Device for the non-invasive treatment of muscular and neuromuscular pathologies and support to aesthetic treatments

A device for the non-invasive treatment of muscular and neuromuscular pathologies by applying a succession of mechanical-sound waves to a muscle.

This application is a U.S. national stage of PCT/IB2019/052751 filed on 4 Apr. 2019, which claims priority to and the benefit of Italian Application No. 102018000004224 filed on 5 Apr. 2018 the contents of which are incorporated herein by reference in their entireties.

The object of the present invention concerns a device for the treatment of muscular and neuromuscular pathologies and support to aesthetic treatments.

In particular, the object of the present invention concerns a device for the treatment of muscular and neuromuscular pathologies by applying a succession of mechanical-sound waves to one or more muscles.

More in particular, the device of the present invention is such as to produce mechanical-sound waves or vibrations able to induce adaptive responses of the metabolic and neurophysiological types in the neuromuscular chain and in the osteoarticular structures of a patient by interacting with the cortical areas and cerebellum.

In the known art, there are devices for the non-invasive treatment of muscular and neuromuscular pathologies which are generally used for some applications on specific muscular and/or epidermal regions of the patient, but not on all anatomic regions theoretically treatable with such therapeutic technique. By way of example, a device for the non-invasive treatment of muscular pathologies of the known type is described in document EP1824439.

In fact, the therapeutic treatment devices of the known type have actuators made to be able to satisfy different therapeutic requirements in terms of anatomic regions treatable with the technique in question. In particular, for each anatomic region to be treated, there is a specific actuator of adequate shape and size, especially with a ratio between surfaces and holes dispensing the impulses calibrated according to the type of impact the latter must have on the epidermis.

In the known art, the therapeutic treatment devices of the known type have an impulse/vibration generator of the membrane type, which requires a connection to a pressurized area and to a low-pressure area of a compressor.

The structural configuration of the treatment devices of the traditional type in fact has some limitations and drawbacks.

A first limitation lies in the fact that the device of the known type is very costly in terms of the number of actuators it must have for as many anatomical regions to be treated. In other words, the more anatomic regions of a patients have to be treated, the greater the number of actuators that the technician must have in order to use the therapeutic treatment device of the known type.

A second limitation lies in the fact that the therapeutic treatment device of the known type is able to reach a mechanical-sound wave frequency which cannot exceed 300 Hz.

Moreover, the means generating vibrations/mechanical-sound waves have an operating structure with a pneumatic membrane whose elastic characteristics are subject to wear and deterioration over time and use. This typical characteristic of the devices of the known type considerably limits the amount of air which the flow modulator could manage. In fact, the device of the known type cannot deliver compressed air beyond a certain flow rate and/or pressure and is not able, as mentioned above, to exceed a given vibration frequency.

A third further limitation of the therapeutic devices of the known type is the considerable vibration of the transmission means and of the dispensing means, also named actuators. Sometimes, excessive vibrations from the device to the actuator lead to the breakage of the transmission means of the mechanical-sound waves. A consequence is that the therapeutic treatment must be resumed and restored with an inevitable loss of time for the assigned operator and patient.

A further disadvantage of the devices of the known type is the fact that the vibrations, as mentioned above, also involve the diffusion of acoustic waves, i.e. of noise generated by the device itself.

In addition, the devices of the known type allow to dispense mechanical-sound waves to patients who substantially have to remain motionless such as not to alter the treatment through, for example, the involuntary displacement of the actuators on the epidermis. Moreover, as a consequence of the fact that the pneumatic connections between the actuators and transmission means of the mechanical-sound waves in the devices of the known type are delicate and not very resistant, an involuntary movement of the patient could cause a tube of impulse transmission to come out and/or the breakage of the pneumatic connector itself.

The present invention concerns a device for producing vibrations of high therapeutic value, able to induce adaptive responses of the metabolic and neurophysiological type in the neuromuscular chain and in the myo-osteoarticular structures of a patient by interacting with the cortical areas and cerebellum.

In other words, the present invention concerns a device for the non-invasive treatment of muscular and neuromuscular pathologies by applying a succession of mechanical-sound waves to a muscle, comprising production means of the mechanical-sound waves comprising a flow modulator.

The device of the present invention further comprises application means to apply the mechanical-sound waves on the epidermis at a muscle of a patient. The application means are operatively combined with the production means. In particular, the latter are connected by transmission means configured to transmit the just mechanical-sound waves from the production means to said application means.

For the purpose of the present description, mechanical-sound waves are understood as mechanically generated waves having a specific frequency which can be heard by the human ear, which are apt to exert a pressing-suctioning “vibration” sequence on the applied surface.

According to the present invention, the flow modulator comprises an outer casing inside which a pneumatic chamber is defined and subdivided in a first portion and a second portion.

The flow modulator further comprises a rotor element arranged between the first and second portions of the pneumatic chamber. In an operating configuration of the device, the rotor element is rotatable around a symmetry axis “X” of the pneumatic chamber and has an axisymmetric shape.

In further detail, the rotor element is preferably disc-shaped and has a first order of passages such as to pass through the rotor from an upper surface until reaching a circular perimetric surface. The rotor element comprises a second order of passages such as to pass through the rotor from a lower surface until reaching the circular perimetric surface. Preferably, the first order of passages and the second order of passages alternatively reach the perimetric surface in sequence, as shown by way of example in the accompanyingFIGS.2A-2B.

With reference to the transmission means of the mechanical-sound waves, they comprise at least one pneumatic tube having, on a free end thereof, a quick coupling suitable for being fitted with a respective sealed quick coupling portion of said actuator.

More in detail, the transmission means comprise at least one pneumatic tube having, on a further free end, a quick coupling suitable for being fitted with a respective sealed quick coupling of the flow modulator.

Advantageously, the aforesaid casing comprises a central body and an upper cover that can be coupled so as to define the first portion of the pneumatic chamber and a lower cover that can be coupled to the central body so as to define the second portion of the pneumatic chamber. In particular, in an operative configuration of the device, the rotor element is facing the second portion of the pneumatic chamber.

In detail, the central body of the casing has a housing portion configured to at least partially contain the rotor element in an operating configuration of the device.

In particular, when housed in the housing portion of the central body, the rotor only has the lower surface facing the second portion of the pneumatic chamber. Similarly, the upper portion of the rotor element is in contact and/or anyhow facing a respective surface of the housing portion of the central body.

According to the present invention, the central body has a first plurality of passages so that the first portion of the pneumatic chamber fluidically communicates with the housing portion. More precisely, the central body has a second plurality of passages at said housing portion so that the housing portion itself fluidically communicates with an outer portion of the central body.

According to the present invention, the device has quick couplings of the pneumatic type, preferably at the second plurality of passages on the outer portion of the central body of the flow modulator. The aforesaid sealed quick couplings allow the fluid-tight connection of the transmission means with the production means of the mechanical-sound waves.

By way of example and not limitedly, the aforesaid central body is schematically depicted inFIGS.3A-3B.

By means of the characteristics described above, in an operating configuration of the device, therefore when the rotor element is at least partially arranged in the aforesaid housing portion and is rotating, the rotor element itself is such as to selectively and alternatively put the first portion of the pneumatic chamber in fluidic connection with the outer portion of the central body by means of the temporary matching of the first plurality of passages of the central body with the first order of passages of the rotor element.

Contemporaneously to the above, the rotor element is such as to selectively and alternatively put the second portion of the pneumatic chamber in fluidic connection with the outer portion of the central body by means of the temporary matching of the second plurality of passages of the central body with the second order of passages of the rotor element.

With reference toFIG.1B, the upper surface of the rotor element is facing a respective portion inside the housing portion of the central body. Moreover, the lower surface of the rotor element is facing the second portion of the pneumatic chamber while the aforesaid circular perimetric surface of the rotor element is facing a corresponding part of the housing portion.

According to the present invention, in an operating configuration of the device, the first portion of the pneumatic chamber and the second portion of the pneumatic chamber are governed by different pressure values. Preferably, the pressure difference between the first and second portions of the pneumatic chamber is of about 1 bar, even more preferably such difference does not exceed the value of 1 bar.

The mechanical-sound waves are therefore generated by the flow modulator and in particular by the rotation of the rotor element with respect to the pneumatic chambers.

Conveniently, the device according to the present invention has a control unit to vary the frequency and intensity of the mechanical-sound waves applied to the muscles according to the different type of therapy and/or anatomic portion to be treated.

Preferably, the production means of the mechanical-sound waves generate mechanical-sound waves with frequency greater than 30 Hz.

Conveniently, the production means of the mechanical-sound waves generate selective square-wave mechanical-sound waves.

Advantageously, there is a plurality of application means of the mechanical-sound waves. The plurality of the application means of the mechanical-sound waves contemporaneously applies synchronous mechanical-sound waves to muscles and preferably of equal intensity.

With reference to the application means of the mechanical-sound waves on the epidermis of the present invention, they preferably are distinguished in at least two main categories.

According to the present invention, the application means comprise an actuator shaped like a hemispherical cap. Preferably, the aforesaid hemispherical actuator is configured for an application to the muscle and/or epidermis of a patient. An actuator of this type is schematically depicted by way of example in theFIGS.4A-4B. Preferably, an actuator of this type can also be used without the assistance of an assigned operator.

According to the present invention, the hemispherical cap actuator has a gripping portion configured for manual gripping and/or fixing to the body of a patient for dispensing the mechanical-sound waves, and a contact portion configured for the contact with the epidermis of the aforesaid patient. At least the gripping portion and the contact portion are made in one piece by overmolding at least one plastic polymer. In a different embodiment according to the present invention, not shown, the gripping portion and the contact portion are made by means of a co-extrusion process.

In further detail, the hemispherical cap actuator has a reversible coupling portion configured for the sealed connection with the aforesaid transmission means of the mechanical-sound waves. Preferably, the reversible coupling portion of the hemispherical cap actuator comprises at least one sealed quick coupling portion suitable for being fitted in the respective portion of the quick coupling present on the free end of the transmission means.

According to the present invention, the device for the non-invasive treatment of muscular pathologies comprises a prismatic actuator configured for a manual application on the muscle and/or epidermis of a patient. Preferably, the prismatic actuator has at least one conical and/or truncated-cone shaped portion and a cylindrical portion, as depicted by way of example in the accompanyingFIGS.6and8.

The prismatic actuator comprises a dispensing portion of the mechanical-sound waves and a base portion. Preferably, at the base portion of the actuator, it comprises a reversible coupling portion, for example threaded or mechanically interlocking, to reversibly couple with a further element of the device.

More precisely, the dispensing portion for the prismatic actuator is similar to the contact portion of the aforesaid hemispherical cap dispenser because it is a part of the actuator which goes into contact, at least partially, with an anatomic portion of a patient. Given the difference in the morphology and/or shape and/or size of the prismatic actuator with respect to the hemispherical cap actuator, the contact portion was renamed dispensing portion.

According to the present invention, the device for the non-invasive treatment of muscular pathologies comprises a spoon-like actuator having a concave portion for the manual treatment of the muscle and/or epidermis of a patient in inner anatomic regions, such as for example vaginal applications.

In particular, the concave portion has a planform of the circular or elliptical or oval type. Preferably, the concave portion has a plan development between about 2 and 12 square cm.

Preferably, the spoon-like actuator has a minimum length of at least 7 cm and has an overall thickness or depth of about 2 cm.

According to the inventive concept of the present invention, the present device also comprises a handgrip having, at one end, a sealed quick coupling for the sealingly connection with said transmission means and, at an opposite end, comprising a reversible coupling portion preferably threaded for the sealingly connection with an actuator of the aforementioned type.

Preferably, the handgrip comprises adjusting means configured to adapt the frequency of the mechanical-sound waves depending on the different type of therapy and/or anatomic portion to be treated.

Preferably, the transmission means of said mechanical-sound waves comprise at least one pneumatic tube having, on at least one free end, a quick coupling suitable for being fitted with a respective portion of a reversible coupling with a hemispherical cap actuator or of the handgrip.

In detail, the transmission means comprise at least one pneumatic tube having, on a further free end, a quick coupling suitable for being fitted with a respective sealed quick coupling of the central body of the flow modulator of the device.

In the accompanyingFIGS.1A-1B, the reference number1denotes, in the present detailed description, the device1for the non-invasive treatment of muscular and neuromuscular pathologies by applying a succession of mechanical-sound waves to a muscle, according to the present invention. More precisely, inFIGS.1A and1B, some of the main components of the device1are schematically shown while hiding others.

The device1of the present invention comprises: production means20of the mechanical-sound waves, comprising at least one flow modulator30and application means40to apply the impulses on the epidermis at a muscle of a patient. The application means40are operatively combined with the production means20, in particular they are connected to each other by transmission means50of said mechanical-sound waves. The application means will be further described in detail below.

The production means20of the mechanical-sound waves generate mechanical-sound waves with frequency greater than 30 Hz.

The production means20of the mechanical-sound waves generate selective square-wave mechanical-sound waves. Conveniently, the device according to the present invention has a control unit to vary the frequency and intensity of the mechanical-sound waves applied to the muscles according to the different type of therapy and/or anatomic portion to be treated.

The control unit is also connected to at least one sensor, not shown in the figures, configured to detect the runtime of the frequency of the mechanical-sound wave generated. This way, whenever the control unit should detect a shift of the frequency generated with respect to the one preset, the control unit would act on the rotor element70to adjust its rotation so that to bring the frequency back to the preset value.

The control unit can also have a display configured to display auxiliary images of the portion treated so that to detect the correct positioning of the application means40.

More in detail, the flow modulator30comprises an outer casing31inside which a pneumatic chamber60is defined and subdivided in a first portion61and a second portion62. The flow modulator30further comprises a rotor element70arranged between the first61and second62portions of the pneumatic chamber60.

In an operating configuration of the device1, with reference to the accompanyingFIG.1B, the rotor element70is rotatable around a symmetry axis “X” of the pneumatic chamber60and has an axisymmetric form.

With reference to theFIGS.2A-2B, the rotor element70is preferably disc-shaped and has a first order of passages71such as to pass through the rotor70from an upper surface72until reaching a circular perimetric surface73. The rotor element70further has a second order of passages74such as to pass through the rotor70itself from a lower surface75until reaching the circular perimetric surface73. Preferably, the first order of passages71and the second order of passages74alternatively reach the perimetric surface73in sequence.

Advantageously, the casing31of the flow modulator30comprises a central body32and an upper cover33that can be coupled so as to define the portion61of the pneumatic chamber60and a lower cover34that can be coupled to the aforesaid central body32so as to define the second portion62of the pneumatic chamber60.

The central body32of the casing has a housing portion35configured to at least partially contain the rotor element70in an operating configuration of said device1. In particular, the rotor element70is facing the second portion62of the pneumatic chamber60when it is arranged in the housing portion35. The configuration described above allows to define the flow modulator30of the present invention as a single-chamber flow modulator.

More in detail, with reference to theFIGS.3A-3B, the central body32has a first plurality of passages36such as to put the first portion61of the pneumatic chamber60in fluidic communication with the housing portion35and a second plurality of passages37at the housing portion35such as to put the housing portion35in fluidic communication with an outer portion38of the central body32. Preferably, there are at least ten passages37, more preferably at least fourteen passages37.

With reference toFIGS.1A and1B, the device1is such as to have quick couplings90of pneumatic type at the second plurality of passages37on the outer portion38of the central body32of the flow modulator30. Preferably, the aforesaid quick couplings90are fluid-tight and such as to isolate the pneumatic chamber60from the outside of the casing31.

By way of example and not limitedly, the quick coupling90comprises at least one straight quick coupling portion configured to put two ends of two components and/or passages of the device1in fluidic communication. In particular, the quick coupling90can comprise a portion adapted to achieve a reversible fluid connection.

In an operating configuration of the device1, wherein the rotor element70is rotating around the axis “X” and is arranged at least partially in the housing portion35, the rotor element70is such as to selectively and alternatively connect the first portion61of the pneumatic chamber60with the aforesaid outer portion38of the central body32fluidically by means of the temporary matching of the first plurality of passages36of the central body32with the first order of passages71of the rotor element70.

In other words, the upper surface72of the rotor element70is inside and is facing a respective surface of the housing portion35of the central body32. Moreover, the lower surface75of the rotor element70is facing the second portion62of the pneumatic chamber60and the circular perimetric surface73of the rotor element70is facing a corresponding part35aof the housing portion35.

The number of passages36-37of the central body32and the number (theoretically corresponding) of passages71-74of the rotor element70together with the number of revolutions of the rotor element70allow to define the frequency of the mechanical-sound waves dispensed by the device1.

In an operating configuration of the device1, the first portion61of the pneumatic chamber60and the second portion62of the pneumatic chamber60are governed by different pressure values. Preferably, the pressure difference between the first61and second62portions of the pneumatic chamber60is of about 1 bar, even more preferably does not exceed the value of 1 bar.

In order to connect the production means20with the application means40, the transmission means50of the mechanical-sound waves comprise at least one pneumatic tube51having, at least at one free end, a quick coupling90suitable for being fitted with a respective portion of a sealed quick coupling90of the application means40.

In particular, the transmission means50comprise at least one pneumatic tube51having, on a further free end, a quick coupling90suitable for being fitted with a respective sealed quick coupling90of the central body32of said flow modulator30.

The application means40are described here below. Advantageously, there is a plurality of application means40of the mechanical-sound waves. The plurality of the application means40of the mechanical-sound waves contemporaneously apply synchronous mechanical-sound waves to muscles.

In particular, in the accompanyingFIGS.4A-4B, an actuator41shaped like a hemispherical cap is shown. Preferably, the hemispherical actuator41is configured for an automatic application to the muscle and/or epidermis of a patient.

In detail, the hemispherical cap actuator41has a gripping portion42configured for the manual gripping and/or temporary fixing to dispense the mechanical-sound waves in a predetermined anatomic region of the patient. The hemispherical cap actuator41also has a contact portion43configured to contact the epidermis of a patient. Advantageously, the gripping portion42and the contact portion43are made in one piece by overmolding at least one plastic polymer. In particular, the gripping portion42is first molded with a predetermined polymer and the contact portion43is subsequently overmolded, preferably with a different polymer.

The hemispherical cap actuator41has a reversible coupling portion44configured for being sealingly connected with the aforesaid transmission means50of the mechanical-sound waves, preferably the reversible coupling portion44comprises at least one sealed quick coupling portion.

The hemispherical cap actuator41of the present invention can have different sizes, it can therefore have different volumes/surfaces in contact with the anatomic part to be treated, just to allow the application thereof at each point of the body without limitations.

According to the present invention, the hemispherical cap actuator41has, on an outer surface, prismatic shapes in relief such as to always ensure an optimal grip, both manually and with elastic bands prearranged to hold the actuator41in position during the therapeutic treatment.

With reference to the accompanyingFIGS.6and8, the application means40of the present invention comprise a prismatic actuator45configured for a manual application to the muscle and/or epidermis of a patient.

According to the present invention, the prismatic actuator45comprises a dispensing portion46of the mechanical-sound waves and a base portion47configured to support said dispensing portion.

More precisely, the dispensing portion46for the prismatic actuator45is similar to the contact portion44of the hemispherical cap dispenser41already described previously because it is a part of the actuator45which goes into contact, at least partially, with an anatomic portion of a patient. Given the difference in the morphology and/or shape and/or size of the prismatic actuator45with respect to the hemispherical cap actuator41, the contact portion44was renamed and denoted as dispensing portion in the following detailed description by the numeral reference46.

Preferably, the prismatic actuator45comprises a reversible quick coupling, for example of the threaded type, as schematically shown in the accompanyingFIGS.6-8.

In particular, the prismatic actuator45having at least a conical and/or truncated-cone portion is schematically shown in the accompanyingFIG.6.

Instead, a prismatic actuator45configured to dispense a sufficiently large anatomic portion while preserving a dimensional compactness, at least as far as the thickness is concerned, which allows it to be used for example by interposing it between the anatomic part to be treated and a temporary banding, bandages to hold the dispenser in position anyhow allowing a certain movement of the patient, is schematically shown inFIG.7. More in detail, the transducer ofFIG.7can be used both like the hemispherical caps in an automatic way, in this case the advantage is that also the back muscles can be treated in the utmost comfort for the patient himself when the patient is in a supine position. In alternative, the transducer45ofFIG.7can be used manually to exert a massage, the grip of the operator is facilitated by an adjustable Velcro ring.

A prismatic actuator45, which is configured to dispense on a narrower anatomic portion and/or in a more difficult to reach position, is schematically shown in accompanying attachedFIG.8. Preferably, the prismatic actuator45depicted inFIG.6andFIG.8at least has one part of the dispensing portion46with a convex or ogival shape, for example with a parabolic-hyperbolic profile. This detail of the shape of the dispensing portion46is visible in the actuator45ofFIG.8.

Preferably, the prismatic actuator45at the base portion47comprises a reversible coupling portion45a, for example threaded or mechanically interlocking, configured to couple the actuator45to a supporting element better described below.

Now, according to the present invention, some components, among which the element ofFIGS.9B and9Cis a spoon-like actuator48whereas the component ofFIG.9Ais an extension element100, are schematically shown with reference toFIGS.9A-9C.

According to the invention, the application means40to apply the mechanical-sound waves to the epidermis comprise a spoon-like actuator48having a concave portion48a, just like a spoon. The concave portion48ais the part of the spoon-like actuator48intended for dispensing the mechanical impulses.

Preferably, the spoon-like actuator48is configured for a manual application to the muscle and/or epidermis of a patient, similarly to the actuators41,45described above.

Preferably, the spoon-like actuator48is configured for applications to the inner anatomic parts of a patient, such as for example vaginal applications.

Preferably, the concave portion48ahas a planform of the circular, elliptical or oval type.

According to the present invention, preferably the concave portion48ahas a plan development between about 2 and about 12 square cm.

Preferably, the spoon-like actuator48has a minimum length of at least 7 cm and has an overall thickness or depth of about 2 cm.

As schematically shown in the accompanyingFIGS.9B and9C, the spoon-like actuator48has, at a base portion47, a reversible coupling portion48b, for example a threaded coupling portion.

Now, with reference to the accompanyingFIG.9A, it schematically shows an extension element100of elongated shape, such as for example a tube. The extension element100is configured to connect with a first free end101by means of a reversible coupling portion101awith a respective reversible coupling portion of another actuator, preferably with the reversible coupling portion48aof the aforesaid spoon-like actuator48.

At a second end102opposite of the first one101, the extension element has a reversible coupling portion102a, for example threaded, suitable for the sealingly connection with the transmission means50.

In other words, according to the present invention, the spoon-like actuator48is advantageously made in two pieces by coupling the extension element100with the base part47.

With reference to the accompanyingFIG.5, the application means40to apply the mechanical-sound waves to the epidermis comprise a handgrip49having, at an end, a sealed quick coupling90to achieve a sealingly connection with the transmission means50. Preferably, at an opposite end of the handgrip49, it comprises a reversible coupling portion49a, for example threaded, to achieve a stable sealingly connection with a prismatic actuator45(by means of the reversible coupling portion45a), for example the prismatic actuators45depicted inFIG.6andFIG.8.

Moreover, the handgrip49is configured to achieve a connection with a respective reversible coupling portion102aof the extension element100described above.

In other words, the handgrip49of the present invention is configured to manually manage the prismatic actuator45shown for example inFIG.6andFIG.8or the spoon-like actuator48by means of the extension element100interposed between the spoon-like actuator48and the handgrip49itself.

Preferably, the handgrip49comprises adjusting means80configured to adapt the frequency of said mechanical-sound waves depending on the different type of therapy and/or anatomic portion to be treated. Preferably, the adjusting means80are configured to activate/deactivate the aforesaid impulses, to adjust their frequency and/or amplitude and control all other physical parameters of the vibrational wave. Preferably, the adjusting means80comprise a membrane keyboard comprising one or more keys to control and adjust the device1.

According to the inventive concept of the present invention, the adjusting means80are configured to control the operations of the production means20of the mechanical-sound waves in an operating configuration of the device1.

As previously mentioned, the sealed quick coupling90allows the passage of fluid, for example between the production means20and the application means40.

Moreover, the sealed quick coupling90is configured to be connected to a hybrid coupling110depicted by way of example in the accompanyingFIG.10. Therefore, the hybrid coupling110can be in fluidic connection with the sealed quick coupling90in an operating configuration of the device1.

In particular, the hybrid coupling110is configured to achieve an electrical connection to transmit low voltage information and/or electrically feed for example said adjusting means80to allow a communication between the production means20and an actuator45,48,100, which are depicted by way of example and not limitedly in the accompanyingFIGS.6,8,9A-9C.

Preferably, the hybrid coupling110is a hybrid coupling of the panel type.

According to the inventive concept of the present invention, the adjusting means80are configured to be connected to a hybrid coupling120depicted by way of example and not limitedly in the accompanyingFIG.11. Preferably, the hybrid coupling120is a hybrid coupling of the free-hanging type.

The present invention has achieved the preset purposes. Advantageously, the dispensing device of the present invention allows to achieve increased performances in terms of the fluid volume (air) managed by the flow modulator for the benefit of a better quality of the transmitted signal and performance in terms of the intensity of the impulses dispensed with respect to known devices.

Advantageously, the actuators of the present invention are configured such as to allow the connection to the production means by means of a quick coupling. Advantageously, the presence of a quick coupling speeds up and considerably simplifies the maintenance operations and contemporaneously allows to permanently and sealingly stabilize the connection between the tube and dispensing, both in case of automatic dispensing in which the actuator is alongside an anatomic part of a patient by means of banding or binding and in case of an assigned operator who must, for example, replace the elongated end of an actuator during a manual dispensing therapy.

Advantageously, especially in case of therapies using actuators for the anatomic use of the device of the present invention, the patient, during the therapy given by the device, can also be in movement, for example, during a controlled motor activity and/or combined with the non-invasive treatment of muscular and neuromuscular pathologies by applying a succession of mechanical-sound waves to a muscle.

A further advantage derives from the fact that with the quick coupling, it is possible to connect the production means to the dispenser also after the latter was firmly applied to an anatomic part of the patient.

Advantageously, the presence of a quick coupling for the connection between an actuator and the flow modulator allows the device of the present invention to be hygienically cleaner and safer with respect to known devices and allows to considerably soften noises and vibrations of the actuators themselves and of the transmission means.

Advantageously, the two-element structure of the spoon-like actuator with the extension element allows considerable saving of accessories and/or various embodiments with respect to the known devices. In fact, the coupling by means of threading and/or coupling by interference or interlocking between the extension element and/or actuator or handgrip allows to couple, by a sealingly connection without interruption, countless combinations between actuator, extension element and handgrip without requiring a complete set of actuators such as occurs in case of known devices.

Advantageously, the handgrip of the present invention comprising the adjusting means allows the operator to act with one hand only both to orient the actuator on the anatomic part to be treated and to adjust the frequency of the mechanical impulse to transmit thereto.

Advantageously, the gripping portion and the contact portion of an actuator of the present invention are achieved by overmolding the polymers both to allow to considerably speed up the production process and to increase the benefits in terms of hygiene, since there is no more sealing gasket between the two parts which requires systematic maintenance and cleaning in case of the known devices.

Advantageously, the device of the present invention has greater energy efficiency with respect to those of the known type since it makes much less noises and vibrations while operating with respect to those emitted by a device of the same category of the known type.