MEDICAL DEVICE AND MEDICAL INSTRUMENT ALIGNMENT

• US 20090234302A1
• Filed: 03/13/2008
• Published: 09/17/2009
• Est. Priority Date: 03/13/2008
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Kallmyer, Todd A., Denison, Timothy J., Sarkinen, Scott A., Kalpin, Scott L., Hoendervoogt, Jason J.
• Granted Patent: US 8,192,398 B2
• Time in Patent Office: Days
• US Class Current: 604/288.10
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/215 Tilt detection, e.g. for warning or shut-off
• CPC Class Codes: A61M 2205/3317 Electromagnetic, inductive or dielectric measuring means
• CPC Class Codes: A61M 2205/3515 using magnetic means
• CPC Class Codes: A61M 2205/3523 using telemetric means
• CPC Class Codes: A61M 2209/045 for filling, e.g. for filling reservoirs
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• 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

Systems and methods for orienting a medical instrument relative to at least a portion of a medical device include a first tilt detector associated with the medical instrument and a second tilt detector associated with the medical device. The first tilt detector may be within an orientation device that is coupled to or separate from the medical instrument. The tilt detectors generate signals that may be used to determine the relative orientation between at least a portion of the medical device and medical instrument. For example, in some embodiments, the signals may be used to determine whether the orientations of the portion of the medical device and the medical instrument substantially match.

Claims

1. A system comprising:

an implantable medical device comprising a first tilt detector in a known orientation relative to at least a portion of the implantable medical device;

an orientation device comprising a second tilt detector; and

an indicator that provides information to a user based on signals from the first and second tilt detectors, wherein the information is indicative of a relative orientation between the orientation device and the portion of the implantable medical device.

2. The system of claim 1, wherein the signals comprise a first signal from the first tilt detector and a second signal from the second tilt detector, and the information indicates whether the first signal substantially matches the second signal.

3. The system of claim 1, further comprising a processor that determines the relative orientation between the orientation device and the portion of the implantable medical device based on the signals from the first and second tilt detectors.

4. The system of claim 3, wherein the signals comprise a first signal from the first tilt detector and a second signal from the second tilt detector, and the processor determines an offset between the first signal and the second signal to determine the relative orientation between the orientation device and the portion of the implantable medical device.

5. The system of claim 3, wherein the signals comprise a first signal from the first tilt detector, and the processor determines an offset between the first signal and a baseline signal, and the information comprises instructions to guide a user to position the orientation device relative to the portion of the implantable medical device based on the offset.

6. The system of claim 1, wherein the first and second tilt detectors each comprise an accelerometer.

7. The system of claim 1, wherein the first tilt detector comprises a transmitter coil that transmits a magnetic field and the second tilt detector comprises a receiver coil that senses the magnetic field.

8. The system of claim 1, wherein the indicator comprises at least one of a display, a light or a somatosensory alert generator.

9. The system of claim 1, further comprising an external medical instrument coupled to the orientation device.

10. The system of claim 9, wherein the implantable medical device comprises a reservoir and a fill port in fluid communication with the reservoir, and the external instrument comprises a needle configured to be introduced into the fill port.

11. The system of claim 1, further comprising a processor that controls a positioning device that automatically positions an external medical instrument relative to the implantable medical device based on the signals from the first and second tilt detectors.

12. The system of claim 1, further comprising a processor that generates instructions to guide a user to position the orientation device relative to the portion of the implantable medical device based on the signals from the first and second tilt detectors, wherein the information comprises the instructions.

13. A device comprising:

a first tilt detector;

a receiver that receives signals from a second tilt detector associated with an implantable medical device; and

an indicator that provides information to a user based on signals from the first and second tilt detectors, wherein the information is indicative of a relative orientation between the orientation device and the implantable medical device.

14. The device of claim 13, further comprising a housing, wherein the first tilt detector and processor are disposed in the housing, the device further comprising a needle and fluid compartment coupled to the housing.

15. A method comprising:

receiving a first signal from a first tilt detector associated with an implantable medical device;

receiving a second signal; and

providing information to a user indicative of a relative orientation between at least a portion of the implantable medical device and an orientation device based on the first and second signals.

16. The method of claim 15, wherein providing information to the user comprises indicating whether the first signal substantially matches the second signal.

17. The method of claim 15, wherein providing information to the user comprises displaying information indicative of the first signal and the second signal on a display.

18. The method of claim 15, further comprising determining an offset between the first signal and the second signal, wherein providing information to the user comprises providing information indicative of the offset.

19. The method of claim 18, further comprising determining an adjustment to a position of the orientation device relative to the implantable medical device based on the offset.

20. The method of claim 18, further comprising automatically positioning an external medical instrument relative to the implantable medical device based on the offset.

21. The method of claim 15, wherein the second signal is generated by a second tilt detector associated with the orientation device.

22. The method of claim 15, wherein the second signal is a baseline signal associated with a baseline position of the implantable medical device.

23. A method comprising:

placing an external device in a first position relative to an implantable medical device, wherein the implantable medical device comprises a first tilt detector and the external device is associated with a second tilt detector;

receiving information indicative of a relative orientation between the implantable medical device and the external device, wherein the information is based on a first signal from the first tilt detector and a second signal from the second tilt detector; and

adjusting the position of the external device based on the first and second signals.

24. A system comprising:

means for receiving a first signal from a first tilt detector associated with an implantable medical device;

means for receiving a second signal from a second tilt detector associated with an orientation device; and

means for providing information to a user indicative of a relative orientation between at least a portion of the implantable medical device and the orientation device.