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JP4602145B2 - High-frequency heating treatment device - Google Patents

High-frequency heating treatment device Download PDF

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JP4602145B2
JP4602145B2 JP2005107363A JP2005107363A JP4602145B2 JP 4602145 B2 JP4602145 B2 JP 4602145B2 JP 2005107363 A JP2005107363 A JP 2005107363A JP 2005107363 A JP2005107363 A JP 2005107363A JP 4602145 B2 JP4602145 B2 JP 4602145B2
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JP2006280771A (en
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裕二 西田
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Ito Co ltd
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Description

本発明は、高周波加熱治療装置に関し、特に、電極を患部に押し当て、当該電極を介して超短波(VHF帯)やマイクロ波(SHF帯)の電磁波で患部に温熱治療を施す高周波加熱治療装置に関する。   The present invention relates to a high-frequency heat treatment apparatus, and more particularly, to a high-frequency heat treatment apparatus that presses an electrode against an affected area and performs heat treatment on the affected area with an electromagnetic wave of a very short wave (VHF band) or a microwave (SHF band) through the electrode. .

高周波加熱治療装置用導子の一例として、患部を高周波加熱するコンデンサ型のものがある。例えば、特許文献1に開示された高周波加熱治療装置用導子では、1対の電極が人体患部に容易に装着できるようにしている。具体的には、患部が手・足などの場合は、手・足の厚みに合わせて電極連結部を屈曲させて患部を挟む。また、患部が肩や腰の場合は、局面に沿うように電極連結部を屈曲させ、ベルトで当該電極を人体患部に固定する。ここに、導子が有する電極は略正方形のものが例示されており、面積同一の1対が使用される。
特開2001−46520号公報(図3、段落0013)
As an example of a high-frequency heating treatment device, there is a capacitor type that heats an affected area at high frequency. For example, in the high-frequency heating treatment device lead disclosed in Patent Document 1, a pair of electrodes can be easily attached to the affected part of the human body. Specifically, when the affected part is a hand or foot, the electrode connecting part is bent according to the thickness of the hand or foot to sandwich the affected part. When the affected part is a shoulder or a waist, the electrode connecting part is bent along the phase, and the electrode is fixed to the affected part of the human body with a belt. Here, the electrode of the conductor is exemplified by a substantially square one, and a pair having the same area is used.
JP 2001-46520 A (FIG. 3, paragraph 0013)

しかし、特許文献1に開示された高周波加熱治療装置用導子では、導子の面積は同一であるため、手の裏表、腰の左右などで患部の大きさが異なる場合は、治療しなくてもよい部分まで高周波加熱が行なわれ、電力利用効率が低くなる。また、一方、小面積の電極により局部的な治療を集中的に行なうとともに、大面積の電極で大面積の患部を治療したい場合がある。   However, in the high frequency heating treatment device disclosed in Patent Document 1, since the area of the conductor is the same, if the affected area is different on the back of the hand, the left and right of the waist, etc., there is no treatment. High-frequency heating is performed up to the better part, and the power utilization efficiency is lowered. On the other hand, there are cases where local treatment is intensively performed with a small-area electrode and a large-area affected area is desired to be treated with a large-area electrode.

一方、電極面積の異なる導子(電極)で人体に容量結合させると、小さい側の導子で温感が弱く感じる傾向があるため、被治療者に不快感を与えかねない。また、電極間のバランスが崩れ、コモンモードノイズが発生し、周辺の電気製品に影響を与える虞がある。   On the other hand, when capacitively coupled to the human body with a conductor (electrode) having a different electrode area, the thermal sensation tends to be felt weakly with the smaller conductor, which may cause discomfort to the patient. In addition, the balance between the electrodes is lost, and common mode noise is generated, which may affect the surrounding electrical products.

そこで、本発明は、小面積の患部と大面積の患部を同じ温感で同時に温熱治療することができる高周波加熱治療装置を提供することを目的とする。また、本発明は、小面積の患部と大面積の患部をそれぞれ最適な温度で同時に温熱治療することができる高周波加熱治療装置を提供することを目的とする。   Therefore, an object of the present invention is to provide a high-frequency heating treatment apparatus capable of simultaneously performing heat treatment on an affected area of a small area and an affected area of a large area with the same thermal sensation. It is another object of the present invention to provide a high-frequency heating treatment apparatus capable of simultaneously performing heat treatment on an affected area of a small area and an affected area of a large area at an optimum temperature.

上述した課題を解決するため、本発明の高周波加熱治療装置では、患部に接触する1対の電極により患部を高周波加熱治療する場合において、一方又は双方の電極表面と患部表面との間に絶縁材を挿入し、小面積の患部と大面積の患部を、それぞれ等温又は最適な温度に加熱する。   In order to solve the above-described problems, in the high-frequency heating treatment apparatus of the present invention, when high-frequency heat treatment is performed on a diseased part with a pair of electrodes that are in contact with the affected part, an insulating material is provided between one or both electrode surfaces and the affected part surface. Is inserted, and the affected area of the small area and the affected area of the large area are heated to the same temperature or the optimum temperature, respectively.

具体的には、高周波信号を電力増幅する高周波電力増幅器と、前記高周波電力増幅器の出力により患部を加熱する1対の導子電極と、少なくとも一方の導子電極とこれにより加熱される患部表面との間に挿入される絶縁材とを備え、前記導子電極同士の面積は異なり、双方の導子電極とこれらの患部表面との間に挿入される絶縁材を備え、一方の導子電極とこれにより加熱される患部表面との間に挿入される絶縁材の厚さと、他方の導子電極とこれにより加熱される患部表部との間に挿入される絶縁材の厚さとは異なり、双方の絶縁材の誘電率は等しく、前記一方の導子電極は面積が大きい方の電極であり、これにより加熱される患部表面との間に挿入される絶縁材の厚さは大きく、前記他方の導子電極は面積が小さい方の電極であり、これにより加熱される患部表部との間に挿入される絶縁材の厚さは小さいことを特徴とする。 Specifically, a high-frequency power amplifier that amplifies a high-frequency signal, a pair of conductor electrodes that heat the affected area by the output of the high-frequency power amplifier, at least one of the conductor electrodes, and the affected area surface that is heated thereby and a the inserted insulating material between the area between Shirubeko electrodes varies, with an insulating material to be inserted between the both Shirubeko electrodes and these diseased surfaces, one Shirubeko electrode And the thickness of the insulating material inserted between the surface of the affected part heated by this and the thickness of the insulating material inserted between the other conductor electrode and the affected part surface heated by this, The dielectric constants of both the insulating materials are equal, and the one conductor electrode is the electrode having the larger area, and the thickness of the insulating material inserted between the surface of the affected part heated by this is large, This is the electrode with the smaller area. Characterized in that the thickness of the inserted insulating material between the affected area table portion to be heated more small.

本発明によれば、小面積の患部と大面積の患部を、それぞれ等温で、又は最適な温度で、同時に温熱治療することができる高周波加熱治療装置を提供することができる。また、本発明によれば、小面積の患部と大面積の患部をそれぞれ最適な温度で同時に温熱治療することができる高周波加熱治療装置を提供することができる。特に、大面積電極側と小面積電極側とで温感をバランスさせることにより、コモンモードノイズを抑制し、周辺の電気製品への影響を低減することができる。   ADVANTAGE OF THE INVENTION According to this invention, the high frequency heating treatment apparatus which can carry out a thermal treatment of the affected area of a small area and the affected area of a large area simultaneously with an isothermal or optimal temperature can be provided. In addition, according to the present invention, it is possible to provide a high-frequency heating treatment apparatus capable of simultaneously performing heat treatment on an affected area having a small area and an affected area having a large area at an optimum temperature. In particular, by balancing the sense of warmth on the large area electrode side and the small area electrode side, common mode noise can be suppressed and the influence on peripheral electrical products can be reduced.

以下、図面を参照して、本発明の実施の形態について説明する。   Embodiments of the present invention will be described below with reference to the drawings.

図1は、本実施形態の高周波加熱治療装置のブロック図である。高周波加熱治療装置は、高周波信号を電力増幅する高周波電力増幅器10と、前記高周波電力増幅器の出力により患部を加熱する1対の導子電極14a、14b、又は14cと、少なくとも一方の導子電極とこれにより加熱される患部表面との間に挿入される図示しない絶縁材とを備える。導子電極は、金属の平板や網等であり、絶縁材は、絶縁体の平板や網・布等、具体的にはフェルトやゴム等である。   FIG. 1 is a block diagram of the high-frequency heating treatment apparatus of the present embodiment. The high-frequency heating treatment apparatus includes a high-frequency power amplifier 10 that amplifies a high-frequency signal, a pair of conductor electrodes 14a, 14b, or 14c that heats the affected area by the output of the high-frequency power amplifier, and at least one of the conductor electrodes. Thus, an insulating material (not shown) inserted between the surface of the affected part to be heated is provided. The conductor electrode is a metal flat plate, a mesh, or the like, and the insulating material is an insulating flat plate, a mesh, a cloth, or the like, specifically, felt, rubber, or the like.

さらに、高周波加熱治療装置は、前記高周波電力増幅器10の出力に接続されるとともに前記1対の導子電極14a、14b、又は14cに接続される可変インピーダンス回路12と、前記可変インピーダンス回路12のインピーダンスを、前記1対の導子電極14a、14b、又は14c、前記絶縁材及び前記双方の患部で構成される被治療電気回路のインピーダンスに整合させるインピーダンス制御手段12と、前記導子電極の面積、及び、前記絶縁材誘電率並びに厚さで定まる被治療電気回路のインピーダンスを記憶するメモリ18と、導子電極の面積、及び、絶縁材の誘電率並びに厚さを入力する入力部20とを備えてもよい。   Further, the high-frequency heating treatment apparatus is connected to the output of the high-frequency power amplifier 10 and to the variable impedance circuit 12 connected to the pair of conductor electrodes 14a, 14b, or 14c, and the impedance of the variable impedance circuit 12 Impedance control means 12 for matching the impedance of the pair of conductor electrodes 14a, 14b, or 14c, the insulating material, and both of the affected parts, and the area of the conductor electrode, And a memory 18 for storing the impedance of the electric circuit to be treated determined by the dielectric constant and thickness of the insulating material, and an input unit 20 for inputting the area of the conductor electrode and the dielectric constant and thickness of the insulating material. May be.

高周波電力増幅器10は、高周波利用医療機器に割り当てられた周波数、例えば、13.56MHz、27.12MHz、40.68MHz、2.45GHzなどの高周波信号を電力増幅する。   The high frequency power amplifier 10 amplifies the power of a high frequency signal such as 13.56 MHz, 27.12 MHz, 40.68 MHz, or 2.45 GHz, which is assigned to a high frequency medical device.

可変インピーダンス回路12は、高周波電力増幅器10の出力を導子電極14a、14b、又は14cに出力する。高周波電力増幅器10の出力は高周波であるため、絶縁材及び前記双方の患部で構成される被治療電気回路のインピーダンスに整合させる必要がある。
ここに、被治療電気回路のインピーダンスは、人体各部の電気抵抗、誘電率、誘電損失、導子電極面積、絶縁材の誘電率及び厚さによって定まる。そこで、可変インピーダンス回路12は、抵抗、キャパシタ、コイルから構成され、被治療電気回路のインピーダンスに応じて、抵抗値、キャパシタンス、インダクタンスを変化させ、インピーダンスマッチングを行なう。
The variable impedance circuit 12 outputs the output of the high-frequency power amplifier 10 to the conductor electrodes 14a, 14b, or 14c. Since the output of the high-frequency power amplifier 10 is high-frequency, it is necessary to match the impedance of the electric circuit to be treated which is composed of the insulating material and both affected parts.
Here, the impedance of the electric circuit to be treated is determined by the electric resistance, dielectric constant, dielectric loss, conductor electrode area, dielectric constant and thickness of the insulating material of each part of the human body. Therefore, the variable impedance circuit 12 includes a resistor, a capacitor, and a coil, and performs impedance matching by changing the resistance value, capacitance, and inductance according to the impedance of the electric circuit to be treated.

インピーダンス制御手段16は、可変インピーダンス回路12の抵抗値、キャパシタンス、インダクタンス抵抗、キャパシタ、コイルの値を変化させることにより、インピーダンスマッチングを行なう。   The impedance control means 16 performs impedance matching by changing the resistance value, capacitance, inductance resistance, capacitor, and coil value of the variable impedance circuit 12.

可変インピーダンス回路12の回路定数は、例えば、可変抵抗、容量可変コンデンサ、ローラインダクタ等の定数を手動で変更することによって実現できる。インピーダンスマッチングが実現される回路定数は、治療部位、導子電極、絶縁材毎に、予め経験的に定めておけばよい。この場合、インピーダンス制御手段16は、可変抵抗、容量可変コンデンサ、ローラインダクタ等の定数を手動で変更するためのつまみや切替スイッチ等からなる。
可変インピーダンス回路12の回路定数は、自動的に変更することもできる。そのため、入力手段20と、メモリ18を使用する。入力手段20は、例えばテンキーであり、治療部位、導子電極、絶縁材、インピーダンス整合値の入力を受け、入力値がメモリ18に格納される。なお、治療部位、導子電極、絶縁材に替えて、治療部位、導子電極、絶縁材により導子の種類番号を定め、導子番号とそれに対応するインピーダンス整合値を入力してもよい。数種類の導子の中から治療時に使用する導子が決まると、入力手段20に、例えば導子番号が入力され、さらに導子番号はインピーダンス制御手段16に入力される。インピーダンス制御手段16は、導子番号に基づいて、メモリ18を検索し、対応するインピーダンス整合値とこれを実現する回路定数を求める。そして、可変インピーダンス回路12の回路定数をメモリ18から読み出した回路定数に変更する。この場合、インピーダンス制御手段16は、可変抵抗、容量可変コンデンサ、ローラインダクタ等の定数をコンピュータプログラムによって制御するマイクロコンピュータ等が使用される。
The circuit constants of the variable impedance circuit 12 can be realized, for example, by manually changing constants such as a variable resistor, a capacitance variable capacitor, and a roller inductor. The circuit constant for realizing the impedance matching may be determined empirically in advance for each treatment site, conductor electrode, and insulating material. In this case, the impedance control means 16 includes a knob or a changeover switch for manually changing constants such as a variable resistor, a variable capacitance capacitor, and a roller inductor.
The circuit constant of the variable impedance circuit 12 can be automatically changed. Therefore, the input means 20 and the memory 18 are used. The input unit 20 is, for example, a numeric keypad, and receives input of a treatment site, a conductor electrode, an insulating material, and an impedance matching value, and the input value is stored in the memory 18. In place of the treatment site, the conductor electrode, and the insulating material, the type number of the conductor may be determined by the treatment site, the conductor electrode, and the insulation material, and the conductor number and the corresponding impedance matching value may be input. When a conductor to be used at the time of treatment is determined from among several kinds of conductors, for example, a conductor number is input to the input means 20, and further, the conductor number is input to the impedance control means 16. The impedance control means 16 searches the memory 18 based on the conductor number and obtains a corresponding impedance matching value and a circuit constant that realizes the impedance matching value. Then, the circuit constant of the variable impedance circuit 12 is changed to the circuit constant read from the memory 18. In this case, the impedance control means 16 is a microcomputer that controls constants such as a variable resistor, a variable capacitance capacitor, and a roller inductor by a computer program.

図2は、治療態様を示す断面図である。図2(A)では、手・足等の患部24を電極対21、23で挟んでいる。図2(A)では、肩・腰等の患部24の同一面上に電極対21、23を配置している。図2(A)、図2(B)のいずれも、絶縁材22は大面積電極側21だけに設けられ、大面積電極側で生じる温感を緩和し、小面積電極側で生じる温感と等しくしている。なお、絶縁材は、双方の電極と患部表面の間に配置してもよく、それらの厚さ、誘電率を、各種選択し、治療目的に応じて、大面積患部側での温度が、小面積患部側の温度と等しくなるように、又は、小面積患部側の温度と低く若しくは高くなるように調節する。   FIG. 2 is a cross-sectional view showing a treatment mode. In FIG. 2A, the affected part 24 such as a hand or a leg is sandwiched between electrode pairs 21 and 23. In FIG. 2A, electrode pairs 21 and 23 are arranged on the same surface of the affected part 24 such as a shoulder and a waist. 2 (A) and 2 (B), the insulating material 22 is provided only on the large area electrode side 21 to relieve the thermal sensation that occurs on the large area electrode side, and the thermal sensation that occurs on the small area electrode side. Are equal. The insulating material may be disposed between both electrodes and the surface of the affected area, and various thicknesses and dielectric constants thereof are selected, and the temperature on the large area affected area is reduced depending on the purpose of treatment. The temperature is adjusted to be equal to the temperature on the area affected area side, or to be lower or higher than the temperature on the small area affected area side.

図3は、導子電極(左右電極部)、絶縁材を含む導子の一例の平面図である。左電極部31と右電極部32は、導子電極14a、14b、又は14c(図1)を構成し、各電極部31、32には、上述したとおり、それぞれ絶縁材が配置されることがある。カバー30は、絶縁性の布等であり、左電極部31と右電極部32を包み込む。ベルト35は、ベルト支持部材36によって支持され、導子電極14a、14b、又は14c(図1)を人体に固定する。コード33はプラグ34によって可変インピーダンス回路12に接続され、1対の導子電極14a、14b、又は14c(図1)に高周波電力を供給する。   FIG. 3 is a plan view of an example of a conductor including conductor electrodes (left and right electrode portions) and an insulating material. The left electrode portion 31 and the right electrode portion 32 constitute a conductor electrode 14a, 14b, or 14c (FIG. 1), and an insulating material is disposed on each electrode portion 31, 32 as described above. is there. The cover 30 is an insulating cloth or the like, and encloses the left electrode part 31 and the right electrode part 32. The belt 35 is supported by a belt support member 36, and fixes the conductor electrodes 14a, 14b, or 14c (FIG. 1) to the human body. The cord 33 is connected to the variable impedance circuit 12 by a plug 34, and supplies high-frequency power to a pair of conductor electrodes 14a, 14b, or 14c (FIG. 1).

高周波加熱治療装置のブロック図である。It is a block diagram of a high frequency heating treatment apparatus. 治療態様を示す断面図である。It is sectional drawing which shows a treatment aspect. 導子の一例の平面図である。It is a top view of an example of a conductor.

符号の説明Explanation of symbols

10 高周波電力増幅器
12 可変インピーダンス回路
14a、14b、14c 導子電極
16 インピーダンス制御手段
18 メモリ
20 入力手段
31 左電極部
32 右電極部
33 コード
34 プラグ
35 ベルト
36 ベルト支持部材

DESCRIPTION OF SYMBOLS 10 High frequency power amplifier 12 Variable impedance circuit 14a, 14b, 14c Conductor electrode 16 Impedance control means 18 Memory 20 Input means 31 Left electrode part 32 Right electrode part 33 Cord 34 Plug 35 Belt 36 Belt support member

Claims (1)

高周波信号を電力増幅する高周波電力増幅器と、
前記高周波電力増幅器の出力により患部を加熱する1対の導子電極と、
少なくとも一方の導子電極とこれにより加熱される患部表面との間に挿入される絶縁材とを備え、
前記導子電極同士の面積は異なり、
双方の導子電極とこれらの患部表面との間に挿入される絶縁材を備え、
一方の導子電極とこれにより加熱される患部表面との間に挿入される絶縁材の厚さと、他方の導子電極とこれにより加熱される患部表部との間に挿入される絶縁材の厚さとは異なり、
双方の絶縁材の誘電率は等しく、
前記一方の導子電極は面積が大きい方の電極であり、これにより加熱される患部表面との間に挿入される絶縁材の厚さは大きく、
前記他方の導子電極は面積が小さい方の電極であり、これにより加熱される患部表部との間に挿入される絶縁材の厚さは小さいことを特徴とする高周波加熱治療装置。
A high frequency power amplifier that amplifies the power of the high frequency signal;
A pair of conductor electrodes for heating the affected area by the output of the high-frequency power amplifier;
Comprising an insulating material inserted between at least one of the conductor electrodes and the affected surface heated by the electrode;
Area between the Shirubeko electrodes varies,
Insulating material inserted between both conductor electrodes and the affected surface,
The thickness of the insulating material inserted between one conductor electrode and the affected surface heated by this, and the insulating material inserted between the other conductor electrode and the affected surface surface heated by this Unlike thickness,
The dielectric constant of both insulation materials is equal,
The one conductor electrode is an electrode having a larger area, and the thickness of the insulating material inserted between the surface of the affected part heated by this is large,
The other conductor electrode is an electrode having a smaller area, and the thickness of the insulating material inserted between the surface of the affected part heated by this is small, and the high-frequency heating treatment apparatus according to claim 1.
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