摘要:
An implantable pump includes a base plate and a can that are parts of the pump housing. The base plate bottom divides the housing into a first electronics chamber and a second chamber. A bellows mechanism is connected to the base plate and is disposed within the second chamber. The bellow mechanism has an expandable sidewall and a bottom plate. The bellow mechanism divides the second chamber into a medicament receiving portion and a non-medicament-receiving portion. The bellow mechanism has an intermediate plate disposed within the medicament-receiving portion. A coil is disposed in a recess on the lower surface of the base plate, and the coil is spaced from an internal wall of the recess. The amount of fluid remaining in the implantable pump can be monitored by energizing the coil. A primary magnetic field is generated by the energized coil. A secondary magnetic field, which is dependant on the position of the bottom and intermediate plate of the bellow mechanism, couples back to the primary field affecting the electrical characteristics of the coil. The amount of fluid remaining in the reservoir is determined based on the resulting changes in the electrical characteristics of the coil.
摘要:
An implantable active pressure transducer including a pressure sensing element and associated sensor circuitry together enclosed within an innermost glass packaging. The pressure sensing element is anodically bonded to the innermost packaging substantially aligned with an opening defined therein. An outermost biocornpatible metal packaging forms a cavity divided into first and second chambers by an intermediate partition. The innermost packaging is disposed within the first chamber without physically directly contacting or being fixed to the outermost packaging. A barrier plate is hermetically sealed to the intermediate partition to hermetically isolate the battery and communication circuitry from a pressure transmitting fluid. Inductive coupling is used to communicate data detected by the pressure sensing element internally within the implant.
摘要:
An electrokinetic actuator for fluid flow titration including two chambers separated from one another by a porous dielectric disposed therebetween. A plurality of electrodes are disposed about a perimeter of the first and second chambers. Polar electrolyte disposed within the actuator is able to pass through the porous dielectric between the first and second chambers upon the application of an electric field or electric potential to the plural electrodes. A mechanical valve actuation mechanism connected to the second chamber allows for fine titration of fluid flow using electro-osmosis, including full-flow and/or complete cut-off. The polar electrolyte is isolated to prohibit intermixing with a fluid being titrated (such as cerebrospinal fluid).
摘要:
Minimizing improper dosage of a drug admixture (including a single primary drug component and at least one second drug component). For each drug component in the drug admixture, receiving a name of the drug component along with its dosage unit, a maximum dose warning level and a maximum concentration warning level. Receiving a concentration for each of the single primary drug component and the at least one secondary drug component; and a dose setting of only the primary drug component. Automatically calculating a dose of each of the at least one secondary drug component. Generating an alert when: (i) the received dose setting of the primary drug component or calculated dose setting of the at least one secondary drug component exceeds the dose warning level; or (ii) the received concentration of the primary drug component or the at least one secondary drug component exceeds the concentration warning level.
摘要:
Methods and devices are described for monitoring reservoir fluid in an implantable infusion pump. Such methods and devices can be used when the infusion pump has a temperature-dependent component. For example, a method of monitoring reservoir fluid can include obtaining measurements from the reservoir that include corresponding data related to the amount of fluid and temperature in the reservoir. A pair of measurements can be used to monitor the fluid level, or flow rate out of, the reservoir when the corresponding temperatures of the measurements are within a temperature tolerance value. In such an instance, a measured amount difference can be calculated based on the fluid amounts corresponding to the pair of measurements. Other variations of fluid monitoring methods, and implantable infusion pump systems that can perform fluid monitoring, are also described.
摘要:
A system for controlling an implantable medical device (e.g., a drug delivery device) susceptible to malfunctioning during exposure to a magnetic field and/or Radio Frequency field (e.g., during a magnetic resonance imaging procedure) and a method for operating the same. Exposure of the implantable device to the magnetic field and/or the Radio Frequency field is detected using the sensing device. When the detected magnetic field and/or Radio Frequency field exceeds a corresponding predetermined threshold level, an input signal is generated at the microcontroller. In response to the generated input signal, the microcontroller automatically triggers (i) a safety mode enabling a predetermined safety mode operation that alters some operation, without ceasing all operation, of the implantable medical device and/or (ii) after expiration of a predetermined safety mode time interval when the at least one field being detected falls below its corresponding predetermined threshold level or a predetermined period of time elapses, a self testing mode enabling a predetermined self testing operation to verify proper operation of the implantable medical device. Preferably, both the safety and self testing modes are automatically triggered.
摘要:
A system and method for locating an internal device separated by a boundary from and in wireless communication with an external device. External device includes an active emitter mechanism wherein a carrier signal is modulated by a location interrogation signal thereby generating an external RF power signal during transmission to the internal device. A secondary antenna of the internal device receives the external RF power signal and induces an RF power signal therein that is converted to a DC induced voltage signal. An indication signal proportional to the intensity of the DC induced voltage signal induced in the secondary antenna is produced by the external device. The process is repeated each time the user moves the external device to a new location proximate the patient's body until a maximum DC induced voltage signal measurement is ascertained representative of a specific area in which the internal device is located.
摘要:
The invention relates to an implantable infusion pump comprising a housing, a base plate, a propellant chamber, a bellows having an internal volume for receiving a medicament to be administered to a patient, a constriction segment leading to a catheter placed in the body of the patient and communicating with the bellows internal volume, a resonant circuit formed by a coil, and a capacitor detecting the distance between a bottom surface of the bellows and the base plate. The coil is mounted on or in a bottom surface of the base plate and pointing towards the bellows bottom surface such that an inductance of the coil and a resonant frequency of the resonant circuit is a function of the distance between the bellows bottom surface the base plate.
摘要:
Minimizing improper dosage of a drug admixture (including a single primary drug component and at least one second drug component). For each drug component in the drug admixture, receiving a name of the drug component along with its dosage unit, a maximum dose warning level and a maximum concentration warning level. Receiving a concentration for each of the single primary drug component and the at least one secondary drug component; and a dose setting of only the primary drug component. Automatically calculating a dose of each of the at least one secondary drug component. Generating an alert when: (i) the received dose setting of the primary drug component or calculated dose setting of the at least one secondary drug component exceeds the dose warning level; or (ii) the received concentration of the primary drug component or the at least one secondary drug component exceeds the concentration warning level.
摘要:
An implantable medical device includes a hermetically sealed housing that contains electronic circuitry. A feedthrough is disposed on an external surface of the housing. An antenna wire is disposed around the external surface of the housing. The antenna wire has one end connected to the feedthrough so that the antenna wire is in electric communication with at least a portion of the electronic circuitry. A heat shrink tube is sealingly disposed about substantially the entire external surface of the antenna wire to prevent fluids from contacting the antenna wire and thereby detuning the antenna wire. An antenna surround is disposed about the tube.