United States Patent (19)
`Ostrow et al.
`
`USOO5344384A
`Patent Number:
`11
`45) Date of Patent:
`
`5,344,384
`Sep. 6, 1994
`
`FOREIGN PATENT DOCUMENTS
`8501881 5/1985 World Int. Prop. O. ............ 600/15
`Primary Examiner-Lee S. Cohen
`Assistant Examiner-J. P. Lacyk
`Attorney, Agent, or Firm--Natter & Natter
`57
`ABSTRACT
`A magnetotherapy apparatus includes an applicator
`wrap segmented into a grid of hinged panels. The wrap
`is adapted to be placed around an injured body member
`to provide a brace or preform for a conventional cast.
`Each of the panels further includes a magnetic coil for
`generating an electromagnetic field directionally ori
`ented perpendicular to a target area. The magnetic
`fields generated in the adjacent panels are of opposite
`polarity and cumulatively interact for deeper magnetic
`flux penetration. An electrostimulation component in
`cludes stimulator pads which are selectively energized
`to provide muscle and/or transcutaneous nervestimula
`tion for pain sedation. Alternatively, the stimulator pads
`are used for an electrophoretic pharmaceutical delivery
`system wherein electrically charged porous pads are in
`fluid communication with a drug medium.
`
`9 Claims, 4 Drawing Sheets
`
`54
`(75)
`
`73
`
`MAGNETOTHERAPY APPARATUS
`Inventors: Alvin Ostrow; Grigory Grinshpon,
`both of Englewood, N.J.
`Assignee: Electromagnetic Bracing Systems,
`Inc., Boca Raton, Fla.
`Appl. No.: 989,336
`Filed:
`Dec. 11, 1992
`Int. Cl. ............................................... A61N 1/OO
`U.S.C. ...................................................... 600/13
`Field of Search ...................................... 600/9-15;
`604/20; 607/48-52
`References Cited
`U.S. PATENT DOCUMENTS
`4,574,809 3/1986 Taish et al. .................... 128/419 F
`4,616,629 10/1986 Moore .................................. 128/1.5
`4,757,804 7/1988 Griffith et al. ....................... 128/.5
`4,993,413 2/1991 McLeod et al. ................ 128/419 F
`5,000, 178 3/199 Griffith ........................... 128/419 F
`5,014,699 5/1991 Pollack et al...
`... 128/419 F
`5,038,797 8/1991 Batters ................................ 128/798
`5,100,373 3/1992 Liboff et al. .......................... 600/13
`5,131,904 7/1992 Markoll ................................. 600/14
`
`21)
`22
`(51)
`52
`58
`
`56)
`
`
`
`LUMENIS EX1027
`Page 1
`
`

`

`
`
`
`U.S. Patent |—Sheet 1 of 4Sep. 6,1994 5,344,384
`U.S. Patent
`Sep. 6, 1994
`Sheet 1 of 4
`5,344,384
`
`FIG.
`
`|
`
`
`
`22
`| | Wy“ANS sf,
`
`irr
`Ag
`
`22
`
`Zo
`
`LUMENIS EX1027
`Page 2
`
`LUMENIS EX1027
`Page 2
`
`

`

`U.S. Patent
`U.S. Patent
`
`Sep. 6, 1994
`Sep. 6, 1994
`
`Sheet 2 of 4
`Sheet 2 of 4
`
`5,344,384
`5,344,384
`
`
`
`4
`
`FIG. 2
`
`30
`30 _-
`28
`30 SLLZZ=e
` fata
`A ana
`
`28 ROL
`
`
`
`LUMENIS EX1027
`Page 3
`
`LUMENIS EX1027
`Page 3
`
`

`

`U.S. Patent
`U.S. Patent
`
`Sep. 6, 1994
`Sep. 6, 1994
`
`Sheet 3 of 4
`Sheet 3 of 4
`
`5,344,384
`5,344,384
`
`
`
`
`
`LUMENIS EX1027
`Page 4
`
`LUMENIS EX1027
`Page 4
`
`

`

`U.S. Patent
`
`Sep. 6, 1994
`
`Sheet 4 of 4
`
`5,344,384
`
`
`
`42
`
`MAGNETIC
`TREATMENT .
`COLS
`
`? 64,65
`
`64.65
`
`ST MUAOR
`PADS FOR
`ELECTRO
`STIMULATION
`
`STIMULATOR PADS FOR
`ELECTRO PHOREHESS
`8.
`PAN SEDATION
`
`PULSE SIGNAL
`GENERATOR
`
`PULSE SIGNAL
`GENERATOR
`
`48
`
`46
`
`PORTABLE
`POWER
`SUPPLY
`
`5O
`
`LUMENIS EX1027
`Page 5
`
`

`

`1.
`
`15
`
`35
`
`MAGNETOTHERAPY APPARATUS
`FIELD OF THE INVENTION
`This invention relates generally to medical appliances
`and especially to the application of electrical energy for
`therapeutic body treatment.
`In particular, the device of this invention concerns a
`magnetotherapy apparatus incorporated within an or
`10
`thotic brace or preform for a conventional cast. Ancil
`lary treatment modalities are provided by an optional
`neuromuscular electrostimulation component and by an
`electrophoretic pharmaceutical delivery system.
`BACKGROUND ART
`The use of electrical and electromagnetic therapy for
`stimulating growth and repair of living tissue has been
`known and recognized as an acceptable form of treat
`ment. Prior devices, utilizing non-invasive magnetic
`fields, lacked the ability to simultaneously brace and
`20
`treat a fracture site. Furthermore, the previously known
`devices did not provide the availability of multiple
`treatment protocols.
`The electromagnetic apparatus disclosed in U.S. Pat.
`No. 5,014,699, for example, placed a transducer over a
`25
`previously formed plaster cast. Similarly, the multi-con
`ductor ribbon cable treatment shown in U.S. Pat. No.
`4,993,413 and the flat bands described in U.S. Pat. No.
`4,757,804, did not provide an orthotic support. Further
`more, the magnetic fields generated by the aforemen
`30
`tioned apparatus were not directionally oriented per
`pendicularly with respect to a target area. Although the
`apparatus shown in U.S. Pat. No. 5,100,373 generates
`normally directed magnetic fields from two treatment
`heads, the heads are not positioned for advantageously
`combining magnetic flux as in the present invention.
`U.S. Pat. No. 4,616,629 shows a magnetic coil embed
`ded in an orthopedic cast and U.S. Pat. No. 4,574,809
`describes another form of cast-embedable coil for elec
`tromagnetic therapy. These last two mentioned patents
`utilize a conventional cast with a removable plug-in
`connection for a pulse-signal generator. Although these
`devices provide electromagnetic therapy in combina
`tion with a bracing system, the instant device can be
`used with or without a plaster or fiberglass cast and is
`45
`furthermore portable for providing continuous treat
`ment, if required.
`BRIEF SUMMARY OF THE INVENTION
`The magnetotherapy apparatus of this invention en
`50
`compasses an applicator wrap for applying electromag
`netic radiation to a mammalian host for therapy. The
`applicator wrap is externally self-supported contiguous
`to a body surface to provide a brace or preform.
`The wrap is formed of molded plastic material pro
`55
`vided with integral hinges for flexibility and is adapted
`to surround and firmly brace an injured body member.
`In addition, a conventional cast can be applied over the
`wrap if additional support or immobilization of the
`member is required.
`The wrap is provided with a network of electrically
`conductive coils providing a "checkerboard” pattern of
`magnetic fields that are cumulatively interactive.
`A feature of this invention is that the electromagnetic
`therapy provides deep magnetic flux penetration within
`a target area.
`Another aspect of this invention concerns the appli
`cation of electrical energy for nerve stimulation, for
`
`5,344,384
`2
`pain sedation, for the prevention of atrophy and for the
`acceleration of bone healing.
`Another feature of this invention is the ability to
`provide auxiliary treatment to areas of the human body
`otherwise unaccessible when encased within a conven
`tional brace or cast.
`In addition, a fluid medium delivery component can
`be optionally utilized for medicating the target area.
`It should be apparent that the multi-modal nature of
`this apparatus covers a broad spectrum of treatment
`protocols including injuries to soft tissue and hard tissue
`structures that may be applied at selected locations on
`the human body.
`In view of the foregoing, it should be apparent that
`the present invention overcomes many of the shortcom
`ings and disadvantages of the prior art and provides an
`improved magnetic therapy apparatus.
`Having thus summarized the invention, it will be seen
`that it is an object thereof to provide a magnetotherapy
`apparatus of the general character described herein
`which is not subject to the aforementioned deficiencies.
`Another object of this invention is to provide a mag
`netotherapy apparatus providing an integral brace or
`preform.
`A further object of this invention is to provide a
`magnetotherapy device having selective curative regi
`mens that can be applied severally or jointly.
`A still further object of this invention is to provide a
`magnetotherapy apparatus that can be comfortably
`worn by the patient, that is light in weight, that is porta
`ble in use and that is cost effective to manufacture.
`Other objects of this invention in part will be appar
`ent and in part will be pointed out hereinafter.
`With these ends in view, the invention finds embodi
`ment in certain combinations of elements and arrange
`ments of parts by which the aforementioned objects and
`certain other objects are hereinafter attained, all as
`more fully described with reference to the accompany
`ing drawings and the scope of which is more particu
`larly pointed out and indicated in the appended claims.
`BRIEF DESCRIPTION OF THE DRAWING
`In the accompanying drawings, in which is shown an
`exemplary embodiment of the invention:
`FIG. 1 is a front elevational view pictorially illustrat
`ing a magnetotherapy apparatus of this invention as
`applied to selected portions of the human body includ
`ing the neck, arm, lower back and leg;
`FIG. 2 is a perspective view of a portion of an appli
`cator wrap used in conjunction with the apparatus of
`this invention illustrating a grid of hinged panels;
`FIG. 3 is a perspective view showing the applicator
`wrap in a stored configuration prior to being used;
`FIG. 4 is a sectional view taken substantially along
`line 4-4 of FIG. 2 illustrating the placement of a series
`of magnetic coils within the applicator wrap;
`FIG. 5 is an isolated enlarged perspective view, par
`tially in section, showing a hollow core used in the
`fabrication of the magnetic coil;
`FIG. 6 is an elevational view, to enlarge scale, of a
`portion of the applicator wrap showing the hollow core
`with helical conductive windings and the electrical
`circuitry for energizing the magnetic coils;
`FIG. 7 is a plan view of the applicator wrap illustrat
`ing diagrammatically the "checkerboard' pattern of the
`magnetic coils and their corresponding polarities;
`
`60
`
`65
`
`LUMENIS EX1027
`Page 6
`
`

`

`10
`
`5,344,384
`3
`4.
`FIG. 8 is an elevational view showing the combined
`closely wound evenly around each of the cores 32 to
`lines of induction radiating from adjacent magnetic
`provide a treatment coil 42 for generating magnetic
`coils of opposite polarity;
`fields as will be further discussed hereinafter.
`FIG. 9 is an elevational view illustrating the applica
`Further in connection with the fabrication of the
`tor wrap of this invention in conjunction with an elec
`wrap 22, the preferred embodiment illustrated herein
`trostimulation component;
`also includes electromagnetic radiation shielding in the
`FIG. 10 is a plan view of an electrophoretic pharma
`form of a metalized material forming a substrate 38
`ceutical delivery system for use with the apparatus of
`comprised of a layer of narrow gauge metal wire or
`this invention; and
`mesh in%bedded within the thermoplastic material.
`FIG. 11 is a block diagram of the apparatus of this
`The electromagnetic radiation shielding substrate 38 is
`invention showing a circuit divided into convenient
`positioned adjacent an outer surface 40 of the wrap 22.
`functional sections.
`The substrate 38 prevents "leakage' of the electromag
`netic field and creates a rebound affect to contain and
`DETALED DESCRIPTION OF THE
`increase the effectiveness of the magnetic field.
`INVENTION
`Referring once again to the coils 42, it will be noted
`15
`With specific reference now to the figures in detail, it
`in FIG. 6that the wiring sequence around each core 42
`is stressed that the particulars shown are by way of
`provides for a current flow through adjacent magnetic
`example and for the purpose of illustrative discussion of
`coils 42 in opposite directions to thereby generate a
`the preferred embodiment of the present invention only
`"checkboard” of magnetic fields of alternate polarities
`and are presented in the cause of providing what is
`as graphically depicted in FIG. 7. This is accomplished
`20
`believed to be the most useful and relatively understood
`by conductively coupling the windings of coils 42 in
`description of the principals and conceptual aspects of
`two circuits as will be further described hereinafter.
`the invention. In this regard, no attempt is made to
`In the isolated sectional view of FIG. 8 two adjacent
`show structural aspects of the invention in more detail
`coils 42 have magnetic lines of induction 44. The direc
`than is necessary for a fundamental understanding of the
`tion of the induction vector is indicated by the arrow
`25
`invention, the description taken with the drawings mak
`heads on each of the lines of induction 44. It will
`ing it apparent to those skilled in the art how the several
`thereby be observed that the cooperative interaction of
`forms of the invention may be embodied in practice.
`the magnetic fields generated by adjacently placed coils
`Referring now to FIG. 1, there is illustrated a picto
`42 are combined, in contrast to the interaction of mag
`rial representation of a magnetotherapy apparatus 20 in
`netic fields of similar polarity, to provide a greater mag
`30
`accordance with this invention. The magnetotherapy
`nitude of magnetic flux and concurrently a deeper local
`apparatus 20 is typically shown at selected anatomical
`penetration into muscle and bone tissue.
`locations on a human body.
`The preferred power supply is an electrochemical
`The apparatus 20 is comprised of an applicator wrap
`cell such as a commercially available nickel cadmium 9
`22, a portable operating console 24 that incorporates a
`volt rechargeable battery. The battery is housed within
`35
`power supply source and a cable harness 26 for conduc
`the console 24. With reference to FIG. 11 it will seen
`tively coupling the console 24 to the applicator wrap
`that two independent pulse generators 48, 50 are in
`22.
`cluded within the console 24. The generator 48 supplies
`The applicator wrap 22, as best shown in FIGS. 2 and
`a.c. power for the electromagnetic field therapy and the
`3, is fabricated from a thermoplastic material and pref
`generator 50 supplies d.c. power for electrostimulation
`erably molded with a grid-like pattern having linked
`and electrophoretic pharmaceutical delivery system
`panels 28 connected by integral flexible hinges 30. A
`both of which will be described hereinafter.
`Velcro closure is utilized for securing the wrap 22
`With regard to the electromagnetic field therapy, a
`against afflicted areas on the patient's body as for exam
`computerized chip distribution system monitors and
`ple as shown in FIG. 1. The panels 28 provide the re
`supplies the strongest current directly to coils 42 posi
`45
`quired firmness for use in orthotic bracing and the
`tioned over the target area according to a treatment
`hinges 30 provides compliancy for conforming the
`protocol. A weaker current will be supplied to the sec
`wrap 22 to the treatment site. It should of course, be
`ondary anatomical structure surrounding the target
`apparent that the wrap 22 can be manufactured in dif
`area. This is an optional feature which is built into the
`ferent lengths, shapes and sizes as necessary for selected
`console 24.
`50
`applications.
`Referring once again to the pulse signal generator 48,
`A plurality of hollow cores 32, which are made of
`an asymmetrical trapezoidal waveform having approxi
`ferrite or an equivalent conductive alloy, are positioned
`mately a 15%-16% greater negative value than positive
`within each of the panels 28 such that a longitudinal axis
`value is fed to the magnetic treatment coils 42. For this
`33 of the core 32 is perpendicular to a transverse axis 23
`purpose the wire harness 26 is conductively coupled to
`55
`of the wrap 22. A contact surface 34 of the wrap 22 is
`the applicator wrap 22 by a set of (three-conductor)
`intended for placement contiguous to the patient's skin.
`connector plugs 52, 53 that are accommodatingly re
`By way of example, the cores 32, such as shown in FIG.
`ceived within a corresponding set of sockets 54, 55.
`5, have a square base approximately in. on each side
`Referring to FIG. 6 it will be seen that the set of plugs
`and are spaced approximately in. center-to-center to
`52, 53 contain three conductors, 56, 58, 60 and 57, 59,
`provide about four (4) cores 32, per square in. within the
`61, respectively. The conductors 56, 57 and 58, 59,
`wrap 22. Furthermore, the cores 32 can be imbedded in
`when inserted within the respective sockets 54, 55 com
`the thermoplastic material during the molding process
`plete two independent circuits for energizing alternat
`and thus secured in place by the surrounding thermo
`ing treatment coils 42. It will be noted that when the
`plastic material. Alternatively, the cores 32 can be glued
`current flows in a clockwise direction through the
`65
`in place using, for example, conductive epoxy cement.
`windings in the treatment coils 42 in one circuit defined
`It should be observed however, that before the cores 32
`by plug 52, the current will correspondingly flow in a
`are fixed in position, a conductive wire 36 is preferably
`counterclockwise direction through the windings of the
`
`60
`
`LUMENIS EX1027
`Page 7
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`

`

`25
`
`10
`
`5,344,384
`5
`6
`treatment coils 42 within the other circuit defined by
`cutaneous nerve stimulation for pain sedation. In this
`plug 53. The pulsed trapezoidal waveform has a peri
`regard, the transcutaneous nerve stimulation can be
`odic frequency within the range of 10-100 hertz and
`effected concurrently with or independently of the
`preferably about 16 hertz is used for the electromag
`electrophoretic drug therapy.
`r
`netic field therapy. The preferred range of magnetic
`It should thus be apparent that a clinician or patient
`flux density should not exceed 100 gauss.
`can choose options of desired therapy singularly or in
`The magnetotherapy apparatus 20 can best be utilized
`combination using the operating counsel 24.
`for inducing an electromagnetic field into the human
`It will be evident to those skilled in the art that the
`body extradermally and can simultaneously brace and
`apparatus of this invention is not limited to the details of
`treat a fracture site. Furthermore a plaster or fiberglass
`the forgoing illustrated embodiments and that the pres
`cast can be placed over the apparatus 20 which then
`ent may be embodied in other specific forms without
`functions as a brace preform.
`departing from the spirit or essential attributes thereof.
`Further with regard to the additional treatment mo
`The present embodiment is therefore to be considered
`dalities, the electrostimulation component provides
`in all respects as illustrative and not in a restrictive
`galvanic muscle strengthening by nerve stimulation for
`sense. The scope of the invention being indicated by the
`15
`producing muscle contractions that deter the onset of
`appended claims rather than by the forgoing description
`atrophy in an immobilized body part. The electrostimu
`and all changes which come which come within the
`lation regimen is also effective for reversing the degen
`meaning and range of equivalency of the claims are
`erative affects of atrophia.
`therefore intended to be embraced therein.
`This aspect of the invention includes the incorpora
`Having thus described the invention, there is claimed
`20
`tion of a set of conductive stimulator pads 64, 65. The
`as new and desired to be secured by Letters Patent:
`stimulator pads 64, 65 are applied to the contact surface
`1. A magnetotherapy apparatus comprising an appli
`34 of the wrap 22. The conductors 60, 61 provide the
`cator wrap, having an outer surface and an inner surface
`respective pads 64, 65 with opposite charges of d.c.
`having a plurality of panels hingedly linked and adapted
`current. When the wrap 22 is placed on the patient, the
`to surround and brace an injured body member adjacent
`stimulator pads 64, 65 are in direct contact with the skin
`said inner surface, a magnetic coil positioned within
`surface.
`each of said panels for simultaneously generating an
`It should be noted that the pulse generator 50 pro
`electromagnetic field in each of said panels, said mag
`vides a direct current of low frequency having a trape
`netic coil including a core having a plurality of wind
`zoidal waveform pulsed at between 20-90 hertz. The
`ings, said windings of each coil being conductively
`30
`pulsed timing sequence is set for approximately 50%
`coupled to the windings of alternate successive coils to
`“on” and about 50% "off during each cycle. The treat
`form at least two respective circuits, whereby current
`ment cycle has a duration of 6-15 seconds “on” and up
`flow through the windings in one circuit is in a first
`to 40 seconds "off'. It should be understood however
`direction and current flow through the windings in
`that the pulse generator 50 can be modulated in accor
`another circuit is in a second direction to provide mag
`35
`dance with the desired electrostimulation therapy.
`netic fields of opposite polarity in the coils of the re
`The previously described muscular electrostimula
`spective circuits when energized, wherein a longitudi
`tion can be used independently or in combination with
`nal axis of the magnetic coil is substantially normal to a
`the electromagnetic field therapy.
`transverse axis of the wrap whereby magnetic flux is
`Another aspect of this invention concerns the electro
`directionally generated perpendicularly with respect to
`phoretic pharmaceutical delivery system. The purpose
`a target area, further including a transverse substrate of
`of the electrophoresis is to utilize an electrical field to
`metalized electromagnetic radiation shielding material
`influence the transfer and metabolism of the drug me
`adjacent to said outer surface of said applicator wrap
`dium into the patient's body. For this purpose, the stim
`said applicator wrap being adapted for placement con
`ulator pads 64, 65 include a porous material that is con
`tiguous to the injured body member for providing mag
`45
`nected by a network of tubing 66 supplied with a se
`netic flux penetration within the selected target area.
`lected drug medium from a reservoir 68 through a grav
`2. A magnetotherapy apparatus as claimed in claim 1
`ity feed system. It should further be noted that the stim
`further including an electrostimulation component hav
`ulator pads 64, 65 are thus electrically energized by the
`ing at least two stimulator pads, said stimulator pads
`pulse generator 50 through the respective conductors
`being adapted for placement on the surface of a patient's
`50
`60, 61 and that each of the pads 64, 65 will at all times
`skin, further including a low frequency pulsed d.c. cur
`be oppositely charged. In operation the pads 64, 65
`rent means said pads further being selectively energized
`receive the pharmaceutical medium from the branch
`by said low frequency pulsed d.c. current means for
`tubing 66. The fluid medium is distributed throughout
`providing muscle stimulation.
`the pads 64, 65 by capillary action. The application of
`3. A magnetotherapy apparatus as claimed in claim 2
`55
`the electrical current provides an ionization effect pro
`wherein the operating frequency for the electrostimula
`ducing a more effective delivery path to the patient.
`tion component is between 20-90 hertz.
`This is particularly advantageous when a conventional
`4. A magnetotherapy apparatus as claimed in claim 1
`cast has been placed over the magnetotherapy appara
`further including an electrophoretic pharmaceutical
`delivery system having at least two applicator pads
`tus 20 and thus the afflicted area is otherwise inaccessi
`60
`ble to direct drug therapy.
`adapted for placement on the surface of a patient's skin,
`The signals utilized in connection with the electro
`a network of tubing connected to said pads for deliver
`phoretic system include d.c. current modulation having
`ing a selected pharmaceutical medium to the applicator
`a trapezoid waveform with continuous pulses modu
`pads, said applicator pads being selectively energized
`lated at between 20 to 90 hertz. The pulses have a 10%
`by a pulsed d.c. current means for drug treatment ther
`65
`to 20% “off” and 80% to 90% “on” timing for maxi
`apy.
`mum effectiveness. It should be further observed that
`5. A magnetotherapy apparatus as claimed in claim 1
`this treatment mode also provides, as an adjunct, trans
`further including a portable power source, said power
`
`LUMENIS EX1027
`Page 8
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`

`

`:k
`
`3
`
`k
`
`:
`
`5,344,384
`7
`8
`source including a pulse signal generator, said pulse
`tively providing ionization of the fluid medium for de
`signal generator being in conductive communication
`livery to the target area.
`with the magnetic coils to provide a pulsed signal hav
`9. A multifunctional magnetotherapy apparatus for
`ing a frequency between 10-100 hertz for electromag
`use in treating an injured body member, said apparatus
`netic field therapy.
`comprising a flexible applicator wrap adapted for place
`6. A magnetotherapy apparatus as claimed in claim 4
`ment contiguous to the injured body member and below
`wherein the pulsed signal for the electrophoretic deliv
`an overlying cast, said wrap incorporating a plurality of
`ery system has a frequency of between 20-90 hertz.
`magnetic coils adapted for generating magnetic fields of
`7. A magnetotherapy apparatus as claimed in claim 1
`opposite polarity when energized, said magnetic fields
`providing magnetic flux penetration perpendicularly
`wherein the applicator wrap is formed of molded ther
`moplastic material.
`directed with respect to the injured body member, said
`8. A magnetotherapy apparatus for use in combina
`apparatus further including at least two stimulator pads
`tion with a bracing means for mobilizing an injured
`positioned between said applicator wrap and a surface
`body member, said apparatus comprises a flexible wrap
`of the body member, said stimulator pads being spaced
`adapted for placement adjacent to a target treatment
`apart and, said pads further being selectively energized
`15
`area, plural coil means positioned within the wrap for
`with opposite electrical charges for providing electro
`generating alternate successive magnetic fields of oppo
`stimulation to the injured body member, further includ
`site polarity, said magnetic fields being adapted for
`ing a fluid reservoir in communication with stimulator
`penetrating the target area, said wrap including stimula
`pads, said reservoir supplying a drug medium to the
`tor pad means, said pad means being selectively ener
`stimulator pads, said pads being electrically charged for
`gized for providing muscular electrostimulation, further
`ionization of the drug medium for delivery to the in
`including a fluid reservoir said pad means further being
`jured body member.
`in communication, with said fluid reservoir for selec
`sk
`
`10
`
`25
`
`30
`
`35
`
`45
`
`50
`
`55
`
`60
`
`65
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`LUMENIS EX1027
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