CA2458966C - Procede et systeme d'implantation d'une sonde non vasculaire - Google Patents

Procede et systeme d'implantation d'une sonde non vasculaire Download PDF

Info

Publication number
CA2458966C
CA2458966C CA2458966A CA2458966A CA2458966C CA 2458966 C CA2458966 C CA 2458966C CA 2458966 A CA2458966 A CA 2458966A CA 2458966 A CA2458966 A CA 2458966A CA 2458966 C CA2458966 C CA 2458966C
Authority
CA
Canada
Prior art keywords
sensor
implant unit
sensing elements
physiological parameter
signal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
CA2458966A
Other languages
English (en)
Other versions
CA2458966A1 (fr
Inventor
Michael E. Miller
Rajiv Shah
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Minimed Inc
Original Assignee
Medtronic Minimed Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/034,627 external-priority patent/US7025760B2/en
Application filed by Medtronic Minimed Inc filed Critical Medtronic Minimed Inc
Publication of CA2458966A1 publication Critical patent/CA2458966A1/fr
Application granted granted Critical
Publication of CA2458966C publication Critical patent/CA2458966C/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0031—Implanted circuitry
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/14532—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6879—Means for maintaining contact with the body
    • A61B5/6882—Anchoring means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1698—Blood oxygenators with or without heat-exchangers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/20—Blood composition characteristics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
    • A61M5/14276—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body specially adapted for implantation

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Optics & Photonics (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Emergency Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

L'invention concerne des systèmes et des procédés d'implantation d'une sonde non vasculaire et de mesure précise d'un paramètre physiologique dans des régions du corps où les valeurs du paramètre physiologique sont hétérogènes. Une unité d'implantation est implantée dans une région du corps. Une capsule de corps étranger est disposée autour de la région de l'unité d'implant. Une sonde peut être introduite dans une cavité organique telle que l'espace péritonéal, les tissus sous-cutanés, la capsule de corps étranger, ou une autre région du corps. Une région sous-cutanée du corps peut être tunnellisée pour poser le capteur. On peut par ailleurs utiliser une pluralité d'éléments séparés dans l'espace pour détecter les valeurs individuelles du paramètre physiologique. On peut déterminer la valeur globale du paramètre physiologique en calculant une mesure statistique des valeurs individuelles détectées dans la région en question sur la base des valeurs détectées.
CA2458966A 2001-10-23 2002-10-23 Procede et systeme d'implantation d'une sonde non vasculaire Expired - Lifetime CA2458966C (fr)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US33562701P 2001-10-23 2001-10-23
US60/335,627 2001-10-23
US10/034,627 2001-12-27
US10/034,627 US7025760B2 (en) 2001-09-07 2001-12-27 Method and system for non-vascular sensor implantation
US41429002P 2002-09-27 2002-09-27
US60/414,290 2002-09-27
PCT/US2002/033923 WO2003034902A2 (fr) 2001-10-23 2002-10-23 Procede et systeme d'implantation d'une sonde non vasculaire

Publications (2)

Publication Number Publication Date
CA2458966A1 CA2458966A1 (fr) 2003-05-01
CA2458966C true CA2458966C (fr) 2013-02-26

Family

ID=27364705

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2458966A Expired - Lifetime CA2458966C (fr) 2001-10-23 2002-10-23 Procede et systeme d'implantation d'une sonde non vasculaire

Country Status (5)

Country Link
EP (1) EP1438029A4 (fr)
JP (1) JP2005525139A (fr)
AU (1) AU2002343567A1 (fr)
CA (1) CA2458966C (fr)
WO (1) WO2003034902A2 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019177938A1 (fr) * 2018-03-12 2019-09-19 Admetsys Corporation Capteur biologique implantable intra-osseux

Families Citing this family (43)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7399313B2 (en) * 2002-06-07 2008-07-15 Brown Peter S Endovascular graft with separable sensors
GB0419827D0 (en) * 2004-09-07 2004-10-13 Univ Cambridge Tech Sensor
DE102005055398A1 (de) * 2005-11-17 2007-05-31 Wittenstein Ag Gerät zur Erfassung von Diagnosewerten im Körper
US20120046533A1 (en) 2007-08-29 2012-02-23 Medtronic Minimed, Inc. Combined sensor and infusion sets
US9968742B2 (en) 2007-08-29 2018-05-15 Medtronic Minimed, Inc. Combined sensor and infusion set using separated sites
US20110082356A1 (en) 2009-10-01 2011-04-07 Medtronic Minimed, Inc. Analyte sensor apparatuses having interference rejection membranes and methods for making and using them
US20110288388A1 (en) 2009-11-20 2011-11-24 Medtronic Minimed, Inc. Multi-conductor lead configurations useful with medical device systems and methods for making and using them
US8660628B2 (en) 2009-12-21 2014-02-25 Medtronic Minimed, Inc. Analyte sensors comprising blended membrane compositions and methods for making and using them
US10448872B2 (en) 2010-03-16 2019-10-22 Medtronic Minimed, Inc. Analyte sensor apparatuses having improved electrode configurations and methods for making and using them
US9215995B2 (en) 2010-06-23 2015-12-22 Medtronic Minimed, Inc. Sensor systems having multiple probes and electrode arrays
US9008744B2 (en) 2011-05-06 2015-04-14 Medtronic Minimed, Inc. Method and apparatus for continuous analyte monitoring
US9493807B2 (en) 2012-05-25 2016-11-15 Medtronic Minimed, Inc. Foldover sensors and methods for making and using them
US20140012115A1 (en) 2012-07-03 2014-01-09 Medtronic Minimed, Inc. Plasma deposited adhesion promoter layers for use with analyte sensors
US10194840B2 (en) 2012-12-06 2019-02-05 Medtronic Minimed, Inc. Microarray electrodes useful with analyte sensors and methods for making and using them
US10426383B2 (en) 2013-01-22 2019-10-01 Medtronic Minimed, Inc. Muting glucose sensor oxygen response and reducing electrode edge growth with pulsed current plating
US20150122647A1 (en) 2013-11-07 2015-05-07 Medtronic Minimed, Inc. Enzyme matrices for use with ethylene oxide sterilization
US10324058B2 (en) 2016-04-28 2019-06-18 Medtronic Minimed, Inc. In-situ chemistry stack for continuous glucose sensors
ES2965136T3 (es) 2016-05-10 2024-04-11 Evonik Canada Inc Sensores de glucosa implantables que tienen una superficie bioestable
US11179078B2 (en) 2016-06-06 2021-11-23 Medtronic Minimed, Inc. Polycarbonate urea/urethane polymers for use with analyte sensors
US11134868B2 (en) 2017-03-17 2021-10-05 Medtronic Minimed, Inc. Metal pillar device structures and methods for making and using them in electrochemical and/or electrocatalytic applications
US10856784B2 (en) 2017-06-30 2020-12-08 Medtronic Minimed, Inc. Sensor initialization methods for faster body sensor response
US12042284B2 (en) 2018-01-23 2024-07-23 Medtronic Minimed, Inc. Implantable polymer surfaces exhibiting reduced in vivo inflammatory responses
US11186859B2 (en) 2018-02-07 2021-11-30 Medtronic Minimed, Inc. Multilayer electrochemical analyte sensors and methods for making and using them
US11583213B2 (en) 2018-02-08 2023-02-21 Medtronic Minimed, Inc. Glucose sensor electrode design
US11220735B2 (en) 2018-02-08 2022-01-11 Medtronic Minimed, Inc. Methods for controlling physical vapor deposition metal film adhesion to substrates and surfaces
CA3100384A1 (fr) 2018-05-16 2019-11-21 Medtronic Minimed, Inc. Membrane de limitation de glucose thermiquement stable pour capteurs de glucose
US11718865B2 (en) 2019-07-26 2023-08-08 Medtronic Minimed, Inc. Methods to improve oxygen delivery to implantable sensors
US11523757B2 (en) 2019-08-01 2022-12-13 Medtronic Minimed, Inc. Micro-pillar working electrodes design to reduce backflow of hydrogen peroxide in glucose sensor
TWI729670B (zh) * 2019-08-02 2021-06-01 華廣生技股份有限公司 生物感測器之植入裝置
EP4171405B1 (fr) * 2020-06-26 2024-09-11 Prometheus Regeneration R&D Limited Micro-capteurs implantables dans un os
US12082924B2 (en) 2020-07-31 2024-09-10 Medtronic Minimed, Inc. Sensor identification and integrity check design
US20220133190A1 (en) 2020-10-29 2022-05-05 Medtronic Minimed, Inc. Glucose biosensors comprising direct electron transfer enzymes and methods of making and using them
US11998330B2 (en) 2021-01-29 2024-06-04 Medtronic Minimed, Inc. Interference rejection membranes useful with analyte sensors
US20220338768A1 (en) 2021-04-09 2022-10-27 Medtronic Minimed, Inc. Hexamethyldisiloxane membranes for analyte sensors
US12433515B2 (en) 2021-08-13 2025-10-07 Medtronic Minimed, Inc. Dry electrochemical impedance spectroscopy metrology for conductive chemical layers
US12201421B2 (en) 2021-10-08 2025-01-21 Medtronic Minimed, Inc. Immunosuppressant releasing coatings
US12442786B2 (en) 2021-10-14 2025-10-14 Medtronic Minimed, Inc. Sensors for 3-hydroxybutyrate detection
US12527500B2 (en) 2021-12-02 2026-01-20 Medtronic Minimed, Inc. Ketone limiting membrane and dual layer membrane approach for ketone sensing
US20240023849A1 (en) 2022-07-20 2024-01-25 Medtronic Minimed, Inc. Acrylate hydrogel membrane for dual function of diffusion limiting membrane as well as attenuation to the foreign body response
EP4382611A1 (fr) 2022-08-31 2024-06-12 Medtronic MiniMed, Inc. Capteurs pour la détection de 3-hydroxybutyrate
US12522853B2 (en) 2022-10-28 2026-01-13 Medtronic Minimed, Inc. Enzyme mediator functionalized polymers for use with analyte sensors
US20240335147A1 (en) 2023-04-05 2024-10-10 Medtronic Minimed, Inc. Analyte transporting membranes for use with analyte sensors
US20250281074A1 (en) 2024-03-07 2025-09-11 Medtronic Minimed, Inc. Sensor membranes for dexamethosone rejection

Family Cites Families (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IL69431A (en) * 1983-08-04 1987-12-31 Omikron Scient Ltd Liquid delivery system particularly useful as an implantable micro-pump for delivering insulin or other drugs
WO1992010141A1 (fr) * 1990-12-11 1992-06-25 Adair Edwin Lloyd Systeme de trocart pour laparoscopie
US5139485A (en) * 1991-05-03 1992-08-18 Ethicon, Inc. Verress needle with enhanced acoustical means
US5322063A (en) * 1991-10-04 1994-06-21 Eli Lilly And Company Hydrophilic polyurethane membranes for electrochemical glucose sensors
GB9219943D0 (en) * 1992-09-19 1992-11-04 Smiths Industries Plc Medico-surgical sensor assemblies
US5299571A (en) * 1993-01-22 1994-04-05 Eli Lilly And Company Apparatus and method for implantation of sensors
US5569186A (en) * 1994-04-25 1996-10-29 Minimed Inc. Closed loop infusion pump system with removable glucose sensor
JPH08154903A (ja) * 1994-12-09 1996-06-18 Hitachi Ltd 生体情報モニタリングシート
DE19501159B4 (de) * 1995-01-06 2004-05-13 Ehwald, Rudolf, Prof. Dr.sc.nat. Mikrosensor zur Bestimmung der Konzentration von Glukose und anderen Analyten in Flüssigkeiten auf der Basis der Affinitätsviskosimetrie
DE19507107C1 (de) * 1995-03-01 1996-08-14 Meinhard Prof Dr Knoll Implantierbares Sensorsystem zur Bestimmung von Stoffkonzentrationen in lebenden Organismen
US5995860A (en) * 1995-07-06 1999-11-30 Thomas Jefferson University Implantable sensor and system for measurement and control of blood constituent levels
US5701895A (en) * 1995-11-13 1997-12-30 Sulzer Intermedics Inc. Subcutaneous electrical data port
US5685856A (en) * 1996-02-27 1997-11-11 Lehrer; Theodor Coaxial blunt dilator and endoscopic cannula insertion system
CA2259254C (fr) * 1996-07-08 2008-02-19 Animas Corporation Capteur implantable et systeme de mesure et de controle in vivo de taux de constituants de fluides
IT1286157B1 (it) * 1996-07-08 1998-07-07 Claudio Pier Paolo Zanon Corredo per l'impiantazione percutanea di un sistema arterioso per trattamenti di chemioterapia locoregionale di metastasi.
NO311817B1 (no) * 1996-12-23 2002-01-28 Lifecare As Fremgangsmåte for registrering av endringene i nivået av en osmotisk aktiv komponent i kroppsv¶ske og innretning for utförelseav fremgangsmåten
US6125291A (en) * 1998-10-30 2000-09-26 Medtronic, Inc. Light barrier for medical electrical lead oxygen sensor
GB9805896D0 (en) * 1998-03-20 1998-05-13 Eglise David Remote analysis system
US6175752B1 (en) * 1998-04-30 2001-01-16 Therasense, Inc. Analyte monitoring device and methods of use
EP1135677A1 (fr) * 1998-12-02 2001-09-26 UT-Battelle, LLC BIOCAPTEUR $i(IN VIVO) ET SON PROCEDE D'UTILISATION
US6368274B1 (en) * 1999-07-01 2002-04-09 Medtronic Minimed, Inc. Reusable analyte sensor site and method of using the same

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019177938A1 (fr) * 2018-03-12 2019-09-19 Admetsys Corporation Capteur biologique implantable intra-osseux
US11357425B2 (en) 2018-03-12 2022-06-14 Admetsys Corporation Intraosseous implanted biological sensor

Also Published As

Publication number Publication date
EP1438029A4 (fr) 2009-01-14
AU2002343567A1 (en) 2003-05-06
WO2003034902A3 (fr) 2004-03-11
WO2003034902A2 (fr) 2003-05-01
JP2005525139A (ja) 2005-08-25
CA2458966A1 (fr) 2003-05-01
EP1438029A2 (fr) 2004-07-21

Similar Documents

Publication Publication Date Title
CA2458966C (fr) Procede et systeme d'implantation d'une sonde non vasculaire
US8292808B2 (en) Implantable sensor method and system
US7025760B2 (en) Method and system for non-vascular sensor implantation
US7166074B2 (en) Reusable analyte sensor site and method of using the same
US6368274B1 (en) Reusable analyte sensor site and method of using the same
US7070591B2 (en) Vascular access port with physiological sensor
CA2202038C (fr) Mesure de la saturation en oxygene au moyen d'un catheter veineux central
JP6558881B2 (ja) 一体化されたセンサ技術を有する灌流カニューレ
CN103732283A (zh) 用于治疗间室综合症的系统和方法
US8506550B2 (en) Method and system for non-vascular sensor implantation
US8465466B2 (en) Method and system for non-vascular sensor implantation
WO2007003431A1 (fr) Dispositif et procédé de distribution et d'élimination de substances provenant et à destination d'un tissu ou d'un vaisseau
WO2025125960A1 (fr) Système destiné à étalonner des valeurs de tension artérielle déduites optiquement à l'aide d'un dispositif médical implantable

Legal Events

Date Code Title Description
EEER Examination request
MKEX Expiry

Effective date: 20221024