g.Estim FES: A Revolutionary Programmable Stimulator for Effective Muscle Therapy | g.tec medical engineering

ESTIM FES

FUNCTIONAL ELECTRICAL STIMULATOR

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The g.Estim FES is a programmable functional electrical stimulator (FES) and is intended for neurological therapeutic applications such as temporary reduction of muscle spasms, prevention or retardation of disuse atrophy, increasing local blood flow in the treatment area, muscle re-education, prevention of post-surgical phlebo-thrombosis through immediate stimulation of calf muscles, and maintaining or increasing range of motion.

g.Estim FES has an applied part of type BF with connectors for bipolar stimulation electrodes (anode and cathode). The device is controlled by a computer via an USB connection. It also has digital outputs for synchronization with other devices. An optional hand-switch allows you to perform stimulation manually.

Alternatively, an optional foot-switch can be used to explicitly enable/disable stimulation. g.Estim FES includes an impedance measurement function and contains a high-impedance stop mechanism that stops stimulation when electrode contact becomes loose.

To read more about neuroscience experiments with g.tec technology, please visit our Frontiers profile.

PRODUCT HIGHLIGHTS

Delivers bi-phasic constant current pulses
Programmable stimulation pulse & trigger
API (Application Programming Interface)
Real-time trigger interface
Stand-alone device that can be controlled from a computer system
Can send triggers to other devices for synchronization
Includes electrode impedance check and stimulation current monitoring
CE-certified and FDA-cleared medical device for use in human

TECHNICAL SPECIFICATIONS

Stimulus current output± 1 – 60 mA (±10%)
Phase shaperectangular
Work time2 - 20 s in 0.5 s increments (± 10 % accuracy)
Rest time2 - 50 s in 0.5 s increments (± 10 % accuracy)
Phase duration50 µs - 400 µs in 10 µs increments (± 10 % or ± 10 µs whichever greater)
Pulse rate1 – 100 pulses/second in 1 pulse increments (±10%) (Pulse period from 1 s down to 10 ms)
Rising/falling ramps0 - 10 s in 0.5 s increments (± 5 % accuracy)
Power supply2 x 9 V battery, USB – connection
Certification and StandardsIEC 60601-1, IEC 60601-1-2, IEC 60601-2-10, IEC 62304, IEC 62366, ISO 14971

FOOT SWITCH

The foot switch is another accessory of the g.Estim FES and can be connected to the hand/foot switch input of the g.Estim FES. When the foot switch is used and pressed, the stimulator accepts a cue to start stimulation from the software or from devices connected to the digital input ports. When the foot switch is released, stimulation is aborted.

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HAND SWITCH

The hand switch is an accessory of the g.Estim FES. Users connect the hand switch to the hand/foot switch input of the g.Estim FES. The hand switch allows them to start stimulation by pressing the blue STIMULATE button after the device has been set active via the software and the ‘active’ LED is on. During stimulation, the hand switch allows users to abort stimulation by pressing the grey ABORT button.

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STIMULATION ELECTRODES

FES electrodes are fixed on the position where the muscle should be stimulated.

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recoverix fes electrodes

g.HIsys Matlab Simulink

SIMULINK INTERFACE

Set all required parameters of the FES stimulator and trigger the stimulator from Simulink. Importantly, the stimulator also measures the stimulation current to confirm that the actual current can be delivered (depending on the electrode impedance). The Simulink Interface provides a graphical interface to the g.Estim FES hardware, which can be used under Simulink to specify the properties of the electrical stimulator.

Specify the Phase Duration, the Phase Amplitude in real-time or via a graphical user interface and allows to start and stop the stimulation. The block provides the state (on/off), the battery level, the Max. Phase Duration and the Max. Phase Amplitude to the user. Use the FES Control Panel to manually set the stimulation parameters and to start and stop the stimulation. The applied charge density is also visualized in the window.

Functional electrical stimulation (FES) is used for the reahbiliation of patients of neurological and orthopaedic diseases or injuries and supports therapists to re-educate the functions of muscles, nerves and the brain. g.Estim FES is especially suited for everyone, who wants to program the FES device according to individual therapy needs.

For closed-loop experiments, g.USBamp, g.HIamp or g.Nautilus EEG amplifiers with g.HIsys software environment are used to record EEG/ECoG data simultaneously. This allows you to perform real-time analysis and real-time control of g.Estim FES for muscle or nerve stimulation.

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APPLICATION FIELDS

  • Stroke rehabilitation
  • Multiple sclerosis
  • Traumatic brain injury
  • Foot/Hand drop
  • Muscle spasms
  • Retardation of disuse atrophy
  • Increasing local blood flow
  • Muscle re-education
  • Prevention of post-surgical phlebo-trombosis
  • Increasing range of motion
  • Improve everyday movements

“We use the g.Estim FES in our research study involving stroke patients with upper extremity deficits. It is a solid and reliable system that is easy to use in our research.”

Vivek Prabhakaran, MD, PhD - University of Wisconsin-Madison, USA

CLOSED-LOOP EXPERIMENTS WITH EEG, FES AND TMS

This presentation on Closed-Loop Experiments with EEG, FES, and TMS was recorded during the BCI & Neurotech Spring School 2024. Get invaluable insights into the advancement of closed-loop systems, their implications for understanding brain function, and their potential for revolutionary therapeutic applications.

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NEUROREHABILITATION AFTER STROKE

Functional electrical stimulation (FES) can trigger movements of different areas of the body. After a doctor or therapist mounts stimulation electrodes over the corresponding muscle or muscle group, the FES system can send a current through the muscles to initiate movement. This technique can be applied in stroke patients or spinal cord injury patients to reduce spasticity and help encourage movement.

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SPINAL CORD INJURY

The g.Estim FES may be indicated for muscle stimulation when muscles that are partly or fully paralyzed due to central nervous system injury should be contracted to generate movement, such as in patients with spinal cord injury. The BCI system can be used to detect the patient’s motor imagery and can trigger the FES to produce the required hand movement. In 2016, Gaurav Sharma from Battelle Memorial Institute in Ohio (USA) won the BCI Award 2016 with his project about an implanted BCI for real-time cortical control of wrist and finger movements.

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