Design and development of a low-cost biphasic charge-balanced functional electric stimulator and its clinical validation

Healthcare Technology Letters

article

Chandrashekhar Shendkar¹  Prasanna K. Lenka²  Abhishek Biswas²  Ratnesh Kumar³  Manjunatha Mahadevappa¹ 

[1] School of Medical Science and Technology, Indian Institute of Technology (IIT);National Institute for the Orthopaedically Handicapped (NIOH)–Kolkata;Department of Disability Affairs, Ministry of Social Justice and Empowerment

关键词: neuromuscular stimulation;    voltage regulators;    muscle;    biomechanics;    operational amplifiers;    biomedical equipment;    low-cost biphasic charge-balanced functional electric stimulator;    low dropout regulators;    DC–DC voltage booster;    single high-power current source OP-Amp;    zero DC current;    current-limiting mechanism;    safe pulses;    waveform morphology;    muscle fatigue;    cost-effectiveness;    compact power-efficient circuit design;    ankle dorsiflexion;    foot drop problems;   

DOI  :  10.1049/htl.2015.0001

学科分类：肠胃与肝脏病学

来源: Wiley

【 摘 要 】

Functional electric stimulators that produce near-ideal, charge-balanced biphasic stimulation waveforms with interphase delay are considered safer and more efficacious than conventional stimulators. An indigenously designed, low-cost, portable FES device named InStim is developed. It features a charge-balanced biphasic single channel. The authors present the complete design, mathematical analysis of the circuit and the clinical evaluation of the device. The developed circuit was tested on stroke patients affected by foot drop problems. It was tested both under laboratory conditions and in clinical settings. The key building blocks of this circuit are low dropout regulators, a DC–DC voltage booster and a single high-power current source OP-Amp with current-limiting capabilities. This allows the device to deliver high-voltage, constant current, biphasic pulses without the use of a bulky step-up transformer. The advantages of the proposed design over the currently existing devices include improved safety features (zero DC current, current-limiting mechanism and safe pulses), waveform morphology that causes less muscle fatigue, cost-effectiveness and compact power-efficient circuit design with minimal components. The device is also capable of producing appropriate ankle dorsiflexion in patients having foot drop problems of various Medical Research Council scale grades.

【 授权许可】

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