The present invention relates to a sound generator for implantation as well as to a system and a method for the detection and analysis of processes and conditions, in particular for and in the human and animal body.
Numerous implantable sensors for the detection of conditions and processes in the human body have become known in prior art, which emit expediently, also in wireless technology, signals to receiving and analyser units. An active implantable sound generator is known from the U.S. Pat. No. 3,672,352A, which cooperates with a source of energy which is equally envisaged for implantation together with the sound generator, in a disadvantageous manner.
From the document WO 2005/102151, for instance, a passive sensor with wireless transmission is known which is detected by ultrasound by means of an active analyser unit. As a matter of fact, however, passive sensors can only be interrogated and hence the analyser unit must interrogate the sensor continuously, with a substantial consumption of energy, in order to ensure continuous monitoring of the sensor. This is laborious and complex as well as expensive and particularly in the field of medicine, this may result in problems, inconvenience and side effects in treatment and diagnosis.
The present invention is therefore based on the object of providing an improved implantable sensor and an improved method for the detection and analysis of conditions and processes in the human and animal body, with active transmission of signals from the sensor unit to a receiver and/or analyzer unit.
The object is solved with the coordinated claims. Preferred embodiments of the present invention are implemented with the features defined in the dependent claims and/or by features mentioned in the description.
In a particularly expedient form using an implantable sound generator for the generation of sound from movements and/or forces and/or pressures in the human or animal body, an inventive implantable sensor is provided for the detection of physiologic and/or non-physiologic and/or pathologic processes, which interacts with an acoustic receiver unit disposed outside the human or animal body. According to this concept, an inventive implantable sound generator presents an expediently miniaturized configuration and is made of a bio-degradable material.
An inventive sound generator may be expediently designed as miniaturized whistle, in particular, which produces whistling tones, noise and clicks in the manner of communicating dolphins and whales whose sound waves emitted are particularly well propagated in a fluid medium. In a particularly expedient form, the inventive whistle may comprise an air stream generator, a capillary system, a whistling-tone unit and a resonant cavity which are each so configured and disposed that the bending of the whistle generates a strong air flow that creates a defined whistling or clicking sound. In particular, in accordance with the invention, the air stream generator may expediently include a cavity with a volume-varying mechanism, which operates in response to movements and consists of a plurality of lever arms which are so disposed that a diaphragm results in a volume compression of the cavity, with the cavity of the air stream generator being filled with a non-compressible liquid. A discharging tube is appropriately joined to the cavity of the air stream generator on the downstream side, which opens into a capillary system that is follows by a whistling-tone unit, with the capillary system being expediently configured such that it becomes progressively more and more hydrophobic in a direction towards the whistling-tone unit whilst its zone in the vicinity of the whistling-tone unit is designed to be hydrophobic in such a way that it produces the effect of a liquid barrier. For the transmission of the sound waves generated by the whistling-tone unit, the whistling-tone unit suitably opens into a resonant cavity that presents an appropriate configuration in order to transmit the sound waves generated by the whistling-tone unit efficiently into the human body.
In accordance with another expedient embodiment of the present invention, the inventive sound generator may be configured as pulse sensor, with a tensioned diaphragm being mechanically caused to vibrate by means of an appropriate means. In that configuration, the pulse sensor suitably comprises an exterior shell and a first tensioned diaphragm and a second diaphragm on the pulse side, which is stretched over a flexible wall reinforcement, with a lever being disposed on the diaphragm on the pulse side and interacting with a clapper disposed inside the exterior shell in such a way that in case of pulsation, the lever operates the clapper in such a way that the clapper hits against the first tensioned diaphragm, generating a sound. Such a sound generator configured as pulse sensor in accordance with the present invention is particularly well suitable for measuring the blood flow on blood vessels, vessels or on the heart. In correspondence with a modification of the aforedescribed second embodiment of the present invention, the pulse sensor may comprise a tensioned string disposed inside the exterior shell, which interacts with the lever and which the lever causes to vibrate. The pulse sensor with the second diaphragm on the pulse side is particularly expediently disposed on a blood vessel or on a tissue wall inside the human body.
In accordance with another expedient embodiment of the present invention, the inventive sound generator is appropriately configured as chime or ratchet, with the chime or ratchet expediently generating a sound in a semi-hydraulic manner by hydraulically driving a mechanical element and by the provision of friction elements and/or a biased diaphragm for mechanical generation of a sound. In this configuration, an inventive sound generator configured as chime or ratchet expediently comprises a biased elongate tube that is filled with a non-compressible liquid, with a semi-hydraulic element being so disposed and configured on the tube that a ratchet, which is connected to the joint, creates a sound when the volume of the tube is reduced in a resonant cavity in which the ratchet is disposed; here, the ratchet comprises appropriately a lever with a lever end that rattles over projections formed inside the resonant cavity when the joint is activated. In this configuration it is expedient to dispose a restoring sprig in the resonant cavity and connect it to the joint in such a way that when the pressure in the tube is reduced the position of the ratchet inside the resonant cavity is restored. Alternatively or in addition to the rattling movement of the lever end over projections, the lever end may also expediently hit against a tensioned diaphragm provided inside the resonant cavity. An inventive sound generator configured as chime or ratchet may be integrated into prosthesis in a particularly advantageous manner, in which case tensions occurring upon a load on the prosthesis may be detected and a digital quality assurance after the prosthesis implantation analysis will become possible to detect loosening of prostheses. Such an inventive sound generator configured as chime or ratchet may furthermore be integrated, in a particularly expedient form, into prostheses components such as femoral heads, acetabula or components of knee or shoulder prostheses or it may be mounted on implants for the osteosynthesis of bones such as plates, nails and screws; in these cases the healing of fractures becomes detectable and can be monitored in an expedient manner so that the loading, e.g. of legs after fractures, in correspondence with the stage of healing will be possible, which results expediently an a shorter healing period or in the early detection of delayed healing processes. In this manner, it becomes moreover expediently possible to monitor the behaviour of implants and hence progress in the healing process in emergency surgery or orthopaedics.
In correspondence with a further advantageous embodiment of the present invention, an inventive sound generator may be expediently configured as sonic thermometer which includes suitably a memory material that interacts with a diaphragm, with the creation of a sound as a function of temperature. With such an inventive sound generator, which is expediently configured as sonic thermometer, it is possible to provide, in an expedient manner, a temperature-controlled tumour therapy (control of tumour heating in a magnetic field), control of the body temperature (contraception), measurement of the heating of regenerating tissue (bones, tendons) or investigation into the behaviour of animals with relation to the body temperature.
The present invention will be described in details in the following with reference to accompanying schematic drawings in which:
At least one discharging tube 105 is joined to the space with the lever arms 103, which is filled with a liquid, on the downstream side, which tube opens into a capillary system 107 that is equally joined by a downstream whistling-tone unit 108. When the sound generator 100 is bent the diaphragm 104 activates the lever arms 103 in the volume filled with a liquid, so that the liquid acts upon the capillary system 107 through the discharging tube 105; the capillary system presents a progressively more and more hydrophobic configuration and has a strongly hydrophobic design in the vicinity of the whistling-tone unit 108 so that liquid cannot arrive there and a strong air stream is generated to act upon the liquid when pressure is exerted, which air stream activates the whistling-tone unit that is configured as whistle 108 or rattle 108, which is schematically illustrated in an enlarged view in
For a better comprehension of the present invention, some model computations were made to this end, which are also illustrated in a tabular form.
By bending an air stream generator 102 (fastened to a bone under a natural load) having a length of roughly 12 mm, a height of 4 mm and a width of 5 mm, one can achieve a liquid stream of roughly 2 mm in a capillary tube 107 having a thickness of 100 μm. On account of the inventive lever arm system 103, it is possible then to achieve a reinforcing mechanism that results in a velocity of the displacing liquid/air front in a micro tube, which is 10 to 100 times the original speed.
In a micro tube having a thickness of 0.1 to 0.3 to 0.3 m, one should achieve, with the air stream generator 102, an air stream of a velocity between 300 and 3000 km/h on a micro whistle, so that one should obtain a whistling tone. Table 1 illustrates exemplary computations of air flows in capillary tubes having a thickness of 0.1 or 0.3 mm, with subsequent whistling being created.
indicates data missing or illegible when filed
Volumetric flow=volume/time=distance·cross-sectional area/time
v
1
·A
1
=v
2
·A
2
=v
3
·A
3 etc.
v2·A1/A2·v1
Conclusion: For an increase of the velocity v1 by the factor of 100 the cross-sectional area A2 must be reduced to 1/100 relative to A1: with A1=d12·π/4 and A2=d22·π/4.
v
2=(d1/d2)2·v1
Moreover, it is possible and expedient to dispose a magnetic weight 408 on the diaphragm 404 of the embodiment 10 or on the tube 407 in the embodiment according to
A succession of individual sensors permits a detection of temperature from the inside of the body with acoustic support. Clinically appropriate temperature limits may be set with sufficient precision. Hence a chain of sonic temperature sensors constitutes a sonic thermometer.
A chain of sonic generators dependent on temperature may serve to create an implantable sonic thermometer operating with a sufficiently high precision. Table 2 indicates sensible temperature intervals for specific applications in medicine or veterinary medicine.
It goes without saying that the sensors may also be arranged in a suitable bundle or cluster, for instance, rather than in a chain array. A plurality of bundles could consist, for example, of comparable chains of temperature sensors so as to provide for enhanced reliability in the generation of sound as a function of temperature. A chain of temperature sensors which generate each a specified tone in a defined range when the temperature changes may therefore permit the detection of temperature in a certain interval, for instance of 0.5 degrees.
In addition to applications in human and veterinary medicine, further applications of an inventive sonic thermometer are evident, for instance for the control of chemical reactions, even in the high temperature range. Apart therefrom, sonic thermometers could serve for the redundant detection of temperature, e.g. in aeronautical and astronautical engineering, for measuring temperatures on the outside skin of a bird or missile (safety aspect).
In the inventive method operating on the inventive system schematically illustrated in
It is further expedient and possible to employ a signal amplifier in the analysis of the signals, possibly with an analog signal filtering process. The signals are appropriately processes by means of a μ-controller or DSP (digital signal processor) or PC, e.g. in combination with an USB measuring unit. In particular, the discrete Fourier transformation, DFT/FFT, if applicable also DFT/FFT with resolution in time, i.e. SFT, digital filtering and, if applicable, re-transformation are expedient techniques coming into consideration as the algorithms of analysis.
The inventive analyser unit 5 permits the evaluation of any frequency information included in the signal, also in the case of useful signals ranging extremely below of noise signals (noise amplitudes). With the Fourier transformation technique SFT (SFT: short-time four transformation, not to be confused with FFT: fast Fourier transformation) with resolution in terms of time, Fourier spectrums are represented in time-resolved form in a 3D diagram me, which means that additionally the point of time can be read by which the frequency is present.
Amplitude information of a weak character only may be detected by additional digital filtering of the Fourier spectrum with subsequent re-transformation.
Apart from the aforedescribed methods of sound generation, a hermetically encapsulated bio-compatible gas generator may generate a gas (methane, bio-compatible) and hence a gas flow on the basis of a chemical reaction (e.g. a few micro litres of water and a few micro grammes of aluminium carbide), which flow may be utilized to generate sound and for the subsequent detection of movements or blood streams. As an alternative to the gas production on the basis of a chemical reaction, it is possible that controlled bio-gas production on the basis of micro organisms such as bacteria is performed in a bio-compatible gas generator, which micro organisms produce gas in a controlled process inside an encapsulated volume.
Number | Date | Country | Kind |
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10 2007 030 270.5 | Jun 2007 | DE | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/EP08/05194 | 6/26/2008 | WO | 00 | 4/1/2010 |