Non-invasive electromagnetic technique for monitoring bone healing and bone fracture localization

• US 4,688,580 A
• Filed: 07/11/1985
• Issued: 08/25/1987
• Est. Priority Date: 07/11/1985
• Status: Expired due to Fees

• Current Assignee: Johns Hopkins University
• Original Assignee: Johns Hopkins University
• Inventors: Ko, Harvey W., Hart, Lynn W.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Smith, Ruth S.
• Application Number:
  US06/753,824
• Time in Patent Office: 775 Days
• Field of Search: 128/419 F, 128/734, 128/653, 128/1.3-1.5, 128/630, 324/236, 324/237, 324/327, 324/332, 324/333
• US Class Current: 600/547
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/4504 Bones A61B5/4547 takes precedence
• CPC Class Codes: G01V 3/102 by measuring amplitude

Abstract

An apparatus and method for non-invasive sensing of bone healing is disclosed. The apparatus and method uses an electromagnetic field to measure impedance changes at the bone fracture site during the healing process. The impedance change at the fracture site is a direct indication of the mechanical strength of the fracture site.

Claims

1. A method for monitoring bone healing, comprising the steps of:

noninvasively measuring the impedance of bone and other biological material in the region of a bone fracture site at a plurality of different times; and

,

comparing said impedance measurements to monitor healing of the bone fracture, wherein a healed fracture will have a lower impedance than a newly formed fracture site,

and wherein noninvasively measuring impedance for each of said plurality of times comprises the following steps;

generating an oscillating near field magnetic flux that is spatially concentrated in the region of the bone fracture site thereby producing eddy currents in bone and other biological matter located in the region of the bone fracture site, such eddy currents inducing a secondary magnetic emission which varies in response to the impedance of said bone and other biological matter located in the region of said fracture site; and

, detecting said induced secondary magnetic emission and displaying an informational signal indicating the local impedance in the region of the fracture site.

2. A method of bone fracture localization, comprising the steps of:

noninvasively measuring the impedance of bone and other biological matter at a plurality of localized regions along a bone; and

,

comparing said impedance measurements to determine the location of a higher impedance region indicating a fracture site on said bone, wherein said noninvasively measuring impedance for each of said plurality of regions comprises the following steps;

generating a spatially concentrated oscillating near field magnetic flux along a region of said bone to induce eddy currents in bone and other biological matter within said region, such eddy currents inducing a secondary magnetic emission which varies in response to the impedance of bone and other biological matter within said region; and

,

detecting said induced secondary magnetic emission and displaying an informational signal indicating the impedance detected at said region.

3. A method for monitoring bone healing, comprising the steps of:

noninvasively measuring the impedance of bone and other biological material in the region of a bone fracture site at a plurality of different times; and

comparing said impedance measurements to monitor healing of the bone fracture, wherein a healed fracture will have a lower impedance than a newly formed fracture site, and wherein noninvasively measuring impedance for each of said plurality of times comprises the following steps;

producing an oscillating magnetic field that is spatially concentrated in the region of the fracture site using a coil means, whereby eddy currents induced in bone and other biological matter will induce a secondary magnetic emission which alters the mutual inductance of said coil means in accordance with the impedance of bone and other biological matter in said region of the fracture site; and

,

detecting a change in said mutual inductance of said coil means, wherein an increase in mutual inductance indicates an increase in impedance and a decrease in mutual inductance indicate a decrease in impedance.

4. The method of claim 3, wherein said producing step comprises the step of exciting said coil means at a resonant frequency using an oscillator means and wherein said detecting step comprises the step of detecting changes in resonant amplitude caused by variations in said mutual inductance.

5. The method of claim 4, wherein said comparing step involves comparing the resonant amplitude detected at a first time with the resonant amplitude detected at a second later time wherein the resonant amplitude will decrease with a decrease in impedance.

6. The method of claim 4, wherein said comparing step involves comparing the polarity of the resonant amplitude detected at a first time with the polarity of the resonant amplitude detected at a second later time, wherein a polarity change at the fracture site indicates progress in the healing process.

7. The method of claim 3, wherein said producing step comprises the step of exciting said coil means at a resonant frequency using an oscillator means, and wherein said detecting step comprises the step of detecting changes in the resonant frequency caused by variations in said mutual inductance.

8. The method of claim 7, wherein said comparing step involves comparing the resonant frequency detected at a first time with the resonant frequency detected at a second later time, wherein a decrease in the resonant frequency indicates a decrease in impedance.

9. The method of claim 3, wherein said producing step further comprises the step of providing relative motion between the limb containing the broken bone and said coil means until said coil means is surrounding said fracture site.

10. A method of bone fracture localization, comprising the steps of:

noninvasively measuring the impedance of bone and other biological matter at a plurality of localized regions along a bone; and

,

comparing said impedance measurements to determine the location of a higher impedance region indicating a fracture site on said bone, wherein noninvasively measuring impedance for each of said plurality of regions comprises the following steps;

producing an oscillating magnetic field that is spatially concentrated in a localized region along said bone using a coil means, whereby eddy currents induce a secondary magnetic emission which alters the mutual inductance of said coil means in accordance with the impedance of bone and other biological matter in said region; and

,

detecting a change in the mutual inductance of said coil means, wherein an increase in mutual inductance indicates an increase in impedance and a decrease in mutual inductance indicates a decrease in impedance.

11. The method of claim 10, wherein said producing step comprises the step of exciting said coil means at a resonant frequency using an oscillator means, wherein said detecting step comprises the step of detecting changes in resonant amplitude caused by variations in said mutual inductance, and wherein said comparing step comprises the step of comparing the resonant amplitude at each of said localized regions, wherein a higher resonant amplitude will indicate a higher impedance region.

12. The method of claim 10, wherein said producing step comprise the step of exciting said coil means at a resonant frequency using an oscillator means, wherein said detecting step comprises the step of detecting changes in the resonant frequency caused by variations in said mutual inductance, and wherein said comparing step comprises the step of comparing the resonant frequency at each of said localized regions, wherein a higher resonant frequency will indicate a higher impedance region.

13. The method of claim 10, wherein said producing step further comprises the step of moving said coil means having an inner magnetic core relative to the surface of said patient'"'"'s body until a location proximal to a bone fracture is reached.