CN1243519C - Food intake restriction apparatus with controlled wireless energy supply - Google Patents

Food intake restriction apparatus with controlled wireless energy supply Download PDF

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Publication number
CN1243519C
CN1243519C CN 01804868 CN01804868A CN1243519C CN 1243519 C CN1243519 C CN 1243519C CN 01804868 CN01804868 CN 01804868 CN 01804868 A CN01804868 A CN 01804868A CN 1243519 C CN1243519 C CN 1243519C
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energy
apparatus according
device
control
means
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CN 01804868
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CN1446067A (en
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P·福尔塞尔
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奥比特克医疗公司
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Priority to US09/502,775 priority Critical patent/US6454699B1/en
Priority to US09/503,149 priority patent/US6461293B1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003Apparatus for the treatment of obesity; Anti-eating devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/135Tourniquets inflatable
    • A61B17/1355Automated control means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00539Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated hydraulically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
    • A61F2/0036Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0001Means for transferring electromagnetic energy to implants

Abstract

一种食物摄入节流装置,包括一植入在肥胖病人体内的节流装置(56),其连接到胃部或食管上在胃部或食管中形成一个上胃囊和人造节流开口,该节流装置可通过一可植入操作装置(60)操作来改变该人造节流开口。 A food intake throttling device, comprising an implant in the obese patient throttle device (56), which is connected to the stomach or esophagus, and artificial gastric pouch is formed on a throttle opening in the stomach or esophagus, the throttle device may be varied by a throttling opening of the artificial implantable operation means (60) operation. 一控制装置(62和64)被设置为控制来自病人体外的能源,其可植入或不植入,以释放出用于有关节流装置操作的能源,即激励该操作装置。 A control means (62 and 64) is arranged to control the energy from outside the patient, implant which can be implanted or not, to release energy for operation of the device about the expansion, i.e. the excitation of the operating device.

Description

具有可控无线能源的食物摄入节流装置 Food intake throttle device has a controllable energy source radio

本发明涉及一种用于食物摄入节流装置,包括一可植入肥胖病人体内的节流装置,其连接到胃部或食管在胃部或食管中形成一个上胃囊和人造节流开口。 The present invention relates to a throttle opening on the artificial gastric pouch and a food intake throttle device comprising a throttle device implantable obese patient, which is connected to the stomach or esophagus is formed in the stomach or esophagus . 名词病人包含动物或人类。 The term includes animal or human patient.

胃绑扎设备形式的食物摄入节流装置一直用于外科上的病态性肥胖的治疗,在该装置中,有一带子缠绕在病人的胃部以限制病人的进食,其使该带子以上形成一小胃囊并在胃部形成一缩小的人造开口。 Gastric banding device in the form of food intake throttle device for treating morbid obesity has been on surgery, in the apparatus, there is a belt wrapped around the patient's stomach to restrict the patient's eating, so that the tape which is formed over a small forming an artificial gastric pouch and a narrow opening in the stomach. 尽管在外科手术期间这种带子被缠绕在胃部以获得最理想的人造开口,但在一些现有胃捆扎设备中仍设置有可对该人造开口的尺寸进行小的术后调节的调节装置。 Although such a tape during a surgical wound in the stomach to obtain an optimal stoma, but in some prior gastric still tying apparatus is provided with a regulating means may be the size of the stoma after a small adjustment. 在例如US4592339,EP0611561和WO9427504中所公开的所有这类现有技术设备中,调节装置一般包括设在带子中的一可膨胀腔和一个注射口,该注射口与该可膨胀腔液体连通以将液体加入后者或从后者中抽出液体。 For example US4592339, EP0611561 and WO9427504 all such prior art devices as disclosed, the adjustment means typically comprises a tape provided in the expandable chamber and a one injection port, the injection port and in fluid communication with the expandable chamber to liquid which liquid is added or withdrawn from the latter. 在实用中,该带子由硅橡胶制成,这是一种适于植入的材料,该液体是一种象等渗盐溶液这样的液体。 In practice, the tape made of silicone rubber, which is a material suitable for implantation, the liquid is a liquid such as an isotonic saline solution one kind.

也已发现该带子上面的胃囊体积大小在手术后增大到10倍。 It has also been found that the volume of the gastric pouch above the band size is increased to 10 times after the operation. 因此在手术期间该胃囊的体积必须非常小,近似为7毫升。 Thus the pouch volume during surgery must be very small, approximately 7 ml. 鉴于这样的一个小胃囊,为使病人在手术后可立刻供给胃部充足的营养,一开始的人造开口必须相当大,随后随着胃囊体积的增大,需要大大地缩小。 Given such a small stomach pouch, can be supplied to the patient immediately after surgery stomach adequate nutrition, the beginning of the artificial opening must be relatively large, and then increases as the pouch volume, requires greatly reduced. 为了能使带子具有相当大的调节范围,带子中的腔室必须相当大,一般由硅树脂材料制成的薄柔性壁来决定。 In order to make the tape has a relatively large adjustment range, the strap in the chamber must be relatively large, generally a thin flexible wall made of silicone material determined. 而且,在手术后第一年,人造开口的尺寸必须随胃囊的增大而逐渐地缩小。 Further, in the first year after surgery, the stoma size must be reduced gradually increases with the stomach pouch. 如上所述,现有技术设备中的人造开口的缩小是通过将液体经注射口注入到带子的腔室来径向向内地膨胀该带子而实现的. As described above, narrowing the stoma prior art devices is achieved by injecting liquid through the injection port into the belt chamber to expand radially inwardly of the strap achieved.

由注射口反复注射液体的很大的缺点是增加了病人注射口周围的区域被感染的危险。 A great disadvantage repeated injection fluid injection port is the increased risk of the patient surrounding the injection port of the affected area. 如果出现这样的感染,那么就必需将该注射口用手术从病人身体上移走。 If such infections occur, then it is necessary the injection port is removed from the patient's body with surgery. 而且这种感染可能会沿着连接注射口、带子至胃部的管路而扩散,甚至引起更严重的并发症。 And this infection may spread along the pipeline and connected to an injection port of the tape to the stomach, causing even more serious complications. 这样,与带子相接触的胃部就可能被感染,这可能引起带子沿胃壁移动。 Thus, the tape in contact with the stomach could be infected, which may cause the belt moves along the stomach wall. 还有,对于病人来说,必须经常多次地用注射针刺穿病人的皮肤进入注射口来进行人造开口的术后调节,是不舒服的。 Also, for the patient, must often be repeatedly with an injection needle through the patient's skin into the injection port after adjustment to the stoma, it is uncomfortable.

也许会发生病人吞进的食物太大以致不能通过人造节流开口的情况。 Perhaps the patient swallow food much that it can not occur through artificial situation throttle opening. 如果出现了这种情况,病人就不得不去看医生以取走这些食物块,如果该带子设计成这样,其允许通过从带子中抽出一些液体而增大该人造开口,使这些食物块可以通过这个开口,那么随后医生必需向带子中加入液体以便恢复该人造节流开口,采用这些措施要求用注射针来刺穿病人的皮肤,这使得病人不舒服。 If this occurs, the patient will have to go to the doctor in order to block removal of such foods, if the tape is designed so that allow some liquid drawn from the tape of the artificial opening is increased, so that these foods can block this opening, the physician then necessary to add liquid to the band in order to restore the throttle opening of the artificial, these measures require injection using a needle to pierce the patient's skin, which makes the patient uncomfortable.

本发明的目的是提供一种用于在病人的胃部或食管处形成一个人造开口的食物摄入节流装置,其允许进行对病人舒服些的术后调节。 Object of the present invention is to provide a food intake throttle device for forming a stoma in the stomach or esophagus of a patient that allows the patient more comfortable postoperative adjustment.

本发明的另一个目的提供一种食物摄入节流装置,其容易调节且不需要用注射针来完成人造开口的术后调节。 Another object of the present invention to provide a food intake throttle device, which is easy to adjust and does not need to be done after the injection needle adjusted stoma.

这些目的是通过前述的这类食物摄入节流装置获得的。 These objects are achieved by the intake of such food obtained by the expansion device. 其特征在于:当该节流装置被植入时,其可被操作来改变该人造节流开口的限制,可设有一个能量源,可设有一个可从病人体外操作的控制装置,用于控制能量源以释放出用于有关节流装置的操作的能量。 Wherein: when the throttle device is implanted, which can be operated to change a throttle opening limit of the artificial, may be provided with a power source, it can be provided with a control means operated from outside the patient, for controlling the source of energy to release energy for the operation of the throttle device related.

结果,当必须调节节流装置的情况下,节流装置具有非侵入操作的优点。 As a result, in the case where the throttle device must be adjusted, the throttle device has the advantage of non-intrusive operation. 而且本发明的装置还对加在该装置植入部件上的能量提供一种简单和有效的控制,也许在病人的余生,至少是许多年,可保证该装置长期和可靠的功能性。 And apparatus according to the present invention further provides a simple and effective control of the energy input to the device implant component, the patient may rest, at least for many years, can ensure long-term and reliable functionality of the apparatus.

该控制装置也可以控制该节流装置。 The control means may also control the throttle device. 该控制装置可以包括一可植入病人体内以控制该节流装置的内部控制单元、优选地包括一微处理器。 The control means may comprise a patient implantable internal control unit to control the throttle device, preferably comprising a microprocessor. 该控制装置可进一步包括一在病人体外的外部控制单元,其中内部控制单元是通过外部控制单元进行编程的,例如,按时间控制节流装置。 The control device may further comprise an external control unit outside the patient, wherein the internal control unit is programmable by the external control unit, for example, time-controlled throttle device. 可替换地,该内部控制单元按照活动时序程序表随时间控制该节流装置,这可适应适应病人的需要。 Alternatively, the internal control unit in accordance with a timing schedule activities over time of the throttle control device, which can be adapted to meet the needs of the patient.

该节流装置优选地可控制胃部或食管中该人造开口的大小,一个很大的优点是病人能够按需要在日常对人造开口进行调节。 The throttle device is preferably controllable size of the stomach or esophagus stoma, a great advantage is that the patient needs to be able to press in the daily adjustment of the stoma. 这一优点不容低估,因为在病人需要呕吐时,如果不能扩大人造开口,那么对于病人来说要呕吐是非常困难的。 This advantage should not be underestimated, because when patients need to vomit, if you can not expand the artificial opening, then for the patient to vomit is very difficult.

方便地,外部控制单元可以只按照医生批准的加载模式用数据对内部控制单元进行加载。 Conveniently, the external control unit may load in accordance with a doctor mode approved only loads the internal control unit with data. 对于节流装置的特殊控制,外部控制单元可以只按照医生批准的医生模式对内部控制单元进行控制。 For special control throttle device, the external control unit may control the internal control unit in accordance with a doctor mode only authorized doctors. 对于节流装置的简单控制,该外部控制单元按照允许用于病人的病人模式对内部控制单元进行控制。 For simple control of the throttle device, the external control unit controls the internal control unit in accordance with a patient mode allows the patient. 因此通过按照不同模式使用外部控制单元使节流装置具有可由病人控制的某些功能和由医生控制另一些更高级功能成为可能,这使得可对病人进行灵活的术后治疗。 Therefore, by using the external control unit in accordance with different modes have certain functions that the throttle device controlled by the patient and by the physician more control of other advanced features is possible, which makes it possible for the postoperative treatment of patients flexible.

该控制装置可适宜于控制能源来释放能量,例如以能量脉冲序列的形式间断地释放能量,以便直接用于有关节流装置的操作。 The control means may be adapted to control the energy to release energy, for example in the form of an energy pulse train intermittently release energy in order to operate directly related to the throttle device. 按照一合适的实施例,控制装置控制能源释放电能,该装置还包括一个用于从所释放能量产生能量脉冲序列的可植入电容器。 According to a suitable embodiment, the control means controls the electric energy to release energy, the apparatus further comprises a pulse sequence for generating energy from the implantable energy released capacitor. 在这种情况下词“直接”含义是一方面,在控制装置释放该能量的同时,就使用该所释放能量,另一方面,所释放能量可以通过例如一个能量稳定器,在用于节流装置的有关操作之前,按秒级稍作延迟。 In this case, the word "directly" meaning on the one hand, while the control means to release the energy released on the use of the energy, on the other hand, the energy released by the energy, for example, a stabilizer, for throttling the For operation of the apparatus before, by a slight delay in seconds. 该节流装置可以通过应用所释放能量以非手动、非磁或非机械的方式被操作。 The throttle device can be operated in a non-manual, non-magnetic or non-mechanical manner by use of the released energy.

按照本发明的一个优选实施例,该装置包括带有至少一个或只有单个电压标准保护器的可植入电元件和电容器或蓄电器,其中该电容器或蓄电器的充电和放电是通过使用电压标准保护器来控制的。 According to a preferred embodiment of the present invention, the apparatus comprises only a single or with at least one standard voltage protector implantable electrical components and a capacitor or accumulator, wherein the charge and discharge of the capacitor or accumulator is through the use of standard voltage protectors controlled. 结果,就不需要任何用于电容器的控制的可植入电流检测器和/或充电标准检测器,这使得该装置简单和可靠。 As a result, it does not require any implanted current detector and / or detector for controlling the charging standard capacitor, which makes the apparatus simple and reliable.

一般地,该装置进一步包括一植入在病人体内用于控制该节流装置的操作装置,其中控制装置控制着该操作装置来调节节流装置。 Generally, the apparatus further comprises an implant in the patient for controlling the operation means of the throttle device, wherein the control means controls the operation of the throttle adjusting means. 该控制装置可以用能量源所释放的能量直接地激励该操作装置和/或激励该装置的其它可植入能量损耗元件。 The energy control means may be released directly to the energy source energizing the operating means and / or incentives other implantable energy loss of the device elements. 在这种情况下,词语“直接地”的含义是一方面在控制装置释放该能量的同时,该所释放能量就被用来激励该操作装置,另一方面,所释放能量可以通过例如一个能量稳定器,在激励操作装置之前,按秒级稍作延迟。 In this case, the word "directly" means that on the one hand, while the control means to release the energy of the released energy is used to excite the operating device, on the other hand, the energy released by the energy, for example, a stabilizer, prior to operation of the activation means, according to a slight delay in seconds. 当能量被释放的同时直接使用它的优点是该装置可以设计得很简单而且采用少些的元件使得该装置可靠。 When energy is released at the same time it has the advantage that direct use of the device is very simple and can be designed using less reliable so that the device elements.

该节流装置可以是非膨胀的,即没有采用液压液来调节该节流装置。 The throttle device may be non-inflatable, i.e. no hydraulic fluid to adjust the throttle device. 这克服了液体从该节流装置中泄露的缺点。 This overcomes the drawbacks of leakage of liquid from the expansion device.

该操作装置可以包括液压装置和至少一个控制液压装置中液体流动的阀。 The operation device may comprise hydraulic means and at least one fluid flow control device of the hydraulic valve. 该控制装置适合于包括一个控制该阀的无线遥控器。 The control means is adapted to control the valve comprises a wireless remote control. 该节流装置可以包括液压装置,该操作装置可以包括一储液器,其形成一连接到该液压装置上的体积可变的液体腔,该操作装置通过该液体腔体积的减小,将液体从该液体腔分配到液压装置,以及通过该液体腔体积的膨胀,将液体从液压装置抽回到该液体腔。 The throttling means may comprise a hydraulic means, the operation means may comprise a fluid reservoir, which is connected to a liquid chamber is formed on the volume of the variable hydraulic device, the operation of the apparatus by reducing the volume of the liquid chamber, the liquid dispensing liquid from the chamber to the hydraulic means, and by expanding the volume of the liquid chamber, the liquid will be pumped back to the liquid chamber from the hydraulic device.

根据本发明的第一主要方面,能源是在病人的体外,控制装置控制该能源释放出无线能量。 According to a first main aspect of the present invention, energy is outside of the patient, the control means controls the energy released wireless energy. 该外部能源可以是任意可能类型,例如核能源或化学能源。 The external energy source may be of any possible type, such as nuclear energy or chemical energy.

一种能量存储装置,优选地是一电蓄电器,可以植入在病人体内用于存储由外部能量源所释放出的无线能量。 An energy storage device, preferably an electric accumulator, may be implanted in the patient for storing the wireless energy released from the external source of energy out. 该电蓄电器可包括至少一个电容器或至少一个可充电电池,或者至少一个电容器和至少一个可充电电池的结合。 The electric accumulator may comprise at least one capacitor or at least one rechargeable battery, or at least one capacitor and at least one rechargeable battery combination. 可替换地,电池可以植入在病人体内用于向该装置的电能量损耗部件供应除无线能量以外的电能。 Alternatively, a battery may be implanted in the patient for an electrical energy supply device to the power loss member other than the wireless energy. 在此该控制装置包括一可植入控制单元和其电路,该节流装置可以由所转换的无线能量、或来自可植入能量存储装置或电池的能量直接供电。 Here the control device comprises an implantable control unit and the circuit, the throttle device can be converted by the wireless energy, or energy from the implantable energy storage device or battery powered directly.

根据本发明的第二主要方面,无线能量被直接用于节流装置的操作,即当由控制装置从外部能源中释放出无线能量的同时,节流装置被操作。 According to a second main aspect of the present invention, the wireless energy is directly used for operation of the throttle device, i.e., when released by the control device while the external source of energy from the wireless energy in the expansion device is operated. 在这种情况下,词语“直接地”的含义是一方面通过使用所释放能量而没有首先存储它,节流装置就迅速被操作了,另一方面,所释放能量可以通过例如一个能量稳定器,在被用于操作装置之前,按秒级稍作延迟。 In this case, the word "directly" means that the energy released by the use of one hand without first storing it, the expansion device is operated quickly, on the other hand, the energy released by the energy, for example, a stabilizer before being used to operate the device, according to a slight delay in seconds. 结果,节流装置的控制相当简单,该装置只有很少的植入部件。 As a result, relatively simple control of the throttle device, which means only a few implanted components. 例如没有植入能源,如电池,也没有植入复杂的信号控制系统。 E.g. no implantation energy, such as batteries, there is no implanted complicated signal control system. 这使得该装置具有相当可靠的优点。 This makes the apparatus quite reliable.

一般地,该控制装置控制着并直接或间接地用能量源所释放的无线能量激励该操作装置和/或激励该装置的其它被植入能量损耗部件。 Generally, the control device controls and directly or indirectly with an energy source energizing the wireless energy released by the operating means and / or other excitation means is the energy loss of the implanted component.

在按照本发明第一和第二主要方面的第一特殊实施例中,该操作装置包括一发动机,优选地一具有塑料制成的导电部分的电机。 In a first particular embodiment of the first and second main aspect of the present invention, in accordance with the operating means comprises a motor, preferably a motor having electrically conductive parts made of plastics. 该发动机可包括一旋转电机,该控制装置适宜于控制该旋转电机旋转一预定转数。 The engine may include a rotary electric machine, the control means adapted to control the rotary motor rotates a predetermined number of revolutions. 可替换地,该发动机可包括一直线电机或一液压或气动液体马达,其中该控制装置适宜于控制着流过该液体马达的液体。 Alternatively, the engine may include a motor or a line hydraulic or pneumatic fluid motor, wherein the control means is adapted to control the fluid flow through the fluid motor. 目前市场上可用的发动机变得越来越小。 Currently available on the market engines become smaller and smaller. 而且,有多种控制方法和可利用的小型化控制设备。 Moreover, a variety of control methods and miniaturized control equipment available. 例如,可以通过一仅几毫米大小的霍尔元件来分析回转马达的旋转数目。 For example, the number may be analyzed by a rotation of the swing motor size of only a few millimeters of the Hall element.

在按照本发明第一和第二主要方面的第二特殊实施例中,该控制装置可适宜于通过对所释放能量的极性进行转换以使该操作装置转向。 In a second particular embodiment of the first and second main aspect of the present invention, in accordance with the control means it may be adapted to the polarity of the energy released by the converting means so that the steering operation. 该操作装置适宜于包括一电动机,该所释放能量包括电能。 The operation device suitably comprises an electric motor in which the released energy comprises electric energy.

在按照本发明第一和第二主要方面的第三特殊实施例中,该节流装置可操作来执行一转向操作,有一用于将节流装置执行的操作转向的可植入病人体内的转向装置。 In a third particular embodiment of the first and second main aspect of the present invention, in accordance with the throttle device is operable to perform a steering operation, there is a device to perform operations for throttling the steering implantable patient steering device. 这种转向功能最好包括适合于以无极方式由该节流装置扩大或限制该人造开口。 This steering function preferably comprises a stepless manner adapted to expand or restrict the artificial opening of the throttle device. 在这种连接中,控制装置适合于控制该转向装置以将节流装置执行的操作进行转向,该转向装置可包括一开关。 In this connection, the control means is adapted to control the steering apparatus to perform a throttle operating device for steering, the steering means may comprise a switch. 该转向装置可包括带有阀的液压装置,该阀用于将液压装置中的液体流动方向进行转换。 The steering means may comprise a hydraulic device with a valve, the valve for the hydraulic fluid flow direction conversion means. 可替换地,该转向装置可包括一机械转向装置,例如开关或齿轮箱。 Alternatively, the steering means may comprise a mechanical steering device, such as a switch or a gearbox.

在此,转向装置包括一开关。 Here, the steering device comprises a switch. 该控制装置适合于通过对加到开关上的所释放能量的极性进行转换来控制开关的动作。 The control means is adapted to be converted by the polarity of the released energy is applied to the switch to control the operation of the switch. 该开关可包括一电子开关,该能源可为该开关的操作提供电能。 The switch may comprise an electronic switch, the energy source may provide electrical energy for the operation of the switch. 上述的开关可以包括一电子开关或机械开关在按照本发明第一和第二主要方面的第四特殊实施例中,该节流装置包括液压装置,例如包括一可膨胀/可收缩液压液腔体。 The above-described switch may comprise a mechanical switch or an electronic switch in a fourth particular embodiment of the first and second main aspect of the present invention, in accordance with the throttle device comprises hydraulic means, for example, comprises an expandable / collapsible hydraulic fluid chamber . 优选地,该操作装置适宜于传导液压装置中的液压液,并包括一个发动机,一连接到节流装置的液压装置上的无阀液体导管,和一储液器,其中该储液器构成该导管的一部分。 Preferably, the hydraulic operation means is adapted to conducting fluid pressure apparatus, and includes a motor, a valveless fluid conduit connected to the hydraulic means of the throttle device, and a reservoir, wherein the reservoir forms the portion of the catheter. 该操作装置适宜于包括一个由发动机操作的泵。 The operation device suitably comprises a pump operated by an engine. 所有用到的液压部件最好优选地没有止回阀。 All best used preferably without a check valve member hydraulically. 这具有很大的优点,因为设有阀总是存在由于阀的不正常工作而引起故障的危险,尤其是长时间进行阀间操作后。 This has the great advantage, because there is always a risk of a valve due to the malfunction of the valve caused by failure, especially after a long inter-valve operation. 该储液器构成一体积可变的液体腔,该泵可通过该液体腔的体积的减小,将液体从该液体腔分配到节流装置的液压装置,通过该液体腔的体积的增大,将液体从液压装置抽回到该液体腔。 The reservoir forming the variable volume of a liquid chamber, the pump can, reducing the volume of the liquid dispensed through the fluid chamber from the liquid chamber to the hydraulic means of the throttle device, by increasing the volume of the liquid chamber , drawing liquid from the hydraulic device back into the liquid chamber.

按照本发明的第三个主要方面,该能量源被植入病人体内。 According to a third principal aspect of the present invention, the energy source is implanted in the patient. 因此当能量源被植入病人体内时,控制装置控制它从病人体外释放能量。 Therefore, when the energy source is implanted in a patient, control means which controls the release of energy from outside the patient. 这种手段对于具有相当高的能量损耗的,不能满足直接提供无线能量的该装置的实施例来说是很有利的。 For embodiments such means having a relatively high energy losses, not directly meet the wireless energy of the device is very advantageous.

该可植入能源可以包括一个蓄电器,优选地一个电能源、例如一个具有至少10年寿命的电池。 The energy source may comprise an implantable accumulator, preferably a source of electrical energy, for example at least a 10-year life of the battery has.

按照本发明的第四个主要方面,该装置包括一个可植入病人体内的开关,其用于直接或间接地切换节流装置的操作,和一个内部能源,如被植入病人体内用于向节流装置的操作提供能源的电池,其中该开关直接或间接地影响来在内部能源的能量供应。 According to a fourth main aspect of the present invention, the apparatus comprises a switch implanted in the patient for switching the operation of the throttle device directly or indirectly, and an internal energy source, such as to be implanted in the patient for operation of the throttle device a battery to provide energy, wherein the switch directly or indirectly affects the supply of energy to the internal energy source. 这种手段对于具有相当高的能量损耗,不能满足直接提供无线能量的该装置的实施例来说是很有利的。 Such means for having relatively high energy consumption, can not meet the embodiments of the apparatus of wireless energy directly is very advantageous.

在按照本发明的第四个主要方面的第一个特殊实施例中,开关在断开方式和接通方式之间进行切换,在断开方式,该内部能源不能使用,在接通方式,该内部能源可为节流装置的操作供应能量。 In a particular embodiment according to the first embodiment of the fourth main aspect of the present invention, the switch between the OFF mode and the ON mode switch in the off mode, the internal energy can not be used in the on mode, the internal energy may be the energy supply operation of the throttle device. 在这种情况下,开关可以方便的由外部能源所释放的无线能量操作在接通和断开方式之间进行切换。 In this case, the switch can be easily released by an external energy source to operate the wireless energy to switch between on and off manner. 控制装置优选地包括一无线遥控器,可以控制外部能源释放出无线能量。 Control means preferably comprises a wireless remote control, may control the external source of energy to release wireless energy. 该实施里的优点是所植入能源例如电池的寿命大大地延长了,因为当开关处于断开方式时,所植入能源不供应能量。 In this embodiment the advantage that the energy of the implanted, for example, greatly extended battery life, because when the switch is turned off manner, the implant energy is not supplied with energy.

在按照本发明的第四个主要方面的第二个特殊实施例中,控制装置包括一控制内部能源的无线遥控器。 In a second particular embodiment in accordance with the fourth main aspect of the present invention, the control means controlling an internal energy source comprises a wireless remote control. 在这种情况下,开关可以由外部能源的无线能量操作在断开方式和待用方式之间进行切换,在断开方式,该内部能源和遥控器不能使用,在待用方式,允许遥控器控制内部能源为节流装置的操作供应能量。 In this case, the switching operation may be performed by an external energy source wireless energy between a stand-by mode and the OFF mode switch in the off mode, the internal energy and the remote control can not be used in stand-by mode, allowing the remote control internal control of energy supplies energy for the operation of the throttle device.

在按照本发明的第四个主要方面的第三个特殊实施例中,该装置进一步包括一植入病人体内用于将无线能量转换成可存储能量的能量转换装置,其中内部能量源能够存储该可存储能量。 In a third particular embodiment of the fourth main aspect of the present invention in accordance with, the apparatus further comprising an implanted in the patient for transforming the wireless energy into storable energy is an energy conversion device, wherein the energy source is capable of storing the internal storable energy. 优选地该内部能源包括一个电蓄电器,至少一个电容器或至少一个可充电电池,或者至少一个电容器和至少一个可充电电池的结合。 Preferably the internal energy source comprises an electric accumulator, at least one capacitor or at least one rechargeable battery, or at least one capacitor and at least one rechargeable battery combination. 在这种情况下,开关可以从断开方式切换到接通方式,在断开方式,该内部能源不能使用,在接通方式,内部能源为节流装置的操作供应能量。 In this case, the switch may be switched from OFF mode to ON mode, the OFF mode, the internal energy can not be used in the on mode, the internal energy supplies energy for the operation of the throttle device.

该控制装置优选地包括一无线遥控器,其可以控制开关在接通和断开方式之间进行切换。 The control means preferably comprises a wireless remote control, which can control the switch to switch between on and off manner.

可替换地,在第三个特殊实施例中,可将一能量存储装置植入病人体内代替内部能源来存储可存储能量,其中开关由来自被植入能量存储装置的能量操作在断开方式和接通方式之间进行切换,在断开方式,该内部能源不能使用,在接通方式,内部能源为节流装置的操作供应能量。 Alternatively, in a third particular embodiment, an energy storage device may be implanted inside the patient instead of the stored energy to storable energy, wherein the switch operation by the energy from the energy storage device is implanted in a disconnected mode and for switching between an on mode, in the off mode, the internal energy can not be used in the on mode, the internal energy supplies energy for the operation of the throttle device. 在这种情况下,控制装置(无线遥控器)控制该能量存储装置操作开关。 In this case, the control device (the wireless remote control) controls the energy storage operation of the switch means.

优选地该内部能源包括一个电能源,例如一蓄电器或具有至少10年寿命的电池。 Preferably the internal energy source comprises a source of electrical energy, such as a storage battery or with a battery life of at least 10 years. 然而也可以使用其它种类的能源,例如核能源或化学能源。 However, also other kinds of energy, such as nuclear energy or chemical energy.

本发明第一和第二主要方面中所描述的上述第一、第二、第三和第四特殊实施例也应用于按照本发明的第三主要方面中,即能量源是可植入的,以及按照本发明的第四主要方面中,即该装置包括一可植入开关。 The first and second of said first, second, third and fourth particular embodiments also apply according to a third main aspect of the present invention, i.e., the energy source is an implantable main aspect of the present invention as described, and in accordance with a fourth main aspect of the present invention, i.e., the apparatus comprises an implantable switch.

所有上述实施例可以至少结合一种用于检测病人的至少一种物理参数的可植入传感器,其中控制装置可响应来自传感器的信号以控制该节流装置。 All of the above embodiments may be combined with at least one of the at least for detecting a physical parameter of a patient implantable sensor, wherein the control means may be responsive to signals from the sensors to control the throttle device. 例如该传感器可包括一压力传感器,其用于直接或间接地检测胃或食管中的压力。 For example, the sensor may comprise a pressure sensor for detecting the pressure in the stomach or esophagus, directly or indirectly. 词语“间接地检测胃或食管中的压力”应当理解为包括传感器检测节流装置或病人组织所受压力的情况。 The term "indirectly detecting the pressure of the stomach or esophagus" is to be understood that the pressure applied to the case of detecting throttle device comprises a sensor or patient tissue. 该控制装置可包括一个可植入病人体内的内部控制单元,其适合于响应传感器的信号来直接控制该节流装置。 The control means may comprise a patient implantable internal control unit, which is adapted to a signal response of the sensor to directly control the throttle device. 为了响应来自传感器的信号,例如压力、病人的位置或一些其它的重要物理参数,内部控制单元可以将上面的信息发送到病人体外。 In response to signals from the sensor, for example pressure, the patient's position or some other important physical parameter, the internal control unit may transmit the above information to outside the patient. 该控制单元也可以响应于来自传感器的信号来自动地控制该节流装置。 The control unit may be responsive to a signal from the sensor to automatically control the throttle device. 例如,该控制单元可以响应于检测躺卧的该传感器来控制节流装置以进一步限制胃中人造开口的大小,或者响应于检测该节流装置的异常高压力的该传感器,来扩大该人造开口。 For example, the control unit may be responsive to a sensor detecting the reclining controlling the throttle device to further limit the size of the stoma in the stomach, or in response to the sensor sensing an abnormally high pressure of the expansion device to expand the opening of the artificial .

该控制装置包括一位于病人体外的外部控制单元,该外部控制单元适合于响应来自传感器的信号以直接控制该节流装置。 The control device comprises a control unit located outside the patient's body, the external control unit is adapted to respond to signals from the sensor directly controls the throttle device. 该外部控制单元可以存储由传感器所检测到的有关物理参数的信息,可手动操作以控制基于所存储信息的节流装置。 The external control unit may store information on the physical parameter sensed by the sensor, manually operable to control the expansion device based on the stored information. 另外,可以有至少一种可植入发射机,其用于发射由传感器所检测到的有关物理参数的信息。 Further, there may be at least one implantable transmitter for transmitting information about the physical parameters detected by the sensors of.

在病人体外可设置一外部数据通信器和一植入病人体内可与外部数据通信器通讯的内部数据通信器。 May be provided outside the patient, and an external data communicator may be implanted in the patient an internal data communicator communicating with the external data communication device. 内部数据通信器可以将与病人或该节流装置有关的数据输送回该外部通信器。 Internal data communicator may deliver data associated with the patient or the throttle device back to the external communicator. 可替换地或结合在一起,该外部通信器可以将数据输送到内部数据通信器。 Alternatively or in combination, the external communicator may deliver data to the internal data communicator. 内部数据通信器可适合于输送病人的至少一种物理信号。 Internal data communicator may be adapted to transport at least one physical signal of the patient.

一般地分发明的装置可以包括一个植入在病人体内用于直接或间接地转换该能源所释放能量的开关。 It means generally a sub invention may comprise a switch implanted in the patient for directly or indirectly convert the energy released by the energy. 例如,可操作节流装置来打开和关闭人造开口或无级调节人造开口的大小。 For example, the throttle device is operable to open and close a stoma or steplessly adjusting the size of the stoma. 可设置一个压力传感器来直接或间接地检测胃和食管的压力。 May be provided a pressure sensor to detect pressure on the stomach and esophagus, directly or indirectly. 该控制装置可响应来自压力传感器的信号来控制该节流装置。 The control means may be responsive to a signal from the pressure sensor to control the throttle device.

该装置包括一可植入能量转换装置,其中控制装置释放电能,能量转换装置将电能转换成动能,优选地直接用于节流装置的操作。 The apparatus comprises an implantable energy transforming device, wherein the control device releases electric energy, an energy conversion device that converts electrical energy into kinetic energy, preferably directly used for operation of the throttle device. 适合于设置一用于稳定由控制装置所释放能量的可植入稳定器,例如一个电容器或一个可充电蓄电器,或类似物。 It is adapted to set an implantable stabilizer for stabilizing the energy released by the control device, such as a capacitor or a rechargeable accumulator, or the like. 另外,控制装置可在一预定时间期间或一预定能量脉冲数控制能源释放能量。 Further, the control means may be a predetermined time period or a predetermined number of pulses of energy to control energy to release energy. 最后,该节流装置可以是非膨胀的。 Finally, the expansion device may be non-inflatable.

所有上述实施例最好是遥控的。 All of the above embodiments are preferably remote controlled. 因此控制装置方便地包括一发射至少一个控制节流装置的无线控制信号。 Thus the control means conveniently comprises a radio control signal at least a throttle device controlled emission. 用这种无线遥控器,使得按病人的需要对该装置的功能进行日常调节成为可能,这对病人的治疗是很有益的。 In this wireless remote control, so that the needed adjustment of the patient's daily function of the device becomes possible, treatment of patients which is very useful.

该无线遥控器可以获得有关节流装置的状态的信息并响应该信息控制该节流装置。 The wireless remote control may obtain information about the status of the expansion device in response to the information and control the throttle device. 还有,该遥控器可以从病人体内向体外发送有关节流装置的信息。 Also, the remote control can transmit information to the expansion device from the patient in vitro.

该无线遥控器能够获取有关该植入节流装置状态的信息并响应于该信息来控制该节流装置。 The wireless remote controller can acquire information about the implant and the expansion device in response to the state information to control the throttle device. 该遥控器还能够从病人体内向体外发送有关节流装置的信息。 The remote controller can also send information about the expansion device from the patient in vitro.

在本发明的特殊实施例中,该无线遥控器包括至少一种外部信号发射机或收发机和至少一种可植入病人体内的内部信号接收机或收发机。 In a particular embodiment of the present invention, the wireless remote control comprises at least one external signal transmitter or transceiver and at least one patient implantable internal signal receiver or transceiver. 在本发明的另一种特殊实施例中,该无线遥控器包括至少一种外部信号接收机或收发机和至少一种可植入病人体内的内部信号发射机或收发机。 In another particular embodiment of the present invention, the wireless remote control comprises at least one external signal receiver or transceiver and at least one implantable internal signal transmitter patient or transceivers.

该遥控器可以发射一种载有该控制信号的载波信号,其中该载波信号是频率、幅度或者是调频和调幅的。 The remote control may transmit a carrier signal carrying one kind of the control signal, wherein the carrier signal is frequency, amplitude or frequency modulation and amplitude modulation. 该载波信号是频率、幅度,或者调频和调幅信号以及数字、模拟,或者数字和模拟信号.以载波信号方式使用的控制信号也可以是频率、幅度,或者调频和调幅信号。 The carrier signal is frequency, amplitude or frequency modulation, and amplitude modulated signal and a digital, analog or digital and analog control signals to the carrier signal may be a way to use a frequency, amplitude, or AM and FM signals.

该控制信号可以包括一波信号,例如一声波信号,比如超声波信号,电磁波信号,比如红外光信号,可见光信号、紫外光信号、激光信号、微波信号、无线电波信号、X光照射信号和伽马射线信号。 The control signal may comprise a wave signal, such as an acoustic wave signal, such as an ultrasonic signal, an electromagnetic wave signal, such as infrared light signals, visible light signals, ultra violet light signal, a laser signal, a microwave signal, a radio wave signal, X-ray and gamma irradiation signal ray signal. 在实用中,可以将二个或更多的上述信号结合起来。 In practice, two or more of the above signals may be combined.

该控制信号可以是数字或模拟的,可以包括一电场或磁场。 The control signal may be digital or analog, and may comprise an electric or magnetic field. 该无线遥控器可适合于发射一携带该数字或模拟控制信号的电磁载波信号。 The wireless remote control may be adapted to transmit an electromagnetic carrier signal of the digital or analog control signal is carried. 例如,载有数字控制信号的模拟载波信号的使用将提供安全的通信。 For example, carrying a digital control signal using an analog carrier signal to provide secure communications. 该控制信号可以通过无线遥控器以脉冲形式发射。 The control signal may be transmitted in pulses by the wireless remote control.

在所有上述方案中,控制装置方便地以非侵入、磁、非磁、机械或非机械方式释放来自能源的能量。 In all the above embodiments, the control means conveniently a non-invasive, magnetic, non-magnetic, mechanical or non-mechanical energy released from the energy source.

该控制装置可以释放出磁能、电磁能、动能、声能、热能、或非磁能、非声能、非热能、非电磁能或非动能。 The control device may release magnetic energy, electromagnetic energy, kinetic energy, sound energy, thermal energy, or non-magnetic, non-sonic energy, non-thermal, non-electromagnetic or non-kinetic energy.

控制装置可以手动、非手动方式被启动来控制能源释放能量。 Manual control means may be, non-manual manner to control the start energy to release energy.

该操作装置可通过磁能、非磁能、电磁能、非电磁能、动能、非动能、热能或非热能来激励。 The operating device may be excited by magnetic energy, non-magnetic energy, electromagnetic energy, non-electromagnetic energy, kinetic energy, non-kinetic energy, thermal energy or non-thermal energy. 但是该操作装置最好包括一电操作装置。 However, the handling device preferably comprises an electrical operation device.

典型地,本发明该装置包括一用于调整节流装置以改变人造开口大小的调整装置。 Typically, the apparatus of the present invention comprises a means for adjusting the throttle adjusting means to vary the stoma size. 该调整装置适宜于机械调节该节流装置。 The adjustment means adapted to mechanically adjust the throttle device. 可替换地该调整装置适宜于通过采用液压装置来液压调节该节流装置,这种液压装置不能采用当暴露于热或一磁场时其粘性大大增加的这种液压液,即当暴露于热或受到一磁场力的影响时,该液压液不会便得更粘。 Alternatively the adjusting means is adapted to the expansion device by using hydraulic fluid pressure adjusting means, such a hydraulic system can not be used when exposed to heat or a magnetic field which greatly increase the viscosity of the hydraulic fluid such that, when exposed to heat or when affected by a magnetic force, the hydraulic fluid will not be more sticky.

本发明的上述实施例可以按照如下建议来改进。 The above-described embodiments of the present invention may be improved in accordance with the following suggestions. 所释放能量可以包括电能和可以设置一电容量小于0.1μF的可植入电容器,该电容器可产生上面所提到的能量脉冲序列。 The released energy may comprise electric energy and can be provided with a capacity of less than 0.1μF implantable capacitor, which can produce an energy pulse train mentioned above.

可以设置一可植入发动机或泵来操作该节流装置,其中控制装置适合于控制能源直接地用所释放能量激励该发动机或泵。 You may be provided an implantable motor or pump to operate the throttle device, wherein the control means is adapted to control the excitation energy of the motor or pump with the released energy directly. 特别地,其中控制装置适合于随着无线能量的释放,以磁场或电磁波(不包括无线电波)的形式释放无线能量以直接激励发动机或泵。 In particular, wherein the control means is adapted to release wireless energy with the release wireless energy in a magnetic field or electromagnetic waves (excluding radio waves) to form the direct excitation of the engine or pump. 当使用泵时,最好不是活塞型的泵。 When using a pump, preferably a piston-type pump not.

一般地,无线能量包含一信号。 Generally, the wireless energy comprises a signal.

该装置进一步包括可植入能量转换装置,其用于将无线能量直接或间接地转换成不同于无线能量的能量以操作该节流装置。 The apparatus further comprises an implantable energy transforming device, for converting the wireless energy directly or indirectly into energy different than the wireless energy to operate the throttle device. 例如发动机或泵可以通过所转换能量来激励。 Such as an engine or pump may be excited by the energy conversion.

能量转换装置最好可以直接地将声波形式的无线能量转换成电能以操作该节流。 The energy conversion device may preferably directly convert sound waves into electrical energy in the form of wireless energy to operate the throttle. 该能量转换装置可以包括一适合于从所转换电能产生电脉冲的电容器。 The energy conversion device may comprise an electrical pulse is generated adapted to convert electrical energy from the capacitor.

在本发明说明书中所提到的发动机也可以随着能量的发射,直接由信号形式的无线发射电磁波或磁能来激励。 In the present specification, the engine referred to as the emitted energy may be directly excited by the transmit electromagnetic wave signals form a wireless or magnetic energy. 而且,在应用中,可采用本发明说明书中所描述的发动机和相关部件的所有各种功能。 Further, in the application, all the various functions of the engine employed and the description related components described in the present invention.

一般地,该节流装置方便地被埋入一柔软的或凝胶状材料中,例如具有小于20(肖氏硬度)的硅材料中。 Generally, the throttle device is conveniently embedded in a soft or gel-like material, such as a silicon material having less than 20 (Shore hardness) of.

当然,节流装置最好是非手动调节的。 Of course, preferably a non-manual adjustment of the throttle device.

在应用中,以上所述所有各种部件,例如发动机、泵和电容器可以结合到不同的实施例中。 In application, the various components of all of the above, such as an engine, a pump, and a capacitor may be incorporated into various embodiments. 在应用中本发明上述实施例中所描述的各种功能可以用于不同的应用中。 In various functional applications of the present invention described in the above-described embodiment may be used for different applications.

本说明书中出现的转换能量和控制能量的所有各种方式可以采用所述的所有各种部件和方案来实践。 All the various ways in the present specification are energy conversion and control of energy may be practiced using all of the various components and programs.

本发明还提供了治疗肥胖病人的方法。 The present invention also provides a method of treating obese patients.

因此,按照第一种替换方法,设计有一种治疗肥胖病人的方法,包括将可操作节流装置植入病人体内的多步骤,这样节流装置连接胃部或食管以构成一上胃囊和在胃布或食管中的人造节流开口,提供一种用于激励节流装置的能源,控制能源释放出用于有关节流装置的操作的能量。 Thus, in accordance with a first alternative method, the design method of treating obese patients, comprising a throttle device operable multi-step implantation in the patient, so the expansion device connected to the stomach or esophagus to form an upper pouch and a stomach or esophagus artificial cloth throttle opening, there is provided a method for the excitation energy of the throttling device, controlled energy release energy for operating the throttle device of the related. 该方法进一步包括采用能源所释放的能量来操作该节流装置以分别扩大和缩小人造开口。 The method further comprises using the energy released by the energy operating the expansion device to expand and contract, respectively stoma.

按照第二种替换方法,提供一种治疗肥胖病人的方法,包括下列步骤:将至少两个腹腔镜套管针放入病人体内,将一解剖器具插入到腹腔镜套管针中,切开食管或胃部区域,将可操作节流装置放在所被切开区域,这样节流装置与食管或胃部连接以在胃部或食管上形成一节流口,将一能源植入病人体内,控制该植入能源从病人体外释放用于有关节流装置的操作的能量。 According to the second alternative method, there is provided a method of treating obese patients, comprising the steps of: at least two laparoscopic trocars into the patient, the anatomy of a laparoscopic instrument is inserted into the trocar incision esophagus or the stomach region, the throttling device is operable in the area to be cut, so that the throttle device is connected with the esophagus or stomach to form an orifice in the stomach or esophagus, the pair of energy into the patient, controlling the implantation energy for releasing energy from outside the patient about the operation of the throttle device.

按照第三种替换方法,提供一种治疗肥胖病人的方法,包括下列步骤:(a)将可操作节流装置手术植入病人体内与食管或胃部连接以在胃部或食管中形成一节流开口,(b)提供一位于病人体外的能源(c)控制该外部能源从病人体外释放用于有关节流装置的操作的能量,以及(d)将该所释放的无线能源用于有关节流装置的操作。 According to a third alternative method, there is provided a method of treating obese patients, comprising the steps of: (a) a throttle device operable surgical implant patient with stomach or esophagus to form a connection in the stomach or esophagus of a outlet opening, (b) providing an energy located outside of the patient (c) controlling the external source of energy from outside the patient for the operation relating to the release of the throttle device, and (d) the released wireless energy for articulated a flow control device.

按照第四种替换方法,提供一种治疗肥胖病人的方法,包括下列步骤:将至少两个腹腔镜套管针放入病人体内,将一解剖器具插入到腹腔镜套管针中,切开食管或胃部区域,将可操作节流装置放在所被切开区域,这样节流装置与食管或胃部连接以在胃部或食管上形成一节流口,在病人体外提供一外部能源,控制该外部能源从病人体外释放无线能量,将该所释放的无线能源用于有关节流装置的操作。 According to a fourth alternative method, there is provided a method of treating obese patients, comprising the steps of: at least two laparoscopic trocars into the patient, the anatomy of a laparoscopic instrument is inserted into the trocar incision esophagus or the stomach region, the throttling device is operable in the area to be cut, so that the throttle device is connected with the esophagus or stomach to form an orifice in the stomach or esophagus, providing an external source of energy outside the patient, controlling the external energy to release wireless energy from outside the patient, the released wireless energy for operation related to the throttle device.

按照第五种替换方法,提供一种治疗肥胖病人的方法,包括下列步骤:将至少两个腹腔镜套管针放入病人体内,将一解剖器具插入到腹腔镜套管针中,切开食管或胃部区域,将可操作节流装置放在所被切开区域,这样节流装置与食管或胃部连接以在胃部或食管上形成一节流口,植入一能量转换装置,提供一外部能源,控制该外部能源释放无线能量,通过能量转换装置将无线能量转换成不同于无线能量的能量以用于有关节流装置的操作。 According to a fifth alternative method, there is provided a method of treating obese patients, comprising the steps of: at least two laparoscopic trocars into the patient, the anatomy of a laparoscopic instrument is inserted into the trocar incision esophagus or the stomach region, the throttling device is operable in the area to be cut, so that the throttle device is connected with the esophagus or stomach to form an orifice in the stomach or esophagus, an implantable energy transforming device, providing an external source of energy, controlling the external energy to release wireless energy by the energy conversion means for converting the wireless energy into energy different than the wireless energy for operation of the throttle device related. 该方法还进一步包括将一稳定器植入病人体内以稳定由能量转换装置所转换的能量。 The method may further comprise implanting a stabilizer in order to stabilize the patient by the energy conversion device the energy conversion.

下面结合附图对本发明进行更详细的描述。 The following figures present invention will be described in more detail in conjunction.

附图的简要说明图1-6分别是说明本发明6个实施例的示意性方块图,其中无线电能量是从外部能源释放出的;图7-10分别是说明本发明4个实施例的示意性方块图,其中无线电能量是从被植入能源释放出的;图11-15分别是说明本发明5个实施例的示意性方块图,其中开关被植入病人体内以直接或间接地切换节流装置的操作;图16是为了完成各种通信选择对所植入部件进行多个可能组合的示意性方框图;图17示出了按照本发明的植入在病人体内的装置。 BRIEF DESCRIPTION OF THE DRAWINGS Figures 1-6 illustrate, respectively, 6 is a schematic block diagram of an embodiment of the present invention, wherein the radio energy is released from an external source; Figures 7-10 are illustrative of the invention four embodiments of a schematic block diagram, wherein the radio energy is released from the implanted energy; Figures 11-15 are illustrative of the invention 5 a schematic block diagram of an embodiment in which a switch is implanted in a patient, directly or indirectly to the switching section operational flow apparatus; FIG. 16 is selected to perform various communications on the illustrative implant may be a plurality of combinations of components of a block diagram; FIG. 17 shows an apparatus according to the present invention implanted in a patient.

图18是说明本发明一个实施例的遥控部件的方框图;图19是用于图18方框图中部件的范例电路示意图。 FIG 18 is a block diagram of a remote control unit embodiment of the present invention is described embodiment; FIG. 19 is an example of a circuit diagram for the block diagram in FIG. 18 parts.

参见附图,这些附图中同样的附图标记表示相同或相应的部件。 Referring to the accompanying drawings, in which like reference numerals indicate like or corresponding parts.

图1示意性示出了本发明食物摄入节流装置的一个实施例,该装置中一些部件被植入到病人体内,另一些部件位于病人体外。 FIG 1 schematically illustrates an embodiment of the present invention, food intake throttle device, the device with some parts implanted in the patient, other parts located outside the patient. 因此,在图1中位于病人皮肤2右侧的所有部件被植入病人体内,位于皮肤2左侧的所有部件放在病人体外。 Thus, all of the components located in the right side of the patient's skin 2 are implanted in a patient in FIG. 1, all of the components located on the left of the skin 2 is placed outside of the patient.

图1中的装置包括一个植入式可操作节流装置4,其连接到病人的胃部(或连接到食管)以在胃部形成一人造节流开口。 The apparatus 1 comprises an implantable FIG operable throttle device 4, which is connected to the patient's stomach (or esophagus connected) to form a throttle in an artificial stomach opening. 该节流装置4能够执行换向操作,即扩大和缩小人造开口。 The throttle device 4 is capable of performing commutation operation, i.e. artificial openings expand and contract. 一个植入式控制单元6经由一个控制线8(12?)控制节流装置4以形成一大小合适的人造开口。 An implanted control unit 6 via a control line 8 (12?) To control the expansion device 4 to form a suitably sized stoma. 一个外部控制装置10包括一个外部能源和一个可发射由该外部能源所产生的控制信号的无线遥控器。 An external control device 10 comprises an external energy source and may transmit a control signal generated by the energy produced by the external wireless remote control. 该控制信号通过一个装在植入式控制单元6中的信号接收机来接收,由此,该控制单元响应该控制信号来控制该植入式节流装置4。 The control signal contained in a signal receiver in the implanted control unit 6 receives, whereby the control unit in response to the control signal to control the throttle device 4 implanted. 植入式控制单元6也使用来自控制信号的能量通过一电源线12控制该节流装置4。 Implanted control unit 6 also uses energy from the control signal by a power-line control of the throttle device 412.

图2示出了本发明的一个实施例,除了还有一个可由能量控制的电开关14形式的转向装置被植入到病人体内以对节流装置4进行换向之外,其余部分与图1中的装置相同。 Figure 2 shows an embodiment of the present invention, in addition there is a switch in the form of electric energy 14 controlled by a steering device is implanted in the patient for reversing of the throttle device 4, the remaining portion of FIG. 1 the same device. 控制单元6用开关14对节流装置4所执行的功能进行换向。 The control unit 614 the function of the throttle device 4 performs commutation switch. 更准确地,外部控制单元10释放出由无线信号所运载的能量,植入式控制单元6将该无线能量转换成电流来控制开关14。 More precisely, the external control unit 10 releases energy carried by a wireless signal, the implanted control unit 6 converts the wireless energy into a current switch 14 is controlled. 当电流的极性被控制单元6改变时,开关14逆转了节流装置4所执行的功能。 When the polarity of the current is changed the control unit 6, the switch 14 reverses the function performed by the throttle device 4.

图3示出了本发明的一个实施例,除了还有一个发动机16(15?)形式的操作装置被植入病人体内之外,其余部分与图1中的装置相同。 FIG 3 illustrates an embodiment of the present invention, except that there is a motor 16 (15?) In the form of operating device is implanted in a patient than, the same as the rest of the apparatus 1 and FIG. 植入式控制单元6用外部控制单元10的外部能源所释放的无线能量激励发动机16。 Implanted control unit 6 with an external control unit 10 of the external source of energy to release wireless energy excitation of the engine 16. 植入式控制单元6响应来自外部控制单元10的遥控信号的控制信号拉力控制发动机16的操作。 Implanted control unit 6 in response to a control signal from the external tension control unit 10 of the remote control signal controls the operation of the engine 16.

图4示出了本发明的一个实施例,除了还有一个包括发动机/泵单元18和储液器20的组件16被植入到病人体内之外,其余部分与图1中的装置相同。 FIG 4 illustrates an embodiment of the present invention, in addition there is a reservoir assembly 20 and the motor / pump unit 18 comprises 16 is implanted in the patient than, the same as the rest of the device 1 in FIG. 在这种情况下,节流装置4是液压式操作,即液压液是通过发动机/泵单元18从储液器20中抽出通过管道22到达节流装置4以限制人造开口,以及通过发动机/泵单元18从节流装置4抽回到储液器20中以扩大人造开口的。 In this case, the throttle device 4 is a hydraulic type operation, i.e. hydraulic fluid through the motor / pump unit 18 withdrawn from the reservoir 20 through a conduit 22 to the expansion device 4 to restrict the artificial engine / pump opening, and by pump unit 184 back from the throttle device 20 in the reservoir to expand the stoma. 外部控制单元10释放出由无线信号所运载的能量,植入式控制单元6将无线能量转换成电流,例如一电流,通过电源线24向发动机/泵单元18供电。 The external control unit 10 releases energy carried by a wireless signal, the implanted control unit 6 converts the wireless energy into a current, for example a current, through power supply line 24 to the motor / pump unit 18. 植入式控制单元通过控制线26和27控制着发动机/泵单元16和节流装置4。 The implantable control unit controls the motor / pump unit 16 and the throttle device 4 via control lines 26 and 27.

图5示出了本发明的一个实施例,包括液压式操作的节流装置4,植入式控制单元6,进一步包括一个液压储液器230,一个发动机/泵单元232和液压阀转换装置234形式的转向装置,所有这些都植入在病人体内。 FIG 5 shows an embodiment of the present invention, the throttling means comprising a hydraulically operated 4, implanted control unit 6, further comprising a hydraulic fluid reservoir 230, a motor / pump unit 232 and hydraulic valve switching means 234 in the form of a steering apparatus, all of which are implanted in the patient. 发动机/泵单元32中的发动机是电动机。 32 in the motor / pump unit is an electric motor engine.

图6示出了本发明的一个实施例,除了还有一个蓄电池28被植入到病人体内之外,其余与图1中的装置相同。 FIG 6 shows one embodiment of the present invention, except that a battery 28 also is implanted in the patient, the rest of the same apparatus 1 in FIG. 该控制单元6将从外部控制单元10接收的能量储存到蓄电池28中。 The control unit 6 receives from the external control unit 10 to the energy storage battery 28. 为响应来自外部控制单元10的控制信号,该植入式控制单元6可以并通过电源线30从蓄电池28中释放出电能以用于节流装置的操作。 In response to a control signal from the external control unit 10, the implanted control unit 6 and can be released from the battery 30 through a power line 28 for operating the power throttle device.

图7示出了本发明的一个实施例,包括液压式操作的节流装置4,植入式控制单元6,还进一步包括一个电池32形式的能源,液压储液器34,一个发动机/泵单元36和液压阀转换装置38形式的转向装置,所有这些都植入在病人体内。 A throttle device of the embodiment of FIG. 7 shows the embodiment of the present invention, comprising a hydraulically operated 4, implanted control unit 6, further comprising a battery 32 in the form of energy, hydraulic reservoir 34, a motor / pump unit 36 and the steering hydraulic valve switching means 38 forms, all of which are implanted in the patient. 发动机/泵单元36中的发动机是电动机。 36 motor / pump unit is an electric motor engine. 外部控制单元10包括一个发射控制信号的无线遥控器,其可由装在植入式控制单元6中的信号接收机来接收。 The external control unit 10 includes a wireless remote control signal transmitter, which may be installed in the signal receiver in the implanted control unit 6 receives. 为响应来自外部控制单元10的控制信号,植入式控制单元6用来自电池32的能量激励发动机/泵单元36,由此发动机/泵单元36将液压液分送到储液器34和节流装置4之间。 In response to a control signal from the external control unit 10, the implanted control unit 6 with excitation energy from the battery 32 to motor / pump unit 36, whereby the motor / pump unit 36 ​​is distributed to the hydraulic fluid reservoir 34 and the throttle means between 4. 控制单元6控制着转换装置38在一个方向和另一个相反方向之间转换液压液的流动方向,在一个方向上,通过发动机/泵单元36将该液体从储液器34中抽到节流装置4中以限制人造开口,在另一相反方向上,通过发动机/泵单元36将该液体从节流装置4抽回到储液器34中以扩大人造开口。 The control unit 6 controls the switching means 38 in the flow direction between one direction and another opposite direction change of the hydraulic fluid in one direction, the expansion device pumped from the reservoir 34 through the motor / pump unit 36 ​​the liquid 4 to limit an artificial opening in the other opposite direction, the motor / pump unit 36 ​​the liquid is pumped throttling device 4 back from the reservoir 34 to enlarge the stoma.

图8示出了本发明的一个实施例,除了用电池42代替蓄电器28,图5实施例中的外部控制单元40代替外部控制单元10而且将电动机44植入病人体内以控制节流装置4以外,其余与图6中的装置相同。 FIG 8 shows one embodiment of the present invention, except that instead of the accumulator battery 4228, in the embodiment of Figure 5 the external control unit 40 instead of the external control unit 10 and the motor 44 is implanted in a patient to control the throttle device 4 , the rest of the same apparatus in FIG. 6. 为响应来自外部控制单元40的控制信号,该植入式控制单元6用来自电池42的能量来激励电动机44,从而该电动机44操作该节流装置4。 In response to a control signal from the external control unit 40 the implanted control unit 6 with energy from the battery 42 to energize the motor 44, whereby the motor 44 operates the throttle device 4.

图9示出了本发明的一个实施例,除了用图7中的发动机/泵单元36代替电动机44且储液器46也被植入病人体内之外,其余与图8中的装置相同。 FIG 9 shows an embodiment of the present invention, in addition to the motor instead of the engine in FIG. 7 / pump unit 36 ​​44 and the accumulator 46 also is implanted in a patient, the apparatus remaining the same as in FIG. 8. 储液器46是经由液体管道48和50连接到发动机/泵单元36和节流装置4上,在这种情况下是液压操作的。 The reservoir 46 is connected via a liquid conduit 48 and 50 to the motor / pump unit 36 ​​and the throttle device 4, in this case is hydraulically operated. 为响应来自外部控制单元40的控制信号,该植入式控制单元6用来自电池42的能量来激励发动机/泵单元36,从而发动机/泵单元36将液压液分送到储液器46和节流装置4之间。 In response to a control signal from the external control unit 40 the implanted control unit 6 with energy from the battery 42 to energize the motor / pump unit 36, so that motor / pump unit 36 ​​is distributed to the hydraulic fluid reservoir 46 and Section flow means between 4.

图10示出了本发明的一个实施例,除了还有一齿轮箱52形式的机械换向装置被植入到病人体内以外,其余与图8中的装置相同。 FIG 10 shows an embodiment of the present invention, except that there are 52 boxes in the form of a mechanical change gear device to be implanted into the patient, the rest of the same apparatus in FIG. 8. 该植入式控制单元6控制齿轮箱52将节流装置4所执行的功能进行换向。 The implanted control unit 6 controls the gearbox 52 to perform the function expansion device 4 performs commutation.

图11示出了本发明的一个实施例,包括节流装置4,外部控制单元40,可植入能源236和一可植入开关238。 FIG 11 shows an embodiment of the present invention, comprising a throttle device 4, the external control unit 40, implantable implantable energy 236 and a switch 238. 通过外部控制单元6的外部能源所释放的无线能量将开关238从一断开方式切换到一接通方式,在断开方式时,可植入能源236不能使用,在接通方式时,可植入能源236为节流装置4的操作提供能量。 An external energy source through the external control unit 6 to release the wireless energy to switch 238 is switched from a disconnected mode to a mode switched when disconnected mode, the implantable energy 236 can not be used in the embodiment is turned on, the implantable energy 236 into the operation of the throttle device 4 to provide energy.

图12示出了本发明的一个实施例,除了控制单元6也被植入到病人体内之外以便接收来自外部控制单元10的无线遥控器的控制信号之外,其余与图11中的装置相同。 FIG 12 shows one embodiment of the present invention, except that also the control unit 6 is implanted outside the patient to receive a control signal from an external wireless remote control unit 10, the rest of the same device 11 in FIG. . 通过外部能源10的无线能量将开关238从一断开方式切换到一待用方式,在断开方式时,可植入能源236和外部控制单元10的无线遥控器不能使用,也就是控制单元不能接收控制信号,在待用方式时,允许无线遥控器通过可植入控制单元6来控制内部能源236以为节流装置4的操作提供能量。 Wireless energy by external energy source 10 is a switch 238 is switched from the OFF mode to a standby mode, in the off mode, the implantable energy 236 and an external wireless remote control unit 10 can not be used, i.e. the control unit can not be receiving a control signal, when the stand-by mode, allowing the wireless remote control unit 6 via an implantable internal energy source 236 that controls the operation of the throttle device 4 to provide energy.

图13示出了本发明的一个实施例,除了用于将无线能量转换成可存储能量的能量转换装置被装在可植入控制单元6中以及可植入能源236是能够储存该可存储能量的类型以外,其余与图12中的装置相同。 FIG 13 shows one embodiment of the present invention, except for transforming the wireless energy into storable energy energy energy conversion means are mounted in the implantable control unit 6 and an implantable energy 236 is capable of storing the storable other than the type, the same as in the rest of the device 12 of FIG. 在这种情况下,为了响应外部控制单元10的控制信号,可植入控制单元6将开关238从一断开方式切换到一接通方式,在断开方式时,可植入能源236不能使用,在接通方式时,能源36为节流装置4的操作提供能量。 In this case, the control unit in response to an external control signal 10, the implantable control unit 6 is switched from a switch 238 to an OFF mode ON mode, OFF mode when, implantable energy 236 can not be used when switched mode operation of the throttle 4 to 36 energy to supply energy means.

图14示出了本发明的一个实施例,除了能量存储装置240也被植入病人体内以存储通过控制单元6的能量转换装置从无线能量所转换而来的可存储能量以外,其余与图13中的装置相同。 FIG 14 shows an embodiment of the present invention, in addition to the energy storage device 240 also is implanted in a patient to an energy storage device is converted from the wireless energy to storable energy conversion by the control unit 6, the rest 13 of FIG. the same device. 在这种情况下,可植入控制单元6控制能量存储装置240来将开关238从一断开方式切换到一接通方式,在断开方式时,可植入能源236不能使用,在接通方式时,可植入能源236为节流装置4的操作提供能量。 In this case, the implantable control unit 6 controls the energy storage device 240 to the switch 238 is switched from an OFF mode to an ON mode, OFF mode when, implantable energy 236 is not used, the ON when the mode, operation of the implantable energy 236 to the expansion device 4 to provide energy.

图15示出了本发明的一个实施例,除了还有发动机242和一齿轮箱244形式的机械换向装置被植入到病人体内以外,其余与图13中的装置相同。 FIG 15 shows an embodiment of the present invention, except that there is an engine 242 and a gear box 244 in the form of mechanical means to the implanted transducer to the patient, the rest of the same device 13 in FIG. 该植入式控制单元6控制齿轮箱244将节流装置4所执行的功能(机械式操作),即扩大和缩小人造节流开口,进行换向。 The implanted control unit 6 controls the gearbox 244 functions (mechanically operated) executed by the throttle device 4, i.e., expansion and contraction artificial throttling opening, for commutation.

图16示意性示出了为了完成各种通信选择该装置所植入部件的多个可能组合。 FIG 16 schematically illustrates a plurality of communication options to complete the various implanted components of the apparatus possible combinations. 基本上,有植入式节流装置4,植入式控制单元6以及带有外部能源和无线遥控器的外部控制单元10。 Basically, there are implantable expansion device 4, the implanted control unit 6 and the external control unit with an external source of energy and a wireless remote controller 10. 如上所述,该遥控器发射由外部能源所产生的控制信号,该控制信号被一装在植入式控制单元6中信号接收机接收,由此该控制单元6响应该控制信号来控制植入式节流装置4。 As described above, the remote control signal emitted by an external energy generated, the control signal is a control unit mounted in the implantable signal receiver receives 6, whereby the control unit 6 in response to the control signal to control the implant throttle means 4.

可以在病人体内植入一传感器54检测病人的物理参数,例如胃中的压力。 May be implanted sensor 54 detects a physical parameter of the patient in the patient, such as pressure in the stomach. 控制单元6,或者可替换的外部控制单元10可以响应传感器54的信号来控制节流装置4。 The control unit 6, or alternatively the external control unit 10 may be responsive to signals from the sensor 54 to control the throttle device 4. 可以将一收发机与传感器56结合以根据所检测的物理参数向外部控制单元10发送信息。 A transceiver may be combined with the sensor 56 to the control unit according to the external physical parameters detected transmission information 10. 该外部控制单元10的无线遥控器可以包括一信号发射机或收发机,植入式控制单元6可包括一信号接收机或收发机。 The external wireless remote control unit 10 may comprise a signal transmitter or transceiver implantable control unit 6 may comprise a signal receiver or transceiver. 可替换地,外部控制单元10的无线遥控器可以包括一信号接收机或收发机,控制单元6可包括一信号发射机或收发机。 Alternatively, the external wireless remote control unit 10 may comprise a signal receiver or transceiver, the control unit 6 may comprise a signal transmitter or transceiver. 上述的收发机、发射机和接收机可用于从病人体内向体外发送有关节流装置4的信息或数据。 The above transceivers, transmitters and receivers may be used for sending information or data related to the expansion device 4 from the patient in vitro.

发动机44可以被植入体内以控制节流装置4,电池32也可被植入体内以激励发动机44。 Engine 44 may be implanted in the body to control the throttle device 4, the battery 32 may be implanted in the body 44 to energize the engine. 该电池32上可装有一用于发射有关电池状态信息的发射机。 The battery 32 may be provided with a transmitter for transmitting status information about the battery.

本领域技术人员将认识到,按照图1-15的上述各实施例可以组合成多种不同的实施方式。 Those skilled in the art will recognize that, in accordance with the above embodiment of Figure 1-15 can be combined into a variety of different embodiments. 例如,可将能量控制开关14结合到图4、6、8-10中的任一实施例中。 For example, energy may be incorporated into any of the control switch 14 in FIG 4,6,8-10 one embodiment. 将液压转换装置38结合到图4、9中任一实施例中,将齿轮箱54结合到图1、6和8中任一实施例中。 Hydraulic switching means 38 incorporated into any embodiment of a FIG. 4, 9, 54 to the gearbox in conjunction with FIGS. 6 and 8 in any one embodiment.

图17示出了上面所述本发明的装置的任一实施例可如何植入到病人体内。 FIG 17 shows a device according to any of the above embodiments of the present invention, how an embodiment may be implanted in the patient. 由此,植入病人体内的该装置的组件包括一连接到食管58和胃部以便形成一上胃囊60的节流装置56。 Accordingly, assembly of the apparatus implanted in a patient comprising a connector stomach and esophagus 58 to form a throttle device 56 on the pouch 60. 一用于控制节流装置56的的操作装置61和一带有信号接收机用于控制该操作装置61的内部控制单元62。 A means for controlling the operation of the throttle means 61 and 56, the internal control unit with a signal receiver 61 for controlling the operation of the apparatus 62. 一外部控制单元64包括一信号发射机,用于将无线控制信号发射到植入式控制单元62的信号接收机上。 An external control unit 64 includes a signal transmitter for transmitting the wireless control signal to the signal receiver of the implanted control unit 62. 植入式控制单元62能够将来自控制信号的信号能量转换成电能以激励操作装置61和激励所植入的该装置的能量损耗部件。 Signal energy can be implanted control unit 62 from the control signal into electrical energy to energize the energy loss components of the device 61 and the operation of the excitation device implanted.

图18示出了本发明装置的无线遥控器的基本部件,包括一用于操作节流部件的电动机128,例如图17所示的类型。 Figure 18 shows the basic components of the wireless remote control of the apparatus of the present invention, comprises a motor for operating the throttling member 128 of the type shown in FIG. 17 for example. 在这种情况下,遥控器是基于穿过病人皮肤130,常常按照100kHz-1gHz的电磁波信号的发射。 In this case, the remote controller is usually emit electromagnetic signals through the 100kHz-1gHz according to the patient's skin 130 on. 在图18中,放在皮肤130左侧的所有部件位于病人体外,放在皮肤130右侧的所有部件被植入病人体内。 In Figure 18, all on the left side skin member 130 is located outside of the patient, on the right of the skin 130 are implanted in patients of all components. 可以使用任何合适的遥控器。 Any suitable remote control.

一个外部信号发射天线132定位于一植入在靠近皮肤130处的信号接收天线134的附近。 An external signal transmitting antenna 132 is positioned in the vicinity of the signal receiving antenna 130 close to skin 134 of an implant. 作为一替换方式,接收天线134可以放在例如病人的腹部内。 As an alternative, the receiving antenna 134 may be placed for example inside the abdomen of the patient. 该接收天线134包括一线圈,直径近似为1-100毫米,优选地为25毫米,用很细的线缠绕,用一电容器调谐到一特别的高频。 The receiving antenna 134 comprises a coil, approximately 1-100 mm in diameter, preferably 25 mm, is wound with a very thin line, tuned to a particular frequency by a capacitor. 如果要植入到病人的皮肤下,可选择一小线圈,如果要植入到病人的腹部就选择一大线圈。 If the patient to be implanted under the skin, a small coil Alternatively, if the patient's abdomen to be implanted on the choice of a larger loop. 发射天线132包括一与接收天线134的线圈大小相同的线圈,但该线圈用粗线缠绕,可以处理所需的较大电流。 Transmitting antenna 132 comprises a coil with the same size of the receiving antenna coil 134, the coil is wound with a thick line, can handle large currents required. 发射天线132的线圈被调谐到一与接收天线134的线圈相同的特定高频上。 Transmission antenna coil 132 is tuned to the same receiving antenna coil 134 with a specific frequency.

一个外部控制单元136包括一微处理器,一高频电磁波信号发生器和一功率放大器。 An external control unit 136 comprises a microprocessor, a high frequency electromagnetic wave signal generator and a power amplifier. 控制单元136的微处理器适合于切换该发生器的通/断和调制该发生器所产生的信号以便通过功率放大器和天线132,134向所植入控制单元138发送数字信息。 Signal from the microprocessor control unit 136 is adapted to switch the generator on / off the generator and modulator for implantation generated by the control unit 138 transmits the digital information via the power amplifier and antenna 132. 为了避免偶然的随机高频场触发控制命令,可使用数字信号编码。 To avoid accidental random high frequency fields trigger control commands, digital signal coding may be used. 设在外部控制单元136上的常规键区被连接到微处理器上。 Conventional keypad provided on the external control unit 136 is connected to the microprocessor. 该键区用于指令该微处理器发出数字信号以缩小或扩大节流装置。 The keypad for instructing the digital signal sent to the microprocessor to expand or reduce the throttle device. 该微处理器通过在天线132上施加一高频信号来发出一个指令。 The microprocessor by applying a high-frequency signal on the antenna 132 to issue an instruction. 短时间后,当控制系统的植入部件已被信号激励时,指令被发送到节流装置来缩小或扩大预定步骤中的人造开口。 After a short time, the control system when the implant component has been excitation signal command is transmitted to the throttle device to reduce or expand the stoma predetermined steps. 该指令作为数字信息包以如下所示方式被发送。 The instruction is transmitted in the manner shown in the following as digital information packet.

在相当长的期间内指令被连续发送(例如大约30秒或更长)。 A long period of instruction is continuously transmitted (e.g. about 30 seconds or more). 当需要新的缩小或扩大步骤时,可增加一个计数字节以允许植入式控制单元138进行解码并了解外部控制单元136所要求的另一步骤。 When a new step to reduce or expand, increase a count byte to allow the implanted control unit 138 to decode and understand that another step required by the external control unit 136. 如果数字信息包的任一部分出错,那么它的内容就被简单地忽略了。 If any part of the digital packet error, then its content can be simply ignored.

通过导线140,所植入激励单元126从接收天线134所接收的高频电磁波信号中吸取能量。 Through the wire 140, the excitation of the implanted unit 126 draws energy from the high frequency electromagnetic wave signal receiving antenna 134 received. 该激励单元126将能量存储在电源中,例如一大电容器,启动控制单元138并通过导线142启动电动机128。 The excitation unit 126 stores the energy in a power supply, such as a large capacitor, the control unit 138 starts and the starter motor 128 via a line 142.

控制单元138包括一解调器和微处理器。 The control unit 138 comprises a demodulator and a microprocessor. 该解调器对外部控制单元136所发送的数字信号进行解调。 The external control unit demodulator 136 demodulates the digital signal transmitted. 控制单元138的微处理器接收该数字信息包,对其进行解码,如果激励单元126的电源具有足够存储能量,就可根据所接收的指令编码通过一信号线144将信号发送到电机128以便缩小或扩大节流装置。 The microprocessor control unit 138 receives the digital packet, decodes it, if the excitation power supply unit 126 has sufficient energy stored, a signal line 144 can send a signal to the motor 128 in order to narrow in accordance with instructions received by the coding throttling device or expansion.

可替换地,存储在激励单元的电源中的能量只可用于启动开关,启动发动机128的能量可以从相对高容量的另一植入能源获得,如电池组。 Alternatively, the excitation energy stored in the power supply unit may be used only in a start switch, the energy to start the engine 128 may be obtained from another implanted energy relatively high capacity battery pack. 在该情况下,当开关由所述电源供电时,适宜于将电池组与处于接通模式的控制单元138相连,当开关断电时,电池与处于待用模式的控制单元不相连。 In this case, when the switch is powered by the power source, suitably in the battery pack and the control unit 138 is connected to the on mode when the switch is off, the battery and the control unit is not connected in the standby mode.

参见图19,现在将按照更详细的实施例来描述上述遥控器。 Referring to FIG. 19, according to an embodiment will now be described in more detail with the remote controller. 外部控制单元136包括一微处理器146,一信号发生器148和与其相连的一功率放大器150。 The external control unit 136 comprises a microprocessor 146, a power amplifier 148 and a signal generator 150 connected thereto. 微处理器146适宜于控制信号发生器148的接通/断开,用发送到该装置植入部件的数字指令对信号发生器148所产生的信号进行调制。 The microprocessor 146 is adapted to control the signal generator 148 on / off, with the instruction to the digital transmission apparatus of the implant member of the signal generated by the signal generator 148 is modulated. 功率放大器150放大该信号并将其发送到外部信号发射天线132上。 The power amplifier 150 amplifies the signal and sends it to the external signal transmitting antenna 132. 天线132与电容器152并联以形成一谐振电路,其调谐到由信号发生器148所生成的频率上。 Antenna 132 and a capacitor 152 connected in parallel to form a resonant circuit tuned to the frequency generated by the signal generator 148.

所植入信号接收天线线圈134与电容器154一起构成一谐振电路,其调谐到与发射天线132相同的频率上。 Signal receiving antenna coil 134 and the capacitor 154 constitute a resonance circuit together with the implant, which is tuned to the same frequency transmitting antenna 132. 信号接收天线线圈134从所接收的高频电磁波中感应出一电流,整流二级管160对感应电流进行调整,其给储能电容器158充电。 Signal receiving antenna coil 134 from the high-frequency electromagnetic induction received out a current 160 induced current rectifying diode adjust it to charge the storage capacitor 158. 连接在天线线圈134和二极管160之间的线圈156防止电容器158和电极管160将信号接收天线电路加载到较高频率。 Connected between the antenna coil 134 of the coil 156 and the diode 160 prevents the capacitor 160 to the signal receiving antenna 158 and a circuit electrode tube is loaded to a higher frequency. 由此,线圈156使得给容器158充电和使用调幅来传输数字信息成为可能。 Thus, the coil 156 to the container 158 such that the charge and to transmit digital information using amplitude modulation becomes possible.

并联连接的电容器162和电阻器64、二极管166构成一用于检测调幅数字信息的检测器。 A capacitor 162 and a resistor 64 connected in parallel, a diode 166 constitute a detector for detecting the amplitude modulated digital information. 通过一与电阻器170串联的电阻器168来构成一滤波电路,电阻器170与电容器172串联,电容器172与电阻器168通过地线串联,电容器174的一端连接到电阻器168,170之间,另一端连接到二极管166和由电容器162、电阻器164构成的电路之间。 Through a resistor 170 and a resistor 168 in series to constitute a filter circuit, a resistor 170 in series with a capacitor 172, a capacitor 172 and a resistor 168 in series through the ground, one end of the capacitor 174 is connected between the resistors 168, 170, the other end is connected to between the diode 166 and the circuit including a capacitor 162, a resistor 164. 滤波电路用于滤掉不想要的低频和高频。 The filter circuit is used to filter out undesired low and high frequencies. 所检出和被滤波的信号送到植入式微处理器176中,该植入式微处理器176对数字信息进行解码并通过H-桥路178控制发动机128,H-桥路包括三极管180,182,184和186。 The detected and filtered signals to the microprocessor 176 implanted, the implanted microprocessor 176 decodes the digital information and controls the engine 178 through the H- bridge 128, H- bridge circuit comprising transistors 180, 182 , 184 and 186. 发动机128可以通过H-桥路178从两个相反方向驱动。 178 engine 128 may be driven from two opposite directions by the H- bridge.

微处理器176也监测储能电容器158所存储的能量。 The microprocessor 176 also monitors the storage capacitor 158 stores energy. 在发送信号来启动发动机128之前,微处理器176检查储能电容器158所存储的能量是否足够。 Before sending a signal to start the engine 128, the microprocessor 176 checks the energy storage capacitor 158 is enough stored. 如果存储能量不足以进行所要求的操作,在启动128之前微处理器176等待所接收信号给储能电容器158充电。 If the stored energy is insufficient to perform the requested operation, the microprocessor 176 waits 128 before starting the received signals to charge the storage capacitor 158.

Claims (139)

1.一种食物摄入节流装置,包括:一植入肥胖病人体内的节流装置,其连接到胃部或食管上在胃部或食管中形成一上胃囊和一人造节流开口,其特征在于:当该节流装置被植入时,其可被操作来改变该人造节流开口的限制,设有一个能量源,还设有一个可从病人体外操作的控制装置,用于控制能量源以释放出用于有关节流装置的操作的能量,其中当该节流装置被植入时,该能量源设计为放在病人的体外,该控制装置适宜于控制该外部能量源以释放出用于有关节流装置的操作的无线能量,其中该控制装置控制着该节流装置,以及其中该控制装置包括一植入在病人体内用于控制该节流装置的内部控制单元。 A food intake throttling device, comprising: an implant obese patient throttle device, which is connected to the stomach or esophagus to form an upper pouch and a throttle opening in the stomach or artificial esophagus, wherein: when the throttle device is implanted, which can be operated to change the throttle opening of the artificial restrictions, provided a source of energy, but also may be provided with a control means operated from outside the patient, for controlling source of energy to release energy for the operation related to the throttle device, wherein when the throttle device is implanted, the energy source is designed to be placed outside the patient, the control means is adapted to control the external source of energy to release for a throttle device for operating a wireless energy, wherein the control means controls the throttle device, and wherein the control means comprises an implant inside the patient's body for controlling the throttling means the control unit.
2.按照权利要求1所述的装置,其中该内部控制单元是可编程的。 2. Apparatus according to claim 1, wherein the internal control unit is programmable.
3.按照权利要求2所述的装置,其中该控制装置包括一设计为放在病人体外的外部控制单元,内部控制单元是通过外部控制单元进行编程的。 3. The apparatus according to claim 2, wherein the control means comprises an external control unit is designed to be placed outside the patient, the internal control unit is programmable by the external control unit.
4.按照权利要求2所述的装置,其中该内部控制单元被编程为按时间控制节流装置的。 4. The apparatus according to claim 2, wherein the internal control unit is programmed to time-controlled throttle device.
5.按照权利要求4所述的装置,其中该内部控制单元按照活动时序程序表随时间控制该节流装置。 5. The apparatus according to claim 4, wherein the internal control unit in accordance with a timing schedule activities over time of the throttle control device.
6.按照权利要求4所述的装置,其中该内部控制单元包括一微处理器。 6. The apparatus according to claim 4, wherein the internal control unit comprises a microprocessor.
7.按照权利要求3所述的装置,其中该外部控制单元只按照医生批准的加载模式用数据对内部控制单元进行加载。 7. The device according to claim 3, wherein only the external control unit loads the internal control unit with data in accordance with physician approval loading mode.
8.按照权利要求3所述的装置,其中该外部控制单元只按照医生批准的医生模式对内部控制单元进行控制。 8. The apparatus according to claim 3, wherein the external control unit only controls the internal control unit in accordance with a doctor mode physician approval.
9.按照权利要求3所述的装置,其中该外部控制单元按照允许用于病人的病人模式对内部控制单元进行控制。 9. The apparatus according to claim 3, wherein the external control unit controls the internal control unit in accordance with a patient mode allows the patient.
10.按照权利要求3所述的装置,其中能量源被植入体内。 10. The apparatus according to claim 3, wherein the energy source is implanted in the body.
11.按照权利要求10所述的装置,其中可植入能量源包括至少一个蓄电器、至少一个电容器或至少一个可充电电池,或者至少一个电容器和至少一个可充电电池的结合。 11. The apparatus according to claim 10, wherein the implantable source of energy comprises at least one accumulator, at least one capacitor or at least one rechargeable battery, or at least one coupling capacitor and at least one rechargeable battery.
12.按照权利要求11所述的装置,其中该可植入能量源包括一电能源。 12. The apparatus according to claim 11, wherein the implantable source of energy comprises a source of electrical energy.
13.按照权利要求12所述的装置,其中该电能源包括一个蓄电器、或一个具有至少10年寿命的电池。 13. The apparatus according to claim 12, wherein the source of electrical energy comprises an accumulator, or a battery life of at least 10 years have.
14.按照权利要求1所述的装置,其中该控制装置控制着节流装置。 14. The apparatus according to claim 1, wherein the control means controls the throttle device.
15.按照权利要求1所述的装置,进一步包括一植入在病人体内用于存储由外部能量源所释放出的无线能量的能量存储装置。 15. The apparatus according to claim 1, further comprising an energy storage device implanted in a patient for storing the wireless energy from the external energy source is released.
16.按照权利要求15所述的装置,其中该能量存储装置包括一个蓄电器。 16. Apparatus according to claim 15, wherein the energy storage device comprises an accumulator.
17.按照权利要求16所述的装置,其中该蓄电器包括一电蓄电器。 17. The apparatus according to claim 16, wherein the accumulator comprises an electric accumulator.
18.按照权利要求17所述的装置,其中该电蓄电器包括至少一个电容器或至少一个可充电电池,或者至少一个电容器和至少一个可充电电池的结合。 18. The apparatus according to claim 17, wherein the electric accumulator comprises at least one capacitor or at least one rechargeable battery, or at least one capacitor and at least one rechargeable battery combination.
19.按照权利要求1所述的装置,进一步包括一植入在病人体内用于向该装置的电能量损耗部件供应电能的电池。 19. The apparatus according to claim 1, further comprising a battery implantable in the patient for supplying electrical energy to the energy loss of the components of the device.
20.按照权利要求1所述的装置,其中该控制装置适宜于控制该外部能量源以释放出直接用于有关节流装置的操作的无线能量。 20. The apparatus according to claim 1, wherein the control means is adapted to control the external source of energy to release the wireless energy is directly related to the operation of the throttle device.
21.按照权利要求20所述的装置,其中该控制装置适宜于控制该外部能量源以间断地释放出直接用于有关节流装置的操作的能量脉冲序列形式的无线能量。 21. The apparatus according to claim 20, wherein the control means is adapted to control the external source of energy to intermittently release wireless energy in the form of a pulse sequence for operating the energy directly related to the expansion device.
22.按照权利要求20或21所述的装置,其中该节流装置是通过使用所说的被释放无线能源以非磁、非热或非机械的方式来操作的。 22. The apparatus of claim 20 or claim 21, wherein the throttle device by use of said released wireless energy in a non-magnetic, non-thermal or non-mechanical means to operate.
23.按照权利要求1所述的装置,进一步包括一植入在病人体内的开关,用于直接或间接地切换节流装置的操作。 23. The apparatus according to claim 1, further comprising a switch implantable in the patient for switching the operation of the throttle device directly or indirectly.
24.按照权利要求23所述的装置,进一步包括一植入在病人体内用于为节流装置的操作供应能量的的内部能量源,其中该开关直接或间接地影响来自内部能量源的能量供应。 24. The apparatus according to claim 23, further comprising an implantable internal source of energy in the patient for supplying energy for the operation of the throttle device, wherein the switch directly or indirectly affects the supply of energy from the internal source of energy .
25.按照权利要求24所述的装置,其中开关在断开方式和接通方式之间切换,在断开方式,内部能源不能使用,在接通方式,内部能源向节流装置的操作提供能量。 25. The apparatus according to claim 24, wherein the switch between the OFF mode and the ON mode switch in the off mode, the internal energy can not be used in the on mode, an internal energy source supplies energy to the operation of the throttle device .
26.按照权利要求1或25所述的装置,其中开关是通过外部能量源所释放的无线能量来操作的。 26. A device according to claim 125, wherein the switch is a wireless energy released by an external energy source to operate.
27.按照权利要求26所述的装置,其中控制装置控制该外部外部能量源释放无线能量。 27. The apparatus according to claim 26, wherein the control device controls the external source of energy to release wireless energy external.
28.按照权利要求1所述的装置,其中控制装置包括一无线遥控器。 28. The apparatus according to claim 1, wherein the control device comprises a wireless remote control.
29.按照权利要求24所述的装置,其中控制装置包括一用于控制内部能量源的无线遥控器。 29. The apparatus according to claim 24, wherein the control means comprises a wireless remote control for controlling the internal energy source.
30.按照权利要求29所述的装置,其中由外部能量源的无线能量将该开关断开方式和待用方式之间进行切换,在断开方式,内部能量源和遥控器不能使用,在待用方式,允许允许遥控器控制该内部能量源为节流装置的操作提供能量。 30. The apparatus according to claim 29, wherein switching between the OFF mode and the stand-by mode switches the wireless energy from the external energy source, in the off mode, the internal energy source and a remote controller can not be used, to be in manner, allowing allow remote control of the internal energy source provides energy to operate the throttle device.
31.按照权利要求24所述的装置,进一步包括一植入在病人体内用于将无线能量转换成可存储能量的能量转换装置和一植入在病人体内用于存储该可存储能量的能量存储装置。 31. The apparatus according to claim 24, further comprising an energy transforming device implantable in the patient for transforming the wireless energy into storable energy and an energy storage implanted in the patient for storing the storable energy, device.
32.按照权利要求31所述的装置,其中由来自可植入能量存储装置的能量将该开关在断开方式和接通方式之间进行切换,在断开方式,内部能量源不能使用,在接通方式,内部能量源为节流装置的操作提供能量。 32. The apparatus according to claim 31, wherein the switch is switched between the OFF mode and the ON mode energy from the implantable energy storage device, in disconnected mode, internal energy source can not be used, in mode is turned on, the internal energy source provides energy for the operation of the throttle device.
33.按照权利要求32所述的装置,其中控制装置控制该能量存储装置来操作该开关。 33. The apparatus according to claim 32, wherein the control means controls the energy storage device to operate the switch.
34.按照权利要求14或33所述的装置,其中控制装置包括一无线遥控器。 34. The apparatus of claim 14 or claim 33, wherein the control device comprises a wireless remote control.
35.按照权利要求24所述的装置,进一步包括一植入在病人体内用于将无线能量转换成可存储能量的能量转换装置,其中内部能量源能够存储该可存储能量。 35. The apparatus according to claim 24, further comprising an energy transforming device implantable in the patient for transforming the wireless energy into storable energy, wherein the internal energy source is capable of storing the storable energy.
36.按照权利要求35所述的装置,其中该开关可从断开方式切换到接通方式,在断开方式,内部能量源不能使用,在接通方式,该能量源为节流装置的操作提供能量。 36. The apparatus according to claim 35, wherein the switch is switched from OFF mode to ON mode, the OFF mode, internal energy source can not be used in the on mode, the energy source for the operation of the throttle device provide energy.
37.按照权利要求36所述的装置,其中控制装置控制开关在断开方式和接通方式之间进行切换。 37. The apparatus according to claim 36, wherein the control means controls the switch to switch between the OFF mode and the ON mode.
38.按照权利要求37所述的装置,其中控制装置包括一无线遥控器。 38. The apparatus according to claim 37, wherein the control device comprises a wireless remote control.
39.按照权利要求24所述的装置,其中内部能量源包括电能源。 39. The apparatus according to claim 24, wherein the internal source of energy comprises a source of electrical energy.
40.按照权利要求39所述的装置,其中电能源包括至少一个蓄电器,至少一个电容器或至少一个可充电电池,或者至少一个电容器和至少一个可充电电池的结合。 40. The apparatus according to claim 39, wherein the electrical energy source comprises at least one accumulator, at least one capacitor or at least one rechargeable battery, or at least one capacitor and at least one rechargeable battery combination.
41.按照权利要求39所述的装置,其中该电能源包括一个蓄电器、或一个具有至少10年寿命的电池。 41. The apparatus according to claim 39, wherein the source of electrical energy comprises an accumulator, or a battery life of at least 10 years have.
42.按照权利要求1所述的装置,其中该能量源包括一个核能量源。 42. The apparatus according to claim 1, wherein the energy source comprises a nuclear source of energy.
43.按照权利要求1所述的装置,其中该能量源包括一个化学能量源。 43. The apparatus according to claim 1, wherein the energy source comprises a chemical energy source.
44.按照权利要求1所述的装置,进一步包括一植入在病人体内用于控制该节流装置的操作装置。 44. The apparatus according to claim 1, further comprising operating means in the patient for controlling the throttle device is an implant.
45.按照权利要求1或20所述的装置,进一步包括一植入在病人体内用于控制该节流装置的操作装置,其中无线能量直接或间接地激励该操作装置。 45. The device according to claim 120, further comprising operating means for controlling the patient of an implant expansion device, wherein the wireless energy of the exciting means operating directly or indirectly.
46.按照权利要求44或45所述的装置,其中该控制装置控制着该操作装置来控制节流装置。 46. ​​The apparatus of claim 44 or claim 45, wherein the control means controls the operation of the throttle control device.
47.按照权利要求46所述的装置,其中该操作装置包括液压装置和至少一个控制液压装置中液体流动的阀。 47. The apparatus according to claim 46, wherein the operation device comprises hydraulic means and at least one fluid flow control device of the hydraulic valve.
48.按照权利要求47所述的装置,其中该控制装置包括一个控制该阀的无线遥控器。 48. The apparatus according to claim 47, wherein the control means comprises a valve controlling the wireless remote control.
49.按照权利要求46所述的装置,其中该节流装置包括液压装置,该操作装置包括一储液器,其形成一连接到该液压装置上的体积可变的液体腔,该操作装置适宜于通过该液体腔体积的减小,将液体从该液体腔分配到液压装置,以及通过该液体腔体积的膨胀,将液体从液压装置抽回到该液体腔。 49. The apparatus according to claim 46, wherein the expansion device comprises a hydraulic means, the operation means comprises a fluid reservoir, which form a connection to the volume of the variable hydraulic liquid chamber means, the operating means is adapted to in the liquid chamber by decreasing the volume of the liquid dispensed from the liquid chamber to the hydraulic means, and by expanding the volume of the liquid chamber, the liquid will be pumped back to the liquid chamber from the hydraulic device.
50.按照权利要求44或46所述的装置,其中该操作装置包括一发动机。 50. The apparatus of claim 44 or claim 46, wherein the operation device comprises a motor.
51.按照权利要求50所述的装置,其中该发动机包括一旋转电机,该控制装置控制该旋转电机旋转一预定转数。 51. The apparatus according to claim 50, wherein the engine comprises a rotary electric machine, the control means controls the rotary motor rotates a predetermined number of revolutions.
52.按照权利要求50所述的装置,其中该发动机包括一直线电机。 52. The apparatus according to claim 50, wherein the engine comprises a straight line machine.
53.按照权利要求50所述的装置,其中该发动机包括一液压或气动液体马达,该控制装置控制着该液体马达。 53. The apparatus according to claim 50, wherein the motor comprises a hydraulic or pneumatic fluid motor, the control means controls the fluid motor.
54.按照权利要求50所述的装置,其中该发动机包括一具有塑料制成的导电部分的电机。 54. The apparatus according to claim 50, wherein the engine comprises a motor having electrically conductive parts made of plastics.
55.按照权利要求1所述的装置,其中控制装置从能量源释放出极化能量。 55. The apparatus according to claim 1, wherein the control means is released polarized energy from the energy source.
56.按照权利要求44所述的装置,其中该控制装置对所释放的能量的极性进行改变以对该操作装置进行换向。 56. The apparatus according to claim 44, wherein the control means of the polarity of the released energy commutation changes to the operating device.
57.按照权利要求44所述的装置,其中该操作装置包括一电机,该所释放的能量包括电能。 57. The apparatus according to claim 44, wherein the operation device comprises a motor, the released energy comprises electric energy.
58.按照权利要求1所述的装置,其中该节流装置可控制为执行一换向操作。 58. The apparatus according to claim 1, wherein the throttle device may be controlled to perform a reversing operation.
59.按照权利要求58所述的装置,进一步包括一用于将节流装置执行的操作进行转向的可植入到病人体内的转向装置。 59. The apparatus according to claim 58, further comprising a means for throttling operation means for performing steering may be implanted in the patient steering apparatus.
60.按照权利要求59所述的装置,其中该控制装置控制该转向装置以将节流装置执行的功能进行转向。 60. The apparatus according to claim 59, wherein the control means controls to perform the functions of the throttle means steering means.
61.按照权利要求59所述的装置,其中该转向装置包括带有一个阀的液压装置,该阀将液压装置中的液体流动方向进行转换。 61. The apparatus according to claim 59, wherein the steering device comprises a hydraulic device with a valve, the liquid flow direction of the hydraulic valve apparatus for conversion.
62.按照权利要求59所述的装置,其中该转向装置包括一机械转向装置。 62. The apparatus according to claim 59, wherein the mechanical steering means includes a steering apparatus.
63.按照权利要求62所述的装置,其中该机械转向装置包括一开关。 63. The apparatus according to claim 62, wherein the steering means comprises a mechanical switch.
64.按照权利要求62所述的装置,其中该转向装置包括一齿轮箱。 64. The apparatus according to claim 62, wherein the steering device comprises a gear box.
65.按照权利要求62所述的装置,其中该转向装置包括一开关。 65. The apparatus according to claim 62, wherein the steering means comprises a switch.
66.按照权利要求65所述的装置,其中该转向装置的开关可通过所释放能量来控制。 66. The apparatus according to claim 65, wherein the steering switch device can be controlled by the released energy.
67.按照权利要求66所述的装置,其中该控制装置通过改变施加在开关上的所释放能量的极性来控制转向装置的开关的操作。 67. The apparatus according to claim 66, wherein the control means operates the switching means is controlled by changing the polarity of the applied steering switch on the release of energy.
68.按照权利要求65所述的装置,其中该开关包括一电开关,该能量源为该开关的操作提供电能。 68. The apparatus according to claim 65, wherein the switch comprises an electrical switch, the energy source provides power for the operation of the switch.
69.按照权利要求65所述的装置,其中操作装置包括一发动机,该转向装置对该发动机进行换向。 69. The apparatus according to claim 65, wherein the operation device comprises a motor, the commutation of the steering engine.
70.按照权利要求1所述的装置,其中该节流装置包括液压装置,该操作装置适宜于将液压液传导到液压装置中。 70. The apparatus according to claim 1, wherein the expansion device comprises a hydraulic means, the operation means adapted to be conducted to the hydraulic fluid in the hydraulic means.
71.按照权利要求70所述的装置,其中操作装置包括一发动机。 71. The apparatus according to claim 70, wherein the operation device comprises a motor.
72.按照权利要求70或71所述的装置,其中该操作装置包括一连接到该节流装置的液压装置上的液体导管,和一储液器,该储液器构成该导管的一部分。 72. The apparatus of claim 70 or claim 71, wherein the operation device comprises a fluid conduit connected to the hydraulic means of the throttle device, and a reservoir, the conduit portion of the reservoir configuration.
73.按照权利要求72所述的装置,其中该液压装置和导管没有任何止回阀。 73. The apparatus according to claim 72, wherein the hydraulic means and conduit without any check valve.
74.按照权利要求73所述的装置,其中该储液器构成一体积可变的液体腔,该操作装置适宜于通过该液体腔体积的减小,将液体从该液体腔分配到节流装置的液压装置,以及通过该液体腔体积的膨胀,将液体从液压装置抽回到该液体腔。 74. The apparatus according to claim 73, wherein the reservoir forming the variable volume of a liquid chamber, the operation means adapted to the liquid chamber by decreasing the volume of the liquid dispensed from the liquid chamber to the throttle device hydraulic means, and by expanding the volume of the liquid chamber, the liquid will be pumped back to the liquid chamber from the hydraulic device.
75.按照权利要求1所述的装置,进一步包括至少一个可植入传感器,用于检测病人的至少一种物理参数。 75. The apparatus according to claim 1, further comprising at least one implantable sensor for detecting at least one physical parameter of the patient.
76.按照权利要求75所述的装置,其中该传感器包括一压力传感器,其用于直接或间接地检测胃和食管中的压力作为物理参数。 76. The apparatus according to claim 75, wherein the sensor comprises a pressure sensor for detecting pressure on the stomach and esophagus of a physical parameter directly or indirectly.
77.按照权利要求75或76所述的装置,其中控制装置响应来自传感器的信号来控制该节流装置。 77. The apparatus of claim 75 or claim 76, wherein the control means is responsive to signals from the sensor to control the throttle device.
78.按照权利要求77所述的装置,其中该控制装置包括一可植入病人体内的内部控制单元,其响应来自传感器的信号来控制该节流装置。 78. The apparatus according to claim 77, wherein the control means comprises an internal control unit implantable in the patient, in response to a signal from the sensor controls the throttle device.
79.按照权利要求78所述的装置,其中该控制装置包括一位于病人体外的外部控制单元,该外部控制单元响应来自传感器的信号来控制该节流装置。 79. The apparatus according to claim 78, wherein the control means comprises an external control unit outside the patient is located, the external control unit in response to signals from the sensor to control the throttle device.
80.按照权利要求79所述的装置,其中该外部控制单元存储由传感器所检测到的有关物理参数的信息,并可手动操作以控制基于所存储信息的节流装置。 80. The apparatus according to claim 79, wherein the information on the physical parameter sensed by the sensor to the external control unit stores, and manually operable to control the expansion device based on the stored information.
81.按照权利要求75所述的装置,进一步包括至少一个可植入发射机,其用于发射由传感器所检测到的有关物理参数的信息。 81. The apparatus according to claim 75, further comprising at least one implantable transmitter for transmitting information on the physical parameter sensed by the sensor.
82.按照权利要求1所述的装置,进一步包括一设计在病人体外的外部数据通信机和一与该外部数据通信器机通讯的可植入病人体内的内部数据通信机,其中该内部数据通信机将病人的有关数据输送回该外部通信机或者该外部通信机将数据输送到该内部数据通信机。 82. The apparatus according to claim 1, further comprising a data communication device is provided outside the patient's body and an external data communicator and the communication unit may be implanted in a patient's internal data communicator, wherein the internal data communicator machine-related data sent back to the patient or external communication device to the external communication device to deliver data to the internal data communicator.
83.按照权利要求82所述的装置,其中该内部数据通信机输送有关节流装置的数据。 83. The apparatus according to claim 82, wherein the internal data communicator conveying data relating to the throttle device.
84.按照权利要求82或83所述的装置,其中该可植入通信机输送有关病人的至少一种物理信号的数据。 84. The apparatus of claim 82 or claim 83, wherein the at least one physical implantable data communications signal conveying the patients concerned.
85.按照前述任一项权利要求所述的装置,其中该节流装置适宜于调节人造开口的大小。 85. The apparatus according to any preceding claim, wherein the throttle device is adapted to adjust the size of the stoma.
86.按照权利要求85所述的装置,其中当该节流装置被植入病人体内时,其可控制来扩大和限制人造开口。 86. The apparatus according to claim 85, wherein when the throttle device is implanted in a patient, and which may be controlled to limit the expansion of the stoma.
87.按照权利要求85或86所述的装置,其中当该节流装置被植入病人体内时,其适宜于无极调节人造开口的大小。 87. The apparatus of claim 85 or claim 86, wherein when the throttle device is implanted in a patient, which is suitable for stepless adjustment of the size of the stoma.
88.按照权利要求1所述的装置,进一步包括一植入在病人体内的能量转换装置,其中控制装置适宜于控制该能量源以释放出无线电能量,能量转换装置适宜于将电能转换为动能以操作该节流装置。 88. The apparatus according to claim 1, further comprising an implant energy conversion apparatus of a patient, wherein the control means is adapted to control the source of energy to release wireless energy, the energy conversion means adapted to convert electrical energy into kinetic energy the throttle device operation.
89.按照权利要求88所述的装置,其中当能量转换装置将电能转换为动能时,该节流装置直接由动能控制。 89. The apparatus according to claim 88, wherein when the energy conversion means converts electrical energy into kinetic energy, the kinetic energy is controlled by a throttle device directly.
90.按照权利要求1所述的装置,其中该控制装置控制能量源释放出磁能、非磁能、电磁能、非电磁能、动能、非动能、声能、非声能、热能、或非热能。 90. The apparatus according to claim 1, wherein the control means controls the energy source to release the magnetic energy, non-magnetic energy, electromagnetic energy, non-electromagnetic energy, kinetic energy, non-kinetic energy, sonic energy, non-sonic energy, thermal energy or non-thermal energy.
91.按照权利要求1所述的装置,其中该节流装置是非膨胀性的。 91. The apparatus according to claim 1, wherein the throttle device of the non-expandable.
92.按照权利要求1所述的装置,其中该控制装置控制能源在一定时间内释放出能量。 92. The apparatus according to claim 1, wherein the control means controls the energy release energy for a certain time.
93.按照权利要求1所述的装置,其中该控制装置控制能源按预定数量的能量脉冲释放出能量。 93. The apparatus according to claim 1, wherein the energy control means controls the energy released by a predetermined number of energy pulses.
94.按照权利要求1所述的装置,其中该控制装置适宜于控制能源以无损伤方式释放出能量。 94. The apparatus according to claim 1, wherein the control means is adapted to control the energy in a noninvasive manner releases energy.
95.按照权利要求1所述的装置,其中该控制装置包括一无线遥控器,其用于发射至少一种控制该节流装置的无线控制信号。 95. The apparatus according to claim 1, wherein the control device comprises a wireless remote control for transmitting at least one wireless control signal to the throttle control device.
96.按照权利要求95所述的装置,其中当该遥控器被植入体内时,其能够获得有关节流装置状态的信息并响应该信息来控制该节流装置。 96. The apparatus according to claim 95, wherein when the remote controller is implanted in the body, it is possible to obtain information about the status of the expansion device in response to the information to control the throttle device.
97.按照权利要求95或96所述的装置,其中该无线遥控器包括至少一种外部信号发射机或收发机和至少一种可植入病人体内的内部信号接收机或收发机。 97. The apparatus of claim 95 or claim 96, wherein the wireless remote control comprises at least one external signal transmitter or transceiver and at least one patient implantable internal signal receiver or transceiver.
98.按照权利要求95或96所述的装置,其中该无线遥控器包括至少一种外部信号接收机或收发机和至少一种可植入病人体内的内部信号发射机或收发机。 98. The apparatus of claim 95 or claim 96, wherein the wireless remote control comprises at least one external signal receiver or transceiver and at least one implantable internal signal transmitter patient or transceivers.
99.按照权利要求95所述的装置,其中该遥控器能够从病人体内向病人体外发送有关节流装置的信息。 99. The apparatus according to claim 95, wherein the remote controller can send information about the throttling device from the patient to the patient in vitro.
100.按照权利要求99所述的装置,其中该遥控器响应该信息来控制该节流装置。 100. The apparatus according to claim 99, wherein the remote control in response to the information of the throttle device.
101.按照权利要求95所述的装置,其中该遥控器发射一种载有该控制信号的载波信号。 101. The apparatus according to claim 95, wherein the remote control transmits a carrier signal carrying one kind of the control signal.
102.按照权利要求101所述的装置,其中该载波信号是频率、幅度,或者是调频和调幅信号。 102. The apparatus according to claim 101, wherein the carrier signal is frequency, amplitude or frequency modulated and amplitude modulated signal.
103.按照权利要求101或102所述的装置,其中该载波信号是数字、模拟,或者数字和模拟信号。 103.101 device according to claim 102, wherein the carrier signal is digital, analog or digital and analog signals.
104.按照权利要求101或102所述的装置,其中使用载波信号的控制信号是频率、幅度,或者是调频和调幅信号。 104.101 device according to claim 102, wherein the control signal using a carrier signal is frequency, amplitude or frequency modulated and amplitude modulated signal.
105.按照权利要求95所述的装置,其中该控制信号包括一种波信号该波信号包括含有超声波信号的声波信号、含有红外光信号的电磁波信号、可见光信号、紫外光信号和激光信号、微波信号、无线电波信号、X光照射信号以及伽马射线信号之中的一种。 105. The apparatus according to claim 95, wherein the control signal is a wave signal comprising the acoustic wave signal comprises an ultrasonic signal containing a signal, an electromagnetic wave signal including an infrared light signal, a visible light signals, ultra violet light signal and a laser signal, a microwave signal, a radio wave signal, X-ray irradiation signal and one signal among gamma ray.
106.按照权利要求95所述的装置,其中该控制信号包括一电场、磁场,或者电场和磁场。 106. The apparatus according to claim 95, wherein the control signal comprises an electric, magnetic or electric and magnetic field.
107.按照权利要求95中任一项所述的装置,其中该控制信号是数字、模拟、或者数字和模拟信号。 95 107. The apparatus according to any one of claims, wherein the control signal is digital, analog or digital and analog signals.
108.按照权利要求107所述的装置,其中该遥控器发射携带该数字或模拟控制信号的一电磁载波信号。 108. The apparatus according to claim 107, wherein the remote control transmits an electromagnetic carrier signal carrying the digital or analog control signal.
109.按照权利要求95所述的装置,其中该控制信号是以脉冲形式由无线遥控器发射的。 109. The apparatus according to claim 95, wherein the control signal is emitted in pulses by the wireless remote control.
110.按照权利要求1所述的装置,进一步包括一用于稳定由控制装置所释放能量的可植入稳定器。 110. The apparatus according to claim 1, further comprising a control means for stabilizing the energy released by the implantable stabilizer.
111.按照权利要求110所述的装置,其中控制装置所释放的能量包括电能,稳定器包括至少一个电容器。 111. The apparatus according to claim 110, wherein the control device comprises electric energy released by the stabilizer comprises at least one capacitor.
112.按照权利要求1所述的装置,其中节流装置是通过所释放能量以手动、机械、热或磁的方式来操作的。 112. The apparatus according to claim 1, wherein the throttle device is an energy released by manually, mechanically, thermally or magnetically operated.
113.按照权利要求1所述的装置,其中节流装置是通过所释放能量以非手动、非机械、非热或非磁的方式来操作的。 113. The apparatus according to claim 1, wherein the throttle device is released by the energy in a non-manual, non-mechanical, non-thermal or non-magnetically operated.
114.按照权利要求20或21所述的装置,其中该控制装置适宜于控制该能量源以释放出电能,并且进一步包括用于由所释放的能量产生能量脉冲序列的可植入电容器。 114. The apparatus of claim 20 or claim 21, wherein the control means is adapted to control the source of energy to release electric energy, and further comprising means for generating a pulse sequence of energy released by the energy implantable capacitor.
115.按照权利要求1所述的装置,进一步包括一用于调整节流装置以改变人造开口大小的调整装置,其中该调整装置适宜于机械调节该节流装置,或适宜于通过采用液压装置来液压调节该节流装置,该液压装置没有当暴露于热或一磁场时粘性会大大增加的这种液压液。 115. The apparatus according to claim 1, further comprising a means for adjusting a throttle adjusting means to vary the stoma size, wherein the adjustment device is adapted to mechanically adjust the throttle device, or by a suitable hydraulic means the hydraulic pressure adjusting throttle device, when the hydraulic device is not exposed to heat or a magnetic field will greatly increase the viscosity of such hydraulic fluid.
116.按照权利要求44所述的装置,其中该操作装置包括一电操作装置。 116. The apparatus according to claim 44, wherein the operation device comprises an electrical operation device.
117.按照权利要求44所述的装置,其中该操作装置是通过磁能、非磁能、电磁能、非电磁能、动能、非动能、热能、或非热能来激励的。 117. The apparatus according to claim 44, wherein the operating means is excited by magnetic energy, non-magnetic energy, electromagnetic energy, non-electromagnetic energy, kinetic energy, non-kinetic energy, thermal energy or non-thermal energy.
118.按照权利要求1所述的装置,其中该操作装置是以手动或非手动方式操作来控制能量源释放能量的。 118. The apparatus according to claim 1, wherein the operating means is a manual or non-manual manner to control the operation of the source of energy to release energy.
119.按照权利要求1所述的装置,进一步包括带有至少一个电压标准保护器的可植入电元件。 119. The apparatus according to claim 1, further comprising implantable electrical device having at least one standard voltage protector.
120.按照权利要求1所述的装置,进一步包括带有单个电压标准保护器的可植入电元件。 120. The apparatus according to claim 1, further comprising implantable electrical components with a single standard voltage protector.
121.按照权利要求119或120所述的装置,其中该电元件没有任何电流检测器和/或充电标准检测器。 121.119 device according to claim 120, wherein the electric element does not have any current detector and / or detector charging standard.
122.按照权利要求118所述的装置,进一步包括一可植入电容器或蓄电器,其中该电容器或蓄电器的充电和放电是通过使用电压标准保护器来控制的。 122. The apparatus according to claim 118, further comprising an implantable capacitor or accumulator, wherein the charge and discharge of the capacitor or accumulator is protected by using a voltage to control the standard.
123.按照权利要求20所述的装置,其中所释放能量包括电能,该装置进一步包括一用于产生能量脉冲序列的可植入电容器。 123. The apparatus according to claim 20, wherein the released energy comprises electric energy, the apparatus further comprises a pulse sequence for generating energy implantable capacitor.
124.按照权利要求122或123所述的装置,其中该电容器的容量小于0.1μF。 124. The apparatus of claim 122 or claim 123, wherein the capacity of the capacitor is less than 0.1μF.
125.按照权利要求1所述的装置,进一步包括一用于控制节流装置的可植入发动机或泵,其中该控制装置适宜于控制能量源用所释放能量直接地激励该发动机或泵。 125. The apparatus according to claim 1, further comprising a throttle device for controlling an engine or a pump may be implanted, wherein the control means is adapted to control the energy source is directly excited by the engine or pump of energy released.
126.按照权利要求20所述的装置,其中无线能量包括除无线电波以外的电磁波。 126. The apparatus according to claim 20, wherein the wireless energy comprises electromagnetic waves other than radio waves.
127.按照权利要求1所述的装置,进一步包括一用于控制节流装置的可植入发动机或泵,其中该控制装置适宜于在无线能量被释放时,以电场或电磁波形式释放无线能量以直接地激励该发动机或泵。 127. The apparatus according to claim 1, further comprising a throttle device for controlling an engine or a pump may be implanted, wherein the control means is adapted to release wireless energy when released wireless energy in the form of an electric field or electromagnetic waves directly energize the engine or pump.
128.按照权利要求127所述的装置,其中该泵不是活塞型泵。 128. The apparatus according to claim 127, wherein the pump is not a plunger type pump.
129.按照权利要求1所述的装置,其中无线能量包括一信号。 129. The apparatus according to claim 1, wherein the wireless energy comprises a signal.
130.按照权利要求1所述的装置,进一步包括一可植入能量转换装置,其将无线能量直接或间接地转换成与无线能量不同的能量以控制该节流装置。 130. The apparatus according to claim 1, further comprising an implantable energy transforming device, which converts the wireless energy directly or indirectly into energy different from the wireless energy and to control the throttle device.
131.按照权利要求130所述的装置,其中该能量转换装置将声波形式的无线能量转换成电能以控制该节流装置。 131. The apparatus according to claim 130, wherein the energy conversion means converts the acoustic energy into electrical energy in the form of a radio to control the throttle device.
132.按照权利要求131所述的装置,其中该能量转换装置将声波形式的无线能量直接地转换成电能。 132. The apparatus according to claim 131, wherein the energy conversion means converts the wireless energy in the form of sound waves directly into electric energy.
133.按照权利要求131或132所述的装置,其中该能量转换装置声包括一电容器。 133.131 device according to claim 132, wherein the acoustic energy conversion means comprises a capacitor.
134.按照权利要求133所述的装置,其中该电容器适宜于由所转换的电能产生电脉冲。 134. The apparatus according to claim 133, wherein the capacitor is adapted to produce electrical energy from the converted electrical pulses.
135.按照权利要求130所述的装置,进一步包括一用于控制节流装置的可植入发动机或泵,其中该发动机或泵是由所转换能量激励的。 135. The apparatus according to claim 130, further including a means for controlling the throttling of the implantable pump or engine, wherein the motor or pump is energized by the energy conversion.
136.按照权利要求1所述的装置,其中该节流装置是以非手动方式调节的。 136. The apparatus according to claim 1, wherein the throttle device is a non-adjusted manually.
137.按照权利要求1所述的装置,其中该节流装置被埋入一柔软的或凝胶状材料中。 137. The apparatus according to claim 1, wherein the throttle device is embedded in a soft or gel-like material.
138.按照权利要求1所述的装置,其中节流装置被埋入具有小于20肖氏硬度的硅材料中。 138. The apparatus according to claim 1, wherein the throttle device is embedded with a Shore hardness of less than 20 silicon material.
139.按照权利要求20所述的装置,进一步包括一植入在病人体内的可激活能源,其中该可植入能源由外部能源所释放的无线能量激活以提供用于有关节流装置的操作的能量。 139. The apparatus according to claim 20, further comprising an implant in a patient may activate the energy, wherein the energy implantable wireless energy released from the external energy activated to provide for operating the throttle device of the related energy.
CN 01804868 1999-08-12 2001-02-08 Food intake restriction apparatus with controlled wireless energy supply CN1243519C (en)

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US09/502,775 US6454699B1 (en) 2000-02-11 2000-02-11 Food intake restriction with controlled wireless energy supply
US09/503,149 US6461293B1 (en) 1999-08-12 2000-02-11 Controlled food intake restriction

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CA2397281C (en) 2009-04-14
AU775540B2 (en) 2004-08-05
CA2397281A1 (en) 2001-07-05
WO2001047575A2 (en) 2001-07-05
MXPA02007704A (en) 2002-10-17
BR0108144A (en) 2003-01-21
WO2001047575A3 (en) 2002-01-24
AU3255801A (en) 2001-07-09
EP1259201A2 (en) 2002-11-27
CN1446067A (en) 2003-10-01
IL151137A (en) 2008-04-13

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