System and method for determining implanted device positioning and obtaining pressure data

• US 7,775,215 B2
• Filed: 03/07/2006
• Issued: 08/17/2010
• Est. Priority Date: 02/24/2005
• Status: Expired due to Fees

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Weaner, Lauren S., Ferreri, Annie L., Dlugos, Daniel F., Hassler, William L. Jr., Holscher, Russell L.
• Primary Examiner(s): Lacyk; John P
• Application Number:
  US11/369,682
• Publication Number:
  US 20060211914A1
• Time in Patent Office: 1,624 Days
• Field of Search: 600 29- 32, 600/37, 600/593, 128/DIG.25, 128/899, 604 27- 28, 604/909, 606139-141, 606/151, 606/157, 606/191, 606201-203, 606/213, 606/228
• US Class Current: 128/899
• CPC Class Codes: A61B 17/12009 Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
• CPC Class Codes: A61B 17/1355 Automated control means therefor
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61F 5/0003 Apparatus for the treatment of obesity; Anti-eating devices surgical instruments or methods for treatment of obesity, devices specially adapted therefor A61B17/00; hollow or tubular parts of organs A61F2/04
• CPC Class Codes: A61F 5/0053 remotely adjustable
• CPC Class Codes: A61M 2039/0226 having means for protecting the interior of the access site from damage due to the insertion of a needle
• CPC Class Codes: A61M 2039/0238 having means for locating the implanted device to insure proper injection, e.g. radio-emitter, protuberances, radio-opaque markers
• CPC Class Codes: A61M 2205/3327 Measuring
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/3523 using telemetric means
• CPC Class Codes: A61M 2205/587 Lighting arrangements
• CPC Class Codes: A61M 39/0208 Subcutaneous access sites for injecting or removing fluids transcutaneous access sites A61M39/0247; implantable infusion devices A61M5/14276

Abstract

A sense head comprises a plurality of coils and a needle window. The sense head is operable to receive RF signals communicated from a needle target such as an injection port located within a patient. A user interface is configured to visually display an indication to a user relating to the positioning and orientation of the sense head relative to the needle target. The positioning and orientation may be determined based on RF signals received by the coils in the sense head. With the sense head positioned based on information provided through the visual display, the user may insert a needle through the needle window to reach the needle target. The sense head may also receive communications relating to the pressure of fluid in an implanted device. The user interface may further display information relating to the fluid pressure in the implanted device.

Claims

1. A sense head system, comprising:

(a) a housing;

(b) a plurality of orthogonal coils, the plurality of orthogonal coils comprising;

(i) a plurality of horizontal coils, and

(ii) a plurality of vertical coils,

wherein the plurality of orthogonal coils are configured to receive RF signals communicated from a source of RF energy, wherein the plurality of orthogonal coils are located within the housing;

(c) a needle window formed in the housing, wherein the needle window is configured to receive a syringe needle; and

(d) a user interface in communication with the plurality of orthogonal coils, wherein the user interface is configured to provide an indication to a user relating to the position of the needle window relative to a needle target located within a patient, wherein data indicative of the position of the needle window relative to the needle target is obtained using the plurality of horizontal coils.

2. The sense head system of claim 1, wherein the housing is generally triangular, wherein each of the horizontal coils is positioned generally at each corner of the triangle, and wherein each of the vertical coils is positioned generally at each corner of the triangle.

3. The sense head system of claim 2, wherein each of the vertical coils is positioned within a corresponding one of the horizontal coils.

4. The sense head system of claim 1, wherein the plurality of orthogonal coils is provided in an arrangement, wherein the needle window is located at the center of the arrangement.

5. The sense head system of claim 1, wherein the user interface comprises a plurality of LEDs.

6. The sense head system of claim 1, wherein the user interface comprises a display device operable to provide a graphical display visually indicating to the user the position of the needle window relative to the needle target.

7. The sense head system of claim 6, where in the graphical display comprises an arrow and a crosshairs, wherein the tip of the arrow represents the needle window, and wherein the center of the crosshairs represents the needle target.

8. The sense head system of claim 1, wherein the user interface is further configured to provide an indication to the user relating to the orientation of the housing relative to the needle target, wherein data indicative of the orientation of the housing relative to the needle target is obtained using the plurality of vertical coils.

9. The sense head system of claim 1, wherein the needle target comprises an injection port.

10. The sense head system of claim 9, wherein the injection port is in communication with an implantable restriction device, wherein the implantable restriction device is operable to form a restriction in a patient using fluid pressure.

11. The sense head system of claim 10, wherein the injection port comprises a pressure sensor configured to sense the pressure of fluid within the implantable restriction device.

12. The sense head system of claim 11, wherein the injection port further comprises a telemetry coil in communication with the pressure sensor, wherein the telemetry coil is configured to transmit signals comprising pressure data, wherein the pressure data is obtained from the pressure sensor.

13. The sense head system of claim 12, further comprising a telemetry coil located within the housing, wherein the telemetry coil is configured to receive pressure data signals from the telemetry coil of the injection port.

14. The sense head system of claim 1, wherein the needle target comprises a coil, wherein the coil is the source of RF energy.

15. A system for positioning a needle and obtaining pressure data, the system comprising:

(a) a sense head, wherein the sense head comprises;

(i) a housing,

(ii) a plurality of receiving coils operable to receive RF signals communicated from a source of RF energy, wherein the coils are located within the housing,

(iii) a needle window formed through the housing, wherein the needle window is configured to receive a needle, and

(iv) a telemetry coil configured to receive pressure data obtained from a pressure sensor configured to sense the pressure of a fluid within a patient; and

(b) a display device in communication with the sense head, wherein the display device is configured to provide an indication to a user relating to the position of the needle window over a needle target, wherein data indicative of the position of the needle window over the needle target is obtained using the plurality of receiving coils, wherein the display device is further configured to process the pressure data.

16. The system of claim 15, further comprising a restriction system, the restriction system comprising:

(i) a restriction device for implantation in a patient to form a restriction in the patient,

(ii) an implanted port in fluid communication with the restriction device, wherein the port is configured to receive fluid from a needle passed through the needle window of the sense head, wherein the port is further configured for withdrawal of fluid from the port by a needle, wherein the port comprises the needle target, and

(iii) a fluid, wherein the fluid is located in the restriction device and in the implanted port, wherein the pressure sensor is configured to sense the pressure of the fluid.

17. The system of claim 15, wherein the display device is further configured to provide an indication to the user relating to the orientation of the housing relative to the needle target, wherein data indicative of the orientation of the housing relative to the needle target is obtained using the plurality of receiving coils.

18. The system of claim 17, wherein the display device is further configured to display a visual representation of the pressure data.

19. A method for selecting a location for inserting a needle into a patient, the method comprising:

(a) providing a sense head, wherein the sense head comprises;

(i) a housing,

(ii) a plurality of receiving coils operable to receive RF signals communicated from a source of RF energy, wherein the coils are located within the housing, and

(iii) a needle window formed through the housing, wherein the needle window is configured to receive a needle;

(b) placing the sense head adjacent to a patient, wherein the patient has an implanted restriction system, the implanted restriction system comprising (i) an injection port, wherein the injection port comprises one or more

telemetry coils, wherein at least one of the one or more coils is the source of RF energy,

(ii) a restriction device operable to adjustably form a restriction within the patient,

(iii) a fluid, wherein the fluid is located in the injection port and in the restriction device, and

(iv) a pressure sensor operable to capture data indicative of the pressure of the fluid;

(c) positioning the sense head substantially over the injection port, wherein the act of positioning the sense head over the injection port comprises monitoring RF signals received by the plurality of receiving coils to determine the position of the sense head relative to the injection port; and

(d) inserting a needle through the needle window into the injection port.

20. The method of claim 19, the method further comprising obtaining pressure data captured by the pressure sensor, wherein the pressure data is obtained via the sense head.