Method of treating a patient and apparatus therefor
The novel waveform generating apparatus with DC coupled amplifiers and customized waveforms addresses the limitations of existing devices by providing tailored neuromuscular stimulation, enhancing treatment efficacy for neurological disruptions.
Patent Information
- Authority / Receiving Office
- WO · WO
- Patent Type
- Applications
- Current Assignee / Owner
- NEUROREFORM IP LLC
- Filing Date
- 2025-06-23
- Publication Date
- 2026-07-30
AI Technical Summary
Existing electrical muscle stimulation devices are limited by narrow waveform generation ranges and lack customization for individual patient needs, failing to effectively treat neurologically disrupted sites.
A novel waveform generating apparatus using DC coupled amplifiers to produce composite waveforms from 1Hz to 50KHz, with customized waveforms tailored to each patient and treatment area, employing frequency sweeps to identify optimal neurological stimulating and neuromuscular frequencies, and utilizing symmetrical electrode placement for balanced neuromuscular stimulation.
Enhances treatment efficacy by optimizing neuromuscular stimulation through personalized waveforms, improving blood circulation and neurological responsiveness, and addressing specific neurological disruptions.
Smart Images

Figure IB2025056342_30072026_PF_FP_ABST
Abstract
Description
METHOD OF TREATING A PATIENT AND APPARATUS THEREFORBACKGROUND OF THE INVENTIONClaim of Priority
[0001] The present application is a Continuation-In-Part (CIP) patent application of and claims priority to a previously filed, U.S. Non-Provisional patent application, namely, that having Serial No. 18 / 521,757 and a filing date of November 28, 2023, which is a Continuation patent application of and claims priority to a previously filed, U.S. NonProvisional patent application, namely, that having Serial No. 16 / 803,843, and a filing date of February 27, 2020, which matured into U.S. Patent No. 11,826,566 on November 28, 2023; and further, claims priority to a previously filed, U.S. Provisional patent application, namely, that having Serial No. 62 / 821,213 and a filing date of March 20, 2019, with the contents of all prior applications being incorporated herein by reference in their entireties.Field of the Invention
[0002] The present invention relates to methods of treating a patient and apparatuses therefor, and more particularly to methods of introducing pulses to a patient through the use of an electrical neuromuscular stimulation apparatus for treatment of the patient. The methods result in the retraining of neuromuscular pathways to treat a variety of ailments.DESCRIPTION OF THE REEATED ART
[0003] It is well known that electrical energy, specifically pulses of electricity at various voltage levels and frequencies, can be used to heal and repair human tissue, can relieve undesirable and painful symptoms in a human, and even eliminate disease.
[0004] Under typical human movement, the brain sends impulses to the muscles via neurological pathways, thereby causing them to involuntarily contract. It has been found that stimulating the nervous system to contract the muscles using electrical pulses generally similar to the electrical impulses from the human's brain can have therapeutic effects, especially when combined with other therapies. With this in mind, various electrical stimulation units have been developed in order to provide therapies based on this principal. Accordingly, typical electrical muscle stimulation units tend to employ use of pulses. The voltage level, frequency and duration of these pulses are based, to at least some degree, on the reaction and behavior of human muscle tissue to electrical impulses received from the brain.
[0005] It has been found that the human body responds to electrical pulses from electrical stimulation units increasing the volume blood and oxygen circulated to the area being treated. This increased circulation is the same natural process used by the body when performing a healing function. Accordingly, such electrical stimulation units are used for pain relief, decrease of inflammation, improved circulation, and recovery from injury, fighting disease, muscle conditioning, and assisting muscles to contract properly.
[0006] The present invention provides significant advances in this field, and addresses several long-felt, but unresolved needs. By way of non-limiting example, the novel electronic circuitry of the present invention can employ DC coupled amplifiers to produce composite waveforms in the rage of 1Hz to 50KHz. Prior art apparatus generally rely on output transformers to generate waveforms, that, by their very nature can produce signals only in a narrow range.SUMMARY OF THE INVENTION
[0007] One aspect of the present invention includes use of sophisticated and novel waveform generating apparatus, along with novel treatment methodologies, to implement a neuromuscular therapy that is vastly improved when compared to typical transcutaneous electrical nerve stimulation, neuromuscular electrical stimulation, and related therapies. One aspect of the novel treatment methodology employs use of customized or specific waveforms for each patient and for each treatment area. The customized waveforms are determined by a frequency sweep of the waveform to determine an optimum waveform for the treatment. Repeated frequency scans may be employed as necessary, and enable the invention to tailor the treatment by identifying optimal neurological stimulating and neuromuscular waveforms that are specific to the patient’s neurologically disrupted sites. The invention may also employ a symmetrical treatment configuration, in which the electrodes are mirrored on both sides of the patient’s body, with one set of electrodes placed at the neurologically disrupted sites, and another set placed on unaffected tissue on the opposite side of the patient’s body. This approach enhances overall balance in neuromuscular stimulation and contributes to holistic treatment outcomes.
[0008] In an aspect, the proposed method for ascertaining and generating waveforms specific to neurologically disrupted sites includes the steps of: receiving, at an electronic circuit, a first electrical signal associated with an initial scanning waveform pertaining to a patient’s skin at a first area associated with a site of neurological disruption; analysing, at a feedback loop current circuit of the electronic circuit, the received electrical signal associatedwith the initial scanning waveform, at least one characteristic to determine whether the first area comprises a first neurologically disrupted site; and upon locating the first neurologically disrupted site, analysing, at the electronic circuit, the received electrical signal associated with the initial scanning waveform for at least a second neurologically disrupted site.
[0009] The proposed method further includes the steps of: receiving, at the electronic circuit, a second electrical signal associated with a frequency sweep at the first neurologically disrupted site and the second neurologically disrupted site; analysing, at the feedback loop current circuit of the electronic circuit, the second electrical signal associated with the frequency sweep to determine desired treatment frequencies; and generating, by the electronic circuit, electrical signals corresponding to the desired treatment frequencies for the first and the second neurologically disrupted sites and auxiliary treatment points,
[0010] In one or more embodiments, the step of receiving and analysing the second electrical signal associated with the frequency may include the steps of: receiving an electrical signal associated with a first waveform component in a frequency range of 1Hz and 30KHz that is used during a first sweep; and determining impedance of the electrical signal associated with the first waveform component at different frequencies to determine a desired frequency of the first waveform component.
[0011] In one or more embodiments, the step of receiving and analysing the second electrical signal associated with the frequency sweep may further include the steps of; receiving an electrical signal associated with a second sweep wherein the waveform used for the second sweep includes the desired frequency of the first waveform component and a second waveform component in a frequency range of 1Hz and 3000Hz; isolating electrical signal associated with the second waveform component from waveform used during the second sweep; and determining impedance of the electrical signal associated with the second waveform component at different frequencies to determine a desired frequency of the second waveform component.
[0012] In one or more embodiments, the step of determining the desired frequency of the first waveform component may include determining a frequency at which minimum impedance occurs.
[0013] In one or more embodiments, the step of determining the desired frequency of the second waveform component comprises determining a frequency at which maximum impedance occurs.
[0014] In one or more embodiments, the step of generating electrical signals corresponding to the desired treatment frequencies for the first and the second neurologicallydisrupted sites and auxiliary treatment points may include the step of: generating, by a modulating circuit portion of the electronic circuit, a composite waveform that includes at least the first waveform component and the second waveform component at their respective desired frequencies.
[0015] In one or more embodiments, the auxiliary treatment points may include regions on the patient’s body that are oppositely located to either of the first or second neurologically disrupted site.
[0016] In one or more embodiments, the method may further include the step of concurrently generating, by the electronic circuit, electrical signals corresponding to the desired treatment frequencies for the first and the second neurologically disrupted sites.
[0017] In one or more embodiments, the method may further include the step of concurrently generating, by the electronic circuit, electrical signals corresponding to the desired treatment frequencies for the first and the second neurologically disrupted sites along with the auxiliary treatment points. Yet another feature of the present invention may also include the application of waveforms via electromagnetic fields. While waveforms may be most efficiently applied to a patient via electrodes, an electromagnetic coil may also be used in lieu of, or in addition to, the aforementioned electrodes. An electromagnetic field generated by a coil may enhance neuromuscular stimulation by assisting the flow of electrons through the other channels (electrodes). This collaborative effect contributes to the generation of electrical currents through the patient’s tissue. Manual application of pulsed electromagnetic fields can also provide therapeutic affects in conjunction with the present invention, which may operate by opening both the cardiovascular and neurological systems in the affected area, resulting in improved blood circulation and neurological responsiveness.
[0018] Other advantages, features and characteristics of the present invention, as well as methods of operation and functions of the related elements of the structure, and the combination of parts and economies of production, will become more apparent upon consideration of the following detailed description and the appended claims with reference to the accompanying drawings, the latter of which is briefly described herein below.
[0019] These and other objects, features and advantages of the present invention will become clearer when the drawings as well as the detailed description are taken into consideration.BRIEF DESCRIPTION OF THE DRAWINGS
[0020] For a fuller understanding of the nature of the present invention, reference should be had to the following detailed description taken in connection with the accompanying drawings in which:
[0021] FIG. 1 is an exemplary side elevational view of the apparatus according to the present invention, in accordance with an embodiment of the present disclosure;
[0022] FIG. 2 is an exemplary cut-away perspective view of the apparatus of FIG. 1, in accordance with an embodiment of the present disclosure;
[0023] FIG. 3 is an exemplary electrical schematic that is representative of the apparatus and method according to the present invention of FIG. 1, and showing a representation of a combined waveform of pulses used to treat a patient, in accordance with an embodiment of the present disclosure;
[0024] FIG. 4 is an exemplary scan on an oscilloscope showing the first series of pulses and the second series of pulses, in accordance with an embodiment of the present disclosure;
[0025] FIG. 5 is an exemplary front plan view of a cellular telephone connected in data transfer relation to the apparatus of FIG. 1, and displaying a calculated impedance, an impedance factor, an impedance value, a benchmark impedance value, a comparison value and an action to be taken, in accordance with an embodiment of the present disclosure;
[0026] FIG. 6 is an exemplary perspective view from the side of the apparatus according to the present invention connected to a patient for providing treatment, and with the patient holding the horizontal stability post, in accordance with an embodiment of the present disclosure;
[0027] FIG. 7 is an exemplary enlarged top plan view of a portion of the rotary dial mounted on the horizontal stability post, and showing the patient using one hand to adjust the rotary dial, in accordance with an embodiment of the present;
[0028] FIG. 8 is an exemplary method flow diagram showing the steps involved in a method of treating a patient, in accordance with an embodiment of the present disclosure; and
[0029] FIG. 9 is an exemplary method flow diagram showing the steps involved in a method of sweeping frequencies to determine desired frequencies, in accordance with an embodiment of the present disclosure;
[0030] FIG. 10 is an exemplary method flow diagram for the disclosed method for ascertaining and generating waveforms specific to neurologically disrupted sites, in accordance with an embodiment of the present disclosure.
[0031] Like reference numerals refer to like parts throughout the several views of the drawings.DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
[0032] Reference will now be made to FIGS. 1 through 7, which show an illustrated embodiment of the method of treating a patient and apparatus therefor according to the present invention.
[0033] In one aspect, the present invention comprises a novel method of treating a patient. The method comprises the steps of generating a first series of pulses 110 and generating a second series of pulses 120. In the present invention, a signal generating apparatus 100 is used. In the disclosed embodiment, the first series of pulses 110 has a frequency in a range from about 1Hz to about 5 kHz, a voltage range from about 0 (zero) volts to about 100 (one hundred) volts, and a duty cycle of about 1 to about 90%. The second series of pulses 120 has a frequency in a range from about 5 kHz to about 50 kHz, a voltage range from about 0 (zero) volts to about 100 (one hundred) volts, and a duty cycle of about 1% to about 90%. The method also includes the step of modulating the first series of pulses 110 and the second series of pulses 120 into a combined waveform of pulses 130, as shown in FIG. 4. Subsequently to modulating the first series of pulses 110 and the second series of pulses 120, the combined waveform of pulses 130 is delivered to the skin of the patient 109 via an electronic circuit to thereby treat the patient 109. In the disclosed embodiment, the electronic circuit may comprise a first pair of electrodes (first electrode pad 141 and second electrode pad 142) and a second pair of electrodes (third electrode pad 143 and fourth electrode pad 144). The first pair of electrodes is attached in electrically conductive relation to a patient's skin at a first area. Similarly, the second pair of electrodes is attached in electrically conductive relation to a patient's skin at a second area. The output, or in other words the combined waveform of pulses 130, from the first pair of electrodes is the same as the output from the second pair of electrodes. Further, the output, or in other words the combined waveform of pulses 130, from the first electrode pad 141 is typically the same waveform as the output from the third electrode pad 143, and the output, or in other words the combined waveform of pulses 130, from the second electrode pad 142 is typically the same waveform as the output from the fourth electrode pad 144; however, it is common to have the amplitude different one pair of electrodes from the other.
[0034] The depicted embodiments also include the step of monitoring the voltage and the current produced by the electronic circuit to attain a voltage value and a current value. Thevoltage and current values that are produced by the electronic circuit 102 of the apparatus 100 according to the present invention are measured and used by the electronic circuit 102 itself via feedback loop current circuit 170. Further, the voltage and current values are measured at a point in time, and may be measured as frequently as desired. Also, the voltage and current values are measured with respect to first electrode pad 141 and the second electrode pad 142, and also are measured between the third electrode pad 143 and the fourth electrode pad 144, to thereby produce the measured voltage and current values.
[0035] Subsequent to measuring the voltage values and current values, the step of calculating the impedance of the tissue of the patient 109 using the voltage value and the current value is performed. The calculated impedance is indicative of the impedance, or other words resistance, to electrical flow of the tissue of the patient 109 between the electrodes.
[0036] The next step is that of determining a voltage adjustment for at least one of the first series of pulses 110 and the second series of pulses 120 based on the impedance. Since the first series of pulses 110 and the second series of pulses 120 have been modulated together to form a combined waveform of pulses 130, the measurement is of the maximum voltage of the combined waveform. It has been found that the frequency may be adjusted within a range from about 1Hz to about 5 kHz, the voltage may be adjusted within a range from about 0 (zero) volts to about 100 (one hundred) volts, and the duty cycle may be adjusted within a range of about 1% to about 90%. The voltage is measured peak-to-peak and therefore ranges from +50 volts to -50 volts).
[0037] If desired, the next step may be that of automatically adjusting the voltage of at least one of the first series of pulses 110 and the second series of pulses 120 based on the voltage adjustment that has been determined. Such automatic adjustment of the voltage of at least one of the first series of pulses 110 and the second series of pulses 120 is performed to thereby control the output current level below a maximum threshold. In the present invention, the step of monitoring the voltage across the pair of electrodes and the current through the pair of electrodes is performed at a time interval of about between about 10 ms and 100 ms, and even more specifically is performed at a time interval of about 50 ms.
[0038] Further, the step of adjusting the voltage of at least one of the first series of pulses 110 and the second series of pulses 120 according to the calculated impedance to thereby control the output current level below a maximum threshold may comprise adjusting the voltage of the first series of pulses 110 according to the calculated impedance to thereby control the output current level below a maximum threshold. Alternatively, or additionally, the step of adjusting the voltage of at least one of the first series of pulses 110 and the secondseries of pulses 120 according to the calculated impedance to thereby control the output current level below a maximum threshold may comprise adjusting the voltage of the second series of pulses 120 according to the calculated impedance to thereby control the output current level below a maximum threshold. Also, the step of adjusting the voltage of at least one of the first series of pulses 110 and the second series of pulses 120 according to the calculated impedance to thereby control the output current level below a maximum threshold may comprise adjusting the voltage of both the first series of pulses 110 and the second series of pulses 120 according to the calculated impedance to thereby control the output current level below a maximum threshold.
[0039] It has been determined through experimentation that the step of adjusting the voltage of at least one of the first series of pulses 110 and the second series of pulses 120 according to the calculated impedance to thereby control the output current level below a maximum threshold may advantageously comprise reducing the voltage by about 5% of at least one of the first series of pulses 110 and the second series of pulses 120 according to the calculated impedance to thereby control the output current level below a maximum threshold.
[0040] It is further contemplated that the step of adjusting the frequency of the first series of pulses 110 may comprise adjusting the frequency of one or both of the first series of pulses 110 and the second series of pulses 120 according to the calculated impedance.
[0041] It has also been found that in the present invention, communicating the results of the impedance values that are determined by the measurements of the voltage and current at the output of the electronic circuit according to the present invention is of significance. Accordingly, an important step in the method of the present invention comprises displaying the calculated impedance 151a, such as on a digital display 104 on the apparatus 100. The calculated impedance is expressed in ohms and is derived by dividing the voltage by the current. A person knowledgeable in this art, or generally knowledgeable in the art of electronics, may be comfortable with dealing with a displayed impedance value expressed in ohms; however, in the present invention, the method according to the present invention may further comprise the step of converting the calculated impedance to an impedance factor 151b. Further, there may be the step of displaying the impedance factor 151b. The impedance factor 151b may be expressed on a scale such as a cardinal scale of 1 (one) to 10 (ten), or similar, or any other convenient scale or the like that would be meaningful to a technician or a patient 109.
[0042] Further, a maximum impedance factor and / or a minimum impedance factor may be displayed. The maximum impedance factor might represent the maximum desired impedance of the muscle tissue and the minimum impedance factor might represent the minimum desired impedance of the muscle tissue. Encountering measured impedance factors outside of the range of the maximum impedance factor and the minimum impedance factor can indicate potential problems with the cells of the muscle tissue.
[0043] A desired impedance factor might also be displayed. The desired impedance factor could be a guide to perhaps an ideal physiological condition of the cells of the muscle tissue being treated, and could be used as a guide as to whether the treatment is helping the cells with the muscle tissue.
[0044] A target impedance factor might also be displayed. The target impedance factor could be a temporary target value or a final targeted value that is trying to be reached given the type of muscle tissue being treated and information about the possible injuring or illness.
[0045] A standardized impedance factor might also be displayed. The standardized impedance factor could be an impedance factor that is accepted in the physiological treatment profession as being a value that my general would be expected for the particular treatment in that particular area of the human body, possibly also considering given the conditions that are being encountered.
[0046] Further, the present invention might include the steps of calculating an impedance value 151c related to the calculated impedance, and also displaying the impedance value 151c and a benchmark impedance value for comparison purposes. The impedance value and a benchmark impedance value 15 Id might be expressed in physiologically related terms, such as oxygen saturation in cells, protein levels in cells, and so on. A benchmark impedance value 15 Id is may be defined as a standard of excellence, achievement, and so on, against which similar things may be measured or judged.
[0047] Additionally, the steps of calculating a comparison value 15 le based on the impedance value and the benchmark impedance value 15 Id, and displaying the comparison value could be performed in order to qualitatively and / or quantitatively relate the impedance value and the benchmark impedance value in a manner that is meaningful and can be readily understood by a technician, a patient 109, or the like.
[0048] Also, the steps of determining an action to be taken 15 If based on the impedance value and the benchmark impedance value, and displaying the action to be taken 15 If can be performed. The displayed action may comprises reducing or increasing voltage of at least one of the first series of pulses 110 and the second series of pulses 120. Alternatively, oradditionally, the steps of calculating an impedance value related to the calculated impedance and automatically adjusting the first series of pulses 110 and the second series of pulses 120 based on the impedance value could be performed in order to provide automatic adjustment of the pulse is provided to the patient 109, thereby helping to optimize the treatment. The step of automatically adjusting the first series of pulses 110 and the second series of pulses 120 based on the impedance value could comprise automatically adjusting at least one of the frequencies, the duty cycle and the voltage of the first series of pulses 110 and the second series of pulses 120. Further an electrical current value within a desired range or within a predetermined range could be selected.
[0049] Also, or additionally, the present invention could include the steps of calculating an impedance value related to the calculated impedance and determining an action to be taken based on the impedance value and a benchmark impedance value, and automatically adjusting the first series of pulses 110 and the second series of pulses 120 based on the action to be taken. For instance, the action to be taken could be to decrease the voltage by 10% and slowly increase the voltage incrementally to see what resulting impedance is produced.
[0050] Reference will now be made to FIGS. 5 through 7, which show the apparatus according to the present invention in use. The first electrode pad 141, the second electrode pad 142, the third electrode pad 143 and the fourth electrode pad 144 are secured in electrically conductive relation to the patient's skin. Also, a horizontal stability post 108 is gripped by the patient 109 in order to help the patient 109 have proper upright posture that is literally even, and also to indicate when the patient's posture might become improper or uneven. The apparatus can readily be used to properly treat the patient 109 according to the method of the present invention.
[0051] Reference will now be made to FIG. 3, which shows the schematic representation 150 of the electronic circuit 102 that is the basis of the apparatus 100 and method 800 according to the present invention. In a preferred embodiment, the microprocessor 152 that is used in the electronic circuit 102 can be a STM32 produced by ST Microelectronics, part number F303K8, however any suitable microprocessor 152 could alternatively be used. The microprocessor 152 is programmed to generate the first series of pulses 110 and the second series of pulses 120 that have the various voltage, frequency, and duty cycle characteristics as set forth above.
[0052] The first series of pulses 110 and the second series of pulses 120 are modulated in the mixer circuitry 154 to thereby form the combined waveform of pulses 130, which is fed into a signal gain adjust circuit 156. In a preferred embodiment, the signal gain adjust circuit156 includes a compander or expander, and most preferably includes a linear gain compander circuit. It has been determined that a linear gain compander or expander circuit provides exceedingly fine control of the amplitude of the combined waveform of pulses 130. The compander circuit may include a compressor at the input side and an expander on the output side, such that the signal is first compressed upon entering the signal gain adjust circuit 156, thereby reducing its dynamic range. The gain is then adjusted by modulating the compressed signal. Before leaving the signal gain adjust circuit 156, the signal is then expanded back to its original dynamic range. The signal gain adjust circuit 156 is used to permit selective adjustment of the voltage level of the first series of pulses 110 and the second series of pulses 120. This adjustment can be made by a technician or by the patient 109. In the illustrated embodiment of FIGS. 1 and 2, this adjustment can be made by turning the adjustment knob 107 on the main housing 106 of the apparatus 100 according to the present invention. Alternatively, as can be seen in FIG. 7, a rotary dial 108 r of one end of the horizontal stability post 108 turns a variable resistor 108 vr, or the like. The variable resistor is connected in electrically conductive relation to the signal gain adjust circuit 156 to allow for adjustment of the voltage level of the first series of pulses 110 and the second series of pulses 120 of the combined waveform of pulses 130 via the rotary dial.
[0053] The microprocessor 152 also feeds a DC voltage through a doubling amplifier 157 into the signal gain adjust circuit 156 in order to control the amplitude of the output waveform. The output of the signal gain adjust circuit 156 is fed into a final amplifier 158 having four output channels. Each of the four output channels is fed through a separate resistor (R1,R2,R3,R4) to a corresponding electrode pad, namely first electrode pad 141, a second electrode pad 142, a third electrode pad 143, and a fourth electrode pad 144. The four electrode pads are each placed securely in electrically conductive relation to the skin of a patient 109 at the area to be treated. The combined waveform of pulses 130 created from the first series of pulses 110 and the second series of pulses 120 is fed through the four electrode pads. The combined waveform of pulses 130 is present across the first electrode pad 141 and second electrode pad 142, and similarly is present across the third electrode pad 143 and fourth electrode pad 144.
[0054] As is discussed above, the impedance of the tissue of the patient 109 between the first electrode pad 141 and the second electrode pad 142 and also between the third electrode pad 143 and fourth electrode pad 144 can be calculated by dividing the voltage by the corresponding current. The voltage output of the first electrode pad 141 and the secondelectrode pad 142 is determined. Similarly, the voltage output of the third electrode pad 143 and the fourth electrode pad 144 is determined.
[0055] More specifically, at each of the four outputs of the final amplifier 158, there is a resistor (Rl, R2, R3, R4) that, in the depicted embodiment, has a value of ten (10) ohms. The voltage across Rl leading to the first electrode pad 141 is fed back into the inputs of a first operational amplifier 161. Similarly, the voltage across R2 leading to the second electrode pad 142 is fed back into the inputs of a second operational amplifier 162, the voltage across R3 leading to the third electrode pad 143 is fed back into the inputs of a third operational amplifier 163, and the voltage across R4 leading to the fourth electrode pad 144 is fed back into the inputs of a fourth operational amplifier 164. The outputs of the four operational amplifiers are fed through diodes to a common input 171 of a feedback loop current circuit 170, specifically through a resistor 172, to act on the capacitor 174. The voltage across capacitor 174 changes as the voltages from the operational amplifiers change. In essence, the resistor 172 and the capacitor 174 act to “smooth out” the peak voltages so that extreme variations of the voltage do not affect the feedback operation of the overall electronic circuit 102.
[0056] The voltage across the capacitor 174 is applied as an absolute value into a first input 152a of the microprocessor 152. If the voltage received by the first input 152a of the microprocessor 152 increases greater than a threshold amount, the microprocessor 152 decreases the voltage of the first series of pulses 110 and / or the second series of pulses 120 by about 5%. The variable resistor 176 is used to calibrate the feedback loop current circuit 170.
[0057] The feedback loop current circuit 170 detects absolute value current peaks and absolute value voltage peaks of each of the first electrode pad 141, the second electrode pad 142, the third electrode pad 143, and the fourth electrode pad 144. The feedback loop current circuit 170 feeds the voltage values to the microprocessor 152 through pins ADC1 and ADC2. The feedback values are read by the microprocessor 152 at intervals as programmed into the microprocessor 152. The voltage is held by the feedback loop current circuit 170 until read by the microprocessor 152.
[0058] As can be readily seen, the electronic circuit 102 according to the depicted embodiment employs DC coupled amplifiers to thereby faithfully produce an output that is a combined waveform of pulses. The DC coupled amplifiers accurately and faithfully produce all of the pulse frequencies including IKhz to 50Khz.
[0059] The microprocessor 152 evaluates the input absolute values from the feedback loop current circuit 170. If the peak current equals or surpasses the peak limit of 100 mA, the microprocessor 152 is instructed to reduce the DAC value output. In a most preferred embodiment, 100 mA is the regulated maximum safety level current value. The DAC output pin 153 (12 bits) controls the mixed signal wave voltage amplitude level, from zero to a maximum signal. The DAC values are referenced by voltage levels, between 0 and 6 volts.
[0060] The microprocessor 152 may also send message to the APP controller 155 running on a cellular telephone 154 (FIG. 5), or a portable tablet type computer, to limit the upper values being sent to the device, and prompt the user to scale back the sent values.
[0061] The microprocessor 152 can also disable the final amplifier 158 if there is a safety condition unmet, depending on the feedback conditions, including temperature sensing.
[0062] The microprocessor 152 can also monitor the calibration limits of the electronic circuit 102. A message may also be sent to the APP controller 155 running on a cellular telephone 154, if the electronic circuit 102 is out of calibration. The electronic circuit 102 as illustrated has the following calibration limit conditions:25% of Amplitude=V25=X value+ / -10%50% of Amplitude=V50=Y value+ / -10%75% of Amplitude=V75=Z value+ / -10%
[0063] Referring to FIG. 8, in accordance with an embodiment, the treatment methodology according to the present invention can include an initial step of application of an initial scanning waveform to the patient 210 using an electrode. The parameters of the waveform may be determined by the operator using his or her judgment in light of the circumstances, but nominally may be a sinusoidal waveform having a frequency of about 1Hz and a voltage of between 0 and 100 volts. The waveform may also be any other suitable form, such as square, saw tooth, or pulse-width modulated. The initial scanning waveform may also comprise a composite waveform, utilizing a combination of two or more frequencies.
[0064] Next, a frequency sweep can be initiated to determine the desired treatment waveform 220. The desired treatment waveform may also be considered an optimal treatment waveform as determined by the operator. However, in at least some embodiments, the desired treatment waveform may be a composite waveform having at least two component signals. A first of the two component signals may be higher or lower than the second of the two component signals. Accordingly, the operator can apply the waveform and modulate the applied frequency or frequencies while monitoring for the impedance within the patient’stissue. In at least one embodiment, the first component signal may be determined by identifying a frequency at which impedance in the patient’s tissue is minimized within the range of approximately 1Hz to 30KHz. In at least one embodiment, the second component signal may be determined by identifying a frequency at which impedance in the patient’s tissue is maximized, within the range of approximately 1Hz to 3000Hz, and when applied as a composite waveform with the first component signal.
[0065] Once the desired treatment waveform is determined, the electrode may be moved to various locations in the treatment region to locate at least a first neurologically disrupted area, such as the neurologically disrupted site 230, for treatment. In doing so, the technician may monitor the patient’s reaction for compensation patterns, along with tissue behavior and various parameters of the waveform as reported by the feedback loop current circuit 170 in order to identify a neurologically disrupted area. In a basic embodiment of the methodology, treatment may begin once a first disrupted area is identified, however, in a preferred embodiment, at least one other neurologically disrupted area is located prior to treatment as depicted at step 240.
[0066] In a most preferred embodiment, the depicted method also calls for identification of auxiliary treatment points 250. Auxiliary treatment points may include symmetrical points on the opposite side of the body as the neurologically disrupted area. By way of non-limiting example, if the neurologically disrupted area is on or around the right knee, then an auxiliary treatment point will include the same location on the left knee.
[0067] The method may then call for concurrently treating the first and second neurologically disrupted areas 260 as well as concurrently treating the first and second neurologically disrupted areas along with the auxiliary treatment points 250. Treatment may include directing the patient to move the affected area through a variety of routines while applying the desired treatment waveform.
[0068] Now turning to FIG. 9, depicted therein is a method for conducting a frequency sweep according to one method of the present invention. Once electrodes have been applied to the patient, the method begins by applying a first waveform component to the patient, and sweeping the first waveform component in a range including 1Hz and 30KHz 221. During the sweep, the operator will monitor the impedance of the first waveform component in the patient’s tissue and determine a desired frequency of the first waveform component 222. In a most preferred embodiment, the desired frequency is the frequency at which the impedance is lowest. The sweep and monitor technique is then repeated for a second waveform component, as shown at 223 and 224, except that the frequency range of the sweep includes the range1Hz to 3000Hz. In a most preferred embodiment, the desired frequency of the second waveform component may include that frequency at which impedance in the patient’s tissue is highest when the first and second waveform components are applied as a composite waveform. Next, the apparatus may be set to generate a composite waveform that includes at least the first waveform component and the second waveform component at their respective desired frequencies 225. Finally, the patient may be treated using the composite waveform 226.
[0069] Referring now to FIG. 10, an aspect of the present disclosure relates to a method for ascertaining and generating waveforms specific to neurologically disrupted sites (also referred to as method 300 herein), wherein the method 300 can include the steps of receiving, as shown at block 302, at an electronic circuit such as the electronic circuit 102 shown in FIG. 3, a first electrical signal associated with an initial scanning waveform pertaining to a patient’s skin at a first area associated with a site of neurological disruption. Next step of the method 300 can be analysing, as shown at block 304 of FIG. 10, at a feedback loop current circuit, such as the feedback loop current circuit 170 shown in FIG. 3, of the electronic circuit 102, the received electrical signal associated with the initial scanning waveform, a first neurologically disrupted site, such as the a first neurologically disrupted site, based on at least one characteristic of the received electrical signal associated with the initial scanning waveform.
[0070] After locating the first neurologically disrupted site, the method 300 can further include the step of locating a second neurologically disrupted site, as shown at block 306, by further analysing, at the electronic circuit 102, the received electrical signal associated with the initial scanning waveform.
[0071] The proposed method 300 can further includes the step of: receiving, at the electronic circuit 102, a second electrical signal associated with a frequency sweep at the first neurologically disrupted site and the second neurologically disrupted site, as shown at block 308 of FIG. 3, and analysing, as shown at block 310 of FIG. 3, at the feedback loop current circuit 170 of the electronic circuit 102, the second electrical signal associated with the frequency sweep to determine desired treatment frequencies. The method 300 can thereafter involve generating, by the electronic circuit 102, electrical signals corresponding to the desired treatment frequencies for the first and the second neurologically disrupted sites and auxiliary treatment points, as shown at block 312 of FIG. 3,
[0072] In one or more embodiments, the step of receiving and analysing the second electrical signal associated with the frequency may involve: receiving an electrical signalassociated with a first waveform component in a frequency range of 1Hz and 30KHz that is used during a first sweep; and determining impedance of the electrical signal associated with the first waveform component at different frequencies to determine a desired frequency of the first waveform component.
[0073] In one or more embodiments, the step of receiving and analysing the second electrical signal associated with the frequency sweep can further involve receiving an electrical signal associated with a second sweep wherein the waveform used for the second sweep includes the desired frequency of the first waveform component and a second waveform component in a frequency range of 1Hz and 3000Hz. Electrical signal associated with the second waveform component can be isolated from waveform used during the second sweep to determine impedance of the electrical signal associated with the second waveform component at different frequencies to determine a desired frequency of the second waveform component.
[0074] In one or more embodiments, the step of determining the desired frequency of the first waveform component may include determining a frequency at which minimum impedance occurs.
[0075] In one or more embodiments, the step of determining the desired frequency of the second waveform component comprises determining a frequency at which maximum impedance occurs.
[0076] In one or more embodiments, the electrical signals corresponding to the desired treatment frequencies for the first and the second neurologically disrupted sites and auxiliary treatment points can be generated by the electronic circuit 102, where the modulating circuit portion can create a composite waveform, such as the composite waveform 226, that includes at least the first waveform component and the second waveform component at their respective desired frequencies.
[0077] In one or more embodiments, the auxiliary treatment points may include regions on the patient’s body that are oppositely located to either of the first or second neurologically disrupted site. For example if the neurologically disrupted area pertaining to the first or second neurologically disrupted sites is on or around the right knee, then the auxiliary treatment points will include the same location on the left knee.
[0078] In one or more embodiments, the method may further include the step of concurrently generating, by the electronic circuit, electrical signals corresponding to the desired treatment frequencies for the first and the second neurologically disrupted sites.
[0079] In one or more embodiments, the method may further include the step of concurrently generating, by the electronic circuit, electrical signals corresponding to the desired treatment frequencies for the first and the second neurologically disrupted sites along with the auxiliary treatment points.
[0080] Since many modifications, variations and changes in detail can be made to the described embodiments of the invention, it is intended that all matters in the foregoing description and shown in the accompanying drawings be interpreted as illustrative and not in a limiting sense. Thus, the scope of the invention should be determined by the appended claims and their legal equivalents.
Claims
We Claim:
1. A method for ascertaining and generating waveforms specific to neurologically disrupted sites, comprising:receiving, at an electronic circuit, a first electrical signal associated with an initial scanning waveform pertaining to a patient’s skin at a first area associated with a site of neurological disruption;analysing, at a feedback loop current circuit of the electronic circuit, the received electrical signal associated with the initial scanning waveform, at least one characteristic to determine whether said first area comprises a first neurologically disrupted site;upon locating said first neurologically disrupted site, analysing, at the electronic circuit, the received electrical signal associated with the initial scanning waveform for at least a second neurologically disrupted site;receiving, at the electronic circuit, a second electrical signal associated with a frequency sweep at the first neurologically disrupted site and the second neurologically disrupted site;analysing, at the feedback loop current circuit of the electronic circuit, the second electrical signal associated with the frequency sweep to determine desired treatment frequencies;generating, by a waveform generation module of the electronic circuit, electrical signals corresponding to the desired treatment frequencies for the first and the second neurologically disrupted sites and auxiliary treatment points,2. The method as recited in claim 1, wherein said step of receiving and analysing the second electrical signal associated with the frequency sweep comprises the steps of:receiving an electrical signal associated with a first waveform component in a frequency range of 1Hz and 30KHz that is used during a first sweep;determining impedance of said electrical signal associated with the first waveform component at different frequencies to determine a desired frequency of said first waveform component,3. The method as recited in claim 2, wherein said step of receiving and analysing the second electrical signal associated with the frequency sweep further comprises the steps of;receiving an electrical signal associated with a second sweep wherein the waveform used for the second sweep includes said desired frequency of said first waveform component and a second waveform component in a frequency range of 1Hz and 3000Hz;isolating electrical signal associated with the second waveform component from waveform used during the second sweep;determining impedance of the electrical signal associated with the said second waveform component at different frequencies to determine a desired frequency of said second waveform component.
4. The method as recited in claim 2, wherein the step of determining said desired frequency of said first waveform component comprises determining a frequency at which minimum impedance occurs.
5. The method as recited in claim 3, wherein the step of determining said desired frequency of said second waveform component comprises determining a frequency at which maximum impedance occurs.
6. The method as recited in claim 4, wherein the step of generating electrical signals corresponding to the desired treatment frequencies for the first and the second neurologically disrupted sites and auxiliary treatment points comprises: generating, by a modulating circuit portion of the electronic circuit, a composite waveform that includes at least the first waveform component and the second waveform component at their respective desired frequencies.
7. The method as recited in claim 1, wherein said auxiliary treatment points include regions on the patient’s body that are oppositely located to either of the first or second neurologically disrupted site.
8. The method as recited in claim 1, comprising the step of concurrently generating , by the electronic circuit, electrical signals corresponding to the desired treatment frequencies for said first and said second neurologically disrupted sites.
9. The method as recited in claim 1, comprising the step of concurrently generating, by the electronic circuit, electrical signals corresponding to the desired treatment frequencies for said first and said second neurologically disrupted sites along with said auxiliary treatment points.