Device for locating a port on a medical implant

• US 5,758,667 A
• Filed: 01/05/1996
• Issued: 06/02/1998
• Est. Priority Date: 01/26/1995
• Status: Expired due to Fees

• Current Assignee: Siemens-Elema AB (Siemens AG)
• Original Assignee: Siemens-Elema AB (Siemens AG)
• Inventors: Slettenmark, Bruno
• Primary Examiner(s): Bahr, Jennifer
• Assistant Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US08/583,657
• Time in Patent Office: 879 Days
• Field of Search: 128/899, 128/653.1
• US Class Current: 128/899
• CPC Class Codes: A61M 2205/3515 using magnetic means
• CPC Class Codes: A61M 2205/581 by audible feedback
• 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

A device for locating a port, facing the exterior of a patient, on a medical implant has at least one magnet and a detector arranged to sense magnetic fields. The magnet is associated with the implanted port and the detector is arranged to sense the magnetic field from the outside of the patient'"'"'s body and, on the basis thereof, determine the location of the port. Alternatively, the detector is associated with the (implanted) port and the magnet is intended to be moved across the area above the detector on the exterior of the patient'"'"'s body to then determine the location of the port from the magnetic field detected. The device can alternatively use a coil which is associated with the (implanted) port and a ferromagnetic element is moved on the exterior of the patient'"'"'s body over the area above the coil. Changes in the inductance of the coil when the ferromagnetic means is moved are monitored and, therefrom, the position of the port is identified.

Claims

1. A device, for use with a medical implant having a port, for locating the port after implantation of said medical implant in a patient, said device comprising:

a magnetic field source adapted to be disposed in a patient in whom said medical implant is implanted at a known spatial position relative to said port;

a fixture plate movable across the skin of the patient, said fixture plate having a hemispherical recess therein; and

indicator means, movably mounted in said fixture plate and positionally responsive to a magnetic field from said magnetic field source, for providing an extracorporeally perceptible indication when said fixture plate is in a defined spatial relationship to said magnetic field source for extracorporeally identifying a position of said port in said patient, said indicator means comprising an axially magnetized spherical body mounted in said recess for substantially free rotation therein, said axially magnetized spherical body having a marking thereon identifying the position of said spherical body relative to said fixture plate.

2. A device as claimed in claim 1 wherein said magnetic field source comprises an axially permanently magnetized tube adapted to be disposed surrounding said port.

3. A device as claimed in claim 2 wherein said port has at least one tube communicating therewith, and wherein said axially permanently magnetized tube comprises a recess adapted for receiving said at least one tube therethrough.

4. A device claimed in claim 1 wherein said port has a center axis, and wherein said magnetic field source comprises a bar-magnet adapted to be disposed behind said port with said port between said bar magnet and the exterior of the patient, and having poles aligned with said center axis of said port.

5. A device as claimed in claim 1 wherein said spherical body is magnetized in a same direction throughout its volume.

6. A device as claimed in claim 1 wherein said spherical body comprises a spherical body of non-magnetic material with a permanent bar magnet disposed along a diameter of said non-magnetic spherical body.

7. A device as claimed in claim 1 further comprising a spherical shell mounted on said fixture plate in which said spherical body is disposed, said spherical shell having an inner radius which is larger than a radius of said spherical body so that a space exists between said spherical body and an interior of said spherical shell, and said space being filled with a liquid.

8. A device as claimed in claim 7 wherein said spherical body has a density, and wherein said liquid has a density not less than said density of said spherical body.

9. A device as claimed in claim 7 wherein said spherical body has a density, and wherein said liquid has a density substantially higher than said density of said physical body for causing said spherical body to float substantially centrally in said interior of said spherical shell.

10. A device as claimed in claim 7 wherein said spherical body has a plurality of projections extending therefrom for preventing extended surface contact between said spherical body and the interior of said spherical shell.

11. A device as claimed in claim 7 wherein said spherical shell has a plurality of inwardly extending projections therein for preventing extended surface contact between said spherical body and the interior of said spherical shell.

12. A device as claimed in claim 7 wherein said spherical shell has an upper half which is transparent and having a centrally disposed first mark at a top of said upper half, and wherein said spherical body has a second mark thereon, said fixture plate being disposed opposite said port when said first and second marks are aligned.

13. A device, for use with a medical implant having a port, for locating the port after implantation of said medical implant in a patient, said device comprising:

a magnetic field source adapted to be disposed in a patient in whom said medical implant is implanted at a known spatial position relative to said port;

a fixture plate movable across the skin of the patient, said fixture plate having an opening therein;

indicator means, movably mounted in said fixture plate and positionally responsive to a magnetic field from said magnetic field source, for providing an extracorporeally perceptible indication when said fixture plate is in a defined spatial relationship to said magnetic field source for extracorporeally identifying a position of said port in said patient;

a holder for said indicator means removably disposed in said opening; and

a cannula guide fittable into said opening upon removal of said indicator means after locating the position of said port.

14. A device as claimed in claim 13 further comprising a cannula insertable through said cannula guide, said cannula having a small diameter end portion and a remainder having a larger diameter than said small diameter end portion.