JPH1085288A - Ultrasonic bone therapeutic device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To detect whether ultrasonic waves are surely emitted into the body of a patient by attracting a user's attention on the basis of the used state information outputted by a used state monitoring means for monitoring the used state of an ultrasonic bone therapeutic device. SOLUTION: The therapeutic ultrasonic control means of an ultrasonic bone therapeutic device is connected to a therapeutic ultrasonic emitting means by a cable 16. A signal generating circuit 38 comprises a processor 44 and a program memory 43 storing a program for controlling the operation of the processor 44. The processor 44 is used for the control of a therapeutic sequence, and when the starting time of an ultrasonic treatment comes, the processor 44 closes a switch 60 allowing a pulse signal for controlling the therapeutic ultrasonic emitting means to pass the cable 16. When the treatment is ended, the processor 44 lays the switch 60 into open state, it is prohibited to pass the pulse signal for controlling the therapeutic ultrasonic emitting means 14 to the cable 16. In addition to this, the processor 44 transmits an alarm signal to an alarm 62 to drive it.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an apparatus for treating trauma using ultrasonic waves. More particularly, the present invention relates to a device for treating trauma, particularly a fracture or various musculoskeletal injuries, by percutaneously irradiating the affected part with ultrasound.

[0002]

2. Description of the Related Art It has long been known that wounds can be treated using ultrasonic waves. By applying an ultrasonic pulse having appropriate parameters (eg, ultrasonic frequency, pulse repetition period and pulse amplitude) at an appropriate position close to the affected area for an appropriate period, for example, natural healing of fractures and bone contusions Can be expedited. Ultrasound therapy has a therapeutic effect even on patients who need bone transplantation due to reduced natural healing ability or have a bedridden fracture, such as elderly people with osteoporosis.

US Patent to Duarte (No. 4,530,360)
Describes a basic non-invasive treatment technique and device for percutaneously applying an ultrasonic pulse from outside the body close to the affected area. The applicator described in the above patent includes a plastic tube that serves as a grip for the operator, an RF plug attached to the plastic tube for connection to an RF source, and an interior connected to an ultrasonic transducer. Cable.

[0004] In such a device, the operator has to hold the applicator by himself in order to irradiate the affected part with ultrasonic pulses until the treatment is completed. As a result, the patient (operator) cannot move during the treatment. The longer the treatment time, the more
Patients are more inconvenient. The patent also describes a range of RF signals for generating ultrasound, an ultrasound power density level, a range of duration of each ultrasound pulse, and a range of ultrasound pulse frequencies.

[0005] Also, Talish et al., US Pat.
003,965) describes an ultrasonic body treatment system having a body applicator unit connected to a remote control unit by a coated optical line. The signals controlling the pulse duration and pulse repetition frequency of the ultrasound are generated separately from the body applicator unit. This patent describes a device having a fixture for attaching a body applicator unit to a patient such that the ultrasound irradiated site is close to an extracorporeal location near the affected area.

[0006]

In the conventional systems and methods for ultrasonically treating a trauma, it is not possible to reliably detect whether or not ultrasonic waves are applied to the affected part during the treatment. Ultrasound that is radiated percutaneously from outside the body propagates through the human body tissue and reaches the affected part, so that a therapeutic effect is exhibited. Therefore, there is a need for a means for detecting whether or not the ultrasonic wave is being applied to the inside of the patient.

In order for the treatment to be performed safely and effectively, the patient must use the device in accordance with a predetermined treatment plan.

[0008]

Means for Solving the Problems As a result of diligent studies on such problems, the present inventors have found the following ultrasonic bone treatment apparatus.

That is, the ultrasonic bone treatment apparatus of the present invention
A device for irradiating an ultrasonic wave to an affected part from outside the body to treat a trauma, such a device is a therapeutic ultrasonic irradiation means for irradiating a therapeutic ultrasonic wave to an affected part, and a therapeutic ultrasonic control means for controlling the therapeutic ultrasonic wave. A use state monitoring means for monitoring a use state of the ultrasonic bone treatment apparatus; and an alarm means for calling a user's attention based on use state information output from the use state monitor means. Further, the ultrasonic bone treatment apparatus may include a use state information storage unit that stores the use state information, and / or a communication unit that communicates with an external computer or a modem.

[0010] The treatment ultrasonic wave irradiated by the treatment ultrasonic irradiation means is controlled by the treatment ultrasonic control means. The therapeutic ultrasonic wave irradiating means is arranged close to the affected part and irradiates the therapeutic ultrasonic wave for a preset time. The use state monitoring means enables the irradiation of the treatment ultrasonic wave when it is confirmed that the treatment ultrasonic wave can be irradiated to the affected part, and when it is determined that the irradiation of the treatment ultrasonic wave is impossible, the alarm means is controlled and an alarm is issued to the user. Emits. Further, the outputs of these use state monitoring means are:
It can be transmitted immediately to an external computer or the like by the communication means, or can be transmitted once after being stored in the use state information storage means as use state information. By looking at this information, it is possible to determine whether the user is using the treatment in accordance with a predetermined treatment plan.

In order to ensure that the affected part is irradiated with ultrasonic waves, the use state monitoring means includes a safety lock mechanism for confirming that the therapeutic ultrasonic irradiation means is properly mounted, and / or a treatment. Ultrasonic conductor detection means for ensuring that an ultrasonic conductor is present on the patient contact surface of the ultrasonic irradiation means can be provided in the ultrasonic bone treatment apparatus.

[0012]

DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention will be described with reference to preferred embodiments. The present invention relates to an ultrasonic bone treatment having means for detecting whether an ultrasonic wave is reliably irradiated into a patient's body, and / or means for detecting whether the patient uses the apparatus according to a predetermined treatment plan. Device.

The present invention provides a therapeutic ultrasonic irradiation means for irradiating a therapeutic ultrasonic wave to an affected part, a therapeutic ultrasonic control means for controlling a therapeutic ultrasonic wave, a use state monitoring means for monitoring a use state of the apparatus, and a use state. An ultrasonic bone having alarm means for calling a user's attention based on use state information output from monitoring means, use state information storage means for storing the use state information, and communication means for connecting the device to an external computer or a modem or the like It is a treatment device.

[0014] The treatment ultrasonic control means of the ultrasonic bone treatment apparatus includes a signal generation circuit having a processor, and the signal generation circuit is connected to the ultrasonic transducer of the treatment ultrasonic irradiation means to control the ultrasonic transducer. To generate a pulse signal.

The use condition monitoring means is connected to the processor, monitors the use condition of the ultrasonic bone treatment apparatus, and notifies the processor of the abnormality when there is an abnormality. The use state monitoring means includes a safety lock mechanism for confirming that the therapeutic ultrasonic irradiation means is properly mounted, and / or
Alternatively, an ultrasonic conductor detecting means for ensuring that the ultrasonic conductor is present on the patient contact surface of the therapeutic ultrasonic irradiation means is preferably included. Further, the use state information output by the use state monitoring means may be stored in the use state information storage means.

The alarm means is connected to the processor,
When an abnormal state is detected in the ultrasonic bone treatment device,
The processor drives the alarm means to stop the irradiation of the therapeutic ultrasound. Further, when the ultrasonic treatment is completed, the processor may drive the alarm means to stop the irradiation of the therapeutic ultrasonic wave in order to notify the user that the treatment has been completed.

The communication means provides a communication link between the ultrasonic bone treatment apparatus and an external computer or a modem or the like, and communicates the use state information stored in the use state information storage means to the external computer or the modem or the like. Used for More preferably, the communication means is a serial communication interface, but it may be a parallel interface.

Ultrasonic waves are reflected at portions having different acoustic impedances. Therefore, simply contacting the ultrasonic transducer with the skin causes a large reflection, and the ultrasonic waves do not pass through the body. In order to allow penetration into the body, it is necessary to apply an ultrasonic conductor such as an ultrasonic conductive gel to the surface of the ultrasonic transducer and bring it into contact with the skin. For this purpose, an ultrasonic conductor detecting means for ensuring that an ultrasonic conductor is present on the patient contact surface of the therapeutic ultrasonic irradiation means before the start of treatment is included in the ultrasonic bone treatment apparatus. Is also good. Preferably, the ultrasonic conductor detecting means is provided with a terminal for detecting the ultrasonic conductor on the affected part contact surface of the therapeutic ultrasonic irradiation means, and by detecting a resistance change between the terminals, Detecting the presence of the ultrasonic conductor; Further, the presence of the ultrasonic conductor is detected by a circuit configuration for detecting acoustic energy of the therapeutic ultrasonic wave diffused at the interface with the affected area and the skin when the therapeutic ultrasonic irradiation means irradiates the therapeutic ultrasonic wave. You may.

Further, a safety lock mechanism is provided to confirm that the therapeutic ultrasonic irradiation means is correctly attached to the affected part prior to the excitation of the ultrasonic transducer. The therapeutic ultrasound irradiating means is configured to mate with a fixture located proximate to the trauma. The fitting has an opening for receiving the patient-contacting surface of the therapeutic ultrasound irradiation means, and at least two bayonet lugs, wherein the bayonet lugs are electrically connected by conductive paths.
In addition, the therapeutic ultrasonic irradiation means has at least two slotted lugs having at least one protrusion extending from an outer surface of the therapeutic ultrasonic irradiation means. The slotted lug is configured to mate with at least two bayonet lugs and a conductive plastic such that when the slotted lug mates with the bayonet lug, a conductive path is formed between said slotted lugs. Formed from In this configuration, the processor sends a safety lock signal to the therapeutic ultrasonic irradiation means, and the conductive path between the slotted lugs returns the safety lock signal to the processor. When the processor receives the return safety lock signal, the ultrasonic transducer is excited.

These features ensure that the user correctly wears the therapeutic ultrasonic irradiation means and that the therapeutic ultrasonic waves are irradiated on the affected part of the user.

The ultrasonic bone treatment apparatus of the present invention is used for treating a trauma using ultrasonic waves. Although shown here for the treatment of musculoskeletal injuries, it is applicable to other diseases such as other venous ulcers.

The present invention will be described in more detail with reference to the drawings based on a preferred embodiment. FIG. 1 shows an ultrasonic bone treatment apparatus 10 according to the present invention. The ultrasonic bone treatment apparatus 10 includes a treatment ultrasonic control means 12 and a treatment ultrasonic irradiation means 14 connected to the treatment ultrasonic control means 12 by a cable 16.

The cable 16 is preferably a multi-conductor cable that can carry relatively low frequency or optical signals as well as digital signals. Cable 16 may be a coaxial cable or other suitable type of shielded cable. Alternatively, the cable 16 may be an optical fiber cable for transmitting an optical signal.

As shown in FIG. 2, the therapeutic ultrasound control means 12 includes a housing 20 comprised of two half sections that are interconnected by, for example, screws, ultrasonic welding, or an adhesive. . The printed circuit board 22 is provided in the housing 20 and is connected to the display component 24 through the inter-board cable 26. A battery for a real-time clock is inserted into a battery storage section 32 on the printed circuit board 22.

The display component 24 includes a mounting plate 28,
It includes a display 30 and a keypad 31. The display 30 is, for example, a suitable liquid crystal display or LED type display for displaying text and numbers.

The communication means comprises a communication interface 35 and a communication port 34. Communication port 34
Is provided on the printed circuit board 22 and includes the housing 20.
Is accessible through a channel 36 of The communication port 34 is a signal generator circuit 38 on the printed circuit board 22.
And provides a communication link between the therapeutic ultrasound control means 12 and an external computer or modem, for example. In this configuration, the physician can download usage status information stored in the usage status information storage means, such as the device number, date, time, and / or duration of the actual treatment by the user. The use state information storage means is preferably constituted by a compliance memory 42 using a semiconductor memory, but another storage means may be used.

FIG. 3 is a block diagram of one embodiment showing a configuration of a signal generating circuit 38 in the therapeutic ultrasonic control means 12 for generating and controlling a pulse signal for controlling the therapeutic ultrasonic irradiation means 14. Preferably, the signal generation circuit 38 includes
It includes a processor 44 and a program memory 43 storing a program (for example, a system or an application) for controlling the operation of the processor 44.

Processor 44 is connected to display 30 and keypad 31 and is configured to receive data from keypad 31 and transfer data to display 30. Processor 44 includes a microprocessor, such as the Intel 80 / x86 family,
Alternatively, it is a microcontroller with internal memory.

The communication interface 35 is a communication port 3
4 and the processor 44, and is provided for communication with, for example, an external computer. Communication interface 3
5 is a serial interface such as an RS-232 interface.
It may be an interface or a parallel interface.

The processor 44 is used for controlling the treatment sequence, that is, the start time and the stop time of the ultrasonic treatment. The processor 44 is pre-programmed for the treatment time, and the user (eg,
(Doctor or patient) selects one of the preset treatment times via the keypad 31. Alternatively, the start and stop times of the processor are programmed by the user via the keypad 31. Typical treatment times are on the order of 10-20 minutes, but may vary between 1-55 minutes.

When the ultrasonic treatment is started, the processor 44 closes the switch 60 that allows the pulse signal for controlling the therapeutic ultrasonic irradiation means 14 to pass through the cable 16. When the treatment is completed, the processor 44 sets the switch 60
Is opened, and a pulse signal for controlling the therapeutic ultrasonic irradiation means 14 is prohibited from passing through the cable 16. In addition, the processor 44 outputs the alarm signal to the alarm 6
2 and drives it.

FIG. 4 is a block diagram of one embodiment showing a circuit in the treatment ultrasonic irradiation means 14. The circuit in the treatment ultrasonic irradiation means 14 includes the signal emitting treatment ultrasonic control means 1
2 includes a receiver 66 that receives the pulse signal transmitted through cable 16 by. The receiver 66 is connected to a transducer driver 67 that excites an ultrasonic transducer 68.

FIG. 5 shows another embodiment of the circuit in the therapeutic ultrasonic irradiation means 14. In this example,
The treatment ultrasonic irradiation unit 14 includes an internal battery 73 that supplies power to each component inside the treatment ultrasonic irradiation unit 14.

The signal monitoring circuit 70 preferably provides a digital output signal 72 representative of the waveform characteristics of the output of the transducer driver 67. Such characteristics include, for example, the frequency of the drive signal of the ultrasonic transducer 68,
It may include the pulse repetition frequency, the pulse width, or the average output power of the drive signal. The output signal 72 of the signal monitoring circuit 70 is transmitted to the treatment ultrasonic control unit 12 by the driver 71.
Is transmitted through the cable 16.

The fixture lock 73 has a switch on the outer surface of the therapeutic ultrasound application means 14 to ensure that the therapy ultrasound application means 14 is correctly positioned before its ultrasound transducer is energized. Thus, power is supplied to the components inside the treatment ultrasonic irradiation means 14.

The ultrasonic conductor detecting means 69 is also shown in FIG. Ultrasonic conductors are preferably used on the surface of the ultrasonic transducer 68 to achieve more efficient transmission of acoustic waves from the ultrasonic transducer 68 to the body. When the surface of the ultrasonic transducer 68 is placed on the skin without the ultrasonic conductor, a large energy reflection occurs due to the discontinuity at the interface between the ultrasonic transducer 68 and the skin.
The treatment ultrasound irradiated by 8 hardly irradiates the affected part. If there is no ultrasonic conductor on the surface of the ultrasonic transducer 68 when the treatment is started and used, the ultrasonic conductor detecting means 69 sends a signal warning the patient that the ultrasonic conductor has run out to the patient. It sends to the processor 44 of the sound wave control means 12 to stop driving the treatment ultrasonic irradiation means 14 until the ultrasonic conductor is refilled and warn the user that the ultrasonic conductor must be refilled. .

One of the preferred embodiments of the ultrasonic conductor detecting means 69 includes a circuit having electrodes on the surface of the ultrasonic transducer 68, and detects a resistance change caused by the ultrasonic conductor across the electrodes. . In another preferred ultrasound conductor detection means 69, the processor 44 sends one short pulse signal to the therapy ultrasound application means 14 at the start of the treatment. The pulse signal causes the transducer driver 67 and the ultrasonic transducer 68 to output a short acoustic pulse wave on the surface of the ultrasonic transducer 68. In the absence of an ultrasonic conductor, a relatively high percentage of the acoustic pulse wave is immediately reflected at the partial discontinuity between the surface of the ultrasonic transducer 68 and the skin. The reflected energy presses the ultrasonic transducer 68 again, generating an electrical signal. Thus, by detecting the amplitude and phase of the electric signal generated by the energy reflected by the discontinuous surface, the presence or absence of the ultrasonic conductor can be detected. A signal received by the ultrasonic transducer 68 within a predetermined time after the output of the acoustic wave pulse for which the amplitude exceeds a threshold value indicates that there is no ultrasonic conductor.

Generally, at least a portion of the ultrasonic conductor detection means 69 is also located within the therapeutic ultrasonic control means 12 (not shown). In particular, when using the amplitude and phase of the electrical signal generated by the reflected energy, as described above, the analysis of the amplitude and phase of the electrical signal generated by the reflected energy (required) If so, it is sent to the processor 44 (after local processing). If the electrical signal indicates that the ultrasonic conductor is not present, the processor 44 opens the switch 60 and inhibits the passage of the pulse signal controlling the therapeutic ultrasonic irradiation means 14 to the cable 16. .

A fixture 102 having an opening 104 and a bayonet lug 106 is shown in FIG. In FIG.
Fitting 102 located over hole 94 in cast 88
The treatment ultrasonic irradiation means 14 is shown, and the opening 104 and the treatment ultrasonic irradiation means 14 are coaxially arranged.

The treatment ultrasonic irradiation means 14 includes the fixture 1.
It has a cylindrical portion 114 with a patient-contacting surface 118 that extends into the opening 104 at 02 and a slotted lug 116 on the cylindrical portion 115 that engages the bayonet lug 106 of the fixture 102.

At the start of the ultrasound treatment, a cylindrical portion 114 having a patient contact surface 118 of the therapeutic ultrasound application means 14 and a cylindrical lug 106 engaging the bayonet lug 106 are provided in the opening 104 of the fixture 102. Part 115 is inserted. Further, the therapeutic ultrasonic irradiation means 14 is rotated so that the slotted lug 116 engages with the bayonet lug 106, and is fixed to the fixture 102.

In the present invention, the bayonet lug 106 of the fixture 102 has a conductive path formed in advance.
The slotted lug 116 is preferably made of a conductive plastic, and the bayonet lug 106 of the fixture 102.
Is electrically connected to As a result, the slotted lug 1
When 16 mates with bayonet lug 106, an electrical path is completed between at least two slotted lugs 116. Suitable conductive plastics include, but are not limited to, ABS plastic containing any of carbon, stainless steel, nickel or aluminum fibers.

Referring again to FIG. 4, the therapeutic ultrasonic irradiation means 1
In order to prevent unnecessary irradiation of the therapeutic ultrasonic waves from the processor 4, the processor 44 sends a safety lock signal to the medical ultrasonic irradiation means 14, and the conductive path between the slotted lugs returns the safety lock signal to the processor 44. When the processor 44 receives the returned safety lock signal, the ultrasonic transducer 68 is excited.

It is understood that various modifications can be made to the various embodiments of the invention disclosed herein without departing from the spirit and scope. For example, as with the types of constituent materials, various shapes of the signal generator can be considered.
Also, various modifications are possible in the configuration of the components used to excite the ultrasonic transducer. Therefore, the above should not be construed as limiting the invention, but rather as implementing the preferred embodiments of the invention. Other variations are possible within the scope and spirit of the invention as defined by the claims.

[0045]

According to the present invention, it is possible to detect whether or not an ultrasonic wave is applied to an affected area during a treatment, and to determine whether or not a patient uses the apparatus in accordance with a predetermined treatment plan. Being able to understand and providing safe and effective treatment to patients

[Brief description of the drawings]

FIG. 1 is an overall view of an ultrasonic bone treatment apparatus based on the present invention (illustrating one embodiment of a treatment ultrasonic control means and a treatment ultrasonic irradiation means).

FIG. 2 is an exploded view of the therapeutic ultrasound control means shown in FIG.

FIG. 3 is a block diagram showing one embodiment of a circuit of the therapeutic ultrasound control means shown in FIG. 1;

FIG. 4 is a block diagram showing one embodiment of a circuit of the therapeutic ultrasonic irradiation means shown in FIG. 1;

FIG. 5 is a block diagram showing another embodiment of the circuit of the therapeutic ultrasonic irradiation means shown in FIG. 1;

6 is an overall view of an attachment for detachable attachment and the therapeutic ultrasonic irradiation means shown in FIG. 1;

[Explanation of symbols]

 REFERENCE SIGNS LIST 10 ultrasonic bone treatment device 12 therapeutic ultrasonic control means 14 therapeutic ultrasonic irradiation means 16 cable 20 housing 22 printed circuit board 24 display component 26 board-to-board cable 28 mounting plate 30 display 31 keypad 32 battery storage 34 communication port 35 communication Interface 36 Channel 38 Signal generation circuit 42 Compliance memory 43 Program memory 44 Processor 60 Switch 62 Alarm 66 Receiver 67 Transducer driver 68 Ultrasonic transducer 69 Ultrasonic conductor detection means 70 Signal monitoring circuit 71 Driver 72 Output of signal monitoring circuit 73 Mounting Fixture lock 74 battery 88 cast 94 hole in cast 102 fitting 104 opening 106 bayonet lug 114 patient contact Cylindrical portion 115 bayonet lug and the cylindrical portion 116 slotted lugs 118 patient contacting surface of the engagement with the surface

 ──────────────────────────────────────────────────続 き Continuation of front page (71) Applicant 595044007 810 PASSAIC AVENUE, WEST CALDWELL, NEW JE RSEY 07006, U.S.A. S. A. (72) Inventor John P. Learby United States, New Jersey 07021 Essex Fells Stewart Road 25 (72) Inventor Kenneth Jay Skouan United States New Jersey 07081 Springfield Christie・ Lane ・ 4 (72) Inventor Kenneth J. Urgovic, USA ・ New Jersey ・ 07012 ・ Clifton East ・ 9th Street ・ 37

Claims (17)

[Claims] 1. An apparatus for irradiating an affected part with ultrasound from outside the body to treat an injury, comprising: a therapeutic ultrasound irradiating means for irradiating the affected part with therapeutic ultrasound; and a therapeutic ultrasound for controlling the therapeutic ultrasound. An ultrasonic bone treatment apparatus comprising: a control unit; a use state monitoring unit that monitors a use state of the device; and an alarm unit that alerts a user based on use state information output by the use state monitor unit. . 2. The ultrasonic bone treatment apparatus according to claim 1, wherein the ultrasonic bone treatment apparatus includes use state information storage means for storing use state information of the ultrasonic bone treatment apparatus. . 3. The ultrasonic bone treatment apparatus according to claim 1, wherein said ultrasonic bone treatment apparatus has communication means for connecting said ultrasonic bone treatment apparatus to an external computer or a modem. 4. An apparatus for irradiating an affected part with ultrasonic waves from outside the body to treat an injury, comprising: a therapeutic ultrasonic irradiation means for irradiating a therapeutic ultrasonic wave to the affected part; and a therapeutic ultrasonic wave for controlling the therapeutic ultrasonic waves. Control means, use state monitoring means for monitoring the use state of the device, alarm means for alerting a user based on use state information output from the use state monitor means, and use state information for storing the use state information An ultrasonic bone treatment apparatus comprising a storage means and a communication means for connecting the apparatus to an external computer or a modem. 5. In the ultrasonic bone treatment apparatus, when it is determined that irradiation of therapeutic ultrasonic waves is impossible based on the use state information of the monitoring means, an alarm is sounded by an alarm means and the therapeutic ultrasonic waves are sounded. 5. The method according to claim 1, wherein the irradiating means is disabled.
An ultrasonic bone treatment apparatus according to any one of the preceding claims. 6. In the ultrasonic bone treatment apparatus, when it is determined that irradiation of therapeutic ultrasonic waves is possible based on use state information of the monitoring means, an alarm is stopped by an alarm means, and the therapeutic ultrasonic waves are stopped. 6. The ultrasonic bone treatment apparatus according to claim 5, wherein irradiation means can be used. 7. The treatment ultrasonic control means includes a signal generation circuit therein, and the signal generation circuit is connected to the treatment ultrasonic irradiation means and generates a pulse signal for controlling the treatment ultrasonic irradiation means. The ultrasonic bone treatment apparatus according to claim 1, further comprising a unit. 8. The ultrasonic bone treatment apparatus according to claim 7, wherein said signal generation circuit is constituted by a processor. 9. The treatment ultrasonic irradiation means includes an ultrasonic transducer therein.
An ultrasonic bone treatment apparatus according to claim 4. 10. The communication device according to claim 3, wherein said communication means is a serial communication interface.
An ultrasonic bone treatment apparatus according to any of the preceding claims. 11. The apparatus according to claim 1, wherein the use state monitoring means includes an ultrasonic conductor detecting means for detecting the presence of an ultrasonic conductor on the affected part contact surface of the therapeutic ultrasonic irradiation means. , Claim 4, Claim 5 or Claim 6
The ultrasonic bone treatment apparatus according to any one of claims 1 to 7. 12. The ultrasonic conductor detecting means includes a circuit for detecting a change in resistance between terminals on a diseased part contact surface of the therapeutic ultrasonic irradiation means due to the presence of the ultrasonic conductor. Item 12. The ultrasonic bone treatment device according to Item 11. 13. The ultrasonic conductor detecting means has a circuit for detecting the energy of acoustic waves diffused at the affected part contact surface of the therapeutic ultrasonic irradiation means and at the interface with the skin. Item 12. The ultrasonic bone treatment device according to Item 11. 14. The apparatus according to claim 1, wherein said use state monitoring means has an attachment detecting means for detecting that said therapeutic ultrasonic irradiation means is attached to a user. An ultrasonic bone treatment apparatus according to claim 6. 15. The mounting detecting means is configured such that the therapeutic ultrasonic irradiation means is engaged with a fixture arranged close to an affected part, and the therapeutic ultrasonic irradiation means is attached to the fixture. The ultrasonic bone treatment apparatus according to claim 14, wherein the mounting is detected by forming a conductive path when the ultrasonic bone treatment is performed. 16. The attachment tool is provided with an opening to receive a portion of the therapeutic ultrasound irradiating means, the therapeutic ultrasound irradiating means having at least two bayonet lugs extending to the opening. 16. The ultrasonic bone treatment apparatus according to claim 15, wherein the two bayonet lugs are electrically connected to form a conductive path therebetween. 17. The therapeutic ultrasonic irradiation means includes at least two slotted lugs that mate with at least two slotted lugs extending from an outer surface of the therapeutic ultrasonic irradiation means, wherein the at least two slotted lugs are The ultrasonic bone treatment apparatus according to claim 15, wherein a conductive path is formed between the slotted lugs when the bayonet lugs are fitted with the bayonet lugs.