Acoustic monitoring system

• US 7,736,312 B2
• Filed: 01/22/2004
• Issued: 06/15/2010
• Est. Priority Date: 12/23/2002
• Status: Active Grant

• Current Assignee: Integra LifeSciences Switzerland Sàrl
• Original Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Inventors: Taylor, Terri K., Romner, Bertil, Wilson, Stephen Ferrer, Ostiguy, Pierre S., Rosenberg, Meir, Dextradeur, Alan J., Gupta, Rainuka
• Primary Examiner(s): Casler; Brian
• Assistant Examiner(s): RAMIREZ, JOHN FERNANDO
• Application Number:
  US10/762,963
• Publication Number:
  US 20050004460A1
• Time in Patent Office: 2,336 Days
• Field of Search: 600407-471, 367/7, 367/11, 367/130, 367/138, 607 30- 33, 607/60, 607/61
• US Class Current: 600/437
• CPC Class Codes: A61B 2562/0204 Acoustic sensors
• CPC Class Codes: A61B 7/005 Detecting noise caused by implants, e.g. cardiac valves

Abstract

An acoustic monitoring system that is able to verify the success or failure of the positional adjustment of a valve without the need for additional energy during non-invasive reprogramming is provided. The acoustic monitoring system includes a programmer for generating a sequence of commands to adjust the valve mechanism, and for receiving acoustic signals for analysis, a transmitter to implement the command and adjust the valve, and a sensor for detecting an acoustic signal generated from the valve during execution of the commands. A method for using the acoustic monitoring system is also provided.

Claims

1. An acoustic monitoring device for verifying the pressure setting of a valve mechanism in an implantable device having a plurality of adjustable valve settings, comprising:

an extracorporeal housing having a top surface, a bottom surface, and a central opening;

a transmitter contained within the housing having a plurality of electromagnetic coils configured to generate an energy field sufficient to effect movement of the valve mechanism of the implantable device;

an acoustic sensor disposed within the central opening in the housing and electronically coupled to the transmitter for detecting acoustic signals generated by the valve mechanism during an adjustment cycle; and

a microprocessor configured to compare the detected acoustic signals to expected acoustic signals to verify the pressure setting of the valve mechanism.

2. The device of claim 1, wherein the energy field is a magnetic field.

3. The device of claim 1, further including a tubular coupling member extending through the central opening and beyond the bottom surface of the housing.

4. The device of claim 3, wherein the tubular coupling member is configured to contact a patient'"'"'s skin.

5. The device of claim 3, wherein the acoustic sensor is selectively disposed within the tubular coupling member.

6. The device of claim 5, wherein the acoustic sensor is electromagnetically isolated from the transmitter.

7. The device of claim 5, further including mechanical isolating pads surrounding the inner surface of the tubular coupling member.

8. The device of claim 5, wherein the sensor is seated on top of the tubular coupling member.

9. The device of claim 5, further including a plurality of feet extending from the bottom surface of the housing to focus the generated energy field on the valve mechanism.

10. The device of claim 3, wherein the acoustic sensor is adapted to be inserted into the housing after the housing is placed over the valve mechanism.

11. The device of claim 3, wherein the tubular coupling member is held in springing engagement with respect to the housing and self-adjusts to conform to the patient'"'"'s anatomy.

12. The device of claim 1, further including a power source for driving the energy field.

13. The device of claim 1, further including a signal amplifier, a digitizing filter, and a data storage unit for transmitting any detected acoustic signals to a programmer for analysis.

14. The device of claim 13, further comprising means for wireless communication between the acoustic monitoring device and the programmer.

15. The device of claim 14, wherein the means for wireless communication comprises a wireless communication transmitter connected to the transmitter of the acoustic monitoring device.

16. An acoustic monitoring system for verifying the pressure setting of a valve mechanism in an implantable device having a plurality of adjustable valve settings, comprising:

an extracorporeal device for adjusting an opening pressure of the valve mechanism;

an extracorporeal transmitter having a central opening formed therein and configured to generate an energy field sufficient to cause movement of the valve mechanism; and

an acoustic sensor disposed within the central opening in the transmitter and electrically coupled to the transmitter for detecting acoustic signals generated by the valve mechanism during and adjustment cycle;

wherein the transmitter communicates the detected acoustic signals to the device for analysis, and

wherein the device includes a microprocessor configured to compare the detected acoustic signals to expected acoustic signals to verify the pressure setting of the valve mechanism.

17. The system of claim 16, wherein the device includes a microprocessor that translates any detected acoustic signals into information for determining the success or failure of the adjustment cycle.

18. The system of claim 17, wherein the microprocessor classifies the acoustic signals into signals indicative of movements and signals indicative of positions.

19. The system of claim 18, wherein the microprocessor compares the actual streams of acoustic signals to an expected stream of acoustic signals to determine the success or failure of the adjustment cycle.