CN100462113C - A remote detection device for implanted heart pacemaker and bidirectional data transmission method - Google Patents
A remote detection device for implanted heart pacemaker and bidirectional data transmission method Download PDFInfo
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- CN100462113C CN100462113C CNB2006100426052A CN200610042605A CN100462113C CN 100462113 C CN100462113 C CN 100462113C CN B2006100426052 A CNB2006100426052 A CN B2006100426052A CN 200610042605 A CN200610042605 A CN 200610042605A CN 100462113 C CN100462113 C CN 100462113C
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Abstract
The invention discloses a remote metering device for implanted cardiac pacemaker and the bi-directional data transmission method. The external master control unit of said remote metering device emits frequency-modulated wave to internal impulsator thorugh carrier frequency oscillator with automatic following and adjusting generated frequency and LC series resonance circuit; the LC series resonance circuit of internal impulsator can receive and emit data, when emitting data, it can emit remote metering data of internal master control unit to switch pipe to change the load of LC parallel resonance circuit, regulates radio-frequency carrier load of external controller through jigger coupling and emits remote metering data got by passing receiving circuit of controller to master control unit of program controller. When the external program controller at work, it can provide current of 1 milliammeter for internal impulsator, which can maintain normal work and bi-directional data transmission when ther is not enough powder in internal battery.
Description
Technical field
The present invention relates to the telemetry system of active implantable medical device, particularly a kind of implantable cardiac pacemaker telemetering equipment and bidirectional data transmission method.
Background technology
It with the cardiac pacemaker applicating history that the active implantable medical device of representative has had decades.Modern implantable cardiac pacemaker therapy system generally is made of two parts: a part is the microelectronics measure and control device that implants, and comprises that corresponding catheter electrode and pick off constitute cardiac electrical closed-loop control system, are commonly referred to pulse generator; Another part is to place external carry out program control to pulse generator in the body and receive the device of telemetry with the radio communication mode, is commonly referred to vitro program controlled instrument.
The pulse generator that implants is sealed in the Titanium shell together with supplying cell, and generally requiring working life is 5-10 years.Because the restriction of volume, weight and supplying cell capacity, thereby the running current of paired pulses generator and the peak point current during with the vitro program controlled instrument communication all have harsh restriction.Along with the development of microelectric technique, the measurement of modern pacemaker and diagnostic function are from strength to strength, and be correspondingly, also increasing to the data volume that vitro program controlled instrument sends from the pacemaker of implanting.Because sealing metal titanium shell is to the Absorption of radio frequency, the signal attenuation when pacemaker communicate by letter with vitro program controlled instrument is very big, so the operating current of pacemaker when vitro program controlled instrument transmission data is much bigger during just than operate as normal.For example, when using the intracavity ecg measurement function of pacemaker, pacemaker in the ECG data, synchronously send the data of gathering to vitro program controlled instrument in real-time acquisition cavity, the 10-20 microampere when at this moment the operating current of pacemaker can be from normal pace-making becomes the 1-2 milliampere.If inner battery powered often uses this class telemetry function can significantly shorten the working life of pacemaker.
A kind of approach that addresses this problem is that the radiating circuit design of optimizing pacemaker reduces the emission power consumption, improving emission simultaneously drives and coded system, improve data-transmission efficiency (US Patent 5,999, but this has just reduced the emission power consumption to a certain extent 857:Implantable device telemetry system and method)..The another kind of method that reduces the emission power consumption is to use the catheter electrode double as transmitting antenna of pacemaker to reduce absorption (the US Patent 5 of sealing titanium shell to radio-frequency field, 562,713:Bidirectional telemetryapparatus and method for implantable device), though this method can reduce the emission power consumption to a great extent and improve message transmission rate, but the problem that has interference free performance simultaneously, in addition, not do not link to each other or can cause program control difficulty during the electrode disconnection when pacemaker with catheter electrode.The normal data transfer mode that adopts of the implantable nerve muscle stimulator that develops rapidly in recent years is passive transmission means (the Brian Smith of load-modulate, et al, An Externally Powered, Multichannel, ImplantableStimulator-Telemeter for Control of Paralyzed Muscle, IEEE Transaction onBiomedical Engineering, Vol.45, No.4, April 1998, P463.; G.E.Loeb, et al, BionicNeurous for Functional and Therapeutic Electrical Stimulation, Proceedings of theAnnual International Conference of IEEE Engineering in Medicine and BiologySociety, Vol.20, No 5,1998, P2305.), its ultimate principle is: the program control coil of vitro program controlled instrument and the receiving coil of implanting device are formed an inductive system that is operated in the radio frequency resonant state, provide radio-frequency field by vitro program controlled instrument, it is not initiatively emission that implanting device is outwards launched data, but comes the transmission with the realization telemetry of the amplitude of modulated RF field and phase place by the load impedance that changes the implanting device Inside coil.This mode not only greatly reduces energy and the hardware spending that implanting device is outwards launched data, if the energy of radio-frequency field is enough big, inductive coupling coefficient suitably and the inductive system can be in resonant condition, vitro program controlled instrument is when realizing bidirectional data transfers even implanting device work institute energy requirement can also be provided.But, the passive transmission means of this load-modulate also is not suitable for as pacemaker implanting device with the metal-back encapsulation, its main cause is that the metal-back of pacemaker can make off resonance of inductive system and the serious inductive coupling coefficient that reduces, and this off resonance situation can be brought difficulty to design and use with the relative distance and the position change of program control instrument and pacemaker.Therefore, although the passive transmission means of load-modulate has an enormous advantage aspect cutting down the consumption of energy, the implanting device major part with the metal-back encapsulation still adopts the initiatively data transfer mode of emission at present.United States Patent (USP) (US Patent 4,571,589:Biomedicalimplant with high speed, low power two-way telemetry) a kind of pacemaker that realizes the passive transmission of data with load-modulate is disclosed, but the technical scheme of its description adopts fixed radio frequency carrier frequency, therefore be difficult to solve off resonance and the low problem of the coefficient of coup, thereby program control instrument is very weak to the rf modulated signal that pacemaker sends, can not provide remote measurement work institute energy requirement to pacemaker, and the receiving loop of pacemaker need amplify and shaping to received signal, and this has also strengthened the expense of pacemaker hardware designs.
In sum, although the passive transmission means of load-modulate has superiority aspect the wireless transmission of implanting device data, and be successfully applied to the implantable nerve muscle stimulator of some nonmetallic materials encapsulation, but be used for the implanting device of this class of picture cardiac pacemaker, remain the problem that need solve at some with the metal-back encapsulation.
Summary of the invention
The radio transmitting method that The present invention be directed to load-modulate is used for the existing deficiency of embedded type device of metal material encapsulation to be improved, utilize the hardware designs of simplifying, a kind of implantable cardiac pacemaker telemetering equipment and bidirectional data transmission method are provided, when realizing bidirectional data transfers, can also provide enough energy for pacemaker remote measurement work.
For reaching above purpose, the present invention takes following technical scheme to be achieved:
A kind of implantable cardiac pacemaker telemetering equipment, partly constitute by pulse generator transmitting-receiving in vitro program controlled instrument transceiver part and the body, described vitro program controlled instrument transceiver part comprises the LC series resonant tank of being made up of transmitting coil, electric capacity, its series connection point is connected with the reception data terminal of receiving circuit to the program control instrument main control unit, the LC series resonant tank connects the D class A amplifier A, the input of D class A amplifier A connects carrier modulator, and the input of carrier modulator connects the emission data terminal of carrier-frequency oscilaltor and program control instrument main control unit; The main control unit of program control instrument sends data by the emission data terminal to carrier modulator, carrier modulator is modulated the radiofrequency signal that carrier-frequency oscilaltor sends, drive by the D class A amplifier A, receive and dispatch by transmitting coil pulse generator in body of series resonant tank and partly send the modulated RF ripple; The pulse generator transmitting-receiving partly comprises the LC shunt-resonant circuit that is made of receiving coil, electric capacity in the described body, the output of this LC shunt-resonant circuit connects detecting circuit, the output of detecting circuit connects the switching tube of Schmidt trigger, manostat and a ground connection simultaneously, the reception data terminal of pulse generator main control unit in the output connector of Schmidt trigger; The output of manostat and internal electric source parallel connection; Described shunt-resonant circuit detects modulation signal with the modulated RF ripple that receives through detecting circuit, with this modulation signal one tunnel main control unit by pulse generator in the reception data terminal transmission donor after the Schmidt trigger shaping, internal electric source is given through manostat voltage stabilizing rear feed in another road; The control grid of switching tube is connected to the emission data terminal of pulse generator main control unit in the body; The main control unit of pulse generator is sent to the cardiac electrophysiology data control utmost point of switching tube in the body by the emission data terminal, the gauge tap pipe over the ground conducting and close, change the load of shunt-resonant circuit, the inductive by receiving coil, transmitting coil forms the load-modulate to vitro program controlled instrument transceiver part radio-frequency carrier; This load modulation signal via the program control instrument receiving circuit by accepting data terminal is sent to vitro program controlled instrument as telemetry main control unit.The series connection point of described LC series resonant tank is connected with phase sensitive detection circuit, and the outfan of this phase sensitive detection circuit connects current feedback circuit to carrier-frequency oscilaltor; The off resonance signal that series resonant tank produces is converted to corresponding current signal through phase sensitive detection circuit, current feedback circuit, the frequency of oscillation of control and adjustment carrier-frequency oscilaltor.
A kind of bidirectional data transmission method of implantable cardiac pacemaker telemetering equipment is characterized in that,
A) radiofrequency signal that vitro program controlled instrument transceiver part carrier-frequency oscilaltor is sent is sent into carrier modulator and is allowed the main control unit of program control instrument send data by the emission data terminal to carrier modulator, and carrier modulator is modulated the back to rf wave and driven by LC series resonant tank pulse generator transmission modulated RF ripple in body by the D class A amplifier A; The LC shunt-resonant circuit of pulse generator transceiver part detects modulation signal with the modulated RF ripple that receives through detecting circuit in the body, with this modulation signal one tunnel main control unit by pulse generator in the reception data terminal transmission donor after the Schmidt trigger shaping, internal electric source is given through manostat voltage stabilizing rear feed in another road.
B) when pulse generator in the body when vitro program controlled instrument sends data, vitro program controlled instrument is still in body
Pulse generator emission radio-frequency carrier, the main control unit of pulse generator is delivered to cardiac electrophysiology data to be sent the control utmost point of detecting circuit output head grounding switching tube in the body by the emission data terminal, the gauge tap pipe over the ground conducting and close, change the load of LC shunt-resonant circuit, form load-modulate the vitro program controlled instrument radio-frequency carrier by inductive; This load modulation signal is sent to the main control unit of program control instrument as telemetry via the load modulation signal receiving circuit of vitro program controlled instrument.
In the such scheme, when the relative position of pulse generator in program control instrument and the body changes, the frequency of oscillation of described carrier-frequency oscilaltor adopts the mode of automatic frequency tracking to adjust, the off resonance signal that is about to the generation of LC series resonant tank is converted to corresponding current signal through phase sensitive detection circuit, current feedback circuit, the frequency of oscillation of control and adjustment carrier-frequency oscilaltor; Described transmitting coil is chosen in 1:10-20 to the ratio of the inductance value of receiving coil, and the shunt-resonant circuit Q-value elects 2～4 as simultaneously; The pulse generator transmitting-receiving partly partly sends amplitude keying (ASK) the number modulation system of The data Miller (Miller) coding in the described body to the vitro program controlled instrument transmitting-receiving.
The present invention compares with existing implanting device telemetry system, its advantage is, 1) vitro program controlled instrument carrier-frequency oscilaltor of the present invention is not to be operated in a fixed frequency of oscillation, but adopt the mode of automatic frequency tracking to adjust frequency of oscillation, when changing arbitrarily in the scope of application in the relative distance of program control instrument and pacemaker and position, the launching circuit of vitro program controlled instrument always works in resonant condition.Thereby guarantee that radio-frequency (RF) transmission system has higher transmission coefficient in effective program control distance and to the sensitivity of load modulation signal.2) coupling of pulse generator receiving coil adopts hypermutation than design in the radio-frequency sending coil of vitro program controlled instrument and the body, and low reactance-resistance ratio is adopted in the shunt-resonant circuit of pulse generator in the body, so both can obtain higher interiorly, can avoid again that receiving loop produces big off resonance when the tranmitting frequency of vitro program controlled instrument is adjusted within the specific limits to transmission coefficient.3) vitro program controlled instrument is when carrying out program control and remote measurement, can be pulse generator in the body supply current more than 1 milliampere be provided, under not having the situation of internal cell, also can keep the operate as normal of pulse generator in the body and to body in the flash memory (Flash Memory) or the electric erasable read only memorizer (EEPROM) of pulse generator rewrite.4) adopt the amplitude keying (ASK) of Miller (Miller) coding to count modulation system, can significantly improve data transmission rate.
Description of drawings
Fig. 1 is the circuit structure block diagram of telemetering equipment of the present invention.Left-half wherein is the radio-frequency transmissions and the bidirectional data transfers part of vitro program controlled instrument; Right half part is that the radio frequency of pulse generator in the body receives and the bidirectional data transfers part.
Fig. 2 compares sketch map for the sequential of Manchester's code, biphase coding and the Miller code of transmission data.
The specific embodiment
The present invention is described in further detail below in conjunction with drawings and Examples:
As shown in Figure 1, a kind of implantable cardiac pacemaker telemetering equipment is made of pulse generator transmitting-receiving part II in vitro program controlled instrument transceiver part I and the body.Vitro program controlled instrument transceiver part I comprises the series resonant tank of being made up of transmitting coil L1, capacitor C 1; The series connection point of transmitting coil L1, capacitor C 1 connects by cymoscope, bandpass filtering amplifies and the shaping link is formed the program control instrument receiving circuit 4 reception data terminal 8 to the program control instrument main control unit; Series resonant tank connects D class A amplifier A 3, and the input of D class A amplifier A 3 connects carrier modulator 2, and the input of carrier modulator 2 connects the emission data terminal 7 of carrier-frequency oscilaltor 1 and program control instrument main control unit; The series connection point of transmitting coil L1, capacitor C 1 also is connected with phase sensitive detection circuit 5, and the outfan of this phase sensitive detection circuit 5 connects current feedback circuit 6 to carrier-frequency oscilaltor 1.
In the present embodiment, carrier-frequency oscilaltor 1 is a current controlled oscillator, and its frequency of oscillation becomes positive correlation with the electric current that control end injects; Carrier modulator 2 is simple gauge taps, and the break-make of the Signal-controlled switch of emission data terminal 7 can realize the digital modulation to carrier signal; Vitro program controlled instrument L1, C1 series resonant tank be both as the radio-frequency transmissions loop, simultaneously also as the receiving loop of load modulation signal; For with low frequency, by a small margin load modulation signal from high frequency, significantly extract the carrier signal, the wave filter of program control instrument receiving loop 4 adopts the logical design of the band of 6 rank low passes and 4 rank high passes, and the dynamic range that the pulse of amplification and shaping circuit detects amplitude is designed to the 2-200 millivolt.
Pulse generator transmitting-receiving part II comprises the shunt-resonant circuit that is made of receiving coil L2, capacitor C 2 in the body, and the output of this shunt-resonant circuit connects the detecting circuit of being made up of diode D1, resistance R 1, capacitor C 39; The output of detecting circuit 9 connects Schmidt trigger 11, manostat 10 simultaneously by switching tube SW1 ground connection; The reception data terminal 12 of pulse generator main control unit in the output connector of Schmidt trigger 11; The output of manostat 10 and internal electric source 14 parallel connections; The emission data terminal 13 of pulse generator main control unit directly connects the control grid of switching tube SW1 in the body; Internal electric source 14 comprises the low pressure drop Xiao Jite diode D2 and the power filter tantalum electric capacity E1 of internal cell BT1, unilateal conduction.
In the present embodiment, the selection of resistance R 1, capacitor C 3 time constants is controlled the Kai Heguan of SW1 according to being effective filtering carrier wave and reliably detecting modulation signal with the level of emission data; Internal cell BT1 is a lithium-iodine battery, and its open-circuit voltage is 2.8 volts when newly enabling, and internal resistance is 1K ohm; Correspondingly, the output voltage of manostat 10 also is designed to 2.8 volts, and has unilateral conduction, selects the open-circuit voltage difference of battery for use, and the output voltage of manostat 10 also will be made corresponding change.
The bidirectional data transmission method of implantable cardiac pacemaker telemetering equipment as shown in Figure 1:
A) radiofrequency signal that vitro program controlled instrument transceiver part I carrier-frequency oscilaltor 1 is sent is sent into carrier modulator 2 and is allowed the main control unit emission data terminal 7 of program control instrument send data to the control end of carrier modulator 2, and 2 pairs of rf waves of carrier modulator are modulated the back and driven the series resonant tank rf wave after the pulse generator transceiver part II transmission modulation in body that is made of transmitting coil L1, capacitor C 1 by D class A amplifier A 3; Pulse generator transceiver part II detects modulation signal with the modulated RF ripple that receives through detecting circuit 9 by the shunt-resonant circuit that receiving coil (L2), electric capacity (C2) constitute in the body, with this modulation signal one tunnel after Schmidt trigger 11 shapings by receiving the main control unit that data terminal 12 sends pulse generator in the donor, the internal electric source 14 of pulse generator in the body is given through manostat 10 voltage stabilizing rear feeds in another road.
When radiofrequency signal does not exist or its amplitude during less than the internal cell BT1 supply voltage of internal electric source 14, manostat 10 not conductings, pulse generator is powered by internal cell BT1 in the body; And when the amplitude of modulation signal during greater than the supply voltage of internal cell BT1, manostat 10 will be exported 2.8 volts of stable voltages and provide internal electric source to power filtering capacitor E1; At this moment, because the unilateral conduction of Xiao Jite diode D2, internal cell BT1 is output current no longer, and pulse generator is automatically converted to by radio-frequency field and powers in the body.For a kind of specific implanting device, the carrying load ability of radio-frequency field power supply depends primarily on the radio frequency power output of vitro program controlled instrument, suitably adjust the drive current in the radio-frequency transmissions loop of program control instrument, in the time of just can guaranteeing that distance between program control instrument and the implanting device changes between 0-5 centimetre, radio-frequency field can be implanting device provides 2.8 volts burning voltage and the supply current more than 1 milliampere.
B) when pulse generator in the body when vitro program controlled instrument sends data, vitro program controlled instrument is pulse generator emission radio-frequency carrier in body still, the main control unit of pulse generator is delivered to cardiac electrophysiology data to be sent the control grid of earthed switch pipe SW1 in the body by emission data terminal 13, control SW1 over the ground conducting and close, change the load of L2, C2 shunt-resonant circuit, and then form load-modulate the vitro program controlled instrument radio-frequency carrier by inductance L 2, L1 coupling; This load modulation signal is received by L1, the C1 series resonant tank of vitro program controlled instrument, after cymoscope, bandpass filtering amplification and the shaping of program control instrument receiving circuit 4, is sent to the reception data terminal 8 of program control instrument as telemetry.
In the said method, the vitro program controlled instrument oscillation circuit is not to be operated in a fixed frequency of oscillation, frequency of oscillation is to adopt the mode of automatic frequency tracking to adjust according to the change of pulse generator relative position in program control instrument and the body, that is to say, as transmitting coil L1, when capacitor C 1 series resonant tank is operated in resonant condition, the current phase of launching circuit is consistent with the phase place of carrier-frequency oscilaltor 1 driving voltage, phase sensitive detection circuit among Fig. 1 and follow-up current feedback circuit be no-output all, and carrier-frequency oscilaltor is operated in local frequency; When the relative position of pulse generator in program control instrument and the body changes (0～5 centimetre), because the influence of pulse generator sealing metal titanium shell in the body, thereby can make the equivalent load of L1, C1 series resonant tank and resonant frequency change cause the launching circuit off resonance, this off resonance signal detects after the injection current that current feedback circuit 6 changes carrier-frequency oscilaltors 1 is adjusted its frequency of oscillation through phase sensitive detection circuit 5 and recovers resonance until launching circuit.In this example, when transmission range changed in the 0-5 cm range, resonant frequency changed between 125-130KHz.
Another improvement of the inventive method is, the radio-frequency sending coil L1 of vitro program controlled instrument adopts hypermutation than design to the coupling of pulse generator receiving coil L2 in the body, the ratio L1:L2 of its inductance value is chosen in 1:10-20, and low reactance-resistance ratio is adopted in L2, C2 shunt-resonant circuit simultaneously, and promptly Q-value is 2-4.The Q-value in present embodiment L1, C1 serial resonant loop is 30, and the Q-value of L2, C2 shunt-resonant circuit is 3, and L1:L2=1:10, effective propagation path are 0-5 centimetre.
In bidirectional data transfers of the present invention, vitro program controlled instrument pulse generator in body sends the digital transmission mode that data (inbound data transmission) adopt pulse position modulation (PPM), promptly represent digital code 0 or 1 with the length in pulse spacing, transfer rate is 2KBits/ second.The Code And Decode design of this transmission means is all fairly simple reliable, and can guarantee that the carrier wave of being launched can provide radio-frequency (RF) energy to receiving system sustainedly and stably, and this is particularly suitable for body and is implanted into this class application scenario of device.This modulation and coded system can adapt to basically and be implanted into device by vitro program controlled instrument to body and send the transmission quantity of data and the requirement of transfer rate.
As shown in Figure 2, be the sequential comparison diagram of Manchester's code, biphase coding and Miller code.In existing load-modulate formula wireless system for transmitting data, responder (being equivalent to pulse generator in the implanting device body of the present invention) often adopts the amplitude keying (ASK) of Manchester (Manchester) coding or two-phase (Bi-phase) coding to count modulation system to the passive transmission that base station (being equivalent to vitro program controlled instrument of the present invention) sends data.The maximum data transfer rate of these codings generally is designed to 1/25 of carrier frequency, and for the carrier wave of 125KHz, the maximum data transfer rate that can reach is 5KBits/ second.And for application scenarios such as pacemakers, we wish that the data transmission rate that reaches is more preferably greater than 8KBits/ second.For this reason, pulse generator sends amplitude keying (ASK) the number modulation system that data (export-oriented transfer of data) adopt Miller (Miller) coding to vitro program controlled instrument in the body of the present invention, under 125KHz carrier wave condition, the data transmission rate that can reach is 10KBits/ second, can satisfy the requirement of most of implanted pacemaker and nerve stimulator telemetry data transmission rate.For the higher occasion of data transmission rate request, also can adopt the modulation system of phase keying (PSK).
Another key factor of radio-frequency (RF) transmission system design is the selection of rf frequency.Studies show that in the past, for the active implant can that picture is made with this class material of titanium, its insertion loss to radio signal transmission becomes positive correlation with rf frequency.It is generally acknowledged that the following radiofrequency signal of 300KHz has penetrance preferably to the titanium shell, and frequency is low more, penetrance is good more.But lower carrier frequency means lower data transmission rate, and this can not receive in many occasions.Therefore, suitably selecting rf frequency, take into account the requirement of the efficiency of transmission and the data transmission rate of radio-frequency (RF) energy, is the problem that active implant telemetry system design need think over.According to experimental studies results, for general battery-powered hand-held vitro program controlled instrument design, rf frequency its radio-frequency (RF) energy efficiency of transmission when the 9-135KHz long wave band can receive; And under the condition of selecting suitable code modulation mode, the data transmission rate that the carrier frequency of 125KHz provided can satisfy the requirement of implanting device such as picture pacemaker and nerve stimulator in most of occasion.Therefore, the rf data transmission system of the present invention's design selects for use the 125KHz audio range frequency as carrier frequency.
Claims (5)
1. implantable cardiac pacemaker telemetering equipment, constitute with the interior pulse generator transmitting-receiving part of body (II) by vitro program controlled instrument transceiver part (I), described vitro program controlled instrument transceiver part (I) comprises by transmitting coil (L1), the series resonant tank that electric capacity (C1) is formed, transmitting coil (L1) is connected program control instrument receiving circuit (4) with the series connection point of electric capacity (C1), the output of program control instrument receiving circuit (4) connects the reception data terminal (8) of program control instrument main control unit, series resonant tank connects D class A amplifier A (3), the input of D class A amplifier A (3) connects carrier modulator (2), and the input of carrier modulator (2) connects the emission data terminal (7) of carrier-frequency oscilaltor (1) and program control instrument main control unit; The main control unit of program control instrument sends data by emission data terminal (7) to carrier modulator (2), carrier modulator (2) is modulated the radiofrequency signal that carrier-frequency oscilaltor (1) sends, drive by D class A amplifier A (3), by transmitting coil (L1) pulse generator transmitting-receiving part (II) transmission modulated RF ripple in body of series resonant tank; Pulse generator transmitting-receiving part (II) comprises the shunt-resonant circuit of being made up of receiving coil (L2), electric capacity (C2) in the described body, the output of this shunt-resonant circuit connects detecting circuit (9), and the output of detecting circuit (9) connects Schmidt trigger (11), manostat (10) simultaneously; The reception data terminal (12) of pulse generator main control unit in the output connector of described Schmidt trigger (11); The output of manostat (10) and internal electric source (14) parallel connection; Described shunt-resonant circuit detects modulation signal with the modulated RF ripple that receives through detecting circuit (9), with this modulation signal one tunnel main control unit by pulse generator in reception data terminal (12) the transmission donor after Schmidt trigger (11) shaping, internal electric source (14) is given through manostat (10) voltage stabilizing rear feed in another road; It is characterized in that, described transmitting coil (L1) also is connected with phase sensitive detection circuit (5) with the series connection point of electric capacity (C1), the outfan of this phase sensitive detection circuit (5) connects current feedback circuit (6), and the outfan of current feedback circuit (6) connects carrier-frequency oscilaltor (1); The off resonance signal that series resonant tank produces is converted to corresponding current signal through phase sensitive detection circuit (5), current feedback circuit (6), the frequency of oscillation of control and adjustment carrier-frequency oscilaltor (1); The output of described shunt-resonant circuit is connected with the switching tube (SW1) of a ground connection, the emission data terminal (13) of pulse generator main control unit in the control grid connector of this switching tube (SW1); The main control unit of pulse generator is sent to the cardiac electrophysiology data control utmost point of switching tube (SW1) in the body by emission data terminal (13), gauge tap pipe (SW1) over the ground conducting and close, change the load of shunt-resonant circuit, the inductive by receiving coil (L2), transmitting coil (L1) forms the load-modulate to vitro program controlled instrument transceiver part (I) radio-frequency carrier; This load modulation signal is sent to the main control unit of vitro program controlled instrument as telemetry by reception data terminal (8) via program control instrument receiving circuit (4).
2. the bidirectional data transmission method of an implantable cardiac pacemaker telemetering equipment is characterized in that:
A) radiofrequency signal that the carrier-frequency oscilaltor (1) of vitro program controlled instrument transceiver part (I) is sent is sent into carrier modulator (2) and is allowed the main control unit of program control instrument send data by emission data terminal (7) to carrier modulator (2), carrier modulator (2) is modulated the back to rf wave and is driven by D class A amplifier A (3), and receiving and dispatching partly by transmitting coil (L1) pulse generator in body of series resonant tank, (II) sends the modulated RF ripple; Receiving coil (L2), electric capacity (C2) shunt-resonant circuit detect modulation signal with the modulated RF ripple that receives through detecting circuit (9), with this modulation signal one tunnel main control unit by pulse generator in reception data terminal (12) the transmission donor after Schmidt trigger (11) shaping, internal electric source (14) is given through manostat (10) voltage stabilizing rear feed in another road;
B) when pulse generator in the body when vitro program controlled instrument sends data, vitro program controlled instrument is pulse generator emission frequency carrier wave in body still, the main control unit of pulse generator is sent to the cardiac electrophysiology data control utmost point of switching tube (SW1) in the body by emission data terminal (13), gauge tap pipe (SW1) over the ground conducting and close, change the load of shunt-resonant circuit, the inductive by receiving coil (L2), transmitting coil (L1) forms the load-modulate to vitro program controlled instrument transceiver part (I) radio-frequency carrier; This load modulation signal via program control instrument receiving circuit (4) by accepting data terminal (8) is sent to vitro program controlled instrument as telemetry main control unit.
3. the bidirectional data transmission method of implantable cardiac pacemaker telemetering equipment according to claim 2, it is characterized in that, when the relative position of pulse generator in program control instrument and the body changes, the frequency of oscillation of described carrier-frequency oscilaltor (1) adopts the mode of automatic frequency tracking to adjust, the off resonance signal that is about to transmitting coil (L1), the generation of electric capacity (C1) series resonant tank is converted to corresponding current signal through phase sensitive detection circuit (5), current feedback circuit (6), the frequency of oscillation of control and adjustment carrier-frequency oscilaltor (1).
4. the bidirectional data transmission method of implantable cardiac pacemaker telemetering equipment according to claim 2, it is characterized in that, described transmitting coil (L1) is to ratio value in the 1:10-20 scope of the inductance value of receiving coil (L2), simultaneously receiving coil (L2), electric capacity (C2) shunt-resonant circuit Q-value value in 2～4 scopes.
5. the bidirectional data transmission method of implantable cardiac pacemaker telemetering equipment according to claim 2, it is characterized in that pulse generator transmitting-receiving part (II) is counted modulation system to the amplitude keying that vitro program controlled instrument transceiver part (I) sends the The data Miller code in the described body.
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| CN101859484B (en) * | 2010-06-30 | 2011-12-07 | 复旦大学 | Program-controlled remote measuring system and bidirectional data transmission method for embedded device |
| CN102590586B (en) * | 2012-02-22 | 2014-04-23 | 西安交通大学 | Photoelectric current transformer for supplying power for transmission line insulator |
| US10052492B2 (en) * | 2015-05-06 | 2018-08-21 | Verily Life Sciences Llc | Replaceable battery for implantable devices |
| CN105709336B (en) * | 2016-04-29 | 2018-10-26 | 创领心律管理医疗器械（上海）有限公司 | Vitro program controlled instrument |
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