Detection of implanted injection port

• US 20040064030A1
• Filed: 10/01/2002
• Published: 04/01/2004
• Est. Priority Date: 10/01/2002
• Status: Abandoned Application

• Current Assignee: Potencia Medical AG
• Original Assignee: Potencia Medical AG
• Inventors: Forsell, Peter
• Application Number:
  US10/260,546
• Publication Number:
  US 20040064030A1
• Time in Patent Office: Days
• US Class Current: 600/409
• CPC Class Codes: A61B 2090/3954 magnetic, e.g. NMR or MRI
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61M 2209/045 for filling, e.g. for filling reservoirs
• CPC Class Codes: A61M 39/0208 Subcutaneous access sites for injecting or removing fluids transcutaneous access sites A61M39/0247; implantable infusion devices A61M5/14276
• CPC Class Codes: A61M 5/427 Locating point where body is to be pierced, e.g. vein location means using ultrasonic waves, injection site templates

Abstract

An apparatus is disclosed for detecting an injection port subcutaneously implanted in a patient'"'"'s body to enable accurate positioning of an injection needle outside the patient'"'"'s body to enable the injection needle to be injected directly into the injection port. Also disclosed is a method for detecting the injection port whereby an injection needle can be positioned to be injected directly into the injection port. The apparatus includes a magnetic device that is subcutaneously implanted in the patient adjacent to the injection port to emit a local magnetic field through the patient'"'"'s skin adjacent to the injection port. A magnetic detector movable externally along the patient'"'"'s body is capable of detecting the local magnetic field emitted by the magnetic device. This allows the injection port to be located for the insertion of the injection needle directly into the injection port. Alternatively, the apparatus can include a magnetic detector subcutaneously implanted in the patient by the injection port and an exterior magnetic device movable along the patient'"'"'s skin to emit a magnetic field that is detected by the implanted magnetic detector. Preferably, the magnetic detector includes a semiconductor circuit that is comprised of at least one Hall element. The magnetic device may be a solenoid or a permanent magnet. The injection port can be used to control a restriction device implant designed for treating reflux disease, urinary incontinence, impotence, anal incontinence or obesity.

Claims

1. An apparatus for detecting an injection port adapted to be subcutaneously implanted in a patient, comprising a magnetic device designed to be subcutaneously implanted in the patient at the injection port for emitting a local magnetic field extending through the injection port and a portion of the patient'"'"'s skin adjacent to the injection port, and a magnetic detector movable externally along the patient'"'"'s body and capable of detecting said local magnetic field emitted by said magnetic device when said magnetic detector is in a position in front of the implanted injection port, said magnetic detector including a semiconductor circuit, whereby an injection needle put in said position is able to run through the patient'"'"'s skin right into the injection port.

2. An apparatus according to claim 1, wherein said semiconductor circuit of said magnetic detector comprises at least one Hall-element.

3. An apparatus according to claim 2, wherein said magnetic detector comprises several Hall-elements grouped around a central point in a triangular or square configuration.

4. An apparatus according to claim 1, wherein said magnetic device is a solenoid or a permanent magnet.

5. An apparatus according to claim 1, wherein said magnetic device comprises a ring-shaped magnet.

6. An apparatus for detecting an injection port subcutaneously implanted in a patient, comprising a magnetic detector designed to be subcutaneously implanted in the patient at said injection port, said magnetic detector including a semiconductor circuit, an exterior magnetic device movable along the patient'"'"'s skin and adapted to emit a local magnetic field through the patient'"'"'s skin, said magnetic detector being capable of detecting said local magnetic field when said movable magnetic device is moved to a position in front of said implanted injection port, whereby an injection needle placed in said position is able to be inserted through the patient'"'"'s skin directly into the injection port.

7. An apparatus according to claim 6, further comprising a sender adapted to be implanted in the patient and capable of sending information about said magnetic detector detecting said local magnetic field.

8. An apparatus according to claim 6, wherein said magnetic device is a solenoid or a permanent magnet.

9. An apparatus according to claim 6, wherein said semiconductor circuit of said magnetic detector comprises at least one Hall-element.

10. A method for detecting an injection port subcutaneously implanted in a patient, the method comprising the steps of:

implanting a magnetic device subcutaneously in the patient at the injection port so that the magnetic device emits a local magnetic field extending through the injection port and the adjacent skin portion of the patient; and

moving an exterior magnetic detector along the patient'"'"'s skin to a position in which the local magnetic field emitted by the implanted magnetic device is detected by the magnetic detector.

11. A method for detecting an injection port subcutaneously implanted in a patient, the method comprising the steps of:

implanting a magnetic detector subcutaneously in the patient at the injection port;

moving an exterior magnetic device along the patient'"'"'s skin while it emits a local magnetic field extending through the adjacent skin portion; and

using the implanted magnetic detector to detect the local magnetic field when the magnetic device is moved to a position in which the local magnetic field extends through the implanted magnetic detector and injection port.

12. A method according to claim 11, further comprising implanting a sender and using the sender to send information to outside the patient'"'"'s body confirming when the implanted magnetic detector detects the local magnetic field emitted by the exterior magnetic device.

13. A surgical method for treating a patient having a disease, comprising the steps of:

insufflating the patient'"'"'s abdomen with gas;

placing at least two laparoscopical trocars in the patient'"'"'s body;

implanting a hydraulically operable implant designed for treating reflux disease, urinary incontinence, impotence, anal incontinence or obesity in the abdomen by using surgical instruments through the trocars;

subcutaneously implanting an injection port for supplying hydraulic fluid for the operation of the implant and a magnetic device at the injection port for emitting a local magnetic field through the injection port and the adjacent skin portion of the patient;

post-operatively moving an exterior magnetic detector along the patient'"'"'s body to a position in which the local magnetic field emitted by the implanted magnetic device is detected by the magnetic detector;

bringing an injection needle to the position in which the local magnetic field is detected; and

moving the injection needle to penetrate the patient'"'"'s skin into the injection port for supplying hydraulic fluid to or withdrawing hydraulic fluid from the injection port.

14. A surgical method for treating a patient having a disease of reflux disease, urinary incontinence, impotence, anal incontinence or obesity, comprising the steps of:

insufflating the patient'"'"'s abdomen with gas;

placing at least two laparoscopical trocars in the patient'"'"'s body;

implanting in the abdomen using surgical instruments through the trocars a hydraulically operable implant designed for treating the disease;

subcutaneously implanting an injection port for supplying hydraulic fluid for the operation of the implant and a magnetic detector adjacent to the injection port;

post-operatively moving an exterior magnetic device emitting a local magnetic field along the patient'"'"'s body to a position in which the local magnetic field emitted by the exterior magnetic device is detected by the implanted magnetic detector;

bringing an injection needle to the position in which the local magnetic field is detected; and

moving the injection needle to penetrate the patient'"'"'s skin into the injection port for supplying hydraulic fluid to or withdrawing hydraulic fluid from the injection port.