History of the creation of autonomous electrical stimulators of the gastrointestinal tract
https://doi.org/10.52581/1814-1471/82/1
Abstract
In the early 1990s, a team of scientists from the Tomsk Medical Institute, consisting of V.V. Pekarsky, G.Ts. Dambaev, O.S. Popov, and A.G. Martusevich, together with employees of the Tomsk Institute of Automated Control Systems and Radioelectronics, V.F. Agafonnikov, S.F. Glushchuk, created autonomous electrical stimulators of the gastrointestinal tract. They represent a 22 × 11 mm oval-spherical metal capsule, inside which a power supply unit made of SC-21 elements and a special hybrid microcircuit capable of generating rectangular electrical impulses that actively affect the motor-evacuation function of the digestive tract are hermetically placed.
The appearance of such a medical device in practical healthcare in those years was several decades ahead of the development of microelectronics in medicine. A miniature capsule is inserted into the patient’s digestive tract by normal ingestion. Once in the gastrointestinal tract, the capsule begins to generate physiologically adapted electrical impulses for the human body, taking on the role of an “artificial rhythm driver” by the peristalsis of the digestive tract. Having completed the task, the capsule naturally leaves the body during the act of defecation.
To date, of the few such medical devices, an endovideocapsule can be called, created by Gavriel Iddan, an engineer of the Department of General Surgery of electro-optical structures of the research group of the Israel Ministry of Defense.
Autonomous electrical stimulators of the gastrointestinal tract have spread widely across the planet. Today they are produced and successfully used in many countries of the world. A large number of analogues appeared, new names were invented: “Electronic tablet”, “Kremlin tablet”, “Erectron”, etc. But, all these products are based on the ideas of Tomsk scientists.
About the Authors
G. Ts. Dambayev
Siberian State Medical University
Russian Federation
Russian Federation
Georgiy Ts. Dambayev, Honored Worker of Science of Russia, Dr. Med. sci., Professor, Corresponding member of RAS, head of the Hospital Surgery Department
2, Moskovskiy tract st., 634050, Tomsk
S. R. Bashirov
Siberian State Medical University
Russian Federation
Russian Federation
Sergey R. Bashirov, Dr. Med. sci., Professor, head of the Department of General Surgery
2, Moskovskiy tract st., 634050, Tomsk
O. S. Popov
Siberian State Medical University
Russian Federation
Russian Federation
Oleg S. Popov, Honored Doctor of the Russia, Dr. Med. sci., Professor, the Department of General Surgery
2, Moskovskiy tract st., 634050, Tomsk
A. G. Martusevich
Siberian State Medical University
Russian Federation
Russian Federation
Alexander G. Martusevich, Cand. Med. sci., Associate Professor, the Department of General Surgery
2, Moskovskiy tract st., 634050, Tomsk
References
1. Bogach P.G. Mehanizmy nervnoy regulyatsii motornoy funktsii tonkogo kishechnika [Mechanisms of nervous regulation of the motor function of the small intestine]. Kiev, 1961:121 p. (in Russ.).
2. Poltyrev S.S. Patologicheskaya fiziologiya v pishchevarenii [Pathological physiology in digestion]. In: Mnogotomnoye rukovodstvo po patologicheskoy fiziologii. T. 4 [Multivolume guide for pathological physiology. Vol. 4]. Moscow, 1964:10–83 (in Russ.).
3. Goncharov P.P. O vistseral’nyh refleksah kishechnika [On the visceral reflexes of the intestine]. Leningrad, Medi cine Publ., 1945:143 p. (in Russ.).
4. Nikolayev G.V. Izmeneniya motorno-sekretornoy funkcii tonkogo kishechnika pod vliyaniyem interoretseptivnyh razdrazheniy slepoy kishki [Changes in the motor-secretory function of the small intestine under the influence of interoreceptive irritations of the caecum]. Byulleten eksperimental'noy biologii – Bulletin of Experimental Biology. 1953;36(3):5-9 (in Russ.).
5. Nielubowicz L., Folga J., Wieckowska W. Bioelectryczna czynnose jelit. Doniesiemie Tymczasowe. Pol. Tyg. lek. 1960;1:1077-1083.
6. Nikolayev L.L. Svyaz’ motornoy i evakuatornoy funkcii tonkogo kishechnika [Communication of the motor and evacuation functions of the small intestine]. In: Materialy Itogovoy nauchnoy studencheskoy konferencii 2-go Mos kovskogo med. instituta [Proceedings of the Final Scientific Student Conference of the 2nd Moscow Medical Institute]. Moscow, 1966:43-45 (in Russ.).
7. Gol’dberg A.D. Diatermiya solnechnogo spleteniya v terapii posleoperatsionnyh parezov kishechnika [Solar plexus diathermy in the treatment of postoperative intestinal paresis]. Vrachebnoye delo. 1952;9:779-782 (in Russ.).
8. Benyo J., Tharz M., Fusy F. Electronos intraluminalis duodenum ingerles as a bel mikromotilitasa. Magy. Scbesz. 1964;16:282-284.
9. Kobakhidze Z.V. Izucheniye nekotoryh voprosov motoriki zheludka v eksperimente metodom tenzometrii [The study of some issues of gastric motility in the experiment by the method of tensometry]. In: Motornaya funkciya zheludochno-kishechnogo trakta [Motor function of the gastrointestinal tract]. Kiev, 1965:101-110 (in Russ.).
10. Vishnevsky A.A., Livshits A.V., Khodorov B.I. Elektricheskaya stimulyatsiya mochevogo puzyrya v eksperimente [Electrical stimulation of the bladder in the experiment]. Eksperim. Khirurgiya – Experiment. Surgery. 1966;5:5-9 (in Russ.).
11. Vishnevskiy A.A. Livshits A.V., Vilyanskiy M.P. Elektrostimulyatsiya zheludochno-kishechnogo trakta [Electrical stimulation of the gastrointestinal tract]. Moscow, Meditsine Publ., 1978:184 p. (in Russ.).
12. Galperin Yu.M., Rogatskiy G.G. Vzaimootnosheniya motornoy i evakuatornoy funkcii tonkoy kishki pri yeye elektrostimulyatsii [The relationship of the motor and evacuation function of the small intestine during its electrical stimulation]. In: Vzaimootnosheniya motornoy i evakuatornoy funktsii kishechnika: sb. nauch. trudov [Relationship of the motor and evacuation function of the intestine: Sat. scientific works]. Moscow, 1971:90-108 (in Russ.).
13. Dambayev G.Ts. O mehano-elektricheskom metode izucheniya motornoy funkcii zheludochno-kishechnogo trakta v eksperimente i klinike. Avtoref. dis. kand. med. nauk [On the mechano-electrical method for studying the motor function of the gastrointestinal tract in the experiment and in the clinic: Author. Diss. Cand. Med. sci.]. Tomsk, 1973:23 p. (in Russ.).
Review
For citations:
Dambayev G.Ts., Bashirov S.R., Popov O.S., Martusevich A.G. History of the creation of autonomous electrical stimulators of the gastrointestinal tract. Issues of Reconstructive and Plastic Surgery. 2022;25(3):86-91. (In Russ.) https://doi.org/10.52581/1814-1471/82/1
Views:
266
Email this article 