SENSOR TRIGGER

• US 20090192534A1
• Filed: 01/29/2008
• Published: 07/30/2009
• Est. Priority Date: 01/29/2008
• Status: Abandoned Application

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Ortiz, Mark S., Albrecht, Thomas E., Dlugos, Daniel F. JR., Stokes, Michael J., Plescia, David N., Marcotte, Amy L., Yates, David C., Doll, Kevin
• Application Number:
  US12/021,814
• Publication Number:
  US 20090192534A1
• Time in Patent Office: Days
• US Class Current: 606/157
• CPC Class Codes: A61B 2560/0214 of power generation or supply
• CPC Class Codes: A61B 2560/0219 of externally powered implanted units
• CPC Class Codes: A61B 2562/164 the sensor is mounted in or on a conformable substrate or carrier
• CPC Class Codes: A61B 5/0028 Body tissue as transmission medium, i.e. transmission systems where the medium is the human body
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/037 Measuring oesophageal pressure
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/6882 Anchoring means
• CPC Class Codes: A61F 5/005 Gastric bands

Abstract

Methods and devices for effecting a gastric restriction system are disclosed. In one exemplary embodiment, a restriction system for forming a restriction in a patient is provided and can include an implantable restriction device and at least one implantable sensor that is in communication with the restriction device. In general, the implantable restriction device can be adjustable and can be configured to form a restriction in a patient. The implantable sensor(s) can be defaulted to a dormant power usage mode and can have a triggering mechanism that is configured to place the sensor(s) in a use configuration upon the occurrence of a triggering event.

Claims

1. A restriction system for forming a restriction in a patient, comprising:

an implantable restriction device, the restriction device being adjustable and configured to form a restriction in a patient; and

an implantable sensor in communication with the restriction device, the sensor being defaulted to a dormant power usage mode and having a triggering mechanism configured to place the sensor in a use configuration upon the occurrence of a triggering event.

2. The restriction system of claim 1, further comprising an implantable port in fluid communication with the implantable restriction device and configured to receive fluid from a fluid source external to the patient.

3. The restriction system of claim 2, wherein the implantable sensor is integrated with the port.

4. The restriction system of claim 2, wherein the triggering mechanism is formed on either the implantable sensor or the implantable port.

5. The restriction system of claim 1, wherein the dormant power usage mode has an operating frequency less than or equal to about 1 Hz.

6. The restriction system of claim 1, wherein the use configuration has an operating frequency in the range of about 2 to 20 Hz.

7. The restriction system of claim 1, wherein the triggering mechanism includes at least one gastric pH sensor and the triggering event is a change in gastric pH of a selected magnitude detected by the gastric pH sensor.

8. The restriction system of claim 1, wherein the triggering mechanism includes at least one pressure sensor and the triggering event is a change in pressure of a selected magnitude detected by the pressure sensor.

9. The restriction system of claim 1, wherein the trigging mechanism includes a flexible membrane and the triggering event is an increase in pressure within the restriction device that is effective to deflect the flexible membrane.

10. The restriction system of claim 9, wherein the flexible membrane is at least partially conductive and deflecting the membrane is effective to complete an electrical circuit to energize the sensor and place it in the use configuration.

11. The restriction system of claim 1, wherein the triggering mechanism is an actuator and the triggering event includes actuation of the actuator.

12. The restriction system of claim 1, wherein the triggering mechanism includes a magnetic sensor and the triggering event includes generating at least one magnetic field thereby engaging the triggering mechanism.

13. The restriction system of claim 1, wherein the triggering mechanism includes a photoreceptor and the triggering event includes subjecting the photoreceptor to a light source using an external device.

14. The restriction system of claim 1, wherein the triggering mechanism includes an accelerometer and the triggering event includes transmitting vibratory energy within a selected frequency range transdermally to the accelerometer with an external actuator.

15. The restriction system of claim 1, wherein the triggering mechanism includes at least one temperature sensor and the triggering event includes a temperature change of a selected magnitude or frequency detected by the temperature sensor.

16. The restriction system of claim 1, wherein the triggering mechanism includes a timer programmed to place the sensor in the use configuration at pre-determined intervals.

17. The restriction system of claim 16, wherein the timer is pre-programmed prior to implantation.

18. The restriction system of claim 16, wherein the timer can be adjusted by an external device.

19. A method of effecting gastric restriction, comprising:

providing an implantable restriction system for forming a restriction in a patient, the system including an adjustable restriction device configured to form a restriction in a patient, and a sensor in communication with the restriction device and being selectively configured between a dormant power usage mode and a use mode;

triggering the sensor in response to a selected stimulus to energize the sensor from the dormant power usage mode to the use mode;

collecting data related to the operation of the adjustable restriction device via the sensor when the sensor is in the use mode; and

transmitting the data collected by the sensor to an external device when the sensor is in the use mode.

20. The method of claim 19, further comprising adjusting the restriction device in response to the data collected and transmitted by the sensor.

21. The method of claim 19, wherein the dormant power usage mode has an operating frequency less than or equal to about 1 Hz.

22. The method of claim 19, wherein the use configuration has an operating frequency in the range of about 2 to 20 Hz.

23. The method of claim 19, wherein the selected stimulus is selected from the group including a gastric pH change of a selected magnitude, a pressure change of a selected magnitude within the restriction system, and a temperature change of a selected magnitude or frequency within the restriction system.

24. The method of claim 19, wherein triggering the sensor includes subjecting a magnetic sensor disposed in the restriction system to at least one magnetic field thereby engaging the triggering mechanism.

25. The method of claim 19, wherein triggering the sensor includes subjecting a photoreceptor disposed in the restriction system to a light source using an external device.

26. The method of claim 19, wherein triggering the sensor includes actuating an actuator operatively associated with the implantable sensor.

27. The method of claim 19, wherein triggering the sensor includes transmitting vibratory energy within a selected frequency range transdermally to an accelerometer disposed in the restriction system with an external actuator.

28. The method of claim 19, wherein triggering the sensor includes automatically energizing the sensor to the use mode at predetermined time intervals.

29. A method of energizing an implantable sensor, comprising:

providing an implantable sensor in communication with an adjustable gastric restriction device, the sensor being selectively configured between a dormant power usage mode and a use mode for collecting and transmitting data related to the operation of the adjustable gastric restriction device; and

triggering the sensor in response to a selected stimulus to energize the sensor from the dormant power usage mode to the use mode.

30. The method of claim 29, wherein the selected stimulus is selected from the group including a gastric pH change of a selected magnitude, a pressure change of a selected magnitude within the restriction system, and a temperature change of a selected magnitude or frequency within the restriction system.

31. The method of claim 29, wherein triggering the sensor includes subjecting a magnetic sensor disposed in the restriction system to at least one magnetic field thereby engaging the triggering mechanism.

32. The method of claim 29, wherein triggering the sensor includes subjecting a photoreceptor disposed in the restriction system to a light source using an external device.

33. The method of claim 29, wherein triggering the sensor includes actuating an actuator operatively associated with the restriction system.

34. The method of claim 29, wherein triggering the sensor includes transmitting vibratory energy within a selected frequency range transdermally to an accelerometer disposed in the restriction system with an external actuator.

35. The method of claim 29, wherein triggering the sensor includes automatically energizing the sensor to the use mode at predetermined time intervals.