CN102716546B - Patient controller, implantable medical system and relay communication method - Google Patents
Patient controller, implantable medical system and relay communication method Download PDFInfo
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- CN102716546B CN102716546B CN201110076196.9A CN201110076196A CN102716546B CN 102716546 B CN102716546 B CN 102716546B CN 201110076196 A CN201110076196 A CN 201110076196A CN 102716546 B CN102716546 B CN 102716546B
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- 238000004891 communication Methods 0.000 title claims abstract description 103
- 238000000034 method Methods 0.000 title claims abstract description 12
- 238000012545 processing Methods 0.000 claims abstract description 11
- 230000005540 biological transmission Effects 0.000 claims abstract description 7
- 230000000638 stimulation Effects 0.000 claims description 18
- 230000001537 neural effect Effects 0.000 claims description 10
- 230000000747 cardiac effect Effects 0.000 claims description 5
- 210000004556 brain Anatomy 0.000 claims description 4
- 230000003902 lesion Effects 0.000 claims description 4
- 210000005036 nerve Anatomy 0.000 claims description 4
- 210000000278 spinal cord Anatomy 0.000 claims description 4
- 238000012546 transfer Methods 0.000 claims description 4
- 210000001186 vagus nerve Anatomy 0.000 claims description 4
- 238000011144 upstream manufacturing Methods 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 4
- 239000003795 chemical substances by application Substances 0.000 description 2
- 230000005611 electricity Effects 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 230000007794 irritation Effects 0.000 description 2
- 230000004308 accommodation Effects 0.000 description 1
- 210000003169 central nervous system Anatomy 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000003172 expectorant agent Substances 0.000 description 1
- 230000003419 expectorant effect Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000033772 system development Effects 0.000 description 1
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Abstract
The invention discloses a patient controller having functions of communication relay. The patient controller comprises: a first antenna, a downstream relay communication link relaying signals transmitted by a doctor program controller to an implantable medical device by the first antenna and an upstream communication link relaying signals transmitted by the implantable medical device to the doctor program controller by the first antenna, a modulation-demodulation module, a coding-decoding module, a micro-processing control module, and a hardware equipment address identification module. The invention further discloses an implantable medical system with the patient controller having functions of the communication relay and a relay communication method. Compared with the prior art, the patient controller, the implantable medical system and the relay communication method provided by the invention employ an existing patient controller as a relay device for wireless communications between a patient controller and an implantable medical device, thereby simply and conveniently realizing the relay transmission of wireless signals and significantly increasing the wireless communication distance between the implantable medical device and the patient controller.
Description
Technical field
The present invention relates to Implanted medical system, especially a kind of patient controller that utilizes realizes relay communication method and this Implanted medical system and the patient controller thereof of remote-wireless communication as relay.
Background technology
Implanted medical system generally includes implantable neural electrical stimulator and (comprises lesions located in deep brain DBS, implanted cortex stimulates CNS, implanted spinal cord stimulation trial SCS, implanted Sacral nerve electrical stimulation SNS, implanted vagus nerve electricity irritation VNS etc.), implantable cardiac electric stimulation (being commonly called as cardiac pacemaker), implanted drug infusion system (IDDS) etc.
For implantable neural electrical stimulator, mainly comprise the pulse generator, electrode and the external control device that implant.Wherein, pulse generator is connected with electrode, thus the burst transmissions produced by pulse generator is to electrode, the pulse signal that pulse generator produces transfers to specific neuronal target by electrode and carries out electricity irritation, thus makes function of human body return to the state of normal operation.Outer control device comprises doctor's program controller, patient controller.
Wherein, patient controller is for being used for of being equipped with of patient, according to the device of the output parameter of pulse generator in oneself situation gauge tap or control agent, regulate in the range of accommodation that patient only can be arranged doctor usually voluntarily.Doctor's program controller is that doctor is used for according to the device of output parameter of pulse generator in patient's condition monitoring control agent, and usual doctor's program controller can be used to control multiple pulse generator.Patient controller communicates with pulse generator by wireless communications mode, magnetic coil or other communication modes with doctor's program controller.
Current employing wireless communications mode is the trend of Implanted medical system development.In existing Implanted medical system, doctor's program controller is provided with patient controller inside the wireless communication module communicated with pulse generator, but because pulse generator is implanted in tissue inside, the wireless signal sent by doctor's program controller or the patient controller loss that transmission generation is larger in air, tissue successively, the communication distance of doctor's program controller and patient controller and pulse generator is less than 3 meters usually.
For patient controller, due to the usual placement next to the skin of patient, less with the distance of pulse generator (about 1 meter), radio communication is influenced less.And for doctor's program controller, doctor usually needs to use doctor's program controller (be greater than 3 meters and be less than 10 meters) in observation movement of patient process in ward or clinic, therefore patient just cannot realize the normal wireless communication of doctor's program controller and pulse generator in the place that distance doctor is far away, and wireless communication distance is restricted.
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, Implanted medical system and the relay communication method that increase the wireless communication distance of Implanted medical system simply and easily.
According to technical scheme provided by the present invention, a kind of patient controller with communication relay function, comprising:
First antenna, described first antenna is for the two-way wireless communication on same setpoint frequency with doctor's program controller and implantable medical devices;
The downlink relay communication link signal relay that doctor's program controller sends being forwarded to implantable medical devices by described first antenna and the signal relay sent by implantable medical devices are forwarded to the uplink relay communication link of doctor's program controller;
Modulation /demodulation module, described modulation /demodulation module is connected with described first antenna, and the analogue signal for being received by the first antenna is converted to digital signal and digital signal is converted to analogue signal to be transmitted outward through first day alignment;
Coding/decoding module, described coding/decoding module is connected with described modulation /demodulation module, for digital signal being converted to the digital stream that meets communication protocol requirements and the digital stream meeting communication protocol requirements being converted to digital signal;
Micro-processing and control module, described micro-processing and control module is connected with described coding/decoding module, for processing the digital stream meeting communication protocol requirements;
Preferably, patient controller also comprises hardware device Address Recognition module, and described hardware device Address Recognition module is connected with described coding/decoding module, for identifying or comparing the hardware device address in the data flow of communication protocol requirements.
Preferably, this patient controller also comprises for the second antenna with patient end communication apparatus communication and the bluetooth communication that is connected with described second antenna.
Preferably, the setpoint frequency of described first antenna is 402 ~ 405MHz.
Present invention also offers a kind of Implanted medical system, comprise the implantable medical devices in patient body, doctor's program controller, also comprise the patient controller as above with communication relay function.
Preferably, described Implanted medical system comprises implantable cardiac electric stimulation, implantable neural electrical stimulator, implantable cardioverter defibrillator system or implanted delivery system.
Preferably, described implantable neural electrical stimulator comprises implanted lesions located in deep brain system, implanted cortex electric stimulation, implanted spinal cord stimulation trial system, implanted Sacral nerve electrical stimulation system or implanted vagus nerve electric stimulation, and described implantable medical devices is Implantable Pulse Generator.
Present invention also offers a kind of relay communication method be applied in Implanted medical system, comprise signal that doctor's program controller sends through patient controller relay forwarding to the downlink relay communication link of implantable medical devices, this downlink relay communication link comprises the steps:
A: doctor's program controller sends signal to implantable medical devices on same setpoint frequency;
B: patient controller receives the signal that described doctor's program controller sends on that frequency;
D: the signal received is forwarded to implantable medical devices in this frequency by described patient controller.
Preferably, also comprise signal that implantable medical devices sends through patient controller relay forwarding to the uplink relay communication link of doctor's program controller, this uplink relay communication link comprises the steps:
E: implantable medical devices sends signal Xiang doctor's program controller on same setpoint frequency;
F: patient controller receives the signal that described implantable medical devices sends on that frequency;
H: the signal received is forwarded to doctor's program controller in this frequency by described patient controller.
Preferably, also there is the step C that signal that described patient controller judges that whether implantable medical devices sends doctor's program controller makes response between described step B and D, as implantable medical devices as described in judging then carries out step D without response, as implantable medical devices as described in judging has response then not carry out step D.
Preferably, also there is the step G that signal that described patient controller judges that whether doctor's program controller sends implantable medical devices makes response between described step F and H, as doctor's program controller as described in judging then carries out step H without response, as doctor's program controller as described in judging has response then not carry out step H.
Compared with prior art, advantage of the present invention is: to present invention utilizes in existing Implanted medical system existing patient controller as the relay of radio communication between doctor's program controller and implantable medical devices, and doctor's program controller, implantable medical devices and patient controller three adopt a set of communication protocol to communicate all on a same frequency, the signal that doctor's program controller sends is forwarded to implantable medical devices or the signal that sent by implantable medical devices is forwarded to doctor's program controller, achieve the relay forwarding of wireless signal simply and easily, considerably increase the wireless communication distance between implantable medical devices and doctor's program controller.
Accompanying drawing explanation
Accompanying drawing 1 is relay transfer method principle schematic of the present invention;
Accompanying drawing 2 is module principle figure of the present invention;
Accompanying drawing 3 is the functional module schematic diagram of patient controller of the present invention as the relay repeater between implantable medical devices and doctor's program controller;
Accompanying drawing 4 is the functional module schematic diagram of patient controller of the present invention as the relay repeater between implantable medical devices and doctor terminal communication equipment;
Accompanying drawing 5 is descending wireless communication link program flow diagram of the present invention;
Accompanying drawing 6 is up-link wireless communication link program flow diagram of the present invention;
Wherein:
1, patient controller; 11, the first antenna; 12, modulation /demodulation module; 13, coding/decoding module; 14, micro-processing and control module; 15, hardware device Address Recognition module; 16, the second antenna; 17, bluetooth communication; 2, doctor's program controller; 3, implantable medical devices; 4, downlink relay communication link; 5, uplink relay communication link; 6, patient end communication equipment; 7, doctor terminal communication equipment.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention is further detailed explanation:
As shown in Figures 1 and 2, for implantable neural electrical stimulator, implantable medical devices 3 and be pulse generator in implantation.Patient controller 1 is started shooting and is placed on the place that in pocket, range pulse generator is nearer by patient at ordinary times, uses as the relay repeater between doctor's program controller 2 and pulse generator.When beyond patient goes to a doctor the long-range program control distance exceeding doctor's program controller, patient controller 1 is just automatic is forwarded to pulse generator by the signal that doctor's program controller 2 sends, or the signal sent by pulse generator is forwarded to doctor's program controller, considerably increase the distance of radio communication, for patient, relay forwarding controls to there is no obvious difference with the direct clamp-pulse generator of doctor's program controller.
With reference to Fig. 3, a kind of patient controller 1 with communication relay function, comprising: the first antenna 11, described first antenna 11 is for the two-way wireless communication on same setpoint frequency with doctor's program controller 2 and implantable medical devices 3;
The signal relay that doctor's program controller 2 sends be forwarded to the downlink relay communication link 4 of implantable medical devices 3 by described first antenna 11 and the signal relay that implantable medical devices 3 sends be forwarded to the uplink relay communication link 5 of doctor's program controller 2;
Modulation /demodulation module 12, described modulation /demodulation module 12 is connected with described first antenna 11, and the analogue signal for being received by the first antenna 11 is converted to digital signal and digital signal is converted to analogue signal outwards to be transmitted through the first antenna 11;
Coding/decoding module 13, described coding/decoding module 13 is connected with described modulation /demodulation module 12, for digital signal being converted to the digital stream that meets communication protocol requirements and the digital stream meeting communication protocol requirements being converted to digital signal;
Micro-processing and control module 14, described micro-processing and control module 14 is connected with described coding/decoding module 13, for processing the digital stream meeting communication protocol requirements;
Hardware device Address Recognition module 15, described hardware device Address Recognition module 15 is connected with described coding/decoding module, for identifying or comparing the hardware device address in the data flow of communication protocol requirements.Specifically, the hardware device address judged in this data flow when hardware device Address Recognition module 15 is identical with the hardware address of this patient controller, then accept this data flow; The hardware device address judged in this data flow when hardware device Address Recognition module 15 is identical with the hardware address of the implantable medical devices 3 that this patient controller is bound mutually, then forward this data flow; As hardware device Address Recognition module 15 judges all different from above-mentioned two kinds of hardware device addresses, then reject this data flow.
As shown in Figure 4, patient controller 1 also comprise for the second antenna 16 communicated from the patient end communication device 6 close to patient and the bluetooth communication 17 be connected with described second antenna 16.Bluetooth communication 17 is by after transmission of wireless signals to patient end communication device 6, patient end communication equipment 6 by various wireless communication Internet Transmission to doctor terminal communication equipment 7 or reverse transfer, such as wired telephone network, cable TV network, LAN, Metropolitan Area Network (MAN), wide area network, the Internet, cdma network, GSM network, 3G network, GPRS network etc., home-confined at home can to realize the pulse generator that patient implants long-range program control at hospital patient to make doctor.Such as, patient end communication equipment 6 can be the mobile phone, PDA, notebook computer, personal computer etc. of supporting Bluetooth communication.Multimedia terminal, mobile phone, PDA, notebook computer, personal computer etc. that doctor terminal communication equipment 7 can be doctor's program controller, be connected with existing telemedicine network.
The setpoint frequency of described first antenna 11 is 402 ~ 405MHz, and patient controller, pulse generator and doctor's program controller be radio communication in this frequency all, efficiently utilizes existing antenna on existing equipment.
Present invention also offers a kind of Implanted medical system, comprise the implantable medical devices 3 in patient body, doctor's program controller 2, also comprise the patient controller 1 as above with communication relay function.
According to the difference for the treatment of expectorant disease, the described Implanted medical system that patient controller of the present invention is suitable for includes but not limited to implantable cardiac electric stimulation, implantable neural electrical stimulator, implantable cardioverter defibrillator system or implanted delivery system.
Described implantable neural electrical stimulator comprises implanted lesions located in deep brain system, implanted cortex electric stimulation, implanted spinal cord stimulation trial system, implanted Sacral nerve electrical stimulation system or implanted vagus nerve electric stimulation, and described implantable medical devices can be Implantable Pulse Generator.
Present invention also offers a kind of relay communication method be applied in Implanted medical system, comprise signal that doctor's program controller sends through patient controller relay forwarding to the downlink relay communication link of implantable medical devices, this downlink relay communication link comprises the steps:
A: doctor's program controller sends signal to implantable medical devices on same setpoint frequency;
B: the patient controller bound with the logical address of described implantable medical devices receives the signal that described doctor's program controller sends on that frequency;
D: the signal received carries out amplifying and being forwarded to implantable medical devices in this frequency by described patient controller.
Relay communication method of the present invention also comprises signal that implantable medical devices sends through patient controller relay forwarding to the uplink relay communication link of doctor's program controller, and this uplink relay communication link comprises the steps:
E: implantable medical devices sends signal Xiang doctor's program controller on same setpoint frequency;
F: the patient controller bound with the logical address of described implantable medical devices receives the signal that described implantable medical devices sends on that frequency;
H: the signal received carries out amplifying in this frequency and is forwarded to doctor's program controller by described patient controller.
In preferably embodiment, consider doctor's program controller distance implantable medical devices nearer local time, usually radio communication good between implantable medical devices and doctor's program controller can be reached without the need to relay forwarding, therefore the step C that signal that described patient controller judges that whether implantable medical devices sends doctor's program controller makes response can be increased between described above-mentioned steps B and D, as implantable medical devices as described in judging then carries out step D without response, as implantable medical devices as described in judging has response then not carry out step D, to avoid repeating to send this wireless signal.
Similarly, the step G that signal that described patient controller judges that whether doctor's program controller sends implantable medical devices makes response can be increased between described step F and H, as doctor's program controller as described in judging then carries out step H without response, as doctor's program controller as described in judging has response then not carry out step H, to avoid repeating to send this wireless signal.
Compared with prior art, the patient controller that patient has been equipped with by the present invention uses as the relay repeater between doctor's program controller and implantable medical devices, and doctor's program controller, implantable medical devices and patient controller three adopt a set of communication protocol to communicate all on a same frequency, the signal that doctor's program controller sends is forwarded to implantable medical devices or the signal that sent by implantable medical devices is forwarded to doctor's program controller, achieve the relay forwarding of wireless signal simply and easily, considerably increase the wireless communication distance between implantable medical devices and doctor's program controller.
Above the specific embodiment of the present invention is described.Be illustrative for description of the invention herein, thus scope of the present invention should not be limited to above-mentioned detailed description of the invention.It will be apparent to one skilled in the art that when not departing from purport of the present invention or substitutive characteristics, other distortion being carried out to above-mentioned detailed description of the invention or changes, also should be considered as protection scope of the present invention.
Claims (6)
1. there is a patient controller for communication relay function, it is characterized in that: comprising:
First antenna, described first antenna is for the two-way wireless communication on same setpoint frequency with doctor's program controller and implantable medical devices;
The downlink relay communication link signal relay that doctor's program controller sends being forwarded to implantable medical devices by described first antenna and the signal relay sent by implantable medical devices are forwarded to the uplink relay communication link of doctor's program controller;
Modulation /demodulation module, described modulation /demodulation module is connected with described first antenna, and the analogue signal for being received by the first antenna is converted to digital signal and digital signal is converted to analogue signal to be transmitted outward through first day alignment;
Coding/decoding module, described coding/decoding module is connected with described modulation /demodulation module, for digital signal being converted to the digital stream that meets communication protocol requirements and the digital stream meeting communication protocol requirements being converted to digital signal;
Micro-processing and control module, described micro-processing and control module is connected with described coding/decoding module, for processing the digital stream meeting communication protocol requirements; Hardware device Address Recognition module, described hardware device Address Recognition module is connected with described coding/decoding module, for identifying or comparing the hardware device address in the data flow of communication protocol requirements;
For the second antenna with patient end communication apparatus communication and the bluetooth communication that is connected with described second antenna, bluetooth communication is by after transmission of wireless signals to described patient end communication equipment, described patient end communication equipment is by various wireless communication Internet Transmission to doctor terminal communication equipment or reverse transfer, and what realize described implantable medical devices is long-range program control.
2. the patient controller with communication relay function according to claim 1, is characterized in that: the setpoint frequency of described first antenna is 402 ~ 405MHz.
3. an Implanted medical system, comprises the implantable medical devices in patient body, doctor's program controller, it is characterized in that: also comprise as the patient controller with communication relay function as described in arbitrary in claim 1 to 2.
4. Implanted medical system according to claim 3, is characterized in that: described Implanted medical system comprises implantable cardiac electric stimulation, implantable neural electrical stimulator, implantable cardioverter defibrillator system or implanted delivery system.
5. Implanted medical system according to claim 4, it is characterized in that: described implantable neural electrical stimulator comprises implanted lesions located in deep brain system, implanted cortex electric stimulation, implanted spinal cord stimulation trial system, implanted Sacral nerve electrical stimulation system or implanted vagus nerve electric stimulation, and described implantable medical devices is Implantable Pulse Generator.
6. one kind is applied to the relay communication method in Implanted medical system, it is characterized in that: comprise signal that doctor's program controller sends through patient controller relay forwarding to the downlink relay communication link of implantable medical devices, also comprise signal that implantable medical devices sends through patient controller relay forwarding to the uplink relay communication link of doctor's program controller;
Described downlink relay communication link comprises the steps:
A: doctor's program controller sends signal to implantable medical devices on same setpoint frequency;
B: patient controller receives the signal that described doctor's program controller sends on that frequency;
C: described patient controller judges whether implantable medical devices makes response to the signal that doctor's program controller sends, as implantable medical devices as described in judging then carries out step D without response, as implantable medical devices as described in judging has response then not carry out step D;
D: the signal received is forwarded to implantable medical devices in this frequency by described patient controller;
Described uplink relay communication link comprises the steps:
E: implantable medical devices sends signal Xiang doctor's program controller on same setpoint frequency;
F: patient controller receives the signal that described implantable medical devices sends on that frequency;
G: described patient controller judges whether doctor's program controller makes response to the signal that implantable medical devices sends, as doctor's program controller as described in judging then carries out step H without response, as doctor's program controller as described in judging has response then not carry out step H;
H: the signal received is forwarded to doctor's program controller in this frequency by described patient controller.
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Families Citing this family (7)
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CN103561093B (en) * | 2013-10-29 | 2018-02-02 | 北京品驰医疗设备有限公司 | The wireless program-controlled system of implantable medical devices |
CN114522341A (en) * | 2015-10-21 | 2022-05-24 | 诺伊斯佩拉医疗有限公司 | Devices, systems, and methods for stimulation therapy |
CN106725320A (en) * | 2016-12-13 | 2017-05-31 | 天津科企生产力促进有限公司 | A kind of electronic information field remote monitoring system for implantable medical device and method |
CN107823794A (en) * | 2017-12-01 | 2018-03-23 | 苏州景昱医疗器械有限公司 | The program control transponder of touch screen pen type, program control device and Implanted medical system |
CN107809261A (en) * | 2017-12-01 | 2018-03-16 | 苏州景昱医疗器械有限公司 | The dorsal clamp type program-controlled equipment and Implanted medical system of a kind of implantable medical devices |
CN110351155B (en) * | 2018-04-03 | 2020-12-22 | 苏州景昱医疗器械有限公司 | Program-controlled network performance testing method and system of implantable medical equipment |
CN111375130A (en) * | 2018-12-29 | 2020-07-07 | 上海神奕医疗科技有限公司 | Method for binding a patient control device with an active implant device and medical control device |
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