United States Patent 11 ay 4,177,819
Kofsky et al. ts) Dee, 11, 1979
[54] MUSCLE STIMULATING APPARATUS 4,102,348 7/1978 Hihara et al. 1 128/422
[76] Inventors: Harvey 1, Kofsky, 3250 Ellendale Primary Examiner—William E. Kamm
‘Ave, Apt. 408, Montreal, Quebec, Attorney, Agent, or Firm—Schwartz, Jeffery, Schwaab,
Canada, H3S 1W4; Arthur Levine, Mack, Blumenthal & Koch
BR Ar Monel soy ansmact
" ‘The disclosure teaches an electronic apparatus for stim-
[21] Appl. No.: $91,817 ulating the muscles of a patient by disposing electrodes
[22] Filed: Mar. 30, 1978 on the outer surface of the patient in the ow of the
: ‘muscles. The stimulating wave consists of a composite
(51) Int, Qi .. ASIN 1/36 signal comprising bursts of a sine wave, having a fre-
a] Usa. w 420/422; 28/908; emcy gener than 00H, and preferably nthe range
‘of 2000-3000 Hz, modulated by a signal at a frequency.
188) Piel of Search nn 128/21 419 R, $21, jes than $00 Ha and preferably in the range of 0-80
176/422, Hz. The bursts are applied for 2-20 second periods
[56) References Cited sect by 2-0 second rest itera. The apparatus
ST nOCinE includes safety circuits which sense the current 0
ae electrodes and turn off the stimulating waves on detec-
2,823,678 2/1958 Luftman et al. 128/422 tion of a no load or overload condition. The apparatus
$eees 17192 Deal —- 128/421 alo includes a power amplifier with a gain control and
BAT 144 11/1969 Later zac meee eee ay
Sassis2 '1/197% Barbara aevana IDEM,
Sou asa mepoe PBT set to zero, stimulating waves will not be applied.
32 2/1973 Holt et ae
4,068,669 1/1978 Niemi “128/419 R ‘3 Claims, 14 Drawing Figures
LIGHT
BULB
“pee a
100; > e
TIMER ‘RAMP.
OW - OFF GEN. moa
POWER AME seuson
1-43 yerer|
| ow - ore
eM. CONTROL
a ao
ewU.S. Patent Dee. 11, 1979 Sheet 1 of 4 4,177,819
4, a
St yh
“pd yy Tl s
raat aa
OM - OFF | Gem. ~ Moe al
ON - OFF
CONTROL
ng
af
rom 3 or fret
of 116.1
"ELECTRICALLY
CONTROLLED
enoU.S. Patent Dec. 11, 1979 Sheet 2 of 4 4,177,819
2-20. 2-50 sec_—4
SEC.
Hees
pL \ FN
Fp. 2e
eal AM {\ Re
NW Fy 2c
oA]
UUUUUE Hig 20
- Gp ee
F UhU.S. Patent Dec. 11, 1979 Sheet 3 of 4 4,177,819
To cowrroL
—" ren oF
- [ie Ha
a
row eno
6.4
mals, CINE WAVE GEN.
oF FT | OMe ag
af
ovo
FROM BT FROM 27
or 416.7 oF GL
GWD Zs 6
4 ROM 19
Ae o F167
| 3 |
ocr 2 Crh ol _ [x0 Tana oven end
WFGT zerector
| PROM TOF 6.4
53-0 5 ct @
\ From 1 oF 16.7
INVERTER ~
POWER ONU.S. Patent Dee. 11, 1979 Sheet 4 of 4 4,177,819
9
g 1
ee DIGITAL LI
50 ATTENUATOR
7
FROM, | Lit
AB ez counreR
Oo FIG.L | pi eenw a
46
e-! 2
] 52 DErTAL
Gin7 DISPLAY
UM, BEC. i, .
‘N56
i
THUMB WHEEL
SWITCHES: eee
ow onF
[L 7ime TIME |
+ WO LOAD
[ovew soar
MICRO- PROCESSOR Bo oy
oar
YA DISPLAY
cowverteR
POWER
Aue
PUTER4,177
1
MUSCLE STIMULATING APPARATUS
BACKGROUND OF THE INVENTION
1, Field of the Invention a
This invention relates to an electronic muscle stimula-
tor apparatus. More specifically, this invention relates
to such an apparatus utilizing a high frequency sine
wave pulse modulated at a lower frequency as the mus-
cle stimulating wave form.
2. Statement of the Prior Art
It is known in the art to use electronic circuitry for
‘medical instrumentation as illustrated in, for example,
US. Pat, Nos. 3,718,132 — Holt et al; 3,650,277 —
Sjostrand et at; 4,014,347 — Halleck et al; 4,019,519 —
Gerling; 3,255,753 — Wing; 3,946,745 — Hsiang-Lai et
al and 3,521,641 — Farensbach.
It is also known in the art to use such electronic in-
strumentation for the purpose of muscle stimulation as
discussed in U.S. Pat. Nos. 3,589,370 — McDonald;
3,472,233 — Sarbacher, 3,516,413 — McDonald et al
and 3,518,996 — Cortina
‘The prior art devices use various wave forms for
producing the stimulating waveforms, and it has been:
found that they are painful and uncomfortable. In addi-
tion, with the prior art devices there is irritation and
‘burns on the skin. Nor do the prior art devices provide
any safety devices to ensure the safety of the patient in
all respects.
SUMMARY OF THE INVENTION
It has been found that pain can be reduced and skin.
‘burns and irritation eliminated by use of a sinusoidal
stimulating wave form.
The frequency of the sine wave should be greater
than 500 Hz and preferably in the range of 2000
Hz-3000 Hz. In a preferred embodiment, the frequency
is 2500 Hz.
The stimulating wave form should be provided in
bursts at a rate ess than 500 Hz, preferably in the range
of 40-60 Hz, and preferably 50 Hz.
Safety features will ensure that the apparatus can be
restarted only when the gain control is set to zero gain
In accordance with the invention, electronic appa
tus for stimulating the muscles ofa patient by disposing
electrodes on the outer surface of the patient in the
vicinity of the muscles, comprises: means for generating
2 timulaing wave for pedtermined tine prod spe
rated by predetermined time intervals; said stimula
wave comprising a sinusoidal signal ata first frequency
greater than 500 Hz; means for generating bursts of said
signal at a rate determined by a second, lower fre-
quency; and means connecting said signal to said elec-
trodes.
The apparatus preferably includes means for protect-
ing the safety of the patient, said safety means compris-
ing: a sensor for sensing signal flow to the electrodes;
control means, connected to the output of said sensor,
to tur said system off when it senses either a no load or
an overload condition,
‘The apparatus will also include a power amplifier for
amplifying the stimulating wave, and gain control
‘means for said power amplifier; said safety means fur-
ther comprising: switch means, associated with said 65
gain control means, for preventing said power amplifier
from being restarted when said gain control is not set at
zero gain.
10
5
3
4s
88
o
819
2.
‘The apparatus may further comprise means for vary-
ing the amplitude of said signal from zero, at the start of
each period, to its full amplitude, and from the full
amplitude to zero at the end of each period.
BRIEF DESCRIPTION OF THE DRAWINGS
The invention will be better understood by an exami-
nation of the following description, together with the
accompanying drawings, in which:
FIG. 1 ilastrates in block diagram form, one em-
bodiment of the invention;
FIGS. 2A to 2G shows wave forms at different points
in the circuit of FIG. 1;
FIG. 3is a circuit diagram of one embodiment of the
‘modulator;
FIG. 48a circuit diagram of one embodiment of the
FIG. Si a circuit diagram of one embodiment of the
logic circui
FIG. 6 illustrates a digital gain control circuit;
FIG. 7 illustrates a second embodiment of the inven-
tion; and
IG. 8 illustrates an embodiment of the invention
ling a microprocessor.
DETAILED DESCRIPTION OF THE
DRAWINGS
It has been found that the stimulating waveform
should not be continuously applied, but rather, should
be applied in 20-20 second ON periods separated by
2-80 second OFF intervals. In addition, it has been
found that, in each ON period, the muscle stimulating
waveform, rather than being applied full force at the
beginning of each period, may be gradually increased
from a small or zero amplitude to its full amplitude. In
a like fashion, the stimulating waveform, rather than
being abruptly removed at the end of a period, may be
‘gradually decreased to zero just before the OFF inter-
val
The circuit in accordance with the invention in-