Apparatus for medical instrument placement verification

• US 5,171,228 A
• Filed: 12/21/1990
• Issued: 12/15/1992
• Est. Priority Date: 07/25/1989
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: McDonald, Ray S.
• Primary Examiner(s): Mancene, Gene
• Assistant Examiner(s): CHERICHETTI, CINDY
• Application Number:
  US07/631,568
• Time in Patent Office: 725 Days
• Field of Search: 604/93, 604/116, 604/117, 604/175, 604/891.1
• US Class Current: 604/175
• CPC Class Codes: A61M 2039/0244 having means for detecting an inserted needle
• 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 5/14276 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

An apparatus for verifying the proper placement of a medical instrument, such as a needle, with respect to an implantable medical device, such as a drug dispensing port or pump. The apparatus includes an internal circuit which is implantable within the body tissue, and an external circuit for communicating with the internal circuit. The internal circuit includes an electrically conductive plate for sensing proper contact between the medical instrument and the medical device. A resonant circuit is coupled between the plate and the body tissue, and has a predetermined resonance frequency, such that an electrical path is established through the resonant circuit, the plate, the body tissue and the medical instrument when the medical instrument is in proper contact with the medical device. The external circuit includes a transmitter circuit for sending signals either pulsed or continuous to the resonant circuit. The transmitted signals have a frequency equal to the resonance frequency, for causing the resonance circuit to resonate when the medical instrument is not properly placed with the respect to the implantable medical device. A receiver circuit detects the resonance signals generated by the resonant circuit, and an alarm circuit responds to the receiver circuit for generating an appropriate alarm signal.

Claims

1. An apparatus for verifying the proper placement of a medical instrument with respect to an implantable medical device, the apparatus comprising:

A. internal circuit being implantable within the body tissue;

B. external circuit for communicating with said internal circuit;

C. said internal circuit including;

a. means for sensing proper contact between the medical instrument and the medical device; and

b. resonant circuit coupled between said sensing means and the body tissue, said resonant circuit having a predetermined resonance frequency, such that an electrical path is established through said resonant circuit, said sensing means, the body tissue and the medical instrument when the medical instrument is in proper contact with the medical device; and

D. said external circuit including;

a. transmitter circuit for sending signals to said resonant circuit, said signals having a frequency substantially equal to said resonance frequency, for causing said resonance circuit to generate resonance signals when the medical instrument is not properly placed with respect to the implantable medical device;

b. receiver circuit for detecting said resonance signals generated by said resonant circuit; and

c. alarm circuit responsive to said receiver circuit for generating an alarm signal.

2. The apparatus as defined in claim 1, wherein said resonant circuit includes an inductive an a capacitive elements.

3. The apparatus as defined in claim 2, wherein said resonant circuit includes at least one diode coupled in parallel to said inductive and capacitive elements for preventing conduction below a predetermined threshold level.

4. The apparatus as defined in claim 3, wherein said sensing means includes an electrically conductive plate, and wherein said alarm signal is an audible signal.

5. The apparatus as defined in claim 1, wherein said sensing means includes an electrically conductive plate.

6. The apparatus as defined in claim 4, wherein said alarm signal is a visual signal.

7. An apparatus for verifying the proper placement of a medical instrument with respect to an implantable medical device, the apparatus comprising:

A. internal circuit being implantable within the body tissue;

B. external circuit for communicating with said internal circuit;

C. said internal circuit including;

a. means for sensing proper contact between the medical instrument and the medical device; and

b. resonant circuit coupled between said sensing means and the body tissue, said resonant circuit having a predetermined resonance frequency, such that an electrical path is established through said resonant circuit, and sensing means, the body tissue and the medical instrument when the medical instrument is in proper contact with the medical device; and

D. said external circuit including;

a. transmitter circuit for sending signals to said resonant circuit, said signals having a frequency substantially equal to said resonance frequency, for causing said resonance circuit to generate resonance signals when the medical instrument is properly placed with respect to the implantable medical device;

b. receiver circuit for detecting said resonance signals generated by said resonant circuit; and

c. alarm circuit responsive to said receiver circuit for generating an alarm signal.