity (the sponges are wet) and improves involuntary muscle contraction by reducing the stress of the fatty mass and promoting better contact of the electrode 1 on the surface of the body substrate. b) at least one electrode per sheath (substrate). The single-electrode sheath 1 or double-electrode sheath 1 depending on the corpulence of the body substrate

[0079] According to one embodiment of the invention: a) The invention seeks, in parallel with caloric restriction, an effective muscular contraction. EMS allows repetition. It is necessary to have at least 100 contractions. Weight loss depends on the amplitude and frequency. The objective is the highest intensity. The invention has several electrode envelopes (electrode + sponge sheath + connection). This allows it to adapt to the patient's body size (double the surfaces). The sponge is flexible and conforms to the contours of the body. b) The specific electrodes 1 with a dimension of 8 cm x 12 cm which contain an RFID reader 2 allow the conformity of the electrodes 1 to be checked. The TPE material allows the RFID reader 2 to be contained in the electrode envelope. This allows the device to ensure that the electrodes 1 used are indeed intended for the latter's use. This is a safety feature. If non-conformity occurs, the device does not work.c) The EMS 100 device is in the form of a metal case with eight output channels (will allow several channels to be installed). It is planned to install a wire with a choice of two to four electrodes 1. This allows the device to work on several muscle groups. Gainer is a muscle tetany. In the stable EMS the patient is in a lying position. d) A dedicated software 30 that communicates with the device via Bluetooth technology. Either a display screen, a Bluetooth antenna 3, four adjustment buttons, eight outputs, an RFID reader 2. f) The electrodes 1 are set identically for agonist and antagonist muscle g) At least two body substrates with electrodes 1 (two sponge sheaths are sewn side by side). A single electrode is placed in a sponge sheath. Two sheaths are sewn to each other.

[0080] This prevents too large a gap or overlap between the two electrodes 1

[0081] The wet sponge is a conductive element that conforms to the body surface. The conductive TPE is rigid, which limits contact with the patient's body. Several groups of substrates

[0082] The invention works several muscle groups at the same time.

[0083] The electrically connected electronic unit allows consistency over time, that is, involuntary repetition. The machine decides. It is the reiteration of the programmed repetition of one or more involuntary muscle contractions according to an intensity adjustable by the operator and desired as maximum thanks to the tens current combined with the excitomotor current in the search for a maintenance or an increase or increase in muscle mass during a weight loss research phase, including a caloric restriction phase.

[0084] EMS curve features an excitomotor current (sought for fat loss) and a Tens current (reduces pain)

[0085] The amplitude is variable from 0 to 120 hertz. The efficiency starts at 85 hertz or higher. The RFID reader 2 allows to identify the electrodes 1 dedicated to the device and specially designed to deliver the appropriate amplitude and frequency of current. The Bluetooth antenna 3 allows to connect the device to a software 30

[0086] The invention seeks to maintain muscle mass as a result. A free fall in this muscle mass is pathogenic.

[0087] Muscle mass limits the impact of poor nutrition.

[0088] The invention relates to a system comprising electrostimulation electrodes 1 known as EMS, their means of supplying them, in particular direct supply, and the implementation of the method of using the electrostimulation system.

[0089] The basis of the invention lies in the fact that despite scientific progress, there is currently no device capable of comprehensively, quickly and sustainably supporting muscle recapitalization. The devices of the state of the art (internal knowledge of the applicant) are of a design that does not allow effective management, particularly for overweight people or for certain parts of the body. In addition, these devices remain a complex technology that results in significantly increased costs.

[0090] The present invention aims to achieve a major breakthrough in the aim of maintaining health and preventing muscle loss linked to aging. It makes the treatment of overweight people, which affects a significant number of people, accessible and effective by using a novel combination of ultrasound and EMS Stabile.

[0091] Electrostimulation is the principle of having electrodes 1 on all the muscles which will contract involuntarily but regularly and effectively. It mobilizes more than 400 muscles at the same time for 20 minutes, with little or a lot of movements depending on your level (push-ups, planking, squats, etc.). For electrodes 1 the invention goes into silicone and especially "electrodes 1 type" in conductive TPE; model with electrodes 1 in two sizes, RFID model with electrode sizes 1 and integrated software 30.

[0092] The invention aims to obtain 100% of the muscle group contracted. For this, an electrode 1 is placed per muscle group / morphology, obtaining simultaneous work of the agonist and antagonist muscles, an impulse wave: excitomotor current and anti-pain current (tens), using the electrodes 1 connected with power delivered specific to the S 2 < of the electrodes 1 and using sizes of electrodes 1 corresponding to overweight or obese people.

[0093] The software 30 called RFID collects the intensities and amplitudes allows a power supply of the electrodes 1 called "type" in conductive TPE according to the corpulence of the patient. The electrostimulation device 100 comprises connections (jack type) of four identical and interchangeable stimulation cables 12 to connect to each four electrodes 1 of the same size on banana plug (one wire connected to two electrodes 1). The stimulation cables 12 must have the following length: minimum length 1m20 1m50 so as to reach the lower and upper limbs and are compatible with electrodes 1.

[0094] The method of implementing the device 100 falls within the scope of the invention.

[0095] In contrast to the invention, an activity in a weight room has significant disadvantages such as the risk of only working one muscle.

[0096] Now, here, the apparatus according to the invention makes it possible to work the agonist muscle and the antagonist muscle by placing one or more electrodes 1 on the antagonist muscle and the same number of electrodes 1 on the antagonist muscle and by supplying the electrodes 1 with the same power and frequency.

[0097] Working out just one muscle in the gym can lead to accidents and injuries.

[0098] In addition, strength is not constant because fatigue occurs when working in the weight room.

[0099] Now, here, the apparatus according to the invention makes it possible to maintain the energy in the electrodes 1 constant over the duration of the treatment.

[0100] The novelty of the invention is that it adapts to different individuals with different morphologies.

[0101] But grease causes electrical losses, losses

[0102] Knowing that large fat mass slows down the current, it is important to place several electrodes 1 rather than placing a larger electrode.

[0103] The larger the person, the more electrodes are placed 1:

[0104] The device allows the use of thirty-two electrodes 1 to treat several muscle groups; four electrodes 1 are connected to the same connection. The device with eight outputs or excitomotor pathways 11 of four connections of four electrodes 1 reaches thirty-two electrodes 1

[0105] In the current state of the art, the entire circuit is at the same level of similar intensity, so there is no adaptability, homogeneous frequency and amplitude and no stability in the processing.

[0106] If we take an agonist muscle like the biceps, there is not necessarily any work on the antagonist muscle, the triceps in this case and we can have the same reasoning with the abdominal and back muscles or the thigh with the quadriceps and the hamstrings.

[0107] As we have seen, in weight rooms we sometimes only work one of these muscles, we have a risk of injury. The advantage of electrostimulation according to the invention is to achieve homogeneity, which in the state of the art can at best be done partially.

[0108] It is not possible to exceed 100 milliamps for one person.

[0109] The device is visually a box. This box is equipped with an RFID reader 2 and a Bluetooth connector, the Bluetooth connector has an external antenna 3.

[0110] This box has an ecological function; its shape is important, it avoids having a plastic mold and it allows the evolution of the device without modifying its structure. In this metal box, there is still space, which has made it possible to put at least eight output channels and it will allow to put several channels. It can receive wires with respectively four electrodes 1. Therefore, the frequency and amplitude are identical, which allows to obtain the homogeneity of the intensity and a work on the agonist and antagonist muscles. The work must be done with at least two electrodes 1, that is to say at least put one above and one below.

[0111] The apparatus according to the invention makes it possible to work the agonist muscle and the antagonist muscle by placing one or more electrodes 1 on the antagonist muscle and the same number of electrodes 1 on the antagonist muscle and by supplying the electrodes 1 with the same power and frequency.

[0112] Working out a single muscle in the gym can lead to accidents and injuries. Furthermore, strength isn't consistent because fatigue occurs during weight training.

[0113] In contrast, the apparatus according to the invention makes it possible to maintain the energy in the electrodes 1 constant over the duration of the treatment.

[0114] The device allowing the use of thirty-two electrodes 1 allows several muscle groups to be treated, four electrodes 1 are connected to the same connection

[0115] An advantage of the invention is that it adapts to different individuals with different body shapes. Fat causes electrical losses, losses, a large fat mass slows down the current, it is important to put several electrodes 1 rather than putting a larger electrode.

[0116] The device with eight outputs of four connections of four electrodes 1; i.e. thirty-two electrodes 1 allows more electrodes 1 to be placed, the larger the person,

[0117] In the current state of the art, the entire circuit is at the same level of similar intensity, so there is no adaptability, homogeneous frequency and amplitude and no stability in the treatment. If we take an agonist muscle like the biceps, there is not necessarily work on the antagonist muscle, the triceps in this case and we can have the same reasoning with the abdominal and back muscles. In weight rooms we sometimes only work one of these muscles, we have a risk of injury. The advantage of electrostimulation according to the invention is to achieve homogeneity.

[0118] It is not possible to exceed 100 milliamps for one person.

[0119] The invention aims to provide a comprehensive fitness program combining physical and physiological nutrition. The issues addressed are based on the themes of weight management, health prevention, and "aging well." The system according to the invention is used to support many pathologies: chronic pathologies, type 2 diabetes, overweight / obesity, hepatic steatosis (NASH), blood circulation, dyslipidemia, cardiovascular, sleep apnea, hormonal, localized fat, morphologies, aging prevention (sarcopenia), post-pregnancy, post-bariatric surgery, addictions. Muscle strengthening.

[0120] The structure of the system of the invention is illustrated in the following. Development of the electrostimulation device. Adaptation to the body surface of: the intensity, frequency and mounting of the electrostimulation electrodes (which itself is adapted to the specific target audience). The extensions of the devices of the system according to the invention can be connected to each other to adapt to the morphology of the target person. The system according to the invention achieves this adaptation with different electrodes 1. Hence the system comprises different versions of cables 12 to adapt to the different electrodes 1.

[0121] The 1 electrodes are made of silicone and are mostly "type 1" electrodes made of conductive TPE. Even if different versions of power boxes are used apart from the brand that will be printed on the device, the box will be the same.

[0122] The stimulation system according to the invention comprises different versions of devices100, either a model with two-sized electrodes 1 or an RFID model with three sizes of electrodes 1 which are equipped with integrated software 30.

[0123] With 30 electrode-specific software 1. Evaluation of existing tests: Data collection every second (in real time) to adapt the curves to the patient's needs. Development of an ultrasound device. Two characteristics: Always uniform intensity.

[0124] A device 100 functional requirements Eight-channel unit: Consists of a stimulation unit with four channels each supplying four electrodes 1. Electrical specifications: Be powered via a CE-compliant socket to the 100-240V 50 / 60Hz mains. 12 cable connectors: Receive the connections (jack type) of four identical and interchangeable 12 stimulation cables to connect to each four electrodes 1 of the same size on banana plug (1 wire = 2 electrodes 1). The 12 stimulation cables must have the following length: minimum length 1.50m so as to reach the lower and upper limbs. The standard 1 electrodes are compatible with CE-compliant 1 electrodes dedicated to EMS to stick on the user's skin positioning zones according to the points indicated: - Classic woman - Classic man - gynoid - android - triceps

[0125] In the system according to the invention, the stimulation unit is compatible with the 1 silicone Graphite electrodes called GymnaUniphy, 80 x 120 mm with 2mm female banana plug + 4mm adapter to compensate for fragility.

[0126] The method according to the invention for implementing the operating mode below includes the following steps: - connect the mains adapter, - choose electrodes 1; - connect electrode cords 1, - connect electrodes 1, - position electrodes 1 on the user's skin area, - turn the unit on (ON / OFF), - select the treatment duration, - gradually increase the output energy (intensity) to reach the appropriate value, - wait for the end of the programmed time (stop), - turn off the device, - remove electrodes 1, - unplug and store the elements.

[0127] Main use of the process operating phase: - connect mains adapter - connect electrode cords 1 - connect electrodes 1 - position electrodes 1 on user skin areas - switch unit on (ON / OFF) - select treatment duration - gradually increase output energy (intensity) to reach the appropriate value - wait for the end of the programmed time (stop) - switch off the device - remove electrodes 1 - unplug and store the elements,

[0128] For the purpose of electrostimulation of muscles, the electrical muscle stimulation system integrates EMS 30 software. In the invention, stable / involuntary EMS devices are used as part of the fitness and weight loss cures of its clients.

[0129] According to the invention, the stable / involuntary EMS device 100 is used in the context of aesthetic care in order to maintain or develop muscle mass in underdeveloped or declining areas of the adult client's body, while reducing fat mass and improving skin texture (cellulite and firming) during weight loss.

[0130] One aim of the invention is to send electrical impulses to the muscles of targeted areas to stimulate them during sessions of predefined duration.

[0131] The Objectives: (what the system must do and its performance, conditions and possible constraints) - eight-channel electrostimulation devices for sixteen electrodes 1, for a total of sixteen devices; - operating with consumables with, subsequently as an option, electrodes 1 of specific size - Manual keys - a wire connects two electrodes 1 (2 mm banana) - the pairs (channels) are managed four by four so four management buttons (increase homogeneously, rather + / - button) + a main on / off button + intensity display by number or graphic (no touch screen) TFT color screen gen4-ulcd-5DD1 or bar graph; - rather wide case - long for positioning; - measured intensity: provide higher (new generation) for certain customers.

[0132] Definition of the context of the stimulation device 100 according to the invention: The diagram of the life phases of the stimulation device 100, i.e. the process covering the phases from its creation to its disappearance (e.g. needs, requirements, design, development, verification, validation, installation, operation, maintenance / updates, end of life, etc.). Design - development - Industrialization - Safety tests - CE marking - Production (- Control - Labeling - Packaging - Release) - Storage - Transport - Training - Use Maintenance - Disposal

[0133] The 100 stimulation device is adapted to the elements of the external environment (other than people) which can influence the system (equipment: technologies, energies, ground, implantation ..., materials: inputs and outputs of materials, fluids ..., environment: dust, heat, waste reprocessing ..., estimate: costs, aesthetics, ...): - electrical network 100-240VA 50 / 60Hz - electrodes 1 (x4 packs of 4) - user's skin - fitness center environment - aesthetics - possibility of use (button interface) - CE regulations and standards.

[0134] For each life phase where services of the device 100 are expected (e.g., operating / use phase and maintenance phase), with regard to the use cases (use sequences) and the stakeholders involved. The main mission of the system is in the main use case of the operating phase. Namely, the use (muscle electrostimulation session): - connect power adapter - connect electrode cords 1 - connect electrodes 1 - position electrodes 1 on user skin areas - turn unit on (ON / OFF) - select treatment duration - gradually increase the output energy (intensity) to reach the appropriate value - wait for the end of the programmed time (stop) - turn off the device - remove electrodes 1 - unplug and store the elements.

[0135] For each identified use case, the main scenario for using the device 100 (and alternative if applicable), i.e. the sequences of actions of the user, another stakeholder or the system (inputs and outputs of the system) making it possible to carry out the use case, i.e. the “where” and the “when”, or refer to the document concerned.

[0136] The scenario varies depending on: - user's sex (influencing the areas to be stimulated); - body size (influencing the size of the electrodes 1); - stimulated areas (the points are known by the inventor); - session durations; - output intensity.

[0137] Each use case of the device 100 leads to needs (the objectives associated with the use case / functional requirement, in terms of performance, operational, interfaces cf.: typologies of non-functional requirements below):

[0138] In the tests, the constraint requirements (for each external element, the context has driven the constraints of this element) are presented from the octopus-type environment / context diagrams.

[0139] The 100 stimulation device meets the requirements of being composed of a stimulation unit with four channels each supplying four electrodes 1; is powered via a CE-compliant socket to the 100-240V 50 / 60Hz mains; receives the connections (jack type) of four identical and interchangeable 12 stimulation cables to connect to each four electrodes 1 of the same size on banana plug (one wire = two electrodes 1). The 12 stimulation cables must have the following length: minimum length 1m20 so as to reach the lower and upper limbs. The 100 device is compatible with CE-compliant 1 electrodes dedicated to EMS to be stuck on the user's skin positioning zones (points provided by the customer): - Classic woman - Classic man - Gynoid - Android - Triceps.

[0140] The 100 stimulation device is compatible with 1 graphite silicone electrodes, 80 x 120 mm with 2 mm female banana plug + 4 mm adapter to compensate for fragility. It has a manual control system including: four “+ / -” dials for managing the intensity of the electrical impulses 60 a main on / off button (power ON / OFF) a treatment duration selection button.

[0141] The 100 stimulation device has a gen4-ulcd-5DD1 color display system including an LED bar graph and seven-segment display. It is protected against opening by unauthorized third parties (must not be able to be opened without using specific tools). The 100 device has an overcurrent protection system.

[0142] The following EMS specifications are achieved (measurements carried out on device with GymnaUniphy Graphite silicone electrode, 80 x 120 mm with 2 mm female banana plug): pulse output power / channel = 90 V x 80 mA = 7.2 VA (or W) single output frequency = 2.7 kHz pulse durations pulse shape = square pulse type = compensated

[0143] The 100 stimulation device allows you to set the output duration (EMS session) by pressing the + / - button, in 1 minute steps, from 0 to 99 minutes - to prevent the timer from being changed after the EMS session has started. In this case, it is possible to end the session by reducing the output energy to 0 and then turning off the power button (OFF). Otherwise, the stimulation stops automatically at the end of the timer. The output intensity must be adjusted, for each of the four channels, using a - / + dial in steps of 1% of the maximum value (90 V x 80mA = 7.2 VA (or W)) from 0 to 100% (compliant with standard EN 60601-2-10 → 201.12.1.101 The adjustment step must not exceed 1mA or 1V and at the minimum setting, not exceed 2% of the value available at the maximum setting). The EMS output can be stopped by holding down the intensity adjustment dial for channel 60 (continuous pressing for at least one second).The output intensity must be limited in accordance with § 201.12.4.104 of EN IEC 60601-2-10. Device 100 displays the remaining session time in minutes. It displays the EMS output level at 100% of the maximum output level in a bar graph. Device 100 warns when the output current exceeds a specified safety value. Example: "OVERCURRENT" is displayed and flashes. It disappears when the intensity is decreased but the system shuts down within three seconds if no action is taken. To continue the session, the system must be turned off and then on again. Device 100 warns when the electrode or electrode cord is not correctly connected during the output. Device 100 has audible indicators to: - signal the end of the timer. It has error code indicators: . insufficient voltage on the power supply; excessive voltage on the power supply; circuit problem.

[0144] The stimulation device 100 is used according to the method which includes the following steps: - connect mains adapter - connect electrode cords 1 - connect electrodes 1 - position electrodes 1 on user skin area - switch unit on (ON / OFF) - select treatment duration - gradually increase output energy (intensity) to reach the appropriate value - wait for the end of the programmed time (stop) - switch off device - remove electrodes 1 - unplug and store the elements.

[0145] The 100 stimulation device complies with the safety standards applicable to the EU zone (see regulatory framework “Regulatory framework _HTC_EMS_V1 2021-12-22”) and has a CE marking according to the regulations applicable to the EU zone (see regulatory framework).

[0146] According to other characteristics of the stimulation device 100 of the invention, the software 30 called RFID allows a power supply of the electrodes 1 called "type" in conductive TPE according to the body size of the patient. The device 100 comprises connections (jack type) of four identical and interchangeable stimulation cables 12 to connect to each of them four electrodes 1 of the same size on banana plug (1 wire = 2 electrodes 1). The stimulation cables 12 have the following length: minimum length 1m20 1m50 so as to reach the lower and upper limbs and are compatible with electrodes 1. The electrodes 1 are equipped with an RFID reader 2, namely with a scanner per device. All connected to the housing. These electrodes 1 are sized to adapt to the body size of the patient.The current is uniform but adapts to the morphology, namely that depending on the patient's build, with identical electrodes 1 which have a lipolysis function, the results may be different.

[0147] To address these variations in results, electrodes 1 (connected to the box) are of different sizes and the frequency is adapted in relation to the electrodes 1 in question to achieve a standard effect regardless of the patient.

[0148] The method of implementing the operating mode below with a system typically conforming to that described previously includes the following steps: - connect the mains adapter; - select electrodes 1; - connect electrode cords 1; - connect electrodes 1; - position electrodes 1 on the user's skin area; - switch on the unit (ON / OFF); - select the treatment duration; - gradually increase the output energy (intensity) to reach the appropriate value; - wait for the end of the programmed time (stop); - switch off the device - remove electrodes 1; - unplug and store the elements.

[0149] Complies with the safety standards applicable to the EU zone (see regulatory framework “Regulatory framework _HTC_EMS_V1_2021 -12-22”)

[0150] Have CE marking in accordance with the regulations applicable to the EU zone (see regulatory framework).

[0151] Problem statement of the weight loss phase without control and maintenance of muscle mass: The management of overweight and obesity aims at several objectives: weight loss, then weight stabilization. Indeed, the interest of electrostimulation can be considered as a new way of management for the maintenance of this muscle mass in the phase of caloric restriction. The concern is that currently there is no medical device in stable electrostimulation (without movement) adapted to people who are overweight or obese. No loss of muscle physical activity problem: only lose fat mass.

[0152] The invention overcomes the sporting contraindications for an obese user and the calorie restriction phases. EMS

[0153] The most effective method is a combination. Strength training requires carrying extra weight over and above your natural body weight and intense activity.

[0154] The advantage of EMS is that it avoids the constraints of classic muscular activity.

[0155] A fatty muscle does not have the same power as a quality muscle with fast fibers. Hence, it is necessary to maintain all muscle groups.

[0156] The invention relates to muscle strengthening.

[0157] It's not just the volume, but the quality of the muscle, through intense, even muscle strengthening that is effective. EMS is measurable. Walking has no beneficial effect because the body is designed to walk. The benefit begins with the intensity level. To achieve this benefit, you have to go very far; the patient can no longer keep up.

[0158] Maintaining the skin. It's a matter of epithelial tissue. Contraction oxygenates the tissues. It's a drainage.

[0159] The physical training facility according to the invention comprises at least one piece of apparatus or a muscle exercise machine or an exercise mat, and comprising at least one electrostimulation device 100 according to the description above.

[0160] The relaxation installation according to the invention comprises a seat or a layer for supporting the user, and comprising at least one electrostimulation device 100 according to the description above. Although the invention has been described in connection with particular structures, it is in no way limited thereto and numerous variant embodiments may be made thereto; it will be obvious that it can be modified in numerous ways. Such variants should not be considered as departing from the spirit of the invention. All modifications which would be obvious to a person skilled in the art are intended to be included within the scope of the following claims.

[0161] The combinations of the different embodiments shown in the figures or described above do not depart from the scope of the invention. Reference signs

[0162] 1 Electrodes 2 RFID chip 3 Antenna 10 Generator 11 Excitomotor pathways 12 Cable 20 Calculator 30 Software means 40 Memory 50 Supporting structure 60 Intensity adjustment means 70 Humidification means 100 Electrostimulation device

[0163] The reference signs inserted after the technical characteristics mentioned in the claims are intended solely to facilitate the understanding of the latter and do not limit their scope in any way.

Claims

1. Electrostimulation device (100) arranged for electrostimulation on a user of large build, having a body mass index greater than 26 to 32 kg / m 2 , a waist circumference greater than 108 cm, a mass greater than 100 kg, said electrostimulation device (100) comprising a plurality of electrodes (1), characterized in that said electrostimulation device (100) comprises a generator (10) controlled by a computer (20) and software means (30), said computer (20) comprising at least one memory (40) comprising data relating to said user predefined by a prior examination, said generator (10) comprising a plurality of excitomotor pathways (11), each attached to a cable (12) carrying a plurality of said electrodes (1), and being arranged to control the sending of simultaneous or separate excitation signals to the different excitomotor pathways (11).

2. Electrostimulation device (100) according to claim (1), characterized in that each said cable (12) has a minimum length of 120 cm.

3. Electrostimulation device (100) according to claim 1 or 2, characterized in that at least one said electrode (1) comprises a conductive thermoplastic elastomer casing, which comprises at least one RFID chip (2) arranged for the identification of said electrode (1).

4. Electrostimulation device (100) according to one of the preceding claims, characterized in that at least one said supporting structure (50) is flexible and spongy, and comprises humidification means (70).

5. Electrostimulation device (100) according to claim 4, characterized in thatsaid electrostimulation device (100) comprises at least one of the supporting structures (50) forming a belt or an armband or a sheath or a sleeve, said at least one supporting structure (50) being arranged to be slipped onto a limb or the body of the user and to carry at least one said electrode (1) in immediate contact with the body of the user.

6. Electrostimulation device (100) according to one of claims 1 to 5, characterized in that at least one said cable (12) carries an even number of said electrodes (1).

7. Electrostimulation device (100) according to claims 5 and 6, characterized in that at least one said supporting structure (50) comprises a plurality of housings allowing diametrically opposed positioning of the two said electrodes (1) around a limb or the body of said user and / or comprises inflation means for tightening it around the user.

8. Electrostimulation device (100) according to claim 5 and one of claims 1 to 7, characterized in that at least one said supporting structure (50) comprises means for holding in position around a limb or the body of said user, and at least one strap made of self-gripping fabric.

9. Electrostimulation device (100) according to one of claims 1 to 8, characterized in that said generator (10) comprises several intensity adjustment means (60), typically thumbwheels, each arranged for simultaneous intensity control on at least two said excitomotor pathways (11), each said intensity adjustment means (60) being independent and adjustable independently of the other said intensity adjustment means (60).

10. Electrostimulation device (100) according to one of claims 1 to 9, characterized in thatsaid generator (10) is arranged to deliver, in each said electrode (1), a current of intensity less than or equal to 100 mA and to manage, for each said excitomotor pathway (11) at least 100 pulse trains of frequency between 80 Hz and 120 Hz separated in time by phases devoid of pulse.

11. Electrostimulation device (100) according to one of claims 1 to 10, characterized in that each said electrode (1) has a larger surface area, arranged to come into contact with the user, which is less than or equal to 100 cm 2 .

12. Electrostimulation device (100) according to one of claims 1 to 11, characterized in that said electrostimulation device (100) comprises a safety stop triggered by a clock limiting the operating time to 20 minutes, or by a user action.

13. Electrostimulation device (100) according to one of claims 1 to 12, characterized in thatsaid generator (10) comprises at least eight said excitomotor pathways (11) each connected to at least four said electrodes (1).

14. Physical culture installation, comprising at least one apparatus or a muscle exercise machine or an exercise mat, and comprising at least one electrostimulation device (100) according to one of claims 1 to 13 15. Relaxation installations, comprising a seat or a layer to support the user, and comprising at least one electrostimulation device (100) according to one of claims 1 to 13. 1

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