Abstract: An electronic device and method are disclosed for effecting both nerve fiber and body tissue stimulation. Nerve fiber stimulation is primarily effected by application of pulses, and preferably by application of biphasic pulse pairs the pulses of which are spaced from one another in a pattern such that nerve fiber stimulation applied through plural active electrodes enhances pain suppression. Body tissue treatment is primarily effected by application of a net DC charge, and preferably by application of biphasic pulses that includes a greater number of either negative or positive pulses so that a net DC charge results. The DC charge level is maintained at a substantially constant selected value regardless of pulse variations within established broad limits, and the DC charge level is adjustable between operational modes, as needed.

Abstract: An electronic stimulating device is disclosed, with the stimulating device particularly illustrated being a transcutaneous nerve stimulating (TENS) device for effecting suppression of pain by nerve fiber stimulation. Biphasic constant current output pulses are applied to a user through electrode pairs noninvasively positioned at the skin of the user. Microprocessor generated control pulses control generation of the biphasic output pulses at a biphasic output stage associated with each electrode pair, and the generated biphasic output pulses are capacitively coupled from each output stage which also includes a bleeder network for effecting capacitor discharge. Stimulation may be continuously applied at a level selected by the user or may be applied in timed varying intensities the maximum level of which is selectable, and displays of intensity and sensed faults, including low battery voltage, are also provided.

Abstract: A device and method are disclosed for effecting timed treatment of varying intensity in an electronic stimulating device, with the stimulating device particularly illustrated being a transcutaneous nerve stimulating (TENS) device for effecting suppression of pain by nerve fiber stimulation. Biphasic constant current output pulses are applied to a user through electrode pairs noninvasively positioned at the skin of the user. Microprocessor generated control pulses control generation of the biphasic output pulses at a biphasic output stage associated with each electrode pair. Stimulation may be continuously applied at a level selected by the user or may be applied in timed varying intensities the maximum level of which is selectable, with a display also being provided of selected and applied intensity levels.

Abstract: An electronic stimulating device for wound healing and, more particularly, for enhancing healing of soft tissue wounds. The device includes a plurality of signal generators for generating output pulses suitable for enhancing healing of soft tissue wounds by application of the output pulses through electrodes to the soft tissue to be healed. Two pairs of active electrodes are included along with a pair of return electrodes. Control signals from a pulse generator control generation of the output pulses and a digital timer is included for causing treatmet for a predetermined period of time. The intensity, polarity, and rate of the output pulses can be varied by rotation of control knobs on the front panel of the device or, alternately, can be effected by a series of switches located on the front panel of the device, with varying intensities of output being indicated by brightness varying light emitting diodes.

Abstract: A hand-held, portable, battery-powered test instrument for evaluating the performance of cardiac pacer devices prior to the implantation thereof and afterwards. To test R-wave sensitivity of a pacer device, a series of simulated R-waves, each of a predetermined greater amplitude, is applied to the pacer unit under test, each such simulated R-wave occurring at a time following a preceding pacer pulse sufficient to ensure that the pacer's refractory period has elapsed. This process is continued until a succeeding pacer pulse does not occur at the time it would otherwise be due, thus indicating that the R-wave had just reached the amplitude sufficient to cause the resetting of the pacer pulse generator. A count is maintained of the number of cycles needed to cause resetting of the pacer pulse generator and this value is displayed to indicate, in terms of voltage, the minimum amplitude of the R-wave just sufficient to result in pacer resetting.

Abstract: Apparatus for measuring the amplitude of an adjustable width current or voltage impulse at a known time interval following the initiation of the impulse. During a first pulse duration, a counter is advanced with clock signals having a frequency f.sub.1. The total number of clock signals accumulated during the interval is then transferred into a downcounter which is arranged to be decremented during a second identical interval by a clock signal having a frequency n (f.sub.1). When the downcounter reaches zero, a strobe pulse is produced for enabling the analog measuring circuits which sample the amplitude of the current or voltage impulse being monitored. By selecting the value n, the sampling point can be shifted in time along the width of the pulse being measured. For example, for n=2, the amplitude of the voltage or current pulse being measured will be that occurring at the midpoint of the pulse.

Abstract: An electronic test instrument for measuring the refractory interval of a demand-type cardiac pacer pulse generator. The normal pulse-to-pulse interval of the pacer under test is measured by accumulating regularly occurring timing signals in a first counter during the interpulse period. At a predetermined time after the occurrence of the first pulse defining the interval, a pseudo R-wave is generated and applied to the pacer under test. The next pulse-to-pulse interval is then measured in a second counter in a fashion similar to the first measurement and a test is made to determine if the second interval exceeds the first by a prescribed amount. If so, it is known that the pseudo R-wave was effective to reset the pacer's pulse generator. If not, the time of occurrence of the next pseudo R-wave is delayed by a further known amount and the operation is repeated over and over until an extension of the normal pulse-to-pulse interval is noted.