CN106512217A - Multiple-implantable-medical-device cooperation work system - Google Patents
Multiple-implantable-medical-device cooperation work system Download PDFInfo
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- CN106512217A CN106512217A CN201611194498.5A CN201611194498A CN106512217A CN 106512217 A CN106512217 A CN 106512217A CN 201611194498 A CN201611194498 A CN 201611194498A CN 106512217 A CN106512217 A CN 106512217A
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- 230000007383 nerve stimulation Effects 0.000 claims abstract description 53
- 238000004891 communication Methods 0.000 claims abstract description 51
- 230000000638 stimulation Effects 0.000 claims abstract description 23
- 210000003205 muscle Anatomy 0.000 claims abstract description 17
- 230000007794 irritation Effects 0.000 claims description 33
- 230000003387 muscular Effects 0.000 claims description 33
- 210000005036 nerve Anatomy 0.000 claims description 17
- 210000005070 sphincter Anatomy 0.000 claims description 13
- 230000004936 stimulating effect Effects 0.000 claims description 13
- 210000003708 urethra Anatomy 0.000 claims description 10
- 238000012545 processing Methods 0.000 claims description 6
- 230000005059 dormancy Effects 0.000 claims description 5
- 238000001514 detection method Methods 0.000 claims description 4
- 230000002457 bidirectional effect Effects 0.000 claims description 3
- 101100341609 Drosophila melanogaster jing gene Proteins 0.000 claims 1
- 238000005259 measurement Methods 0.000 abstract description 4
- 206010046543 Urinary incontinence Diseases 0.000 description 10
- 230000001225 therapeutic effect Effects 0.000 description 7
- 201000010099 disease Diseases 0.000 description 5
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 238000005516 engineering process Methods 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 241001517488 Clavus Species 0.000 description 3
- 230000008602 contraction Effects 0.000 description 3
- 238000002513 implantation Methods 0.000 description 3
- 206010049565 Muscle fatigue Diseases 0.000 description 2
- PXHVJJICTQNCMI-UHFFFAOYSA-N Nickel Chemical compound [Ni] PXHVJJICTQNCMI-UHFFFAOYSA-N 0.000 description 2
- 239000004677 Nylon Substances 0.000 description 2
- 208000000450 Pelvic Pain Diseases 0.000 description 2
- 206010036968 Prostatic pain Diseases 0.000 description 2
- 206010066218 Stress Urinary Incontinence Diseases 0.000 description 2
- 208000000921 Urge Urinary Incontinence Diseases 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 230000005540 biological transmission Effects 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 230000004064 dysfunction Effects 0.000 description 2
- 210000003608 fece Anatomy 0.000 description 2
- 210000001624 hip Anatomy 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 230000027939 micturition Effects 0.000 description 2
- 231100000252 nontoxic Toxicity 0.000 description 2
- 230000003000 nontoxic effect Effects 0.000 description 2
- 229920001778 nylon Polymers 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 229920002635 polyurethane Polymers 0.000 description 2
- 239000004814 polyurethane Substances 0.000 description 2
- 201000007094 prostatitis Diseases 0.000 description 2
- 239000004332 silver Substances 0.000 description 2
- 208000022170 stress incontinence Diseases 0.000 description 2
- 206010046494 urge incontinence Diseases 0.000 description 2
- 210000002700 urine Anatomy 0.000 description 2
- 229910001316 Ag alloy Inorganic materials 0.000 description 1
- 208000000094 Chronic Pain Diseases 0.000 description 1
- 206010010774 Constipation Diseases 0.000 description 1
- 229910000599 Cr alloy Inorganic materials 0.000 description 1
- 208000034347 Faecal incontinence Diseases 0.000 description 1
- 208000005422 Foreign-Body reaction Diseases 0.000 description 1
- 229910000575 Ir alloy Inorganic materials 0.000 description 1
- 229910000990 Ni alloy Inorganic materials 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 229910001260 Pt alloy Inorganic materials 0.000 description 1
- 201000001880 Sexual dysfunction Diseases 0.000 description 1
- 150000001336 alkenes Chemical class 0.000 description 1
- 230000037007 arousal Effects 0.000 description 1
- 239000006227 byproduct Substances 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 230000007797 corrosion Effects 0.000 description 1
- 238000005260 corrosion Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000005265 energy consumption Methods 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 230000036724 intravesical pressure Effects 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 230000007257 malfunction Effects 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000004007 neuromodulation Effects 0.000 description 1
- 229910052759 nickel Inorganic materials 0.000 description 1
- 210000003903 pelvic floor Anatomy 0.000 description 1
- 229950000845 politef Drugs 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 238000011897 real-time detection Methods 0.000 description 1
- 231100000872 sexual dysfunction Toxicity 0.000 description 1
- 229910052709 silver Inorganic materials 0.000 description 1
- 230000000392 somatic effect Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 208000037816 tissue injury Diseases 0.000 description 1
- 210000001635 urinary tract Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/36128—Control systems
Landscapes
- Health & Medical Sciences (AREA)
- Radiology & Medical Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurosurgery (AREA)
- Neurology (AREA)
- Gastroenterology & Hepatology (AREA)
- Electrotherapy Devices (AREA)
Abstract
The invention discloses a multiple-implantable-medical-device cooperation work system. The system comprises a sacral nerve stimulation subsystem, a muscle stimulation subsystem, a sensor subsystem and external remote measurement equipment. The sacral nerve stimulation subsystem comprises a sacral nerve stimulation electrode, a pulse generator module, a processor module, an awakening module and a communication module. The muscle stimulation subsystem comprises a muscle stimulation electrode, a muscle stimulation pulse generator module, a processor module, the awakening module and the communication module. The sensor subsystem comprises a pressure sensor, the processor module and the communication module. The external remote measurement equipment comprises the processor module, the communication module and a display module. Through cooperation work of the system, a treatment effect of uracratia can be increased.
Description
Technical field
The present invention relates to the system for having multiple implantable medical equipment, in particular to a kind of multiple implantable medical equipment collaborations
The system of work.
Background technology
Muscular irritation is more and more used for treating the diseases such as chronic pain, urination dysporia.With entering for technology
Step sacral nerve stimulation is also used to the diseases such as treatment urination dysporia.
The method for passing through muscular irritation or sacral nerve stimulation treatment urinary incontinence in prior art is single, and therapeutic effect has
Limit.Such as, can be caused with the growth of stimulation time " muscle fatigue " by muscle stimulation treatment urinary incontinence, be made under therapeutic effect
Drop；And urinary incontinence is treated from from therapeutic effect by sacral nerve stimulation, success rate need further to improve.
United States Patent (USP) US7384390B2 discloses a kind of method and apparatus for treating urinary incontinence, the method pulse generation
The stimulus signal that device is produced reaches the purpose for the treatment of urinary incontinence by the periurethral sphincter of electrode stimulating.United States Patent (USP)
US7328069B2 discloses a kind of method and apparatus, for the medicine that conveying is associated with electronic stimulation for one or more, produces
Raw one or more electrical stimulation signals are used for the sacral nervess of the pelvic floor and/or pudendum for stimulating patient, for treating including but not
It is confined to, homaluria dysfunction, feces excretory function obstacle, constipation, stress incontinence urge incontinence, urine retention obstacle, property work(
The diseases such as energy obstacle, climax malfunction, erection disturbance, pelvic pain, prostatitis, prostatodynia.
The method for passing through muscular irritation or sacral nerve stimulation treatment urinary incontinence in having technology is single, and therapeutic effect is limited.
Can be caused with the growth of stimulation time " muscle fatigue " by muscle stimulation treatment urinary incontinence, decline therapeutic effect；And
Urinary incontinence is treated from from therapeutic effect by sacral nerve stimulation only, success rate need further to improve.
The present invention can improve the therapeutic effect of urinary incontinence by the collaborative work of multiple implantable medical devices.
The content of the invention
It is an object of the invention in overcoming the shortcomings of above-mentioned technology, there is provided a kind of multiple implantable medical devices cooperate with work
The system of work, including a sacral nerve stimulation subsystem, a muscular irritation subsystem, a sensor subsystem and external distant
Measurement equipment；Described sacral nerve stimulation subsystem includes sacral nerve stimulation electrode, the first pulse generator module, first processor
Module, the first wake module, first communication module；Described muscular irritation subsystem includes muscle stimulation electrodes, muscular irritation
Pulse generator module, second processing device module, the second wake module, second communication module；Described sensor subsystem bag
Include pressure transducer, the 3rd processor module and third communication module；Described external telemetry equipment includes fourth processor mould
Block, fourth communication module and display module；Sacral nerve stimulation electrode is implanted to around the sacral nervess of patient's waist bottom, muscular irritation
Electrode is implanted to around patient's sphincter of urethra, pressure transducer detection bladder pressure；External telemetry equipment passes through fourth communication
Module opens sacral nerve stimulation system or muscle stimulation system stimulates relevant position with default stimulus parameter, if opening sacral nervess
Stimulating system, first processor module controls the first pulse generator stimulates the first Preset Time with the first default stimulus parameter
Afterwards, sacral nerve stimulation system is communicated with second communication module by first communication module, and the second wake module wakes up second processing
Device module, sacral nerve stimulation system dormancy of working together, second processing device module control the second pulse generator with the second parameter preset
After stimulating the second Preset Time of sphincter, then sacral nerve stimulation system is waken up, pressure transducer detection bladder pressure in stimulating course
Power, then notifies the stimulation system for currently being stimulated by the third communication module when processor judges that bladder pressure is more than predetermined threshold value
System enters park mode, waits the control of external telemetry equipment to be stimulated again afterwards.Further, sacral nerve stimulation subsystem,
RFDC can be carried out between the communication module of muscular irritation subsystem, sensor subsystem and external telemetry equipment；
The communication module of sacral nerve stimulation subsystem, muscular irritation subsystem and sensor subsystem individually can be set with external telemetry
It is standby to carry out bidirectional wireless data communication；External telemetry equipment can be by communication module respectively to sacral nerve stimulation subsystem and flesh
Clavuss exciton system is programmed, and can pass through the manual startup of external telemetry equipment or close sacral nerve stimulation subsystem, flesh
Clavuss exciton system and sensor subsystem, can also show the Working mould of sacral nerve stimulation subsystem and muscular irritation subsystem
The detected pressure value of formula and sensor subsystem.It is currently preferred that for treating urinary incontinence, can be also used for treatment includes,
But it is not limited to, faecal incontinence, homaluria dysfunction, feces excretory function obstacle, stress incontinence urge incontinence, urine retention
The diseases such as obstacle, sexual dysfunction, pelvic pain, prostatitis, prostatodynia.
Description of the drawings
Fig. 1 is the system diagram of multiple implantable medical device collaborative works of the present invention.
Specific embodiment
The present invention is further described with reference to the accompanying drawings and examples.
Fig. 1 shows the relevant physiological anatomical structure figure of patient 100, and the characteristic physiological anatomical structure of patient 100 includes wing
Guang 101, urethra 102, sphincter of urethra 103 and sacral nervess 104.Sacral nerve rootses provide bladder, urethra, the body of advocating peace certainly at basin bottom
Somatic nervess are arranged, therefore, sacral nerve neuromodulation is by excitement or suppresses these nerve rooies to can reach treatment low urinary tract function obstacle disease
The purpose of trouble.The random contraction of verified basin bottom and external sphincter can eliminate the unstable contraction of bladder, stimulate S3 or S4
Nerve root can cause basin bottom and sphincter strength to strengthen, correction basin bottom and the incorrect of urethra relax, and then prevent or reduce
The unstable contraction of detrusor, with continued reference to Figure of description 1, the multiple implantable medical device collaborative works in the present invention
System, mainly includes a sensor subsystem of muscular irritation subsystem 400, of sacral nerve stimulation subsystem 300,
200 and external telemetry equipment 500.User can be pierced to sacral nerve stimulation subsystem 300, muscle by external telemetry equipment 500
Exciton system 400, sensor subsystem 200 send control instruction, so as to realize between above-mentioned several implantable medical devices
Collaborative work.
Described sacral nerve stimulation subsystem 300 include sacral nerve stimulation electrode 303, the first pulse generator module,
One processor module, the first wake module, first communication module.Described sacral nerve stimulation electrode 303 passes through extension lead 302
It is connected to sacral nerve stimulator 301.The end of sacral nerve stimulation electrode 303 is provided with the stimulation point for contacting with sacral nervess 104,
Electrode end can be caused to keep good contact with sacral nervess 104 by fixed or clamping device.Stimulating electrode design must be expired
The condition that can be chronically implanted of foot, i.e., nontoxic, minimum foreign body reaction, histocompatibility are good etc., and should avoid stimulating current
Interference to surrounding tissue.Comprehensive each side factor, stimulating electrode shape may be configured as annular shape, helical form, semi-cylindrical shape
Or the material of any one hook-shaped, extension lead 302 and sacral nerve stimulation electrode 303 can be silver, platinumiridio, nickel, nickel
Alloy；302 overcoat medical high polymer insulation tube of extension lead, medical macromolecular materials are preferably nylon, polyurethane, polytetrafluoroethyl-ne
The flexible high molecular materials such as alkene.
Described muscular irritation subsystem 400 include muscle stimulation electrodes 403, muscular irritation pulse generator module,
Two processor modules, the second wake module, second communication module.Described muscle stimulation electrodes 403 are connected by extension lead 402
It is connected to muscle stimulator 401.The end of sacrum muscle stimulation electrodes 403 is provided with the stimulation point for contacting with sphincter of urethra 103,
Electrode end can be caused to keep good contact with sphincter of urethra 103 by fixed or clamping device.Muscle stimulation electrodes are excellent
Choosing is flexible wire electrode, and about 1-5 millimeters are long and a diameter of 50-100 microns, with being so configured so that
The discomfort of patient is minimized.They are generally formed with spiral type as known in the art or hook-type, and so they can hold
Easily and it is permanently anchored to intramuscular.The tinsel for making electrode is made up of suitable conductive of material, preferred bio-compatible
Metal, such as silver, platinum/iridium alloy (90/10) or ni cr alloy.Extension lead is surrounded by insulating sheath, above-mentioned sheath
Specifically include the bio-compatible insulant of nylon, polyurethane, politef or other compliances.
Described sensor subsystem 200 includes pressure transducer, the 3rd processor module and third communication module.Pressure
Transducer arrangements are changed to measure intravesical pressure by detection pressure signal therein in bladder.In order to meet implantation
Using for the present invention needs, and pressure transducer dimensionally very little must be passed to surrounding pressure to be easily implanted into and to minimize
The interference of the organizational environment of sensor, and they must using radio communication from without line, conduit or need it is percutaneous
Other parts of passage.They must be formed to minimize patient couple by Resisting fractre, nontoxic and permanent biocompatible materialses
The immunoreation of the introducing of foreign body and prevent the tissue injury caused by corrosion by-products.The pressure transducer of implantation must provide for
Reliable pressure value is kept so that the decision for the treatment of can be made in the useful life of sensor surely, to avoid for tune
The outside implantation of the sensor of whole purpose.Pressure transducer is preferably MEMS（MEMS）Sensor.
Processor in sacral nerve stimulation subsystem 300, muscular irritation subsystem 400, sensor subsystem 200 is typically adopted
With embedded microprocessor, from high integration low-power scm, with various energy-saving modes, storage has been internally integrated at which
Device, analog digital conversion ADC and digital-to-analogue conversion DAC, and support that self-programming is operated, short-range communications module includes wireless communication module,
Communication protocol can be according to physical condition using the short distance wireless technical such as Zigbee, bluetooth, infrared.
Described external telemetry equipment 500 includes fourth processor module, fourth communication module and display module.It is external distant
Measurement equipment 500 is arranged on patient 100 in vitro, for carrying out radio communication with implantable medical formula equipment, so as to realize data acquisition
The functions such as transmission, control and maintenance implantable medical device work, external telemetry equipment are preferably palm PC, individual digital and help
Reason（PDA）Or the form of smart mobile phone.
As shown in Figure 1, sacral nerve stimulation electrode 303 is implanted to around the sacral nervess 104 of 100 waist bottom of patient, muscle
Stimulating electrode 403 is implanted to around 100 sphincter of urethra 103 of patient, detects bladder pressure using pressure transducer；External telemetry
Equipment 500 opens sacral nerve stimulation subsystem 300 or muscular irritation subsystem 400 with default stimulation by fourth communication module
Parameter stimulates relevant position.If opening sacral nerve stimulation subsystem 300, first processor module control the first pulse generator with
After first default stimulus parameter stimulates the first Preset Time, sacral nerve stimulation subsystem 300 passes through first communication module and second
Communication module communicates, and the second wake module wakes up second processing device module, while 300 dormancy of sacral nerve stimulation system；At second
Reason device module control muscular irritation pulse generator is stimulated after the second Preset Time of sphincter with the second parameter preset, muscular irritation
Subsystem 400 is communicated with first communication module by second communication module, the first wake module wake up first processor module from
And sacral nerve stimulation subsystem 400 is waken up, while 400 dormancy of muscular irritation subsystem..Sacral nerve stimulation subsystem 300 and flesh
Clavuss exciton system 400 is according to sequence described above alternately and repeatedly to correspondingly being stimulated around sacral nervess and sphincter of urethra.
In stimulating course, the pressure transducer real-time detection bladder pressure in sensor subsystem 200, the 3rd processor judge bladder pressure
Whether power is more than predetermined threshold value, if bladder pressure is more than predetermined threshold value, notifies currently to be stimulated by third communication module
Stimulating system enter park mode, wait the control instruction of external telemetry equipment 500 to perform corresponding stimulation applications again afterwards.
Arousal function generally comprises the function of operating with high-power mode only during special time, the special time example
Such as the short cycle for (for example, receiving signal etc.) for a specific purpose.With regard to the important consideration of the receptor part of wake module
It is which has low-power.This feature may be conducive to provide small size in implanted receptor and maintain from battery
Longtime running power supply.In practice, the receptor of wake module periodically " can wake up " and in low energy consumption so as to
" monitor function " is performed via such as monitoring circuit.For the application, term " monitor function " is generally referred to as used for
Determine whether there is the short low power function of emitter.If monitor function detects launcher signal, the equipment can be with
It is converted to higher-wattage communication decoding schema.If there is no launcher signal, then receptor can be returned and for example be returned immediately
To park mode.In this way, energy is saved during the relative long periods that there is no launcher signal, and there is transmission letter
Number the relatively little of period during make power capabilities keep can be used for the operation of efficient decoding schema.
Sacral nerve stimulation subsystem 300, muscular irritation subsystem 400, sensor subsystem 200 and external telemetry equipment
RFDC can be carried out between 500 communication module；Preferably, sacral nerve stimulation subsystem 300, muscular irritation subsystem
The communication module of system 400 and sensor subsystem 200 individually can be carried out bidirectional wireless data and be led to external telemetry equipment 500
Letter.The communication module includes wireless communication module, and communication protocol can be according to physical condition using Zigbee, bluetooth, infrared etc.
Short distance wireless technical.
External telemetry equipment 500 can be by communication module respectively to sacral nerve stimulation subsystem 300 and muscular irritation
System 400 is programmed, so as to sacral nerve stimulation subsystem 300, muscular irritation subsystem 400 and sensor subsystem 200
Send corresponding control instruction.The manual startup of external telemetry equipment 500 can be passed through or sacral nerve stimulation subsystem is closed
300th, muscular irritation subsystem 400 and sensor subsystem 200, can be showing sacral nerve stimulation subsystem on display module
300 and the pressure of the mode of operation of muscular irritation subsystem 400, working condition, electrode stimulating parameter and sensor subsystem 200
Power detected value.
The description of aforesaid embodiment and preferred embodiment should be regarded as the explanation of the claims in the present invention, rather than
Which is defined.It is appreciated that under the premise of without departing substantially from the present invention as claimed in claim, it is possible to use features described above
Many combinations and variant, this kind of variant do not run counter to the spirit and scope of the present invention, and all these variants are intended to be included in following
The scope of claim.
Claims (3)
1. a kind of system of multiple implantable medical device collaborative works, it is characterised in that：The system includes a sacral nervess thorn
Exciton system（300）, a muscular irritation subsystem（400）, a sensor subsystem（200）With external telemetry equipment
（500）；Described sacral nerve stimulation subsystem（300）Including sacral nerve stimulation electrode（303）, the first pulse generator module,
First processor module, the first wake module, first communication module；Described muscular irritation subsystem（400）Pierce including muscle
Sharp electrode（403）, muscular irritation pulse generator module, second processing device module, the second wake module, second communication module；
Described sensor subsystem（200）Including pressure transducer, the 3rd processor module and third communication module；Described is external
Remote-measuring equipment（500）Including fourth processor module, fourth communication module and display module；The sacral nerve stimulation electrode
（303）It is implanted to around the sacral nervess of patient's waist bottom, the muscle stimulation electrodes（403）It is implanted to patient's sphincter of urethra week
Enclose, bladder pressure is detected by the pressure transducer；The external telemetry equipment（500）Open described by fourth communication module
Sacral nerve stimulation subsystem（300）Or the muscular irritation subsystem（400）Relevant position is stimulated with default stimulus parameter, if
Open the sacral nerve stimulation subsystem（300）, first processor module controls the first pulse generator to be preset with first stimulates
Parameter stimulates the sacral nerve stimulation subsystem after the first Preset Time（300）By first communication module and second communication module
Communication, the second wake module wake up second processing device module, while the sacral nerve stimulation subsystem（300）Dormancy, at second
Reason device module controls the second pulse generator to be stimulated after the second Preset Time of sphincter with the second parameter preset, then wakes up the sacrum
Nerve stimulation subsystem（300）, the detection bladder pressure of pressure transducer described in stimulating course, the processor judge bladder pressure
Then notify that the stimulation subsystem for currently being stimulated enters dormancy mould by the third communication module when power is more than predetermined threshold value
Formula, waits the external telemetry equipment afterwards（500）Control is stimulated again.
2. the system of multiple implantable medical device collaborative works according to claim 1, it is characterised in that：The sacrum god
Jing stimulates subsystem（300）, the muscular irritation subsystem（400）, the sensor subsystem（200）With the external telemetry
Equipment（500）Communication module between can carry out RFDC；The sacral nerve stimulation subsystem, the muscular irritation
Subsystem（400）With the sensor subsystem（200）Communication module can individually with the external telemetry equipment（500）
Carry out bidirectional wireless data communication；The external telemetry equipment（500）Respectively the sacral nervess can be pierced by communication module
Exciton system（300）With the muscular irritation subsystem（400）Data input is carried out, the external telemetry equipment can be passed through
（500）The sacral nerve stimulation subsystem is closed in manual startup（300）, the muscular irritation subsystem（400）With it is described
Sensor subsystem（200）.
3. the system of multiple implantable medical device collaborative works according to claim 1, it is characterised in that：The plurality of plant
The system for entering formula armarium collaborative work may also display the sacral nerve stimulation subsystem, the muscular irritation subsystem
（400）Mode of operation and the sensor subsystem（200）Detected pressure value.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201611194498.5A CN106512217A (en) | 2016-12-21 | 2016-12-21 | Multiple-implantable-medical-device cooperation work system |
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| CN201611194498.5A CN106512217A (en) | 2016-12-21 | 2016-12-21 | Multiple-implantable-medical-device cooperation work system |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113438958A (en) * | 2019-01-23 | 2021-09-24 | 美敦力公司 | Managing therapy delivery based on physiological markers |
| CN114040365A (en) * | 2020-07-21 | 2022-02-11 | 先导者股份有限公司 | System and method for managing bluetooth low energy advertisements |
| WO2025209351A1 (en) * | 2024-04-02 | 2025-10-09 | 杭州诺为医疗技术有限公司 | Device, system and method for neural stimulation, and storage medium |
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| CN2590540Y (en) * | 2002-08-28 | 2003-12-10 | 中国人民解放军军事医学科学院毒物药物研究所 | Nervus-muscle stimulating electrode apparatus |
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