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System and methods provide intrabody communication using acoustic telemetry. System includes a first implant including a first transducer. Second implant may include a sensor for measuring a physiological parameter. Data may be used by the first implant to control a pacemaker.
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Titolo originale
APPARATUS AND METHODS USING ACOUSTIC TELEMETRY FOR INTRABODY COMMUNICATIONS
System and methods provide intrabody communication using acoustic telemetry. System includes a first implant including a first transducer. Second implant may include a sensor for measuring a physiological parameter. Data may be used by the first implant to control a pacemaker.
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Scarica in formato PDF, TXT o leggi online su Scribd
System and methods provide intrabody communication using acoustic telemetry. System includes a first implant including a first transducer. Second implant may include a sensor for measuring a physiological parameter. Data may be used by the first implant to control a pacemaker.
Copyright:
Attribution Non-Commercial (BY-NC)
Formati disponibili
Scarica in formato PDF, TXT o leggi online su Scribd
IMO
US 200402007441
«i» United States
Patent Application Publication co Pub. No.: US 2004/0204744 AL
Penner et al. 4) Pub. Date: Oct. 14, 2004
(2)
co)
os),
APPARATUS
‘ACOUSTIC TELEM
COMMUNICATIONS
\ND METHODS USING
TRY FOR INTRABODY
Inventors: Avi Penner, Tel Aviv (IL
Kiryat Yam (L)
Doron,
Correspondence Address
Bingham MeCutchen LLP
Suite 1800
Three Embarcadero Center
San Francisco, CA 94111-4067 (US)
Assignee: REMON — MEDICALTECHNOLO-
GIks LID.
62) US. 607/23; 600/486; 604/891.1
on ABSTRACT
Systems and methods provide intrabody communication
tsing acoustic telemetry. The system includes « fist or
control implant including «first acoustic transducer, and @
second! implant including a switch and a second acoustic
transducer coupled to the switch, The second acoustic tans
ducer receives acoustic signals from the fist acoustic trans-
ducer for closing the switch to activate the second mpl.
Te second implant may include a sensor for measuring &
physiological parameter that is transmitted using acoustic
(1) Appl No: 19413408 Signals including the physiological data to the es impant.
Fr example, the second implant may measure presse in
(22) Fite ‘Ape 14, 2008 the patent's bea that may be used by the frst implant to
contol a pacemaker. Allemaively, he second implant may
Publication Clasiiation blood sugar concentation that may be used by the fist
implant 10 control an insulin pump. Altermativel the fist
G1) Ine? [AGIN 1/865; A611 5/02; implant may store and transfer the data to an external device
ASK 9/22 for monitoring the patent
TRANSMITTER PL 24 2
14
CONTROL
BATTERY |») ONT MEMORY
18 2 2
"ACOUSTIC
TRANSDUCER |~16
H me
Mw 40a
Pa
acoustic} f-%
TRANSDUCER || 49
os | afar"
BATTERY |» switch fo» circum
a7
10Patent Application Publication Oct. 14,2004 Sheet 1 of 5 US 2004/0204744 AL
——__—/"
TRANSMITTER }. 24 a?
44
CONTROL
BATTERY }+} ‘GRC MEMORY
a 2 2
‘ACOUSTIC
TRANSDUCER [16
OH 20a
_ 7)
‘ACOUSTIC
TRANSDUCER |'| 49
38 ae ee a
CONTROL
BATTERY ey CIRCUIT
\
FIG. 1Patent Application Publication Oct. 14,2004 Sheet 2 of 5 US 2004/0204744 AL
20
20a
20
125
126
7 116
120
115
SiePatent Application Publication Oct. 14,2004 Sheet 3 of 5 US 2004/0204744 AL
Control Implant
Second Implant
(Passive)
Second Implant
(Active)
Control Implant
Be
is
y aeo®
Data receiving,
processing, and
storing
— Optional: Stop command
80
FIG. 4Patent Application Publication Oct. 14,2004 Sheet 4 of 5 US 2004/0204744 AL
132
FIG. 5Patent Application Publication Oct. 14,2004 Sheet 5 of 5 US 2004/0204744 AL
INSULIN
450
) & 42
432
‘
410 0
FIG. 6US 2004/0204744 AI
APPARATUS AND METHODS USING ACOUSTIC
‘TELEMETRY FOR INTRABODY
‘COMMUNICATIONS.
INTRODUCTION
[0001] The preseat invention relates generally to devices
for implantation within a patients bods, and more particu-
larly to systems and methods for communication within &
patien’s body using acoustic telemetry, eg. using one
Jimplant within body w activate, deactivate, andiorother-
‘wise control one or mare additional implants located within
the body that monitor physiological conditions andor pro-
‘ide therapeutic functions.
BACKGROUND OF THE INVENTION
[0002] Devices are known that may be implanted within a
Patient's body to monitor ane or more physiologiesl condi-
tions andor to provide therapeutic functions. For example,
‘sensors or transelucers may be located deep within the body
for monitoring a variety of properties, such as temperature,
pressure, stain, uid flow, chemical properties, electrical
properties, magnetic properties, and the like. In addition,
‘devices may be implanted that perform one oe more ther
peutic functions, such as drug delivery, defibilaton, elec
trical stimulation, and the like
{0003} Often itis desirable to control or etherwise com-
‘monicate with such devices ance they are implanted within
2 patent, for example, to obtain data, andlor to activate or
‘deactivate the implanted device. An implant may include
Wie lads that extend from the implant tan exterior surface
‘of the patient, thereby allowing an extemal conteoller oF
clher device 1 be directly coupled tothe implant. Alterna
tively the implant may be remotely controlled or commu
riculed with using an external induction device. For
‘example, an extemal radio frequency (RF) transmitter may
he used fo communicate with the implant. In addition, RE
sdovices have been suggested that may be implanted within
4 patient's body to communicate with another implant at
another location within the patents body.
[0004] RF energy, however, may only penctrate a few
millimeters within a body, because of the body's dilectrie
nature, and therefore may not be able to communicate
‘effectively with an implant that is located deep within the
ody. RF devices may also require substantial electrical
power, because the devices generally consume electrical
‘energy even when in a dormant state. In adiion, although
an RF transmitter may be able to induce a current within 39
Jmplant, the implants receiving antenna, generally a low
impedance coil, may generate a voltage that iS 100 1ow 10
provikle a reliable switing mechanism
[0005] In a futher alternative, magnetic energy may be
tsed to control or otherwise communicate with an implant,
since a body generally does not attenuate magnetie fields,
‘The presence of external magnetic fields encountered by the
Patient during normal activity, however, may expose the
Patient to the risk of false positives, ie, accidental activa-
tion or deactivation of the implant, Furtbermowe, external
‘elecicomagnelic systems may be cumbersome and may nol
be able to effectively transfer coded information to an
implant
[0006] Accordingly, itis believed that apparatus and meth-
‘ods for communicating with implants using acoustic telem=
fetey would be useful,
Oct. 14, 2004
SUMMARY OF THE INVENTION
[0007] The present invention is generally directed. 10
implants that may be surgically or otherwise loested within
‘body for monitoring one or more physiological parameters
andor for performing one or mote therapeutic functions
‘More particularly, the present invention is directed to sys-
tems and!-methads for communicating between implants
within» patients body using acoustic telemetry, eg. using
‘one implant within tbe body to activate, deactivate, andior
tllerwise control another implant located within the body.
One or both of the implants may monitor physiological
conditions andioe provide therapeutic functions. Implants in
accordance with the present invention may be used for
Various diagnostic and/or therapeutic Functions, eal
efibrillation, pacing, pain relief stimulation, nevro-stinn-
lation, drug release, activation of a light source for photo-
dynamic therapy, monitoring of a radiation dose including
fonizing, magnotc or acoustic raiation, monitoring of flow
ina bypass graft, producing cell oxygenation and membrane
eleciroportaton, and measurement of various physiological
parameters including heart chamber pressure, infraction
lemperature, intracranial pressure, electrical impedance,
positon, orthopedic implant strain displacement, or pH.
[0008] Ia a accordance with & first aspect of the present
invention, a system is provided for communication within a
patiet's body that includes a frst implant, also called a
control implant and a second implant, also called a dormant
‘implant. Optionally, the system may include one or more
additional implants, e.g, one or more additional dormant
implants, andior the system may include therapeutic
sevice for treating the patient.
[0009] | Generally, the fist implant includes frst acoustic
fransdueer for transmitting acoustic signals. The rst
implant may include other components, ex, 2 processor,
controll, andor ther electrical ciety, memory, an
energy source (e., a nonrechangeable or rechargeable b
ry andioe capacitor) one of more sensors, andor a thera-
peutic device. The sccond implant generally inchides an
electrical circuit coafigueed for performing one or more
‘commands whea the implant i activated; 2 switeh coupled
to the electrical circuits and a second acoustic transducer
coupled tothe switch, the acoustic transducer configured for
receiving one or move seoustic signals from the first scoustic
transducer for closing the switch to activate the second
implant
[0010] Preferably, the switch is configured such that the
‘Switch is closed only when the second acoustic tansduc
recrives a first acoustic excitation signal followed by 2
second acoustic exeitation signal, the first and secood cous-
tie excitation signals being separated by predetermined
‘delay. This o other signal configurations may be used, 8,
‘when itis desired to activate one ofa plurality of available
Sdormaat implants contelled by the fist implant
[0011] In first preferred embodiment, the second implant
ay inelude a sensor coupled to the electeeal circuit, the
sensor configured for measuring a physiological paramet
‘Within the body when the second implant is activated. The
second acoustic transducer may be configured for transi
ting a signal including physiological data related to the
speared physio paneer he stam ans
[0012] For example, the first implant may include # con-
twoller coupled to a pacemaker, andthe secood implant may