WO2012165667A1 - Insertion-type medical device having window for communicating with external device - Google Patents

Insertion-type medical device having window for communicating with external device Download PDF

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Publication number
WO2012165667A1
WO2012165667A1 PCT/KR2011/003942 KR2011003942W WO2012165667A1 WO 2012165667 A1 WO2012165667 A1 WO 2012165667A1 KR 2011003942 W KR2011003942 W KR 2011003942W WO 2012165667 A1 WO2012165667 A1 WO 2012165667A1
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WO
WIPO (PCT)
Prior art keywords
package
window
medical device
implantable medical
antenna
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PCT/KR2011/003942
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French (fr)
Korean (ko)
Inventor
황용섭
이호승
박세익
윤호
이기원
Original Assignee
주식회사 엠아이텍
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Priority to PCT/KR2011/003942 priority Critical patent/WO2012165667A1/en
Publication of WO2012165667A1 publication Critical patent/WO2012165667A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37217Means for communicating with stimulators characterised by the communication link, e.g. acoustic or tactile
    • A61N1/37223Circuits for electromagnetic coupling
    • A61N1/37229Shape or location of the implanted or external antenna
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings
    • A61N1/37512Pacemakers
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01QANTENNAS, i.e. RADIO AERIALS
    • H01Q1/00Details of, or arrangements associated with, antennas
    • H01Q1/12Supports; Mounting means
    • H01Q1/22Supports; Mounting means by structural association with other equipment or articles
    • H01Q1/2208Supports; Mounting means by structural association with other equipment or articles associated with components used in interrogation type services, i.e. in systems for information exchange between an interrogator/reader and a tag/transponder, e.g. in Radio Frequency Identification [RFID] systems
    • H01Q1/2225Supports; Mounting means by structural association with other equipment or articles associated with components used in interrogation type services, i.e. in systems for information exchange between an interrogator/reader and a tag/transponder, e.g. in Radio Frequency Identification [RFID] systems used in active tags, i.e. provided with its own power source or in passive tags, i.e. deriving power from RF signal
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01QANTENNAS, i.e. RADIO AERIALS
    • H01Q1/00Details of, or arrangements associated with, antennas
    • H01Q1/27Adaptation for use in or on movable bodies
    • H01Q1/273Adaptation for carrying or wearing by persons or animals
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01QANTENNAS, i.e. RADIO AERIALS
    • H01Q7/00Loop antennas with a substantially uniform current distribution around the loop and having a directional radiation pattern in a plane perpendicular to the plane of the loop

Definitions

  • the present invention relates to an implantable medical device of a high frequency communication method, and more particularly, to an implantable medical device capable of high frequency wireless communication with an external device through a window installed in an implantable medical device.
  • neural prosthesis such as implantable pulse generators, cochlear implants, artificial retinas, deep brain stimulators, etc.
  • implantable medical devices It is used after being implanted inside.
  • Such an implantable medical device maintains low frequency communication with a device external to the human body through magnetic coupling by a magnetic field in a low frequency band.
  • Low frequency communication is a method of forming magnetic coupling using radio frequency bands of several MHz.
  • Figure 1 shows an example of a conventional implantable medical device using such a low frequency communication method.
  • a conventional implantable medical device of a low frequency communication type is configured in the form of a metal package 10 implanted into a human body.
  • the metal package 10 maintains communication with a device external to the human body in a coil-to-coil manner inducing magnetic coupling through the coil 20 using air as a medium.
  • FIG. 2 illustrates a detailed block configuration of the implantable medical device illustrated in FIG. 1 communicating with an external device of a human body in a low frequency communication method.
  • the metal package 10 which is an implantable medical device, includes a coil 20, an envelope detector 8, a comparator 6, and a baseband chip 2.
  • the external device 30 for communication with the metal package 10 includes a baseband chip 2, a Class-E power amplifier 4, and a coil 12. do. The communication between the metal package 10 and the external device 30 is performed through the magnetic coupling of the coil 12 of the external device 30 with the coil 20 inside the metal package 10.
  • magnetic coupling is continuously formed by the coil 12 disposed outside the package 10, as shown in FIG. This can always be done.
  • an implantable medical device of a deep brain stimulator or an artificial heart pacemaker since a coil is disposed inside the metal package 10, magnetic coupling is not always maintained, but magnetic coupling is necessary only when communication with an external device is required.
  • the ring is set. In this case, it is difficult to suddenly set the magnetic coupling in case of an emergency, for example, when the cardiac pacemaker stops working, or when there is an abnormality in the brain stimulus transmission or an abnormal battery in the deep brain stimulator. have. That is, when the implantable medical device is not magnetically coupled with the external device, communication with the external device is impossible.
  • an antenna having a size of 1/4 of the wavelength ⁇ must be used.
  • the use of such an antenna is not possible because the antenna must be large due to the large wavelength.
  • the low frequency communication method using magnetic coupling when using an existing bio-invasive medical device does not have a method to cope with the coil-to-coil method because it is difficult to make an emergency in an emergency situation.
  • high frequency communication since high frequency communication does not require the use of coils, but instead of antennas, it may be a way to cope with an emergency situation immediately by high frequency communication at a short distance outside the human body when an emergency situation occurs.
  • a short-range high-frequency communication method may be more appropriate than a magnetic coupling using a coil-to-coil in case of an emergency when using a bio-insertable medical device or for short-range communication with the outside using a closed circuit. .
  • the implantable medical devices of the high frequency communication method use a form in which an antenna is embedded in a metal material package as shown in FIG. 1. Since the metal material has a shielding effect on a high frequency signal, the high frequency signal does not pass through the metal package 10 to be transmitted from outside to inside or from inside to outside. As described above, in the case of high frequency, communication with the inside of the metal package 10 is impossible because there is no permeability to metal.
  • the package may be made of materials other than metal.
  • the package may be easy to crack or break in the non-metallic package due to an external impact, which may cause a harmful situation in which devices inside the non-metallic package may flow into the human body.
  • the present invention provides an implantable medical device in which a window is installed in a human implantable medical device to enable high frequency communication with a device external to the human body.
  • Implantable medical device for achieving the above object
  • Is implanted in the human body including a package of a metal material having an antenna for receiving a high frequency signal from the outside of the human body,
  • the package includes a window provided on one surface thereof to cover an opening formed to transmit the high frequency signal to the antenna of the package.
  • It is implanted in the human body, and includes a package of metal material having a receiving unit for receiving an optical signal from the outside of the human body,
  • the package includes a window installed on one surface thereof to cover an opening formed to transmit the optical signal to a receiver of the package.
  • high frequency communication does not require the use of a coil for magnetic coupling, thereby reducing the size of the implantable medical device and simplifying the procedure when the patient is inserted. Has the effect.
  • FIG. 1 is a block diagram of a conventional implantable medical device of a low frequency communication method using magnetic coupling.
  • FIG. 2 illustrates a detailed block configuration of the implantable medical device illustrated in FIG. 1 communicating with an external device in a low frequency communication method.
  • FIG. 3A illustrates a detailed block diagram of an implantable medical device that communicates with an external device through a high frequency communication method according to an embodiment of the present invention.
  • FIG. 3B illustrates a detailed block diagram of an implantable medical device communicating with an external device in an optical communication method according to another embodiment of the present invention.
  • FIG. 4 shows the appearance of the implantable medical device shown in FIGS. 3A and 3B.
  • FIG. 5 illustrates a cross-sectional view of a window installed on an upper surface of the insertable medical device of FIG. 4.
  • FIG. 6 illustrates a cross-sectional view of another form of window installed on the side of the implantable medical device of FIG. 4.
  • FIG. 3A illustrates a detailed block diagram of an implantable medical device that communicates with an external device through a high frequency communication method according to an embodiment of the present invention.
  • high frequency communication used in the present invention refers to all communication methods using electromagnetic waves and is defined as encompassing mobile communication methods using antennas and communication methods using light which is a kind of electromagnetic waves.
  • the external device 50 includes a baseband chip 2, an RFIC 16, a power amplifier (PA) 22, and an antenna 32. do.
  • the implantable medical device 100 that performs high frequency communication with the external device 50 includes an antenna 140, a low noise amplifier (LNA) 18, and a radio frequency integration chip (RFIC). 16 and a baseband chip 2.
  • Reference numeral 200 denotes a window installed in the implantable prosthetic device 100 described in FIG.
  • the high frequency wireless communication signal is transmitted to the antenna 140 of the implantable medical device 100 at a short distance through the antenna 32 of the external device 50 so that the implantable medical device 100 and the external device 50 of the present invention are short-range. Wireless communication is achieved.
  • Communication between an external device and an implantable medical device may be achieved through an optical method using infrared, ultraviolet, and visible light instead of the high frequency signal used in the above-described embodiment of the present invention.
  • 3B is a detailed block diagram of an implantable medical device communicating with an external device through an optical communication method according to another embodiment of the present invention.
  • FIG. 3b In another embodiment of the present invention shown in Figure 3b is an antenna 32 of the external device 50 and the antenna 140 of the implantable medical device 100 instead of the transmitter 132 and the implantable medical device of the external device 50 ( It is substantially the same as the embodiment of the present invention shown in FIG. 3A except that it is replaced by the receiver 240 of 100. Therefore, the description of the same components will be omitted.
  • the insertion type of the present invention by transmitting an optical signal such as infrared, ultraviolet or visible light to the receiver 240 of the implantable medical device 100 at a short distance through the transmitter 132 of the external device 50 Short-range wireless communication between the medical device 100 and the external device 50 is achieved.
  • the transmitter 132 and the receiver 240 may each include a photodiode or phototransistor for optically transmitting and receiving a signal.
  • FIGS. 3A and 3B shows the configuration of the implantable medical device shown in FIGS. 3A and 3B.
  • the implantable medical device 100 has a form of a rectangular package with rounded corners.
  • the package 100 is made of a metal material, and a high frequency communication signal (or optical) is formed on one surface of the package 100, for example, the upper surface of the package 100 through an antenna 32 (or a transmitter 132) of the external device 50.
  • a small window 200 is installed so that the signal can be transmitted to the antenna 140 (or the receiver 240) of the package 100 of the implantable medical device.
  • the window 200 is installed to cover the opening 120 formed in the package 100.
  • the antenna 140 (or receiver 240) of the package 100 may be located near the bottom of the window 200 or may be embedded in the window 200.
  • the window 200 may be installed on the side instead of the top surface of the metal package 100.
  • FIG. 5 illustrates a cross-sectional view of a window installed on the package upper surface of FIG. 4
  • FIG. 6 illustrates a cross-sectional view of another type of window installed on the package side of FIG. 4.
  • the window 200 shown in FIG. 5 has an arc shape
  • the window 300 shown in FIG. 6 has a flat shape having the same level as the surface of the package 100.
  • Each window 200, 300 covers an opening 120 formed in the package 100 and is hermetically sealed to the package 100.
  • a stepped portion 122 in which the arc-shaped window 200 or the flat-shaped window 300 is seated is formed.
  • the portion of the arc-shaped window 200 is joined to the step portion 122. It is rounded as shown in FIG.
  • the flat window 300 has a stepped portion as shown in FIG. 6 in order to prevent the portion of the package 100 in which the opening 120 is defined from being broken by a vertically applied impact from the outside.
  • the portion to be joined to 122 is rounded.
  • the flat window 300 may be opened by an impact applied from the side of the package 100 as a protrusion 310 extending below the opening 120 or into the package 100 is formed. It is possible to prevent the portion of the package 100, which is defined to be broken, and the window 300 to escape in the lateral direction of the package 100.
  • the windows 200 and 300 installed in the package 100 of the present invention can be adjusted in size, for example, according to the level of the high frequency used. In other words, it is possible to reduce the size of the opening 120 and the windows 200 and 300 as the magnitude of the frequency becomes larger (closer to the high frequency). This may reduce the probability of breaking the portion of the package 100 in which the opening 120 is defined, thereby increasing the durability of the portion of the package 100 in which the opening 120 is defined.
  • an embodiment of the present invention provides an opening 120 of the package 100. Is covered with an arc-shaped window 200 or a flat window 300 to seal the windows 200 and 300 to the package 100.
  • the windows 200 and 300 may be formed of a non-conductive material and a low submersion material such as ceramic or amber.
  • Arc-shaped window 200 or flat window 300 is preferably welded to the package through furnace brazing techniques.
  • the furnace brazing technique is a joining method for joining metals and dissimilar materials, and is commonly used for joining a metal package 100 and ceramics constituting a feedthrough used for connecting a device. . Therefore, even if the metal material of the package and the non-conductive material of the window are combined, the welding seal can be maintained through the furnace brazing technique.
  • the implantable medical device of the high frequency communication method of the present invention may transmit signals between the implantable medical device and an external device through high frequency communication or optical communication using electromagnetic waves when an emergency situation occurs.
  • a small size antenna is suitable for use as an implantable medical device.
  • the present invention is not limited to the above-described embodiment, the present invention as claimed in the following claims Without departing from the gist of the present invention, those skilled in the art to which the present invention pertains to the technical spirit of the present invention to the extent that various modifications can be made.

Abstract

An insertion-type medical device is implanted in the human body and comprises a package, which is made from a metallic material, having an antenna for receiving a high-frequency wireless communication signal from an antenna of an external device. The package comprises a window on one surface thereof, which is installed so as to cover an opening for relaying the high-frequency communication signal to the antenna of the package.

Description

외부기기와 통신을 위한 윈도우를 갖는 삽입형 의료기기Implantable medical devices with windows for communication with external devices
본 발명은 고주파 통신 방식의 삽입형 의료기기에 관한 것으로, 더욱 상세하게는 삽입형 의료기기(implantable medical device)에 설치된 윈도우를 통해 외부기기와 고주파 무선 통신이 가능한 삽입형 의료기기에 관한 것이다.The present invention relates to an implantable medical device of a high frequency communication method, and more particularly, to an implantable medical device capable of high frequency wireless communication with an external device through a window installed in an implantable medical device.
잘 알려진 바와 같이, 인공심장 박동기(implantable pulse generator), 인공와우(cochlear implant), 인공망막(artificial retina), 심부뇌 자극기(deep brain stimulator) 등과 같은 신경 보철(neural prosthesis)은 삽입형 의료기기로서 인체내에 이식되어 사용된다. 이러한 삽입형 의료기기는 저주파 대역에서 자기장(magnetic field)에 의한 자기 커플링(magnetic coupling)을 통해 인체 외부의 기기와 저주파 통신을 유지한다.As is well known, neural prosthesis such as implantable pulse generators, cochlear implants, artificial retinas, deep brain stimulators, etc., are implantable medical devices. It is used after being implanted inside. Such an implantable medical device maintains low frequency communication with a device external to the human body through magnetic coupling by a magnetic field in a low frequency band.
저주파 통신은 수 MHz의 무선 주파수 대역을 사용하여 자기 커플링을 형성하는 방법이다. 도 1에는 이러한 저주파 통신 방식을 사용하는 종래의 삽입형 의료기기의 일예를 도시하고 있다. 도 1에 도시된 바와 같이 저주파 통신 방식의 종래의 삽입형 의료기기는 인체 내부에 이식되는 메탈 재질의 패키지(10) 형태로 구성된다. 메탈 패키지(10)는 공기를 매질로 하여 코일(20)을 통해 자기 커플링을 유도하는 코일 투 코일(coil-to-coil) 방식으로 인체 외부의 기기와 통신을 유지한다.Low frequency communication is a method of forming magnetic coupling using radio frequency bands of several MHz. Figure 1 shows an example of a conventional implantable medical device using such a low frequency communication method. As shown in FIG. 1, a conventional implantable medical device of a low frequency communication type is configured in the form of a metal package 10 implanted into a human body. The metal package 10 maintains communication with a device external to the human body in a coil-to-coil manner inducing magnetic coupling through the coil 20 using air as a medium.
도 2는 인체 외부기기와 저주파 통신 방식으로 통신하는 도 1에 도시된 삽입형 의료기기의 상세 블록 구성을 도시한다. FIG. 2 illustrates a detailed block configuration of the implantable medical device illustrated in FIG. 1 communicating with an external device of a human body in a low frequency communication method.
삽입형 의료기기인 메탈 패키지(10)는 코일(20)과, 포락선 검파기(Envelope Detector)(8)와, 콤퍼레이터(Comparator)(6) 및 베이스밴드 칩(Baseband Chip)(2)을 포함한다. 이러한 메탈 패키지(10)와의 통신을 위한 외부기기(30)는 베이스밴드 칩(Baseband Chip)(2)과, 클래스-E 파워 증폭기(Class-E PA)(4)와, 코일(12)을 포함한다. 메탈 패키지(10)와 외부기기(30)와의 통신은 외부기기(30)의 코일(12)이 메탈 패키지(10) 안쪽의 코일(20)과 자기 커플링을 통해 이루어진다.The metal package 10, which is an implantable medical device, includes a coil 20, an envelope detector 8, a comparator 6, and a baseband chip 2. The external device 30 for communication with the metal package 10 includes a baseband chip 2, a Class-E power amplifier 4, and a coil 12. do. The communication between the metal package 10 and the external device 30 is performed through the magnetic coupling of the coil 12 of the external device 30 with the coil 20 inside the metal package 10.
인공와우와 같은 삽입형 의료기기의 경우에는 도 1에 도시된 바와 같이 패키지(10) 외부에 배치된 코일(12)에 의해 자기 커플링이 지속적으로 형성되기 때문에, 이를 통해 전력의 공급이나 신호의 전달이 항상 이루어 질 수 있다. 그러나 심부뇌자극기나 인공심장 박동기의 삽입형 의료기기의 경우에는 메탈 패키지(10) 내부에 코일이 배치되어 있기 때문에, 항상 자기 커플링이 유지되는 것이 아니라, 외부기기와의 통신이 필요할 때에만 자기 커플링이 설정된다. 이 경우 위급한 상황, 예를 들면, 인공심장 박동기가 작동을 멈춘 경우, 또는 심부뇌자극기에서 뇌의 자극 전달의 이상이나 배터리에 이상이 있는 경우에는 자기 커플링을 갑작스럽게 설정하기 힘들다는 문제가 있다. 즉, 삽입형 의료기기가 외부기기와 자기 커플링이 이루어지지 않은 경우에는 외부기기와 통신이 불가능하다.In the case of an implantable medical device such as a cochlear implant, magnetic coupling is continuously formed by the coil 12 disposed outside the package 10, as shown in FIG. This can always be done. However, in the case of an implantable medical device of a deep brain stimulator or an artificial heart pacemaker, since a coil is disposed inside the metal package 10, magnetic coupling is not always maintained, but magnetic coupling is necessary only when communication with an external device is required. The ring is set. In this case, it is difficult to suddenly set the magnetic coupling in case of an emergency, for example, when the cardiac pacemaker stops working, or when there is an abnormality in the brain stimulus transmission or an abnormal battery in the deep brain stimulator. have. That is, when the implantable medical device is not magnetically coupled with the external device, communication with the external device is impossible.
전술한 문제를 해결하기 위하여 안테나를 사용하는 방안도 있지만, 다음의 식과 같이 에너지 속도 C(energy speed)는 파장 λ에 비례한다.In order to solve the above problem, there is also a method of using an antenna, but the energy speed C is proportional to the wavelength λ as shown in the following equation.
C=λf (여기서, f는 주파수)C = λf (where f is frequency)
그래서 안테나를 사용하여 신호를 받기 위해서는, 파장 λ의 1/4의 크기의 안테나를 사용하여야 한다. 그러나, 저주파의 경우에는 큰 파장으로 인하여 안테나가 커져야 하므로 이러한 안테나의 사용도 불가능하다.Therefore, in order to receive a signal using an antenna, an antenna having a size of 1/4 of the wavelength λ must be used. However, in the case of low frequency, the use of such an antenna is not possible because the antenna must be large due to the large wavelength.
이러한 제약으로 인해 기존 생체 삽입형 의료기기의 사용시 자기 커플링을 이용한 저주파 통신방식은 위급한 상황이 발생한 경우 코일 투 코일 방법이 신속하게 이루어지기 힘들어 대응할 수 있는 방법이 존재하지 않았다.Due to these limitations, the low frequency communication method using magnetic coupling when using an existing bio-invasive medical device does not have a method to cope with the coil-to-coil method because it is difficult to make an emergency in an emergency situation.
이와 달리 고주파 통신은 코일의 사용이 필요 없는 대신 안테나를 통한 통신의 방식이므로 위급한 상황이 발생할 경우에 인체 외부의 근거리에서 고주파 통신으로 즉각적으로 위급 상황을 대처할 수 있는 방안이 될 수 있다. 다시 말해서, 생체 삽입형 의료기기 사용시의 위급한 상황이 발생한 경우나 폐쇄형 회로를 이용한 외부와의 근거리 통신을 위해서 코일 투 코일을 이용한 자기 커플링보다는 근거리의 고주파 통신 방법이 더 적절한 방법이라 할 수 있다.On the contrary, since high frequency communication does not require the use of coils, but instead of antennas, it may be a way to cope with an emergency situation immediately by high frequency communication at a short distance outside the human body when an emergency situation occurs. In other words, a short-range high-frequency communication method may be more appropriate than a magnetic coupling using a coil-to-coil in case of an emergency when using a bio-insertable medical device or for short-range communication with the outside using a closed circuit. .
그런데 고주파 통신 방식의 삽입형 의료기기는 대부분 도 1에 도시된 바와 같은 금속 물질의 패키지 내에 안테나가 내장된 형태를 이용하고 있다. 이러한 금속물질은 고주파의 신호에 대한 차폐효과(shielding effect)를 가지기 때문에 고주파 신호가 메탈 패키지(10)를 통과하여 외부에서 내부로 혹은 내부에서 외부로 전달되지 않게 된다. 이처럼 고주파의 경우 금속에 대한 투과력이 없기 때문에 메탈 패키지(10) 내부와 통신이 불가능하다. By the way, most of the implantable medical devices of the high frequency communication method use a form in which an antenna is embedded in a metal material package as shown in FIG. 1. Since the metal material has a shielding effect on a high frequency signal, the high frequency signal does not pass through the metal package 10 to be transmitted from outside to inside or from inside to outside. As described above, in the case of high frequency, communication with the inside of the metal package 10 is impossible because there is no permeability to metal.
대안으로, 금속이 아닌 다른 물질들로 패키지를 제조할 수도 있다. 그러나 이러한 비금속 패키지가 생체 내에 삽입되는 경우, 외부 충격으로 인해 비금속 패키지에서 균열이 생기거나 깨지기 쉬워 비금속 패키지 내부에 있는 소자들이 인체내로 흘러들 수 있는 유해한 상황을 초래할 수 있다. Alternatively, the package may be made of materials other than metal. However, when such a non-metallic package is inserted into a living body, it may be easy to crack or break in the non-metallic package due to an external impact, which may cause a harmful situation in which devices inside the non-metallic package may flow into the human body.
따라서, 본 발명은 인체 삽입형 의료기기에 인체 외부의 기기와 고주파 통신이 가능하도록 윈도우를 설치한 삽입형 의료기기를 제공하는 것이다. Accordingly, the present invention provides an implantable medical device in which a window is installed in a human implantable medical device to enable high frequency communication with a device external to the human body.
상술한 목적을 달성하기 위한 본 발명의 일 실시예에 따른 삽입형 의료기기는, Implantable medical device according to an embodiment of the present invention for achieving the above object,
인체에 이식되며, 상기 인체의 외부로부터의 고주파의 신호를 수신하는 안테나를 갖는 메탈 재질의 패키지를 포함하며,Is implanted in the human body, including a package of a metal material having an antenna for receiving a high frequency signal from the outside of the human body,
상기 패키지는 그의 일면에 상기 고주파의 신호가 상기 패키지의 안테나에 전달될 수 있도록 형성된 개구를 덮도록 설치된 윈도우를 포함한다.The package includes a window provided on one surface thereof to cover an opening formed to transmit the high frequency signal to the antenna of the package.
상술한 목적을 달성하기 위한 다른 실시예에 따른 삽입형 의료기기는,Insertion type medical device according to another embodiment for achieving the above object,
인체에 이식되며, 상기 인체의 외부로부터의 광학적 신호를 수신하는 수신부를 갖는 메탈 재질의 패키지를 포함하며,It is implanted in the human body, and includes a package of metal material having a receiving unit for receiving an optical signal from the outside of the human body,
상기 패키지는 그의 일면에 상기 광학적 신호가 상기 패키지의 수신부에 전달될 수 있도록 형성된 개구를 덮도록 설치된 윈도우를 포함한다. The package includes a window installed on one surface thereof to cover an opening formed to transmit the optical signal to a receiver of the package.
본 발명의 실시예에 의하면, 저주파 통신을 사용하는 것에 비해 고주파 통신을 이용하면 자기 커플링을 위한 코일을 사용할 필요가 없기 때문에 삽입형 의료기기의 크기를 줄일 수가 있고 환자에게 삽입 시 시술이 간편해질 수 있는 효과를 가진다.According to an embodiment of the present invention, compared to using low frequency communication, high frequency communication does not require the use of a coil for magnetic coupling, thereby reducing the size of the implantable medical device and simplifying the procedure when the patient is inserted. Has the effect.
도 1은 자기 커플링을 이용한 저주파 통신 방식의 종래의 삽입형 의료기기의 구성도이다.1 is a block diagram of a conventional implantable medical device of a low frequency communication method using magnetic coupling.
도 2는 외부기기와 저주파 통신 방식으로 통신하는 도 1에 도시된 삽입형 의료기기의 상세 블록 구성을 도시한다. FIG. 2 illustrates a detailed block configuration of the implantable medical device illustrated in FIG. 1 communicating with an external device in a low frequency communication method.
도 3a는 본 발명의 일 실시예에 따라서 외부기기와 고주파 통신 방식으로 통신하는 삽입형 의료기기의 상세 블록 구성을 도시한다. 3A illustrates a detailed block diagram of an implantable medical device that communicates with an external device through a high frequency communication method according to an embodiment of the present invention.
도 3b는 본 발명의 다른 실시예에 따라서 외부기기와 광학적 통신 방식으로 통신하는 삽입형 의료기기의 상세 블록 구성을 도시한다. 3B illustrates a detailed block diagram of an implantable medical device communicating with an external device in an optical communication method according to another embodiment of the present invention.
도 4는 도 3a 및 도 3b에 도시된 삽입형 의료기기의 외형을 도시한다.FIG. 4 shows the appearance of the implantable medical device shown in FIGS. 3A and 3B.
도 5는 도 4의 삽입형 의료기기의 상면에 설치되는 윈도우의 단면도를 도시한다.FIG. 5 illustrates a cross-sectional view of a window installed on an upper surface of the insertable medical device of FIG. 4.
도 6은 도 4의 삽입형 의료기기의 측면에 설치되는 다른 형태의 윈도우의 단면도를 도시한다. 6 illustrates a cross-sectional view of another form of window installed on the side of the implantable medical device of FIG. 4.
이하, 첨부된 도면을 참조하여 본 발명에 따른 실시예의 동작을 상세하게 설명한다. 하기에서 본 발명을 설명함에 있어서 공지 기능 또는 구성에 대한 구체적인 설명이 본 발명의 요지를 불필요하게 흐릴 수 있다고 판단되는 경우에는 그 상세한 설명을 생략할 것이다. 그리고 후술되는 용어들은 본 발명에서의 기능을 고려하여 정의된 용어들로서 이는 사용자, 운용자의 의도 또는 관례 등에 따라 달라질 수 있다. 그러므로 그 정의는 본 명세서 전반에 걸친 내용을 토대로 내려져야 할 것이다. 전체 도면에서 동일한 구성에 대해서는 동일한 참조번호를 병기하였고 편의상 상세한 설명은 생략하였다.Hereinafter, with reference to the accompanying drawings will be described in detail the operation of the embodiment according to the present invention. In the following description of the present invention, when it is determined that a detailed description of a known function or configuration may unnecessarily obscure the subject matter of the present invention, the detailed description thereof will be omitted. Terms to be described later are terms defined in consideration of functions in the present invention, and may be changed according to intentions or customs of users or operators. Therefore, the definition should be made based on the contents throughout the specification. Like reference numerals refer to like elements throughout, and detailed descriptions thereof are omitted for convenience.
도 3a는 본 발명의 일 실시예에 따라서 외부기기와 고주파 통신 방식으로 통신하는 삽입형 의료기기의 상세 블록 구성을 도시한다. 3A illustrates a detailed block diagram of an implantable medical device that communicates with an external device through a high frequency communication method according to an embodiment of the present invention.
본 발명에서 사용된 "고주파 통신" 이란 용어는 전자기파를 사용하는 모든 통신방법을 지칭하는 것으로 안테나를 이용하는 이동통신 방법과 전자기파의 일종인 빛을 이용한 통신 방법을 포괄하는 것으로 정의된다.The term " high frequency communication " used in the present invention refers to all communication methods using electromagnetic waves and is defined as encompassing mobile communication methods using antennas and communication methods using light which is a kind of electromagnetic waves.
도 3a에 도시된 바와 같이, 외부기기(50)는 베이스밴드 칩(Baseband Chip)(2)과, RFIC(16)와, PA(Power Amplifier: 파워 증폭기)(22) 및 안테나(32)를 포함한다. 외부기기(50)와 고주파 통신을 수행하는 삽입형 의료 기기(100)는 안테나(140)와, LNA(low noise amplifier: 저잡음 증폭기)(18)와, RFIC(Radio Friquency Intergration Chip: 무선 주파수 집적 칩)(16) 및 베이스밴드 칩(Baseband Chip)(2)을 포함한다. 도면부호(200)은 도 4에서 설명되는 삽입형 의로기기(100)에 설치된 윈도우를 나타낸다. As shown in FIG. 3A, the external device 50 includes a baseband chip 2, an RFIC 16, a power amplifier (PA) 22, and an antenna 32. do. The implantable medical device 100 that performs high frequency communication with the external device 50 includes an antenna 140, a low noise amplifier (LNA) 18, and a radio frequency integration chip (RFIC). 16 and a baseband chip 2. Reference numeral 200 denotes a window installed in the implantable prosthetic device 100 described in FIG.
외부기기(50)의 안테나(32)를 통해 근거리에서 삽입형 의료기기(100)의 안테나(140)에 고주파 무선 통신 신호가 전송됨으로써 본 발명의 삽입형 의료기기(100)와 외부기기(50)와의 근거리 무선 통신이 성취된다.The high frequency wireless communication signal is transmitted to the antenna 140 of the implantable medical device 100 at a short distance through the antenna 32 of the external device 50 so that the implantable medical device 100 and the external device 50 of the present invention are short-range. Wireless communication is achieved.
전술한 본 발명의 일 실시예에서 사용하는 고주파 신호 대신에 적외선, 자외선, 가시광선을 사용하는 광학적인 방법(optical method)을 통해 외부기기와 삽입형 의료기기와의 통신이 성취될 수 있다.Communication between an external device and an implantable medical device may be achieved through an optical method using infrared, ultraviolet, and visible light instead of the high frequency signal used in the above-described embodiment of the present invention.
도 3b는 본 발명의 다른 실시예에 따라서 외부기기와 광학적 통신 방식으로 통신하는 삽입형 의료기기의 상세 블록 구성도이다.3B is a detailed block diagram of an implantable medical device communicating with an external device through an optical communication method according to another embodiment of the present invention.
도 3b에 도시된 본 발명의 다른 실시예는 외부기기(50)의 안테나(32)와 삽입형 의료기기(100)의 안테나(140) 대신 외부기기(50)의 송신부(132)와 삽입형 의료기기(100)의 수신부(240)로 대체된 것을 제외하고는 도 3a에 도시된 본 발명의 일 실시예와 실질적으로 동일한다. 따라서, 동일한 구성요소에 대한 설명은 생략하기로 한다. In another embodiment of the present invention shown in Figure 3b is an antenna 32 of the external device 50 and the antenna 140 of the implantable medical device 100 instead of the transmitter 132 and the implantable medical device of the external device 50 ( It is substantially the same as the embodiment of the present invention shown in FIG. 3A except that it is replaced by the receiver 240 of 100. Therefore, the description of the same components will be omitted.
본 발명의 다른 실시예에서, 외부기기(50)의 송신부(132)를 통해 근거리에서 삽입형 의료기기(100)의 수신부(240)에 적외선, 자외선 또는 가시광선과 같은 광학 신호가 전송됨으로써 본 발명의 삽입형 의료기기(100)와 외부기기(50)와의 근거리 무선 통신이 성취된다. 송신부(132)와 수신부(240)는 각기 광학적으로 신호를 송수신하는 포토다이오드 또는 포토트랜지스터를 포함할 수 있다. In another embodiment of the present invention, the insertion type of the present invention by transmitting an optical signal such as infrared, ultraviolet or visible light to the receiver 240 of the implantable medical device 100 at a short distance through the transmitter 132 of the external device 50 Short-range wireless communication between the medical device 100 and the external device 50 is achieved. The transmitter 132 and the receiver 240 may each include a photodiode or phototransistor for optically transmitting and receiving a signal.
도 4는 도 3a 및 도 3b에 도시된 삽입형 의료기기의 구성을 도시한다. 4 shows the configuration of the implantable medical device shown in FIGS. 3A and 3B.
도 4에 도시된 바와 같이, 본 발명에 따른 삽입형 의료기기(100)는 모서리가 라운드진 사각형상의 패키지의 형태를 갖는다. 패키지(100)는 금속 재질로 구성되며, 패키지(100)의 일면, 예를 들면, 상면에는 외부기기(50)의 안테나(32)(또는 송신부(132))를 통해 고주파의 통신 신호(또는 광학적 신호)가 삽입형 의료기기의 패키지(100)의 안테나(140)(또는 수신부(240))에 전달될 수 있도록 작은 윈도우(200)가 설치되어 있다. 윈도우(200)는 패키지(100)에 형성된 개구(120)를 덮는 형태로 설치된다. As shown in Figure 4, the implantable medical device 100 according to the present invention has a form of a rectangular package with rounded corners. The package 100 is made of a metal material, and a high frequency communication signal (or optical) is formed on one surface of the package 100, for example, the upper surface of the package 100 through an antenna 32 (or a transmitter 132) of the external device 50. A small window 200 is installed so that the signal can be transmitted to the antenna 140 (or the receiver 240) of the package 100 of the implantable medical device. The window 200 is installed to cover the opening 120 formed in the package 100.
패키지(100)의 안테나(140)(또는 수신부(240))는 윈도우(200)의 하부에 가까이 위치되거나, 윈도우(200)에 매립될 수 있다. 물론 윈도우(200)는 메탈 패키지(100)의 윗면 대신 측면에도 설치될 수도 있다. The antenna 140 (or receiver 240) of the package 100 may be located near the bottom of the window 200 or may be embedded in the window 200. Of course, the window 200 may be installed on the side instead of the top surface of the metal package 100.
도 5는 도 4의 패키지 상면에 설치된 윈도우의 단면도를 도시하며, 도 6은 도 4의 패키지 측면에 설치된 다른 형태의 윈도우의 단면도를 도시한다. FIG. 5 illustrates a cross-sectional view of a window installed on the package upper surface of FIG. 4, and FIG. 6 illustrates a cross-sectional view of another type of window installed on the package side of FIG. 4.
도 5에 도시된 윈도우(200)는 아크형태를 가지며, 도 6에 도시된 윈도우(300)는 패키지(100)의 표면과 같은 레벨을 갖는 평탄 형태를 갖는다. 각각의 윈도우(200, 300)는 패키지(100)에 형성된 개구(120)를 덮어 패키지(100)에 용접 밀봉(hermetic sealing)된다. 개구(120)가 규정되는 메탈 패키지(100)의 부분에는 아크형의 윈도우(200) 또는 평탄형의 윈도우(300)가 안착되는 단차부(122)가 형성되어 있다. The window 200 shown in FIG. 5 has an arc shape, and the window 300 shown in FIG. 6 has a flat shape having the same level as the surface of the package 100. Each window 200, 300 covers an opening 120 formed in the package 100 and is hermetically sealed to the package 100. In the portion of the metal package 100 in which the opening 120 is defined, a stepped portion 122 in which the arc-shaped window 200 or the flat-shaped window 300 is seated is formed.
외부에서의 수직으로 가해지는 충격에 의해 개구(120)가 규정되는 패키지(100)의 부분이 부서지는 것을 방지하기 위해, 아크형의 윈도우(200)는 단차부(122)에 접합되는 부위가 도 5에 도시된 바와 같이 라운드(round)처리되어 있다. In order to prevent the portion of the package 100 in which the opening 120 is defined from being broken by the impact applied vertically from the outside, the portion of the arc-shaped window 200 is joined to the step portion 122. It is rounded as shown in FIG.
마찬가지로, 평탄형의 윈도우(300)는 외부에서의 수직으로 가해지는 충격에 의해 개구(120)가 규정되는 패키지(100)의 부분이 부서지는 것을 방지하기 위해, 도 6에 도시된 바와 같이 단차부(122)에 접합되는 부위가 라운드처리되어 있다. 추가적으로 평탄형의 윈도우(300)는 개구(120)의 아랫쪽으로 또는 패키지(100)의 내측으로 연장하는 돌출부(310)가 형성됨에 따라 패키지(100)의 측면으로부터 가해지는 충격에 의해 개구(120)가 규정되는 패키지(100)의 부분이 부서지는 것과 윈도우(300)가 패키지(100)의 측방향으로 이탈하는 것을 방지할 수 있다. Similarly, the flat window 300 has a stepped portion as shown in FIG. 6 in order to prevent the portion of the package 100 in which the opening 120 is defined from being broken by a vertically applied impact from the outside. The portion to be joined to 122 is rounded. Additionally, the flat window 300 may be opened by an impact applied from the side of the package 100 as a protrusion 310 extending below the opening 120 or into the package 100 is formed. It is possible to prevent the portion of the package 100, which is defined to be broken, and the window 300 to escape in the lateral direction of the package 100.
본 발명의 패키지(100)에 설치된 윈도우(200, 300)는 사용되는 고주파의 레벨에 따라 그 크기를 조절, 예를 들면, 작게 할 수 있다. 다시 말하면 주파수의 크기가 클수록(고주파에 접근할수록) 개구(120) 및 윈도우(200, 300)의 크기를 작게 하는 것이 가능하다. 그럼으로써 개구(120)가 규정되는 패키지(100) 부분이 깨질 확률을 줄일 수 있으며, 이에 따라 개구(120)가 규정되는 패키지(100) 부분의 내구성 또한 증가할 수 있다.The windows 200 and 300 installed in the package 100 of the present invention can be adjusted in size, for example, according to the level of the high frequency used. In other words, it is possible to reduce the size of the opening 120 and the windows 200 and 300 as the magnitude of the frequency becomes larger (closer to the high frequency). This may reduce the probability of breaking the portion of the package 100 in which the opening 120 is defined, thereby increasing the durability of the portion of the package 100 in which the opening 120 is defined.
금속물질의 경우 고주파의 신호에 대한 차폐효과(shielding effect)를 가지기 때문에 고주파 신호가 패키지의 내부 혹은 외부로 전달되지 않는 것을 해결하기 위해, 본 발명의 실시예는 패키지(100)의 개구(120)를 아크형의 윈도우(200) 또는 평탄형의 윈도우(300)로 덮어 윈도우(200, 300)를 패키지(100)에 용접 밀봉한다. 이러한 윈도우(200, 300)는 비전도성물질이면서 침수성이 적은 물질, 예컨대 세라믹 또는 호박 등으로 형성될 수 있다.In order to solve that the high frequency signal is not transmitted to the inside or the outside of the package because the metal material has a shielding effect on the high frequency signal, an embodiment of the present invention provides an opening 120 of the package 100. Is covered with an arc-shaped window 200 or a flat window 300 to seal the windows 200 and 300 to the package 100. The windows 200 and 300 may be formed of a non-conductive material and a low submersion material such as ceramic or amber.
아크형 윈도우(200) 또는 평탄형의 윈도우(300)는 노내 경랍땜(furnace brazing) 기법을 통해 패키지에 용접 접합시키는 것이 바람직하다. 노내 경랍땜 기법은 금속과 이종물질과의 결합을 위한 접합방법으로 통상적으로 메탈 재질의 패키지(100)와 소자간의 연결을 위해 사용되는 피드스루(feedthrough)를 구성하는 세라믹 등과의 접합을 위해 사용된다. 따라서, 패키지의 금속물질과 윈도우의 비전도성 물질이 결합되더라도 노내 경랍땜 기법을 통해 용접 밀봉을 유지할 수 있다. Arc-shaped window 200 or flat window 300 is preferably welded to the package through furnace brazing techniques. The furnace brazing technique is a joining method for joining metals and dissimilar materials, and is commonly used for joining a metal package 100 and ceramics constituting a feedthrough used for connecting a device. . Therefore, even if the metal material of the package and the non-conductive material of the window are combined, the welding seal can be maintained through the furnace brazing technique.
이상 설명한 바와 같이 본 발명의 고주파 통신 방식의 삽입형 의료기기는 위급한 상황이 발생할 시에 전자기파를 이용한 고주파 통신 또는 광학적 통신을 통해 삽입형 의료기기와 외부기기와의 신호의 전달이 가능할 수 있으며, 고주파 통신의 경우 작은 사이즈의 안테나를 신체 삽입형 의료기기로서 사용하기에 적합하다.As described above, the implantable medical device of the high frequency communication method of the present invention may transmit signals between the implantable medical device and an external device through high frequency communication or optical communication using electromagnetic waves when an emergency situation occurs. In this case, a small size antenna is suitable for use as an implantable medical device.
이상에서 설명한 것은 본 발명에 따른 고주파 통신 방식의 삽입형 의료기기의 하나의 바람직한 실시예에 불과한 것으로서, 본 발명은 상기한 실시예에 한정되지 않는 것이므로, 이하의 특허청구범위에서 청구하는 바와 같이 본 발명의 요지를 벗어남이 없이 당해 발명이 속하는 분야에서 통상의 지식을 가진 자라면 누구든지 다양한 변경 실시가 가능한 범위까지 본 발명의 기술적 정신이 있다고 할 것이다.As described above is only one preferred embodiment of the implantable medical device of the high frequency communication method according to the present invention, the present invention is not limited to the above-described embodiment, the present invention as claimed in the following claims Without departing from the gist of the present invention, those skilled in the art to which the present invention pertains to the technical spirit of the present invention to the extent that various modifications can be made.

Claims (11)

  1. 삽입형 의료기기로서,Implantable medical device,
    인체에 이식되며, 상기 인체의 외부로부터의 고주파의 신호를 수신하는 안테나를 갖는 메탈 재질의 패키지를 포함하며,Is implanted in the human body, including a package of a metal material having an antenna for receiving a high frequency signal from the outside of the human body,
    상기 패키지는 그의 일면에 상기 고주파의 신호가 상기 패키지의 안테나에 전달될 수 있도록 형성된 개구를 덮도록 설치된 윈도우를 포함하는 삽입형 의료기기.The package includes a window installed on one surface thereof to cover the opening formed so that the high frequency signal can be transmitted to the antenna of the package.
  2. 제 1 항에 있어서,The method of claim 1,
    상기 패키지의 안테나는 상기 패키지 내에서 상기 윈도우의 하부에 위치되거나, 상기 윈도우에 매립되는 삽입형 의료기기.And the antenna of the package is positioned below the window in the package or embedded in the window.
  3. 제 1 항에 있어서,The method of claim 1,
    상기 윈도우는 아크형태 또는 평탄형태를 갖는 삽입형 의료기기.And the window has an arc shape or a flat shape.
  4. 제 1 항에 있어서,The method of claim 1,
    상기 윈도우는 사용되는 고주파의 레벨에 따라 그 크기를 조절 할 수 있는 삽입형 의료기기.The window is an implantable medical device that can adjust its size according to the level of the high frequency used.
  5. 제 1 항에 있어서,The method of claim 1,
    상기 윈도우는 비전도성물질이면서 침수성이 적은 물질로 형성되는 삽입형 의료기기.The window is an implantable medical device that is formed of a non-conductive material and less submerged material.
  6. 제 1 항에 있어서,The method of claim 1,
    상기 윈도우는 노내 경랍땜 기법을 통해 상기 패키지에 용접 접합되는 삽입형 의료기기.And the window is welded to the package via an in-house brazing technique.
  7. 삽입형 의료기기로서,Implantable medical device,
    인체에 이식되며, 상기 인체의 외부로부터의 광학적 신호를 수신하는 수신부를 갖는 메탈 재질의 패키지를 포함하며,It is implanted in the human body, and includes a package of metal material having a receiving unit for receiving an optical signal from the outside of the human body,
    상기 패키지는 그의 일면에 상기 광학적 신호가 상기 패키지의 수신부에 전달될 수 있도록 형성된 개구를 덮도록 설치된 윈도우를 포함하는 삽입형 의료기기.The package includes a window on one surface thereof to cover the opening formed so that the optical signal can be transmitted to the receiving portion of the package.
  8. 제 7 항에 있어서,The method of claim 7, wherein
    상기 메탈 패키지의 수신부는 상기 패키지 내에서 상기 윈도우의 하부에 위치되거나, 상기 윈도우에 매립되는 삽입형 의료기기.The receiving part of the metal package is an implantable medical device located in the bottom of the window or embedded in the window.
  9. 제 7 항에 있어서,The method of claim 7, wherein
    상기 윈도우는 아크형태 또는 평탄형태를 갖는 삽입형 의료기기.And the window has an arc shape or a flat shape.
  10. 제 7 항에 있어서,The method of claim 7, wherein
    상기 윈도우는 비전도성물질이면서 침수성이 적은 물질로 형성되는 삽입형 의료기기.The window is an implantable medical device that is formed of a non-conductive material and less submerged material.
  11. 제 7 항에 있어서,The method of claim 7, wherein
    상기 윈도우는 노내 경랍땜 기법을 통해 상기 패키지에 용접 접합되는 삽입형 의료기기.And the window is welded to the package via an in-house brazing technique.
PCT/KR2011/003942 2011-05-30 2011-05-30 Insertion-type medical device having window for communicating with external device WO2012165667A1 (en)

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Application Number Priority Date Filing Date Title
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