Muscular-skeletal joint stability detection and method therefor

• US 9,271,675 B2
• Filed: 06/03/2014
• Issued: 03/01/2016
• Est. Priority Date: 02/27/2012
• Status: Active Grant

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: OrthoSensor, Inc (Stryker Corporation)
• Inventors: Stein, Marc, Kim, Yoong-Joong, Cohen, Matthew J., Liddell, Chelsea A.
• Primary Examiner(s): THOMPSON, JEWEL VERGIE
• Application Number:
  US14/294,360
• Publication Number:
  US 20140275815A1
• Time in Patent Office: 637 Days
• Field of Search: 733/790.1, 600/595, 609/19, 609/18
• US Class Current: 1/1
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0048 Detecting, measuring or recording by applying mechanical forces or stimuli A61B5/021, A61B5/4884 and A61B9/00 take precedence
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/4509 Bone density determination
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/4851 Prosthesis assessment or monitoring
• CPC Class Codes: A61B 5/6846 specially adapted to be brought in contact with an internal body part, i.e. invasive

Abstract

An orthopedic implant having a three-axis accelerometer is disclosed. The three-axis accelerometer is used to detect micro-motion in the implant. The micro-motion can be due to loosening of the implant. The implant is configured to couple to the muscular-skeletal system. In one embodiment, the implant is configured to couple to bone. An impact force is imparted to the bone or implant. The impact force can be provided via a transducer coupled to the implant. In the example, the impact force is imparted along a single axis. The three-axis accelerometer measures the impact force along each axis. Resultant peaks of the quantitative measurement and the frequencies at which they occur are measured. The peaks and frequencies of the measurements correspond to micro-motion. Typically, the frequency of interest is less than 1 KHz to determine if micro-motion is occurring.

Claims

1. A system for detecting micro-motion in an orthopedic implant comprising:

a three-axis accelerometer coupled to the orthopedic implant where the orthopedic implant is configured to couple to a muscular-skeletal system and where the muscular-skeletal system or the orthopedic implant is configured to receive an impact force;

electronic circuitry coupled to the three-axis accelerometer where the electronic circuitry includes a transmitter configured to transmit quantitative measurement data from the three-axis accelerometer due to the impact force; and

a remote system configured to receive the quantitative measurement data where the remote system processes the quantitative measurement data to determine micro-motion or changes in micro-motion in the implant.

2. The system of claim 1 where the impact force is configured to be applied in a direction substantially along a single axis.

3. The system of claim 1 where the impact force is configured to be applied externally.

4. The system of claim 1 where the impact force is configured to be an ultrasonic pulse.

5. The system of claim 1 further including a transducer configured to couple to bone where the transducer is configured to generate the impact force.

6. The system of claim 1 further including a transducer coupled to the orthopedic implant where the transducer is configured to generate the impact force.

7. The system of claim 1 where the quantitative measurement data reviewed is less than 1 KHz.

8. The system of claim 1 where the quantitative measurement data reviewed is less than 250 Hz.

9. The system of claim 1 where the remote system is configured to store the quantitative measurement data to a database.

10. The system of claim 1 where the three-axis accelerometer and the electronic circuitry are housed in a prosthetic component.

12. The system of claim 1 where the remote system is configured to review the quantitative measurement data at frequencies less than 1 KHz.

13. The system of claim 1 where the remote system is configured to review the quantitative measurement data at frequencies less than 250 Hz.

14. The system of claim 1 where the impact force is configured to be applied in a direction substantially along a single axis.

15. The system of claim 1 further including a transducer configured to couple to bone to provide the impact force.

16. The system of claim 1 further including a transducer configured to couple to the prosthetic component to provide the impact force.

17. The system of claim 1 further including a device configured to provide an ultrasonic pulse to bone or the prosthetic component.

18. The system of claim 1 where the system is configured to detect micro-motion in the prosthetic component resulting from prosthetic component loosening, degradation of cement, or osteolysis of surrounding bone adjacent to the prosthetic component.

19. The system of claim 18 where the remote system is configured to transmit a message when micro-motion is detected that poses a risk to a patient.

11. A system for detecting micro-motion in a prosthetic component comprising:

a three-axis accelerometer coupled to the prosthetic component where the prosthetic component is configured to be cemented to bone and where the bone or the prosthetic component is configured to receive an impact force;

electronic circuitry coupled to the three-axis accelerometer where the electronic circuitry includes a transmitter configured to transmit quantitative measurement data from the three-axis accelerometer due to the impact force; and

a remote system configured to receive the quantitative measurement data where the remote system processes the quantitative measurement data to determine micro-motion or changes in micro-motion in the prosthetic component that corresponds to loosening of the prosthetic component.

20. A method for determining interface stability between an orthopedic implant and a muscular-skeletal system comprising the steps of:

providing an impact force to the orthopedic implant where the impact force generates a pulse;

measuring the pulse with a three-axis accelerometer where the pulse is measured along each axis;

measuring peaks of the pulse at frequencies less than 1 KHz along each axis;

measuring at what frequencies the peaks occur along each axis; and

determining the stability of the implant.