Implant and control apparatus and method employing at least one tuning fork

• US 4,651,740 A
• Filed: 02/19/1985
• Issued: 03/24/1987
• Est. Priority Date: 02/19/1985
• Status: Expired due to Term

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Cordis Corporation (Cardinal Health, Inc.)
• Inventors: Schroeppel, Edward A.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/703,134
• Time in Patent Office: 763 Days
• Field of Search: 128/1 R, 128/419 P, 128/419 PG, 128/419 PS, 128/419 PT, 128/419 R, 128/903, 128/904, 367/191, 181/139
• US Class Current: 607/31
• CPC Class Codes: A61N 1/37217 characterised by the communication link, e.g. acoustic or tactile

Abstract

The apparatus and method are utilized in controlling an implanted device, such as a cardiac pacer, by use of acoustic vibrations generated by a tuning fork. These vibrations are applied externally to the skin overlying the implanted device and are sensed by a transducer within the implanted device. The transducer generates an electrical signal of a frequency correlated to the tuning fork frequency. An amplifier and tuned filter are utilized to detect predetermined frequencies within the electrical signals produced by the transducer and to direct the processed signals to a programmable electronic device for control of the implanted device.

Claims

1. A method for controlling the operation of a device implanted beneath the skin of a patient, said method comprising the steps of:

generating at least one predetermined pure frequency acoustic signal with at least one tuning fork;

placing the tuning fork generating said signal externally near the skin overlying the implanted device;

transducing the acoustic signal in the device to an electrical signal;

filtering the electrical signal;

supplying the filtered electrical signal to signal processing circuitry; and

utilizing said filtered signal to cause said implanted device to perform a certain function.

2. The method of claim 1 wherein the step of placing the tuning fork comprises placing the single end of the tuning for adjacent the skin overlying the implanted device.

3. The method of claim 1 wherein the step of placing the tuning fork comprises placing the forked end of the tuning fork adjacent the skin overlying the implanted device.

4. The method of claim 1 including the step of amplifying said electrical signal prior to filtering same.

5. The method of claim 1 including the step of establishing a magnetic field adjacent the patient'"'"'s skin in conjunction with the generating of said pure frequency acoustic signal;

and utilizing said magnetic field in the implanted device to permit reception of said acoustic signal by the implanted device.

6. The method of claim 1 including the steps of:

generating a plurality of predetermined pure frequency acoustic signals;

transducing each acoustic signal to an electrical signal;

filtering each signal;

supplying each signal to the signal processing circuitry; and

utilizing said filtered signal to cause said implanted device to perform another function.

7. A method for controlling the operation of a device which is implanted beneath the skin of a patient and which includes an acoustic vibration to electrical signal transducer, at least one electrical tuned filter coupled to the transducer for detecting a signal of a predetermined frequency, and a programmable electronic device coupled to the output of the at least one tuned filter for decoding the frequency signal received from the filter and for initiating a response, said method comprising the steps of:

placing a vibrating tuning fork externally near the skin overlying the implanted device; and

causing the output of the programmable electronic device to respond only to a signal related to the frequency of the tuning fork generated acoustic signal.

8. A method for controlling the operation of a device which is implanted beneath the skin of patient and which includes an acoustic vibration-to-electrical signal transducer, a plurality of electrical tuned filters coupled to said transducer for detecting frequencies, and a programmable electronic device coupled to said tuned filters for decoding signals and initiating responses, comprising the steps of:

placing a plurality of vibrating tuning forks externally near the skin overlying the implanted device, and

causing the output of the programmable electronic device to respond to a combination of signals related to the frequencies of the tuning fork generated acoustic signals from the plurality of tuning forks placed over the implanted device.

9. A method for controlling the operation of a device which is implanted beneath the skin of a patient and which includes an acoustic vibration to electrical signal transducer, a plurality of electrical tuned filters coupled to said transducer for detecting frequencies, and a programmable electronic device coupled to said tuned filters for decoding signal and initiating responses, comprising the steps of:

placing a plurality of vibrating tuning forks in succession near the skin overlying the implant, and

causing the output of the programmable electronic device to respond to a predetermined order of signals related to the preselected frequencies of the tuning fork generated acoustic signals.

10. A method for controlling the operation of a device which is implanted beneath the skin of a patient and which includes a magnetically operable switch, an acoustic vibration-to-electrical signal transducer, a plurality of electrical tuned filters coupled to said transducer for detecting frequencies, and a programmable electronic device coupled to said tuned filters for decoding signals and initiating responses of implant control parameters, comprising the steps of:

magnetically closing said magnetically operable switch;

causing the output of the programmable electronic device to respond to said closing of said magnetically operable switch;

placing a vibrating tuning fork externally near the skin overlying the implanted device; and

causing the output of the programmable electronic device to respond only to a predetermined signal relative to the frequency of the tuning fork generated acoustic signal.

11. The method of claim 10 wherein said step of causing the output of the programmable electronic device to respond to the closing of the magnetically operable switch includes placing the implanted device in a predetermined mode of operation, and said step of causing the output of the programmable electronic device to respond to the application of the tuning fork includes causing the implant control parameters to cycle through a preset sequence of parameters and causing the implanted device to retain the current parameter upon removal of the tuning fork.

12. A method for controlling the operation of a device which is implanted beneath the skin of a patient and which includes a magnetically operable switch, an acoustic vibration-to-electrical signal transducer;

a plurality of electrical tuned filters coupled to said transducer for detecting frequencies, and a programmable electronic device coupled to said tuned filters for decoding signals and initiating response of implant control parameters comprising the steps of;

magnetically closing said magnetically operable switch;

causing the output of the programmable electronic device to respond to said closing of said magnetically operable switch;

placing a plurality of vibrating tuning forks externally near the skin overlying the implanted device, and

causing the output of the programmable electronic device to respond to signals related to the predetermined frequencies of the tuning fork generated acoustic signals.

13. A method for controlling the operation of a device which is implanted beneath the skin of a patient and which includes a magnetically operable switch, an acoustic vibration-to-electrical signal transducer, a plurality of electrical tuned filters coupled to said transducer for detecting frequencies, and a programmable electronic device coupled to said tuned filters for decoding signals and initiating response of implant control parameters, comprising the steps of:

magnetically closing said magnetically operable switch;

causing the output of the programmable electronic device to respond to said closing of said magnetically operable switch;

placing a plurality of vibrating tuning forks in succession near the skin overlying the implanted device; and

causing the output of the programmable electronic device to respond to a predetermined order of signals related to the frequencies of the tuning fork generated acoustic signals.

14. The method of claim 13 wherein said step of causing the programmable electronic device to respond to the closing of the magnetically operable switch includes placing the implanted device in a predetermined mode of operation, and said step of causing the programmable electronic device to respond to the application of the tuning fork includes causing the implant control parameters to cycle through a preset sequence and causes the implanted device to retain the current parameter upon removal of the tuning fork.

15. A system including a tuning fork and an apparatus which is adapted to be implanted in a body and which is responsive to acoustic signals of a relatively pure frequency generated outside the body in which the apparatus may be implanted, said apparatus comprising:

an acoustic transducer responsive to low energy sound vibrations generated by said tuning fork and providing an electrical signal corresponding in frequency and amplitude to the sound vibrations;

filter means including at least one tuned filter for receiving an electrical signal originated from said acoustic transducer and only transmitting those signals of preselected frequencies;

an amplifier coupled between said transducer and said filter means for increasing the strength of an electrical signal originating from said acoustic transducer; and

control means for receiving signals transmitted through said filter means and altering the function of the implantable apparatus in response to the transmitted signals.

16. The apparatus of claim 15 wherein said filter means transmit signals of a single preselected frequency.

17. The apparatus of claim 15 wherein said filter means comprise a plurality of tuned filters, each transmitting a signal of a single preselected frequency which differs from the single preselected frequency transmitted by another tuned filter.

18. The apparatus of claim 15 including a magnetically responsive switch coupled to said aparatus and responsive to a static magnetic field for enabling said apparatus to receive signals transmitted through said filter means to said control means.

19. The apparatus of claim 15 further including a magnetically responsive switch coupled to said apparatus and responsive to a static magnetic field for enabling the alteration of the function of the implantable apparatus in response to the transmitted signals received by such control means.

20. A system including a plurality of tuning forks and an apparatus which is adapted to be implanted in a body and which is responsive to acoustic signals of a relatively pure frequency generated outside the body in which the apparatus may be implanted,

an acoustic transducer responsive to low energy sound vibrations generated by any one of said plurality of tuning forks and providing an electrical signal corresponding in frequency and amplitude to the sound vibrations;

filter means for receiving an electrical signal originated from said acoustic transducer and only transmitting those signbals of preselected frequencies, said filter means comprising a plurality of tuned filters equal in number to said plurality of tuning forks, each transmitting a signal of a single preselected frequency which differs from the single preselected frequency transmitted by another tuned filter;

an amplifier coupled beween said transducer and said filter means to increase the strength of an electrical signal originating from said acoustic transducer; and

control means for receiving signals transmitted through said filter means and altering the function of the implantable apparatus in response to the transmitted signals.

21. The apparatus of claim 20 further including a magnetically responsive switch coupled to said apparatus and responsive to a static magnetic field for enabling said apparatus to receive signals transmitted through said filter means to said control means.