Systems and methods for monitoring wear and/or displacement of artificial joint members, vertebrae, segments of fractured bones and dental implants

• US 20020115944A1
• Filed: 01/31/2001
• Published: 08/22/2002
• Est. Priority Date: 11/18/1999
• Status: Active Grant

• Current Assignee: Intellijoint Systems Limited
• Original Assignee: Intellijoint Systems Limited
• Inventors: Beer, Ruth, Mendes, David, Mendes, Emanuel, Barak, Gilad
• Granted Patent: US 6,583,630 B2
• Time in Patent Office: Days
• US Class Current: 600/594
• CPC Class Codes: A61B 17/70 Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
• CPC Class Codes: A61B 2034/102 Modelling of surgical devices, implants or prosthesis
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 2560/0219 of externally powered implanted units
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/4504 Bones A61B5/4547 takes precedence
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/4547 Evaluating teeth
• CPC Class Codes: A61C 19/04 Measuring instruments specially adapted for dentistry A61C5/44 takes precedence; testing vitality of teeth A61B5/0534; radiation diagnosis specially adapted for dentistry A61B6/51
• CPC Class Codes: A61C 8/00 Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools fastening of peg-teeth in the mouth A61C13/30
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/30 Joints
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/32 for the hip
• CPC Class Codes: A61F 2/34 : Acetabular cups
• CPC Class Codes: A61F 2/36 : Femoral heads ; Femoral endoprostheses
• CPC Class Codes: A61F 2/38 : for elbows or knees
• CPC Class Codes: A61F 2/3804 : for elbows
• CPC Class Codes: A61F 2/40 : for shoulders
• CPC Class Codes: A61F 2/4202 : for ankles
• CPC Class Codes: A61F 2/4261 : for wrists
• CPC Class Codes: A61F 2/44 : for the spine, e.g. vertebrae, spinal discs
• CPC Class Codes: A61F 2/4657 : Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2/468 : Testing instruments for artificial joints for testing non-implantable prostheses A61F2/76
• CPC Class Codes: A61F 2/488 : Means for detecting or monitoring wear
• CPC Class Codes: A61F 2002/30079 : magnetic
• CPC Class Codes: A61F 2002/3067 : for data transfer
• CPC Class Codes: A61F 2002/30912 : made of expanded metal, e.g. diamond mesh or metal nets having lozenge-shaped apertures
• CPC Class Codes: A61F 2002/4233 : for metatarso-phalangeal joints, i.e. MTP joints
• CPC Class Codes: A61F 2002/4243 : for interphalangeal joints, i.e. IP joints
• CPC Class Codes: A61F 2002/4251 : for metacarpo-phalangeal joints, i.e. MCP or MP joints, e.g. knuckle joints
• CPC Class Codes: A61F 2002/4256 : for carpo-metacarpal joints, i.e. CMC joints
• CPC Class Codes: A61F 2002/4631 : the prosthesis being specially adapted for being cemented
• CPC Class Codes: A61F 2002/4658 : for measuring dimensions, e.g. length
• CPC Class Codes: A61F 2002/4671 : for measuring resonant frequency
• CPC Class Codes: A61F 2210/009 : magnetic
• CPC Class Codes: A61F 2250/0002 : for data transfer
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00029 : Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures
• CPC Class Codes: A61F 2310/00407 : Coating made of titanium or of Ti-based alloys
• CPC Class Codes: A61F 2310/00796 : Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
• CPC Class Codes: G01B 7/023 : for measuring distance between sensor and object G01B7/082 and G01B7/102 take precedence

Abstract

A distance measurement system is provided. The distance measurement system includes at least one resonant circuit, at least one magnetic element with predetermined magnetic properties, a transmitter operable to transmit an electromagnetic pulse, a receiver operable to detect oscillations emitted by said resonant circuit in response to said electromagnetic pulse, and an analyzer operable to analyze an amplitude envelope property of said oscillations, to thereby determine a distance between the resonant circuit and the magnetic element.

Claims

1. A distance measurement system comprising:

(a) at least one resonant circuit;

(b) at least one magnetic element having predetermined magnetic properties;

(c) a transmitter operable to transmit an electromagnetic pulse;

(d) a receiver operable to detect oscillations emitted by said resonant circuit in response to said electromagnetic pulse; and

(e) an analyzer operable to analyze an amplitude envelope property of said oscillations, to thereby determine a distance between said resonant circuit and said magnetic element.

2. The distance measurement system of claim 1, wherein said magnetic element is a ferromagnetic element.

3. The distance measurement system of claim 1, wherein said magnetic element is a paramagnetic element,

4. The distance measurement system of claim 1, wherein said analyzer is operable to determine said amplitude envelope property from an absolute value of amplitudes of said oscillations,

5. The distance measurement system of claim 1, wherein said analyzer is operable to determine said amplitude envelope property from relative amplitude values of more than one cycle of said oscillations.

6. The distance measurement system of claim 1, wherein said amplitude envelope property is an amplitude rate of decay.

7. The distance measurement system of claim 1, wherein said analyzer is operable to determine the distance between said resonant circuit and said magnetic element additionally from frequency properties of said oscillations.

8. The distance measurement system of claim 1 comprising more than one resonant circuit, to thereby determine more than one distance between said resonant circuits and said at least one magnetic element.

9. , The distance measurement system of claim 8. operable to determine the distance between said resonant circuits and said at least one magnetic element in more than one dimension.

10. The distance measurement system of claim 8, wherein said more than one resonant circuits are operable to resonate at different frequencies.

11. The distance measurement system of claim 1, comprising more than one magnetic element, to thereby determine more than one distance between said at least one resonant circuit and said magnetic elements.

12. The distance measurement system of claim 11, operable to determine the distance between said at least one resonant circuit and said magnetic elements in more than one dimension.

13. The distance measurement system of claim 1. comprising more than one resonant circuit and more than one magnetic element, to thereby determine more than one distance between said resonant circuits and said magnetic elements.

14. , The distance measurement system of claim 13, operable to determine the distance between said resonant circuits and said at least one magnetic element in more than one dimension.

15. The distance measurement system of claim 1, wherein said analyzer comprises a look-tip table, comprising relationships between measured oscillations and distances.

16. The distance measurement system of claim 15. wherein said relationships are per-system relationships.

17. The distance measurement system of claim 15. wherein said relationships comprise in-situ calibrations.

19. The method of claim 18, wherein said analyzer comprises a look-up, table of relationships between measured oscillations and distances, and wherein said look-up table values are established for each one of a predetermined set of distances by performing for each predetermined distance the steps of:

(i) transmitting an electromagnetic pulse to said resonant circuit;

(ii) detecting oscillations emitted by said resonant circuit in response to said electromagnetic pulse; and

(iii) measuring an amplitude envelope property of said detected oscillations, to thereby establish a look-up table value for said distance.

18. A method for assembling a distance measurement system, the method comprising:

(a) placing a resonant circuit at a first location;

(b) placing a magnetic element with predetermined magnetic properties at a second location;

(c) providing a transmitter for transmitting an electromagnetic pulse to said resonant circuit;

(d) providing a detector for detecting oscillations emitted by said resonant circuit in response to said electromagnetic pulse; and

(e) providing al analyzer for analyzing an amplitude envelope property of said detected oscillations, to thereby determine a distance between said first location and said second location.

20. A method for measuring the distance between a first location comprising a resonant circuit and a second location comprising a magnetic element, comprising the steps of:

(a) transmitting an electromagnetic pulse to said resonant circuit;

(b) detecting oscillations emitted by said resonant circuit in response to said electromagnetic pulse; and

(c) analyzing an amplitude envelope property of said detected oscillations, to thereby determine a distance between said first location and said second location.

21. The method of claim 20, wherein the step of analyzing an amplitude envelope property further comprises comparing information detected from said emitted oscillations to information in a look-up table, of relationships between measured oscillations and distances.

22. The method of claim 20, comprising obtaining said amplitude envelope property from an absolute values of amplitudes of said oscillations.

23. The method of claim 20, comprising obtaining said amplitude envelope property from relative amplitude values of more than one cycle of said oscillations.

24. The method of claim 20, comprising making use of an amplitude rate of decay as said amplitude envelope property.

25. The method of claim 20, comprising additionally detecting the distance from frequency properties of said detected oscillations.

28. The artificial joint system of claim 27, wherein said at least one artificial joint member includes at least two artificial joint members, each attached to a specific natural bone of said joint of said at least one natural bone of said joint, whereas said articulating surfaces of said at least two artificial joint members are configured to allow articulating engagement therebetween.

29. The artificial joint system of claim 27. wherein said at least one resonance circuit element includes a plurality of distinct resonance circuit elements each producing a distinct signal of oscillating frequency upon reception of said electromagnetic pulse, said distinct signal being a function of a distance between a specific resonance circuit element of said plurality of distinct resonance circuit elements and said at least one magnetic element.

30. The artificial joint system of claim 27, wherein said at least one artificial joint member forms a part of an artificial joint selected from the group consisting of an artificial shoulder joint, an artificial hip joint, an artificial knee joint, an artificial elbow joint, an artificial ankle joint, an artificial wrist joint, an artificial carpo-metacarpal joint, an artificial metacarpo-phalangeal joint, an artificial interphalangeal joint and an artificial metatarso-phalangeal joint.

31. The artificial joint system of claim 27, wherein said at least one artificial joint member is fabricated from at least one material selected from the group consisting of stainless steel, titanium alloy, cobalt alloy, a polymer, ceramics and composites materials.

32. The artificial joint system of claim 27, wherein said at least one resonance circuit element is implanted within, or attached to, said bone attachment portion of said at least one artificial joint member. and further wherein said at least one magnetic element is implanted within, attached to, or forms a part of said bone attachment portion of said at least one artificial joint member.

26. , A distance measurement system utilizing eddy currents for energy dissipation, the system comprising:

(a) at least one resonant circuit,

(b) at least one magnetic element with predetermined magnetic properties;

(c) a transmitter operable to transmit an electromagnetic pulse;

(d) a receiver operable to detect oscillations emitted by said resonant circuit in response to said electromagnetic pulse; and

(e) an analyzer operable to analyze an amplitude envelope property of said oscillations as an indicator of eddy current induced energy dissipation, to thereby determine a distance between said resonant circuit and said magnetic element.

27. An artificial joint system comprising:

(a) at least one artificial joint member having an articulating surface and a bone attachment portion, said bone attachment portion being for attaching said at least one artificial joint member to at least one natural bone of a joint when implanted within an individual;

(b) a detection system implanted within, or attached, to, said at least one artificial joint member and said at least one natural bone of said joint, said at least one detection system including;

(i) at least one resonant circuit element; and

(ii) at least one magnetic element having predetermined magnetic properties; and

(c) an extracorporeal unit including;

(i) a transmitter operable to transmit an electromagnetic pulse;

(ii) a receiver operable to detect oscillations emitted by said resonant circuit in response to said electromagnetic pulse; and

(iii) an analyzer operable to analyze an amplitude envelope property of said oscillations. said amplitude envelope property being indicative of a distance between said resonant circuit and said magnetic element and thus of a distance between said at least one artificial joint member and said at least one natural bone of said joint.

33. A method of determining a parameter associated with relative displacement between an artificial joint member and a natural bone of a joint to which it is attached, the method comprising:

(a) providing a detection system implanted within, or attached to, least one artificial joint member and at least one natural bone of a joint, said detection system including;

(i) at least one resonant circuit element; and

(ii) at least one magnetic element having predetermined magnetic properties;

(b) extracorporeally energizing said detection system so as to receive outside the body an information signal including oscillations emitted by said resonant circuit in response to said energizing, and

(c) processing said information signal being received so as to yield an amplitude envelope property of said oscillations, said amplitude envelope being indicative of a distance between said resonant circuit and said magnetic element, and thus of a distance between said at least one artificial joint member and said at least one natural bone of said joint.

35. , The artificial joint system of claim 34, wherein said at least one resonance circuit element includes plurality of distinct resonance circuit elements implanted within or attached to said first artificial joint assembly member, each of said plurality of distinct resonance circuit elements producing a distinct signal of oscillating frequency upon being energized with said electromagnetic pulse, said distinct signal being proportional to a distance between a resonance circuit element of said plurality of distinct resonance circuit elements and said at least one magnetic element.

36. The artificial joint system of claim 34, wherein said artificial joint assembly is an artificial shoulder joint, an artificial hip joint, an artificial elbow joint, an artificial ankle joint. an artificial wrist joint. an artificial carpo-metacarpal joint, an artificial metacarpo-phalangeal joint, an artificial interphalangeal joint and an artificial metatarso-phalangeal joint.

37. The artificial joint system of claim 34, wherein said artificial joint assembly further includes a third artificial joint assembly member having a third articulating surface, said third articulating surface being in articulating engagement with at least one of said first and said second articulating surfaces.

38. The artificial joint system of claim 34, wherein said artificial joint assembly is an artificial knee joint.

39. The artificial joint system of claim 34, wherein said first and said second artificial joint assembly members are each fabricated from at least one material selected from the group consisting of stainless steel, titanium alloy, cobalt alloy, polymer, ceramics and composite materials.

40. The artificial joint system of claim 34, wherein said first and said second artificial joint assembly members each include a portion distant to said articulating surface thereof, said portion being for attaching each of said first and said second artificial joint assembly members to a natural bone of a joint when implanted within the individual.

34. An artificial joint system comprising:

(a) an artificial joint assembly implantable within, an individual, said artificial joint assembly including a first artificial joint assembly member having a first articulating surface and further including a second artificial joint assembly member having a second articulating surface, said first and said second articulating surfaces being in articulating engagement therebetween,

(b) a detection system implanted within, or attached to, said artificial joint assembly. said detection system including

(i) at least one resonant circuit element; and

(ii) at least one magnetic element having predetermined magnetic properties; and

(c) an extracorporeal unit including;

(i) a transmitter operable to transmit an electromagnetic pulse;

(ii) a receiver operable to detect oscillations emitted by said resonant circuit in response to said electromagnetic pulse; and

(iii) an analyzer operable to analyze an amplitude envelope property of said oscillations, said amplitude envelope property being indicative of a distance between said resonant circuit and said magnetic element and thus of a distance between said first artificial joint assembly member and said second artificial joint assembly member.

41. A method of determining a parameter associated with wear or relative displacement of an artificial joint, the method comprising the steps of:

(a) providing an artificial joint assembly system including;

(i) an artificial joint assembly implantable within an individual, said artificial joint assembly including a first artificial joint assembly member having a first articulating surface and further including a second artificial joint assembly member having a second articulating surface, said first and said second articulating surfaces being in articulating engagement therebetween; and

(ii) a detection system implanted within, or attached to, said artificial joint assembly, said detection system including at least one resonant circuit element; and

at least one magnetic element having predetermined magnetic properties;

(b) extracorporeally energizing said detection system so as to receive outside the body an information signal including oscillations emitted by said resonant circuit in response to said energizing; and

(c) processing said information signal being received so as to yield an amplitude envelope property of said oscillations, said amplitude envelope being indicative of a distance between said resonant circuit and said magnetic element, and thus of a distance between said first artificial joint assembly member and said second artificial joint assembly member.

42. A system for monitoring displacement between vertebrae comprising:

(a) a detection system implanted within, or attached to, the vertebrae, said detection system including;

(i) at least one resonant circuit element; and

(ii) at least one magnetic element having predetermined magnetic properties;

(b) an extracorporeal unit including;

(i) a transmitter operable to transmit an electromagnetic pulse; and

(ii) a receiver operable to detect oscillations emitted by said resonant circuit in response to said electromagnetic pulse; and

(iii) an analyzer operable to analyze an amplitude envelope property of said oscillations, said amplitude envelope property being indicative of a distance between said resonant circuit and said magnetic element and thus of a distance between the vertebrae.

43. The system of claim 42, wherein at least one of the vertebrae is an artificial vertebra.

44. A method of determining a parameter associated with relative displacement of vertebrae. the method comprising the step of:

(a) attaching or implanting a detection system within or upon the vertebrae, said detection system including;

(i) at least one resonant circuit element; and

(ii) at least one magnetic element having predetermined magnetic properties;

(b) extracorporeally energizing said detection system so as to receive outside the body an information signal including oscillations emitted by said resonant circuit in response to said energizing; and

(c) processing said information signal being received so as to yield an amplitude envelope property of said oscillations, said amplitude envelope being indicative of a distance between said resonant circuit and said magnetic element, and thus of a distance between said vertebrae.

48. The system of claim 47, further comprising at least one anchor element being for attaching said detection system to the bone segments.

49. , The system of claim 48, wherein said at least one anchor element forms a part of an implant.

50. The system of claim 49, wherein said implant serves for inter fixating the bone segments.

45. A system for monitoring displacement between a dental implant and a bone in which it is anchored comprising:

(a) a detection system implanted within, or attached to, the dental implant and the bones said detection system including;

(i) at least one resonant circuit element; and

(h) at least one magnetic element having predetermined magnetic properties; and

(b) an extracorporeal unit including;

(i) a transmitter operable to transmit an electromagnetic pulse;

(ii) a receiver operable to detect oscillations emitted by said resonant circuit in response to said electromagnetic pulse; and

(iii) an analyzer operable to analyze an amplitude envelope property of said oscillations, said amplitude envelope property being indicative of a distance between said resonant circuit and said magnetic element and thus of a distance between the dental implant and the bone.

46. A method of determining a parameter associated with relative displacement between a dental implant and a bone in which it is anchored, the method comprising the steps of:

(a) providing a detection system within the dental implant and the bone, said detection system including;

(i) at least one resonant circuit element; and

2(ii) at least one magnetic element having predetermined magnetic properties;

(b) extracorporeally energizing said detection system so as to receive outside the body an information signal including oscillations emitted by said resonant circuit in response to said energizing; and

(c) processing said information signal being received so as to yield an amplitude envelope property of said oscillations, said amplitude envelope being indicative of a distance between said resonant circuit and said magnetic element, and thus of a distance between the dental implant and the bone.

47. A system for monitoring displacement between bone segments of a fractured or a broken bone comprising:

(a) a detection system implanted within, or attached to, the bone segments, said detection system including;

(i) at least one resonant circuit element; and

(ii) at least one magnetic element having predetermined magnetic properties; and

(b) an extracorporeal unit including;

(i) a transmitter operable to transmit an electromagnetic pulse;

(ii) a receiver operable to detect oscillations emitted by said resonant circuit in response to said electromagnetic pulse, and

(iii) an analyzer operable to analyze an amplitude envelope property of said oscillations, said amplitude envelope property being indicative of a distance between said resonant circuit and said magnetic element and thus of a distance between the bone segments of the fractured or broken bone.

51. A method of determining a parameter associated with relative displacement between bone segments of a fractured or broken bone, the method comprising the steps of:

(a) attaching or implanting a detection system within or upon the bone segments, said detection system including;

(i) at least one resonant circuit element;

said

(ii) at least one magnetic element having predetermined magnetic properties;

(b) extracorporeally energizing said detection system so as to receive outside the body an information signal including oscillations emitted by said resonant circuit in response to said energizing; and

(c) processing said information signal being received so as to yield an amplitude envelope property of said oscillations, said amplitude envelope being indicative of a distance between said resonant circuit and said magnetic element, and thus of a distance between the bone segments of the fractured or broken bone.