Electromagnetic induction device and method for activating target tissue

Abstract

An electromagnetic induction device for activating target tissue within a human or animal body via its muscular or nervous system, the electromagnetic induction device comprising: (i) an electromagnetic field generator (21) having a coil design (211) configured to generate an electromagnetic field (212) having a target shape (213); (ii) a mounting structure (22) for holding the coil design (211) of the electromagnetic field generator (21) to the human or animal body; (iii) a sensor member (4) configured to detect activation of the target tissue; (iv) an electromagnetic field adjustment mechanism (21) configured to automatically adjust the position of the electromagnetic field (212) generated by the coil design (211); and (v) a calibration unit (31) in communication with the sensor member (4) and the electromagnetic field adjustment mechanism (21). The calibration unit (31) is configured to (a) control the electromagnetic field adjustment mechanism (21) to automatically change the position of the electromagnetic field (212) generated by the coil design (211); (b) receive an activation feedback signal from the sensor member (4) upon detection of activation of the target tissue; and (c) control the electromagnetic field adjustment mechanism (21) to automatically stop changing the position of the electromagnetic field (212) generated by the coil design (211) when the activation feedback signal is received, and to automatically stop changing the electromagnetic field strength of the electromagnetic field (212) generated by the coil design (211) when the activation feedback signal is received. [Selected Figure] Figure 1

Description

Technical Field

[0001]

[0001] The present invention relates to an electromagnetic induction device as recited in the preamble of independent claim 1, and more particularly to a process for manufacturing such a device, a method for activating a target tissue, and the use of such a device.

Background Art

[0002]

[0002] In medicine, it is known that it is beneficial to activate a patient's target tissue for many purposes. For example, in the intensive care unit of a hospital, it may be desirable to activate the diaphragm of a patient who is being mechanically ventilated in order to prevent the disadvantages of diaphragmatic disuse. Disuse atrophy of the diaphragmatic muscle fibers has been shown to occur already within the first 18 - 69 hours of mechanical ventilation, during which time the muscle fiber cross-sectional area decreases by more than 50%. Therefore, it is aimed to repeatedly activate the diaphragm while the patient is being subjected to artificial or mechanical ventilation so as to maintain the function of the diaphragm, or at least to activate the diaphragm during the weaning period to support an effective recovery of spontaneous respiratory function.

[0003]

[0003] To achieve such activation of tissues within a patient's body, it is known to directly stimulate the tissue or to indirectly activate the tissue via stimulation of a specific part of the nervous system. For example, a target tissue that is muscle tissue can be activated by providing an electric pulse directly to the tissue or to the nerve associated with the tissue. More specifically, it is known that the diaphragm can be activated, for example, by stimulating the phrenic nerve, such as in the patient's neck.

[0004]

[0004] In this regard, U.S. Patent Application Publication No. 2016 / 0310730 describes a device for reducing ventilation-induced diaphragmatic disuse in patients receiving ventilatory support from a ventilator (MV). The device includes first and second types of electrode arrays, comprising a plurality of electrodes configured to stimulate the patient's phrenic nerve, and at least one controller that identifies the type of electrode array from at least two different types, and generates a stimulation signal to stimulate the patient's phrenic nerve based on the identification of the electrode type. Such electrode-based stimulation is not very strong with respect to patient movement or repositioning, and the possible depth of stimulation may be greatly limited by bone or adipose tissue. Furthermore, electrode stimulation has been reported to be more painful for patients than electromagnetic stimulation.

[0005]

[0005] Therefore, a system is needed that enables more convenient and efficient operation and has fewer irritating side effects. [Overview of the project]

[0006] Disclosure of the invention

[0006] According to the present invention, this need is solved by an electromagnetic induction device as defined by the features of independent claim 1, by a manufacturing process for an electromagnetic induction device as defined by the features of independent claim 27, by a method for activating target tissue in the body of a human or animal as defined by the features of independent claim 51, and by applications as defined by the features of independent claims 67-69. Preferred embodiments are the subject of the dependent claims.

[0007]

[0007] In one embodiment, the present invention relates to an electromagnetic induction device for activating target tissue in the body of a human or animal via its muscular or nervous system, the device comprising: (i) an electromagnetic field generator having a coil design configured to generate a spatial electromagnetic field having a target shape; (ii) a mounting structure for holding the coil design of the electromagnetic field generator in the body of a human or animal; (iii) a sensor member configured to detect the activation of the target tissue; (iv) an electromagnetic field adjustment mechanism configured to automatically adjust the position of the electromagnetic field generated by the coil design; and (v) a calibration unit communicating with the sensor member and the electromagnetic field adjustment mechanism. The coil design described herein is or can be composed of at least two coils, or at least one conical, otherwise curved or bulging coil, or at least one small coil, i.e., a coil small enough to generate a sharp electromagnetic field such as a coil having a diameter of 3 cm or less. The target shape of the electromagnetic field described herein may include a peak formed by the spatial electromagnetic field. The electromagnetic field generator of the present invention may also be referred to as an electromagnetic field generator. The target shape of an electromagnetic field can be obtained, for example, by an electromagnetic field that is a locally limited target electric field with a peak. The target shape can be adapted to work in a target region, which is a nerve or tissue region to be activated by the electromagnetic field (e.g., the phrenic nerve to be activated), and can be obtained, for example, by a peak in the electromagnetic field (focal region). The target shape can generally be any shape of the electromagnetic field or time-dependent electric field component that enables effective stimulation of one or more target nerves while minimizing other undesirable co-stimulatory effects of surrounding, overlying, or nearby tissues or nerves. An example of such a shape is a peak shape, which maximizes the effect within the focal region and minimizes the effect outside that region.

[0008]

[0008] Therefore, the tissue can be any type of human tissue, including but not limited to skin or muscle tissue (i.e., diaphragmatic muscle fibers).

[0009]

[0009] Parameters of the voltage or current waveform applied to the coil by the generator, such as pulse shape, amplitude, width, polarity, and repetition frequency, affect the temporal characteristics of the electromagnetic field. The duration and interval between pulse bursts or trains, the total number of pulses, and the interval and total number of sessions between stimulation sessions, among other things, affect the intensity of the electromagnetic field and determine whether a target area or target tissue can be activated, and at what intensity or “dose” it can be activated. The electromagnetic field can be generated by the electromagnetic field generator in single pulses or as trains. Thus, each single pulse is associated with the generation of an electromagnetic field in a relatively short time, with a relatively long interruption between two subsequent pulses. Typically, a single pulse is provided at a frequency lower than 10 Hz, such as 5 Hz or less, or a single pulse is initiated by the user or practitioner. A single pulse can have a time width of about 10–300 μs. Such pulses can activate nerves and muscles and are identifiable by the patient or by sensors. In particular, such a single pulse can cause a single muscle spasm. In contrast, when generated within a train, the electromagnetic field is either continuously generated or generated as a sequence of pulses that track each other relatively quickly. Such pulses can be provided in a frequency range between approximately 15 Hz and 30 Hz. In particular, it is possible for the train to achieve activation of nerves or muscles, so that continuous contraction or activation is induced. Advantageously, the train is provided by increasing its intensity (field intensity) and / or frequency until the target intensity and frequency are achieved (ramp protocol). In this way, sudden spasms or discomfort can be reduced. All of these parameters are summarized under the section "Temporal Characteristics" or "Temporal Parameters" of the electromagnetic field. These temporal parameters can be adjusted manually via the input interface or automatically controlled by an adjustment mechanism.

[0010]

[0010] The temporal characteristics and spatial distribution of the electromagnetic field can be adjusted in such a way that a desired activation (activation feedback) of the target region is achieved. Thus, the activation feedback (signal) refers to a signal that indicates appropriate characteristics of activation of the target tissue, for example, a signal that reaches or exceeds a target value (threshold), a signal that shows a specific curve pattern or shape, a signal that satisfies a specific algorithm known to represent appropriate target tissue activation at a desired intensity, or any combination thereof. The activation feedback (signal) may particularly include feedback regarding a desired muscle activation intensity that should be reached before the adjustment mechanism stops the change. Appropriate activation feedback signal characteristics may be defined by the user, for example, via an input interface, or detected by an algorithm.

[0011]

[0011] The calibration unit of the electromagnetic induction device according to the present invention is configured to (a) control the electromagnetic field adjustment mechanism to automatically change the position of the electromagnetic field generated by the coil design, (b) receive an activation feedback signal from the sensor member when the activation of the target tissue is detected, and (c) control the electromagnetic field adjustment mechanism to automatically stop the change in the position of the electromagnetic field generated by the coil design when the activation feedback signal is received. By automatically stopping the change in the position and ultimately the electromagnetic field strength of the electromagnetic field, the electromagnetic field can be supplied relatively quickly and accurately, and the activation of the target tissue can be performed efficiently and reliably. Furthermore, it is possible to prevent unintended changes in the configuration of the electromagnetic field after the appropriate position has been found. The strength of the electromagnetic field is also sometimes called the magnitude of the electromagnetic field.

[0012]

[0012] The target tissue is any muscle, muscle structure or part thereof that can be activated via the nervous system, or includes it. In particular, it may be the diaphragm or the upper abdomen. The nervous system may be one or more nerves, or include it, particularly the phrenic nerve. Thus, in many applications, it is advantageous to repeatedly stimulate the nervous system or nerves, particularly the phrenic nerve. The coil design of the electromagnetic field generator allows for the formation or customization of the electromagnetic field depending on the intended use of the device. In particular, the target shape can be made to be relatively sharp. This allows for the specific stimulation of the nervous system or a particular part thereof. The target shape allows for the specific stimulation of nerves, such as the phrenic nerve, and to reduce, prevent, or optimize the stimulation of other tissues, such as other tissues or nerves adjacent to, surrounding, or above the target nerve. Thus, such co-stimulation should be avoided as much as possible. This process of localizing the target nerve can also be supported by ultrasound imaging techniques. To stimulate one or both phrenic nerves in the neck, coil designs can be provided, which may be characterized, for example, by a double coil that generates one focal electric field (e-field) region, multiple coils that generate multiple focal electric field regions, a conical coil, a parabolic coil, a small circular coil, or any curved or bulging coil, or any combination thereof.

[0013]

[0013] The mounting structure can be embodied in holding the coil design of the electromagnetic field generator at a specific target location within the body of a human or animal. In particular, such a target location may be a location where the electromagnetic field created by the coil can reach a target part of the nervous system. The term “holding” as used in relation to the mounting structure refers to the coil design being in contact with or in close proximity to the body. This makes it possible to pre-define or clarify the position and orientation of the coil design.

[0014]

[0014] The term “communicating” as used in relation to a calibration unit refers to any connection of elements that enables communication, such as transferring or exchanging information or data. Elements can communicate by being connected to one another by wire or wireless connections.

[0015]

[0015] By configuring the calibration unit according to the present invention, the electromagnetic field generator can be automatically directed and adjusted so that the nervous system is stimulated and the target tissue is specifically activated. In particular, the strength and orientation of the target shape of the generated electromagnetic field can be automatically changed until the nervous system is stimulated so that the sensor receives a signal that the target tissue is activated. In this configuration, the nervous system is specifically stimulated, and the target shape of the electromagnetic field can reduce or minimize side effects such as stimulation of other parts of the nervous system. Moreover, this system can automatically redirect itself to the new location of the target nerve in response to the patient's movement. Thus, the calibration unit, electromagnetic field adjustment mechanism and sensor member can form an automatic feedback system implemented in an electromagnetic induction device.

[0016]

[0016] Thus, the electromagnetic induction device according to the present invention enables automatic, simple, and efficient operation, and more specifically, enables simple, accurate, and specific localization of the relevant parts of the nervous system to be stimulated in order to activate target tissue. By automatically calibrating the device, considerably higher accuracy can be achieved compared to manually localizing the relevant parts of the nervous system, and ease of use can be improved. Furthermore, side effects when stimulating the nervous system can be reduced.

[0017]

[0017] Preferably, the mounting structure includes a repositioning structure configured to automatically change the position of the coil design of the electromagnetic field generator relative to the human or animal body when it is held on the human or animal body. The term “position” as used in relation to automatic changes by the repositioning structure relates to location, orientation, shaping, etc., and combinations thereof. The position can be changed by tilting, shifting, repositioning, shaping, or similar actions. In this way, the orientation of the electromagnetic field can be adjusted efficiently and precisely.

[0018]

[0018] Accordingly, the electromagnetic field adjustment mechanism preferably includes a repositioning structure for the mounting structure, and the calibration unit is preferably configured to automatically change the position of the electromagnetic field by inducing the repositioning structure to automatically change the position of at least two electromagnetic coils relative to the human or animal body. The repositioning structure for the mounting structure preferably includes a tilting mechanism, such as a joint, configured to tilt the coil design of the electromagnetic field generator relative to the human or animal body when it is held in place by the human or animal body. This allows for efficient adaptation of the position and / or direction for adjusting the electromagnetic field to stimulate the nervous system. In particular, in neck applications involving the phrenic nerve, which is longitudinally related, all the degrees of freedom necessary to locate the phrenic nerve can be enabled by tilting the coil design with a peak around the longitudinal axis on the neck surface in combination with changing the strength / intensity of the electromagnetic field. In addition to a joint, the tilting mechanism can be any suitable structure for tilting the coil design.

[0019]

[0019] Alternatively or additionally, the electromagnetic field generator preferably comprises a repositionable conductive element positioned in the electromagnetic field generated by the coil design. Such a conductive element allows for alternative and efficient adjustment of the electromagnetic field.

[0020]

[0020] Accordingly, the electromagnetic field adjustment mechanism preferably comprises a conductive element of the electromagnetic field generator, and the calibration unit is preferably configured to automatically change the position of the electromagnetic field by inducing the electromagnetic field adjustment mechanism to automatically reposition the conductive element within the electromagnetic field. The conductive element is preferably a conductive shaft. Such a shaft can be a simple and efficient embodiment for precisely adjusting the electromagnetic field or its target shape. In this context, the term “shaft” means any suitable rod-shaped structure such as a rod, pole, stick, stem, post, etc.

[0021]

[0021] Preferably, the electromagnetic field generator comprises a coil array including a coil design. In particular, the array can consist of three or more coils. Such an array allows for a more sophisticated shape and moves the electromagnetic field, in particular, its target shape.

[0022]

[0022] Accordingly, the electromagnetic field adjustment mechanism preferably comprises a coil array of an electromagnetic field generator, and the calibration unit is preferably configured to automatically change the position of the electromagnetic field by inducing the electromagnetic field adjustment mechanism to automatically apply force to the coil array of various coil combinations. The coils of the coil array preferably overlap. The coil array of the electromagnetic field generator is preferably configured to generate a plurality of electromagnetic fields, each having a target shape, and the coil array is configured such that the plurality of electromagnetic fields overlap to produce a cumulative intensity. Such a cumulative intensity can generate a more precise, clearly defined, and locally focused target electric field that can accurately stimulate the nervous system.

[0023]

[0023] Preferably, the sensor member includes at least one electrode configured to be attached to the body of a human or animal to sense the activity of a target tissue. Such an electrode can efficiently detect the activation of the target tissue, thereby stopping the calibration process and / or monitoring the proper functioning of the activation.

[0024]

[0024] Additionally or alternatively, the sensor component preferably includes a flow sensor having an adapter that can be connected to the respiratory system of a human or animal body, the flow sensor configured to detect changes in airflow caused by the activity of a target tissue. As used herein, the term “flow sensor” means any device that enables the detection of air movement, in particular changes in air movement that result in pressure changes. Typically, a flow sensor measures the number of times a fixed volume is filled with fluid within a given time frame, the force or pressure generated in the fluid flow, or the velocity of a fluid over a known area. The adapter can be configured in particular to connect to the airway of the respiratory system. The flow sensor can be configured integrally with an electromagnetic induction device, for example, in one unit, or it can be included in another unit, such as a ventilation device to which it is connected.

[0025]

[0025] Accordingly, the adapter of the flow sensor of the sensor member is preferably configured to be connected to the mouth and / or nose of a human or animal body. The term “connected” as used herein refers to any direct or indirect connection via another element. For example, the adapter may be indirectly connected to the mouth and / or nose via a tube.

[0026]

[0026] Additionally or alternatively, the sensor member preferably includes an accelerator and / or a gyroscope and / or strain gauge placed in the patient's chest to detect diaphragmatic contraction. Alternatively, an esophageal catheter or other type of catheter may be used as a sensor member to detect diaphragmatic activation. A catheter that measures compound muscle action potential (CMAP) of the diaphragm may be used as a sensor member. An intraesophageal catheter that measures the electrical activity of the diaphragm may be used as a sensor member. EMG measurement of the diaphragm using a catheter may be used. A transdiaphragmatic pressure sensor as a catheter can be used to measure gastric pressure (Pga) and esophageal pressure (Pes), and the type of sensor is a balloon catheter with a pressure transducer (which requires placing a small catheter at the tip of the balloon into the esophagus and stomach, respectively, to assess intrathoracic pressure and intraperitoneal pressure). Alternatively, ultrasound monitoring can be used as a sensor member to detect diaphragmatic activation. Furthermore, oximetry measurements may be used as an indicator of inspiratory activity / diaphragmatic activation. Furthermore, an elastic band / belt (around the chest or other inflatable structure) may be used as a sensor element to detect diaphragmatic activation, and changes in the cross-sectional area of ​​the band / belt may serve as an indicator of muscle / diaphragmatic contraction. Electrodes on the target muscle / diaphragm for measuring action potentials (e.g., a cytoelectronic graph) may be used as a sensor element to detect diaphragmatic activation. For example, cutaneous EMG measurement of the diaphragm may be used as a sensor element, where the diaphragmatic EMG is monitored by surface electrodes positioned between the 7th and 9th intercostal spaces along the anterior axillary line. A mechanical stretch sensor on the skin to measure thoracic deformation may be used as a sensor element. An electrical impedance tomography device, for example in the form of a belt to measure lung volume, may be used as a sensor element.

[0027]

[0027] Preferably, the attachment structure is configured to hold the coil design around the neck of a human or animal body such that the electromagnetic field generated by the coil design of the electromagnetic field generator can reach the phrenic nerve of the nervous system of the human or animal body. Such an embodiment enables efficient stimulation of the phrenic nerve and activation of the diaphragm.

[0028]

[0028] Thus, the attachment structure preferably includes an arcuate member that can be disposed at a distance around the neck of a human or animal body, and the two coils of the electromagnetic field generator are held by the arcuate member of the attachment structure. The coil design may be movable along the arcuate member. Alternatively, the arcuate member may be provided with a coil array. Such an arcuate member makes it possible to provide relatively high flexibility when repositioning the coil and / or the electromagnetic field. The arcuate member is preferably provided with an access passage. The passage can be embodied as a recess, a slot, a through-hole, etc. Such a passage enables access to the human or animal body, particularly in the region where the electromagnetic field is applied. Similarly, for example, a catheter can be disposed in the neck region where the phrenic nerve is stimulated.

[0029]

[0029] Preferably, the electromagnetic induction device comprises a tracking device configured to detect movement of a human or animal body relative to the coil design of the electromagnetic field generator and automatically change the position of the electromagnetic field to compensate for the detected movement of the human or animal body relative to the coil design of the electromagnetic field generator. Such a structure can ensure proper operation even when the body moves to some extent.

[0030]

[0030] Preferably, the electromagnetic field adjustment mechanism is configured to automatically adjust the electromagnetic field strength of the electromagnetic field generated by the coil design, and the calibration unit is configured to control the electromagnetic field adjustment mechanism to automatically change the electromagnetic field strength of the electromagnetic field generated by the coil design, and to control the electromagnetic field adjustment mechanism to automatically stop the change in the electromagnetic field strength of the electromagnetic field generated by the coil design when activation feedback is received. Such a structure makes it possible to efficiently adjust and shape the electromagnetic field or its target shape in order to achieve a proper simulation.

[0031]

[0031] Preferably, the electromagnetic field adjustment mechanism is configured to automatically adjust the temporal characteristics of the electromagnetic field, and the calibration unit is configured to control the electromagnetic field adjustment mechanism to automatically change the temporal characteristics of the electromagnetic field, and optionally to control the electromagnetic field adjustment mechanism to automatically stop the change in the temporal characteristics of the electromagnetic field generated by the coil design when activation feedback is received.

[0032]

[0032] Accordingly, the electromagnetic induction device preferably comprises an alarm unit, where the tracking device is connected to the alarm unit and configured to activate the alarm unit when the detected movement exceeds a range of compensation achieved by changing the position of the electromagnetic field generated by two coils via an electromagnetic field adjustment mechanism. The alarm can be an audible signal, a visual signal, a tactile signal, or any combination thereof.

[0033]

[0033] Preferably, the electromagnetic field generator is configured to automatically adjust the transient electromagnetic field characteristics of the electromagnetic field generated by the coil design, such as pulse type, pulse duration, pulse frequency, intertrain interval, etc., and the calibration unit is configured to control the electromagnetic field adjustment mechanism to automatically change the transient electromagnetic field characteristics of the electromagnetic field generated by the coil design, and to control the electromagnetic field generator to automatically stop the change in the transient electromagnetic field characteristics of the electromagnetic field generated by the coil design when activation feedback is received.

[0034]

[0034] Preferably, the sensor member includes a pressure sensor having an adapter that can be connected to the respiratory system of a human or animal body, the pressure sensor being configured to detect pressure changes caused by the activity of a target tissue. The adapter of the pressure sensor of the sensor member may be configured to be connected to the mouth and / or nose of a human or animal body. The pressure sensor may be configured in a single unit, for example, integrated with an electromagnetic induction device. Alternatively, it may be included in another unit, such as a ventilation device to which it is connected. Such a configuration makes it possible to detect the activation of a target tissue causing the patient to breathe.

[0035]

[0035] Electromagnetic induction devices according to the present invention and its preferred embodiments can be advantageously used for transcutaneous electromagnetic induction of the phrenic nerve for diagnostic purposes to evaluate diaphragmatic function or other forms of sleep apnea or sleep-disordered breathing.

[0036]

[0036] Alternatively, electromagnetic induction devices according to the present invention and its preferred embodiments may be advantageously used for repetitive and regular transcutaneous electromagnetic induction for the treatment of patients without spontaneous respiration, for example, for resuscitation and life support of patients such as patients with no or impaired respiratory center function, such as sedated patients, intensive care patients or anesthetized patients. The repetitive and regular induction can be 10 to 50 stimuli per minute in particular. The absence of respiratory center function may be due to drug or opioid ingestion. This use may be involved in the immediate treatment of patients who have lost stimulation due to a disruption of the connection between the respiratory center and the diaphragm, such as paraplegic patients after an accident, for use in patients who have lost stimulation due to sedation or respiratory depression, or for use in mechanically ventilated patients without triggers.

[0037]

[0037] Furthermore, electromagnetic induction devices according to the present invention and its preferred embodiments can be advantageously used for repetitive transcutaneous electromagnetic induction of the phrenic nerve for therapeutic purposes in patients with no or insufficient spontaneous diaphragmatic contraction, having at least partially undamaged phrenic nerves. These therapeutic applications include, for example, the treatment or prevention of diaphragmatic weakness in mechanically ventilated patients, the prevention or treatment of lung infections in mechanically ventilated patients, the prevention or treatment of lung injury or other positive pressure-related complications, for use in COPD patients, for resuscitation and life support in patients with impaired respiratory center function (e.g., due to drugs or opioids), for the treatment of sleep apnea and other forms of sleep-disordered breathing, for the treatment of patients with idiopathic diaphragmatic paralysis, neuralgic muscular atrophy or ALS, and for the treatment of hypercapnia. In these applications, it is useful to design the coil positioning mechanism as follows: The patient lies on a pillow or mattress, and the shape of the pillow or mattress is adapted to the patient's anatomical structure. This may be a vacuum pillow, and the patient's head can be fixed in a position after vacuuming. The coil is secured to a holder attached to the mattress or bed, or to a holder located on the mattress beneath the vacuum pillow. An automatic adjustment mechanism is included in the coil holder to change the direction of stimulation. The adjustment mechanism and coil structure may be enclosed with a washable or disposable cover to protect the patient from mechanical coil movement and the coil mechanism from contamination.

[0038]

[0038] Preferably, the calibration unit is configured to (i) control the electromagnetic field generator to generate a pulsed electromagnetic field while changing the position of the electromagnetic field generated by the coil design, and (ii) control the electromagnetic field generator to generate an electromagnetic field as a train when the change in the position of the electromagnetic field generated by the coil design has stopped. By separating the supply of pulses for adjusting the position of the electromagnetic field from the supply of trains for stimulating the target tissue, optimal activation of the target tissue according to the purpose can be achieved. In particular, in order to have the appropriate position of the electromagnetic field, the target tissue or the nerve associated with it must be localized. For that purpose, short pulses are sufficient and cause less discomfort to the patient. In contrast, when stimulating a target tissue, such as the diaphragm, to induce breathing, trains are more efficient because they can efficiently achieve contraction over an appropriate period of time.

[0039]

[0039] Therefore, the calibration unit is preferably configured to control the electromagnetic field generator to generate an electromagnetic field as a train with an electromagnetic field intensity that is initially lower than and then increases compared to a locally limited, pulsed target electromagnetic field. In particular, the electromagnetic field intensity of the train can be initially slightly lower to avoid discomfort, and then gradually increased until the desired intensity of muscle contraction is reached, and eventually the electromagnetic field intensity of the train can be higher than the electromagnetic field intensity of the pulse. In this way, after finding the correct location of the electromagnetic field, the target tissue can be reliably stimulated.

[0040]

[0040] Preferably, the activation feedback signal includes multiple responses of target tissue activation, each associated with a specific location and ultimately a specific electromagnetic field intensity of the electromagnetic field generated by the coil design, and the calibration unit is configured to control an electromagnetic field adjustment mechanism to adjust the location and ultimately the electromagnetic field intensity of the electromagnetic field to a specific location associated with the most appropriate response or most desirable signal characteristic among the multiple responses of the activation feedback signal when the activation feedback signal is received. The term “most appropriate” as used herein is particularly relating to the intensity of the response. In particular, the most appropriate response is the strongest response. Additionally or alternatively, the most appropriate response may also be determined by other response characteristics. In this way, the best or most efficient location and intensity of the electromagnetic field can be determined and adjusted. In particular, the configuration of the electromagnetic field can be optimized by first collecting multiple responses for multiple locations and ultimately the electromagnetic field intensity and selecting the strongest or most appropriate response. The term “strong” in relation to the response is relating to the strength or intensity of the target tissue activity. Such strength or intensity may correlate with the strength or intensity of the signal provided by the sensor member.

[0041]

[0041] Preferably, the activation feedback signal includes a plurality of responses of target tissue activation, each associated with a specific location in the target region of the electromagnetic field generated by the coil design, and the calibration unit is configured to control an electromagnetic field adjustment mechanism to adjust the position of the electromagnetic field to a specific location associated with the most appropriate response characteristic among the plurality of responses of the activation feedback signal when the activation feedback signal is received, and / or to adjust the temporal characteristics of the electromagnetic field to a specific location and time setting associated with the most appropriate response among the plurality of responses of the activation feedback signal when the activation feedback signal is received, and / or to adjust the temporal characteristics of the electromagnetic field to a specific location and time setting associated with the most appropriate response characteristic among the plurality of responses of the activation feedback signal when the activation feedback signal is received.

[0042]

[0042] In another embodiment, the present invention is a process for manufacturing an electromagnetic induction device for activating target tissue in the body of a human or animal via its muscular or nervous system. The process includes (i) assembling an electromagnetic induction device with (ia) an electromagnetic field generator having a coil design configured to generate a spatial electromagnetic field having a target shape, (ib) a mounting structure for holding the coil design of the electromagnetic field generator in the body of a human or animal, and (ic) a sensor member configured to detect the activation of a target tissue; (ii) assembling an electromagnetic field adjustment mechanism configured to automatically adjust the position of the electromagnetic field generated by the coil design, and (ii.b) a calibration unit communicating with the sensor member and the electromagnetic field adjustment mechanism, and configuring the calibration unit to (iii.a) control the electromagnetic field adjustment mechanism to automatically change the position of the electromagnetic field generated by the coil design, (iii.b) receive an activation feedback signal from the sensor member when the activation of the target tissue is detected, and (iii.c) control the electromagnetic field adjustment mechanism to automatically stop the change in the position of the electromagnetic field generated by the coil design when the activation feedback is received.

[0043]

[0043] The process according to the present invention enables the efficient manufacture of electromagnetic induction devices according to the present invention and its preferred embodiments. This makes it possible to achieve the effects and advantages described above in relation to electromagnetic induction devices according to the present invention.

[0044]

[0044] Preferably, the mounting structure is provided with a repositioning structure configured to automatically change the position of the coil design of the electromagnetic field generator relative to the human or animal body when it is held on the human or animal body. Therefore, the electromagnetic field adjustment mechanism is preferably provided with a repositioning structure of the mounting structure, and the calibration unit is preferably configured to automatically change the position of the electromagnetic field by inducing the repositioning structure to automatically change the position of at least two electromagnetic coils relative to the human or animal body. The repositioning structure of the mounting structure is preferably provided with a tilting mechanism such as a joint configured to tilt the coil design of the electromagnetic field generator relative to the human or animal body when it is held on the human or animal body.

[0045]

[0045] Preferably, the electromagnetic field generator includes a repositionable conductive element positioned in the electromagnetic field generated by the coil design. Therefore, the electromagnetic field adjustment mechanism is preferably provided with the conductive element of the electromagnetic field generator, and the calibration unit is preferably configured to automatically change the position of the electromagnetic field by inducing the electromagnetic field adjustment mechanism to automatically reposition the conductive element in the electromagnetic field. The conductive element is preferably provided with a conductive shaft.

[0046]

[0046] Preferably, the electromagnetic field generator is provided with a coil array including a coil design. Therefore, the electromagnetic field adjustment mechanism is preferably provided with the coil array of the electromagnetic field generator, and the calibration unit is preferably configured to automatically change the position of the electromagnetic field by inducing the electromagnetic field adjustment mechanism to automatically apply force to the coil array of various coil combinations. The coils of the coil array preferably overlap. The coil array of the electromagnetic field generator is preferably configured to generate a plurality of spatial electromagnetic fields, each having a target shape, and the coil array is configured so that the plurality of electromagnetic fields overlap to produce a cumulative intensity.

[0047]

[0047] Preferably, the sensor member is provided with at least one electrode configured to be attached to the body of a human or animal in order to sense the activity of a target tissue.

[0048]

[0048] Preferably, the sensor member is provided with a flow sensor having an adapter that can be connected to the respiratory system of a human or animal body, and this flow sensor is configured to detect changes in airflow caused by the activity of a target tissue. Therefore, the adapter of the flow sensor of the sensor member is preferably configured to be connected to the mouth and / or nose of a human or animal body.

[0049]

[0049] Preferably, the mounting structure is configured to hold the coil design around the neck of a human or animal body so that the electromagnetic field generated by the coil design of the electromagnetic field generator can reach the phrenic nerve of the nervous system of the human or animal body. Therefore, the mounting structure preferably includes an arc-shaped member that can be positioned at a distance around the neck of a human or animal body, and the two coils of the electromagnetic field generator are held in the arc-shaped member of the mounting structure. The arc-shaped member preferably includes an access passage.

[0050]

[0050] Preferably, the process further includes the step of assembling a tracking device into an electromagnetic induction device, wherein the tracking device is configured to detect the movement of a human or animal body relative to the coil design of the electromagnetic field generator and to automatically change the position of the electromagnetic field to compensate for the detected movement of the human or animal body relative to the coil design of the electromagnetic field generator.

[0051]

[0051] Preferably, the electromagnetic field adjustment mechanism is configured to automatically adjust the electromagnetic field strength of the electromagnetic field generated by the coil design, and the calibration unit is configured to control the electromagnetic field adjustment mechanism to automatically change the electromagnetic field strength of the electromagnetic field generated by the coil design, and to control the electromagnetic field adjustment mechanism to automatically stop the change in the electromagnetic field strength of the electromagnetic field generated by the coil design when activation feedback is received.

[0052]

[0052] Accordingly, the process preferably includes the step of assembling the alarm unit into an electromagnetic induction device, where the tracking device is connected to the alarm unit and configured to activate the alarm unit when the detected movement exceeds a range of compensation achieved by changing the position of the electromagnetic field generated by two coils via an electromagnetic field adjustment mechanism. The alarm can be an audible signal, a visual signal, a tactile signal, or any combination thereof.

[0053]

[0053] Preferably, the process includes the steps of configuring the calibration unit to (i) control an electromagnetic field generator to generate a pulsed electromagnetic field while changing the position of the electromagnetic field generated by the coil design, and (ii) control an electromagnetic field generator to generate an electromagnetic field as a train when the change in the position of the electromagnetic field generated by the coil design is stopped.

[0054]

[0054] Therefore, the process preferably includes the step of configuring the calibration unit to control the electromagnetic field generator to generate an electromagnetic field as a train with an electromagnetic field intensity that is initially lower than a pulsed electromagnetic field and then increases.

[0055]

[0055] Preferably, the activation feedback signal includes a plurality of responses of target tissue activation, each associated with a specific location of the electromagnetic field generated by the coil design, and the calibration unit is configured to control an electromagnetic field adjustment mechanism to adjust the position of the electromagnetic field to a specific location associated with the strongest or most appropriate response among the plurality of responses of the activation feedback signal when the activation feedback signal is received, and / or to adjust the temporal characteristics of the electromagnetic field to a specific location and time setting associated with the most appropriate response among the plurality of responses of the activation feedback signal when the activation feedback signal is received, and / or to adjust the temporal characteristics of the electromagnetic field to a specific location and time setting associated with the most appropriate response characteristic among the plurality of responses of the activation feedback signal when the activation feedback signal is received.

[0056]

[0056] Preferably, the activation feedback signal includes a plurality of responses of target tissue activation, each associated with a specific location in the target region of the electromagnetic field generated by the coil design, and the calibration unit is configured to control an electromagnetic field adjustment mechanism to adjust the position of the electromagnetic field to a specific location associated with the most appropriate response characteristic among the plurality of responses of the activation feedback signal when the activation feedback signal is received.

[0057]

[0057] Preferably, the process includes configuring an electromagnetic field adjustment mechanism to automatically adjust the temporal characteristics of the electromagnetic field, and configuring a calibration unit to control the electromagnetic field adjustment mechanism to automatically change the temporal characteristics of the electromagnetic field, and optionally, to control the electromagnetic field adjustment mechanism to automatically stop the change in the temporal characteristics of the electromagnetic field generated by the coil design when activation feedback is received.

[0058]

[0058] In another further embodiment, the present invention is a method for activating a target tissue in the body of a human or animal via its muscular or nervous system, comprising: (i) positioning a coil design in the body of a human or animal; (ii) generating a spatial electromagnetic field having a target shape by the coil design; (iii) sensing the activation of the target tissue; (iv) adjusting the position of the electromagnetic field generated by the coil design; (v) automatically changing the position of the electromagnetic field generated by the coil design; (vi) evaluating activation feedback obtained by sensing the activation of the target tissue; and (vii) automatically stopping the change in the position of the electromagnetic field generated by the coil design when activation is detected by sensing the activation of the target tissue.

[0059]

[0059] Such methods enable the efficient activation of target tissue. This can be beneficial, for example, in preventing defects caused by the disuse of target tissue. In particular, when used in ventilation, such methods can prevent diaphragmatic dysfunction caused by not using the diaphragm during ventilation. More specifically, the methods according to the present invention enable the achievement of the effects and advantages described above in relation to the electromagnetic induction device according to the present invention.

[0060]

[0060] Preferably, automatically changing the position of the electromagnetic field includes automatically changing the position of at least two electromagnetic coils relative to the body of a human or animal. Preferably, automatically changing the position of the electromagnetic field includes automatically repositioning the conductive elements within the electromagnetic field.

[0061]

[0061] Preferably, the electromagnetic field generator comprises a coil array including a coil design. Thus, automatically changing the position of the electromagnetic field involves automatically applying force to the coil array of various coil combinations. The coils of the coil array preferably overlap. The coil array of the electromagnetic field generator is configured such that multiple electromagnetic fields overlap and produce a cumulative strength, each having a locally limited target electric field.

[0062]

[0062] Preferably, sensing the activation of a target tissue involves attaching at least one electrode to the body of a human or animal.

[0063]

[0063] Preferably, sensing the activation of a target tissue involves connecting a flow sensor to the respiratory system of a human or animal body and detecting the change in airflow caused by the activation of the target tissue. Therefore, the flow sensor is preferably connected to the mouth and / or nose of a human or animal body.

[0064]

[0064] Preferably, positioning the coil design in the human or animal body involves holding the coil design in the neck of the human or animal body so that the electromagnetic field generated by the coil design can reach the phrenic nerve of the nervous system of the human or animal body. Advantageously, both sides of the neck are involved in the activation of the diaphragm. In particular, two electromagnetic induction devices can be positioned parallel to the neck so that the phrenic nerve can be stimulated on both sides. Preferably, these two devices are coupled to cooperate in a synchronous or coordinated manner.

[0065]

[0065] Preferably, the method includes automatically adjusting the electromagnetic field strength of the electromagnetic field generated by the coil design, automatically changing the electromagnetic field strength of the electromagnetic field generated by the coil design, and stopping the change in the electromagnetic field strength of the electromagnetic field generated by the coil design when activation of the target tissue is detected.

[0066]

[0066] Preferably, the method includes generating a pulsed electromagnetic field while changing the position of the electromagnetic field generated by the coil design, and generating the electromagnetic field as a train when the change in the position of the target region of the electromagnetic field generated by the coil design stops.

[0067]

[0067] Therefore, the method preferably includes generating an electromagnetic field as a train with an electromagnetic field intensity that is initially low and then increases, rather than a pulsed electromagnetic field.

[0068]

[0068] Preferably, the activation feedback signal includes a plurality of responses of target tissue activation, each associated with a specific location of the electromagnetic field generated by the coil design, and when the activation feedback signal is received, the position of the electromagnetic field is adjusted to a specific location associated with the strongest or most appropriate response among the plurality of responses of the activation feedback signal.

[0069]

[0069] The electromagnetic field generators of all embodiments described herein are advantageously configured to provide pulses of an electromagnetic field having adjustable intensity and frequency. In this way, sudden spasms of a patient or a specific body part can be prevented. This can improve the convenience and efficiency of stimulation.

[0070]

[0070] Preferably, the activation feedback signal includes a plurality of responses of activation of target tissue, each associated with a specific location in the target region of the electromagnetic field generated by the coil design, wherein the position of the electromagnetic field is adjusted to a specific position associated with the most appropriate response characteristic among the plurality of responses of the activation feedback signal when the activation feedback signal is received, and / or the time characteristics of the electromagnetic field are adjusted to a specific position and time setting associated with the most appropriate response among the plurality of responses of the activation feedback signal when the activation feedback signal is received, and / or the time characteristics of the electromagnetic field are adjusted to a specific position and time setting associated with the most appropriate response characteristic among the plurality of responses of the activation feedback signal when the activation feedback signal is received.

[0071]

[0071] Preferably, the method includes adjusting the time characteristics of the electromagnetic field, changing the time characteristics of the electromagnetic field, and optionally stopping the change in the electromagnetic field time characteristics generated by the coil design when activation feedback is received.

[0072]

[0072] The electromagnetic induction device according to the present invention, as well as the processes and methods according to the present invention, will be described in more detail below by exemplary embodiments and with reference to the accompanying drawings. [Brief explanation of the drawing]

[0073] [Figure 1] A first implementation of a ventilation device having an electromagnetic induction device according to the present invention, as in the first embodiment, is shown. [Figure 2] Figure 1 shows the electromagnetic field generator of the electromagnetic induction device. [Figure 3] Figure 1 shows the spatial electromagnetic field generated by the electromagnetic induction device. [Figure 4] A second implementation of a ventilation device having an electromagnetic induction device according to the present invention, as in the second embodiment, is shown. [Figure 5] The electromagnetic field generator of the electromagnetic induction device according to the third embodiment of the present invention is shown in an inclined state. [Figure 6] Figure 5 shows the electromagnetic field generator in an un-tilted state. [Figure 7] A third implementation of a ventilation device having an electromagnetic induction device according to a fourth embodiment of the present invention is shown. [Figure 8] A fifth embodiment of the electromagnetic induction device according to the present invention is shown. [Figure 9] This shows the spatial electromagnetic field generated by the sixth embodiment of the electromagnetic induction device according to the present invention. [Figure 10] A flowchart of a first embodiment of a method for activating target tissue in the body of a human or animal via its muscle or nervous system, according to the present invention, is shown. [Figure 11] A flowchart of a second embodiment of the method for activating target tissue in the body of a human or animal via its muscle or nervous system, according to the present invention, is shown. [Figure 12] A flowchart of a third embodiment of the method for activating target tissue in the body of a human or animal via its muscle or nervous system, according to the present invention, is shown. [Modes for carrying out the invention]

[0074]

[0073] In the following description, certain terms are used for convenience, but they are not intended to limit the invention. The terms “right,” “left,” “up,” “down,” “under,” and “above” in the figures refer to direction. The terms consist of the terms explicitly mentioned, their derivatives, and terms with similar meanings. Additionally, spatially relative terms such as “beneath,” “below,” “lower,” “above,” “upper,” “proximal,” and “distal” may be used to describe the relationship between one element or feature illustrated and another element or feature. These spatially relative terms are intended to encompass various positions and orientations of the device in use or operation, in addition to the positions and orientations shown in the figures. For example, if the device in the figure is inverted, an element described as “below” or “beneath” of another element or feature becomes “above” or “over” of the other element or feature. Thus, the exemplary term “down” can encompass both up and down positions and orientations. Devices can also be oriented in other ways (rotated 90 degrees or in other orientations), and the spatially relative descriptors used herein are interpreted accordingly. Similarly, descriptions of motion along and around various axes include the positions and orientations of various specific devices.

[0075]

[0074] In order to avoid repetition in the descriptions of the figures and various aspects and exemplary embodiments, it should be understood that many features are common to many aspects and embodiments. The omission of an aspect from the description or figures does not mean that the aspect is missing from embodiments that incorporate that aspect. Rather, the aspect may be omitted for clarity and to avoid redundant descriptions. In this regard, the following applies to the remainder of this specification: If a drawing contains a reference numeral that is not described in the directly relevant part of the specification, in order to clarify the drawing, the preceding or following descriptive part is referred to. Furthermore, if, for clarity reasons, not all features of a part are labeled in the drawing, other drawings showing the same part are referred to. Similar numerals in two or more figures represent the same or similar elements.

[0076]

[0075] Figure 1 shows a first implementation of a ventilation device 1 having a first embodiment of the electromagnetic induction device 2 (hereinafter also referred to as an EMI device) according to the present invention. The EMI device 2 comprises an electromagnetic field generator 21 having two coils 211 as a coil design. The coils 211 are arranged in one common plane and configured to generate a spatial electromagnetic field 212. In particular, as can be seen in Figure 3, when in operation, the two coils 211 generate an electromagnetic field 212 directed toward the neck 52 of the patient 5. The electromagnetic field 212 has a central target shape with a focal region 213 from which the electromagnetic field 212 extends to the neck 52 to its maximum extent.

[0077]

[0076] Returning to Figure 1, the EMI device 2 has a mounting structure 22 which has a neck arc 221 positioned at the neck 52 of the patient 5 and fixed to the bed 51 on which the patient 5 lies. The neck arc 221 is provided with a joint 222 which serves as a repositioning structure for the electromagnetic field adjustment mechanism of the EMI device 2. The joint 222 holds the coil 211 to the neck 52 of the patient 5.

[0078]

[0077] The ventilator 11 further comprises a ventilation device 11 as an airflow generator, from which a ventilation tube 13 extends. The EMI device 2 has a mouthpiece 12 as an adapter, i.e., as a conduit interface to the ventilation device 1. The mouthpiece 12 is placed in the mouth as an inlet to the respiratory system of the patient 5. The ventilation tube 13 is connected to a flow sensor 41 of the sensor member 4 of the EMI device 2.

[0079]

[0078] The EMI device 2 further has a controller 3 as a processing unit which has a calibration unit 31 and an electromagnetic field adjustment unit 32 of an electromagnetic field adjustment mechanism. The controller 3 communicates with the flow sensor 41 and the joint 222 via their respective wires 33.

[0080]

[0079] The calibration unit 31 is configured to operate the joint 222 to automatically change the position of the focal region 21 of the electromagnetic field 212 generated by the coil 211, and the controller 3 is configured to change the electromagnetic field strength of the electromagnetic field 212. The purpose of changing the electromagnetic field strength and position of the electromagnetic field 212 is to adjust the electromagnetic field 212 to specifically stimulate the phrenic nerve 53 of patient 5, as is best seen in Figure 3. When the phrenic nerve 53 is stimulated, the diaphragm of patient 5 is activated. This induces airflow or breathing, which is sensed by the flow sensor 41.

[0081]

[0080] The calibration unit 31 is configured to receive an activation feedback signal from the flow sensor 41 when it detects the activation of the diaphragm or when it detects airflow. Furthermore, when the activation feedback is received, the calibration unit is configured to stop the change in the position of the focal region 213 of the electromagnetic field 212, and the controller 3 is configured to stop fluctuations in the electromagnetic field strength of the electromagnetic field 212.

[0082]

[0081] The ventilator 11 is configured to deliver air to the patient's respiratory system through the mouthpiece 12. Thus, the controller 3 is configured to control the ventilator 11 to deliver air to the respiratory system according to the breathing scheme defined by the controller 3. In particular, the controller 3 adjusts the activation of the diaphragm in coordination with the breathing scheme so that the activation of the diaphragm via the phrenic nerve 53 is coordinated with the ventilation of the patient 5.

[0083]

[0082] Figure 2 shows the coil 211 of the electromagnetic field generator 21 in more detail. It can be seen that the coil 211 is connected to the neck arc 221 via a joint 222. As indicated by the arrow in Figure 2, the joint 222 can be tilted via the control unit 31, and as a result the coil 211 can also be tilted or rotated together. During calibration of the EMI device 2, the calibration unit 31 automatically tilts the coil 211 relative to the neck 52 of the patient 5 by moving the joint 222. This causes the electromagnetic field 212, in particular its target shape, to move in a corresponding manner. In addition, the calibration unit 31 changes the electromagnetic field strength of the electromagnetic field 212 until the phrenic nerve is within the focal area 213 and is thereby stimulated.

[0084]

[0083] The EMI device 2 is further provided with a tracking device 23 configured to detect the movement of patient 5 relative to coil 211 and to automatically induce a change in the position of the electromagnetic field 212 to compensate for the detected movement of patient 5. The tracking device 23 communicates with an alarm unit, which is activated when the detected movement exceeds the compensation range achievable by changing the position of the electromagnetic field 212.

[0085]

[0084] The controller 3 is equipped with a wireless adapter as an input interface for connecting to mobile devices such as smartphones and tablets. When a mobile device is connected, the operator can input an appropriate periodic breathing scheme suitable for the treatment of patient 5. The breathing scheme is embodied so that the controller 3 can trigger action in a predefined patient-specific manner. As a result, the ventilator 11 delivers air to patient 5's respiratory system through the mouthpiece 12 by applying cycles of delivering air to and withdrawing air from the respiratory system according to the breathing scheme. Furthermore, the EMI device 2 activates the diaphragm immediately before the start of each cycle of the breathing scheme.

[0086] Figure 4 shows a second implementation of a ventilation device 10 having a second embodiment of the EMI device 20 according to the present invention. The EMI device 20 includes an electromagnetic field generator 210 having two coils 2110. The coils 2110 are configured to generate a spatial electromagnetic field having a target shape. The EMI device 20 further includes a mounting structure 220 having a tape 2210. The tape 2210 is accompanied by an adhesive and is attached to the neck 520 of the patient 50.

[0087]

[0086] The EMI device 20 includes a shaft 2220 as a repositionable element extending toward the coil 2110, which can tilt the electromagnetic field about the axis of the shaft.

[0088]

[0087] The ventilation system 10 includes a ventilator 110 as an airflow generator, from which a ventilation tube 130 extends. The EMI device 20 has a mouthpiece 120 as an adapter, i.e., as a conduit interface to the ventilation system 10. The mouthpiece 120 is placed in the mouth as an inlet to the respiratory system of the patient 50.

[0089]

[0088] The EMI device 20 has a controller 30 as a processing unit having a calibration unit 310 and an electromagnetic field adjustment unit 320 of an electromagnetic field adjustment mechanism. Multiple electrodes 410 are placed on the body surface of the patient 50, which are contained in a sensor member 40 for detecting the activation of the diaphragm. The controller 30 communicates with the electrodes 410 and also with a magnetic stimulator 325 connected to a shaft 2220 via their respective wires 330.

[0090]

[0089] The calibration unit 310 is configured to automatically change the position of the electromagnetic field by automatically guiding the electromagnetic field adjustment unit 320 to reposition the shaft 2220 and by automatically changing the electromagnetic field strength. In particular, the shaft 2220 affects the alignment of the electromagnetic field around the axis of the shaft, and thereby affects the position of the target region. Therefore, the electromagnetic field can be repositioned by moving the shaft 2220. Similarly, the electromagnetic field can be moved within the range of the patient 50's neck 520. In particular, the calibration unit 310 is configured to change the position of the electromagnetic field and change the electromagnetic field strength. Similarly, the electromagnetic field can be adjusted to specifically stimulate the patient 50's phrenic nerve. When the phrenic nerve is stimulated, the patient 50's diaphragm is activated, which is sensed by the electrode 410.

[0091]

[0090] The calibration unit 310 is configured to receive an activation feedback signal from the electrode 410 when it detects diaphragmatic activation. Furthermore, the calibration unit is configured to stop changes in the position of the electromagnetic field when the activation feedback is received, and to control the controller 30 to stop changes in the electromagnetic field strength. The ventilator 110 is configured to deliver air to the respiratory system of the patient 50 through the mouthpiece 120. The controller 30 is configured to control the ventilator 110 to deliver air to the respiratory system according to the breathing scheme defined by the controller 30. In particular, the controller 30 adjusts diaphragmatic activation in coordination with the breathing scheme so that diaphragmatic activation via the phrenic nerve is coordinated with the ventilation and respiration of the patient 50.

[0092]

[0091] The controller 30 is equipped with a wireless adapter as an input interface for connecting to mobile devices such as smartphones and tablets. When a mobile device is connected, the operator can input an appropriate periodic breathing scheme suitable for the treatment of patient 50. The breathing scheme is embodied so that the controller 30 guides ventilation and the phrenic nerve in a predefined patient-specific manner. As a result, the ventilator 110 delivers air to patient 50's respiratory system through the mouthpiece 120 by applying cycles of delivering air to and withdrawing air from the respiratory system according to the breathing scheme. Furthermore, the EMI device 20 activates the diaphragm immediately before the start of each cycle of the breathing scheme.

[0093]

[0092] Figure 5 shows an electromagnetic field generator 219 of a third embodiment of the EMI device according to the present invention. The electromagnetic field generator 219 includes a housing in which two coils 2119 are arranged. The coils 2119 are fixed to each other so that they can be moved or operated together as a single unit. The coils 2119 are connected to a cable 2139 at their lateral ends. Starting from the coils 2119, the cable 2139 is redirected by their respective pulleys 2129 and guided through an opening in the housing.

[0094]

[0093] In Figure 5, the coils 2119 are shown with the left coil 2119 tilted higher than the right coil 2119. To change the tilt of the coils 2119, one of the cables 2139 can be pulled. As seen in Figure 6, to return the coils 2119 to their straight position, the left cable 2139 is pulled so that the coils 2119 rotate counterclockwise.

[0095]

[0094] Figure 7 shows a third implementation of a ventilation device 18 having a fourth embodiment of the EMI device 28 according to the present invention. The EMI device 28 comprises an electromagnetic field generator 218 having two coils 2118 as a coil design. The electromagnetic field generator 218 has a housing 2128 into which a shaft of a mounting structure 228 extends. The shaft 2228 is connected to a shaft drive 2238, which allows the shaft 2238 to move within the electromagnetic field already generated by the coils 2118.

[0096]

[0095] The ventilation device 18 is equipped with a ventilator, from which a ventilation tube is connected via a flow sensor 418 of the sensor member 48 to a mouthpiece 128 which serves as an adapter or conduit interface for the ventilation device 18. The mouthpiece 128 is placed in the mouth of the patient 58 as an inlet to the patient's respiratory system.

[0097]

[0096] The EMI device 28 has a controller 38 as a processing unit equipped with a calibration unit and an electromagnetic field adjustment unit. The housing 2128 of the electromagnetic field generator 218, the shaft drive 2238 and the controller 38 are attached to the patient 58, in particular the neck 528 of the patient with teeth, where the electromagnetic field generator 218 is attached. For this purpose, adhesive is used for the mounting structure 228. The controller 38 communicates with the flow sensor 418 and the shaft drive 2238 by wire 338.

[0098]

[0097] The ventilation device 18 operates in the same manner as the ventilation device 10 described above in relation to Figure 4.

[0099]

[0098] Figure 8 shows components of a fifth embodiment of the EMI device 27 according to the present invention. The EMI device 27 is embodied similarly to the EMI device described above in relation to the previous figures. However, the mounting structure 227 includes an arc-shaped member 2217 to which the coil 2117 of the electromagnetic field generator 217 is mounted as a coil design. The arc-shaped member 2217 is positioned around the neck 527 of the patient 57. The coil 2117 can move along the arc-shaped member 2217, thereby moving around the neck 527 of the patient 57. Furthermore, the coil 2117 can rotate around the arc-shaped member 2217. These movements of the coil 2117 allow the spatial electromagnetic field, in particular its target shape, to be moved around the neck 427 and its vicinity in order to locate and stimulate the phrenic nerve of the patient 57.

[0100]

[0099] Figure 9 shows the electromagnetic field generated by the coils of an electromagnetic field generator in a sixth embodiment of the EMI device according to the present invention. In particular, the electromagnetic field generator includes two pairs of coils, the pairs of which are perpendicular to each other. Thus, the first pair of coils generates a first electromagnetic field 2126 having a target shape with a first focal region 2136. The second pair of coils generates a second electromagnetic field 2146 having a target shape with a second focal region 2156. Since the first pair of coils is perpendicular to the second pair of coils, the first and second electromagnetic fields overlap in their respective focal regions 2136 and 2156. In this way, a region of cumulative intensity 2166 is created where the focal regions 2136 and 2156 overlap. The phrenic nerve 536 is located within the region of cumulative intensity 2166.

[0101]

[0100] Figure 10 shows a diagram of a first embodiment of a method according to the present invention for activating target tissue in the body of a human or animal via its muscle or nervous system. The first method can be carried out, for example, by using the electromagnetic induction device 2 shown in Figure 1.

[0102]

[0101] In the first step 101, the coil is positioned on the body of a human or animal close to the target nerve. For example, the coil can be positioned in the neck close to the phrenic nerve. In the second step 102, the coil generates spatial electromagnetic fields of the target shape. In the third step 103, it is sensed whether the target tissue associated with the target nerve is activated. If so, in the fourth step 104, the position of the coil and the intensity of the electromagnetic field are fixed or maintained, and the target nerve is repeatedly stimulated.

[0103]

[0102] If activation of the target tissue is not detected in the third step, the position and intensity of the electromagnetic field are automatically changed in a series of substeps as follows: In the first substep 103i, the position of the coil is adjusted by tilting the coil to a predetermined range. Then, in the second substep 103ii, it is detected again whether the target tissue is activated. If so, the fourth step 104 is performed as described above. If activation is not detected again, the intensity of the electromagnetic field is adjusted in the third substep 103iii. Then, in the fourth substep 103iv, it is detected again whether the target tissue is activated. If so, the method proceeds to the fourth step 104 as described above. If activation is not detected again, the series of substeps is repeated.

[0104]

[0103] Figure 11 shows a second embodiment of a method according to the present invention for activating target tissue in the body of a human or animal via its muscles or nervous system. The second method is similar to the first method described above, and includes tracking of the components involved, in particular, body movements.

[0105]

[0104] In particular, in the first step 201, the coil is positioned on the body of a human or animal close to the target nerve. In the second step 202, the tracking device is positioned near the target tissue so that the target tissue is within the monitoring area of ​​the tracking device. In the third step 203, the coil generates a spatial electromagnetic field having a target shape. In the fourth step 204, it is sensed whether the target nerve and associated target tissue are activated. If so, in the fifth step 205, the position of the coil and the intensity of the electromagnetic field are fixed or maintained, and the target nerve is repeatedly stimulated.

[0106]

[0105] If activation of the target tissue is not detected in the fourth step 204, the position and intensity of the electromagnetic field are automatically changed in a series of substeps as follows: In the first substep 204i, the position of the coil is adjusted by tilting the coil to a predetermined range. Then, in the second substep 204ii, it is detected again whether the target tissue is activated. If so, the fifth step 205 is performed as described above. If activation is not detected again, the intensity of the electromagnetic field is adjusted in the third substep 204iii. Then, in the fourth substep 204iv, it is detected again whether the target tissue is activated. If so, the method proceeds to the fifth step 205 as described above. If activation is not detected again, the series of substeps is repeated.

[0107]

[0106] After stopping the automatic change of the coil in step 205 and stabilizing the electromagnetic field, the position change of the tracking device indicating body movement is monitored in step 6 of 206. If no position change is detected, the method continues in step 205. However, if a position change is detected, an alarm is provided in step 8.

[0108]

[0107] Figure 12 shows a diagram of a third embodiment of a method according to the present invention for activating target tissue in the body of a human or animal via its muscle or nervous system. The third method is similar to the second method described above and includes resetting the electromagnetic field when a change in the body's position relative to the coil is detected.

[0109]

[0108] In particular, in the first step 301, the coil is initially placed on the body of a human or animal close to the target nerve. In the second step 302, the tracking device is placed near the target tissue so that the target tissue is within the monitoring area of ​​the tracking device. In the third step 303, the coil generates an initial electromagnetic field having the target shape. In the fourth step 304, it is sensed whether the target nerve and associated target tissue are activated. If so, in the fifth step 305, the position of the coil and the intensity of the electromagnetic field are fixed or maintained and the target nerve is repeatedly stimulated.

[0110]

[0109] If activation of the target tissue is not detected in the fourth step 304, the position and intensity of the electromagnetic field are automatically changed in a series of substeps as follows: In the first substep 304i, the position of the coil is adjusted by tilting the coil to a predetermined range. Then, in the second substep 304ii, it is detected again whether the target tissue is activated. If so, the fifth step 305 is performed as described above. If activation is not detected again, the intensity of the electromagnetic field is adjusted in the third substep 304iii. Then, in the fourth substep 304iv, it is detected again whether the target tissue is activated. If so, the method proceeds to the fifth step 305 as described above. If activation is not detected again, the series of substeps is repeated.

[0111]

[0110] In step 305, the automatic change of the coil is stopped and the electromagnetic field is stationary. Then, in step 6, 306, the position change of the tracking device indicating body movement is monitored. If no position change is detected, the method continues in step 305. However, if a position change is detected, in step 8, 308, the position of the coil and the electromagnetic field strength are reset to the same initial position and electromagnetic field strength as in steps 301 and 303. Then, in step 9, 309, the coil is tilted again according to the detected position change and the electromagnetic field is readjusted to the desired position and electric field strength. Thus, the amount and direction of the position change are considered. Then, the method continues in substep 304ii of a series of substeps.

[0112]

[0111] This specification, and the accompanying drawings illustrating aspects and embodiments of the present invention, should not be construed as limiting the claims describing the protected invention. In other words, although the present invention has been illustrated and described in detail in the drawings and the preceding specification, such illustrations and descriptions should be considered illustrative or exemplary and not limiting. Various mechanical, constituent, structural, electrical, and operational modifications can be made without departing from the spirit and scope of this specification and the claims. In some cases, well-known circuits, structures, and techniques are not shown in detail so as not to obscure the invention. It will be understood that changes and modifications can be made within the scope and spirit of the following claims by those skilled in the art. In particular, the present invention encompasses further embodiments having any combination of features of the different embodiments described above and below.

[0113]

[0112] This disclosure also individually encompasses all further features shown in the figures, which may not be described in the above and below descriptions. Furthermore, a single alternative to the embodiments described in the figures and specification, and a single alternative to their features, may be disclaimed from the subject matter of the invention or from the disclosed subject matter. This disclosure includes subject matter consisting of features described in the claims or exemplary embodiments, and subject matter containing such features.

[0114]

[0113] Furthermore, in the claims, the word “comprising” does not exclude other elements or steps, and the indefinite article “a” or “an” does not exclude plurals. A single unit or step may fulfill the function of several features described in the claims. The mere fact that certain means are described in different dependent claims does not mean that combinations of these means cannot be used advantageously. In particular in relation to attributes or values, terms such as “essentially,” “about,” and “approximately” also define the exact attribute or exact value, respectively. In the context of a given number or range, the term “about” refers, for example, to a number or range that is within 20%, 10%, 5%, or 2% of a given number or range. Components described as connected or linked may be directly connected electrically or mechanically, or indirectly connected through one or more intermediate components. Reference numerals in the claims should not be construed as limiting the range.

Claims

1. An electromagnetic induction device (2;20;27;28) for activating the diaphragm in the body of a human or animal, which is a target tissue in the body of a human or animal, via its muscles or nervous system, An electromagnetic field generator (21;210;217;218;219) having a coil design (211;2110;2117;2118;2119) configured to generate a spatial electromagnetic field (212;2126;2146) having a target shape (213;2136,2156), A mounting structure (22;220;227;228) for holding the coil design (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219) to the body of a human or animal, wherein the coil design (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219) Mounting structure (22; 220; 227; 228) configured to hold the coil design (211; 2110; 2117; 2118; 2119) on the neck (52; 520; 527; 528) of the human or animal body, so that the electromagnetic field (212; 2126, 2146) generated by this can reach the phrenic nerve (53; 536) of the nervous system of the human or animal body, A sensor member (4; 40; 48) configured to detect the activation of the diaphragm in the body of a human or animal, An electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) configured to automatically adjust the position of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119), Calibration units (31; 310; 38) that communicate with the sensor members (4; 40; 48) and the electromagnetic field adjustment mechanisms (21; 210; 217; 218; 219) The calibration unit (31; 310; 38) is equipped with Control the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) to automatically change the position of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119), When the activation of the diaphragm in the body of the human or animal is detected, the sensor members (4; 40; 48) are configured to receive an activation feedback signal, and When the activation feedback signal is received, the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) is controlled to automatically stop the change in the position of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119). Electromagnetic induction device.

2. The electromagnetic induction device (2;20;27;28) according to claim 1, comprising a repositioning structure (222;2129,2139) configured to automatically change the position of the coil design (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219) relative to the human or animal body when the mounting structure (22;220;227;228) is held in place by the human or animal body.

3. Electromagnetic induction device (2;20;27;28) according to claim 2, wherein the electromagnetic field adjustment mechanism (21;210;217;218;219) includes the repositioning structure (222;2129,2139) of the mounting structure (22;220;227;228), and the calibration unit (31;310;38) is configured to automatically change the position of the electromagnetic field (212;2126,2146) by guiding the repositioning structure (222;2129,2139) to automatically change the position of the coil design (211;2110;2117;2118;2119) with respect to the human or animal body.

4. The electromagnetic induction device (2;20;27;28) according to claim 2 or 3, comprising a tilting mechanism such as a joint (222) configured to tilt the coil design (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219) with respect to the human or animal body when the repositioning structure (222;2129,2139) of the mounting structure (22;220;227;228) is held in place by the human or animal body, wherein the electromagnetic induction device (2;20;27;28) according to claim 2 or 3 includes a tilting mechanism such as a joint (222) configured to tilt the coil design (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219) with respect to the human or animal body.

5. The electromagnetic induction device (2;20;27;28) according to any one of claims 1 to 4, wherein the electromagnetic field generator (21;210;217;218;219) comprises a repositionable conductive element positioned in the electromagnetic field (212;2126,2146) generated by the coil design (211;2110;2117;2118;2119).

6. The electromagnetic induction device (2;20;27;28) according to claim 5, wherein the electromagnetic field adjustment mechanism (21;210;217;218;219) comprises the conductive elements of the electromagnetic field generator (21;210;217;218;219), and the calibration unit (31;310;38) is configured to automatically change the position of the electromagnetic field (212;2126,2146) by inducing the electromagnetic field adjustment mechanism (21;210;217;218;219) to automatically reposition the conductive elements within the electromagnetic field (212;2126,2146).

7. The electromagnetic induction device (2;20;27;28) according to claim 5 or 6, wherein the conductive element (2220;2228) includes a conductive shaft.

8. The electromagnetic induction device (2;20;27;28) according to any one of claims 1 to 7, wherein the electromagnetic field generator (21;210;217;218;219) comprises a coil array (211;2110;2117;2118;2119) including the coil design (211;2110;2117;2118;2119).

9. The electromagnetic induction device (2;20;27;28) according to claim 8, wherein the electromagnetic field adjustment mechanism (21;210;217;218;219) comprises the coil array (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219), and the calibration unit (31;310;38) is configured to automatically change the position of the electromagnetic field (212;2126,2146) by inducing the electromagnetic field adjustment mechanism (21;210;217;218;219) and automatically applying force to the coil array (211;2110;2117;2118;2119) of various coil combinations.

10. The electromagnetic induction device (2;20;27;28) according to claim 8 or 9, wherein the coils (211;2110;2117;2118;2119) of the coil array (211;2110;2117;2118;2119) overlap.

11. The electromagnetic induction device (2;20;27;28) according to any one of claims 8 to 10, wherein the coil array (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219) is configured to generate a plurality of electromagnetic fields, each having a target shape (213;2136,2156), and the coil array (211;2110;2117;2118;2119) is configured so that the plurality of electromagnetic fields overlap to generate a cumulative intensity (2166).

12. The electromagnetic induction device (2; 20; 27; 28) according to any one of claims 1 to 11, wherein the sensor member (4; 40; 48) includes at least one electrode configured to be attached to the body of the human or animal to sense the activity of the diaphragm within the body of the human or animal.

13. The electromagnetic induction device (2;20;27;28) according to any one of claims 1 to 12, wherein the sensor member (4;40;48) includes a flow sensor (41;418) having an adapter (12;120) connectable to the respiratory system of the human or animal body, and the flow sensor (41;418) is configured to detect changes in airflow caused by the activity of the diaphragm in the human or animal body.

14. The electromagnetic induction device (2;20;27;28) according to claim 13, wherein the adapter (12;120) of the flow sensor (41;418) of the sensor member (4;40;48) is configured to be connected to the mouth and / or nose of the body of a human or animal.

15. Electromagnetic induction device (2;20;27;28) according to any one of claims 1 to 14, wherein the mounting structure (22;220;227;228) comprises an arc-shaped member (2217) that can be positioned at a distance around the neck (52;520;527;528) of the human or animal body, and the coil design (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219) is held by the arc-shaped member (2217) of the mounting structure.

16. The electromagnetic induction device according to claim 15 (2; 20; 27; 28), wherein the arc-shaped member (2217) is provided with an access passage.

17. The electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) is configured to automatically adjust the electromagnetic field strength of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119), and the calibration unit (31; 310; 38) controls the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) to adjust the electromagnetic field strength of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119). The electromagnetic induction device (2;20;27;28) according to any one of claims 1 to 16, configured to automatically change the electromagnetic field strength of 2146), and optionally, when activation feedback is received, to control the electromagnetic field adjustment mechanism (21;210;217;218;219) to automatically stop the change in the electromagnetic field strength of the electromagnetic field (212;2126,2146) generated by the coil design (211;2110;2117;2118;2119).

18. The electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) is configured to automatically adjust the temporal characteristics of the electromagnetic field (212; 2126, 2146), and the calibration unit (31; 310; 38) is configured to control the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) to automatically change the temporal characteristics of the electromagnetic field (212; 2126, 2146), and is arbitrarily selected Specifically, the electromagnetic induction device (2;20;27;28) according to any one of claims 1 to 17 is configured to control the electromagnetic field adjustment mechanism (21;210;217;218;219) when activation feedback is received to automatically stop the change in the time characteristics of the electromagnetic field (212;2126,2146) generated by the coil design (211;2110;2117;2118;2119).

19. Electromagnetic induction device (2;20;27;28) according to any one of claims 1 to 18, comprising a tracking device (23) configured to detect the movement of the human or animal body relative to the coil design (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219), and to automatically change the position of the electromagnetic field (212;2126,2146) to compensate for the detected movement of the human or animal body relative to the coil design (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219).

20. Electromagnetic induction device (2;20;27;28) according to claim 19, comprising an alarm unit, wherein the tracking device (23) is connected to the alarm unit and is configured to activate the alarm unit when the detected movement exceeds a range of compensation achievable by changing the position of the electromagnetic field (212;2126,2146) generated by the coil design (211;210;217;218;219) via the electromagnetic field adjustment mechanism (21;210;217;218;219).

21. The electromagnetic induction device (2; 20; 27; 28) according to any one of claims 1 to 20, wherein the sensor member (4; 40; 48) includes a pressure sensor having an adapter connectable to the respiratory system of the human or animal body, and the pressure sensor is configured to detect pressure changes caused by the activity of the diaphragm in the human or animal body.

22. The calibration unit (31; 310; 38) Control the electromagnetic field generators (21; 210; 217; 218; 219) to generate pulsed electromagnetic fields (212; 2126, 2146) while changing the position of the electromagnetic fields (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119), and, Control the electromagnetic field generators (21; 210; 217; 218; 219) so that when the positional change of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119) is stopped, the electromagnetic field (212; 2126, 2146) is generated as a train. An electromagnetic induction device according to any one of claims 1 to 21 (2; 20; 27; 28).

23. The electromagnetic induction device (2;20;27;28) according to claim 22, wherein the calibration unit (31;310;38) is configured to control the electromagnetic field generator (21;210;217;218;219) to generate the electromagnetic field (212;2126,2146) as a train with an electromagnetic field intensity that is initially lower than the pulsed electromagnetic field (212;2126,2146) and then increases.

24. A process for manufacturing an electromagnetic induction device (2;20;27;28) for activating a target tissue in the body of a human or animal, namely the diaphragm in the body of the human or animal, via its muscles or nervous system, An electromagnetic field generator (21;210;217;218;219) having a coil design (211;2110;2117;2118;2119) configured to generate a spatial electromagnetic field (212;2126;2146) having a target shape (213;2136,2156), Mounting structures (22; 220; 227; 228) for holding the coil design (211; 2110; 2117; 2118; 2119) of the electromagnetic field generator (21; 210; 217; 218; 219) on the body of a human or animal, A sensor member (4; 40; 48) configured to detect the activation of the diaphragm in the body of a human or animal, An electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) configured to automatically adjust the position of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119), Calibration units (31; 310; 38) that communicate with the sensor members (4; 40; 48) and the electromagnetic field adjustment mechanisms (21; 210; 217; 218; 219) Assembling and The new calibration unit, Control the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) to automatically change the position of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119), When the activation of the diaphragm in the body of the human or animal is detected, the sensor members (4; 40; 48) receive an activation feedback signal, and When the activation feedback signal is received, the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) is controlled to automatically stop the change in the position of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119). To compose, The mounting structure (22;220;227;228) is configured to hold the coil design (211;2110;2117;2118;2119) on the neck (52;520;527;528) of the human or animal body so that the electromagnetic field (212;2126, 2146) generated by the coil design (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219) can reach the phrenic nerve (53;536) of the nervous system of the human or animal body. A process that includes this.

25. The process according to claim 24, comprising providing the mounting structure (22; 220; 227; 228) with a repositioning structure (222; 2129, 2139) configured to automatically change the position of the coil design (211; 2110; 2117; 2118; 2119) of the electromagnetic field generator (21; 210; 217; 218; 219) relative to the human or animal body when it is held in the human or animal body.

26. The process according to claim 25, comprising providing the repositioning structures (222; 2129, 2139) of the mounting structure (22; 220; 227; 228) to the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219), and configuring the calibration unit (31; 310; 38) to automatically change the position of the electromagnetic field (212; 2126, 2146) by inducing the repositioning structures (222; 2129, 2139) to automatically change the position of the coil design (211; 2110; 2117; 2118; 2119) with respect to the human or animal body.

27. The process according to claim 25 or 26, further comprising providing the repositioning structure (222; 2129, 2139) of the mounting structure (22; 220; 227; 228) with a tilting mechanism such as a joint configured to tilt the coil design (211; 2110; 2117; 2118; 2119) of the electromagnetic field generator (21; 210; 217; 218; 219) relative to the human or animal body when it is held in the human or animal body.

28. The process according to any one of claims 24 to 27, comprising providing the electromagnetic field generator (21; 210; 217; 218; 219) with a repositionable conductive element located within the electromagnetic field (212; 2126, 2146) generated by the coil design.

29. The process according to claim 28, comprising providing the conductive elements of the electromagnetic field generator (21;210;217;218;219) to the electromagnetic field adjustment mechanism (21;210;217;218;219), and configuring the calibration unit (31;310;38) to automatically change the position of the electromagnetic field (212;2126,2146) by inducing the electromagnetic field adjustment mechanism (21;210;217;218;219) to automatically reposition the conductive elements in the electromagnetic field.

30. The process according to claim 27 or 28, comprising providing a conductive shaft to the conductive element.

31. The process according to any one of claims 24 to 26, comprising providing a coil array (211; 2110; 2117; 2118; 2119) including the coil design for the electromagnetic field generator (21; 210; 217; 218; 219).

32. The process according to claim 31, comprising providing the coil array (211;2110;2117;2118;2119) of the electromagnetic field generator (21;210;217;218;219) to the electromagnetic field adjustment mechanism (21;210;217;218;219), and configuring the calibration unit (31;310;38) to automatically change the electromagnetic field (212;2126,2146) by inducing the electromagnetic field adjustment mechanism (21;210;217;218;219) to automatically apply force to the coil array of various coil combinations.

33. The process according to claim 31 or 32, wherein the coils (211; 2110; 2117; 2118; 2119) of the coil array (211; 2110; 2117; 2118; 2119) overlap.

34. The process according to any one of claims 31 to 33, comprising configuring the coil array (211; 2110; 2117; 2118; 2119) of the electromagnetic field generator (21; 210; 217; 218; 219) to generate a plurality of electromagnetic fields, each having a target shape (213; 2136, 2156), wherein the coil array (211; 2110; 2117; 2118; 2119) is configured such that the plurality of electromagnetic fields overlap to produce a cumulative intensity.

35. The process according to any one of claims 24 to 34, comprising providing the sensor member (4; 40; 48) with at least one electrode configured to be attached to the body of the human or animal in order to sense the activity of the diaphragm in the body of the human or animal.

36. The process according to any one of claims 24 to 35, comprising providing the sensor member (4; 40; 48) with a flow sensor (41; 418) having an adapter that can be connected to the respiratory system of the human or animal body, wherein the flow sensor (41; 418) is configured to detect changes in airflow caused by the activity of the diaphragm in the human or animal body.

37. The process according to claim 36, comprising configuring the adapter of the flow sensor (41; 418) of the sensor member (4; 40; 48) to connect to the mouth and / or nose of the human or animal body.

38. The process according to any one of claims 24 to 37, wherein an arc-shaped member is provided to the mounting structure (22; 220; 227; 228) that can be positioned at a distance around the neck (52; 520; 527; 528) of the human or animal body, and the coil design (211; 2110; 2117; 2118; 2119) of the electromagnetic field generator (21; 210; 217; 218; 219) is held by the arc-shaped member of the mounting structure.

39. The process according to claim 38, wherein the arc-shaped member is provided with an access passage.

40. The process according to any one of claims 24 to 39, comprising assembling a tracking device to the electromagnetic induction device, wherein the tracking device is configured to detect the movement of the human or animal body relative to the coil design (211; 2110; 2117; 2118; 2119) of the electromagnetic field generator (21; 210; 217; 218; 219), and to automatically change the position of the electromagnetic field (212; 2126, 2146) to compensate for the detected movement of the human or animal body relative to the coil design (211; 2110; 2117; 2118; 2119) of the electromagnetic field generator (21; 210; 217; 218; 219).

41. The electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) is configured to automatically adjust the electromagnetic field strength of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119), and the calibration unit (31; 310; 38) controls the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) to automatically adjust the electromagnetic field strength of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119). The process according to any one of claims 24 to 40, comprising configuring the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) to automatically change the electromagnetic field strength of the magnetic field (212; 2126, 2146) and, when activation feedback is received, to control the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) to automatically stop the change in the electromagnetic field strength of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119).

42. The process according to claim 40, comprising assembling an alarm unit to the electromagnetic induction device, wherein the tracking device is connected to the alarm unit and configured to activate the alarm unit when the detected movement exceeds a range of compensation achievable by changing the position of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119) via the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219).

43. The new calibration unit, Control the electromagnetic field generators (21; 210; 217; 218; 219) to generate pulsed electromagnetic fields (212; 2126, 2146) while changing the position of the electromagnetic fields (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119), and, Control the electromagnetic field generators (21; 210; 217; 218; 219) so that when the positional change of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119) is stopped, the electromagnetic field (212; 2126, 2146) is generated as a train. A process according to any one of claims 24 to 42, including configuring.

44. The process according to claim 43, comprising configuring the calibration unit (31; 310; 38) to control the electromagnetic field generator (21; 210; 217; 218; 219) to generate the electromagnetic field (212; 2126, 2146) as a train with an electromagnetic field intensity that is initially lower than the pulsed electromagnetic field (212; 2126, 2146) and then increases.

45. The process according to any one of claims 24 to 44, comprising configuring the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) to automatically adjust the temporal characteristics of the electromagnetic field (212; 2126, 2146), configuring the calibration unit (31; 310; 38) to control the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) to automatically change the temporal characteristics of the electromagnetic field (212; 2126, 2146), and optionally configuring the electromagnetic field adjustment mechanism (21; 210; 217; 218; 219) to automatically stop the change in the temporal characteristics of the electromagnetic field (212; 2126, 2146) generated by the coil design (211; 2110; 2117; 2118; 2119) when activation feedback is received.

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