Detection of implanted injection port

• US 20080083413A1
• Filed: 12/04/2007
• Published: 04/10/2008
• Est. Priority Date: 10/01/2002
• Status: Abandoned Application

• Current Assignee: Potencia Medical AG
• Original Assignee: Potencia Medical AG
• Inventors: Forsell, Peter
• Application Number:
  US11/987,723
• Publication Number:
  US 20080083413A1
• Time in Patent Office: Days
• US Class Current: 128/899
• 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 for detecting an injection port subcutaneously implanted in a patient includes a magnetic device, such as a permanent magnet or a solenoid, that emits a local magnetic field, and a magnetic detector, preferably including at least one Hall element, that detects the local magnetic field. The magnetic device is designed to be subcutaneously implanted in the patient at the implanted injection port, and the magnetic detector is movable externally along the patient'"'"'s body to establish an injection position at the patient'"'"'s skin in front of the implanted injection port where the local magnetic field emitted by the magnetic device is detected by the magnetic detector. As a result, an injection needle can be placed in the established injection position, in order to insert the injection needle through the patient'"'"'s skin directly into the injection port substantially in the centre thereof.

Claims

1. An apparatus for detecting an injection port having a membrane and subcutaneously implanted in a patient, comprising:

a magnetic device for emitting a local magnetic field, and

a magnetic detector adapted for detecting the local magnetic field emitted by the magnetic device,

wherein the magnetic device or magnetic detector is designed for subcutaneously implantation in the patient at the implanted injection port, and the magnetic detector or magnetic device is movable externally along the patient'"'"'s body to establish an injection position at the patient'"'"'s skin in front of the implanted injection port where the local magnetic field emitted by the magnetic device is detected by the magnetic detector, whereby an injection needle can be placed in the established injection position, in order to insert the injection needle through the patient'"'"'s skin directly into the injection port substantially in the centre thereof.

2. An apparatus according to claim 1, wherein the magnetic detector comprises a semiconductor circuit.

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

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

5. An apparatus according to claims 1 wherein the magnetic device is designed for subcutaneously implantation in the patient at the implanted injection port to emit the local magnetic field through a portion of the patient'"'"'s skin adjacent to the injection port, and the magnetic detector is movable externally along the patient'"'"'s body to establish the injection position where the local magnetic field is detected by the magnetic detector.

6. An apparatus according to claim 5, wherein the magnetic device comprises a ring-magnet designed for implantation around the membrane of the implanted injection ports.

7. An apparatus according to claims 1, wherein the magnetic detector is designed for subcutaneously implantation in the patient at the implanted injection port, and the magnetic device is emits the local magnetic field through the patient'"'"'s skin from outside the patient'"'"'s body and is movable externally along the patient'"'"'s body to establish the injection position where the local magnetic field is detected by the implanted magnetic detector.

8. An apparatus according to claim 7, wherein the magnetic device comprises a ring-magnet.

9. An apparatus according to claim 7, further comprising a sender implantable in the patient'"'"'s body for sending information about the magnetic detector to outside the patient'"'"'s body, as the magnetic detector detects the local magnetic field emitted by the magnetic device from outside the patient'"'"'s body.

10. An apparatus according to claim 1, wherein the magnetic detector emits a sound when detecting the local magnetic field.

11. An apparatus according to claim 2, wherein the magnetic detector is provided with at least one diode for emitting light when the detector detects the local magnetic field.

12. An apparatus according to claim 2, wherein the magnetic detector is provided with a display for indicating when the detector detects the local magnetic field.

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

14. Use of the apparatus according to claim 1 for detecting a subcutaneously implanted injection port, which is hydraulically connected to an implanted hydraulically adjustable constriction device for treating reflux disease, obesity, anal or urinary incontinence, or impotence.

15. A method of detecting an injection port subcutaneously implanted in a patient, comprising:

providing a magnetic device for emitting a local magnetic field through the patient'"'"'s skins,

providing a magnetic detector for detecting the local magnetic field emitted by the magnetic device,

subcutaneously implanting the magnetic device or magnetic detector in the patient at the implanted injection port,

moving the magnetic detector or magnetic device externally along the patient'"'"'s body, and

establishing an injection position at the patient'"'"'s skin in front of the implanted injection port where the local magnetic field emitted by the magnetic device is detected by the magnetic detector.

16. A method according to claim 15, wherein the magnetic device is subcutaneously implanted, the magnetic detector is moved externally along the patient'"'"'s body, and the injection position is established at the patient'"'"'s skin where the local magnetic field emitted by the implanted magnetic device is detected by the moving magnetic detector.

17. A method according to claim 15, wherein the magnetic detector is subcutaneously implanted, the magnetic device is moved externally along the patient'"'"'s body, and the injection position is established at the patient'"'"'s skin where the local magnetic field emitted by the moving magnetic device is detected by the implanted magnetic detector.

18. A method according to claim 17, 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.

19. A method according to claim 15, wherein a semiconductor circuit is used as the magnetic detector.

20. A method according to claim 19, wherein the semiconductor circuit comprises at least one Hall-element.

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

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

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.

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

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

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 detector at 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.