• Title/Summary/Keyword: Medical Stimulator

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Ultrasonography-Combined with Nerve Stimulator Technique for Injection of the Genitofemoral Nerve in a Patient with Chronic Postoperative Inguinal Pain (수술 후 서혜부 만성 통증에서 신경 자극기를 이용한 초음파 유도하 음부대퇴신경 차단술)

  • Oh, Young-Bin;Shin, Hyun Baek;Ko, Myoung-Hwan;Seo, Jeong-Hwan;Kim, Gi-Wook
    • Clinical Pain
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    • v.18 no.1
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    • pp.36-39
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    • 2019
  • Chronic postoperative inguinal pain (CPIP) is a major complication after inguinal herniorrhaphy. We report the treatment of CPIP using ultrasonography-combined with nerve stimulator for injection of the genitofemoral nerve (GFN). A 59-year-old man underwent laparoscopic herniorrhaphy and presented with numbness from the inguinal region to the scrotum after operation. In the pain clinic, ultrasonography-guided GFN block and pharmacological treatments had little effect. Six month after operation, patient was referred to the Department of Physical Medicine and Rehabilitation, and ultrasonography-combined with nerve stimulator for GFN injection underwent to enhance the accuracy of neural approach. The induction of scrotal contraction and paresthesia on the GFN distribution was monitored by nerve stimulator and local anesthetic was injected. After the block, pain relief lasted for 6 months without analgesic use. Ultrasonography-combined with nerve stimulator is an effective approach to treat CPIP as it enhances precise localization and injection of small peripheral nerve like GFN.

Design and Implementation of Medical Compound Stimulator Using Low/High Frequency and Cooling Stimulation (저주파/고주파와 냉자극을 이용한 의료용 조합 자극기의 설계 및 구현)

  • Yoon, Wan-Oh;Kang, Suk-Youb;Jung, Jin-Ha;Choi, Sang-Bang
    • Journal of Biomedical Engineering Research
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    • v.29 no.1
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    • pp.82-87
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    • 2008
  • In this paper, the study was carried out to design and implement the medical compound stimulator based on the preexisting individual medical stimulators with Low frequency, High frequency and cooling stimulation. The proposed equipment is designed to compound all the functions including a cooling stimulation with a range of $0{\sim}20^{\circ}C$ and the verified low and high frequencies of 250Hz, 500Hz, 1KHz and 1MHz respectively from the previous clinical experiment with a consideration of its credibility and efficiency. Also, it was constructed by using a new technique, thermoelectricity semiconductor with a consideration of miniaturization and stability. In accordance with patients' treatment purpose, the hand piece of low frequency/cooling stimulation and High frequency/cooling stimulation were separately designed for convenience. The frequency, accuracy and other factors of implemented medical compound stimulator was satisfied according to its measurement. It was also tested by Korean Testing Laboratory (KTL) for its stability and efficacy and it confirmed that the medical compound stimulator is suitable for use as it fits in with the medical equipment standards.

The Magnetic Nerve Stimulator Using a Switching Mode Power Supply (스위칭전원을 이용한 자기신경자극기)

  • Lee, Su-Yeol;Lee, Seong-Geun;Lee, Jeong-Han
    • Journal of Biomedical Engineering Research
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    • v.16 no.3
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    • pp.265-270
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    • 1995
  • An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for chArging high voltage cApacitors, the weight and size of the magnetic net've stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec Experimental results of human nerve stimulations using the developed stimulator are presented.

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A Case of Pneumothorax after Phrenic Nerve Block with Guidance of a Nerve Stimulator

  • Beyaz, Serbulent Gokhan;Tufek, Adnan;Tokgoz, Orhan;Karaman, Haktan
    • The Korean Journal of Pain
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    • v.24 no.2
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    • pp.105-107
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    • 2011
  • Hiccups have more than 100 etiologies. The most common etiology has gastrointestinal origins, related mainly to gastric distention and gastroesophageal reflux disease. Intractable hiccups are rare but may present as a severe symptom of various diseases. Hiccups are mostly treated with non-invasive or pharmacological therapies. If these therapies fail, invasive methods should be used. Here, we present a patient on whom we performed a blockage of the phrenic nerve with the guidance of a nerve stimulator. The patient also had pneumothorax as a complication. Three hours after intervention, a tube thoracostomy was performed. One week later, the patient was cured and discharged from the hospital. In conclusion, a stimulator provides the benefit of localizing the phrenic nerve, which leads to diaphragmatic contractions. Patients with thin necks have more risk of pneumothorax during phrenic nerve location.

Stimulus Artifact Suppression on the type of Nerve Stimulator (신경자극기 형태에 따른 자극 Artifact 제거 방법에 대한 연구)

  • 유세근;민병관
    • Journal of Biomedical Engineering Research
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    • v.14 no.3
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    • pp.251-256
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    • 1993
  • The conduction velocity of the nerve is of importance to the diagnosis of various negromuscular disorders. A major technical problem encountered in nerve stimulation technique is the control of stimulus artifact and the convenience of nerve stimulator. The remained artifacts must be removed by processing the contaminated signal. This paper discusses about the artifact cancellation algorithms in constant voltage type nerve stimulator(CVS) and constant current type nerve stimulator(CCS).

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Development of Multi-Array Electrode and Programmable Multi-channel Electrical Stimulator for Firing Trigger Point of Myofascial Pain Syndrome (근막통증증후군의 통증유발점 치료를 위한 멀티어레이 전극과 프로그램 가능한 다채널 전기자극기 개발)

  • Kim, SooHong;Kim, SooSung;Jeon, GyeRok
    • Journal of Biomedical Engineering Research
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    • v.36 no.5
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    • pp.221-227
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    • 2015
  • In this study, Multi-Array Electrodes (MAE) and Programmable Multi-channel Electrical Stimulator (PMES) were implemented for firing Trigger Points (TPs) of the patient with Myofascial Pain Syndrome (MPS). MAE has 25 Ag/AgCl electrodes arranged in the form of array ($5{\times}5$) fabricated with flexible pad, which are applicable to be easy-attached to curved specific region of the human body. PMES consisted of 25 channels. Each channel was to generate various electric stimulus patterns (ESPs) by changing the mono-phasic or bi-phasic of ESP, On/Off duration of ESP, the interval between ESP, and amplitude of ESP. PMES hardware was composed of Host PC, Stimulation Pattern Editing Program (SPEP), and Multi-channel Electrical Stimulator (MES). Experiments were performed using MAE and PMES as the following. First experiment was performed to evaluate the function for each channel of Sub- Micro Controller Unit (SMCU) in MES. Second experiment was conducted on whether ESP applied from each channel of SMCU in PMES was focused to the electrode set to the ground, after applying ESP being output from each channel of SMCU in PMES to MAE.

fMRI STUDTY ON HUMAN BRAIN'S ACTIVATION BY THE BRAIN STIMULATOR

  • Jeong, Hee-Chang;Choe, Bo-Young;Chung, Sung-Taek;Lee, Hyoung-Koo;Suh, Tae-Suk
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.359-359
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    • 2002
  • Brain Stimulator processes both visual and audible stimulus and send them human sensory organ. The stimulus was accepted by our sensory organ effect upon human mental function. In this study, we examine the actual effect of commercial brain stimulator using tMRI system.

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A Study on Realization of the Magnetic Nerve Stimulator (자기신경자극기 구현에 관한 연구)

  • Lee, Soo-Yeol;Lee, Seong-Keun;Yi, Jeong-Han
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.57-60
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    • 1995
  • An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Experimental results of human nerve stimulations using developed stimulator are presented.

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A Remote Medical Treatment System for Stroke Recovery using ZigBee-Based Wireless Brain Stimulator (ZigBee 기반의 무선 뇌자극기를 이용한 원격 뇌졸중 치료 시스템)

  • Yun, H.J.;Yang, Y.S.;Ryu, M.H.;Kim, J.J.;Kim, N.G.
    • Journal of Biomedical Engineering Research
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    • v.28 no.5
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    • pp.657-664
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    • 2007
  • Stroke patients need regular medical treatments and rehabilitation training from their doctors. However, severe aftereffects caused by stroke allow them minimum activities, which make it difficult for them to visit doctor. Recently, electric brain stimulation treatment has been found to be better way compared to conventional ones and many are interested in using this method for the treatment of stroke. In this study, we have developed a remote medical treatment system using wireless electric brain stimulator that can help the stroke patients to get a treatment without visiting their doctors. The developed remote medical treatment system connects the doctors to the brain stimulator implanted in the patients via the internet and ZigBee communication built in the brain stimulator. Also, the system receives personal information of the connected patients and cumulates the total records of electric stimulation therapy in a database. Doctors can easily access the information for better treatment planning with the help of graphical visualization tools and management software. The developed remote medical treatment system can be applied to the electric stimulation treatments for other brain diseases with a minor change.