Implantable device with optical telemetry

Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems

Reexamination Certificate

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Details

C607S032000, C128S903000

Reexamination Certificate

active

06349234

ABSTRACT:

BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates generally to wireless communication systems for devices implanted in the body, and more particularly to optical communication between an implanted device and a device external to the body.
2. Description of the Related Art
Implantable devices have become a standard method of treating various medical conditions, many of which relate to the heart. Examples of devices which are routinely implanted include pacemakers, defibrillators, and nerve stimulators. These devices and others which have not yet become routine (such as implanted personal identification chips) are being provided with large memories for storing vast amounts of data. In the case of medical devices, this data may include physiological data such as the electrogram (electrical waveform at the electrodes), instantaneous heart rate, blood pressure, volume pumped, body temperature, etc., and configuration data such as mode of operation, amplifier sensitivity, filter bandwidth, and error messages. Often the device stores data that has been collected over a period of hours or days. This data is periodically retrieved by a doctor to monitor the patients condition and to monitor the device's status. In response, the doctor might re-program the device for a different mode of operation, sensitivity setting, etc.
A method is needed to retrieve this data rapidly. The retrieval needs to be rapid so as to minimize the inconvenience to the patient who will usually have to remain in the doctors office for the data retrieval process. To download four megabytes of medical device data, for example, at 20 Kbit/s would take nearly a half-hour—an undesirably long time for both the patient and medical professional or technician.
One method for data retrieval is the use of electromagnetic coupling between a pair of coils. One coil is excited to induce a current in the other. Modulation of the excitation signal can be detected in the induced current, and so communication is achieved The problem with this is bandwidth. The coils each have a self-inductance which acts to attenuate high frequency signals, so that the bandwidth of communications is limited.
Another method for data retrieval is to provide a direct electrical connection. A wire connected to the implanted device is passed directly through the skin and coupled to the external device. Inherent with this technique is increased discomfort and increased risk of infection.
Thus, another method is needed to transfer a large amount of data quickly from the implanted device to the external device with minimal discomfort.
SUMMARY OF THE INVENTION
Accordingly, there is provided herein a system for communicating between an implantable device and an external device. In one embodiment, the system includes an implantable device having a large memory and an external unit which downloads information from the memory for analysis and display. The implantable device includes a light-emitting diode (LED) and a modulator for driving the LED. The LED emits a modulated light signal representing the data that is stored in memory. One light frequency range which may be used is 4.3×10
14
-5.0×10
14
Hz, as body tissue exhibits good transmission in this range. The external device includes a photo-multiplier tube (PMT) for detecting and amplifying the modulated light signal, and a demodulator for equalizing and demodulating the detection signal produced by the PMT in response to modulated light.
These components will support a high bandwidth optical channel capable of carrying as much as 500 Mbit/s or more, and thereby provide for a substantially reduced data retrieval time. The implantable device may further include a receiver coil which has currents induced in response to a communication signal from the external device. A power converter may be coupled to the receiver coil to convert the induced currents into energy for powering the LED.


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Mussivand, T., et al., “A Transcutaneous Energy and Information Transfer System for Implanted Medical Devices”,ASAIO Journal, 41 (3), M253-258, (Jul.-Sep. 1995).

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