The present invention relates to medical implants, and more specifically to a permanent magnet arrangement for use in such implants.
Some hearing implants such as Middle Ear Implants (MEI's) and Cochlear Implants (CI's) employ attachment magnets in the implantable part and an external part to hold the external part magnetically in place over the implant. For example, as shown in
One problem arises when the patient undergoes Magnetic Resonance Imaging (MRI) examination. Interactions occur between the implant magnet and the applied external magnetic field for the MRI. As shown in
Thus, for existing implant systems with magnet arrangements, it is common to either not permit MRI or at most limit use of MRI to lower field strengths. Other existing solutions include use of a surgically removable magnets, spherical implant magnets (e.g. U.S. Pat. No. 7,566,296), and various ring magnet designs (e.g., U.S. Provisional Patent 61/227,632, filed Jul. 22, 2009). Among those solutions that do not require surgery to remove the magnet, the spherical magnet design may be the most convenient and safest option for MRI removal even at very high field strengths. But the spherical magnet arrangement requires a relatively large magnet much larger than the thickness of the other components of the implant, thereby increasing the volume occupied by the implant. This in turn can create its own problems. For example, some systems, such as cochlear implants, are implanted between the skin and underlying bone. The “spherical bump” of the magnet housing therefore requires preparing a recess into the underlying bone. This is an additional step during implantation in such applications which can be very challenging or even impossible in case of very young children.
Various complicated arrangements of magnetic elements have been described for use in therapeutic applications; see for example, U.S. Pat. No. 4,549,532 and U.S. Pat. No. 7,608,035. However, there is no suggestion that such therapeutic arrangements might potentially have any utility for magnetic attachment applications such as those described above.
Embodiments of the present invention are directed to an arrangement for an implantable medical system. An implant housing contains a portion of an implantable electronic system and has a planar outer surface adapted to lie parallel to overlying skin in an implanted patient. An implant magnet arrangement is located within the housing and adapted to magnetically interact with a corresponding external magnet in an external device on the skin of the implanted patient over the implant housing. The implant magnet arrangement includes an inner center disc having a magnetic dipole parallel to the planar outer surface of the implant housing with an inner magnetic orientation in an inner magnetic direction, and an outer radial ring having a magnetic dipole parallel to the planar outer surface of the implant housing with an outer magnetic orientation in an outer magnetic direction opposite to the inner magnetic direction.
There also may be an implant signal coil within the implant housing which surrounds the implant magnet arrangement for transcutaneously receiving an externally generated communication signal. The implant housing may be made of titanium. The implant magnet arrangement may be hermetically encapsulated within the implant housing. There may also be a similar external housing having a corresponding magnet arrangement. The implantable electronic system may be, for example, a vestibular implant system, a cochlear implant system, a middle ear implant system, or a bone conduction hearing implant system.
Various embodiments of the present invention are directed to an improved magnet arrangement for implantable devices in the form of a cylindrical magnet having multiple adjacent magnetic sections wherein at least two of the magnetic sections have opposing magnetic orientations in opposite magnetic directions.
With such an arrangement, the net magnetic field of the implant magnet arrangement 300 is much less than in the conventional cylindrical magnet of the prior art, while locally the magnetic fields are still effectively strong near the inner center disc section 301 and the outer radial ring section 302 so that there is no overall loss in the retention force of the implant magnet arrangement 300. Such a reduced net magnetic field of the implant magnet arrangement 300 also avoids the prior problems of the net magnetic fields adversely interacting with the implant signal coil and its communications signal and reduces the torque and imaging problems of the prior art with regards to MRI procedures. Moreover, the greater specificity of the magnetic structures of the implant magnet arrangement 300 compared with a simple disk magnet also provides improved centering capability with regards to the external component housing.
Of course, with such an arrangement, it is important that both the internal implant receiver attachment magnet and the external transmitter attachment magnet be magnetized with the same orientation in the plane of the coil housing (i.e., parallel to the skin). Then when the external coil housing is placed onto the patient's skin over the implant coil housing, the two attachment magnets turns around on their axis such that the north and south poles of one attachment magnet are positioned adjacent to south and north poles respectively of the other attachment magnet thereby maximizing the attractive magnetic force between the two.
With such an arrangement, the net magnetic field of the implant magnet arrangement 600 is much less than in the conventional cylindrical magnet of the prior art, while locally the magnetic fields are still effectively strong near the inner center disc section 601 and the outer radial ring section 602 so that there is no overall loss in the retention force of the implant magnet arrangement 600. Such a reduced net magnetic field of the implant magnet arrangement 600 also avoids the prior problems of the net magnetic fields adversely interacting with the implant signal coil and its communications signal and reduces the torque and imaging problems of the prior art with regards to MRI procedures. Moreover, the greater specificity of the magnetic structures of the implant magnet arrangement 600 compared with a simple disk magnet also provides improved centering capability with regards to the external component housing.
Implant magnets according to embodiments of the present invention present a slim profile which is safe for MRI field strengths up to and beyond 3 Tesla without the need to surgically remove the implant magnet. Alternatively, in some embodiments the implant attachment magnet may be adapted to be temporarily removable by minor surgery from the implant coil housing if desired to reduce MRI artifacts.
In contrast to spherical design attachment magnets, the present coil housing can have a flat bottom so that there is no need to drill a recess into the bone during implantation of the device. This makes such a magnet design especially well-suited for implantation in young children. Moreover, embodiments can be equally effective where there is a relatively large magnet in the implanted part and a relatively small magnet in the external part, and vice versa. And due to the different magnetization direction, it is expected that the MR imaging artifact may be smaller compared to conventional implant magnets, for example, extending less in the medial direction.
Compared to the conventional disk magnet concept with axial magnetization, embodiments of the present invention have attractive forces on both poles, and the attraction is caused by two forces which apply at the two poles of each magnet. The result is that the shear force between the external attachment magnet and the implant attachment magnet is higher in the direction of the magnetization axis of the two magnets. By turning the external attachment magnet for optimal orientation over the implant (e.g. vertical magnetic axis), a better magnetic attachment of the external parts can be achieved. In such an arrangement, the external attachment magnet also stays in place over the implant attachment magnet with less lateral displacement even in response to small mechanical shocks. The present embodiments also have a better (shallower) force-over-distance diagram than two conventional magnets with axial magnetization. It may be advantageous if the attractive force does not vary greatly over the distance between the two attachment magnets.
With standard supine patient position where the implant attachment magnet is oriented in a coronal plane, embodiments of the attachment magnet described here can align well with the static magnetic field in closed MR scanners only while such an implant magnet in axial orientation would only align with the static magnetic field in open scanners with vertical magnetic field. The torque exerted to the implant can remain relatively high when the implant magnet which has only one degree of freedom cannot align well enough with the external magnetic field.
Embodiments of the present invention such as those described above can be easily and directly implemented in existing products with corresponding size and geometry replacement magnets, either for the implanted magnet and/or the external magnet. Embodiments may usefully contain permanent magnetic material and/or ferro-magnetic material as well as other structural materials. These include without limitation magnetic ferrite materials such as Fe3O4, BaFe12O19 etc., compound materials such as plastic bonded permanent magnetic powder, and/or sintered material such as sintered NdFeB, SmCo, etc. Selection of the proper materials and arrangements may help avoid or reduce undesired eddy currents.
Although various exemplary embodiments of the invention have been disclosed, it should be apparent to those skilled in the art that various changes and modifications can be made which will achieve some of the advantages of the invention without departing from the true scope of the invention.
This application is a continuation in part of U.S. patent application Ser. No. 13/462,931, filed May 3, 2012, which is a divisional of U.S. patent application Ser. No. 12/839,887, file Jul. 20, 2010, which in turn claimed priority from U.S. Provisional Patent Application 61/227,632, filed Jul. 22, 2009; and this application also is a continuation in part of U.S. patent application Ser. No. 13/091,352, filed Apr. 21, 2011, which in turn claims priority from U.S. Provisional Patent Application 61/327,158, filed Apr. 23, 2010; all of which are incorporated herein by reference.
Number | Date | Country | |
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61227632 | Jul 2009 | US | |
61327158 | Apr 2010 | US |
Number | Date | Country | |
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Parent | 12839887 | Jul 2010 | US |
Child | 13462931 | US |
Number | Date | Country | |
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Parent | 13462931 | May 2012 | US |
Child | 13550730 | US | |
Parent | 13091352 | Apr 2011 | US |
Child | 12839887 | US |