摘要:
An implantable device, such as an infuser device for bidirectional hydraulically controlling a medical artificial sphincter, enhances power transfer characteristics to a secondary coil thereby allowing implantation to greater physical depths and/or enclosing the secondary coil within a housing of the infuser device. The enhanced power transfer is achieved with multiple coils that are longitudinally aligned and physical and electrical parallel to form the secondary loop of a transcutaneous energy transfer system (TET) instead of a single coil. It better optimizes the power transfer from a parallel tuned tank circuit primary coil to an implanted secondary series tuned tank circuit coil.
摘要:
An implantable restriction device is configured to provide a restriction in a patient as a function of the pressure of fluid. The implantable restriction device includes one or more pressure sensors configured to sense pressure of the fluid within the implantable restriction device. Pressure data obtained by the one or more pressure sensors may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the pressure data, and may communicate the pressure data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger.
摘要:
A restriction system, such as an adjustable gastric band, for forming a restriction in a patient and non-invasively communicating pressure data regarding the restriction to an external monitor. The system includes a restriction device for implantation in a patient to form a restriction. The system further includes an implanted port connected to the restriction device. The port contains a working fluid for affecting the size of the restriction. The system further includes a pressure sensing system in communication with the working fluid for measuring the pressure of the working fluid and transmitting pressure measurement data to an external monitor.
摘要:
Adjustable gastric band implants contain a hollow elastomeric balloon with fixed end points encircling a patient's stomach just inferior to the esophago-gastric junction. These balloons can expand and contract through the introduction of saline solution into the balloon. In current bands, this saline solution must be injected into a subcutaneous port with a needle to reach the port located below the skin surface. The port communicates hydraulically with the band via a catheter. As an alternative to using a percutaneously accessed injection port, a system for regulating the flow of saline that is totally implanted may rely upon bi-directionally pumping fluid from an implant device. This system instead transfers AC magnetic flux energy from an external primary coil to a secondary coil that powers the pump in the implanted reservoir. A magnetically permeable rod centered within the primary coil increases power coupled to the secondary coil.
摘要:
An implantable artificial sphincter system provides long-term adjustment via transcutaneous energy transfer (TET), minimizing invasive adjustment through adding or removing fluid via a syringe. An infuser device provides bi-directional fluid transfer via a flexible conduit to a sphincter band, such as a gastric band, by a combination of thermodynamic actuation and a piezo-electrically disengaged drum brake assembly that thereby achieves a desirable small volume device. A propellant within a propellant cavity surrounds a metal bellows accumulator biased at body temperature to either expand or collapse the bellows accumulator with the opposite direction of movement effected by a thermal element that heats in combination with a negatively-biased propellant or cools in combination with a positively-biased propellant. A drum brake assembly locks the metal bellows accumulator in place between adjustments by thermodynamic actuation by activating piezo-electric stack actuators that disengage calipers from a brake drum attached to the bellows accumulator.
摘要:
An implantable artificial sphincter system provides long-term adjustment via transcutaneous energy transfer (TET), minimizing invasive adjustment through adding or removing fluid via a syringe. An infuser device provides bi-directional fluid transfer via a flexible conduit to a sphincter band, such as a gastric band, by a combination of thermodynamic actuation and a piezo-electrically disengaged drum brake assembly that thereby achieves a desirable small volume device. A propellant within a propellant cavity surrounds a metal bellows accumulator biased at body temperature to either expand or collapse the bellows accumulator with the opposite direction of movement effected by a thermal element that heats in combination with a negatively-biased propellant or cools in combination with a positively-biased propellant. A drum brake assembly locks the metal bellows accumulator in place between adjustments by thermodynamic actuation by activating piezo-electric stack actuators that disengage calipers from a brake drum attached to the bellows accumulator.
摘要:
An implantable adjustable sphincter system is comprised of a band configured to encircle a portion of an anatomical passageway, a manual pump, a reservoir in fluid communication with the pump, and a valve assembly in fluid communication with the band and the manual pump. The valve assembly is comprised of a first configuration and a second configuration, and is operable to be manually switched between configurations. The first configuration only permits fluid to flow from the band toward the reservoir. The second configuration only permits fluid to flow from the reservoir toward the band. The manual pump is in fluid communication with the valve assembly and the reservoir, and is manually operable to transfer fluid between the reservoir and the band when the valve assembly is in the second configuration.
摘要:
An external pressure sensing system may include an attachment for a syringe. The attachment may comprise a connector positioned between the barrel and the needle of the syringe. A pressure sensor may be in fluid communication with the connector, such that the pressure sensor may sense the pressure of fluid within the connector as the syringe is used to add fluid to or withdraw fluid from an injection port. Where an injection port is a component of an adjustable fluid-based gastric band system, pressure data obtained with the pressure sensor may be indicative of the pressure of fluid within the gastric band. The pressure sensor may communicate pressure data to a display device. A user may adjust the pressure of fluid within the gastric band using the syringe while viewing the display device for pressure-related readings.
摘要:
An actuator having a variable internal volume is mechanically coupled to an adjustable implantable band so as to effect changes in the effective internal perimeter of the band. The actuator may be directly connected to the band, or be connected through a cable. Configurations of the actuator include a series of folds and ridges and bellows. A plurality of actuators may be used in combination with a single band. A clutch mechanism may be included to hold the band in place when not acted upon by the actuators. One end of the actuator may be connected directly to a bidirectional flow device.
摘要:
A remotely controlled gastric band system that is practically immune to external magnetic fields, such as from a Magnetic Resonance Imaging (MRI) machine, incorporates a bi-directional pump and fluid reservoir to adjust fluid volume for hydraulic control of a gastric band. A piezoelectric driver (e.g., rotary actuator, linear actuator) selectively compresses and expands a metal bellows hermetically sealed within a biocompatible and nonferromagnetic enclosure or case such as titanium. Directly sensing a position of the metal bellows yields an accurate reading of volume contained therein, allowing for closed-loop control of the gastric band.