Fracture consolidation measuring apparatus

• US 5,792,076 A
• Filed: 01/16/1996
• Issued: 08/11/1998
• Est. Priority Date: 01/17/1995
• Status: Expired due to Term

• Current Assignee: Smith & Nephew Richards Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Salehi, Abraham B., Orsak, James E.
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): WINGOOD, PAMELA LYNN
• Application Number:
  US08/586,998
• Time in Patent Office: 938 Days
• Field of Search: 606/52, 606/53, 606/54, 606/59, 606/62, 606/63, 606/86, 606/102, 600/587
• US Class Current: 600/587
• CPC Class Codes: A61B 17/60 for external osteosynthesis, e.g. distractors, contractors
• CPC Class Codes: A61B 17/7216 for bone lengthening or compression A61B17/7258 takes precedence
• CPC Class Codes: A61B 17/744 the longitudinal elements coupled to an intramedullary nail
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for

Abstract

Apparatus for measuring bone strain to detect fracture consolidation includes a fixation device which is affixed to a patient'"'"'s bone that has a fracture site to be healed and wherein the fixation device supports an elongated optical fiber. Light is transmitted through the optical fiber to an exit point. The light intensity within the optical fiber is measured, preferably at the exit point as the light travels through the optical fiber. Light intensity is measured to monitor strain in the fixation device as the fracture site heals. A physician then determines when the site has fully healed by observing changes in light intensity as the patient'"'"'s bone rather than the fixation device carries more of the patient'"'"'s normal body loading.

Claims

1. A fracture consolidation measurement device for determining when a patient'"'"'s bone has healed at a bone fracture or bone defect, comprising:

a) an elongated instrument body having an axis that can be placed in a generally aligned position with the axis of the bone to be healed;

b) first and second attachments that extend between the bone to be healed and the instrument body, said attachments forming connections with the bone to be healed at positions that are spaced away from the bone fracture or defect so that the attachments do not interfere with the healing process at the fracture or bone defect;

c) one or more optical fiber sensors carried by the instrument body for transmitting light along the instrument body between first and second positions that are adjacent to the first and second attachments;

d) a measuring device for measuring light intensity that is transmitted through the optical fiber sensor as an indication of strain within the instrument body during the healing process; and

e) the attachments and instrument body defining a structure that can carry all or substantially all of the load on the bone thus bypassing the fracture or defect until healing is complete.

2. The fracture consolidation measurement apparatus of claim 1 wherein the measurement device includes a light source positioned at one end of the optical fiber sensor to transmit light to the optical fiber sensor at said end.

3. The fracture consolidation measurement apparatus of claim 1 further comprising a light sensor positioned generally opposite the light source, at an opposite end portion of the optical fiber sensor.

4. The fracture consolidation measurement apparatus of claim 1 further comprising a transmitter for transmitting a signal from the light sensor to a receiver, and a receiver for displaying a light intensity value.

5. The fracture consolidation measurement apparatus of claim 4 further comprising a cable that connects the transmitter and receiver.

6. The fracture consolidation measurement apparatus of claim 4 wherein a wireless airwave signal is transmitted by the transmitter and received by the receiver.

7. The fracture consolidation measurement apparatus of claim 1 wherein the body is an instrument mounted externally of the bone that is to be healed.

8. The fracture consolidation measurement apparatus of claim 1 wherein the body is an instrument mounted externally of the bone that is to be healed, and the attachments comprise a plurality of bone pins forming attachments between the instrument body and the bone to be healed.

9. The fracture consolidation measurement apparatus of claim 1 wherein the body is an instrument mounted externally of the bone that is to be healed, and the attachments comprise a plurality of bone pins forming attachments between the instrument body and the bone to be healed at positions on both sides of the fracture or bone defect.

16. The fracture consolidation measurement apparatus of claim 1 wherein the instrument body includes a surgically implantable structure.

17. The fracture consolidation measurement apparatus of claim 16 wherein the instrument body includes a surgically implantable structure that can be implanted in a patient'"'"'s bone intramedullary canal.

18. The fracture consolidation measurement apparatus of claim 16 wherein the structure includes an intramedullary nail.

19. The fracture consolidation measurement apparatus of claim 1 wherein the body is an implantable intramedullary rod having a hollow bore.

20. The fracture consolidation measurement apparatus of claim 19 wherein the optical fiber sensor occupies the bore.

10. A fracture consolidation measurement apparatus for determining when a patient'"'"'s bone has healed at a bone fracture or bone defect, comprising:

a) an elongated body having an axis that can be placed in a generally aligned position with the axis of the bone to be healed;

b) first and second attachments that pass through the bone to be healed and connected to the body, said attachments forming connections with the bone to be healed at positions that are spaced away from the bone fracture or defect so that the attachments do not interfere with the healing process;

c) one or more optical fiber sensors carried by the instrument body for transmitting light along the instrument body between first and second positions that are adjacent to the first and second attachments;

d) a measuring device for measuring light intensity that is transmitted through the fiber as an indication of strain within the instrument body during the healing process; and

e) the attachments and instrument body defining a structure that can carry all or substantially all of the load on the bone.

11. The fracture consolidation measurement apparatus of claim 10 wherein the body is an implantable intramedullary rod mounted within the intramedullary canal of the bone to be healed.

12. The fracture consolidation measurement apparatus of claim 11 wherein the body is an implantable intramedullary rod having a hollow bore.

13. The fracture consolidation measurement apparatus of claim 12 wherein the optical fiber occupies the bore.

14. The fracture consolidation measurement apparatus of claim 13 wherein the bore has a light source for transmitting light through the optical fiber.

15. The apparatus of claim 10 further comprising a light source that transmits light to the body.