CN103830840A - Patient controller with timing function and implanted medical system - Google Patents

Patient controller with timing function and implanted medical system Download PDF

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Publication number
CN103830840A
CN103830840A CN201210479812.XA CN201210479812A CN103830840A CN 103830840 A CN103830840 A CN 103830840A CN 201210479812 A CN201210479812 A CN 201210479812A CN 103830840 A CN103830840 A CN 103830840A
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China
Prior art keywords
patient
medical devices
implantable medical
patient controller
wireless communication
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CN201210479812.XA
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Chinese (zh)
Inventor
付玉敏
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Suzhou Jingyu Medical Equipment Co Ltd
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Suzhou Jingyu Medical Equipment Co Ltd
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Priority to CN201210479812.XA priority Critical patent/CN103830840A/en
Publication of CN103830840A publication Critical patent/CN103830840A/en
Pending legal-status Critical Current

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Abstract

The invention discloses a patient controller used for accurately controlling a magnetic switch in an implanted medical device. The patient controller includes a permanent magnet used for switching on or switching off the magnetic switch in the implanted medical device and a timing circuit used for accurate timing of a patient. The timing circuit includes a power supply, a manual button switch, a timer and a sound making device, which are connected serially. When a patient uses the patient controller to approach the implanted medical device, the manual button switch is pressed immediately and then the timer begins timing and the sound making device is set to send a sound once every second; and when the patient hears a plurality of sounds which are set, the manual button switch is pressed immediately and a closing time of pull-in of the magnetic switch is recorded so that the patient is capable of judging whether switch-off output signals or rapid interception mode entering signals are input into the patient controller and thus error judgments of the implanted medical device are prevented and operation and use are facilitated for the patient. The invention also discloses an implanted medical system which includes the patient controller.

Description

A kind of patient controller and Implanted medical system with clocking capability
Technical field
The present invention relates to a kind of Implanted medical system, specifically, relate to a kind of for accurately controlling patient controller and the Implanted medical system of the opening/closing time of magnetic switch in implantable medical devices.
Background technology
Implanted medical system generally includes implantable neural electrical stimulator and (comprises brain deep brain stimulation DBS, implanted cortex stimulates CNS, implanted spinal cord stimulation trial SCS, implanted sacral nerves electricity irritation SNS, implanted vagus nerve electricity irritation VNS etc.), implantable cardiac electric stimulation (being commonly called as cardiac pacemaker), implanted drug infusion system (IDDS) etc.
Take implantable neural electrical stimulator as example, mainly comprise the pulse generator, electrode and the external controller that implant.Wherein, pulse generator is connected with electrode by extension wire, thereby the burst transmissions that pulse generator is produced is to electrode, and the pulse signal that pulse generator produces transfers to specific neuronal target by electrode and carries out electricity irritation, thereby makes function of human body return to the state of normal operation.External controller comprises doctor's program controller, patient controller.
Wherein, patient controller is to be being used for according to the device of the output parameter of pulse generator in the situation gauge tap of oneself or control agent that patient is equipped with, adjusting voluntarily in the range of accommodation that patient only can arrange doctor conventionally.Doctor's program controller is that doctor is used for according to the device of the output parameter of pulse generator in patient's condition monitoring control agent, and common doctor's program controller can be used to control multiple pulse generators.Patient controller and doctor's program controller can communicate by wireless communications mode, magnetic coil or other communication modes and pulse generator.
Wireless communications mode is the trend of Implanted medical system development at present, and doctor can use external controller by the output of radio communication control or inquiry implantable medical devices.In prior art, in order to guarantee that doctor need to use external controller and the implantable medical devices when needed can proper communication, conventionally after implantable medical devices being arranged to power on, make its wireless communication module all the time in high-power operation state, when external controller sends after information to implantable medical devices, implantable medical devices can be received in time this information and give a response.
But, because the energy of the battery in the implantable medical devices of Implanted medical system is limited, if the wireless communication module of implantable medical devices is all the time in high-power operation state, the service life of implantable medical devices is shortened in power consumption greatly compared with senior general, for patient, not only to bear the high expense of changing implantable medical devices, also will bear the misery of operation.
Summary of the invention
For the deficiencies in the prior art, the technical problem to be solved in the present invention is to provide a kind of patient controller with clocking capability, can help patient to judge that accurately patient controller is from pressing close to leaving holding time of implantable medical devices, facilitating patient to use the accurate judgement of patient controller is as closing output use or using as quick listen mode.
According to technical scheme provided by the present invention, a kind of for accurately controlling the patient controller of magnetic switch in implantable medical devices, comprise: for disconnect or closed implantable medical devices in the permanent magnet of magnetic switch, also comprise the timing circuit for the accurate timing of patient.
Preferably, described timing circuit comprises the power supply, hand push button switch, intervalometer and the sound-producing device that are in series respectively and connect, described hand push button switch is certainly close to the beginning and ending time of leaving described implantable medical devices for recording, thereby determines that patient controller is that output is used or the quick listen mode of conduct is used as closing.
Preferably, described sound-producing device comprises the buzzer for voice or the tinkle of bells prompting patient interval.
The present invention also provides a kind of Implanted medical system, comprise implantable medical devices, electrode, doctor's program control instrument, in described implantable medical devices, be provided with and can between quick listen mode and dormancy listen mode, switch and have the magnetic switch of closing stimulatory function, also comprise the patient controller for magnetic switch in accurate control implantable medical devices with timing circuit, fast timing circuit is used for judging that described patient controller is that output is used or the quick listen mode use of conduct as closing.
Preferably, described implantable medical devices comprises embedded nerve stimulator, Implanted cardiac pacemaker, Implantable Cardioverter Defibrillator or implanted infusion of drug device.
Preferably, described magnetic switch is tongue tube.
Preferably, described implantable medical devices comprises the first wireless communication module, in described patient controller, comprise can with the second wireless communication module of described the first wireless communication module radio communication;
Under described quick listen mode, described the first wireless communication module can be communicated by letter with described the second wireless communication module bidirectional high speed; Under dormancy listen mode, described the first wireless communication module can with institute's fast the second wireless communication module two-way low-speed communication; Described timing circuit show that described permanent magnet judges described implantable medical devices near tongue tube between 0.5~1.5 second time and enter quick listen mode.
Preferably, described timing circuit show that described permanent magnet judges described implantable medical devices near tongue tube between 2~5 seconds time and enter output shutdown mode.
Compared with prior art advantage of the present invention is: because the present invention is provided with the timing circuit for the accurate timing of patient in patient controller, patient in use can judge that patient controller presses close to the time of implantable medical devices accurately, it is the time of tongue tube adhesive, therefore can help patient to determine that patient controller is that output is used or conduct listen mode use fast as closing, thereby avoid the erroneous judgement of implantable medical devices, be convenient to patient's operation and use.
Accompanying drawing explanation
The structural representation that accompanying drawing 1 is Implanted medical system;
Accompanying drawing 2 patient controllers utilize magnetic field to control the schematic diagram of Implanted medical system;
The structural representation that accompanying drawing 3 is patient controller;
Wherein:
10, implantable medical devices; 11 magnetic switch; 12, microprocessor; 13, the first wireless communication module; 20, patient controller; 21, permanent magnet; 22, timing circuit; 221, power supply; 222, hand push button switch; 223, intervalometer; 224, sound-producing device; 23, the second wireless communication module; 30, electrode; 40, doctor's program control instrument.
The specific embodiment
Below in conjunction with accompanying drawing, the present invention is further detailed explanation:
As shown in accompanying drawing 1 to Fig. 3, take implantable nerve stimulating system as example, a kind of for accurately controlling the patient controller 20 of the interior magnetic switch 11 of implantable medical devices 10, comprise for disconnect or closed implantable medical devices in the permanent magnet 21 of magnetic switch.In present embodiment, magnetic switch is tongue tube, and the microprocessor 12 of implantable medical devices 10 is according to determining that patient controller 20 is that input is closed the signal of stimulation output or enters quick listen mode signal the pickup time of tongue tube.
The present invention is provided with in implantable medical devices can switch and have the tongue tube of closing stimulatory function between quick listen mode and dormancy listen mode.Tongue tube is opened during without communication in external body at ordinary times, make the low power consumpting state of the first wireless communication module 13 in power saving in implantable medical devices, can greatly save the power consumption while carrying out wireless program-controlled without use external controller at ordinary times, extend the service life of implantable medical devices, there is larger economic worth and use value.
In the time that special circumstances occur, tongue tube can also be used to the stimulation output of quick closedown implantable medical devices, patient by patient controller near implant site, after making permanent magnet 21 in patient controller near the tongue tube in implantable medical devices, tongue tube under the induction in magnetic field rapidly adhesive realize and close the function that stimulates output.Need not wait patient controller and implantable medical devices first to set up to communicate by letter and realize again control, in case of emergency can close rapidly the stimulation output of implantable medical devices, be convenient to patient and use.Similarly, patient also can use this patient controller promptly to open the stimulation output of implantable medical devices as required.
Therefore, patient uses patient controller can realize two functions near implant site, close and stimulate output function and switch to quick listen mode function, can, by controlling the shut-in time of tongue tube, while judging that by implantable medical devices closing stimulation exports, still switch to quick listen mode.Conventionally stimulate while exporting when wishing to close, it is longer that patient controller is pressed close to time of implantable medical devices, such as 2~5s; In the time that hope enters quick listen mode, it is shorter that patient controller is pressed close to the time of implantable medical devices, such as 0.5~1.5s.
In a solution, can judge by the artificial sensation of patient oneself, but because the adhesive persistent period of tongue tube in the time closing stimulation output and under quick listen mode is shorter, only carry out the control time by patient's artificial sensation, can not accurately judge that patient controller is stimulate output to use or use as quick listen mode as closing, it is long owing to pressing close to time of implantable medical devices if patient wishes to enter quick listen mode, the pickup time that is tongue tube is long, easily make implantable medical devices erroneous judgement stimulate output for closing, also therefore bring very large puzzlement to user.
In the present invention, what while being set between 0.5~1.5 second, think patient controller input the pickup time of implantable medical devices 10 interior tongue tubes is to enter quick listen mode signal, and what while being set to pickup time between 2~5 seconds, think patient controller input is to close stimulation output signal.From solution is different above, patient controller 20 of the present invention also comprises the timing circuit 22 for the accurate timing of patient.
As shown in Figure 3, timing circuit 22 comprises the power supply 221, hand push button switch 222, timer 2 23 and the sound-producing device 224 that are in series respectively and connect, and sound-producing device 224 comprises the buzzer for voice or the tinkle of bells prompting patient interval.Described hand push button switch 222 is for recording from close to the beginning and ending time of leaving described implantable medical devices 10.In the time that patient uses the patient controller 20 close medical apparatus and instruments 10 implanting, press immediately hand push button switch 222, now timer 2 23 starts timing, sound-producing device 224 is set to ring a sound second, in the time that patient hears three sounds, press immediately hand push button switch, record the deadline of tongue tube adhesive, what patient can judge now patient controller input accurately is to close stimulation output signal, avoids erroneous judgement to occur.When hearing a sound as patient, just press hand push button switch, what just can oneself judge accurately now patient controller input is to enter quick listen mode signal.
As shown in Figure 1, the present invention also provides a kind of Implanted medical system, comprise implantable medical devices 10, electrode 30, doctor's program control instrument 40, in this implantable medical devices, be provided with and can between quick listen mode and dormancy listen mode, switch and have the magnetic switch of closing stimulatory function, also comprise the patient controller 20 for magnetic switch in accurate control implantable medical devices with timing circuit, timing circuit is used for judging that described patient controller is that output is used or the quick listen mode use of conduct as closing.
As shown in Figure 2, implantable medical devices 10 comprises the first wireless communication module 13, in patient controller 20, comprise can with the second wireless communication module 23 of the first wireless communication module 13 radio communications.Under quick listen mode, the first wireless communication module 13 can be communicated by letter with the second wireless communication module 23 bidirectional high speeds, and such as intercepting once every 1~10 second, the present invention can select to intercept once every 2,3,4 seconds.Under dormancy listen mode, the first wireless communication module 13 can with the two-way low-speed communication of the second wireless communication module 23, such as intercepting once every 15 seconds~5 minutes, the present invention can select to intercept once every 15 seconds, 60 seconds, 2 minutes, 5 minutes.
Judge described implantable medical devices near tongue tube between 0.5~1.5 second time and enter quick listen mode when timing circuit 22 draws permanent magnet.Judge described implantable medical devices near tongue tube between 2~5 seconds time and enter output shutdown mode when timing circuit 22 draws described permanent magnet.
Specifically, in the time that patient uses the patient controller 20 close medical apparatus and instruments 10 implanting, press immediately hand push button switch 222, now timer 2 23 starts timing, sound-producing device 224 is set to ring a sound second, in the time that patient hears three sounds, press immediately hand push button switch, record the deadline of tongue tube adhesive, what patient can judge now patient controller input accurately is to close stimulation output signal, when hearing a sound as patient, just press hand push button switch, what just can oneself judge accurately now patient controller input is to enter quick listen mode signal, avoid erroneous judgement to occur.
Implantable medical devices 10 can be the one in embedded nerve stimulator, Implanted cardiac pacemaker, Implantable Cardioverter Defibrillator or implanted infusion of drug device.
Compared with prior art, because the present invention is provided with the timing circuit for the accurate timing of patient in patient controller, patient in use can judge that patient controller presses close to the time of implantable medical devices accurately, it is the time of tongue tube adhesive, therefore can help patient to determine that patient controller is that output is used or conduct listen mode use fast as closing, thereby avoid the erroneous judgement of implantable medical devices, be convenient to patient's operation and use.
Above the specific embodiment of the present invention is described.Be illustrative for description of the invention herein, thereby scope of the present invention should not be limited to the above-mentioned specific embodiment.It will be apparent to one skilled in the art that in the situation that not departing from purport of the present invention or substitutive characteristics, the above-mentioned specific embodiment is carried out to other distortion or change, also should be considered as protection scope of the present invention.

Claims (8)

1. for accurately controlling a patient controller for magnetic switch in implantable medical devices, comprising: for disconnect or closed implantable medical devices in the permanent magnet of magnetic switch, it is characterized in that: also comprise the timing circuit for the accurate timing of patient.
2. according to claim 1 a kind of for accurately controlling the patient controller of magnetic switch in implantable medical devices, it is characterized in that: fast timing circuit comprise the power supply, hand push button switch, intervalometer and the sound-producing device that are in series respectively and connect, described hand push button switch is for recording near beginning and ending time of fast implantable medical devices to leaving.
3. according to claim 2 a kind of for accurately controlling the patient controller of magnetic switch in implantable medical devices, it is characterized in that: described sound-producing device comprises the buzzer for voice or the tinkle of bells prompting patient interval.
4. an Implanted medical system, comprise implantable medical devices, electrode, doctor's program control instrument, it is characterized in that: in described implantable medical devices, be provided with and can between quick listen mode and dormancy listen mode, switch and have the magnetic switch of closing stimulatory function, also comprise as described in arbitrary in claims 1 to 3 for accurately controlling the patient controller of magnetic switch in implantable medical devices, described timing circuit is used for judging that described patient controller is as closing that output is used or using as listen mode fast.
5. a kind of Implanted medical system according to claim 4, is characterized in that: described implantable medical devices comprises embedded nerve stimulator, Implanted cardiac pacemaker, Implantable Cardioverter Defibrillator or implanted infusion of drug device.
6. a kind of Implanted medical system according to claim 4, is characterized in that: fast magnetic switch is tongue tube.
7. a kind of Implanted medical system according to claim 4, it is characterized in that: described implantable medical devices comprises the first wireless communication module, in described patient controller, comprise can with the second wireless communication module of described the first wireless communication module radio communication;
Under described quick listen mode, described the first wireless communication module can be communicated by letter with described the second wireless communication module bidirectional high speed; Under dormancy listen mode, described the first wireless communication module can with the two-way low-speed communication of described the second wireless communication module; Described timing circuit show that described permanent magnet judges described implantable medical devices near tongue tube between 0.5~1.5 second time and enter quick listen mode.
8. a kind of Implanted medical system according to claim 7, is characterized in that: described timing circuit show that described permanent magnet judges described implantable medical devices near tongue tube between 2~5 seconds time and enter output shutdown mode.
CN201210479812.XA 2012-11-22 2012-11-22 Patient controller with timing function and implanted medical system Pending CN103830840A (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4735204A (en) * 1984-09-17 1988-04-05 Cordis Corporation System for controlling an implanted neural stimulator
CN2292574Y (en) * 1995-11-09 1998-09-30 第三军医大学第二附属医院(新桥医院) Cardiac pacemaker specially adapted to copy heart failure model
CN102500057A (en) * 2011-09-28 2012-06-20 上海交通大学 Multifunctional implanted gastrointestinal electrical stimulation system
CN102589624A (en) * 2012-03-06 2012-07-18 无锡水表有限责任公司 Water meter capable of rapidly measuring flow and measuring method thereof
CN102772852A (en) * 2011-05-13 2012-11-14 苏州景昱医疗器械有限公司 Wireless communication implantable medical system and wireless communication method thereof
CN203060585U (en) * 2012-11-22 2013-07-17 苏州景昱医疗器械有限公司 Patient controller with timing function and implanted medical system

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4735204A (en) * 1984-09-17 1988-04-05 Cordis Corporation System for controlling an implanted neural stimulator
CN2292574Y (en) * 1995-11-09 1998-09-30 第三军医大学第二附属医院(新桥医院) Cardiac pacemaker specially adapted to copy heart failure model
CN102772852A (en) * 2011-05-13 2012-11-14 苏州景昱医疗器械有限公司 Wireless communication implantable medical system and wireless communication method thereof
CN102500057A (en) * 2011-09-28 2012-06-20 上海交通大学 Multifunctional implanted gastrointestinal electrical stimulation system
CN102589624A (en) * 2012-03-06 2012-07-18 无锡水表有限责任公司 Water meter capable of rapidly measuring flow and measuring method thereof
CN203060585U (en) * 2012-11-22 2013-07-17 苏州景昱医疗器械有限公司 Patient controller with timing function and implanted medical system

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