Angular Displacement Sensor for Joints And Associated System and Methods

• US 20080281235A1
• Filed: 05/16/2008
• Published: 11/13/2008
• Est. Priority Date: 08/04/2006
• Status: Abandoned Application

• Current Assignee: David J. Cowin
• Original Assignee: David J. Cowin
• Inventors: Cowin, David J.
• Application Number:
  US12/121,959
• Publication Number:
  US 20080281235A1
• Time in Patent Office: Days
• US Class Current: 600/595
• CPC Class Codes: A61B 5/1071 measuring angles, e.g. using goniometers A61B5/1123 takes precedence
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/6804 Garments; Clothes
• CPC Class Codes: A61B 5/6807 Footwear
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/6828 Leg
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses
• CPC Class Codes: A61F 2/32 for the hip
• CPC Class Codes: A61F 2002/3067 for data transfer
• CPC Class Codes: A61F 2002/4668 for measuring angles
• CPC Class Codes: A61F 2250/0002 for data transfer

Abstract

A system for monitoring joint position following introduction of a joint prosthesis in a patient includes a first angular movement sensor positioned adjacent a first side of a bodily joint of a patient and a second angular movement sensor positioned adjacent a second, opposite side of the bodily joint. A receiver can receive data from the angular movement sensors. A processor in signal communication with the receiver has a comparator for determining whether the received data from the sensors indicate that movement of the bodily joint is less than a predetermined limit. An indicator in signal communication with the comparator is provided for warning the patient if the joint movement is determined by the comparator to be above the predetermined limit. The received data can be tracked over time.

Claims

1. A system for monitoring joint position following introduction of a joint prosthesis in a patient, the system comprising:

a first angular movement sensor positionable adjacent a first side of a bodily joint of a patient;

a second angular movement sensor positionable adjacent a second side of the bodily joint of the patient, the second side on an opposite side of the bodily joint from the first side;

a receiver adapted to receive data from the first and the second angular movement sensors;

a processor in signal communication with the receiver having comparison means resident thereon for determining whether the received data from the first and the second angular movement sensors indicate that movement of the bodily joint is less than a predetermined limit; and

an indicator in signal communication with the comparison means forwarning the patient if the joint movement is determined by the comparison means to be above the predetermined limit.

2. The system recited in claim 1, wherein the prosthesis introduction comprises a hip replacement, the hip first side comprises a location on a pelvis of the patient, and the hip second side comprises a location on the hip prosthesis.

3. The system recited in claim 1, wherein the first and the second angular movement sensor each comprise a battery-powered gyroscope adapted for wireless communication with the receiver.

4. The system recited in claim 1, further comprising an input device adapted for signal communication with the processor, the input device comprising means for receiving the predetermined angular movement limit from a user and for transmitting the received predetermined angular movement limit to the processor.

5. The system recited in claim 4, wherein the input device comprises a handheld input device comprising means for entering angular limits of abduction/adduction, flexion/extension, and internal/external rotation.

6. The system recited in claim 5, wherein the entering means comprises a numerical keypad.

7. The system recited in claim 1, wherein the indicator comprises one of a vibrator affixable to a body of the patient and a means for issuing an audio signal.

8. The system recited in claim 1, wherein the indicator comprises means for issuing a warning signal to the patient, and wherein an intensity of an issued warning signal is related to a difference between the predetermined limit and the received data from the first and the second angular movement sensors.

9. The system recited in claim 1, wherein the processor further has a timing element, and further comprising a memory device in signal communication with the processor, for storing a time history of the received data from the first and the second angular movement sensors.

10. The system recited in claim 9, further comprising a reading device for downloading the stored time history from the memory device thereinto, for use in tracking the movement of the bodily joint over time.

11. The system recited in claim 1, wherein the first and the second angular movement sensors are implantable within the patient.

12. The system recited in claim 11, wherein the second angular movement sensor is implantable within the prosthesis.

13. The system recited in claim 11, wherein the first and the second angular movement sensors each have a power source that is rechargeable from exterior the bodily joint, and further comprising an induction charger for recharging the power sources of the first and the second angular movement sensors.

14. The system recited in claim 1, further comprising a garment wearable by the patient, the garment having a pocket dimensioned and positioned for retaining the first and the second angular movement sensor therein.

15. The system recited in claim 14, wherein the joint prosthesis comprises a hip replacement prosthesis, and the garment comprises a pair of shorts.

16. The system recited in claim 14, wherein the joint prosthesis comprises at least one of a shoulder replacement and an elbow replacement, and the garment comprises a shirt.

17. The system recited in claim 14, wherein the joint prosthesis comprises at least one of a knee replacement and an ankle replacement, and the garment comprises a pair of long pants.

18. A method for monitoring joint position following introduction of a joint prosthesis in a patient, the method comprising:

sensing a first angular movement using a first sensor positioned adjacent a first side of a bodily joint of a patient;

sensing a second angular movement using a second sensor positioned adjacent a second side of the bodily joint of the patient, the second side on an opposite side of the bodily joint from the first side;

receiving data from the first and the second sensors;

determining whether the received data indicate that movement of the bodily joint is less than a predetermined limit; and

warning the patient if the joint movement is determined to be above the predetermined limit.

19. The method recited in claim 18, wherein the prosthesis introduction comprises a hip replacement, the hip first side comprises a location on a pelvis of the patient, and the hip second side comprises a location on the hip prosthesis.

20. The method recited in claim 18, wherein the first and the second angular movement sensing is performed with the use of a battery-powered gyroscope adapted for wireless communication.

21. The method recited in claim 18, further comprising, prior to the determining step, entering the predetermined angular movement limit into an input device.

22. The method recited in claim 21, wherein the entering step comprises entering angular limits of abduction/adduction, flexion/extension, and internal/external rotation.

23. The method recited in claim 18, wherein the warning step comprises issuing a signal, an intensity of the issued warning signal related to a difference between the predetermined limit and the received data from the first and the second angular movement sensing steps.

24. The method recited in claim 18, further comprising storing a time history of the received data from the first and the second sensors.

25. The method recited in claim 24, further comprising downloading the stored time history to a processor and using the downloaded time history to track the movement of the bodily joint over time.

26. The method recited in claim 18, wherein the first and the second angular movement sensors are implanted.

27. The method recited in claim 26, wherein the second angular movement sensor is implanted within the prosthesis.

28. The method recited in claim 18, wherein the first and the second sensors each have a power source that is rechargeable from exterior the bodily joint, and further comprising recharging the power sources of the first and the second sensors using induction charging.

29. The method recited in claim 18, further comprising, prior to the sensing steps, placing a garment on the patient, the garment having a pocket dimensioned and positioned for retaining the first and the second angular movement sensor therein, and placing the first and the second angular movement sensors in the pocket.