Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
  • A61B5/0031—Implanted circuitry
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/07—Endoradiosondes

Definitions

• the present invention relates to a device for measuring at least one physical parameter, in particular the pressure and / or the temperature inside a cavity of the organism of a living being, and / or control of a function of an equipment implanted in this organism, comprising on the one hand a capsule implanted in this cavity, said capsule containing at least one sensor for measuring said physical parameter, or control of an actuator implanted in this organism , means for processing the signals generated by said sensor, data communication means corresponding to said processed signals, and a memory unit and on the other hand a reading device placed outside the organism of said living being and arranged to interpret and display said data corresponding to said signals.
• a probe that measure the flow of a liquid, for example blood, by Doppler effect.
• a probe does not allow a parameter to be measured in a non-liquid medium.
• the probe sends continuous or intermittent signals corresponding to the values of the physical quantity it measures. It is therefore necessary to have a continuous reading device close to the probe. It is not possible to equip a patient with such a device and memorize measurements for a long time.
• International publication WO 00/32092 describes a device for detecting parameters in the vascular system implanted in the body and forming part of other medical equipment such as a stent, an intravascular filter or the like. It includes a transducer making it possible to detect the conditions of pressure, flow or speed of the blood flow. The signals are transmitted by radio frequencies on display means external to the body.
• German publication DE 29 41 363 A1 describes a device for measuring the conductivity of liquids in the human body.
• This device comprises a sensor which is associated with a radio frequency transmitter for the transmission of the measurement signals to an external storage device.
• the present invention proposes to overcome the drawbacks of existing devices by producing a range of devices which can be used to measure many different parameters for various applications and under variable conditions.
• said communication means comprise an ultrasonic transducer arranged to transform said signals into ultrasonic waves, to transmit the data in the form of ultrasonic waves from the capsule to said reading and transmitting device data from said reading device to the capsule, or from the capsule or reading device to said actuator.
• the processing means comprise at least one conditioner and at least one microcontroller.
• the device comprises at least one memory unit arranged to store the data processed by said processing means coming from the sensor.
• Said memory unit is preferably a non-volatile memory.
• the communication means are distinct from the processing means and include a device for managing the communication of data to said external reading device.
• the transducer is housed in the capsule.
• the capsule may include a resonant zone disposed close to the transducer.
• the device comprises at least two independent sensors. At least one of these sensors is a pressure sensor.
• the microcontroller comprises means for discriminating signals originating from the organism of the living being in which it is implanted, from signals artificially created from the outside.
• the device is preferably formed from at least two modules, one of the modules comprising said sensor, or said transducer.
• the capsule may include means for attaching a connecting wire.
• the capsule may include electrical contacts accessible from outside the capsule.
• each module may include electrical contacts associated with similar electrical contacts of the adjacent module.
• each module may include means for fixing to the adjacent module.
• the capsule may include means for supplying electrical energy.
• These supply means may include at least one coil arranged to supply electrical energy by induction.
• the capsule has holes arranged to bring the sensor into contact with the medium in which it is placed.
• the senor is fixed to the outside of the capsule.
• FIG. 1 is a block diagram of the electronic equipment of a first embodiment of the device according to the invention
• FIG. 2 1 is a block diagram of the electronic equipment of a second embodiment of the invention.
• FIG. 3 represents the device of the invention in section according to a first variant
• Figure 4 is a sectional view of a second variant of the device.
• the device according to the invention consists of a first component which is intended to be implanted in general temporarily in a cavity of the organism of a living being, this first component being in the form of a capsule 21, embodiments of which will be described in detail with reference to FIGS. 2 and 4, and a second component which is intended to remain outside this organism, this second component being in the form of a apparatus 20 for reading data transmitted by the first component.
• a first embodiment of the device inside the capsule is housed electronic equipment 10, as shown schematically in FIG. 1, which includes a sensor 11 arranged to measure a determined parameter, means 12 for processing of signals generated by the sensor 11 combined with data communication means 17 corresponding to said signals, a memory unit 13 and energy supply means 14.
• the sensor 11 is adapted to the application of the device. It is designed to measure one or more determined parameters and transform the values measured in electrical signals representative of these values. For example, it is possible to measure pressure, stress, temperature, heart rate or the presence of chemical elements.
• the processing means 12 are essentially formed by a conditioner 15 and a microcontroller 16.
• the conditioner 15 receives as input signal, the signals coming from the sensor 11. These are shaped, that is to say -in particular say amplified and filtered, so as to make them usable by the microcontroller 16 which then processes them so as to generate a signal which contains in coded form, the information coming from the sensor 11.
• the microcontroller 16 can be designed to process digital and / or analog signals.
• the conditioner 15 and the microcontroller 16 can be produced on the same support.
• the processing means 12 are arranged to perform signal processing operations such as the calculation of average values, threshold detection, evaluation of frequencies of occurrence of phenomena, etc. They also include communication means 17 which, in the embodiment illustrated by FIG. 1, are integrated, and which are arranged to communicate the data directly to the reading device 20 or to the memory unit 13.
• the signal containing the information is introduced into the memory unit 13 so that it can be used after the measurement.
• the memory may be of the EEPROM type, which makes it possible to store several tens of thousands of measurements, while offering the possibility of erasing the content or of keeping it in memory for several years.
• the information recording capacities are several thousand measurement points and the retention of this information after registration is more than 40 years.
• the energy supply means 14 may consist of a battery, a battery or a supercapacitor. They can also consist of a coil which can power all of the electronic components by induction. This latter variant is advantageous when a large or regular supply of energy is necessary. In this case, it may not be possible to integrate a source containing sufficient energy into the available volume. Being able to recharge the capsule in energy, remotely and without contact, solves this problem.
• the electronic components are chosen to have a particularly low consumption since the volume available inside the capsule for storing energy is very low.
• the electronic equipment 10 of which is illustrated diagrammatically in FIG. 2, the components mentioned with reference to FIG. 1 are also present.
• the electronic equipment 10 may further comprise a second sensor 11 'and is provided with data communication means 17 corresponding to said signals generated by the sensor 11 and possibly the sensor 11'.
• the communication means 17 which, in this case are distinct from processing means 12, consist of a communication management device 18 and an ultrasonic transducer 19.
• the communication management device 18 makes it possible in particular to determine all communication parameters, in particular the frequency and duration of transmission, the number of measurements transmitted, the sensitivity parameters, the choice of a sensor if the device contains several, an order to store information or a storage frequency.
• the ultrasonic transducer 19 transforms the electrical signals from the microcontroller 16 into ultrasonic waves which can be transmitted remotely without connection. These ultrasonic waves are modulated so as to transmit data corresponding to the signals generated by the sensor 11 and are transmitted to an appropriate reading device 20.
• the signals generated by the sensor 11 can be coded. These signals are interpreted by the signal processing means 12 as a command which can, for example, be a triggering or a triggering of the measurements, a modification of a transmission frequency or any other command of interest for the given application.
• FIGS. 1 and 2 illustrate two concrete embodiments of the invention. All of the components described with reference to FIGS. 1 and 2 are placed in the capsule 21.
• This capsule is preferably made of titanium for reasons of bio-compatibility with the organism. However, any other material having the same guarantees and the same technical properties, in particular of mechanical strength could be used. The choice of materials can be made depending on the application.
• the sensor 11 is a pressure sensor.
• the capsule is provided with holes 22 which allow the sensor to measure pressures or pressure variations.
• the sensor also acts as a waterproof barrier to isolate the interior of the capsule from the outside environment.
• the wall of the capsule has a thin area which forms a resonant zone 23 which can be likened to a vibrating membrane.
• the transducer 19 is arranged in the capsule in such a way that the resonator, that is to say the part of the transducer producing the vibrations, is in contact with this zone.
• the shape of the transducer and the resonant zone makes it possible to define a cone of propagation of ultrasonic waves which can be more or less wide and open depending on the application.
• the capsule includes a hooking member 24 to which a wire can for example be fixed (not shown). This allows the capsule to be removed when its use is no longer necessary.
• the capsule 21 consists of several separate modules.
• a first module 26 includes the sensor 11 as well as electrical connections 27 which connects it to terminals accessible outside the module.
• the second module 28 includes the transducer 19 and electrical connections 29 similar to the connections 27 of the first module 26.
• the third module 30 is placed between the previous two and contains the other components of the electronic equipment 10 as well as electrical connections to each end.
• Each of the modules comprises fixing means (not shown) of the adjacent module, produced for example in the form of a bayonet type fixing. This type of attachment guarantees precise positioning of the elements in relation to each other, which makes it possible to establish a reliable electrical connection and to transmit signals between the different modules.
• This embodiment is particularly interesting in that it is possible to easily add or remove the transducer 19 and to change the type of sensor without changing the entire device. It is also possible to include in the first module 26, a device 31 for preprocessing the signals so that, whatever the sensor used, the output signal of the first module can be used by the same, which can be integrated into the third module 30.
• the pressure inside a cavity of the human body and in particular in the rectum is measured.
• Such a measure is particularly useful during deliveries during which the organism is subjected to particularly high pressure constraints which can cause irreversible damage.
• the capsule 21 can be fixed to a connecting wire, then introduced into the rectum.
• the pressure is measured by the pressure sensor 11, for example every thirty seconds.
• the signals generated by the sensor which are representative of the values of the measured pressure, are transmitted to the signal processing means 12.
• the values are, on the one hand, stored in the memory 13 and on the other hand, transmitted to the reading device 20 using the transducer 19.
• the measured values are transformed into coded signals which are sent in the form of ultrasonic waves by the transducer 19 through the patient's tissues.
• the waves are received by a suitable reading device 20 which decodes the signals so as to extract the relevant information therefrom. This information can then be viewed on a display screen or be processed in a processing device such as a computer.
• the reading device can also be associated with an alert device which emits a visual or audible alarm signal when the measured value of the physical parameter exceeds a certain threshold value. In the case of childbirth, exceeding a threshold pressure implies that it is necessary to intervene to avoid physiological problems.
• the capsule 21 can be withdrawn from the patient using the connecting wire.
• one of the sensors 11 ′ is for example a chemical sensor which detects the presence or absence of a particular compound.
• the other sensor is a pressure sensor 11 similar to that of FIG. 1.
• the first sensor 11 ′ can for example take a measurement every quarter of an hour and emit a signal representative of the result of the measurement by the transducer 19 to a reading device 20 disposed outside the patient. This signal can indicate the presence or absence of the desired compound or, for example, the level of this compound.
• the second sensor 11 is arranged to receive pressure waves from the outside. These waves can be generated by the reading device 20 and include information in coded form. These waves can be of the type used, for example, during ultrasounds.
• the signals detected by the pressure sensor 11 are introduced into the microcontroller 16 which extracts the relevant information therefrom.
• This embodiment makes it possible, among other things, to modify the frequency of the measurements, a sensitivity level, the erasure of an area of the memory, a sensitivity threshold or other parameters.
• the information can be transmitted to a reading device placed outside the human body, but it can also be transmitted to a device placed in the human body or in contact with it.
• This device can be an actuator such as a forceps for example, which can take a tissue, or a reservoir of medicinal products, for example an anesthetic, this reservoir being provided with a controlled valve intended to release a determined volume of substance in the body.
• This actuator can also be arranged to trigger the recording of photographs for example. It is thus possible to create a network of devices which communicate with each other and with one or more reading devices arranged outside the human body.
• the device according to the invention has many advantages over the devices of the prior art. Indeed, in view of its reduced dimensions, generally less than ten mm in length and four mm in diameter, the capsule can be introduced relatively easily into the body of a patient, permanently or temporarily. Measurements can be stored and / or sent to a remote reading device. It is also possible to transmit commands from the outside to the device, which makes it possible to adjust the measurements as required.
• one or two sensors were used. It is of course possible to use other sensors as long as the device has sufficient space available. With regard to the modular version as described with reference to FIG. 4, it is also possible to add different modules containing different measurement sensors.

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Engineering & Computer Science (AREA)
• Medical Informatics (AREA)
• Surgery (AREA)
• Biophysics (AREA)
• Biomedical Technology (AREA)
• Heart & Thoracic Surgery (AREA)
• Physics & Mathematics (AREA)
• Molecular Biology (AREA)
• Pathology (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Computer Networks & Wireless Communication (AREA)
• Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
• Measuring And Recording Apparatus For Diagnosis (AREA)

Applications Claiming Priority (3)

Publications (1)

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• 2001
  • 2001-08-16 FR FR0110844A patent/FR2828642B1/fr not_active Expired - Fee Related
• 2002
  • 2002-08-14 CA CA002457616A patent/CA2457616A1/fr not_active Abandoned
  • 2002-08-14 WO PCT/CH2002/000444 patent/WO2003015625A1/fr not_active Application Discontinuation
  • 2002-08-14 EP EP02754088A patent/EP1416845A1/de not_active Withdrawn
  • 2002-08-14 US US10/486,959 patent/US20040236194A1/en not_active Abandoned

Non-Patent Citations (1)

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