VIBRATORY NERVE EXCITER

Abstract

A laryngeal nerve exciting system includes a collar holding a bridge, or a neckband, pressing soft tissue nerve exciters against a patient's neck providing a source of vibrations to stimulate the laryngeal nerve through the larynx. At least one exciter, and preferably two exciters, provide vibrations at preferably 70 Hz to 110 Hz and sufficiently strong to penetrate to the laryngeal nerve. The exciters may be held by the collar circling the neck, or by the neck band partially circling the neck. The therapy system includes a Personal Digital Assistant (PDA) and software which wirelessly connects, monitors, and triggers the device. The system may be used to treat dysphagia, chronic cough, and spasmodic dysphonia.

Claims

1. A vibrational laryngeal nerve excitation system configured to treat at least one of a swallow disorder, a voice disorder, or chronic cough, comprising: a neckband, the neckband comprising a first free circumferential end and a second free circumferential end opposing each other to form an open front, the neckband being flexible to accommodate necks of different sizes; a first transducer extending radially inwardly from the first free circumferential end of the neckband in a direction forming a first obtuse angle with respect to the first free circumferential end of the neckband, the first transducer configured to generate first vibration, the first transducer comprising a first surface coupled to the first free circumferential end of the neckband and a second surface opposing the first surface; a second transducer extending radially inwardly from the second free circumferential end of the neckband in a direction forming a second obtuse angle with respect to the second free circumferential end of the neckband, the second transducer configured to generate second vibration, the second transducer comprising a first surface coupled to the second free circumferential end of the neckband and a second surface opposing the first surface of the second transducer; a first nerve effector operatively coupled to the first transducer and configured to conduct the first vibration to a first portion of a neck of a patient to stimulate a laryngeal nerve of the patient, the first nerve effector comprising a first end coupled to the second surface of the first transducer and a second end opposing the first end; a second nerve effector operatively coupled to the second transducer and configured to conduct the second vibration to a second portion of the patient's neck different from the first portion to stimulate the laryngeal nerve of the patient, the second nerve effector comprising a first end coupled to the second surface of the second transducer and a second end opposing the first end of the second nerve effector; a first adhesive pad removably coupled to the first nerve effector, the first adhesive pad comprising a first surface coupled to the second end of the first nerve effector and a second surface opposing the first surface of the first adhesive pad, the second surface of the first adhesive pad configured to removably adhere to the first portion of the patient's neck; a second adhesive pad removably coupled to the second nerve effector, the second adhesive pad comprising a first surface coupled to the second end of the second nerve effector and a second surface opposing the first surface of the second adhesive pad, the second surface of the second adhesive pad configured to removably adhere to the second portion of the patient's neck; a battery compartment accommodating a battery; a first electrical circuit electrically connected to the battery and the first transducer; a second electrical circuit electrically connected to the battery and the second transducer; a first force sensor configured to measure first force of the first nerve effector against the first portion of the patient's neck; and a second force sensor configured to measure second force of the second nerve effector against the second portion of the patient's neck, the system configured to generate an alarm in response to at least one of the measured first or second force exceeding a threshold.

2. The system of claim 1, wherein each of the first and second adhesive pads is disposed to form an acute angle with respect to the first or second free circumferential end of the neckband.

3. The system of claim 1, wherein the first and second adhesive pads are configured to be snapped respectively into the second ends of the first and second nerve effectors.

4. The system of claim 3, wherein each of the first and second adhesive pads comprises: a top adhesive pad coupled to the second end of the first or second nerve effector; a bottom adhesive pad configured to directly contact the first or second portion of the patient's neck; and a snap interposed between the top and bottom adhesive pads.

5. The system of claim 4, wherein the top adhesive pad comprises a through-hole, and wherein the snap comprises a protrusion passing through the through-hole to be snapped into the second end of the first or second nerve effector.

6. The system of claim 1, wherein the battery compartment is disposed in a middle portion of the neckband, wherein the first electrical circuit is disposed in a first side portion of the neckband, wherein the second electrical circuit is disposed in a second side portion of the neckband, and wherein the middle portion of the neckband is thicker than each of the first and second side portions of the neckband.

7. The system of claim 6, wherein the first and second side portions of the neckband are respectively thicker than the first and second free circumferential ends of the neckband.

8. The system of claim 1, wherein the first and second transducers are respectively wider than the first and second nerve effectors.

9. The system of claim 1, wherein the first and second transducers are configured to receive up to 10 Watts from the first or second electrical circuit.

10. The system of claim 1, wherein at least one of the first or second electrical circuit is configured to communicate data with a personal digital assistant wirelessly connected to a secure sever and a healthcare provider's computer so as to allow the patient to provide feedback regarding therapy.

11. The system of claim 10, wherein the data comprises at least one of frequency, intensity, therapy time, vibration time, duration of rest period between vibration, number of uses, or whether therapy has been completed.

12. The system of claim 1, further comprising a charging port configured to charge the battery accommodated in the battery compartment.

13. The system of claim 1, wherein the system is configured to augment or reestablish swallow during rehabilitation of the patient with dysphagia.

14. The system of claim 1, wherein the system is configured treat a voice disorder affecting a function of the laryngeal nerve of the patient.

15. The system of claim 14, wherein the voice disorder comprises spasmodic dysphonia.

16. A vibrational laryngeal nerve excitation system configured to treat at least one of a swallow disorder, a voice disorder, or chronic cough, comprising: a neckband, the neckband comprising a first free circumferential end and a second free circumferential end opposing each other to form an open front, the neckband being flexible to accommodate necks of different sizes; a first transducer extending radially inwardly from the first free circumferential end of the neckband, the first transducer configured to generate first vibration, the first transducer comprising a first surface coupled to the first free circumferential end of the neckband and a second surface opposing the first surface; a second transducer non-linearly extending radially inwardly from the second free circumferential end of the neckband, the second transducer configured to generate second vibration, the second transducer comprising a first surface coupled to the second free circumferential end of the neckband and a second surface opposing the first surface of the second transducer; a first nerve effector operatively coupled to the first transducer and configured to conduct the first vibration to a first portion of a neck of a patient to stimulate a laryngeal nerve of the patient, the first nerve effector comprising a first end coupled to the second surface of the first transducer and a second end opposing the first end; a second nerve effector operatively coupled to the second transducer and configured to conduct the second vibration to a second portion of the patient's neck different from the first portion to stimulate the laryngeal nerve of the patient, the second nerve effector comprising a first end coupled to the second surface of the second transducer and a second end opposing the first end of the second nerve effector; a first force sensor configured to measure first force of the first nerve effector against the first portion of the patient's neck; and a second force sensor configured to measure second force of the second nerve effector against the second portion of the patient's neck, the system configured to generate an alarm in response to at least one of the measured first or second force exceeding a threshold.

17. The system of claim 16, wherein each of the first and second transducers extends from the first or second free circumferential end of the neckband in a direction forming an obtuse angle with respect to the first or second free circumferential end of the neckband.

18. The system of claim 16, further comprising: a first adhesive pad removably coupled to the first nerve effector, the first adhesive pad comprising a first surface coupled to the second end of the first nerve effector and a second surface opposing the first surface of the first adhesive pad, the second surface of the first adhesive pad configured to removably adhere to the first portion of the patient's neck; and a second adhesive pad removably coupled to the second nerve effector, the second adhesive pad comprising a first surface coupled to the second end of the second nerve effector and a second surface opposing the first surface of the second adhesive pad, the second surface of the second adhesive pad configured to removably adhere to the second portion of the patient's neck.

19. The system of claim 18, wherein each of the first and second adhesive pads is disposed to form an acute angle with respect to the first or second free circumferential end of the neckband.

20. The system of claim 18, wherein each of the first and second adhesive pads comprises: a top adhesive pad coupled to the second end of the first or second nerve effector, the top adhesive pad having a through-hole; a bottom adhesive pad configured to directly contact the first or second portion of the patient's neck and a snap interposed between the top and bottom adhesive pads, wherein the snap has a protrusion passing through the through-hole to be snapped into the second end of the first or second nerve effector.

21. The system of claim 16, further comprising an electrical circuit electrically connected to the first and second transducers and configured to communicate data with a personal digital assistant.

22. The system of claim 21, wherein the data comprises at least one of frequency, intensity, therapy time, vibration time, duration of rest period between vibration, number of uses, or whether therapy has been completed, and wherein the electrical circuit is configured to communicate the data with the personal digital assistant wirelessly connected to a secure sever and a healthcare provider's computer so as to allow the patient to provide feedback regarding therapy.

23. A vibrational laryngeal nerve excitation system configured to treat at least one of a swallow disorder, a voice disorder, or chronic cough, comprising: a neckband, the neckband comprising a first free circumferential end and a second free circumferential end opposing each other to form an open front, the neckband being flexible to accommodate necks of different sizes; a transducer configured to generate vibration, the transducer extending radially inwardly from the first or second free circumferential end of the neckband in a direction forming an obtuse angle with respect to the first or second free circumferential end of the neckband, the transducer comprising a first surface connected to the first or second free circumferential end of the neckband and a second surface opposing the first surface; a first nerve effector configured to conduct the vibration to a first portion of a neck of a patient to stimulate a laryngeal nerve of the patient, the first nerve effector comprising a first end operatively coupled to the transducer and a second end opposing the first end; and a second nerve effector configured to conduct the vibration to a second portion of the patient's neck different from the first portion to stimulate the laryngeal nerve of the patient, the second nerve effector comprising a first end operatively coupled to the transducer and a second end opposing the first end of the second nerve effector.

24. The system of claim 23, further comprising: first and second force sensors configured to measure force of the first and second nerve effectors against the first and second portions of the patient's neck, the laryngeal nerve exciter system configured to generate an alarm in response to the measured force exceeding a threshold.

25. The system of claim 23, further comprising: a first adhesive pad removably coupled to the first nerve effector, the first adhesive pad comprising a first surface coupled to the second end of the first nerve effector and a second surface opposing the first surface of the first adhesive pad, the second surface of the first adhesive pad configured to removably adhere to the first portion of the patient's neck; and a second adhesive pad removably coupled to the second nerve effector, the second adhesive pad comprising a first surface coupled to the second end of the second nerve effector and a second surface opposing the first surface of the second adhesive pad, the second surface of the second adhesive pad configured to removably adhere to the second portion of the patient's neck.

26. The system of claim 25, wherein each of the first and second adhesive pads comprises: a top adhesive pad coupled to the second end of the first or second nerve effector, the top adhesive pad having a through-hole; a bottom adhesive pad configured to directly contact the first or second portion of the patient's neck; and a snap interposed between the top and bottom adhesive pads, wherein the snap has a protrusion passing through the through-hole of the top adhesive pad to be snapped into the second end of the first or second nerve effector.

27. The system of claim 23, further comprising an electrical circuit electrically connected to the transducer and configured to communicate data with a personal digital assistant, the data comprising at least one of frequency, intensity, therapy time, vibration time, duration of rest period between vibration, number of uses, or whether therapy has been completed, the electrical circuit further configured to communicate the data with the personal digital assistant wirelessly connected to a secure sever and a healthcare provider's computer so as to allow the patient to provide feedback regarding therapy.

28. The system of claim 23, wherein the second surface of the transducer forms an acute angle with respect to the first or second free circumferential end of the neckband.

29. The system of claim 23, wherein the transducer comprises a first transducer operatively coupled to the first never effector and a second transducer operatively coupled to the second never effector.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0010] The above and other aspects, features and advantages of the present invention will be more apparent from the following more particular description thereof, presented in conjunction with the following drawings.

[0011] FIG. 1A shows a front view of a laryngeal nerve exciter according to the present invention.

[0012] FIG. 1B shows a top view of the laryngeal nerve exciter according to the present invention.

[0013] FIG. 1C shows a rear view of the laryngeal nerve exciter according to the present invention.

[0014] FIG. 2 shows an end effector of the laryngeal nerve exciter according to the present invention.

[0015] FIG. 3 shows a top view of a second embodiment of a laryngeal nerve exciter according to the present invention.

[0016] FIG. 4 shows a neckband laryngeal nerve exciter according to the present invention on a patent.

[0017] FIG. 5 shows a top view of the neckband laryngeal nerve exciter according to the present invention.

[0018] FIG. 6 shows a perspective view of the neckband laryngeal nerve exciter according to the present invention.

[0019] FIG. 7 shows a nerve exciter of the neckband laryngeal nerve exciter according to the present invention.

[0020] FIG. 8 shows an adhesive pad of the neckband laryngeal nerve exciter according to the present invention.

[0021] FIG. 9 shows a laryngeal nerve exciting system according to the present invention.

[0022] Corresponding reference characters indicate corresponding components throughout the several views of the drawings.

DETAILED DESCRIPTION

[0023] The following description is of the best mode presently contemplated for carrying out the invention. This description is not to be taken in a limiting sense, but is made merely for the purpose of describing one or more preferred embodiments of the invention. The scope of the invention should be determined with reference to the claims.

[0024] Where the terms “about” or “generally” are associated with an element of the invention, it is intended to describe a feature's appearance to the human eye or human perception, and not a precise measurement.

[0025] A front view of a laryngeal nerve exciter 10 according to the present invention is shown in FIG. 1a, a top view of the laryngeal nerve exciter 10 is shown in FIG. 1B, and a rear view of the laryngeal nerve exciter 10 is shown in FIG. 1C. The laryngeal nerve exciter 10 includes a bridge 12, an exciter 14, effector sleeves 16, end effectors 18, strap slots 20, and a strap 22. The exciter 14 is preferably a solenoid or a voice coil, or any device capable of generating vibrations at various frequencies, for example, vibrations between 30 and 200 Hz and preferably between 70 and 110 HZ and sufficiently strong to reach the laryngeal nerve for example, a pressure of 2-4 kpa or a vibration amplitude of 0.15 mm to 0.25 mm.

[0026] The end effector 18 of the laryngeal nerve exciter 10 is shown in FIG. 2. A force sensor 24 resides under each end effector 18 and provides force information to allow adjusting the tightness of the strap 22.

[0027] A top view of a second embodiment of a laryngeal nerve exciter 30 is shown in FIG. 3. The laryngeal nerve exciter 30 includes end effectors 18a held inside sleeves 16a and springs (or a resilient material) 34 holding the end effectors 18a against transducers 32. An adjust screw 36 presses the transducer 32 and end effector 18a against the spring 34 allowing adjustment of the end effectors 18a against the patient's neck without adjusting the strap 22. The transducers 32 may both vibrate the end effectors 18a to stimulate the laryngeal nerve and may sense a patient's attempt to swallow, and may sense stimulation by the other end effector 18a. The laryngeal nerve exciter 30 may include the force sensor 24 under the effector 16a. In another embodiment, the end effectors 18a may be fixedly attached to the moving part of the transducers 32 and no spring 34 is required.

[0028] FIG. 4 shows a neckband laryngeal nerve exciter (neckband trainer) 42 on a patient 40. The neckband trainer 42 does not press against the patient's throat providing greater comfort for the patient. Two exciters 44 are pressed against sides of the neck. The exciters 44 preferably receive up to 10 Watts (five Watts per exciter). The neckband trainer 42 provides pressure to the area where the exciters 44 contact the neck. The force of the exciters 44 against the neck is measured and an alarm is generated if the force exceeds a threshold.

[0029] FIG. 5 shows a top view of the neckband trainer 42 and FIG. 6 shows a perspective view of the neckband trainer 42. The neckband trainer 42 includes the exciters 44, a circuit 46, and battery compartments 48 and 50. The neckband trainer 42 includes a charging port for charging batteries and is adjustable for individual patients.

[0030] FIG. 7 shows a nerve exciter 44 of the neckband laryngeal nerve exciter.

[0031] FIG. 8 shows an adhesive pad 52 of the neckband trainer 42. The adhesive pad 52 comprises a top adhesive pad 54, a plastic snap 56, and a bottom adhesive pad 58. The exciter 44 snaps onto the adhesive pad 52 to retain the exciter 44 against the patient's neck.

[0032] A laryngeal nerve exciter system 60 is shown in FIG. 9. The system 60 utilizes a software Application (App) residing in a Personal Digital Assistant (PDA) 64 which triggers, and monitors the neckband trainer 42 through a Bluetooth® interface 62. The interface 62 may include frequency, intensity, therapy time, vibration time, duration of rest period between vibration, and allows for patients to provide feedback about the therapy.

[0033] The PDA 64 may communicate with a secure server 68 through the Internet or any other suitable connection including wireless or wired connections 66 providing signals include frequency, intensity, therapy time, vibration time, duration of rest period between vibration, clinician calibration, and allows for patients to provide feedback about the therapy.

[0034] The secure server 68 may communicate with a work station 72 over the Internet or any other suitable connection including wireless or wired connections 70 providing signals include frequency, intensity, therapy time, vibration time, duration of rest period between vibration, and clinician calibration, and allows for patients to provide feedback about the therapy to the clinician.

[0035] The App may set the frequency of the neckband trainer 42, intensity, therapy time, vibration time, duration of rest period between vibration, and allows for patients to provide feedback about the therapy. Measurements made by the neckband trainer 42 (e.g., force measured by the exciters) may be provided to the PDA 46 via the Bluetooth® connection. Further, the system 60 may allow clinicians to monitor the patient's progress. The clinician will be able to see the device settings, frequency of the device, intensity, therapy time, vibration time, duration of rest period between vibration, number of uses, whether therapy was completed, and the patient feedback. A general state of health section for the patient may be provided to indicate how the patient is feeling before and after the therapy. The PDA 64 may be a smart phone.

[0036] While the invention herein disclosed has been described by means of specific embodiments and applications thereof, numerous modifications and variations could be made thereto by those skilled in the art without departing from the scope of the invention set forth in the claims.