CN109908479A - A kind of implantable medical control system - Google Patents

A kind of implantable medical control system Download PDF

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Publication number
CN109908479A
CN109908479A CN201711329780.4A CN201711329780A CN109908479A CN 109908479 A CN109908479 A CN 109908479A CN 201711329780 A CN201711329780 A CN 201711329780A CN 109908479 A CN109908479 A CN 109908479A
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patient
implantable medical
mode
key
medical devices
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CN201711329780.4A
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Chinese (zh)
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裴嘉豪
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Individual
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Individual
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Priority to CN201711329780.4A priority Critical patent/CN109908479A/en
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Abstract

The invention discloses a kind of patient controllers, irritating on/off key is set on the patient controller and key is listened in acceleration, when patient presses stimulation on/off key, triggering first timer keeps electromagnet effective in 3 seconds, and what implantable medical devices can judge patient's sending according to the time at this time is to close stimulation output signal;When patient, which presses acceleration, listens to key, triggering second timer keeps electromagnet effective in 1 second, what implantable medical devices can judge patient's sending according to the time at this time is quickly to listen to signal, it is accurately controlled the time of tongue tube actuation, therefore patient can be helped to determine that patient controller is to use as closing stimulation output or use as quickly mode is listened to, to avoid the erroneous judgement of implantable medical devices, operates and use convenient for patient.The invention also discloses a kind of Implanted medical systems including the patient controller.

Description

A kind of implantable medical control system
The present invention relates to a kind of Implanted medical systems, specifically, being related to a kind of for accurately controlling implantable medical The Implanted medical system of magnetic switch in instrument.
Implanted medical system generally includes implantable neural electrical stimulator (including 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 electro photoluminescence VNS etc.), implantable cardiac electric stimulation (being commonly called as pacemaker), implanted drug infusion system (IDDS) etc..
By taking implantable neural electrical stimulator as an example, main includes the impulse generator to implant, electrode and external Controller.Wherein, impulse generator is connected by extension wire with electrode, thus by pulse caused by impulse generator It is transferred to electrode, the pulse signal that impulse generator generates is transmitted to specific neuronal target by electrode and carries out electro photoluminescence, to make Function of human body is restored to the state of normal operation.External controller includes doctor's program controller, patient controller.
Wherein, patient controller is equipped with for patient for control switch according to their own situation or the internal arteries and veins of adjusting The device of the output parameter of generator is rushed, patient usually only can voluntarily be adjusted in the adjustable range that doctor is arranged.Doctor's journey Control device is the device for the output parameter that doctor is used to adjust internal impulse generator according to patient's condition monitoring, a usual doctor Program controller can be used to control multiple impulse generators.Patient controller and doctor's program controller can modes, magnetism by wireless communication Coil or other communication modes are communicated with impulse generator.
Wireless communications mode is the trend of Implanted medical system development at present, and doctor can be used external controller and pass through Wireless communication control or the output of inquiry implantable medical devices.In the prior art, it is controlled in vitro to guarantee that doctor needs to use Device processed and implantable medical devices when needed can normal communication, usually implantable medical devices are arranged to make it after powering on Wireless communication module is in high-power operation state always, after external controller issues information to implantable medical devices, plants The information can be received in time and give a response by entering formula medical instrument.
However, since the energy of the battery in the implantable medical devices of Implanted medical system is limited, if planted The wireless communication module for entering formula medical instrument is in high-power operation state always, and energy consumption is bigger will to greatly shorten implantable medical The service life of instrument will not only bear the high expense of replacement implantable medical devices for the patient, still suffer from hand The pain of art.
Summary of the invention
For the deficiencies in the prior art, the technical problem to be solved in the present invention is to provide one kind to have clocking capability Patient controller, patient can be helped accurately to judge that patient controller is to close stimulation output to use or as quickly detecing Mode is listened to use.
Provided technical solution according to the present invention, a kind of patient controller, be arranged on the patient controller it is irritating open/ Key is listened in close button and acceleration, further include for open or close the electromagnet of magnetic switch in implantable medical devices, with Power supply, first timer and the second timer that the electromagnet is connected in series, the first timer are touched by stimulation on/off key Hair keeps electromagnet effective in the first setting time, and the second timer makes electromagnet second by accelerating to listen to key and trigger In setting time effectively.
Preferably, the first setting time setting range is 2~5 seconds, and the second setting time setting range is 0.5 ~1.5 seconds.
Preferably, the first setting time setting range is 3 seconds, and the second setting time setting range is 1 second.
The present invention also provides a kind of Implanted medical system, including implantable medical devices, electrode, doctor's program control instrument, Be provided in the implantable medical devices can quickly listen to mode and suspend mode listen to switch between mode and have open or The magnetic switch for closing stimulatory function, further includes above-mentioned patient controller, and the stimulation on/off key is for opening stimulation output Or closing stimulation output, the acceleration listen to key and listen to mode to quick for listening to pattern switching by suspend mode.
Preferably, the implantable medical devices include embedded nerve stimulator, Implanted cardiac pacemaker, implantation Formula cardioverter-defibrillators or implanted infusion of drug device.
Preferably, the magnetic switch is tongue tube.
Preferably, the implantable medical devices include the first wireless communication module, and including in the patient controller can With the second wireless communication module of first wireless communication module wireless communication;
It is described quickly listen to mode under, first wireless communication module can be two-way with second wireless communication module High-speed communication;In the case where mode is listened in suspend mode, first wireless communication module can be two-way low with second wireless communication module Speed communication;The timing circuit judges the implanted when obtaining the permanent magnet close to tongue tube between 0.5~1.5 second Medical instrument, which enters, quickly listens to mode.
Preferably, the plant is judged when the timing circuit obtains the permanent magnet close to tongue tube between 2~5 seconds Enter the entrance of formula medical instrument and turns off or on output mode.
Compared with prior art the invention has the advantages that since the present invention is provided with for patient's standard in patient controller The timing circuit of true timing, when patient presses stimulation on/off key, triggering first timer has electromagnet in 2~5 Effect, what implantable medical devices can judge patient's sending according to the time at this time is to close stimulation output signal;When patient presses When key is listened in acceleration, triggering second timer keeps electromagnet effective in 0.5~1.5 second, and implantable medical devices can at this time Judge that patient issues according to the time is quickly to listen to signal, to be accurately controlled the electromagnet of patient controller close to plant Enter the time of formula medical instrument, the i.e. time of tongue tube actuation, therefore patient can be helped to determine that patient controller is as pass It closes stimulation output to use or use as quickly mode is listened to, so that the erroneous judgement of implantable medical devices is avoided, convenient for disease People's operation and use.
Detailed description of the invention
Attached drawing 1 is the structural schematic diagram of Implanted medical system;
2 patient controller of attached drawing controls the schematic diagram of Implanted medical system using magnetic field;
Attached drawing 3 is the structural schematic diagram of patient controller;
Wherein:
10, implantable medical devices;11 magnetic switch;12, microprocessor;13, the first wireless communication module;20, patient Controller;201, on/off key is stimulated;202, accelerate to listen to key;21, electromagnet;22, power supply;23, first timer;24, Second timer;25, the second wireless communication module;30, electrode;40, doctor's program control instrument.
Specific embodiment
The invention will now be described in further detail with reference to the accompanying drawings:
If attached drawing 1 is to shown in Fig. 3, a kind of patient for accurately controlling magnetic switch 11 in implantable medical devices 10 is controlled Device 20 processed, including the electromagnet 21 for opening or closing magnetic switch in implantable medical devices.It is magnetic in present embodiment Switch is tongue tube, and the microprocessor 12 of implantable medical devices 10 determines patient controller according to the pickup time of tongue tube 20 be to input the signal for closing stimulation output or listen to mode signal into quick.In present embodiment, by implantable medical Patient controller input is thought when the pickup time of tongue tube was set as between 0.5~1.5 second in instrument 10 is to enter quickly Mode signal is listened to, patient controller input is thought when setting pickup time between 2~5 seconds is to close stimulation output letter Number.
The present invention be provided in implantable medical devices can quickly listen to mode and suspend mode listen to switching between mode, And there is the tongue tube for opening and closing stimulatory function.Tongue tube, in vivo without being open when communicating, makes to plant usually external Enter the low power consumpting state that the first wireless communication module 13 in formula medical instrument is in power saving, can be greatly saved and usually be not necessarily to Using external controller carry out wireless program-controlled when power consumption, extend the service life of implantable medical devices, have compared with Big economic value and use value.
When special circumstances occur, tongue tube can also be used to the stimulation output of quick closedown implantable medical devices, disease Patient controller close to implant site, is made dry spring of the permanent magnet 21 in patient controller in implantable medical devices by people Guan Hou, tongue tube can be attracted rapidly the function of realizing and close stimulation output under the induction in magnetic field.Without equal patient controllers Communication is first established with implantable medical devices and realizes control again, can in case of emergency close implantable medical devices rapidly Stimulation output, uses convenient for patient.Similarly, patient can also rapidly turn on implanted using the patient controller as needed The stimulation of medical instrument exports.
Therefore, two functions may be implemented close to implant site using patient controller in patient, that is, turn off or on stimulation It output function and switches to and quickly listens to mode capabilities, it can be by the shut-in time of control tongue tube, by implantable medical device Tool quickly listens to mode to judge to close still to switch to when stimulation output.Usually when it is desirable that closing stimulation output, patient The time of controller close to implantable medical devices is longer, such as 2~5s;When want to enter into quickly listen to mode when, patient control The time of device processed close to implantable medical devices is shorter, such as 0.5~1.5s.
In a solution, it can be judged by the artificial feeling of patient oneself, but since tongue tube is being closed When stimulation output and quickly actuation duration for listening under mode is shorter, only by patient artificially feel control the time, no Energy accurate judgement patient controller is to use as closing stimulation output or use as quickly mode is listened to, if patient wishes Prestige entrance quickly listens to mode but since the time close to implantable medical devices is too long, i.e. the pickup time mistake of tongue tube It is long, it is easy that implantable medical devices erroneous judgement is made to close stimulation output, also therefore brings very big puzzlement to user.
In the present invention, irritating on/off key 201 is set on patient controller 20 and key 202, Yi Jiyong is listened in acceleration In the electromagnet 21 for opening or closing magnetic switch in implantable medical devices, the power supply 22, first being connected in series with electromagnet 21 Timer 23 and second timer 24, first timer 23 make electromagnet 21 in the first setting by the triggering of stimulation on/off key 201 In time effectively, second timer 24, which listens to the triggering of key 202 by acceleration, keeps electromagnet 21 effective in the second setting time.
The first setting time setting range is 2~5 seconds, and the present embodiment is set as 3 seconds.Second setting time is set Determining range is 0.5~1.5 second.The present embodiment is set as 1 second.
When patient presses stimulation on/off key 201, triggering first timer 23 keeps electromagnet 21 effective in 3 seconds, this When implantable medical devices 10 can be judged according to the time patient issue be close stimulation output signal;When patient presses acceleration When listening to key 202, triggering second timer 24 keeps electromagnet effective in 1 second, and implantable medical devices 10 can basis at this time What the time judged patient's sending is quickly to listen to signal.Compared with prior art, patient controller can be accurately controlled Electromagnet can help patient to determine that patient is controlled close to the time of implantable medical devices, the i.e. time of tongue tube actuation Device processed is to use as closing stimulation output or use as quickly mode is listened to, to avoid the mistake of implantable medical devices Judgement is operated and is used convenient for patient.
The present invention also provides a kind of Implanted medical systems, including implantable medical devices 10, patient controller 20, electricity Pole 30, doctor's program control instrument 40, be provided in the implantable medical devices 10 can quickly listen to mode and suspend mode listen to mode it Between switch and have and open or close the magnetic switch 11 of stimulatory function, patient controller 20 includes planting for opening or closing Enter the electromagnet 21 of magnetic switch 11 in formula medical instrument, the power supply 22 being connected in series with the electromagnet, first timer 23 and Second timer 24, first timer 24 have electromagnet 21 in the first setting time by the triggering of stimulation on/off key 201 Effect, second timer 25, which listens to the triggering of key 202 by acceleration, keeps electromagnet 21 effective in the second setting time.
Implantable medical devices 10 include the first wireless communication module 13, and including in patient controller 20 can be with first wirelessly The second wireless communication module 25 that communication module 13 wirelessly communicates.In the case where quickly listening to mode, the first wireless communication module 13 can It is communicated with 25 bidirectional high speed of the second wireless communication module, for example listened to every 1~10 second primary, the present invention may be selected every 2, 3, it listens within 4 seconds primary.In the case where mode is listened in suspend mode, the first wireless communication module 13 can be two-way low with the second wireless communication module 25 Speed communication, for example, listened to every 15 seconds~5 minutes it is primary, the present invention may be selected every 15 seconds, 60 seconds, 2 minutes, 5 minutes then It listens to primary.
Similarly, when patient presses stimulation on/off key 201, triggering first timer 23 makes electromagnet 21 in 3 seconds Effectively, at this time implantable medical devices 10 can be judged according to the time patient issue be close stimulation output signal;Work as patient When pressing acceleration and listening to key 202, triggering second timer 24 make electromagnet in 1 second effectively, implantable medical devices at this time 10 can be judged according to the time patient issue be quickly to listen to signal.Compared with prior art, patient can be accurately controlled The electromagnet of controller can help patient true close to the time of implantable medical devices, the i.e. time of tongue tube actuation Determining patient controller is to use as closing stimulation output or use as quickly mode is listened to, to avoid implantable medical The erroneous judgement of instrument is operated and is used convenient for patient.
Implantable medical devices 10 can be embedded nerve stimulator, Implanted cardiac pacemaker, the implanted rhythm of the heart and turn Multiple one of defibrillator or implanted infusion of drug device.
It is above that specific embodiments of the present invention have been described.It is illustrative herein for description of the invention , thus the scope of the present invention should not necessarily be limited to above-mentioned specific embodiment.It will be apparent to one skilled in the art that not departing from this In the case where the purport or substantive characteristics of invention, other deformations are carried out to above-mentioned specific embodiment or are changed, also should be regarded as this The protection scope of invention.

Claims (9)

1. a kind of patient controller, irritating on/off key is set on the patient controller and key is listened in acceleration, further includes using In the power supply for opening or closing the electromagnet of magnetic switch in implantable medical devices, being connected in series with the electromagnet, first fixed When device and second timer, the first timer has electromagnet in the first setting time by the triggering of stimulation on/off key Effect, the second timer keep electromagnet effective in the second setting time by accelerating to listen to key and trigger.
2. cleaning device according to claim 1, it is characterised in that: the first setting time setting range is 2~5 seconds, institute Stating the second setting time setting range is 0.5~1.5 second.
3. patient controller according to claim 2, it is characterised in that: the first setting time setting range is 3 seconds, The second setting time setting range is 1 second.
4. a kind of Implanted medical system, including implantable medical devices, electrode, doctor's program control instrument, it is characterised in that: the plant Enter and is provided in formula medical instrument and quickly can listen to mode and suspend mode is listened to switch between mode and have and opens or closes thorn The magnetic switch for swashing function, further includes such as patient controller any one of claims 1 to 3, the stimulation on/off key For opening stimulation output or closing stimulation output, the acceleration listens to key for listening to pattern switching to quickly detecing by suspend mode Listen mode.
5. a kind of Implanted medical system according to claim 4, it is characterised in that: the implantable medical devices packet Include 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, it is characterised in that: the magnetic switch is tongue tube.
7. a kind of Implanted medical system according to claim 4, it is characterised in that: the implantable medical devices include First wireless communication module, the interior patient controller includes the second nothing that can be wirelessly communicated with first wireless communication module Line communication module.
8. it is described quickly listen to mode under, first wireless communication module can be with the two-way height of the second wireless communication module Speed communication;In the case where mode is listened in suspend mode, first wireless communication module can be with the two-way low speed of the second wireless communication module Communication;The timing circuit judges the implanted doctor when obtaining the permanent magnet close to tongue tube between 0.5~1.5 second It treats instrument and listens to mode into quick.
9. a kind of Implanted medical system according to claim 7, it is characterised in that: the timing circuit obtain it is described forever Magnet close to tongue tube between 2~5 seconds when judge that the implantable medical devices enter and turn off or on output mode.
CN201711329780.4A 2017-12-13 2017-12-13 A kind of implantable medical control system Pending CN109908479A (en)

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CN201711329780.4A CN109908479A (en) 2017-12-13 2017-12-13 A kind of implantable medical control system

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Application Number Priority Date Filing Date Title
CN201711329780.4A CN109908479A (en) 2017-12-13 2017-12-13 A kind of implantable medical control system

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023197420A1 (en) * 2022-04-13 2023-10-19 苏州维伟思医疗科技有限公司 Wearable cardiac medical device, control method and medical system
WO2024007823A1 (en) * 2022-07-05 2024-01-11 景昱医疗科技(苏州)股份有限公司 In-vitro charger, program control system, and computer-readable storage medium

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023197420A1 (en) * 2022-04-13 2023-10-19 苏州维伟思医疗科技有限公司 Wearable cardiac medical device, control method and medical system
WO2024007823A1 (en) * 2022-07-05 2024-01-11 景昱医疗科技(苏州)股份有限公司 In-vitro charger, program control system, and computer-readable storage medium

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