JP6876114B2 - 調整可能なインプラントにおける情報磁気フィードバックのためのシステム - Google Patents
調整可能なインプラントにおける情報磁気フィードバックのためのシステム Download PDFInfo
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- JP6876114B2 JP6876114B2 JP2019215999A JP2019215999A JP6876114B2 JP 6876114 B2 JP6876114 B2 JP 6876114B2 JP 2019215999 A JP2019215999 A JP 2019215999A JP 2019215999 A JP2019215999 A JP 2019215999A JP 6876114 B2 JP6876114 B2 JP 6876114B2
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- A—HUMAN NECESSITIES
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- A61F2/00—Filters 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
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure 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
- A61F2/0036—Closure 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
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Description
国外または国内優先権主張が本出願と共に提出される出願データシートにおいて特定される、任意及び全ての出願は、37 CFR 1.57の下で本明細書に参照援用される。
F=0.006×Vd 3 ・・・0.2168×Vd 2+3.8129×Vd+1.1936
式中、Fは、力(ポンド(lbs.))であり、Vdは、差動電圧(ボルト)である。
(付記1) 医療用インプラントを調整するための遠隔制御装置であって、
無線駆動信号を伝達して埋め込まれた医療用インプラントを調整するように構成されるドライバであって、前記医療用インプラントの調整が、前記医療用インプラントを用いて力を生成すること及び前記医療用インプラントの寸法を変更することのうちの1つ以上を含む、ドライバと、
前記駆動信号に対する前記インプラントの応答を感知するように構成される、少なくとも1つのセンサと、
前記駆動信号に応答して、前記医療用インプラントにより生成された力及び前記医療用インプラントの寸法の変化のうちの1つ以上を報告するように構成される、出力装置と、を備える、遠隔制御装置。
(付記2) 前記無線駆動信号が、磁場を含む、付記1に記載の遠隔制御装置。
(付記3) 前記インプラントの前記応答が、前記インプラント内の要素の回転を含む、付記2に記載の遠隔制御装置。
(付記4) 前記駆動信号に応答して、前記インプラントの調整量の指標を表示するように構成される1つ以上のディスプレイを更に備える、付記2に記載の遠隔制御装置。
(付記5) 前記調整量の前記指標が、前記駆動信号に応答して実際に達成される回転数の指標を含む、付記4に記載の遠隔制御装置。
(付記6) 前記力が、前記駆動信号に対する前記インプラントの応答性の測定に基づいて計算される、付記2に記載の遠隔制御装置。
(付記7) 前記インプラントが、前記遠隔制御装置内の少なくとも1つのドライバ磁石に応答して移動される少なくとも1つの被駆動磁石を備え、
前記力が、前記ドライバ磁石と前記被駆動磁石との間の応答性の測定に基づいて計算される、付記6に記載の遠隔制御装置。
(付記8) 前記寸法の変化が、前記医療用インプラントの少なくとも一部分の軸方向寸法の変化を含む、付記2に記載の遠隔制御装置。
(付記9) 前記磁場が、1つ以上の電磁石によって生成される、付記2に記載の遠隔制御装置。
(付記10) 前記磁場が、1つ以上の永久磁石によって生成される、付記2に記載の遠隔制御装置。
(付記11) 前記少なくとも1つのセンサが、ホール効果センサアレイを含む、付記2に記載の遠隔制御装置。
(付記12) 前記ホール効果センサアレイが、その上に含まれる第1及び第2のホール効果センサを有する第1の回路基板と、その上に第3及び第4のホール効果センサ容器を有する第2の回路基板とを含む、付記11に記載の遠隔制御装置。
(付記13) 前記第1の回路基板が、少なくとも5つのホール効果センサを含み、前記第2の回路基板が、少なくとも5つのホール効果センサを含む、付記12に記載の遠隔制御装置。
(付記14) 前記医療用インプラントによって加えられる力の強さが、前記第1の回路基板の前記5つのホール効果センサのうちの少なくとも2つと、前記第2の回路基板の前記5つのホール効果センサのうちの少なくとも2つのとの間の1つ以上の電圧差動から少なくとも部分的に判定される、付記13に記載の遠隔制御装置。
(付記15) 前記医療用インプラントによって加えられる力の強さが、実験データ及び曲線適合データに少なくとも部分的に基づく推定値である、付記14に記載の遠隔制御装置。
(付記16) 前記インプラント内の前記要素が、磁気要素を備え、前記磁気要素が前記ドライバの移動に対する応答性の既定の閾値を達成していないことを示すための指標を表示するために、第2のディスプレイを更に備える、付記3に記載の遠隔制御装置。
(付記17) 身体内の寸法の無線調整のための医療用インプラントであって、
前記身体内の第1の場所に結合するために構成される、第1の部分と、
前記身体内の第2の場所に結合するために構成される、第2の部分と、
前記第1の部分と前記第2の部分との間の相対距離を調整するように構成される、磁気ドライブであって、少なくとも1つの被駆動磁石を含み、前記身体の外側のドライバ磁石によって付与される磁場に応答して軸周囲を回転するように構成される、磁気ドライブと、を備え、
前記インプラントが、前記被駆動磁石の応答性を示す信号を前記ドライバ磁石に伝達するように構成され、
前記応答性の変化が、前記身体と、前記第1及び第2のコネクタとの間に加えられる力の変化を示す、医療用インプラント。
(付記18) 前記力が、圧縮力、延長力、引張力、及び回転力からなる群から選択される、付記17に記載の医療用インプラント。
(付記19) 前記力が、モーメントに変換される、付記17に記載の医療用インプラント。
(付記20) 前記力が、磁気結合トルクから少なくとも部分的に導出される、付記17に記載の医療用インプラント。
Claims (13)
- 無線駆動信号を中に永久磁石を有する医療用インプラントに伝達するように構成されるドライバであって、前記無線駆動信号は、前記医療用インプラントにより力を生成させるとともに前記医療用インプラントの寸法を変化させるように構成される、ドライバと、
磁気センサのアレイを有する第1の回路基板と、
磁気センサのアレイを有する第2の回路基板であって、前記第1の回路基板は前記第2の回路基板の上に位置する、第2の回路基板と、
前記医療用インプラントにより生成される力及び前記医療用インプラントの寸法の変化のうちの1つ又は複数を報告するように構成される、出力装置と、
を有する、
外部調整装置。 - 前記無線駆動信号は、回転磁場を含む、
請求項1に記載の外部調整装置。 - 前記第2の回路基板は、前記ドライバと前記医療用インプラントの前記永久磁石との間に位置する、
請求項1又は2に記載の外部調整装置。 - 前記医療用インプラントの前記寸法の変化は、前記回転磁場に応答してなされた前記医療用インプラントの前記永久磁石の回転数を数えることによって決定される、
請求項2又は請求項2を引用する請求項3に記載の外部調整装置。 - 前記出力装置は、前記医療用インプラントにより生成される力及び前記医療用インプラントの寸法の変化のうちの1つ又は複数の指標を表示するように構成される1つ又は複数のディスプレイを有する、
請求項1乃至4のいずれか1項に記載の外部調整装置。 - 前記医療用インプラントにより生成される力は、前記無線駆動信号に対する前記医療用インプラントの応答性の測定に基づいて計算される、
請求項1乃至5のいずれか1項に記載の外部調整装置。 - 前記寸法の変化は、前記医療用インプラントの軸方向寸法の変化を含む、
請求項1乃至6のいずれか1項に記載の外部調整装置。 - 前記回転磁場は、1つ又は複数の電磁石によって生成される、
請求項2に記載の外部調整装置。 - 前記回転磁場は、1つ又は複数の永久磁石によって生成される、
請求項2に記載の外部調整装置。 - 前記第1の回路基板の前記磁気センサ及び前記第2の回路基板の前記磁気センサは平行である、
請求項1乃至9のいずれか1項に記載の外部調整装置。 - 前記第1の回路基板は第1のホール効果センサを含み、前記第2の回路基板は第2のホール効果センサを含む、
請求項10に記載の外部調整装置。 - 前記医療用インプラントにより生成される力は、前記第1のホール効果センサと前記第2のホール効果センサとの間の電圧差から少なくとも部分的に判定される、
請求項11に記載の外部調整装置。 - 前記医療用インプラントにより生成される力は、実験データ及び曲線適合データに少なくとも部分的に基づく推定値である、
請求項12に記載の外部調整装置。
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JP2020036987A (ja) | 2020-03-12 |
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WO2015168175A1 (en) | 2015-11-05 |
US20220133460A1 (en) | 2022-05-05 |
JP2020049256A (ja) | 2020-04-02 |
JP2020096932A (ja) | 2020-06-25 |
JP6668381B2 (ja) | 2020-03-18 |
AU2020203155A1 (en) | 2020-06-04 |
EP3137000B1 (en) | 2023-08-23 |
EP4242756A2 (en) | 2023-09-13 |
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JP2017518790A (ja) | 2017-07-13 |
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