Implantable lubrication device and method of treating human or mammal patient by means of device

Abstract

To provide a lubrication device for lubricating a joint of a human or mammal patient, which is entirely implantable in a patient's body and comprises a reservoir for storing a lubricating fluid and a fluid connection tube for introducing the lubricating fluid into the joint when the device is inserted into the patient's body, where the fluid connection tube further comprises a fluid connection device connecting the reservoir with the joint such that a lubricating fluid flow is established from the reservoir into the joint.SOLUTION: The fluid connection tube comprises either an infusion needle adapted to be intermittently placed in the joint for injecting the lubricating fluid, or a tube adapted to be permanently placed in the joint for continuously injecting the lubricating fluid.SELECTED DRAWING: Figure 1

Description

Background Art

[0001] The present invention relates to an implantable oil injection device for lubricating joints of the human body or mammalian patients, an implantable lubrication device, and a method of treating the human body or mammalian patients by means of the implantable lubrication device. Specifically, the present invention is suitable for the permanent introduction of joint lubricating fluid, especially for continuous or periodic introduction of lubricating fluid over a long period of time, for example, for several years.

[0002] The lubricating fluid (synovial fluid) reduces friction between the articular cartilage and other tissues of the joint, lubricates and protects the bone and joint tissue components during movement. When the lubricating fluid is negatively affected and / or the articular cartilage covering the normal joint is damaged, this can often result in osteoarthritis (also known as degenerative joint disease) characterized by inflammation with joint pain, usually due to previous age and / or continuous or abnormal loads on the human or mammalian joints (e.g., knee joint, hip joint). Depending on the pathological reduction and changes in the composition of the lubricating fluid in the joint space (which consists of the articular surfaces of adjacent bones with a stable joint enclosed by the joint capsule and synovial membrane), the lubricating fluid can no longer perform its normal function (i.e., lubrication of the joint area and shock absorption) together with the articular cartilage.

[0003]

[0004] The articular cartilage may also be highly damaged due to osteoarthritis or the like and / or the synovial fluid may be reduced. ​​​​​​​​​​​​​In the component that reduces the possibility of friction in the contact point or in the contact point If altered, the joint surface becomes subject to high friction, leading to painful inflammation of the joint. This increased the wear and tear, especially when walking or standing. This can result in limitations. And that further increases the deformability of the joint. Yasu. This disease is a major cause of chronic disorders in Europe and the United States. In fact, osteoarthritis is very common in the Western world.

[0005] In patients with osteoarthritis, lubricating fluid is used in the affected joint (on the one hand, as much as possible). To restore the physiological correlation of injured joints, while keeping the patient's needs as small as possible. This involves introducing extra stress (both physical and psychological) and requires periodic, long-term treatment. ru.

[0006] The well-known standard treatment involves replacing the absent physiological lubricating fluid with a synthetic lubricating fluid. This is a periodic extracorporeal injection into a shared space by the patient. In this type of conventional treatment, the patient Lubrication of the joint via syringe into the skin and joint capsule at regular intervals. Discharging the fluid is inconvenient. Furthermore, this can damage the skin and joint capsules. This could cause a high risk of infection in sensitive community organizations. Therefore, injections may not be performed as often as every six months.

[0007] However, many patients more often have a lubricating fluid (i.e., a small continuous amount of lubricating fluid). It requires replenishment. [Overview of the project]

[0008] The object is therefore intended to propose an improved technique between lubrication. Or, outside of the worn-out parts, on the one hand, lubricate the joints thoroughly, and on the other hand, the smallest touch Joints among human or mammalian patients at risk of infection.

[0009] The immersion-type lubrication device comprises, at least, firstly, a storage section for storing lubricating fluid, and secondly, When the lubrication device is inserted into the patient's body, the stored lubricating fluid is guided to the injured joint. It consists of a fluid connecting tube into which fluid enters. The injured joint is properly lubricated after surgery from inside the patient's body. The lubricating device can be fully inserted into the patient's body so that it can be used. This significantly reduces the risk of infection for patients and allows post-skilled workers to... To do so, continuously, intermittently, periodically, or as needed, for example, within the contacts It is supplied as a lubricating fluid for joints that are susceptible to damage at the fluid level.

[0010] The embedded lubrication device according to the present invention is provided by the embedded lubrication device and its fluid connecting pipe. It is equipped with a lubricating fluid stored in its storage section, which is introduced into the joint.

[0011] Built-in lubrication device (e.g., storage unit, pump or motor, energy source, control device) More intensive or any component of this may be performed entirely within the patient's body. No. This type of component may belong to an implantable infusion device or an actual implant It may form an integral part of an implantable infusion device and another implantable lubrication device. Since the type of lubrication device is fully implantable in the patient's body, that is, the implanted lubrication device The placement is for the function of preserving the patient's body (to lubricate the joint lie within the scope of the patient's body) It provides a function for transporting the lubricating fluid within the complete flow path of the lubricating fluid. Therefore, there is no longer a need for extra-corporeal injection into the joint.

[0012] The fluid connecting tube consists of a fluid connecting device that connects the reservoir of the implanted infusion device to the joint. In this way, a flow path for the lubricating fluid is established from the storage part to the joint. The fluid connecting device is also completely implantable and preferably also consists of a flexible tube or the like. And it transports the lubricating fluid stored in the storage part to the joint and is suitable after the operation.

[0013] Furthermore, the fluid connecting tube is equipped with an injection member connected to the fluid connecting device. The injection member may be introduced into the joint during the operation or into the patient's body in a closely related internal position. Then, after the operation, the lubricating fluid can be introduced into the joint. Continuous injection of the lubricating fluid into the joint may be arranged, for example, periodically or, when the fluid level drops below a predetermined threshold, in response to the operation of a drive mechanism, for example, and depending on sensor data. Instead, and preferably the injection member may also be arranged to continuously inject a predetermined amount of the lubricating fluid into the joint, for example, a certain decrease per hour or the like. Intermittent or periodic injection may be advanced to the joint in the correct position intermittently during and after the operation and then stored by a drive mechanism, for example, by an injection needle placed in a close relationship with the joint so that it may be done.

[0014] Intermittent or periodic injection may be advanced to the joint in the correct position intermittently during and after the operation and then stored by a drive mechanism, for example, afterwards, so that it may be placed in a close relationship with the joint. For example, it may be achieved by an injection needle This may be possible. This would result in intermittent joints due to the tip of the injection needle. Allows lubrication. The drive mechanism proceeds to the tip of the injection needle between the joint and the joint. It is configured to contract. The drive mechanism is configured with an injection needle and / or fluid connector. It may be different, but it is implanted in the patient's body, nevertheless It is positioned as an essential part of a lubrication system.

[0015] Alternatively, the injection member is used to continuously introduce lubricating fluid into the joint. It may consist of a permanently positioned injection tube. In this case, the injection needle is advanced / retracted. No separate drive mechanism is needed for this. This is because the injection tube is Rui is made of a fairly soft material that does not interfere with the normal operation of the joint, and is nothing particularly special. This may be the case. Therefore, the injection pipe may be located within a contact point on a permanent foundation. Yes. In that case, the lubricating fluid may be continuously injected into the shared space.

[0016] Preferably, the storage of the immersion-type lubrication device is connected to a fluid connection device for storing the lubricating fluid. It consists of a storage section. Generally, the oily liquid is contained in the storage section. It may be arranged as a separate part of a combined lubrication device. And it is separate from the patient's body. It must be planted in order to establish a suitable fluid flow of lubricating fluid in the joint. The storage unit is equipped with a fluid connector and injection system to transport the lubricating fluid to the joint. It may be adapted to create sufficient pressure within the range of the component and for replacement.

[0017] Therefore, at least the lubricating fluid is filled in or in the storage section, and the storage section As the fluid is drawn out to the joint by the fluid connector, it creates a fluid flow. Furthermore, the area surrounding a portion of the storage section has a flexible outer wall that changes the storage volume through the deformation of a flexible material. It may consist of

[0018] Thus, the storage section may be inside a balloon type. The flexible material is It may consist of a rimer membrane. The bellows structure has pre-curved wrinkles to reduce long-term deterioration. It is preferable to have a negative pressure at the injection needle or at the common end of the fluid connector. Compared to pipes, the fluid connection device is connected from the storage unit to the joint, as achieved. The liquid in the diagram may cause a pressure reduction in the smallest part of the storage section.

[0019] The storage unit is for replenishing the implanted storage unit by applying liquid oil from outside the human body. It may also have a replenishment injection port. The storage unit should be easily replenished at appropriate time intervals. Since its inception, the storage unit inserted into the patient's body, in addition to the fluid connection device, has been made this small. It may be preserved. Preferably, the infusion port replenishes the storage area in the patient's skin. Regarding osmosis caused by the refilling syringe typically used for this purpose, self-sealing It consists of the material of the formula. It is preferable, or at least, to install an oil reservoir for the lubrication device. The storage compartment is self-sealing so that it can be easily accessed for replenishment by syringe. The sealed injection port is the main component placed subcutaneously in the patient.

[0020] The storage unit introduces lubricating fluid or injection tube into the patient's joint via a fluid connection device and injection needle. It may be compressed manually to do so, and it connects the pump to the fluid connection device. The storage section and the joint are equipped with an injection member for pumping lubricating fluid from the storage section. It is preferred to connect them in between. A pump measures and dispenses the precise amount of lubricating fluid. This allows for the supply of an appropriate amount of lubricating fluid to the joint, whether continuous or intermittent. It is easy to do.

[0021] Preferably, the embedded pump includes a valve device having first and second valve members, and the first A smooth surface layer facing the second valve member to form a sealing contact Each of the aforementioned first and second valve members maintains a sealed contact with each other. Relatedly, two smooth surface replacements can be brought into the array rather than It has deep, different liquid channels. This type of pump is WO 2004 / 01 The details of 2806 A1 are described in great detail. The first and second valve members are many Ceramic materials are excellent sealing capabilities for substances over long periods and for their inactivity. Preferably manufactured. WO 2004 / 012806 A1 (Limited to this type of pump) As also mentioned in (the document), the pump may be a membrane-type pump. As the piston moves, the membrane-type pump replaces the membrane that can be replaced by the piston. It may become so. And as the pistons move, they are related to each other. It is connected to the valve device to allow the first and second valve members to move slidably.

[0022] Preferably, by manual operation of the pump or drive mechanism, simultaneously with other (i.e., drive The operation of a moving mechanism (or pump) occurs. For example, the pressure established by the pump is The drive mechanism may advance the injection needle, and the injection fluid may enter the patient's body through the needle. When discharged by the tip end, the pump pressure rescues the return spring or Other powerful means can be used to retract the injection needle.

[0023] The implanted pump is placed subcutaneously in the patient's body by a mechanical remote control device. By a pressure-sensitive switch positioned for manual operation, or by measurement If the measured fluid level falls below a predetermined threshold, the fluid level of the joint is measured. Then, the pump (and the drive mechanism for the development and / or contraction of the injection needle) It may be activated by a sensor mechanism that operates the pump. Preferably , by the operation of the pump or drive mechanism, simultaneously with other (i.e., the drive mechanism and The pump then starts to operate. For example, the pressure established by the pump affects the drive mechanism. The injection needle may be advanced, and the lubricating liquid may get into the patient's body, causing the injection needle to tip When discharged by the top end, the pump pressure rescues the return spring or other A powerful mechanism allows for the storage of the injection needle.

[0024] If the pump is to be operated and utilized, then proceed and / or join And, within the range of the lubrication device, the lubricating fluid flows directly or indirectly to the joint. The drive mechanism for housing the injection needle into / out to cause this is minimal. It may be provided by a motor. The moving parts may be electrically arranged, for example. The pump and / or drive mechanism may be operated magnetically or electromagnetically. For operating pumps and / or drive mechanisms by hydraulics. In other words, the motor is positioned to operate the pump or drive mechanism. This causes other components (i.e., the drive mechanism or pump) to operate simultaneously. - is also provided for activating any other energy-consuming parts of the infusion device. It might be possible.

[0025] In the context of this invention, the term "motor" refers to a motor driven by the other party rather than manually. Anything that uses energy, including this kind of energy, automatically converts into motion as well. This is hydraulic, or other types of energy, or direct pump, drive mechanism and / or using this type of energy to activate other parts of the device that is being lubricated with oil Thus, for example, in the case of an electromagnetically operated drive mechanism, the drive mechanism part is also motor It may form a part of the "Tar" group.

[0026] The motor forms the part of the device that lubricates the patient's body, and the oil is remotely implanted within the patient's body. The body of the device being referred to is inserted within the range of another patient's body or the body of the lubrication device It is included in the coupling element, which is either conducted or wirelessly transferred to the motor outside the device. It may be provided for either purpose. For example, a motor is affected by an external electromagnetic field. It might be positioned to be driven wirelessly. It is also possible to use it, especially outside the patient's body (e.g., as a primary energy source or battery). Rechargeable battery on the side (to supply energy to the pump and / or drive mechanism for the patient) Place on the skin and / or any other energy-consuming part of the lubrication device. ) is used. The energy source is at least one motor to operate these components. - It may be connected in particular. External energy source for wireless energy transfer , create an external field (e.g., electromagnetic field, magnetic field or electric field) or wave signal (e.g.) It may be adapted to generate electromagnetic waves or sound waves.

[0027] Where the energy is wirelessly transferred to the installed lubrication device, it is wirelessly transmitted. A transformer-forming device that converts this energy into electrical energy may be installed. The conversion device is located outside the patient's body, and the distance between the conversion device and the energy supply means and Preferably adapted to be placed directly under the patient's skin to minimize the amount of tissue. ru.

[0028] Radio energy transfer from energy source and / or energy storage means to converter. The energy transmission device may be adapted to generate an electromagnetic field. Instead, Furthermore, the energy transmission device for wireless energy transfer is adapted to generate a magnetic field. It may do so. Also, wireless energy transfer devices generate electric fields. It may be adapted for this purpose. Radio energy is energy by at least one wave signal. It may also be transmitted by energy transmission devices. This type of signal consists of electromagnetic wave signals. It may be. And infrared light signals, visible light signals, ultraviolet light signals, laser signals, X-ray radiation, which includes at least one of the chromatic wave signal and radio wave signals, transmits signals, and -Radiation signals. Wave signals may also consist of sound or ultrasonic signals. Radio energy is a digital or analog signal or a combination thereof. It may be conducted.

[0029] Instead of, or in addition to, an external energy source, the embedded lubrication device uses energy It may possess its own source. This type of energy source may be a part. A device that applies oil that may be contained within the squid or the main body. However, This is located from the body of the device that is stimulating the remote transplant within the patient's body. It might even be an offprint.

[0030] Preferably, this type of portable energy source includes energy storage means, such as long-life electric energy storage. A pond or, more preferably, an accumulator is provided. The accumulator is refilled It has the effect of being rechargeable. Preferably, the accumulator is a rechargeable battery and It consists of a diaphragm and / or a capacitor.

[0031] Furthermore, when the device is inserted into the patient's body, the primary energy source outside the device is reduced. Is the coupling element for conduction to the humulator or wireless energy transfer outside the patient's body? The accumulator may be charged and supplied. Similarly, the accumulator is a conduction and / or elements for radio energy supplied to at least one motor of the infusion device It may consist of supplying bonds.

[0032] At least one motor may be equipped with an actuation mechanism for manually starting the motor. In addition, it also provides a control device for controlling at least one motor. It is preferred. The control device includes a pump, drive mechanism and / or lubricated oil. It is also used to control any other energy-consuming parts of the device. It is possible that, wherever the device contains an internal or external energy source, this kind of energy —It may even be used to control the source. The control device is based on the individual needs of the patient. This might work. Then, the appropriate amount of medical treatment will be managed at appropriate time intervals. Automatic Effective management can actually save patients.

[0033] Whether the control device is included in the body of the lubrication device, or the device that it is lubricating. Preferably, regardless of whether it is implanted within the range of the patient's body, far removed from the body, Your device consists of an external data processing device located outside the patient's body and a control device inserted into the patient's body. It has a data transfer port for data transfer between the control devices. The data transfer port is connected to the control device. Supervising the administration of the infusion equipment allows it to be adapted to the patient's changing needs. Preferably To provide easy data exchange between the control device and the data processing device, The transmission port is a wireless transfer port for data transfer. For example, during a doctoral visit. Preferably, the control device is programmable to further increase its adaptability. ru.

[0034] The control device, too, is physically mounted externally, regardless of whether or not it has a data transfer port. It may be attached to the patient's skin. The external control device may be any It has the advantage of being easily accessible even in case of failure. It is inserted with an infusion device. Preferably adapted for a wireless remote control device for at least one motor. .

[0035] The control signal transmission device is provided to the implanted motor for wireless communication of external control signals, etc. It may be possible that a device inserted into the patient's body is connected to a wire outside the patient's body. A data transmission interface for sending data in Yares may be provided. No. Furthermore, wireless control signals and / or data transmissions consist of the aforementioned wave signals. It might be. And it could be digital, analog, or a combination of both. It is. More preferably, as energy is transmitted to the motor, the control signal is They may be transmitted similarly. For example, control signals are transmitted by modulating energy signals. It may be done. And this will determine whether the energy signal is digital or analog. It serves as a carrier signal for control signals. More specifically, control signals have frequency, phase, etc. It may be a signal or / or amplitude-modulated signal.

[0036] The feedback is provided away from the control unit, or as such, for the treatment of the patient. These parameters may be set in a series of related parameters. The physical parameters may also be the process parameters of the device. Therefore, at least one feedback sensor is needed to detect this type of parameter. Provided as follows: For example, a feedback sensor is provided for the joint and its lubrication conditions. The level of lubricating fluid may be detected within the range of the joint or other parameters related to it. No. The feedback sensor may be connected to the control unit, and the control unit The system controls the transmission of lubricating fluid to the joint in response to one or more signals from the feedback sensor. It may consist of a control program for them. In addition, or instead, feed The background data may be transferred from the control unit to an external data processing device. Species feedback data may be helpful in a doctor's diagnosis.

[0037] Preferably, the fluid connection devices are each connected to a storage unit and inserted into a common space. It consists of two fluid connection parts, each having an injection member at its open end. After surgery, they join together The pump and / or via the joint (through the first fluid connection part) Alternatively, from the storage unit, and to the pump and / or storage unit (via the second fluid connection) The two fluid connections are positioned within the patient's body to form a circular channel for the lubricating fluid. It may happen. Under the pressure created by the pump or the flexible outer wall of the storage unit, The lubricating fluid may circulate intermittently or continuously through the circular channel. The fluid connection part 2 passes through the fluid connection part 1 and the lubricating fluid of the shared space into which it is fitted. pick up.

[0038] Due to the circular flow path, the lubricating fluid is at least partially reused after passing through the joint. Therefore, the fluid may contain impurities or other substances that may reduce the quality of the lubricating fluid and the desired effect. It will eventually be contaminated by particles from the country. The circular fluid connector of the implanted lubrication device, accordingly Then, a filter connected to a circular channel is used to remove dirty particles from the contaminated circulating lubricating fluid. It may also consist of a filter device having a filter. Preferably, the filter device periodically Adapt to cleaning the filter, and remove particles from the lubricating fluid. Here it is. These removed impurities or foreign particles then settle in a sealed deposit space. It may settle or be returned to the patient's body, for example, to surrounding tissues or blood vessels. Maybe.

[0039] Preferably, the lubricating device should be placed as close as possible to the damaged joint to be lubricated. It may be inserted into the patient's body in various locations, such as the femoral ball or knee. The transplantation of a thigh lubrication device—or part thereof—for lubricating the joints is possible. When an oiling device or, for example, its storage compartment contains a relatively large amount of oil, the storage compartment in the abdomen As refilling may become difficult, refer to oil with a fully filled storage compartment. It may be preferable to insert the device through the storage section. A subcutaneously placed replenishment infusion port to which it is connected may be appropriate in this case. Alternatively, The lubrication device may also be inserted subcutaneously. If necessary, the subcutaneous implant will be lubricated. It increases the possibility of wireless energy and / or data transfer entering and leaving the device. Furthermore, when the lubricating device is inserted subcutaneously, the patient's body can penetrate the skin. It is practically easy to replenish the storage section via the replenishment injection port using the replenishing needle. Yes. Depending on the individual procedure, inserting a device that applies oil within the range of adipose tissue is possible. It may be advantageous, or by intramuscular injection, or adjacent to the joint, if the lubricating fluid is in a specific joint It can be injected into the joint.

[0040] Apart from the lubrication device having the various elements described above, the installed lubrication device according to the present invention It is stored in the storage section and is suitable for introduction into the joint by the installed fluid connecting pipe. It consists of a suitable lubricating fluid. Preferably, the lubricating fluid is the same as the physiological lubricating fluid. The method ensures the erosive action of synthetic lubricating fluids and biological and chemical interactions by the patient's body. It is reabsorbable and biocompatible for this purpose. Preferably, the lubricating fluid is hyaluronic acid And so on.

[0041] In one example where an implantable medical device is present, at least a small number of mammals are co-existing. Each of the two contact surfaces (furthermore, the medical device comprising) has at least one surface layer. The shared artificial contact surface being replaced (when implanted in the human or mammalian body) Adapted to lubricate the weight that brings at least one artificial contact surface to the surface. And at least one outlet has been adapted to receive the lubricating fluid, so the storage The storage unit, and the device, for the health check, dispenses an oiled fluid from the storage unit. and an artificial operating device is used to transport it to the aforementioned at least one artificial contact surface. It was adapted to be operable.

[0042] Does the implantable medical device include the storage section and joint which are spaced apart? It may consist of a conduit for fluid connection between the storage section and the joint. .

[0043] The implantable medical device may have a storage section adapted for placement under the skin. i, or, in the cavity of the body of the patient's region selected from a group of regions: a. Abdomen, b. Groin, c. The pelvic region, and, d. Thigh area.

[0044] The implantable medical device may be placed in the abdomen in this manner.

[0045] The replacement injection port may be suitable for subcutaneous implantation, or it may be related to bone. Maybe.

[0046] The implantable medical device is an artificial contact surface and is attached to the waist or hip of a human or mammalian patient. It may be adapted to lubricate the opposite contact surface of the knee joint.

[0047] Having a surface layer that provides mid-vein and lateral contact weight (the implantable medical device Suitable for lubricating the artificial contact surface on the mid-side of the knee joint of a human or mammalian patient. (May respond) Knee joint.

[0048] Having a surface layer that provides mid-vein and lateral contact weight (the implantable medical device To lubricate the artificial contact surface on the lateral side of the knee joint of a human or mammalian patient (May adapt to) the knee joint.

[0049] A mammalian joint having at least two contact surfaces. The medical device is at least mammalian At least one person returned at least one surface layer of the joint contact surface to the joint. It is adapted for lubricating the contact surfaces of the workpiece. Furthermore, the medical device receives lubricating fluid from the storage unit. It consists of at least one entrance adapted for taking in.

[0050] Typically, at least one channel is used to distribute the lubricating fluid to the surface layer of the artificial contact surface. In association with at least one entrance, at least partially accumulates on the artificial contact surface. The medical device is operated by an operating mechanism to dispense an oiled fluid from the storage unit. It can be adapted to be capable of intermittently injecting lubricating fluid, or it is necessary This reduces friction in key joints and allows for the optimal level of lubrication of the joints. do.

[0051] According to one embodiment of an implantable medical device, a lubricating fluid is used to oil an artificial contact surface. Distributing to the surface layer of an artificial contact surface on two or more parts of the contact surface is appropriate. This is possible. The distribution of multiple parts allows for a more uniform distribution of the lubricating fluid. Cut.

[0052] According to other embodiments, the storage area is located subcutaneously or in relation to the bone to retain lubricating fluid. The adapted medical device could be an implantable storage unit placed in the cavity of the main body.

[0053] The implantable medical device is an artificial contact surface for lubricating the artificial contact surface from the storage unit. It can further consist of a working device adapted for transporting lubricating fluid.

[0054] According to one embodiment, the storage section can be adapted to retain the lubricating fluid, and this In the application specification, the operating device according to any of the embodiments dispenses oil from the storage unit to the artificial contact surface. It can be adapted to deliver lubricating fluid to artificial contact surfaces.

[0055] The operating device may consist of a storage unit according to any of the embodiments described in this specification. It is then pre-loaded with pressurized lubricating fluid.

[0056] According to another embodiment, an injection port is used to pre-load a storage unit containing pressurized lubricating fluid. By injecting into the port, the implantable medical device can be adapted to the implantable injection port. It can become even more.

[0057] The implantable medical device, according to one embodiment, completes the bonding of the storage section and the artificial contact surface. It can further consist of valves adapted for this purpose. The storage unit is connected to an artificial contact surface and another device. It can adapt to being placed and is connected to an artificial contact surface that has conduits. It can be adapted to. The storage section has a movable wall section that can be adapted to move and change the amount of storage. The wall section, which can consist of minutes, is a driven wall section, which can consist of a motor. I did it.

[0058] According to other embodiments, the implantable medical device is integrated on an artificial contact surface, and partially It consists of at least one outlet and at least one deeper channel. Medical devices can be adapted to allow the circulation of lubricating fluid; The fluid is discharged from the outlet and from the inlet onto the artificial contact surface, and from the artificial contact surface onto the outside. The surrounding is performed by an operating device that adapts to circulate the lubricating fluid. Yes, it is possible. The rotating system has a storage unit that adapts to add fluid to the circulating lubricating fluid. It may consist of a filter for cleaning the circulating lubricating fluid.

[0059] The operating device according to any of the embodiments intermittently delivers lubricating fluid to the artificial contact surface. It can adapt to the user.

[0060] A portable health check device that can do so according to one embodiment is joint or This is to adjust the pressure or lubricating fluid or the operating device to match the flow of the lubricating fluid to an artificial contact surface. The physical parameters are detected within the volume of the functional parameters of the control device. It consists of sensors that adapt to the task.

[0061] The storage section according to any of the embodiments may be connected to an artificial contact surface by a conduit. To connect the conduit to any part of the medical device, the inlet may consist of a connector. Yes, it is possible. The conduit may consist of multiple parts according to any of the embodiments. This can be adapted because each is connected by an interconnect. The first conduit The part may be related to the medical device, and the second part of the conduit may be related to the storage part. It is possible to have a conduit that matches the embodiment, which is the bone of the main body for long-term preservation. The method of passage is recognized as allowing the lubricating fluid to adhere to the artificial contact surface and opening at the bone. It can be adapted for this purpose. In other embodiments, the conduit can be used for long-term storage of the main body. In the same capsule, the method of passage is adapted to recognize that it is open in a shared capsule. The lubricating fluid can adhere to the artificial contact surface, and in another embodiment, the conduit can be aligned. This involves the acetabulum adapting to pass through the pelvis from the opposite direction, and then the hip joint moving forward. This is a record.

[0062] Implantable medical devices are those in which the artificial contact surface of the medical device is partially or at least adapted. In which of the possible cases would the contact surface of the acetabulum be replaced by the patient and / or femur? It can be adapted for lubricating the hip joints of the head.

[0063] The implantable medical device can be oiled on a second artificial contact surface according to one embodiment. In one embodiment, to match the first artificial contact surface, a convex shape is provided towards the center of the hip joint. The second artificial contact surface is provided with a concave shape towards the center of the hip joint. The artificial contact surface is adapted to this reverse embodiment for fixation to the pelvis of a human patient. Furthermore, the second artificial contact surface is adapted for fixation to the femur bone of a human patient. From the ventral side of the pelvis (an operational method that allows the hip joint capsule to be completely preserved), artificial The contact surface can be adapted to be introduced into the hip joint through the pelvic opening.

[0064] The storage area matches one embodiment, or at least partially within the patient's bone, Because it is located inside, it can be adapted, bone, for example, the femur of a patient, bone It could have been a disc or a colic-chimney femur.

[0065] In other embodiments, the storage unit can be adapted to be placed subcutaneously, In the cavity of the main body (which could be a cavity in a region selected from a group of regions), hand: abdomen, Groin, pelvic region, and thigh region.

[0066] The implantable medical device comprises an injection port for filling a storage section according to one embodiment. It is possible. The injection port may consist of a self-sealing membrane. And it This could be, for example, a parylene-coated silicone membrane. In relation to the bone, or the cavity of the body. In the cavity, the injection port can be adapted for subcutaneous implantation.

[0067] The storage section can be adapted to store the lubricating fluid under pressure. To achieve this, the storage section is either a spring that is placed on top of it, or a chamber adapted to hold the compressed gas. It can be made of a resilient wall that adapts to create pressure. It is possible. In one embodiment, the storage section is made to match the parylene-coated silicone rubber wall. It is provided.

[0068] In one embodiment, the storage section is made consistent with the original design, and a parylene-coated silicone rubber wall is provided. It is said that, according to other embodiments, the implantable medical device is used to lubricate the patient's knee joint. To adapt. To match an artificial contact surface that is lubricated with oil, at least partially. The femoral bone (which may be the contact surface of the tibia and / or femur) that can be adapted. Replace the contact surface of (t).

[0069] According to one embodiment, the medical device is located in the middle or lateral part of the contact surface of the tibia at the knee joint. At the very least, it is suitable for lubricating one, and according to other examples, it is suitable for implantable medical devices. The oil is applied to at least one of the intermediate or lateral parts of the contact surface of the femur bone at the knee joint. It is adapted for this purpose. In yet another embodiment, the medical device is the bone of the femur of the knee joint. It is suitable for lubricating the contact surfaces and the contact surface of the tibia bone in the knee joint.

[0070] In one embodiment, the storage section according to any of the embodiments is suitable for being replenished from outside the human body. Responding and replenishing can be done through a portable injection port.

[0071] According to one embodiment, the storage section is adapted to maintain pressure, and it is connected to the injection port. This can be increased by injecting lubricating fluid.

[0072] The implantable medical device in any of the examples is a part of the system and therefore is applicable. Yes, it is possible. And it also allows for manual and non-invasive control of implantable medical devices. In patients between and , it can consist of at least one implantable switch. The system allows the operating device to control the lubrication performed by the medical device. .

[0073] The system further comprises a hydraulic device having an implanted fluid storage unit according to one embodiment. Yes, it is possible. And it can be hydraulically connected to an implantable medical device. The medical device is adapted to be adjusted non-invasively by manually pressing the fluid reservoir. It is possible.

[0074] According to other embodiments, the system is used to control implantable medical devices non-invasively. It can be made from a wireless remote control device. The wireless remote control device is at least one It may consist of two external signal transmitters and / or receivers. For patients to receive signals sent by a transmitter or to send signals to an external signal receiver. It further comprises an implanted internal signal receiver and / or transmitter. Wireless remote control The device transmits at least one wireless control signal for controlling an implantable medical device. Therefore, it can be further adapted. Wireless control signals can consist of frequency (amplitude). Alternatively, the modulated signal or a combination thereof can be performed stepwise. The remote control device is further adapted to send electromagnetic carrier signals to carry control signals. It is possible.

[0075] According to other embodiments, the system is a non-invasive, implantable medical device with radio energy. Wireless energy to power portable energy-consuming components in a location. It can consist of a transmission device. Radio energy can consist of wave signals. Yes, it is possible. And you can choose from the following: sound waves, ultrasonic waves, electromagnetic waves, infrared waves. Optical signals, visible light signals, ultraviolet light signals, laser light signals, microwave signals, radio wave signals, X-ray radiation Linear signals, gamma radiation signals, electric fields, magnetic fields, composite electromotive objects, and magnetic fields.

[0076] The control signals of the system can consist of electric fields, magnetic fields, composite electromotive objects, and magnetic fields. Signals consist of analog signals, digital signals, or combinations of analog and digital signals. This is possible to drive the energy-consuming components of an implantable medical device. Therefore, a portable system can consist of a portable internal energy source. According to the example, the system does not use an external energy source to transfer energy in wireless mode. Yes. In this configuration, the internal energy source is charged by energy transferred wirelessly. It is possible.

[0077] In more detailed embodiments, the system may further consist of sensors, or phi Feedback information is sent from the internal energy source (and from inside the patient's body to the outside). It correlates with the transfer of energy to charge the feedback device that sends the data. A measuring device that detects or measures functional parameters is detected by a sensor. This could be related to functional parameters that are either performed or measured by a measuring device.

[0078] In yet another embodiment, the system is external to the patient's physical parameters. Feedback information relating to at least one of the following and machines related to implantable medical devices A feedback device that sends feedback information from inside the patient's body to functional parameters. It can become even more.

[0079] In one embodiment of the system, the patient detected by the sensor has physical parameters A system for controlling an implantable medical device in response to information related to at least one of the data. It can further consist of sensors and / or measuring devices and implantable internal control devices, This relates to implantable medical devices that are detected by sensors or measured by measuring devices. It was accurately measured using measuring devices and functional parameters. The physical parameters were The motion could be pressure-based or dynamic, depending on the embodiment.

[0080] The system matches one embodiment, the external data communicator (the communicator is Data related to implantable medical devices or patients can be entered into an external data communicator. The call / or external data communicator puts data into the internal data communicator. External data communicators and portable internal data communicators that communicate with the internal components. It can become a junction box.

[0081] In this specification, any system according to the examples is a motor or an implantable medical device. From a pump for operating a hydraulic operating device that operates a device or implantable medical device It is possible. The operating device is used to activate the implantable medical device in its place. It can consist of a servo motor designed to reduce the force required. An action device that travels a long distance, increasing the time for the determined movement.

[0082] According to one embodiment, the system further comprises an operating device for operating an implantable medical device. This is possible. Wireless energy is transmitted by an energy-transmission device. As this continues, the wireless energy generates kinetic energy for the operation of the implantable medical device. It can be used in its wireless state to directly drive the operating device. The system converts energy from the first form to the second form energy in an energy-transmission device. Therefore, it can also consist of an energy conversion device for converting transmitted radio energy. Cut.

[0083] The energy conversion device converts to a second form of energy through the energy-transmission device. As the first form of energy is transmitted and converted, the energy converter directly converts the second form of energy. Components that consume the portable energy of an implantable medical device having form energy It can be adapted to drive the element. The second form of energy is DC, pulsating. It can consist of at least one of direct current and alternating current. Energy is at least one magnetic energy, kinetic energy, solid energy. - Chemical energy, radiant energy, electromagnetic energy, photographic energy, nuclear energy Thermal energy, non-magnetic energy, non-kinetic energy, non-chemical energy, non-sound energy It can consist of nuclear energy, non-nuclear energy, and non-thermal energy.

[0084] To protect the system or a part of the system, the system has at least one voltage range Embedded electrical convection guard including bell guard and / or at least one constant current source guard It can be made up of components. The control device is energy transmission It can be positioned to control the transmission of radio energy from the device, and transmit An implantable internal energy receiver for receiving transmitted wireless energy, the recipient directly It is connected to an energy-consuming component of an implantable medical device. The internal energy that is generated or indirectly supplied to it receives energy in return. Furthermore, the system uses energy between the energy received by the internal energy receiver. It can further consist of a determination device adapted to determine the balance of energy Energy is used for the components of implantable medical devices that consume transplantable energy. The control device receives wireless energy from an external energy-transmission device. It can be adapted to control transmission. And the energy measured by the determination device. Based on balance.

[0085] The determination device can be adapted to detect changes in energy balance, control The device controls the transmission of wireless energy based on detected energy balance changes. It can be adapted to the user. The judgment device receives the internal energy receiver. Energy and the components that consume the energy of implantable medical devices It can adapt successively to detect the differences in energy used, and The control device is suitable for controlling the transmission of wireless energy based on the detected energy difference. I can respond.

[0086] Energy transmission devices transmit radio energy internally to the human body. Continuously pulling and electrical pulses to change the force Transmitting an electrical pulse and trailing edge that has radio energy between the edge and the lead. An electrical pulse is generated, leading continuously and changing the first time interval between the trailing edge and the lead edge. To do this, an adapted electrical circuit and / or an external coil with a second time interval is driven. To connect to the human body and electrical circuits, implantable energy devices are successively placed in these circuits. It can consist of a coil that is externally positioned (which may further consist of a receiver). An energy receiver is a versatile force that receives transmitted wireless energy. The electrical circuit is, In order to remain constant except for changing the first and / or second time intervals It can be adapted to discharge electrical pulses.

[0087] The system matches one embodiment, where the length of the first and / or second time intervals is multiple. In order to change the first constant as color, the time constant and the range of the first are adapted. An electrical circuit with a second time interval can be made, the transmission power on the coil is diverse That is the case.

[0088] An embedded internal energy receiver for receiving radios that can do so. The device has a first coil and an external second coil for transmitting radio energy. The transmitter and the second coil (the external second coil of the energy transmitter is the energy receiver) The second coil is connected to the first coil which transmits the radio energy received by the second coil. The internal first coil and first electronic are connected to an external energy transmitter for the electronic circuit. The system consists of a circuit and further comprises an internal first coil connection to the first on / off switch. The feedback information related to the switch, which is entrusted to the first coil, is transferred to the electronic circuit. The information is transmitted to the external energy transmitter in the form of an impedance change in the load of the external second coil. Therefore, it is received. At that time, the power switch turns the internal first coil on / off. The connection is moved to the first electronic circuit.

[0089] The system is an implantable internal energy receiver for receiving wireless energy, internal Energy receiver having a first coil and a first electric connected to the first coil It can also consist of sub-circuits, and external energy for conducting wireless energy The transmitter, energy transmitter having an external second coil, and second electronic circuit are second carp It was connected to the energy transmitter. There, the external second coil of the energy transmitter was connected to the energy relay. The amount of energy that transmits the radio energy received by the first coil of the CEVER. The system, which further consists of a feedback device that transmits information to the outside, is a system that uses feedback information as feedback information. The first coil received feedback information, and the second electronic circuit received the feedback information. The first carp is used to obtain a coupling factor between the first and second A second carp has feedback information related to the amount of energy received in the carp. A coil including a determination device for comparing the amount of energy transferred by the coil.

[0090] In an embodiment in which the system consists of an external second coil, the external second coil is the second coil To establish the optimal placement of the coil, it is necessary to adapt to the movement of the internal first coil. Yes, it is possible. In that case, the coupling factor is maximized. The external second coil is feed The amount of energy transferred in order to determine the background information is adjusted. It can also be adapted to the purpose. After that, the coupling factor is maximized.

[0091] According to the second aspect, inserting a medical device according to any of the embodiments in the present specification Further methods are provided. The method includes the following steps: at the joint It reaches out from outside the human body, providing an artificial contact surface to the joint, An artificial contact surface is fixed to the base, and the storage part is inserted into the human body, and the storage part contains Creating openings on an artificial contact surface that are lubricated using a lubricating fluid.

[0092] The lubricating fluid contained in the storage unit is used to lubricate the shared contact surface or the artificial contact surface. The TEPP inserts an operating device that adapts to transport bodily fluids from the storage area to the artificial contact surface. This can consist of using the lubricating fluid contained in the storage section to create artificial The step of applying oil to the contact surface coincides with the use of an energy source to drive the operating device. It is provided for this purpose.

[0093] In yet another embodiment, the lubricating fluid contained in the storage unit is used to form a common contact surface Alternatively, the step of applying oil to an artificial contact surface drives an operating device that uses an energy source. It can consist of doing.

[0094] The step of inserting the storage unit into the human body is performed according to one embodiment, where the storage unit is accumulated. The process may consist of inserting the operating device into the storage section. The step of lubricating the artificial contact surface using a lubricating fluid is permitted. Then, from the storage unit, the artificial An operating device is used to transport the fluid to the contact surface.

[0095] Inserting the storage unit, it is partially and minimally found in the patient's bone, matching any of the examples. It can also consist of the step of inserting the storage part into the patient's femur bone. It could have been the patient's tibia and / or pelvis.

[0096] The step of providing an artificial contact surface involves providing an artificial contact surface from the abdominal side of the pelvis. It can consist of steps.

[0097] The step of inserting the storage unit into the human body consists of the step of inserting the storage unit subcutaneously. Yes, it is possible. Placing the storage area subcutaneously allows for simple inflow and outflow to the reservoir, and injection port This eliminates the need for long conduits between the fuel tank and the storage area.

[0098] The step of inserting the storage portion subcutaneously is performed by selecting from a group of regions that constitute the storage portion. This may consist of the step of implanting in at least one area of ​​the patient's body: abdomen, groin, Pelvic region, thigh region, and calfskin region.

[0099] A more advanced step is to install injection ports to fill the storage section. This is possible. The implantation of an injection port consists of the step of implanting the injection port in relation to the bone. It is possible.

[0100] In one embodiment, a medical device is adapted to provide the weight of the patient's joints. The artificial contact surface consists of at least one contact surface for transporting lubricating fluid. A method that can consist of channels, consisting of the following steps Inserting a medical device into a human patient's joint and inserting a conduit is connected to the medical device. It was adapted to be there. Then, an operating device that transports lubricating fluid inside the conduit was inserted, A reservoir is inserted to maintain the lubricating fluid, and at least from the reservoir to the conduit, Furthermore, after surgery, the artificial contact surface, through the channels of the artificial contact surface, is operated by a device. Lubricating fluid was transported and applied to the artificial contact surface.

[0101] Typically, the lubrication device is inserted during conventional surgery, or via endoscopic or laparoscopic methods. They might be admitted. Furthermore, some have developed injection needles for the intermittent introduction of lubricating fluid and for the continuous introduction of lubricating fluid. A method of inserting an oiling device having an injection tube is not distinguished from a method of inserting an oiling device having an injection tube. It must be done.

[0102] By supplying lubricating fluid to the joints using an implantable lubrication device, the human body or In methods for dealing with mammalian joints (e.g., osteoarthritis of the lumbar or knee joints in humans), A suitable area, including the area of ​​the puncture site, is freely incised in the patient's body during surgery. This involves cutting the patient's skin and making an incision in the appropriate place for the lubricating fluid to enter the storage area. It may include. Furthermore, it seems that the fluid connecting pipe may introduce lubricating fluid into the joint after the surgery. In this manner, the lubrication device is placed in a suitable, open space that has been cut open. For this purpose, holes are made in the joint capsule within the free region of the joint that has been cut open. The open end of the injection tube is then continuously stored in the joint after surgery. To be placed in a continuous communication having a joint for injecting a lubricating fluid, The injection tube is inserted into the hole. In other words, firstly, the opening end of the injection pipe has a permanent joint that is lubricated. The injection tube is fitted into the hole so as to be kept in connection, and secondly, the injection tube is It is in contact with the fluid connection device, and in the storage section as shown here. After the lubrication device is installed, the patient's body will close so that the lubrication device is fully inserted into the patient's body. . This process is carried out in layers and by means of suture, staple or adhesive, etc. This might be a desirable outcome. Finally, after the transplanting process, the operation of the planted lubrication device ensures that the joint is properly lubricated. As indicated, the lubricating fluid is introduced into the storage area after the procedure.

[0103] Alternatively, if the fluid connecting pipe consists of an injection needle that operates intermittently as an injection member, The installation of the lubrication device in the appropriate location and area of ​​the incised opening is controlled by the drive mechanism of the injection needle. The joint may intermittently insert the injection needle and retract. This is achieved by positioning the injection needle in a close relationship with the open area. The in-to-out of the joint where this type of lubricating fluid is stored in the reservoir is the joint It is injected intermittently. In other words, by intermittently lubricating the joint, it connects to the drive mechanism. A suitable drive mechanism then introduces the joints, etc., that are subsequently stored. Therefore, as it may do so, the injection needle is directed towards the incised free area of ​​the joint. To be placed in a close relationship.

[0104] Other methods of treating human or mammalian patients with implantable lubrication devices include endoscopy. Laparoscopic technology may involve injecting lubricating fluid into the joint by an injection member. It will be used to create an area of ​​input. First, this area of ​​the joint involves inserting a needle-like or tube-like instrument into the patient's body. Then, the tissue is filled with gas, and this expands the cavity near the joint. Introducing gas using eedle / tube-like appliances creates a close relationship in the air. The cavity is created by expanding the joint. After that, at least two laparoscopes / endoscopic trocars are placed in the cavity, and then the turtle The laparoscope and at least one incising tool are inserted using a laparoscopic trocar. The joint area is then incised with the incising tool that is inserted. Furthermore, the remaining components of the lubrication device can be freely cut open in appropriate locations (e.g., storage section, port (Lamp or motor, etc.) The lubrication device is then placed in a suitable location so that the lubricating fluid is introduced into the joint. The fluid connecting tube, which has an injection member, is positioned in the laparoscopically incised region of the joint. . After the lubrication device is installed, the patient's body is positioned in such a way that the lubrication device is fully inserted into the patient's body. Therefore, close it. After that, the joint is properly lubricated by the fluid connection device and the injection member. The lubricating fluid can be introduced into the storage area after the surgery.

[0105] Using a laparoscopic method, an injection device having an injection tube or injection needle may be inserted. do not have. In the former case, the storage section is placed in a suitable location, and the hole is laparoscopically cut into the joint. It is formed in a shared capsule in an open area, and the open end of the tube is a joint The joint is placed in a continuous communication with a stored lubricating fluid. The injection tube is fitted into the hole so that it may be sprayed continuously. In the latter case, after placing the storage unit in a suitable location, the drive mechanism stores the lubricating fluid. The injection needle is positioned in the joint (and, The injection needle and drive mechanism may be intermittently introduced (and retracted) into the injection needle and drive mechanism. The canism is placed in close relation to the laparoscopically incised area of ​​the joint.

[0106] Closing the patient's body or especially the skin, is done with sutures, recorded on tape, and other This might include, for example, appropriate technologies. The lubrication device may be placed in the patient's body or subcutaneously within the area of ​​adipose tissue. Or, by intramuscular injection. If appropriate, the lubrication device may be placed in or adjacent to the patient's gastrointestinal tract or urinary area. They might be placed there. When it is positioned adjacent to the road, it is connected to the lubrication device by a retainer. It may become attached to the intestines or urinary tract. Another method involves the lubrication device being placed on the patient's chest or abdomen. It might be placed there. For example, the storage unit may be located in the abdominal or thoracic cavity. Alternatively, the lubrication device or its components (e.g., storage units) may be implanted through open surgery. It may be. There, for example, preferably sutured in layers, and by the sutures Therefore, the lubrication device is placed in an appropriate location within the range of the patient's chest or abdominal wall. In cases where an incision is made, the skin and other layers of tissue then close. Preferably connected to and / or around the storage unit (e.g., the storage unit) for replenishing the storage unit. The process involves injecting the amount of lubricating liquid through the injection port where it is collected.

[0107] Functional hip movement is understood as hip movement that corresponds, at least partially, to the natural movement of the hips. It is scheduled to happen. In some cases, the natural movement of the hip joint may be somewhat restricted or the hip joint may be injured. It may be possible to change it after the surgery. And it may not be the same as the natural, functional hip movement of the hip joint. It creates functional hip movement in the hip joint, which has a slightly different artificial surface.

[0108] The functional position of an implantable medical lumbar device or prosthesis is the functional lumbar movement of the hip joint. This is a position where you can perform that task. The final position is a functional position where the medical device does not require deeper positional changes. It is intended to be understood as a composition.

[0109] Functional knee movement should be understood as knee movement that corresponds, at least partially, to the natural movement of the knee. It is scheduled to happen. In some cases, the natural movement of the knee joint may be somewhat restricted or the knee joint may be affected. It may be possible to change it after the surgery. And it may not be the same as the natural functional knee movement of the knee joint. To create functional knee movement in a knee joint with a slightly different artificial surface.

[0110] The functional position of an implantable medical knee device or prosthesis is the functional knee movement of the knee joint. This is a position where you can perform that task.

[0111] A functional knee joint is a functional knee with or without implanted medical devices or prostheses. It is a knee joint capable of performing movements.

[0112] When the medical device is inserted into the knee joint, the complete functional size is understood as the dimension of the medical knee device and has been so understood.

[0113] Arthroscopy is understood as a key arthroscopic surgery performed in the joint ever since arthroscopic procedures could be performed in the patient's abdomen. Some steps of this arthroscopic procedure are more laparoscopic, and the inventions called arthroscopic and laparoscopic examinations, how exactly are they synonymously used for this, and what is the minimally invasive one among them that is intended for the present invention we mean? is the least invasive one for the present invention we intend among them.

[0114] The medical device according to any of the embodiments can consist of at least one selected from the group consisting of: Polytetrafluoroethylene (PTFE), perfluoroalkoxy (PFA), fluorinated ethylene propylene (FEP). It is further conceivable that the material consists of a metal alloy (e.g., cobalt-chromium-molybdenum or titanium or stainless steel), or polyethylene, e.g., cross-linked polyethylene, or gas-sterilized polyethylene. Among the ceramics used, for artificial contact surfaces or all medical devices (e.g., zirconium or zirconium dioxide ceramics or alumina ceramics), it is also conceivable that the material is considered. The part of the medical device that contacts the human bone for fixing the medical device to the human bone is adapted to promote the growth-in of the human bone of the medical device for fixing the medical device. It can consist of a poorhouse structure that could be a porous micro or nanostructure. Porous structures are hydroxyapatite (HA) coated or roughly open-por Applied titanium coating (which can be achieved by air plasma spraying) It can be provided by using it. And the combination consisting of rough is titanium The coating was open-pored, and the HA surface layer is also a possibility. The contact area is made of a waxy-modified polymer (e.g., PTFE, PFA, FEP, PE, or UHMWP). E) Self-oiled material or powder metallurgical element that can be sprayed with lubricant It could be made of a material. And it preferably has a biocompatible lubricant (e.g. For example, Hyaluronic acid derivatives. In this specification, the material that comes into contact with a part or surface of the medical device is always or intermittently It's conceivable that they might adapt to being lured into oil. According to some embodiments, parts or components of a medical device are made of metal and / or carbon fiber. or / or combinations of boron, combinations of metal and plastic materials, metal and carbon A combination of materials primarily composed of carbon, a combination of materials primarily composed of carbon and plastic. A combination of flexible and rigid materials, a combination of elastic and less elastic materials, Corian or It can consist of an acrylic polymer.

[0115] Any embodiment or part of the embodiment in any form or by any method or part of the method Note that they can be joined in a similar manner. In this specification, all embodiments are generally described in any way that may be combined with the general description. Therefore, it must be seen as part of the candidate pool. Note that the general description should be considered to describe both the apparatus and the method. Also.

[0116] If this kind of combination is clearly not incompatible, the various above-described features of the embodiments may be combined in any form. Also, the individual features of each embodiment may be combined or exchanged, as long as this kind of combination or exchange is clearly not incompatible with the overall function of the apparatus. The embodiments are described in more detail with respect to the currently attached drawings. Also, the individual features of each embodiment may be combined or exchanged, as long as this kind of combination or exchange is clearly not incompatible with the overall function of the apparatus. Also, the individual features of each embodiment may be combined or exchanged, as long as this kind of combination or exchange is clearly not incompatible with the overall function of the apparatus.

Brief Description of the Drawings

[0117] [Figure 1] Showing the body of a patient having an implanted oil injection device for the hip joint and / or the knee joint. [Figure 1A] Illustrating the hip joint and, respectively, the knee joint having the injection member of the implanted oil injection device implanted therein in FIG. 1. [Figure 1B] Illustrating the hip joint and, respectively, the knee joint having the injection member of the implanted oil injection device implanted therein in FIG. 1. [Figure 1C] Showing a lateral view of the knee joint where the medical device was provided. [Figure 1D] According to one embodiment, showing a cross-sectional medical device. [Figure 1E] Illustrating the main components of the implanted oil injection device; [Figure 1F] Showing a motor-driven implanted oil injection device establishing a circular flow path. [Figure 2A] Showing an implanted oil injection device having an injection needle and a drive mechanism. [Figure 2B] Showing schematically the oil injection device of FIG. 2A with some modified aspects. [Figure 2C] Showing a cross-sectional view of a compact embodiment of an implantable infusion device. [Figure 2D]A suitable motor-driven pump unit is shown in relation to the embodiment illustrated in Figure 1F. [Figure 3] A medical device is shown according to one embodiment, which consists of an artificial contact surface. [Figure 4] A cross-section of a medical device is shown according to one embodiment, which consists of an artificial contact surface. [Figure 5] This is a frontal view of a human patient showing the hip joint. [Figure 6] When a laparoscopic / arthroscopy procedure is performed, the lateral view indicates what is seen in cross-section within a human patient. [Figure 7] This shows a cross-section of the hip joint where a hole is formed in the pelvic bone. [Figure 8a] This shows a cross-section of the hip joint where a small hole is created in the pelvis. [Figure 8b] This shows a cross-section of the hip joint where a medical device was installed through a hole in the pelvis. [Figure 9a] This shows a cross-section of the hip joint where a medical device is installed through a hole in the pelvis. [Figure 9b] This shows a cross-section of the hip joint where a medical device was installed through a hole in the pelvis. [Figure 10] When a medical device connected to an implantable lubrication system is installed, the hip joint is shown to be a cross-section. [Figure 11a] The present specification shows surgical instruments used in a method of providing a medical device according to any of the examples. [Figure 11b] The present specification shows surgical instruments used in a method of providing a medical device according to any of the examples. [Figure 11c] The present specification shows surgical instruments used in a method of providing a medical device according to any of the examples. [Figure 12] This shows a cross-section of the hip joint where a medical device was inserted and connected to an implantable storage unit. [Figure 13a] This shows a lateral view of the hip joint ion region, where the hole is formed by the femur bone. [Figure 13b]This shows a cross-section of the hip joint where a medical device is installed through a hole in the femur. [Figure 13c] This shows a cross-section of the hip joint where a medical device was installed through a hole in the femur. [Figure 13d] This shows a storage unit adapted for more detailed connection to medical devices. [Figure 14] This shows the injection of lubricating fluid into a transferable injection port. [Figure 15] The reverse example of an implantable medical device is shown. [Figure 16] The cross-section of the hip joint shows the placement of the implantable medical device in the reversed embodiment. [Figure 17] The cross-section of the hip joint shows the placement of the implantable medical device in the reversed embodiment. [Figure 18] The cross-section of the hip joint shows that the implantable medical device in the reverse embodiment was positioned and connected to the storage section. [Figure 19] This shows a frontal view of the knee joint of a human patient. [Figure 20] This is a frontal view of a human patient's knee joint, showing that a medical device was installed. [Figure 21] This shows a pierced lubrication system. [Figure 22a] The lateral view of the knee joint where the medical device was located shows that it was applied to the femur bone. [Figure 22b] The lateral view of the knee joint where the medical device was located shows that it was applied to the tibia bone. [Figure 23] This shows a medical device consisting of an artificial knee joint surface. [Figure 24] This shows a medical device consisting of an artificial knee joint surface in cross-section. [Figure 25a] This refers to a medical device consisting of multiple medical device sections. [Figure 25b] This refers to a medical device that consists of multiple medical device sections during assembly. [Figure 26] This shows the placement of a medical device consisting of multiple medical device parts when fixing it to the tibia bone. [Figure 27]The image shows an implantable medical device according to an example, fixed to the tibia and connected to the storage and injection ports. [Figure 28] This diagram shows a frontal view of a patient's body in which an implanted lubrication system was installed. [Figure 29] A more detailed view of the embedded lubrication device is shown below. [Figure 30] A more detailed view of the embedded, rotating lubrication system is shown. [Figure 31] More specifically, the embedded, rotating lubrication device, consisting of filters, is shown. [Figure 32] This shows an implantable lubrication device applying oil to the surface of an artificial hip joint. [Figure 33a] A portable lubrication device consisting of a retractable needle, representing the first state. [Figure 33b] This shows an implanted lubrication device consisting of a retractable needle in the second state. [Figure 34] This indicates a system for treating a disease, and that the system includes the device of the present invention which is implanted in a patient. [Figure 35] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 36] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 37] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 38] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 39] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 40] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 41] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 42]Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 43] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 44] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 45] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 46] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 47] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 48] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 49] Various embodiments of a system for wirelessly driving the device shown in Figure 34 are schematically illustrated. [Figure 50] Figure 34 is a schematic block diagram illustrating a device for supplying the precise amount of energy used to operate the device shown. [Figure 51] Schematically, the system's embodiment shows that the device was operated by energy connected to a conductor. [Figure 52] This is a more detailed block diagram of the device used to control the transmission of radio energy for the operation of the device shown in Figure 34. [Figure 53] Figure 52 shows a circuit for an apparatus that matches a possible embodiment. [Figure 54] This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Figure 55] This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Figure 56]This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Figure 57] This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Figure 58a] This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Figure 58b] This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Figure 58c] This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Figure 59] This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Figure 60a] This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Figure 60b] This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Figure 60c] This shows a pneumatic tire implanted in a patient, which is driven by various methods or devices for positioning hydraulically applied machinery. [Modes for carrying out the invention]

[0118] A detailed description of preferred embodiments is given below. In drawings, reference numbers indicate elements that are identical or corresponding throughout a multi-digit sequence. . These figures are for illustrative purposes only and do not limit the scope in any way. It's not worth mentioning. Thus, any reference to direction is, for example, "up" or "down" as shown in the diagram. It is only related to direction. Furthermore, no dimensions are specified. In the diagram, the purpose is shown for illustrative purposes only.

[0119] Any embodiment or part of the embodiment in any form or by any method or part of the method Note that they can be joined in a similar manner. In this specification, all embodiments are generally described in any way that may be combined with the general description. Therefore, it must be seen as part of the candidate pool.

[0120] Figure 1 shows the main body 1401 and the joints stored in the storage section for lubrication. A patient having an implanted lubrication device consisting of two fluid connecting tubes 1402 for transporting lubricating fluid. These are the hip joints and knee joints, which are located in the body. For this purpose, the main body 1401 consists of a storage section for storing lubricating fluid, and is deeper It may also consist of various components (for example, a pump, motor, control device, etc.). The joint does not properly lubricate any external components or injections after surgery. The lubrication device (i.e., all its components) can be fully lubricated to the patient's body. It can be transplanted, and it significantly reduces the risk of infection for the patient. Depending on the type of joint and the severity of the damage to the joint, the joint It may be oiled intermittently / periodically, continuously, or as needed. And within the contact point, it depends, for example, on the surface of the lubricating fluid. Usually, it is easily accessible, for example, between refilling the storage unit or The main body of the lubrication device prepares its function or operating mode via a wireless control device, etc. The main body 1401 may be implanted subcutaneously.

[0121] In Figures 1A and 1B, the two oiled joints shown in Figure 1 (hip joint and knee joint) Each joint is illustrated in more detail. In Figures 1A and 1B, the fluid connecting pipe 1402 is at its end, and the lubricating fluid is finally connected to the joint. It can be seen that it is equipped with an injection member embedded in a shared space where it is brought in. ,1A shows an injection needle 1403 being injected in a common capsule into the common space of the hip joint. The injection needle 1403 may advance into the common space in conjunction with a drive mechanism (not shown). It's possible that it's stored away after intermittently lubricating the joints. Alternatively, in Figure 1B, the injection member is positioned in a shared space such that a continuous flow of lubricating fluid reaches the contact point. This is an injection tube 1404 that will be permanently installed. The material of the injection tube 1404 may be a soft material, or its periodicity may be minimal. It only obstructs the joint of movement. A drive mechanism is not required for the injection tube 1404 in Figure 1B.

[0122] Typically, the lubrication device (the joint area is freely incised, and the injection needle 1403 also The conventional method involves inserting two bases into which the injection tube 1404 is freely positioned in the incised area. There is a basic method, and the laparoscopic method, which has a joint cavity, is laparoscopically expanded. Then, the injection needle 1403 or injection tube 1404 is placed in the cavity by the laparoscopic trocar. . When the fluid connecting tube is attached to the end of the injection needle 1402, as shown in Figure 1A, The needle drive mechanism is designed to intermittently inject the lubricating fluid stored in the reservoir. The injection needle 1403 may be intermittently introduced into and retracted from the space. In this manner, the injection needle 1403 is tightly inserted into the joint capsule or into the hole of the capsule. They are placed in a relationship. Alternatively, if the fluid connecting pipe is attached to the end of injection pipe 1404 1402, as shown in Figure 1B. Therefore, the permanent hole may allow lubricating fluid to be continuously injected into the joint. They are created in a shared capsule where tubes are arranged in a continuous pattern.

[0123] Figure 1C shows the medical device replacing the distal surface of bone 102 of the femur (which is the elbow joint). According to an embodiment comprising a first artificial contact surface 1101 adapted for use, a medical device is show. The first artificial contact surface 1101 is the transverse articular condyle, medial articular condyle or medial articular condyle in the transverse direction. It can be adapted to replace the surface layer of a hill. In the figure, medical device 1C is a second device adapted to replace the bone contact surface of the tibia. This is another contact surface of the knee joint, further comprising the artificial contact surface 1102. The implantable medical device adapts to receive lubricating fluid from the storage unit 1108 via an inlet 1104. It consists of the following. And in this embodiment, it is the posterior lateral surface of the tibia bone 102 and It is located on the posterior lateral side of bone 102 of the femur. The storage section 1108 is located in a fluid contact with an injection port 1107 having the storage section 1108. This embodiment is adapted to be supplemented by [the appropriate method]. The storage unit 1108 supplies fluid between the medical device and the storage unit 1108 via the inlet 1104; 1123 has a lubricating fluid supplied by a conduit 1106 that provides a connecting pipe. The storage section is further compressed when the storage section 1108 is filled by the injection port 1107. It is located under pressure from the injection port 1108, which consists of a chamber for pressurized gas. This embodiment is consistent with adapting to the purpose. Inlets 1104;1123 allow lubricating fluid to reach the artificial contact surfaces 1101,1102 in small amounts. Even if not present, the data is transported to channel 1105 where it is partially collected. According to the embodiment shown in Figure 1, the channel 1105 is fully integrated in the medical device. Channel 1105 sprays lubricating fluid onto the artificial contact surface 1101, 1102, and This lubricates the artificial contact surfaces 1101 and 1102, thereby reducing friction. This improves its function. The implantable medical device is designed to be implanted in the knee joint of other mammals (e.g., horses), just It can be adapted in a similar way.

[0124] Figure 1D shows an implantable medical device adapted to replace a hip joint. This shows a medical device. The medical device uses injected lubricating fluid to oil the artificial contact surface of the hip joint. Multiple channels 1105 are provided to accommodate the implantable medical device, and 1106 is provided in the implantable medical device. It is configured like a channel with a conduit located in the center. The conduit 1106 is adapted for fixation of the femur bone of a human patient within the medical device. Multiple channels 1105 of fluid connections are arranged, each having a storage section 1108 located at ( ). . Conduit 1106 transports lubricating fluid from channel 1105 to inlet 1123 for deeper distribution. To transport. The storage section 1108 in the embodiment shown in Figure 1D is a piston for storing the lubricating fluid under pressure. This spring is supported by spring 1109, which pushes against the movable wall section shaped like ton 1110. The storage section 1108 is adapted to be replenished by the injection port 1107. It is positioned on the lateral side of the medical device. Injecting lubricating fluid through injection port 1107 allows the lubricating fluid to be injected under pressure. The spring 1109 is compressed to position the hip joint of a human patient. Lubrication is applied to compress the lubricating fluid through the conduit 1106 and channel 1105. . The loaded storage unit 1108 is pressured by the injection of lubricating fluid (for example, lubricating fluid through the injection port). The storage section 1108) consists of a chamber filled with pressurized gas that is further pressurized by the following action. Spring, storage unit 11 which can be replaced with other types of storage units adapted for placement 08 is a case where the elastic properties of rubber are stored in a storage facility, and the elastic storage is pressurized into the lubricating fluid. It is also possible that he was a storehouse owner.

[0125] Figure 1E illustrates the installed lubrication device and its main components. The lubrication device in the figure consists of 1E, a storage section R for storing lubricating fluid, and permanently combined with the storage section R. A fluid connecting pipe 140 connects to the injection pipe 1404, which is positioned by its open end in the space. It consists of 2. Lubricating fluid from storage section R via fluid connecting pipe 1402 and injection tube 1 To create the appropriate pressure for press-fitting 404 into the joint, gas chamber 1407 is When the volume expands, it may immediately generate the necessary pressure within the range of the storage unit R. It is placed. Furthermore, lubricating fluid is supplied to the storage unit R by a syringe injected through the patient's skin 1405. Refill injection ports 140 are arranged on the outer wall of the storage section R so that it can be filled. The storage portion is inserted subcutaneously so that 6 can be easily accessed by the patient's skin 1405. Is the replenishment injection port 1406 made in a suitable membrane (e.g., polymer material) in this way? It may be self-sealing in relation to the infusion of the syringe.

[0126] Figure 1F shows another embodiment of the lubrication device according to the present invention. The pump P, driven by the motor M, has a storage section R and two pipe sections 1402a (storage section R and the oiled joint form a perfectly circular flow path for the lubricating fluid. A circular fluid connection pipe 1402 consisting of 1402b) is connected. Of the two pipe sections 1402a, 1402b is fitted into the individual injection pipes 1404a (common space). The lubricating fluid is supplied to the storage section via an injection pipe 1404a, although the lubricating fluid stored in the storage section is supplied via an injection pipe 1404a. It is introduced into the common space via the pipe section 1402a. Meanwhile, the lubricating fluid used The filter 1428 is placed in the flow path partially defined by the pipe section 1402b. Through the filter element 1427, via the tube section 1402b having the injection tube 1404b It is led to the storage section via a joint. Under the pressure created by pump P, the lubricating fluid flows through the fluid connection pipe section 1402a (1402 The lubricating fluid circulates continuously within the circular channel formed by b). The joint may be reused, at least partially, after it has been passed over. However, from the contact point, and the injection tube 1404b, it is possible for contamination and impurities to occur. To enable the reuse or something of the flowing lubricating fluid, a joint is used. Foreign particles added to the lubricating fluid on the road affect the quality of the lubricating fluid during reuse. And to fix the desired effect, it is removed by the filter device 1427. The filter device 1427 is positioned in the flow path so that the complete lubricating fluid passes through the filter. It is equipped with a filtration device 1428. The filter device 1427 removes the particles filtered from the filter 1428 and seals them. To periodically clean the filter 1428 by placing it in the accumulated space 1433 Adapt. Alternatively, the removed particles can be returned to the patient's body, for example, into blood vessels.

[0127] Although the illustrated embodiment in the figure may consist of a wide variety of storage unit types, Specific storage unit types will be described later. 1F, the storage section R shown in the figure is divided into two parts by the membrane 1429. One section is filled with gas, while the other section is filled with a lubricating fluid. The replenishment infusion port 1430 is used to inject fluid through the patient's skin 1405 via a replenishment needle. Consider replenishing the storage unit R which has the following: When the storage section R is in its complete state, the gas section is at ambient pressure or over It was r-pressurized. As the lubricating fluid is poured from the storage unit R in each lubrication cycle, the pressure in the gas unit becomes equal to the ambient pressure. It decreases downwards, that is, to a negative relative value. Depending on the specific type of pump P, any backflow in the fluid connection conduit 1402b is prevented. To obstruct the storage section R, pump P is not directed to the storage section R and other operating ball valves 1432. Providing an operating ball valve 1431 to prevent backflow may be advantageous. Maybe.

[0128] The movement M is wirelessly controlled by a control device C, which is also implanted in the patient's body. . However, it is possible to place the control device C outside of the patient's body, and the control device C and motor M To implement and establish wireless communication between or provide electrical contact through the patient's skin. It is possible. Preferably, the control device C is implanted in addition to the motion M. In that case, the requirements may be changed. In order to allow a suitable configuration of the control device accordingly, the control device C is wireless, or It is preferably programmable via electrical contact, from outside the patient's body. The control device C controls the amount of lubricating fluid injected into the space in each injection cycle, as well as the injection cycle Determine the time between these two points. In addition to, or instead of, the control device C, the pressure-sensitive switch for activating the motion M is It may be placed under the skin.

[0129] There are various ways to provide energy to motion M. For example, energy is supplied by an accumulator A (e.g., a rechargeable battery and / or capacitor). The patient's body might be supplied from the outside, for example, by entrusting it to a veterinarian. In the embodiment illustrated in Figure 1F, the primary extracorporeal energy source E is the patient's skin 1405. Energy in the first form is converted to energy in the second form (e.g., electrical energy). The signal is sent to energy conversion device T, which converts energy into ghee. The amount of electricity is used to recharge the accumulator A, which supplies a second energy source to the motion M in response to demand. It is used for that purpose.

[0130] Generally, an external energy source E is an external field (e.g., an electromagnetic field, magnetic field, or electric field). ) adapted to create or generate wave signals (e.g., electromagnetic or sound wave signals) It might be possible. For example, the energy conversion device T shown in the diagram may function as a 1F solar cell, E is changing the main energy source, device T. Energy also converts temperature changes into electrical energy. It may adapt to certain types of wave signals, which may be adapted to obtain. Instead of the external primary energy source E, and instead of accumulator A, regular long-life electricity A transplantable primary energy source E, such as a pond, may be used. - is wireless, or wired, and thus serves as a carrier wave signal for digital. Regardless of whether it is conducted by a standing energy signal or analog control signal, energy The energy signal transmits the control signal of the control device C through appropriate modulation of the energy signal. It can also be used for this purpose. More specifically, the control signal may be a frequency, phase, and / or amplitude modulated signal.

[0131] The figure shows an implanted injection needle 1403 having a tip end 1408, 2A. The oil system is shown in more detail. The tip end 1402 closes at its end, creating a lateral lubrication fluid transmission outlet port 1409. To possess. The needle 1403 is activated by the drive mechanism D and unrestricted fluid connection pipe 1402 Within the range, it is positioned for vertical replacement.

[0132] The fluid connection pipe 1402 is attached to the pump P, which is installed as shown graphically. It can be designed in various ways. In Figure 2A, the storage unit R is used to inject lubricating fluid into the shared space of the patent, or the pump Considering it to be part P, for example, as shown in Figure 2B as the main part, the storage part R is P It could be separate from P, and was connected to it. In Figure 2A, however, pump P (which may be understood as a piston, etc.) The movable or flexible wall 1410 intermittently delivers lubricating fluid toward the injection needle 1403. Since the water is pumped from the storage section R via the connecting pipe 1402, it is electrically replaceable. (Or manually). Pump P could, for example, be powered by a motor, and the motor could inject into a common space. Automatically injects a constant amount of lubricating fluid intermittently at specific time intervals via needle 1403. It can be controlled. The aforementioned motor, automatic control for the motor, and other storage unit R (pump P and (and / or other components of the implanted lubrication device) include the injection needle 1403 and the drive mechanism In addition to D, it is preferably planted. Needless to say, as is obvious, other embodiments of the present invention Depending on a deeper consideration of the example, other appropriate forms of modification are possible.

[0133] 2A, In the lubrication device shown in Fig, pressure is applied to the movable / flexible wall 1410 As the amount increases in the storage unit R due to activation, this is how the drive mechanism D works. (Spring 1408 of the tip end of the injection needle that penetrates the shared space where 1403 is being oiled) The force of 411 results in the replacement of injection needle 3. The return spring 1411 is fully compressed, and the movable / flexible wall 1410 When the operating pressure on the lubricating fluid increases further, the ball valve 1412 releases the first return spring The second return spring 1413 is stronger than the G1411, causing a positional shift. Thus, as long as the pressure is maintained at a sufficiently high level, the lubricating fluid will flow into the patient's common space. Storage section R via body connecting tube 1402, hollow injection needle 1403 and needle ejection port 1409 It is pumped up. Immediately upon pressure release, the ball valve 1412 releases the pressure from the return springs 1411 and 1413. When closed, the injection needle 1403 is stored in its initial position as shown in the figure. ru. This process ensures that intermittent lubrication of specific joints is achieved, and the condition and oil are maintained. It repeats periodically depending on the type of joint being worked on.

[0134] To advance the same thing, the force acting on the injection needle 1403 is the product of the actual pressure. It should be noted that this may be calculated as the intersection point of needle 1403. Because the cross-section of a typical injection needle is relatively small, high pressure moves in a sequence that penetrates into a shared space. It must be done, acting in the opposite direction to the return springs 1411 and 1413. We must overcome the force. So that two strictly separated chambers are formed in front of the drive mechanism and after it, This is therefore advantageous for creating the drive mechanism D. Thus, when the chamber after the drive mechanism D is kept at a low pressure (e.g., ambient pressure), The force acting on the needle 1403 is the product of the actual pressure and across the entire drive mechanism D. In relation to the surface, it is effectively higher in this way.

[0135] This is shown in Figure 2B. The drive mechanism D is provided with a piston 1414, and the injection needle 1403 is shown in Figure 3. It is configured to be installed in a certain way. Piston 1414 is behind piston 1414 and second chamber 1415 The first chamber 1415a is detached before step b. The pressure in the first chamber 1415a corresponds to the pressure at which the pump P operates, and the second The pressure in chamber 1415b can be kept at a low value. For example, chamber 1415b can be filled with a compressible gas. In that case, as the compressed air already creates the needle contraction force, the return spring 1411 is omitted. It is possible to do so.

[0136] Safely closing the gas chamber is difficult. Therefore, the second chamber 1415b is instead filled with a fluid (e.g., a lubricating fluid), and The liquid may then be compressed against a flexible volume of 1416. The flexible volume 1416 is simply filled up without the need for any powerful preemptive nuclear weapons. It was possible among the balloon-type balloons. Alternatively, the flexible volume 1416 is separated from the fluid in the second chamber 1415b by the flexible membrane. It may consist of gas chambers. Furthermore, the return spring 1411 can be omitted in this case.

[0137] Instead of the flexible volume 1416, use the conduit 1417 (which acts as a fluid connecting pipe 1402). This may connect the second chamber 1415b to the storage section R. Thus, as the injection needle 1403 advances, the fluid enters the storage section R via the conduit 1417. It is ejected from chamber 1415b, and the injection needle 1403 is directed to the return spring 1411. As it is stored, the fluid returns to the second chamber 1415b and into the conduit 1417. It is poured from the storage unit R. The pump, which includes P and storage R, is driven by the drive mechanism D and needle 1403 in addition to the patient It is a remote, or, if necessary, single unit, that is inserted into the person's body.

[0138] Figure 2C shows that the very compact lubrication device is inserted subcutaneously, and in close proximity. And then, in a suitable relative position to the joint being lubricated. The needle 1403 may intermittently advance to the joint in response to the start of the drive mechanism D. I can't. The individual components of the device consist of a single structure 1419a, 1419b, and an outer wall. It is included within the range of 18. The volume is defined by the outer wall 1419a, and 1419b is completely filled with lubricating fluid. . The wall portion 1419a takes into account the volume changes occurring with each injection and replenishment. It is flexible. The wall portion 1419a is made of a polymer material that is self-sealing with respect to the penetration of the injection needle 1403. To be made. The device is implanted subcutaneously, and the lubrication device uses the polymer wall portion 1419a to provide lubrication. It can be replenished by the body.

[0139] Other wall portions 1419b provide a certain stability to the individual components contained within the main body 1418. It is firm in order to provide. The window area 1420 is sealed by press-fitting 1421 into the window area 1420. It is formed in a rigid wall portion 1419b and a permeable membrane. The permeable membrane 1421 is made from a self-sealing material with respect to permeation originating from the injection needle 1403. And for that purpose, the injection needle penetrates the window area 1420, and this It is positioned to pass through a space where the joint is more likely to be lubricated.

[0140] As mentioned above with respect to Figure 2B, needle 1403 is behind piston 1414 piston Piss is separating the first chamber 1415a in front of 1414 and the second chamber 1415b. It is connected to ton 1414. The ball valve 1412, which has return springs 1411 and 1413, is set They're being kicked too. The opening 1422 is pressure through the second chamber 1415b, through the storage section R, via the piston 1414 1415a. In the first chamber, which may release oil into the fluid through the opening 1422, To that end, a second chamber 1415b is provided to connect to the storage section R, where R is the ambient pressure It is almost entirely a storage area.

[0141] The pressure in the first chamber 1415a is moved back and forth by a suitable drive mechanism, motor, etc. Pump P, consisting of a movable / flexible wall 1410, is increased. The distribution passage 1423 is shaped into the housing 1424 in which the piston 1410 is slidably positioned. It has been done. The flow passage has a flow compression 1425 and an outlet opening 1426 within the housing 1424. do.

[0142] The infusion device shown in the diagram where 2C functions continues. When the movable / flexible wall 1410 is acted upon (i.e., moves in the direction of the arrow) Due to the flow contraction 1425 of the circulation passage 1423, the lubricant contained in the first chamber 1415a The fluid does not flow into the storage section R via the circulation passage 1423. However, when lubricating fluid is injected into the storage section R from the through-opening 1422 of the second chamber 1415b, Next, a piston 1412 having a needle 1403 is pressed against the window area 1420. The piston 1412 is in its terminal position, and the movable / flexible wall 1 As 410 moves further in the direction of the arrow, the pressure in the first chamber 1415a eventually becomes Rise to a sufficiently high level to overcome the spring force of the return spring 1413. , This opens the ball valve 1412, and the lubricating fluid is released by the hollow needle 1403. The tip end through which 1408 penetrates the film 1418 and the body 1418 of the lubrication device are suitable. Allow for the placement of joints. Immediately, release the pressure of the first chamber, allowing movement behind the movable / flexible wall 1410. A piston having ball valves that close immediately according to 1415a and 1412 and injection needle 1403 The N1412 is simultaneously pulled back to its storage position. Even after piston 1412 has reached its initial position, the flow passage 1423 remains movable / flexible. This is necessary so that the flexible wall 1410 can move further backward. Chamber 1415a (the amount of lubricating liquid discharged to the patient during intermittent injection of additional lubrication) Additional lubricating fluid is drawn from the storage unit R (where fluids are circulated). In addition to the intermittent forward and retractable drive mechanism D capability, 2C, shown in the figure The drive mechanism of the lubrication device is designed so that the lateral injection of part 1408 prevents fiber formation, etc. It may further consist of means for moving the tip end when sewing 1403.

[0143] 2C. The lubrication device shown in the figure does not include any gas chambers and does not include any movable / It does not require specific sealing of the flexible wall 1410 and piston element 1412. It provides several effects, such as those mentioned above. The point is that all components of the infusion device shown in Figure 2B may be made from polymer material. It is necessary to take note of the following: However, at a minimum, the injection needle 1403 and the return spring 141 1. It is preferable that 1413 be made from an inert metal.

[0144] Figure 2D shows a motor pump that can be used in conjunction with the apparatus shown in the figure, 1F. A cross-sectional view of the unit is shown. This motor pump unit is extensively described in WO 2004 / 012806 A1. And other pump units disclosed therein are also used in connection with the present invention. It may be used. In the Moon-Rock Mountain-Pump Unit, the main element of the assembly is the cylindrical housing 143 Two valve pump assemblies are attached to 5, where the membrane pump P and the valve pump A device is provided. The valve device 1434 is attached to the housing 1435 when the immobile part 1436 rises. A first valve member and ceramic disc 1436 in the shape of a ceramic disc A rotatable relative that appears in front of the stationary disk 1436 and is in contact with the ceramic It includes a second valve member in the form of a disc 1437. Motor 1438 surrounds ceramic discs 1436 and 1437 Place it on the 1435. Motor 1438 has disk 1437 in relation to motor shaft 1439 in the axial direction The central hole beneath the rotatable disk 1437 allows for some movement. Includes a motor shaft fitted with splines that connect to the corresponding splines. However, Disc 1437 follows the rotation of motor 1435. The motor shaft 1439 is connected to the stopping member 1440 and the stationary disk 1436. The spring washer 1441, which applies a small amount of pressure to the disc 1437 in order to press it into place, It is placed.

[0145] Pump P includes a pump membrane 1451 which can be any type of membrane. Preferably, the film 1451 is a metal film (for example, a titanium film or a film that achieves a long lifespan over time). (A type of coating plastic material to avoid the diffusion of liquid by film 1451) be. The operating device (which is incorporated into the valve pump assembly in this embodiment) is opposite the cam surface 1453. It includes a cam sleeve 1452 having two cut grooves on the side, and a cam ring 145 4 (rotating in the cut groove that presses against the cam surface 1453) and pump shaft 14 55 is connected to the rotating disk 1437. The cam wheel 1454 is mounted on the pump shaft 1455 via the cam wheel shaft 1456. It is connected to the corresponding spline of the central hole 1461 on the rotatable disk 1437. It is connected to the rotating disk 1437 via the splined shaft 1461. The pump shaft 1455 rotates. According to the spline fittings described, disc 1437 connects to pump shaft 1455. Related to this, it can move somewhat along the axial direction. The pump shaft 1455 is connected to the encapsulated ball bearing 1458 It is mounted on and stationary in the axial direction with respect to the ball bearing 1458. Several elongated grooves 1459 on the pump shaft 1455 are past ball bearings 1 458 extends the first channel 1442 and film 1451 of the static disk 1436 It is used as a liquid flow passage between the lower pump chambers 1460.

[0146] When the motor 1438 rotates, the membrane 1451 moves up and down. As membrane 1451 moves up and down, the liquid moves through the second channel 1444 or the third channel It is also transmitted from channel 1445 to pump chamber 1460 or to a second channel Also received from pump chamber 1456 next to channel 1444 or the third channel 1445. To enable this, the rotatable disc 1437 alternates between the first channel 1442 and the second channel 3. Connect to channels 1444 and 1445. In Figure 2D, the second channel 1444 is transmitted from room 1460 to the first channel 1442. To receive the liquid, the first channel 1442 passes through the open channel 1450 to the second channel 1442. It is indicated as being connected to the channel.

[0147] The selected materials are extremely fine, without discs of this kind that stick together over time. It must be possible to operate with a certain tolerance, so disk 1436 and The specific materials chosen for 1437 are important. There are several materials (e) available on the market that are suitable for this purpose. g. Cerami The material, either black or ceramic, was mixed with other materials (e.g., carbon fiber).

[0148] Figure 3 shows a medical device suitable for replacing the contact surface of the femoral head in a human patient. A medical device is shown according to the corresponding embodiment. In this embodiment, the medical device is fitted with a lubricating fluid, matching the artificial contact surface 1103b of the medical device. Multiple channels are provided to lubricate the hip joint of human patients with the condition. Deeper medical devices are provided with fixing parts 44 for securing the medical device. The femur and / or colic are composed of the colic, chimney, and femoral bones.

[0149] Storage located in the center of the section 44 where the conduit 1106 (not shown) is fixed Figure 4 shows a medical device consisting of multiple channels of fluid connection having a section, and a cross-section of The medical device is shown in Figure 3. Channel 1105 is fully integrated in the medical device. Conduit 1106 transports lubricating fluid from channel 1105 to inlet 1123 for deeper distribution. To transport. The conduit has a connection 1111 adapted for connecting the first conduit to the second conduit 1106 or the storage section. It ends in a clause or additional channel.

[0150] Figure 5 shows a frontal view of a human patient's body. Then, from the acetabulum 8 on the opposite side, according to the specification. In order to provide a medical device in accordance with any of the examples, a laparoscope / The arthroscopic method is illustrated as an example. The hip joint comprises the acetabulum 8 and the femur 5. Insertion of laparoscopic / arthroscope trocars 33a,b,c into the abdominal wall of a human patient A small incision to be made. Subsequently, one or more cameras 34, surgical instruments adapted to make holes in the pelvis 35 or Whether to introduce, place, connect, attach, or fabricate a transplantable medical device. Alternatively, the instrument 36 for fulfilling the requirements is provided by the trocars 33a,b,c of the laparoscope / arthroscope. It can be fitted into the main body.

[0151] Figure 6 shows a lateral view of a human patient's body, where the waist is shown in cross-section and joined together. show. It is located at the hip joint, precisely on the surface of the colic chimney femur 6, which is the uppermost part of the femur bone 7. A femoral head 5 is provided. The femur 5 is associated with the acetabulum 8, which is the bowl-shaped part of the pelvis 9. Laparoscopic / arthroscope trocars 33a,b,c have one or more cameras 34 for the hip joint 3 9. To create a hole in the pelvis, introduce a suitable surgical instrument 35 or implantable medical device. Equipment for arranging, connecting, attaching, fabricating, or fulfilling 3 It is used to reach 6.

[0152] After the pelvis 9 is incised, Figure 7 shows the creation of the hole 18 in the pelvis 9. Hole 18 is created by repeating the process of the device 22, which creates an opening that can be inserted into a human patient from the abdominal side of the pelvis 9. It is formed from the ventral side of the pelvis 9 through continuous movement. Hole 18 enters from the opposite side of the acetabulum 8 and passes through the pelvis 9 to the hip joint 19. According to the first embodiment, in which the hole 18 is large, the implantable medical device is Can it pass through the fully functionally sized hole 18?

[0153] Figure 8a shows holes 20 created by surgical or laparoscopic / arthroscopy methods. As shown in Figure 8a, the device 22 is allowing the creation of a smaller hole 20, which is very good. A smaller second embodiment is shown, and in this way the incision and incision are in the human body I did it.

[0154] Figure 8b shows a cross-section of the hip joint when the medical device is placed between the femur 5 and the acetabulum. This indicates. The medical device according to this embodiment has multiple tubes connected to successively connected conduits 1106 A channel 1105 is provided and is configured as an attachment part that is placed in the hole of the pelvis 9. Conduit 1106 transports lubricating fluid from channel 1105 to inlet 1123 for deeper distribution. To transport. For insertion through a hole 18 in the pelvis 9 that is smaller than the medical device, the medical device is moved on a roller. It can be made into or compressed, or, according to other embodiments, suitable In some places, it is reabsorbed or dissolved by the human body, or serves as a surface for medical devices. It could be cast using either of the molds that was suitable for the object. Medical devices are adapted to be fixed using adhesive or mechanical fastening elements. It is possible.

[0155] When a medical device is installed in a hole 18 in the pelvis 9 to replace the contact surface of the femur 5, Figure 9a shows a cross-section of the hip joint. The medical device has a centrally located 44, which is suitable for securing the medical device. A corresponding artificial contact surface 1103b and a fixed portion are provided, such as the head and femur 5. It is composed of. The medical device is equipped with multiple channels 1105 that protrude from an artificial contact surface for lubricating the hip joint. It's being kicked. The channels successively connect the conduits to the second conduit 1106b or the second part of conduit 1106b. It has a conduit 1106 connected to the interconnected 1111b section which is adapted for this purpose. It is in a fluid connection. And it is successively placed in the bone 7 of the femur of a human patient. This is a fluid connection having part 1108. The storage unit 1108 is placed on the femoral bone 7 and is adapted to retain pressurized lubricating fluid. According to the embodiment illustrated in Figure 9a, it is a spring pressurized piston that is being lubricated by the fluid. The storage section 1108, which is supported by a spring 1109 in relation to the movable wall portion in the form of 1110, Therefore, it becomes pressurized. The storage portion 1108, however, is located below the greater trochanter 1186 in relation to the femoral bone 7. It is further connected to the injection port 1107, and in relation to the bone, any other In a suitable cavity or subcutaneously. The medical device is consistent with the embodiment in Figure 9a that can be operated using a pressurized reservoir, however According to other embodiments, the medical device is driven by a running device (e.g., an implantable pump). Therefore, it is operable. And it is a direct propulsion system (for example, inductive or magnetic propulsion). Driven by force or by a stored energy source (e.g., a battery). It is possible. The channel or conduit (not shown) provides lubrication through conduit 1106 or channel 1105. The flow of the body can be closed according to one embodiment, which consists of a valve. Thereafter, storage The bonding between the storage area and the artificial contact surface is completed. The valve can be driven, for example, by remote control, which is an external control form of the human body. It can adapt.

[0156] Figure 9b shows a cross-section of the hip joint when a medical device according to another embodiment is provided to the hip joint. Then, replace the contact surface of the head and femur. Multiple channels 1105 connected to conduit 1106 are fixed to the medical device by 1106b. An artificial contact surface 1103b is provided, which is separated within the medical device. It's being kicked. The conduits successively, preferably in the cancellous part of the femur bone, the femur bone This is a fluid connection having a storage unit 1108 located inside. This provides a channel in the medical device for lubricating the artificial contact surface 1103b of the medical device. It is in a fluid connection.

[0157] When an implantable medical device is provided to replace the acetabular contact surface, Figure Figure 10 shows a cross-section of the hip joint. The medical device is equipped with an artificial acetabular surface 65 consisting of multiple connected channels. The conduit 1106 is configured via interconnection section 1111. The medical device is suitable for being placed in the hole 18 of the pelvis 9 to replace the acetabular contact surface 65. This corresponds to the embodiment illustrated in Figure 10. Figure 10 further illustrates the device to which the conduit 1106 is connected, according to one embodiment, The unit consists of 1113a, a storage unit 1108, and two pressure generating devices. , 1113b is via conduit 1106, and further, multiple for lubricating the implantable medical device Pressurizing the lubricating fluid by compressing it through a number of channels 1105 Adapt in order to create strength. Conduit 1106 transports lubricating fluid from channel 1105 to inlet 1123 for deeper distribution. To transport. The device creating the pressure could be a spring to which a load is applied, or in the storage section 1108 It consists of a pressurized gas-filled element that is further pressurized by injecting a lubricating fluid. The apparatus further consists of an injection port 1107 which comprises a self-sealing membrane 1112. Preferably, it is a parylene-coated silicone film. To match the apparatus to other embodiments, multiple cells are discharged from the storage section 1108 via the conduit 1106. The pump is housed in container 1113a, which pumps the lubricating fluid up to channel 1105. It is equipped with a drive mechanism. In one embodiment, the pump is powered by a battery housed in compartment 1113b.

[0158] According to the first embodiment, Figure 11a shows a medical device according to any of the embodiments in this specification. This shows surgical instruments adapted for implanting molds for placing or fabricating medical devices. The surgical instrument comprises a gripping portion 76 and a handling portion 77. According to the illustrated embodiment in Figures 11a, b, and c, the instrument has a gripping part 76 and a handling part 77. It further consists of a rotating member 78 that allows rotation, however, surgical instruments It is equally likely that this rotating member 78 is missing.

[0159] Figure 11b shows the necessary steps to create or provide a hip joint surface according to the second embodiment. This shows surgical instruments suitable for implanting artificial organs, prosthetics, or parts. According to this embodiment, the surgical instrument further consists of 79 sections that are offset from each other in parallel positions. It increases the area of ​​the device, reaching the hip joint through the pelvic opening from the opposite side of the acetabulum. To promote something.

[0160] Figure 11c shows the necessary steps to create or provide a hip joint surface according to the third embodiment. This shows surgical instruments suitable for implanting artificial organs, prosthetics, or parts. In this embodiment, two components 80a and 80b are adjusted to accommodate deep surgical instruments. An angle is provided. The angle-adjusting component changes the angle of the gripping portion 76 with respect to the handling portion 77. It could be adjustable for this purpose, or from the acetabulum 8 to the opposite side through the pelvic hole in the hip joint. It was fixed at an angle suitable for creating the operation.

[0161] When a medical device is installed, Figure 12 shows a cross-section of the hip joint. The implantable medical device is adapted to replace the acetabular surface, however it is equivalent In other embodiments, a medical device is thought to be implanted in the hole 18 of the pelvis 9 of the femur It is adapted for insertion through seven bone or hip capsule holes. The medical device is provided with conduits 1106 that arrange Channel 1105, each having a fluid connection. Multiple interconnected Channel 1105s are provided. Conduit 1106 transports lubricating fluid from channel 1105 to inlet 1123 for deeper distribution. To transport. Conduit 1106 is adapted because it is connected to the second part of section 1111b when making a terminal connection. The first part of the interconnection section 1111 is further connected. The interconnected parts 1111 connect the first part of conduit 1106 to the second part of conduit 1106. To be continued. And the first part of the conduit 1106 is on the acetabular side of the pelvis 9 and on the lateral side of the pelvis 9. Alternatively, it can be inserted from the second portion of the conduit 1106, which is inserted from the opposite side of the acetabulum. do. When the medical device is inserted through the bone 7 of the femur or the hole 18 in the hip joint capsule, the conduit The connection of the two parts of 1106 is particularly beneficial, and the storage unit 1108 is for human patients, Alternatively, it is inserted into the abdomen in another area above the abdominal side of the pelvis. The conduit 1106 is then further connected to the storage section 1108, and from the storage section 1108 to the groin It adapts to transport the lubricating fluid to the region of the node. The storage section 1108 receives lubricating fluid through the conduit 1106 and further through the channel 1105. The spring 1109 is exerting force on the movable wall portion in the form of a piston 1110 that is compressing it. Therefore, in accordance with the illustrated embodiment in Figure 12, which is adapted to place the lubricating fluid under pressure, Yes, they are. To the deeper storage section 1108, at the top of the storage section 1108 to replenish the storage section 1108 And, in the same event that increases the pressure of the lubricating fluid, the injection point A section 1107 is provided.

[0162] Figure 13a shows a lateral view of a human patient, illustrating a cross-section of the hip joint. The femur bone 7 is made up of the colonic chimney femur 6, and the proximal part and most of it is closest head femur5. In Figure 13a, hole 82 is followed by the colic-fumerus 6, then the femoral head 5, and this It is created by making an incision in the hip joint and in the thigh (movement of the hole in the femur bone 7). It is. The hole is preferably flexible to allow it to roll into the hip joint or to bend for insertion through the hole 82. It is used to provide medical devices that are capable of performing medical procedures.

[0163] The medical device is inserted through a hole 82 in the femoral bone 7 and fixed in the acetabular bowl 8. At that time, Figure 13b shows a cross-section of the hip joint. The medical device is provided with multiple channels 1105 to which each conduit 1106 is connected. It is structured in a different way. According to other embodiments, the medical device is provided by a hip joint capsule or a hole in the pelvis 9. It is possible to be there. After the medical device was installed, the storage unit 1108 connected to the conduit 1106' was housed. The tool 1180 provides a storage portion 1108 to a hole 82 in the femoral bone 7, and the storage portion is medical It is used to connect to the conduit 1106 of the medical device.

[0164] Figure 13c shows a cross-section of the hip joint, specifically the storage area 1108, 7, which was the bony hole 8 of the femur. Connect to the medical device to be placed in step 2. Furthermore, a note for replenishing and / or pressurizing the storage unit 1108 from the storage unit 1108. A conduit 1106 feet long extends to inlet port 1107.

[0165] Figure 13d will reveal the storage unit in more detail. The storage unit is a storage unit (pressurized storage It consists of an inter-mounting portion 1111 located at the end of the reservoir 1108). In this embodiment, it is 13d, pushing the movable wall portion 1110 in the form of a piston 1110. It is pressurized by spring 1109. The storage unit device satisfies the following conditions in relation to the storage unit and in relation to the injection port 1107. Storage section 110, which further consists of a conduit 1106 feet and / or a lubricating fluid Pressurize to 8. 1107 comprises per autologous cell, inhibiting cell migration on the surface of the injection port. Therefore, the film (which could be the self sealing the parylene-coated silicone film) is sealed. , injection port. Section AA is for filling and / or pressurizing the storage section 1108 In the center, the centrally positioned conduit 1106 is shown.

[0166] Figure 14 shows a cross-sectional lateral view of a human patient. At that time, the lubricating fluid to be injected is included. The lubricating fluid is injected by the injection member 92, which consists of an adapted container 1115. It is injected into 1107. The infusion port is adapted to supply fluid connection tubing between the infusion port and the medical device. It is connected to an implantable medical device placed in the hip joint via tube 1106. The medical device successively applies oil to artificial contact surfaces, thereby lubricating the hip joint. It consists of multiple channels 1105. According to the illustrated embodiment in Figure 14, the medical device is subsequently replaced with a bone plug that has been removed. The pelvis 9 is supplied from the abdominal side through a hole created in the sealed pelvis and secured with a screw. It was secured by the fixing part of the machine to which it was attached. According to other embodiments, the medical device is a hip joint capsule 12 or a femoral bone 7 for the pelvis 9 It is provided from the hip joint side, and then the pelvis 9 is connected by the 1111 parts which are interconnected. It is connected to the ventral conduit 1106 on the upper side of the ventral side. This makes it possible to place the abdominal cavity injection port 1107 subcutaneously. The muscle / or tissue was supported by muscle or fascia.

[0167] Figure 15 shows the first artificial contact surface of the medical device, which has a convex shape towards the center of the hip joint. A medical device in the reverse embodiment consisting of 112 is shown. The first artificial contact surface 112 is adapted for fixation to the pelvis 9 of a human patient. The artificial convex hip joint surface 112 is adapted to be fixed to the pelvis 9 through the hole 18 in the pelvis 9. It adapts to be inserted. The medical device consists of nuts 120. And to securely fix the medical device to the pelvis 9 It consists of threads. For deeper medical devices, the hole 18 created in the pelvis where the posterior part 9 of the medical device is implanted occupies the hole 18. A prosthetic part 118 is provided to accommodate this. Prosthesis part 118 has a support member 119 that is suitable for contact with the pelvis 9 and a normal It is equipped with assistance in bearing the load placed on the medical device, based on the weight of the human patient being used. ru. The normal use of the hip joint is determined in a way that is natural for humans. Furthermore, the medical device has a surface 117 that adapts to contact with the artificial convex hip joint surface 112. It consists of a locking element 116 made of [this material]. The locking element 116 assists in fixing the locking member 116 to the femur 5 or the colic-femur 6. This further includes fixing the member 115 that is adapted for this purpose. And the turn is artificial The convex hip joint surface 112 is fixed. The artificial convex hip joint surface 112 corresponds to the thread of the nut 120 in relation to the prosthesis part 118. It is fixed to the mounting rod 113, which consists of threads 114. The medical device has multiple channels 1105 adapted for lubricating an artificial contact surface 112. It is provided. Multiple channels 1105 lubricate the artificial contact surface 112 from the storage section 1108. As a result, the artificial contact surface 112 of the medical device for lubricating the hip joint is completely concentrated Conduits 1106 adapted to transport lubricating fluid to multiple channels 1105 into which it is stacked. They are connected to each other at night.

[0168] When the medical device is placed inside the hip joint, Figure 16 shows the medical device according to Figure 15. vinegar. The first artificial contact surface 112, which has a convex shape toward the center of the hip joint, is located in the center of the hip joint. It is placed on a second artificial contact surface 109 which has a concave shape. The second artificial contact surface 109 is positioned between the head 5 and the femur, and the colon chimney of the femur 6. In this context, the surface 117 is directed toward the first artificial convex contact surface 112 that is fixed and adhered. By the locking element 116 which is made up of these. In a medical device, 1106 is centrally located in a medical device for supplying lubricating fluid to the medical device. Multiple channels 1105 are connected to the installed conduit and lubricate the artificial contact surface 112. This provides the hip joint.

[0169] Figure 17 shows that prosthesis part 118 is provided to hole 18 in the pelvis 9. Prosthesis part 118 has a support member 119 that is suitable for contact with the pelvis 9 and a normal It is equipped with assistance in bearing the load placed on the medical device, based on the weight of the human patient being used. ru. Another medical device in the reverse embodiment, where part 18, consisting of an artificial concave hip joint, floats up. This shows that the example was placed in the head 5 and the colon chimney femur 6.

[0170] The diagram shows multiple fluids connected to conduit 1106b, which determines the fluid connection between medical devices. Lubrication channel 1105 and storage area located in the cancellous bone of the colonic chimney femur 6 It possesses the following features. The storage section is positioned in relation to the femoral bone 7 in the embodiment of Figure 18, and is located at the larger trochanter 1 Adapted to be replenished by injection port 1107, which is located below 186. The storage unit (and its function) is described in more detail with respect to Figures 9a and 9b. Yes, they are. When fixing the pelvis 9 using the screw 121, Figure 18 further shows the prosthesis part 118. vinegar. The screw can be used as an aid or to the surface between the prosthesis and the pelvis. It can be replaced with adhesive that may have been applied to the connection in S.

[0171] Figure 19 shows the right leg of a human patient. In the aforementioned lateral direction, the lateral articular condyle 105, medial articular condyle 106 and territory between the medial articular condyle and the aforementioned medial articular condyle A femoral bone 102 having a distal portion consisting of a region. The distal portion of bone 102 of the femur forms the contact surface of the knee joint. The knee joint is further composed of the patella 101, and it is clearly spoken of by the femur 102. It is a triangular bone that covers and protects the knee joint. The knee joint also serves as an articular surface to protect the ends of the bones from rubbing against each other. It consists of mini-sci 107 and 108, which are cartilaginous elements within the joint. Mini-sci 107 and 108 also act as shock absorbers for the knee joint. And the movement of human patients It absorbs shock. Two meniscuses, 107 and 108, each knee, medial meniscus 107 and lateral meniscus It's located at S108. In patients with osteoarthritis, the clearly expressed superficial layer is considered to be the cause of the superficial layer. As this progresses, the active meniscus 107 and 108 are worn down, and in extreme cases... In this case, the bone can be exposed at the joint. The knee joint is supported by the knee joint capsule (also known as the knee joint capsule or knee joint capsule ligament). It is protected. The knee joint capsule is broad and inconsistent; It thins out in front and to the side; And the patella 101, ligaments, meniscus 107, 108 and capsule (made of white fibrous tissue) It contains a small fluid-filled pouch. The knee joint capsule is separated on the anterior side by a fatty deposit, and the synovial fluid forms a fibrous membrane, and poster Includes i-orly.

[0172] Figure 20 shows that when the artificial knee joint makes contact with surface 130, 116a is the femoral bone 102 It is evident that the proximal portion of the tibia and bone 104 was provided to the knee joint. In the lateral direction, the medial channels 125a and 125b reduce friction at the knee joint and the contact surface and this This provides the knee joint with a lubricating fluid.

[0173] Figure 21 is a front view of a human patient in which the storage device 127 is inserted subcutaneously into the abdomen of a human patient. To show a person's body. The storage device according to this embodiment provides a storage unit 129 with a conduit that contains lubricating fluid for the knee joint. Battery 1 for pumping fluid to channel 125 supplying the artificial contact surface The operating device is equipped with a pump 130 driven by 28. The storage device is arranged outside the storage device and the muscle or fascial tissue 1181. Muscles of the abdominal wall fixed between ports 1107 or fascial tissue 1181 Alternatively, it can be fixed to the fascial tissue 1181.

[0174] Figure 22a shows where the medical device consists of an artificial knee joint, with the superficial layers of 115 being the midrib, lateral or knee. To fix the lateral articular cone 106 on the medial side of the joint (which is the distal end of the femur bone 7) This will be clarified in the examples. The medical device has multiple channels 1105 for lubricating the artificial contact surface according to this embodiment. Multiple channels consisting of these channels successively replenish the storage unit or contain the storage unit 1108 It has a storage section 1108 consisting of an injection port 1107 for pressurizing the lubricating fluid that is to be filled. In the fluid connection, each of the conduits 1106 is located in the fluid connection. Conduit 1106 transports lubricating fluid from channel 1105 to inlet 1123 for deeper distribution. To transport.

[0175] A medical device consisting of an artificial contact surface 1102 is provided to the proximal part of the tibia bone 104. When this happens, Figure 22b shows a lateral view of the knee joint. And the fibula bone 103 is at the bottom of the leg. To occupy a portion. The artificial knee joint surface has multiple channels in a fluid connection having an adaptable conduit 1106 A section 1105 is provided and configured to transport lubricating fluid from the storage section 1108. The storage portion 1108 is positioned on the posterior side of the tibia bone 104 and is fixed to the tibia bone 104. According to the embodiment in Figure 22b, lubricating fluid is injected into the storage section 1108 and / or It consists of an injection port 1107 for pressurizing the lubricating fluid contained in the storage section 1108. Conduit 1106 transports lubricating fluid from channel 1105 to inlet 1123 for deeper distribution. To transport.

[0176] Figure 23 shows the medical device for knee joint transplantation in more detail. To lubricate the contact surfaces of medical devices, the medical devices are lubricated along the artificial contact surfaces of the medical devices. It consists of multiple channels 1105 that are arranged. Channel 1105 is for transporting lubricating fluid along the artificial contact surface 1101 of the medical device. It is connected to conduit 1106. Conduit 1106 transports lubricating fluid from channel 1105 to inlet 1123 for deeper distribution. To transport.

[0177] Figure 24 shows channels 1105 that are fully integrated on the artificial contact surface. The diagram shows a cross-sectional side view of the medical device, and each is connected to the artificial of the medical device, the conduit 1106. 1105 channels containing lubricating fluid are supplied to the contact surface to apply oil. Conduit 1106 transports lubricating fluid from channel 1105 to inlet 1123 for deeper distribution. To transport.

[0178] Figure 25a shows a medical device for transplanting a human knee joint. The medical device consists of [a set of parts]. , each of and several medical device parts 119 adapted for connection to the medical device It supplies a form that is compatible between multiple medical device parts 119 and base part 118. The mechanical fixing element 120 forms the foundation of part 118. Medical device base part 118 further applies medical devices to the bones of the human body (for example, the proximal part of the tibia). It consists of a fixing part 117 adapted for supplying the fixing of a machine. Furthermore, the medical device base part 118 is provided with a channel for supplying lubricating fluid. It is configured to be an artificial contact surface for the knee joint.

[0179] During assembly, Figure 25b shows the medical device according to Figure 25a.

[0180] When the medical device is fixed to the tibia bone 104, Figure 26 is shown according to Figures 25a and 25b. This shows a medical device.

[0181] When a medical device consisting of an artificial contact surface 116 is fixed to the tibia bone 104, Figure 27 shows the proximal part of the tibia. The channel 1105 of the artificial contact surface is lateral in the channel 1105 and intermediate of the medical device. Fluid between the first and second storage portions 1108 located within the tibia bone 1104 on the side It is connected to conduit 1106 which supplies the connecting pipe. The conduit further replenishes and / or pressurizes the first and second storage sections in the storage section 1108. It connects to an injection port 1107 located on the middle side of the pelvis. The storage unit 1108 is designed to store lubricating fluid under pressure according to the embodiment shown in Figure 27. Adapt. This allows lubricating fluid to be applied to the artificial contact surface in order to lubricate the knee joint. Squeeze out the Nel 1105. For this purpose, in order to compress the lubricating fluid, the storage section 1108 of the piston 1110 It consists of a spring 1109 that is associated with the movable wall portion.

[0182] Figure 28 shows a human patient in a front view when the implantable lubrication device 120 is inserted. The embedded lubrication device 120 is adapted for continuous, intermittent, and continuous injection of lubricating fluid. Or, when necessary for the hip joint. To match the embedded lubrication system to the embodiment shown in Figure 61, two units are connected to each other. Devices 121 and 122 are provided. The two interconnected devices are positioned with the abdomen of a human patient inside, and the conduit 1106 This relates to the relationship with the hip joint.

[0183] Figure 29 shows the embedded lubrication system 120. And, in more detail, the present invention It can be used in combination with any of the medical devices described in the details. . According to the illustrated embodiment, the implantable lubrication system extends from the storage unit 1108 to the hip joint region. It consists of a pump adapted for pumping lubricating fluid and a component 123 that lifts water. It consists of a first device 121. Furthermore, the first device 121 is equipped with a first device that can be used to treat the outside of the human body where surgical procedures do not need to be performed. An injection port 1107 is provided on the side for filling the storage section 1108. The injection port 1107 is self-sealing and penetrable with the attached needle. A membrane is provided in the formula, and it is configured like a syringe. A receiver of radio energy 124, preferably consisting of a coil, is provided to the deeper first device 121. A b is provided. The wireless energy receiver is used to charge the battery 126. According to this embodiment, the embedded lubrication device 120 sequentially connects the battery 126 and the fluid reservoir It further consists of a second apparatus 122 comprising 1108. The lubricating fluid 128 is supplied from the storage unit 1108 to the first unit which has a device that pumps water up. By placement 121, by conduit 1106, and it is a hip joint surface or implantable medical device. It is pumped to the hip area to help lubricate the artificial contact surface of the device. The lubricating fluid is preferably a biocompatible lubricating fluid such as hyaluronic acid.

[0184] The embedded lubrication system circulates lubrication to the joints and some discharge ports 131 where the lubrication is applied. According to one embodiment, which consists of a sliding system, Figure 30 shows the inlet 130. An implantable lubrication system adapted for use in any medical device as described in the patent application. This indicates. Preferably, in this system, the member 123 that is pumping water is continuously inside the hip joint. This is a continuous lubrication system that circulates lubricating fluid 128.

[0185] Figure 31 shows the lubrication method adapted for use in any medical device in this specification. This shows an embedded lubrication system for which the lubrication system filters the lubricating fluid. It further consists of a filter member 132 for this purpose. The filter is self-cleaning and adaptable, and outside, the filter processing items are processed by the processing channel. Nell 133 can be used in the abdomen of a human patient, or in a container attached to the processing channel 133. It is located there. By filtering the lubricating fluid 128, the circulating lubrication system can be maintained without requiring any surgical procedures. It can operate for a specified period of time.

[0186] By providing a lubricating fluid 128, the implantable medical device consisting of an artificial contact surface 45 is made possible. When applying oil to the medical device, Figure 32 shows the lubricating fluid as shown in Figure 29.

[0187] Figure 33a shows the lubrication system. The lubrication system is the retractable needle 13 It consists of a retractable needle 1311 that is fixed to the operating system for operating 11. According to other embodiments comprising the apparatus 1310, any of the medical devices in this specification It can be adapted for use in combination with other things. The needle is placed in the pelvis 9 and is sealed by a membrane 131 for injecting lubricating fluid into the hip joint. Adapt to get through 4. The conduit 1106 is an additional storage vessel that can be inserted through the injection port and / or subcutaneously. Adapted to supply lubricating fluid from a storage compartment or to the device 1310 of the body cavity. do.

[0188] Figure 33b shows the retractable needle 1311 in operation of the device that was operating the retractable needle 1311. Therefore, it shows a lubrication system in a certain state at that advanced position. The needle, in this way, penetrates the self-sealing membrane 1314, allowing the injection of lubricating fluid. It is placed in a position that is characteristic of Noh theater.

[0189] Figure 34 shows a system for treating diseases, consisting of the device 10 of the present invention, which is placed on the patient's abdomen. Let's give an example of a system. The device 1002 that changes the implanted N-ergy is powered via the 1003rd power supply line. Adapted to supply energy to the energy-consuming components of an energy-powered device. . The external energy transmission device 1004, which non-invasively energizes the device 10, Even without a physical device, energy can be transmitted by a single wireless energy signal. The installed energy conversion device 1002 receives electricity supplied via the power supply line 1003. It transforms power into energy from wireless energy signals.

[0190] For example, the planted energy conversion device 1002 may also consist of other components. do not have: Coils for receiving and / or transmitting signals and energy, antennas for receiving and / or transmission of signals, microcontrollers, and charge control devices may optionally include energy memory. For example, a capacitor, one or more sensors (for example, a temperature sensor, a pressure sensor) It signals to sensors (including position sensors) and other devices. Then, the transceiver (motor) The motor controller, pump and Includes other sections.

[0191] A radio energy signal may include a wave signal selected from the following parts: Sound wave signals, ultrasonic signals, electromagnetic wave signals, infrared light signals, visible light signals, ultraviolet light signals, lasers - Optical signals, microwave signals, radio wave signals, X-ray radiation signals, and gamma radiation transmit signals. . Alternatively, radio energy signals are either electrical or magnetic, or combined electrical and magnetic. It may include fields.

[0192] The wireless energy transmission device 1004 transmits wireless energy signals It might transmit a carrier wave signal for carrying things. This type of carrier signal includes digital, analogue, or a combination of digital and analog signals. It might be possible. In this case, the radio energy signal is either an analog or a digital signal or analog and a digital Includes combinations of digital signals.

[0193] Generally speaking, the energy conversion device 1002 converts energy into a second form of energy - Convert the first form of radio energy transmitted by the transmission device 1004 It is provided in this way. And it is generally different from the first form of energy. The implanted device 10 is operable in response to a second form of energy. Energy conversion device 1002 converts energy to a second form of energy - energy transmission device As the first form of energy transmitted by position 1004 is converted, energy conversion Device 1002 may directly drive a device having a second form of energy. The system may further include an implantable accumulator. Therein, the second form Energy is used, at least partially, to charge the accumulator.

[0194] Alternatively, radio energy is transmitted by the energy-transmission device 1004. As it is being moved, energy is transmitted by the energy transmission device 1004 The wireless energy may be used to directly drive the device. Where the system consists of an operating device that operates the device, as will be described later, energy-transaction The radio energy transmitted by the transmission device 1004 is the motion for the operation of the device. It may be used to directly drive the operating mechanism in order to generate energy.

[0195] The first form of radio energy may consist of sound waves, and energy conversion devices 1002 may contain a piezoelectric element for converting sound waves into electrical energy. The second form of energy is either direct present or pulsating direct current (or direct current and pulse). Energy in the form of a moving DC combination or AC, or from a direct AC current combination. It might happen. Typically, a device consists of electrical components that are energized by an electrical energy source. Other portable electrical components of the system are related to the electrical components of the device. It may be at least one voltage level guard or at least one constant current source guard. I can't.

[0196] Optionally, a person with the first form of energy and a person with the second form of energy are magnetic energy Energy, kinetic energy, solid energy, chemical energy, radiant energy, electricity It may consist of magnetic energy, photographic energy, nuclear energy, or thermal energy. do not have. Preferably, the first form of the second form and the one with energy are non-magnetic. And it is non-kinetic, non-chemical, non-sound, non-nuclear-weapon, or non-thermal.

[0197] Energy transmission devices transmit electromagnetic radio energy from outside the patient's body. It may be controlled to deactivate it, and the deactivated electromagnetic radio energy It is used to operate the device. Alternatively, the N-ergy-transmission device is non-magnetic outside the patient's body. Controlled to deactivate radio energy, and deactivated non-magnetic radio energy Ghee is used to operate the device.

[0198] The external energy transmission device 1004 also controls the device non-invasively. Includes a wireless remote control device having an external signal transmitter for transmitting wireless control signals. . The control signal may be incorporated into the implanted energy converter 1002. It is received by a signal receiver, or is an offprint of it.

[0199] Wireless control signals may include frequency (amplitude) or the modulated signal or their The combinations might be implemented step by step. Alternatively, wireless control signals may be analog or digital signals or analogues and digital Includes combinations of signals. Alternatively, wireless control signals are either electrical or magnetic, or combined electrical and magnetic fields. It consists of rud.

[0200] A wireless remote control device may transmit a carrier signal to carry wireless control signals. Maybe. This type of carrier signal includes digital, analogue, or a combination of digital and analog signals. It might be possible. The control signal may be analog or include a digital signal or a combination of analog and digital signals. In this regard, the wireless remote control device preferably carries digital or analog control signals. It sends an electromagnetic carrier wave signal to maintain it.

[0201] Figure 35 shows the energy driving the device 10 via the power supply line 1003. The system in Figure 34 is shown in the form of a less differentiated block diagram, which shows the conversion device 1002). This illustrates the external energy-transmission device 1004 (patient's skin 1 005) is usually indicated by a vertical line, and is to the right of the line that is separated from the outside by a line. To isolate the patient's internal organs.

[0202] Figure 36 shows the same embodiment of the present invention as that in Figure 35, except in the following cases: for example. A recessed device in the form of an electric switch 1006 that can be operated by polarization energy. The device is implanted in the patient to reverse the operation of the device 10. When the switch is activated by the energy that causes polarization, the external energy transformer The wireless remote control of Mission Device 1004 was determined by Carrie's ability to polarize energy. The linear signal is transmitted, and the installed energy conversion device 1002 wirelessly polarizes the energy. The current is converted into a polarizing current to activate the electric switch 1006. When the polarity of the current is transferred by the device 1002 that changes the implanted N-ergy At that time, the electrical switch 1006 reverses the function performed by the device 10.

[0203] Figure 37 shows the same embodiment of the present invention as in Figure 35, except in the following case: Apparatus 1 The operating device 1007 implanted in the patient to activate 0 is an implanted energy converter It is located between 1002 and the device 10. This operating device can be in the form of a motor 1007 (for example, an electric servo motor). . Remote control of the external energy transmission device 1004 is embedded in the energy converter. As a wireless signal is sent to the receiver of the exchange device 1002, the motor 1007 moves the embedded elevator It is powered by energy from the energy conversion device 1002.

[0204] Figure 38 shows the same embodiment of the present invention as in Figure 35, except in the following case - also The operating device consists of an assembly 1008 that includes a motor / pump unit 1009. Then, the fluid reservoir 1010 is implanted in the patient. In this case, the device 10 is operated by hydraulics, that is, the working fluid is supplied through a conduit to operate the device. From the fluid reservoir 1010 to the device 10 by the motor / pump unit 100 The fluid is pumped by the pump at 9, and the working fluid is returned to the device 10 to return the device to its initial position. Then, the fluid is pumped to the fluid storage unit 1010 by the motor / pump unit 1009. It will be done. The installed energy conversion device 1002 converts wireless energy to the power supply line 1012. A current (for example, a polarization current) is used to drive the motor / pump unit 1009 via this current. Change it to ).

[0205] It is also assumed that, instead of the hydraulically operated device 10, the operating device consists of an air-operated device. ru. In this case, the working fluid can be compressed air used for regulation, and the fluid reservoir It will be replaced with an air chamber.

[0206] In all of these embodiments, the energy conversion device 1002 uses radio energy Does it include a rechargeable accumulator such as a battery or capacitor in order to be entrusted with this? It may be that energy is being supplied to any part of the system that is consuming energy. do.

[0207] Alternatively, the above wireless remote control device may indirectly control the patient's hand (e.g., skin) Any embedded part that is contacted by the push button located below is manually controlled and placed It might be replaceable.

[0208] Figure 39 shows this case and the installed energy converter 1002, which are operated by hydraulics. External N-ergy-transmitter having the wireless remote control device (device 10) It consists of a control device 1004 and a hydraulic fluid reservoir 1 in the form of a water control valve shift device 1014. 013, further consisting of a motor / pump unit 1009 and a retractable device. An embodiment of the present invention is shown. All of these are then implanted in the patient. Of course, hydraulic operation can be easily achieved by simply changing the direction in which the pump is lifting the water. It can be performed, and the regulating valve may therefore be omitted. Remote control is either isolated from or the same as an external energy-transmission device. It may be one of the devices included in [the document]. The motor in the motor / pump unit 1009 is an electric motor. Control of the external energy transmission device 1004 from a wireless remote control unit The device 1002, which changes the implanted N-ergy in response to the signal, is controlled by a control signal. The motor / pump unit 1009, which possesses energy, is driven by the energy carried by the motor / pump unit 1009. It moves. As a result, the motor / pump unit 1009 moves the hydraulic fluid reservoir 1013 The working fluid is metered and dispensed between the devices 10. Remote control of the external energy transmission device 1004 is controlled by the water control valve shift device 10 14 The fluid is passed from the hydraulic fluid reservoir 1013 to the motor 10 to operate the device. The pump unit 1009 pumps fluid in one direction and the fluid is initially positioned in the device. To return the motor / pump unit from device 10 to hydraulic fluid reservoir 1013, Control to change the direction of the working fluid flow between the other opposite directions, which is pumped by T1009. do.

[0209] Figure 40 shows the wireless remote control device, device 10, and the installed energy conversion device 1. 002, to the wireless remote control device of the external energy-transmission device 1004 The implanted built-in control device 1015 and implanted accumulator 1016 are controlled accordingly. and external N-energy-transmission having implanted capacitor 1017 An embodiment of the present invention consisting of apparatus 1004 is shown. The built-in control device 1015 is an energy conversion device 100 into which the accumulator 1016 is implanted. The stored amount of electrical energy received from 2 is arranged. Then, it supplies energy to device 10. To give. Responding to control signals from the wireless remote control of the external energy transmission device 1004 Then, the built-in control device 1015 also releases the power from the accumulator 1016 and then releases it. Energy or direct transmission line 1020 via transmission lines 1018 and 1019 that transfer materials The amount of power transferred from the installed energy conversion device 1002 via (capacitor 1017), It stabilizes the current, transmission line 1021, and transmission line 1019 for the operation of device 10. Let it.

[0210] The built-in control unit is preferably programmable from outside the patient's body. In a preferred embodiment, the built-in control device operates according to a pre-programmed schedule. Controlling 10 or any possible physical parameters of the patient or system The program also detects various functional parameters and accepts input from any sensor. It will be done.

[0211] Depending on the options, capacitor 1017 in the embodiment shown in Figure 40, 10 may be omitted. do not have. According to other options, the accumulator 1016 in this embodiment may be omitted. do not have.

[0212] Figure 41 shows the same embodiment of the present invention as in Figure 35, except in the following case: Apparatus 1 The operation of the battery 1022 and the device 10, which supply energy to the operation of 0, are also switched. The electrical switch 1023 is implanted in the patient. The electric switch 1023 may be controlled by remote control, and in off mode (electric (Pond 1022 is not in use) so the planted N-ergy will be changed to switch over. It may also be operated by the energy supplied by the device 1002. The upper mode (battery 1022 supplies energy to operate device 10).

[0213] Figure 42 shows the same embodiment of the present invention as in Figure 41. However, the following cases are excluded - external The energy-transmission device 1004 can also be controlled by a wireless remote control device. The capable built-in control device 1015 is implanted in the patient. In this case, the electric switch 1023 is in off mode (the wireless remote control is built into the control unit). This prevents the 1015 from being controlled and from entering standby mode (when the battery is not in use). Energy supplied by the installed energy converter 1002 to switch to mode It is powered by energy. There, remote control is controlled by the built-in control device 1015 of the device 1 It can be controlled to release power from battery 1022 for operation 0.

[0214] Figure 43 shows the same embodiment of the present invention as in Figure 42, except in the following case - Accu The muleta 1016 is used as a substitute for the battery 1022, and the implanted components are different. They interconnect. In this case, the accumulator 1016 receives energy from the implanted energy conversion device 1002. Save energy. From wireless remote control of the external energy-transmission device 1004 to the control signal In response, the built-in control unit 1015 puts the electric switch 1023 into the off mode (accumulation) In order to control switching from (not in use) the upper mode ( The accumulator 1016 supplies energy to the operation of the device 10. The accumulator may be combined with or replaced with a capacitor. Maybe.

[0215] Figure 44 shows the same embodiment of the present invention as in Figure 43, except in the following case: Battery 1 Unit 022 is also implanted in the patient, and the implanted components are different and interconnected. Responding to control signals from the wireless remote control of the external energy transmission device 1004 Then, the built-in control unit 1015 puts the accumulator 1016 into off mode (when the battery 1022 is used). Energy is required to activate the electrical switch 1023 in order to switch from (not in use) In order to control the discharge, the above mode (battery 1022 powers the operation of device 10) (To supply).

[0216] Alternatively, the electric switch 1023 is in off mode (the wireless remote control unit is powered by battery 102 2 is prevented from being controlled to supply power and is not in use (standby mode) Energy supplied by accumulator 1016 to switch to operation mode It may be activated in that way. In that case, the wireless remote control unit uses battery 1022 The amount of power supplied to the operation of device 10 can be controlled.

[0217] Switch 1023 and all other switches in this application are resolved in their broadest embodiment. They should understand that they must be reprimanded. This applies to transistors, MCUs, MCPUs, ASICs, FPGAs, or DA converters. This means that any other electronic component or circuit has a power that can be turned on / off. It might change drastically. Preferably, the switch is located on the outside of the main body, or is installed in a built-in control unit. It is controlled by the placement.

[0218] Figure 45 shows the same embodiment of the present invention as in Figure 41, except in the following case: motor -1007, Mechanical retracting device in the form of gearbox 1024 and gearbox 1 The built-in control unit 1015 for controlling 024 is implanted in the patient. The built-in control unit 1015 controls the gearbox 1024 to the device 10 (which is mechanically operated). Therefore, control is used to reverse the function that is executed. The uniform plant collector is designed to electronically switch the direction of the motor. In its broadest embodiment, the gearbox has a longer stroke to do so. This may represent a servo mechanism that provides power for the operating device.

[0219] Except for the fact that the planted components are different and interconnected, Figure 46 is the same as that of Figure 52. The same embodiment of the present invention is shown below. Thus, in this case, the built-in control unit 1015 controls the accumulator 1016 (optimally). Powered by a battery 1022 that activates the electric switch 1023 which is switched by the densa. The upper mode. The electric switch 1023 is powered by the battery supplied by the built-in control unit 1015 in whatever mode it is in. 1022 can be controlled, supplying energy for the operation of the device 10. —.

[0220] Figure 47 schematically shows the installed components of a device that achieves various communication options. The possible combinations are shown. Basically, the device 10, the built-in control unit 1015, and the motor or pump unit 1009 And, the external energy-transmission device 1004 is an external wireless remote Includes control device. As already mentioned above, the wireless remote control unit is connected to the built-in control unit 1015. Therefore, it transmits the received control signal. And it is then used to connect to various devices one after another. Controls the selected components.

[0221] The feedback device (preferably consisting of a sensor or measuring device 1025) is used to treat the patient. It may be implanted in patients to detect their physical parameters. The physical parameters include, at a minimum, pressure, volume, diameter, stretching, elongation, and expansion. Movement, bending, elasticity, muscle contraction, nerve impulses, body temperature, blood pressure, blood flow, heartbeat and respiration It might be someone selected from a group. The sensor may detect any of the above physical block parameters. For example, the sensor might be a pressure or motion sensor. Alternatively, sensor 1025 may be positioned to detect functional parameters. do not have. Functional parameters correlate with the transfer of energy to be entrusted to the planted energy source. It's possible that there is someone who selects from a set of parameters to become one. It may also include; Electricity, any electrical parameters, pressure, volume, diameter, range, extension, expansion, motion, Bending, elasticity, temperature, and flow.

[0222] Feedback is transmitted to an external control unit via the internal control unit, or to the internal control unit, It may be sent outside, if preferred. The feedback is an energy transfer system or separate receiver and transmitter. It may be emitted from the device via the communication system.

[0223] Internal control unit 1015 or external energy-transmission device 10 The external wireless remote control device 04 controls the device 10 in response to a signal from the sensor 1025. They might be able to control it. The transceiver communicates the physical parameters detected by the external wireless remote control device. It may be coupled with sensor 1025 for transmitting information. A wireless remote control device may consist of a signal transmitter or transceiver, and The built-in control unit 1015 may consist of a signal receiver or a transceiver. Alternatively, a wireless remote control device may consist of a signal receiver or transceiver. Furthermore, the built-in control device 1015 may consist of a signal transmitter or transceiver. stomach. The above transceiver, transmitter, and receiver are located outside the patient's body, away from the device 10. It may be used to send information or data related to it.

[0224] The motor / pump unit 1009 and the motor / pump unit 1009 drive Information related to charging the battery 1022 is provided at the location where the battery 1022 is inserted. It might be used as feedback. For greater accuracy, the method of charging the battery or accumulator Imposing the energy supplied by the return and energy to which related information is transmitted is Therefore, it changes.

[0225] Figure 48 shows another embodiment in which the device 10 is adjusted from outside the patient's body. System 1000 is provided with a connected battery 1022 and an undercutaneous electrical switch 10 The device 10 is configured as having gone through step 26. Thus, the standard device 10 is non-invasive by manually pressing a subcutaneous switch. This is executed, thereby switching the operation of device 10 on / off. The embodiments shown are simplified, and additional components disclosed in this application, For example, an internal control unit or any other part can be added to the system. It's not worth mentioning. Two subcutaneous switches may also be used. Information about the built-in control unit that triggers the installation of a switch to perform a specific predetermined performance. In a preferred embodiment, when the patient presses the switch again, the performer The situation will be reversed.

[0226] Figure 49 shows another embodiment, in which system 1000 is connected to the device by hydraulics. It consists of a hydraulic fluid reservoir 1013. Non-invasive adjustment is performed by manually pressing the fluid reservoir connected to the device. It can be done. Alternatively, preferably for calibration of the working fluid, the hydraulic fluid reservoir 1013 is used to supply the working fluid. Suitable for jobs that require an injection port for entry.

[0227] The system communicates with an external data communicator. And it may include a portable internal data communicator. The internal communicator transmits device or patient-related data to the external data communicator. The external data communicator supplies and / or the internal data communicator. To supply data.

[0228] The implanted internal components connected to the energy-consuming components of the device 10 Figure 50 shows the sequence for supplying the correct amount of energy to the energy receiver 1002. Feedback includes information related to at least one functional parameter of the device or system. Can the patient's body transmit information from the inside to the outside in order to give a report, or patient A schematic diagram illustrates the system layout related to the physical parameters. This type of energy receiver 1002 is an energy source and / or energy conversion It may include equipment. Simply put, radio energy is an external energy source located outside the patient. Conducted from 4a and received by the internal energy receiver 1002 located in the patient It is possible. The internal energy receiver adapts directly or indirectly via switch 1026. The device 10 then supplies the received energy to the components that are consuming energy. Energy balance is received by internal energy receiver 1002. The relationship between the energy used for the device 10 and the wireless energy is determined. Energy transmission is then controlled based on the determined energy balance. Energy balance thus provides precise indicators of the correct amount of energy needed. It provides and operates the device 10 properly without causing an excessive rise in body temperature. It is sufficient to do so.

[0229] In Figure 50, the patient's skin is indicated by the vertical line 1005. Here, the energy receiver is located just under the patient's skin 1005. It consists of an energy conversion device 1002 located at [location]. Generally speaking, energy implanted subcutaneously or in any other suitable location. The conversion device 1002 may be placed in the abdomen, chest, or muscle fascia (for example, in the abdominal wall). do not have. The planted energy conversion device 1002 is located near the planted energy conversion device 1002. External energy-transmission device 10 located on the outside of the patient's skin 1005 Radio energy transmitted from the external energy source 1004a provided in 04 - Adapt to receive E.

[0230] As is well known, radio energy E is normally not suitable for any appropriate transcutaneous energy conversion. A transmission (TET) device (including, for example, a primary coil located on an external energy source 1004a) The adjacent secondary carp located in the device and the planted energy conversion device 1002 It may also be moved by (Ru). When current is supplied by the primary coil, for example, the incoming energy is implanted After being stored in an energy source (e.g., a rechargeable battery or capacitor), the energy in the form of voltage is stored. Energy is used to drive the energy-consuming components of the device. This is induced in the secondary coil that can be induced. However, the present invention does not typically involve any specific energy transfer technique, nor does it involve a TET device. Or it is not limited to energy sources, and does not use any kind of radio energy. It might be possible.

[0231] The amount of energy received by the implanted energy receiver is the amount of energy received by the implanted device. It may be compared to the energy used by the constituent elements. The term "energy used" is then, and also by the embedded components of the device. It is understood to contain the energy that is stored within it. The control device uses an external energy source 1004 based on the determined energy balance. a includes an external control device 1004b that controls the amount of energy transferred to a. nothing. In the hierarchy, the correct amount of energy, energy balance, and required amount of energy The transfer involves the embedded control unit connected between the switch 1026 and the device 10. It is determined by a determination device that includes 1015. The built-in control unit 1015 receives various measured values ​​(of the device 10) obtained by appropriate sensors, etc. Receiving (not a specific characteristic that indicates measurement) may be arranged in this way, The amount of energy required, which also reflects this, was necessary for the proper operation of device 10. Furthermore, the patient's current condition may also be detected by appropriate measuring devices or sensors. To provide parameters that do not reflect the patient's condition, the patient's state is used. Therefore, since the patient's condition was reflected by parameters, for example, this type of characteristic and / or Similarly, the parameters are the current state of the device 10 (e.g., power consumption, operating mode, and temperature). It may be related to; Body temperature, blood pressure, heart rate, and respiration. Other types of physical block parameters for the patient and functional parameters of the device are described elsewhere. It is being done.

[0232] Furthermore, the energy source in the form of accumulator 1016 stores energy for later use. The received energy 1015 is transmitted via a control device used by the device 10 to plant It may be arbitrarily connected to the energy conversion device 1002. Alternatively, or in addition, the characteristics of this type of accumulator also include the required energy It may be measured similarly, reflecting the quantity. The accumulator may be replaced with a rechargeable battery, and the measured characteristics This includes any electrical parameters such as battery, energy consumption, voltage, temperature, etc. This may be related to the state. Sufficient voltage and current are supplied to the device 10, and furthermore, excessive In order to avoid overheating, the batteries, i.e., too little or too much In many cases, the planted energy conversion device 1002 receives the correct amount of energy. It is clearly understood that it must be charged optimally by [the means]. An accumulator may also be a capacitor with corresponding characteristics.

[0233] For example, battery characteristics may be measured periodically to determine the current state of the battery. And then, as state information in the appropriate storage means of the built-in control device 1015 It might be stored away. Thus, whenever a new measurement is created, the stored battery status information is used accordingly. And it can be updated. In this way, the battery state is maintained by the correct energy to keep the battery in an optimal state. It can be "adjusted" by transferring the quantity.

[0234] Thus, the built-in control device 1015 of the determination device determines the energy balance and / or This is the amount of energy currently required (when using device 10 (or patient) or implanted energy Measurement values ​​or any such values ​​produced by the aforementioned sensors or measuring devices of the energy source Also based on combinations (regarding time devices or stored energy) Adapt to determine (and). Connect to an external control device 1004b, which arranges to transmit the reflected control signals. In the energy of the external signal receiver 1004c, the internal control unit 1015 is internal Further connected to the signal transmitter 1027, the determined required amount The amount of energy transmitted from the external energy source 1004a is then used to receive the control signal. It may be adjusted in response.

[0235] Alternatively, the determination device may include an external control device 1004b. In this option, sensor measurements directly determine the energy balance and / or current needs. An external control device 1004b can measure the required amount of energy. It can be transmitted to 1004b. In this way, the built-in control of the external control device 1004b The above functions of device 1015 are integrated. In that case, the built-in control unit 1015 can be omitted, and the sensor measurement value is directly The system then broadcasts the measured values ​​to an external signal receiver 1004c and an external control device 1004b. It is supplied to the signal transmitter 1027. The energy balance and the amount of energy currently required are then measured by those sensors. Based on this, it can be measured by an external control device 1004b.

[0236] Therefore, the current solution, as shown in the arrangement in Figure 50, provides feedback indicating the required energy. Because it uses actual energy, it is more efficient than previous solutions in terms of the received energy. For example, the energy, energy difference, or installation of a device that is being compared in terms of the amount of energy. Energy compared to the energy rate used by the components that consume the energy. It is used within the rate at which ghee is being received. The device is for consuming energy or storing energy in an installed energy source, etc. It might use the received energy. The different parameters mentioned above are thus related and used as needed. Therefore, it maintains equilibrium as a tool for determining actual energy. However, whether these kinds of parameters are taken internally, especially to operate the device It may also be necessary for SE as a measure to be taken.

[0237] The internal signal transmitter 1027 and the external signal receiver 1004c are provided with appropriate signal transfer means ( For example, this can be done using separate devices that utilize radio, IR (infrared), or ultrasonic signals. Maybe. Alternatively, the internal signal transmitter 1027 and the external signal receiver 1004c are used for energy transfer. In connection with this, 1004a is used to transmit a control signal in the reverse direction, and each is planted with energy This may be integrated in the energy conversion device 1002 and an external energy source. And, basically, the same transmission technique is used. The control signal may be adjusted in terms of frequency, phase, or amplitude.

[0238] Thus, feedback information is transmitted to separate communication systems, including receivers and transmitters. It may be moved or integrated into energy systems. No. According to the present invention, the feedback and energy system uses wireless energy This type of integrated information consists of an implantable internal energy receiver for receiving The energy receiver and first electronic circuit have an internal first coil. It was connected to an external energy transmitter for conducting wireless energy, an external... An energy transmitter having two coils and a second electronic circuit were connected to the second coil. The external second coil of the energy transmitter is connected to the first coil of the energy receiver. It transmits the received radio energy. Deeper in this system, the first internal carp A power switch is provided to switch the connection of the wire, and the first electronic circuit is turned on / off. It is configured as follows. Feedback information related to the first coil is entrusted to the external second coil. The external energy is received by the transmitter in the form of impedance changes in the coil load. So that. At that time, the power switch turns the connection of the internal first coil on / off to the first Transfer to the electronic circuit. In implementing this system with the arrangement shown in Figure 50, the switch 1026 is separate and internal The internal control device controls 1015, or it is integrated into the built-in control device 1015. It was determined that switch 1026 must be interpreted in its broadest embodiment. This should be understood. This applies to transistors, MCUs, MCPUs, ASICs, FPGAs, and more. This means the DA converter, or any other electronic component or circuit is turned on. You might be able to switch off the power significantly.

[0239] To conclude, the energy supply device illustrated in Figure 50 has the following main components It might function as such. The energy balance is first measured by the built-in control unit 1015 of the determination device. The required amount of energy is also generated by the built-in control unit 1015, and the control signal However, the signal transmitted from the internal signal transmitter 1027 to the external signal receiver 1004c is reflected. The control signals, or as mentioned above, the energy balance, are adjusted according to the implementation. Alternatively, 1004b can be measured by an external control device. In that case, the control signal may be derived from measurement results from various sensors. The amount of energy emitted from the external energy source 1004a is then determined in response to the received control signal. For example, based on the determined energy balance, an external control device 1004b It can be adjusted by [this method]. This method may be repeated intermittently at specific intervals during the ongoing energy transfer. Either it doesn't happen, or it might run on a somewhat continuous basis during energy transfer.

[0240] The amount of energy transferred is usually from an external energy source 1004a (e.g., voltage, electricity). By adjusting various transmission parameters (flow, amplitude, wave frequency, and pulse characteristics) It can be adjusted.

[0241] This system also finds the optimal position for the external coil relative to the internal coil, and converts energy. Coupling between the coil of the 1TET system and the system that even adjusts the system to optimize transmission. It may be used to obtain information about the contributing factors. Simply comparing the amount of energy in this case is not enough; it is a matter of comparing the amount of energy received. . For example, if the external coil moves, the coupling factors may change, and The correctly demonstrated motion allows the external coil to find the optimal location for energy transfer. It was possible. Preferably, the external coil is used to process the feedback information in the determination device. It adapts to adjust the amount of energy transferred. Then, the coupling factor It is maximized.

[0242] This coupling factor information is also used as feedback during energy transfer. It might be possible. In this type of case, the energy system of the present invention is implanted for receiving wireless energy It consists of a type internal energy receiver, An energy receiver having an internal first coil and a first electronic circuit is connected to the first coil. Connected, and an external energy transmitter for conducting wireless energy, external second An energy transmitter having a coil and a second electronic circuit were connected to the second coil. The external second coil of the energy transmitter is connected to the first coil of the energy receiver by It transmits the received wireless energy. This deeper system receives the feedback information in the first coil. It has a feedback device that transmits energy to the outside, and the second electronic circuit is where the feedback For receiving back information, and coupling between the first and second coils. The amount of energy received in the first coil in order to obtain the factor is related to the feedback Determination for comparing the amount of energy transferred by the second coil, which has the data information. The device includes or is equipped with an energy transmitter that responds to the obtained coupling factor. It may control the transmitted energy.

[0243] Regarding Figure 51, the wireless transfer of energy to operate the device enables non-invasive operation. Although it was stated above that the device was connected to the same wires, Needless to say, it can be operated by ghee. An example of this type is shown in Figure 51. This is shown. There, the external switch 1026 is connected to the external energy source 1004a and It is interconnected with the operating device (for example, the electric motor 1007 that operates device 10). The external control device 1004b controls the operation of the external switch 1026 to perform appropriate operations of the device 10. Control it in order to run it.

[0244] Figure 52 shows that the received energy is supplied to the device 10 and used by Different embodiments for the method are illustrated. Similar to the embodiment in Figure 50, internal energy... The receiver 1002 is controlled by the transmission control unit 1004b. It receives wireless energy E from energy source 1004a. Internal energy receiver 1002 is a constant voltage circuit (to supply energy to device 10 at a constant voltage, as shown by the dotted line in the figure). It may consist of (represented as "constant V"). Internal energy response B1002 is a constant current source circuit (to supply energy to device 10 with a constant current source, as shown in the figure) It may consist of more than the dotted box "Permanent C".

[0245] The device 10 consists of a 10a part that consumes energy. And it is a motor, Pumps, regulatory devices, or any other medical devices that require energy for their electrical operation. It may also be an instrument. Device 10 is supplied from the internal energy receiver 1002 It may further consist of an energy storage device 10b for storing the energy. Thus, the supplied energy is directly consumed by part 10a. It may be consumed or stored by the energy storage device 10b It may not be possible, or the supplied energy may be partially consumed, and partially It may be stored. Device 10 is supplied from the internal energy receiver 1002. It consists of a device 10c that stabilizes the energy in order to stabilize the energy. It may be that, in this way, it stabilizes its energy before it is consumed or stored. Energy may be supplied in a fluctuating manner, as it may be necessary to do so. do not have.

[0246] Before being consumed and / or stored by device 10, internal energy receiver The energy supplied from B1002 may be further stored and / or Stabilized by device 1028, which stabilizes separate energies located outside device 10. It might do so. Alternatively, the energy stabilizing device 1028 may have built-in energy It may be integrated in the Ghee receiver 1002. In any case, the energy The stabilizing device 1028 may consist of a constant voltage circuit and / or a constant current source circuit. I can't.

[0247] Figures 50 and 52 show various functional components and elements arranged. There are several possible ways in which these can be connected to each other, but they are not limited to It should be noted that this is merely an example of a typical implementation option. However, skilled individuals can do this. As soon as many variations and modifications can be made within the scope of the present invention admit.

[0248] Figure 53 schematically shows a proposed design for a system of wireless energy control and transmission. The energy balance or energy balance control system that measures the circuit of the person doing the measuring This shows the circuit. The circuit is concentrated at 2.5V and proportionally outputs related to energy imbalance. It has a force signal. Derivatives of this signal include whether the value goes up or down, and whether this type of change occurs. This indicates how quickly it happens. When the amount of received energy is lower than the energy used by the implanted components of the device. Therefore, more energy is transferred and entrusted to the energy source in this way. The output signal from the circuit is generally supplied to the A / D converter, and digital format It changed to a mat. The digital information then shows the level of energy it transmitted. It can be sent to an external energy transmission device that can be adjusted. It is possible. Another possibility is that if the balance drifts from the maximum / minimum window, the energy balance The specific maximum energy level is being sent to the external energy transmission device. and a fully analog system using a comparator that compares to a minimum threshold. That is the case.

[0249] The illustrative Figure 53 shows energy being transferred from outside the patient's body using inductive energy transfer. —A circuit implementation for a system that transfers energy to the implanted energy components of the device of the present invention is shown. Inductive energy transfer systems generally use an external transmitting coil and an internal receiving coil. Use. The receiving coil (L1) is shown in the model figure 36; The system's transmission section is excluded.

[0250] The general concept and information of energy balance are transmitted to an external energy transmitter. The law can, of course, be implemented in many different ways. (See Figure 53 for a model and information.) The method of drawing lines with the above non-drawing machine, which is evaluated and transmitted, is used by the person implementing the control system. It must be considered an example of the law being put into practice. Circuit details

[0251] In Figure 53, symbols Y1, Y2, Y3, and others indicate test points within the circuit. Symbolize. The diagrams and the constituent elements of each of their values ​​can, of course, be infinitely numerous. This is a value that works in this particular embodiment, which is only relevant to those with a design interpretation.

[0252] The energy that drives the circuit is received by the energy receiving coil L1. The energy for the constituent elements is, at a frequency of 25 kHz, in this particular case. The energy is conducted. The energy balance output signal is present at test point Y1.

[0253] Those skilled in the art will see that the various embodiments of the system described above can be incorporated in many different ways. I understand that it can be done. For example, the electric switch 1006 in Figure 36 is the same as the embodiment in Figures 39 and 45. The water control valve shift device 1014 in Figure 39, which can be incorporated into either of the above, is the implementation shown in Figure 38. It can be incorporated into the example, and the gearbox 1024 is taken into the embodiment in Figure 37. It can be inserted. A switch simply means any electronic circuit or component. I will pay close attention to what is possible.

[0254] The embodiments described in relation to Figures 50, 52, and 53 are electrically operable devices. For the control and transmission of wireless energy to the planted energy-consuming components. Confirm the method and apparatus. This type of method and system is defined by the following general terms. ru.

[0255] The method is as described above, and the configuration consumes energy in the device. It is provided for the control and transmission of wireless energy supplied to the patient. Wireless energy E is supplied to the patient Transmitted from an external energy source located outside the body, and internal energy located within the patient. It is received by the receiver. And the internal energy receiver directly receives it. or implanted energy consuming components of a device that indirectly supplies received energy It is connected to energy. Energy balance is maintained by the internal energy receiver. This is determined by the relationship between the energy received and the energy used for the device. The transmission of wireless energy E from an external energy source is then determined by the energy... It is controlled based on balance.

[0256] Radio energy is transmitted from the primary coil of an external energy source to the internal energy receiver. It may be inductively conducted to the secondary coil. Changes in energy balance can be detected. Detected to control the transmission of radio energy based on changes in energy balance. It might be. The difference is the energy received by the internal energy receiver and It may also be detected in relation to the energy used for medical devices. And, The transmission of wireless energy is controlled based on the detected energy difference.

[0257] When controlling the energy transmission, detecting energy balance changes If it means an increase in energy balance or the opposite, it is sent. The amount of wireless energy may decrease. A decrease / increase in energy transmission may affect detection. It may also be able to handle the conversion rate further.

[0258] The detection energy difference is greater than the received energy used, or vice versa. If this means that the amount of radio energy transmitted may decrease even further. —The decrease / increase in transmission may then correspond to the magnitude of the difference in detected energy.

[0259] As mentioned above, the energy used for medical devices is necessary to operate them. It may be consumed by and / or the energy memory of at least one medical device. It may be stored in a memory device.

[0260] Electrical and / or physical parameters of medical devices and / or physical blocks of patients When the parameters are determined, the energy is determined based on the time. Data may be transmitted for consumption and storage according to the transfer rate per device. The total amount of energy may also be determined based on the aforementioned parameters.

[0261] The difference is detected between the total amount of energy received by the internal energy receiver. The total amount of energy consumed and / or stored and the detected difference The time of at least one measured electrical parameter related to the energy balance When integrals over a certain range are relevant, the integral is monitored in relation to the energy balance. It may be determined by voltage and / or current.

[0262] The measured amount of energy consumed and / or stored by the inducer When the energy parameters are determined over time, the inducer is related to the energy balance. This may be determined by the monitored voltage and / or current. External energy The transmission of radio energy from an energy source is carried out by a first electrical circuit. It may be controlled by applying an electrical pulse to an external energy source.

[0263] And, the electrical pulse has a leading edge and a trailing edge, and the electrical pulse is continuous Leading and pulling at a first time interval and / or continuously between the trailing edges The second time between the leading edge of the electrical pulse (and transmitted radio energy) The transmitted energy, which changes the length of the interval, is derived from an electrical pulse. The various forces generated change the nature of the forces depending on the length of the first and / or second time intervals. To transform.

[0264] In that case, when changing the first and / or second time interval, the electrical pulse The frequency may be substantially constant. When applying an electrical pulse, the first and / or The electrical pulse may remain unchanged, except for the second time interval being altered. When the first and / or second time intervals are changed, the amplitude of the electrical pulse is substantially It may be constant. Furthermore, electrical pulses are led by a series of electrical pulses. Diversity may be achieved simply by changing the length of the first time interval between the trailing edge and the following edge. Maybe.

[0265] A series of two or more electrical pulses may be supplied in succession. When applying pulse continuity, the pulse train has a first electrical pulse at the start of the pulse train. And a train having a second electrical pulse at the end of the pulse train, two or more pulses The pulse train may continue to be supplied. There, the second electrical pulse of the first pulse train The second pulse between the trailing edge of the pulse and the main edge of the first electrical pulse of the second pulse train The length of the time interval between 2 can vary.

[0266] When applying an electrical pulse, the electrical pulse is substantially a stable current and substantially It may have a constant voltage. An electrical pulse is a substantially stable current and substantially It may also have a constant voltage. Furthermore, electrical pulses may also have a virtually constant frequency. The electrical pulses within a pulse train may similarly have a substantially constant frequency.

[0267] The circuit was formed by the first electrical circuit, and the external energy source was the first characteristic It may have a time or a first time constant, and the transmitted energy is effectively When changing, this type of frequency time is constant or shorter than the first characteristic time or time. It might be within an intermediate range.

[0268] As described above, the system consisting of the devices consumes the components of the devices in this way. It is also provided for the control and transmission of wireless energy supplied to planted energy sources. In its broadest sense, a system is the transmission of radio energy from an energy-transmission device. Control devices for controlling and implants for receiving transmitted radio energy It consists of a type internal energy receiver. And the internal energy receiver is Portable energy for devices that directly or indirectly supply received energy - It is connected to the components that are consuming energy. Deeper systems have internal energy receivers. Adapt to determine the energy balance between the energies received by the carburetor. Based on the determination device and the energy balance measured by the determination device, the device (control device) External energy (transmission device controls the transmission of wireless energy) It is equipped with the energy used for the components that consume the available energy. ru.

[0269] At least one battery may be part of or may replace one implementation In the example, change the energy supplied to device 10 on the power supply line. Device 1002. In one embodiment, the battery is not rechargeable. In another embodiment, the battery is rechargeable. The battery supply will of course be incorporated into both remote control devices. It might be possible.

[0270] Furthermore, the system may consist of one of the following:

[0271] Suitable for inductively transmitting radio energy to the secondary coil of the internal energy receiver. The primary coil of the corresponding external energy source.

[0272] The judgment device adapts to detect changes in energy balance, and the control device The chair controls the transmission of wireless energy based on detected energy balance changes.

[0273] The determination device receives energy from the internal energy receiver and the device's transfer Detects differences in the energy used for components that consume available energy. To adapt, and based on the detected energy difference, the control device detects wireless energy Controls the transmission of -.

[0274] A detected change in energy balance indicates an increase in energy balance. In this case, the control device transmits wireless energy from an external energy transmission device. Control to reduce the amount of ghee, or vice versa. Therein, energy - The decrease / increase in transmission corresponds to the detection rate of change.

[0275] The detection energy difference is greater than the received energy used, or vice versa. If this means that the control device has received an external energy transmission device, then the control device has received an external energy transmission device. Control to reduce the amount of wireless energy. In this process, the reduction in energy transmission. The increase corresponds to the magnitude of the detection energy difference.

[0276] The energy used for the device is consumed to operate the device, and / or Alternatively, it is stored in at least one energy memory device of the device.

[0277] The electrical and / or physical parameters of the device and / or the physical block parameters of the patient. Where the meter is determined, the energy-transmission device is based on the aforementioned parameters. Energy consumption and storage for the time device measured by the determination device according to the transfer rate Transmit ghee. The determination device also determines the total amount of energy transmitted based on the aforementioned parameters.

[0278] The difference lies in the total amount of energy received and consumed by the internal energy receiver. When detected between the total amount of energy that has been and / or stored, The discrepancy is due to at least one measured electrical parameter related to energy balance. The integral over time, the determination of the integral for the voltage monitored by the device and / Alternatively, it may be related to electric currents associated with energy balance.

[0279] The measured amount of energy consumed and / or stored by the inducer When the energy parameters are determined over time, the determination device is related to the energy balance. Determine the inductor for the monitored voltage and / or current.

[0280] The energy-transmission device consists of coils placed externally to the human body, The electrical circuit then drives an external coil with electrical pulses to conduct wireless energy. It is designed to move. An electrical pulse has a lead and a trailing edge, and the electrical circuit transmits an electrical pulse. The continuous pulling and electrical pulses used to change the force of something with linear energy. Continuous leading between the ding edge and the first time interval between the trailing edges Adapt to change the second time interval. As a result, the energy receiver receiving the transmitted radio energy will experience various forces. It holds.

[0281] The electrical circuit remains constant except for changing the first and / or second time intervals. It adapts to emit electrical pulses because it has the potential to do so.

[0282] An electrical circuit has a time constant, and the first and second time intervals are changed within the range of only the first time constant. It adapts in order to become different. As a result, the lengths of the first and / or second time intervals vary. In such cases, the transmission power on the coil varies.

[0283] The electrical circuit leads electrical pulses in succession and between the trailing edge and the first time By simply changing the length of the interval, it is possible to emit electrical pulses in a diverse manner. To adapt.

[0284] An electrical circuit then produces a series of two or more electrical pulses (at the beginning of the pulse train) The first has an electrical pulse, and the second has an electrical pulse at the end of the pulse train. Adapted to supplying trains, and,

[0285] The trailing edge of the second electrical pulse of the first pulse train and the first of the second pulse train The length of the second time interval between the main edges of an electrical pulse varies depending on the first electronic circuit. be.

[0286] The electrical circuit has a substantially constant height and / or amplitude and / or intensity and / or Alternatively, an electrical pulse can be provided as a pulse having voltage and / or current and / or frequency. To be adapted for use.

[0287] An electrical circuit has a time constant, and the first and second time intervals are changed within the range of only the first time constant. It adapts to change, so when the lengths of the first and / or second time intervals vary. Therefore, it is diverse that what is transmitted completely drives the first coil.

[0288] The electrical circuit is a range that includes, or is located relatively close to, the first time constant. Electrical pulses that vary the length of the first and / or second time intervals within only that It is adapted to provide the value, and then compared to the magnitude of the first time constant.

[0289] Figures 54-57 show the installation of the device according to the present invention, driven by hydraulics or pneumatic action. More detailed block diagrams illustrate the four different ways in which it works.

[0290] Figure 54 shows the system as described above. The system includes an implanted device 10 and further separate standard storage units 1013, and in one direction It comprises a pump 1009 and alternating valves 1014.

[0291] Figure 55 shows the apparatus 10 and the fluid reservoir 1013. Move the standard storage wall or change the size of the same thing in any other different way. By doing so, the device can be adjusted by any valve (just move the storage section wall at any time). It may also be possible to perform this without the free passage of fluids.

[0292] Figure 56 shows the apparatus 10, the two-way pump 1009, and the standard storage unit 1013.

[0293] Figure 57 shows a reversing servo device having a first closed system that controls a second closed system. A lock diagram is shown. The servo device comprises a standard storage unit 1013 and a servo storage unit 1050. The servo storage unit 1050 is mechanically installed via the machine interconnect 1054. The device 10 is controlled. The device has an expandable / co-operable cavity. This cavity is Or foam from a larger adjustable storage unit 1052 of the fluid connection having device 10 It is the working fluid supplied to the area where the frame has contracted. Alternatively, the cavity contains compressible gas. Hmm. And it could be compressed and expanded under the control of the servo storage unit 1050. .

[0294] The servo storage unit 1050 could also be a part of the device itself.

[0295] In the embodiment, the standard storage unit is placed subcutaneously under the patient's skin and inserted by finger. It is operated by pressing on the outer surface. This system is illustrated in Figures 58a-c. In Figure 58a, the standard storage area 1013 of the flexible subcutaneous tissue expands through the conduit 1011. It is shown connected to the bellows-shaped servo motor storage unit 1050. Part 1050 is made up of a flexible device 10. In the state shown in Figure 58a, the servo storage The storage section 1050 contains a minimum amount of fluid, and most of the body fluids are found in the standard storage section 1013. It is soaked. For the interconnection of the machines between the servo storage unit 1050 and the device 10, 10 is so The external shape of a device, that is, the area it occupies, is less than its contracted maximum capacity. The maximum capacity is indicated by the dotted line in the diagram.

[0296] Figure 58b shows the fluid contained therein flowing through the conduit 1011, and the servo storage unit. The target state is that the device is implanted inside the user, like a patient, so that it can be brought to 1050. This indicates pressing the storage section 1013 of the standard. And, due to its bellows shape, the longitudinal It expands in that direction. This expansion successively expands the device 10 so that it occupies its maximum capacity. It does so. This causes it to stretch against the stomach wall (not shown). And then it makes contact with it.

[0297] The standard storage section 1013 preferably includes means 1013a for maintaining its shape after compression. It is equipped with this. When the user releases the standard storage unit, this means (as schematically shown in the figure) This keeps the device 10 in the extended position. In this way, standard The storage unit primarily operates as an intermittent switch for the system.

[0298] Another embodiment of hydraulic or pneumatic operation is described with respect to Figures 59 and 60a-c. It is shown in the figure, which consists of a first closed system in which 59 controls the second closed system. Lock diagram. The first system comprises a standard storage unit 1013 and a servo storage unit 1050. The servo storage unit 1050 is mechanically larger via the machine interconnect 1054. Controls the adjustable storage unit 1052. 10 has an expandable / co-operable cavity. In the turn, the planted 1052 is controlled by a large adjustable storage unit. The device has a larger, adjustable reservoir 1052 for fluid connection with device 10, and the working fluid is It will be supplied by [this method].

[0299] The embodiment of this example is described with respect to Figures 60a-c. In the aforementioned embodiment, the standard storage area is located beneath the patient's skin. It is activated by pressing its outer surface against the skin and then with a finger. The standard storage unit 1013 is connected to the bellows-shaped servo motor storage unit 1050 by the conduit 1011. In the fluid connection that has the first closed system 1013, 1011, 1 shown in Figure 60a At 050, the servo storage unit 1050 contains a minimum amount of fluid, and the majority of the body fluid is It can be found in the standard storage unit 1013.

[0300] The servo storage unit 1050 is mechanically connected to a larger, adjustable storage unit 1052. In this example, in addition to having a considerably larger diameter than the servo storage section 1050, it also has a bellows shape. A larger adjustable storage unit 1052 is located in the fluid connection of the device 10. This allows the user to transfer fluid from the standard storage unit 1013 to the servo storage unit 1050. When you move and press the standard storage unit 1013, this will allow the servo storage unit 1050 to unfold. The intention is to transfer a considerable amount of fluid from the large, adjustable storage unit 1052 to the device 10. It tastes good. In other words, with this reverse servo motor, the small volume of the standard storage unit becomes more efficient. It is compressed by a force, and this is more likely to have less force per region device. This causes a change in the total area.

[0301] In the above-mentioned embodiment, as described above with respect to Figure 58a-c, the standard storage unit 101 3 preferably includes means 1013a for maintaining its shape after compression. When releasing the standard storage unit, this means (as schematically shown in the figure) is used in this manner. It also keeps 0 in the extended position. In this way, the standard storage unit is the system It primarily operates as an intermittent switch.

[0302] Despite the different parts mentioned above having specific placements on the drawing, Please understand that these placements may change depending on the context. It should be understood.

[0303] The lubricating fluid used in any of the embodiments in this specification is preferably self It is a biocompatible lubricating fluid that mimics the synovial fluid of the natural hip joint. According to one embodiment, The lubricating fluid is hyaluronic acid.

[0304] In all of the above embodiments, the conduit is excluded, and the channel or channel It is conceivable that the device is directly connected to a storage unit or injection port. Any embodiment or part of the embodiment is in any form or in any way or part of the method Note that they can be combined in the manner described herein. All embodiments in this specification are generally A general description combined in any form, and therefore not seen as part of the candidate. The general description must be considered to describe both the apparatus and the method. Pay attention to this point.

[0305] If this type of combination is clearly incompatible, then various of the above-mentioned features of the present invention are They may be combined in some form or another. The present invention is described in more detail with respect to currently preferred embodiments and the accompanying drawings. Furthermore, this type of combination or replacement is clearly incompatible with the overall function of the device. As far as is the case, the individual features of the various embodiments may be combined or replaced. I can't.

Claims

1. 1. An implantable lubrication device for lubricating a joint in a human or mammalian patient, comprising: The oiling device is a reservoir configured to store a lubricating fluid; a fluid connection device including a fluid connection tube; Equipped with The fluid connection tube is a. connected to the reservoir; b. configured to extend through tissue of the patient; c. for connecting to the joint when implanted and for introducing the lubricating fluid into the joint when the lubrication device is implanted in the patient's body; The implantable lubrication device comprises: a lubricating fluid reservoir configured to be fully implanted in the patient's body and to lubricate the joint using the lubricating fluid from the reservoir; The implantable lubrication device comprises: a refill port (1107) hydraulically connected to refill said reservoir with said lubricating fluid; The storage unit is an internally spring-loaded movable wall portion (1110) for varying the volume of said reservoir; The storage unit is The movable wall portion (1110) separates the two portions, and the movable wall portion (1110) is loaded with a spring to push the movable wall portion (1110) to pressurize the lubricating fluid. Implantable lubrication device.

2. the fluid connection tube is connected to an injection member; The injection member is configured to be introduced into the joint to inject the lubricating fluid into the joint.

10. The implantable lubrication device of claim 1.

3. the injection member comprises an injection needle; The injection needle is configured to be intermittently placed in the joint to inject the lubricating fluid into the joint.

3. The implantable lubrication device of claim 2.

4. The injection member comprises a tube configured to be permanently placed in the joint to continuously inject the lubricating fluid into the joint.

3. The implantable lubrication device of claim 2.

5. The injection member is The lubricating fluid is configured to be injected into the joint intermittently or continuously. An implantable lubrication device according to any one of claims 2 to 4.

6. a pump connected to the fluid connection device; The pump is configured to establish a lubricating fluid flow within the fluid connection to the joint. An implantable lubrication device according to any one of claims 1 to 4.

7. a motor connected to the fluid connection device; The motor is configured to establish a lubricating fluid flow within the fluid connection device to the joint directly or indirectly. An implantable lubrication device according to any one of claims 1 to 4.

8. The movable wall portion is a membrane, and the reservoir includes a gas chamber configured to act as a spring to vary the volume of the reservoir available for lubricating fluid to establish lubricating fluid flow to the joint. An implantable lubrication device according to any one of claims 1 to 7.

9. The refill port includes a self-sealing pierceable membrane. An implantable lubrication device according to any one of claims 1 to 8.

10. The fluid connection device is configured to establish a circulating lubricating fluid flow within the lubrication device through the joint. An implantable lubrication device according to any one of claims 1 to 4.

11. The fluid connection device is configured to establish a circulating lubricating fluid flow that circulates continuously or intermittently within the lubrication device through the joint; 11. The implantable lubrication device of claim 10.

12. The fluid connection device is a filter device having a filter configured to remove impurities from the circulating lubricating fluid flow; 11. The implantable lubrication device of claim 10.

13. The filter device comprises a cleaning device configured to clean the filter.

13. The implantable lubrication device of claim 12.

14. The filter device includes a sealed deposition space and is configured to deposit the removed impurities in the sealed deposition space.

13. The implantable lubrication device of claim 12.

15. The filter device is configured to return the removed impurities to the patient's body.

13. The implantable lubrication device of claim 12.

Images