The present technology is generally related to controllers for implantable medical devices.
A mechanical circulatory support device (MCSD) such as a left ventricular assist device (LVAD) is an implantable device that is used to assist the functioning of a failing heart. LVADs include a pump that connects the left ventricle to the aorta which pulls blood from the left ventricle and pumps it into the aorta. With the advent of fully implantable systems having implantable blood pumps, such as LVADs, more electronic equipment is implanted within the body and within or proximate various types of tissue. In particular, transcutaneous energy transfer (TET) systems are used to supply power MCSDs implanted within a human body. An electromagnetic field generated by a transmitting coil outside the body can transmit power across a cutaneous (skin) barrier to a receiving coil implanted within the body. The receiving coil can then transfer the received power to the implanted heart pump or other internal device and to one or more batteries implanted within the body.
One of the challenges with MCSD systems is the fact that the controller used to power the implanted pump is also implanted within the body. Such controllers interact with various tissues within the body and because they provide power to the implanted pump, they also generate heat. If too much heat is released from the controller, or a particular part of the controller, there is potential for tissue surrounding the controller to be damaged in addition to damage to the controller itself.
The techniques of this disclosure generally relate to controllers and implantable controllers for implantable medical devices.
In one aspect, an implantable medical device includes a metallic housing defining an enclosure. Processing circuitry is disposed within the enclosure and configured to control operation of the implantable medical device. A first thermally conductive encasement is disposed within the enclosure. A first piece of graphite is disposed within the aluminum encasement. An adhesive is disposed between an internal surface of the metallic housing and the aluminum encasement.
In another aspect of this embodiment, the first piece of graphite is of annealed pyrolytic graphite.
In another aspect of this embodiment, the device further includes a battery disposed within the housing, wherein the battery is configured to provide power to the processor and to provide power to the implantable medical device.
In another aspect of this embodiment, the enclosure further includes a second thermally conductive encasement and a second piece of graphite enclosed within the second thermally conductive encasement, wherein the battery and the processing circuitry are disposed between the first thermally conductive encasement and the second thermally conductive encasement.
In another aspect of this embodiment, the device further includes a first conductive gap pad disposed between the processing circuitry and the first aluminum encasement.
In another aspect of this embodiment, the metallic housing is composed of a biocompatible metal.
In another aspect of this embodiment, the first thermally conductive encasement includes aluminum foil, and wherein the first piece graphite is laminated in the aluminum foil.
In another aspect of this embodiment, the medical device is controller for an implantable blood pump.
In another aspect of this embodiment, the first piece of graphite defines a first plane and the pressure sensitive adhesive defines a second plane substantially parallel to the first plane.
In another aspect of this embodiment, the housing is sized to be implanted within a portion of a patient's torso.
In one aspect, an implantable controller for an implantable medical device includes a metallic housing defining an enclosure, the housing is sized to be implanted within a portion of a patient's torso. The enclosure contains processing circuitry configured to control the operation of the implantable medical device. A first piece of graphite is disposed within the housing, the first piece of graphite being enclosed within a first aluminum encasement, the first aluminum encasement defining a plurality flared aluminum edges extending from the encasement. A pressure sensitive adhesive is disposed between an internal surface of the metallic housing and the first aluminum encasement, the pressure sensitive adhesive being in direct contact with the housing and with the first aluminum encasement.
In another aspect of this embodiment, the first piece of graphite is annealed pyrolytic graphite.
In another aspect of this embodiment, the controller further includes a battery disposed within the housing, wherein the battery is configured to provide power to the processor and to provide power to the medical device.
In another aspect of this embodiment, the enclosure further includes a second aluminum encasement and a second piece of graphite enclosed within the second aluminum encasement, wherein the battery and the processing circuitry are disposed between the first aluminum encasement and the second aluminum encasement.
In another aspect of this embodiment, the controller further includes a first conductive gap pad disposed between the processing circuitry and the first aluminum encasement.
In another aspect of this embodiment, the metallic housing is composed of a biocompatible metal.
In another aspect of this embodiment, the first aluminum encasement includes aluminum foil, and wherein the first piece of graphite is laminated in the aluminum foil.
In another aspect of this embodiment, the medical device is an implantable blood pump.
In another aspect of this embodiment, the first piece of graphite defines a first plane and the pressure sensitive adhesive defines a second plane substantially parallel to the first plane.
In one aspect, an implantable controller for an implantable blood pump includes a titanium housing defining an enclosure, the housing being sized to be implanted within a portion of a patient's torso. The housing contains processing circuitry configured to control the operation of the implantable blood pump and a battery configured to provide power to the implantable blood pump. A piece of graphite is disposed within the housing, the piece of graphite being enclosed and laminated within an aluminum foil encasement, the aluminum foil encasement defining a plurality flared aluminum edges extending from the encasement and contouring a corresponding curved interior surface of the housing. A conductive gap pad is disposed between the aluminum encasement and the processing circuitry. A pressure sensitive adhesive is disposed between an internal surface of the titanium housing and the aluminum foil encasement, the pressure sensitive adhesive being in direct contact with the housing and with the aluminum encasement.
The details of one or more aspects of the disclosure are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of the techniques described in this disclosure will be apparent from the description and drawings, and from the claims.
A more complete understanding of the present invention, and the attendant advantages and features thereof, will be more readily understood by reference to the following detailed description when considered in conjunction with the accompanying drawings wherein:
It should be understood that various aspects disclosed herein may be combined in different combinations than the combinations specifically presented in the description and accompanying drawings. It should also be understood that, depending on the example, certain acts or events of any of the processes or methods described herein may be performed in a different sequence, may be added, merged, or left out altogether (e.g., all described acts or events may not be necessary to carry out the techniques). In addition, while certain aspects of this disclosure are described as being performed by a single module or unit for purposes of clarity, it should be understood that the techniques of this disclosure may be performed by a combination of units or modules associated with, for example, a medical device.
Referring to the drawings in which like reference designators refer to like elements, there is shown in
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Continuing to refer to FIGS, 3-5, optionally, a first polyimide liner 44 may be disposed within the housing 24. The first polyimide liner 44 may define a sheet or other substantially planar material and is disposed between the first encasement 34 and the inner surface 38 of the housing 24. A second polyimide liner 46, similar or the same as the first polyimide liner 44 may further be disposed between the second encasement 42 and the inner surface 38 of the housing 24. The polyimide liners 44 and 46 are configured to further spread heat away from the interior of the housing 24, and in particular, away from their respective encasements 34 and 42. As with the encasements 34 and 42, the polyimide liners 44 and 46 may define flared edges commensurate in size and shape with the flared edges 36a and 36b of the encasements 34 and 42. To adhere the polyimide liners 44 and 46 to the inner surface 38 of the housing 24, a pressure sensitive adhesive (PSA) 48 may be included and disposed between the inner surface 38 and the polyimide liner 44 to adhere the polyimide liner 44 to the inner surface. As we with the polyimide liner 44, the PSA 48 may define flared edges commensurate in size and shape with the flared edges 36a and 36b of the encasements 34 and 42. A second PSA 50 may be included on the opposite of the housing 24 configured to adhere the second polyimide liner 46 to the inner surface 38. In one configuration, the first piece of graphite 30, the first polyimide liner 44, and the PSA each defines planes that are substantially parallel to each other.
Continuing to refer to
Although the components of the controller 10 are described with respect to the controller 10, it is contemplated that the described components could be integrated into a medical device, for example a pacemaker, or any other medical device, whether implantable or non-implantable.
It will be appreciated by persons skilled in the art that the present invention is not limited to what has been particularly shown and described herein above. In addition, unless mention was made above to the contrary, it should be noted that all of the accompanying drawings are not to scale. A variety of modifications and variations are possible in light of the above teachings without departing from the scope and spirit of the invention, which is limited only by the following claims.
This application claims the benefit of U.S. application Ser. No. 63/012,987, filed Apr. 21, 2020.
Number | Date | Country | |
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63012987 | Apr 2020 | US |