Fes method improvements

A - Human Necessities – 61 – N

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A61N 1/36 (2006.01)

Patent

CA 2097857

1 ABSTRACT OF THE DISCLOSURE The motor function of a partially or completely paralyzed muscle is restored by implanting a nerve electrode, e.g. a cuff electrode, for sensing electrical signals from a sensory nerve which innervates a part of the body which is phy- siologically related to the partially or completely paralyzed muscle, stimulating the paralyzed muscle by means of a muscle stimulator, sensing by means of said nerve electrode an electrical signal from the sensory nerve, producing a further control signal for reactivating the muscle stimulator dependent on the electrical signal sensed after the expiration of a predetermined period of time after the stimulation of the muscle, and restimulating the paralyzed muscle in response to said further control signal. The electrical signal is amplified, band-pass-filtered, and optionally rectified and bin-integrated when producing said further control signal. The bin-integration is performed by means of an integrator having an adjustable integration period, said integrator being synchronized with the muscle stimulator. A secure grip of an object through FES of a partially or completely paralyzed muscle which is involved in holding the object, is obtained by detecting the start of a slip of the object from the ENG signal from the nerve electrode and immediately upon detection of the start of a slip producing or modifying a control signal for activating a muscle stimulator stimulating the paralyzed muscle. The start of the slip is detected automatically as an event that exceeds a predetermined threshold value in that the ENG recorded from the sensory nerve is processed using analog or digital circuitry, and a low pass-filtered version of the ENG, delayed by a number of samples, is subtracted from the actual electrical signal sensed, thereby removing unrelated background activity from the signal.

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