美國Chattanooga吞咽障礙治療儀

美國Chattanooga吞咽障礙治療儀（神經肌肉電刺激療法）

• 產品編碼：5951
• 產品品牌：美國Chattanooga
• 起訂數量：1(PCS

產品介紹

美國Chattanooga吞咽障礙治療儀（神經肌肉電刺激療法）
一、

美國DJO集團生產的神經和肌肉刺激理療儀是目前世界上唯一一款采用NMES（Neuromuscular electrical stimulation，神經肌肉電刺激療法）技術的專業用于吞咽障礙治療的設備。該設備通過將靶刺激（電刺激）與獨創的專業電極帖法相結合，刺激完整的外周運動神經來激活肌肉，達到強化無力肌肉，幫助恢復運動控制的治療目的。此方法是目前國內外公認的最有效的吞咽障礙治療方法。同時此款神經和肌肉刺激理療儀也是唯一經過美國FDA、中國SFDA認證的吞咽障礙理療儀，治療方法安全高效，不會造成喉部痙攣，脈搏、血液或心率的改變。
 
美國DJO集團是最著名的運動及康復器材的制造公司，市場占有率高達46%，是全球最大的非手術矯形康復設備公司，2011年的銷售額超過10億美元。
    
設備特點：
四通道神經肌肉電刺激設備
--同時可為兩名患者提供 
--配有推拉式箱柜的綜合治療臺車
遠距離操作手柄
--應急保護開關
--手動電刺激功能
生物反饋功能
--提供客觀量化指標和記錄肌肉激活狀態
--吞咽實驗，用于吞咽評定
--吞咽訓練，聲音提示和視覺同步采樣
聯合治療功能
--采集并量化表面肌肉電信號
--當肌肉激活狀態達到目標，啟動激勵性NMES
--用力吞咽，激活刺激，產生正性反饋治療環
患者信息卡，記錄治療資料
--成功吞咽資料
--平均振幅水平
--電極放置的準確位置
--特殊性資料
臨床資料庫
--電極放置的準確位置
--頭頸部解剖、病理圖解
--每種治療模式的技術信息

臨床應用：
神經和肌肉刺激理療儀又稱吞咽障礙理療儀，主要用于治療神經性吞咽障礙。

 
引起吞咽障礙的常見疾病： 
腦卒中、封閉性顱腦損傷、頭部損傷、腦干和顱神經損傷、頸椎損傷、前頸椎消融術、神經進行性退變、阿茲海默癥、帕金森病、多發性硬化、吉蘭—巴雷綜合征、重癥肌無力、多發性肌炎、硬皮病、肌萎縮側索硬化癥、頸部肌張力障礙、先天 性神經損傷、癌癥（放、化療后）、脊髓灰質炎等引起的吞咽障礙。

Vitalstim 吞咽障礙治療儀適應科室:  
1、吞咽治療科
Vitalstim治療可使患者成功的拔除PEG管，擺脫粘稠食物在口咽部的滯留，重新獲得進食的樂趣。 
2、康復科/理療科
全世界至今有7000多位語言治療師和康復醫生評估了150萬次Vitalstim治療沒發現有任何副作用。 
3、神經內科/神經外科
世界衛生組織MONICA研究表明，我國腦卒中發生率以每年8.7%的速率上升，發病者約30%死亡，70%的生存者多有偏癱、失語、吞咽等殘障。 
4、腫瘤科/耳鼻喉科
吞咽障礙是頭頸部癌癥放療常見的副作用，單獨放療或聯合手術的放療所引起的吞咽障礙比單獨手術引起的吞咽障礙嚴重。 
5、兒科/新生兒科
營養是人類生存的基礎。早產兒由于口腔和喉部肌肉協調不足，往往不能進行正常的吸吮，情況差的還要插喉管。 
6、老年病科
老年人即使無明顯神經性疾病，70%~90%的老年人均有不同程度的吞咽障礙，高達50%的老年人有進食困難。 

二、
Overview：

The intelligence of VitalStim Therapy: housed in a clinical device aptly named Intelect. Intelect VitalStim by Chattanooga Group provides seven specific parameter sets to meet the needs of the physicians and SLP’s who treat dysphagia. Each contains both a graphical and text explanation of the different electrode placements along with detailed descriptions about the VitalStim waveform. The device enables the clinician to edit certain parameters such as treatment time, intensity and phase duration to match the treatment needs of their dysphagic patients.

With four channels of stimulation on board, the clinician can simultaneously provide therapy to both sides of the face and the anterior portion of the neck. Even difficult conditions such as scar tissue, patient frailty, and fatigue are now more easily treatable with Intelect VitalStim.

Intelect VitalStim helps the patient and therapist work together to achieve the best possible treatment outcomes. The educational diagrams found in the device increase the patient and caregiver’s understanding of dysphagia and the goals of the therapy. Building on this understanding, the patient is actually able to interact with the device’s on-screen visual, auditory and sensory biofeedback during the treatment session. This exchange helps improve patient motivation, patient compliance, and patient performance. By working harder to reach their swallowing goal, the patient is “rewarded” with feedback and an increase in performance. Likewise, the therapist benefits from the on-screen clinical resource library which provides information about anatomy and pathology and illustrates specific electrode placement as well as swallowing anatomy. The therapist can further use these screens as teaching tools to the patient as well, engaging them in their treatment protocol.

Intelect VitalStim’s Patient Data Cards display useful information about previous treatment sessions such as: the number of successful swallows, average amplitude level, exact electrode placement and other patient specific functional data. Using this data, the therapist can provide a better continuity of therapy by “picking up where they left off.” The device records and reports information back to the therapist in a meaningful, objective, and industry accepted format. Evidenced-based tracking tools such as FOIS, weight, and VAS pain rating are utilized. Because proper documentation is necessary for the facility’s regulatory compliance, the Intelect VitalStim device prompts the clinician to input all relevant data.

Optional: Surface Electromyography (sEMG) - reading and recording muscle activation.

Visual and auditory biofeedback during swallowing for objective measurement of effortful swallows
Assists with muscle relaxation training
Determines the activation timing of muscles for re-education
Surface Electromyography with Triggered stimulation (sEMG + Stim) - electrical muscle stimulation triggered when the muscle activation reaches a preset target
Provides biofeedback coupled with NMES treatment during swallowing therapy
Electrical stimulation to the target muscle group is activated by the patient’s effort, creating a powerful reward-based biofeedback loop

Technical Specifications：

5951 | Intelect® VitalStim Therapy System: 2 Channel Neuromuscular Electrical Stimulation (NMES) device.
Main Power: 100-240 VAC, 50-60 
HzWeight: 3.2 kg
Dimensions: 33 x 24 x 29 cm
Electrical Safety Class: Class I, Type BF
Safety Tests: IEC 60601-1, IEC 60601-1-2

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