Sensored prosthetic component and method

• US 9,492,115 B2
• Filed: 02/17/2014
• Issued: 11/15/2016
• Est. Priority Date: 06/30/2009
• Status: Active Grant

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: OrthoSensor, Inc (Stryker Corporation)
• Inventors: Stein, Marc, Chase, Andrew, Keggi, John, Bonnheim, Noah, Burkhard, Natalie, Henson, Philip
• Primary Examiner(s): Caputo, Lisa
• Assistant Examiner(s): HERNANDEZ-PREWIT, ROGER G
• Application Number:
  US14/182,182
• Publication Number:
  US 20140171754A1
• Time in Patent Office: 1,002 Days
• Field of Search: 600/301, 73/530.1, 733/790.1
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0008 Temperature signals
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes 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 5/4509 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

A prosthetic component suitable for long-term implantation is provided. The prosthetic component includes electronic circuitry and sensors to measure a parameter of the muscular-skeletal system. The prosthetic component comprises a first structure having at least one support surface, a second structure having at least one feature configured to couple to bone. The electronic circuitry and sensors are hermetically sealed within the prosthetic component. Sensors can be used to monitor synovial fluid in proximity to the joint to determine joint health. The prosthetic component can include a temperature sensor, a pH sensor, and an optical sensor. The temperature, pH, color, and turbidity of the synovial fluid can be correlated to a variety of joint conditions. Measurements over time can be analyzed for trends. The temperature, pH, color, and tubidity can be calibrated for the patient. The measurements are compared against this patient reference.

Claims

1. A prosthetic component comprising:

a temperature sensor configured to couple to synovial fluid in proximity to the prosthetic component;

at least one photo-diode configured to measure a region outside the prosthetic component; and

electronic circuitry coupled to the temperature sensor and the at least one photo-diode wherein the electronic circuitry is housed in the prosthetic component, wherein the temperature sensor is configured to measure synovial fluid temperature, wherein the at least one photo-diode is configured to monitor synovial fluid, wherein the electronic circuitry controls a measurement process and transmits measurement data to a computer and wherein the measurement data from the temperature sensor and the at least one photo-diode is used to determine a presence of an infection.

2. The prosthetic component of claim 1 further including a pH sensor coupled to the electronic circuitry wherein the pH sensor is configured to measure a pH of the synovial fluid.

3. The prosthetic component of claim 2 wherein at least one sensor in the prosthetic component is shielded to reduce parasitic coupling.

4. The prosthetic component of claim 1 wherein the prosthetic component includes a transmissive region, wherein the transmissive region of the prosthetic component is between the photo-diode and the synovial fluid, and wherein the transmissive region is transmissive to light.

5. The prosthetic component of claim 1 wherein the prosthetic component includes a transmissive region and wherein the transmissive region is transmissive to radio frequency signals to support transmission of the measurement data.

6. The prosthetic component of claim 1 further including at least one load sensor to measure a load applied by a musculoskeletal system to the prosthetic component.

7. The prosthetic component of claim 1 further including at least one light emitting diode coupled to the electronic circuitry and wherein the light emitting diode is configured to illuminate the synovial fluid for detection by the photo-diode.

8. The prosthetic component of claim 7 wherein the photo-diode is configured to measure turbidity of the synovial fluid.

9. The prosthetic component of claim 7 wherein the photo-diode is configured to measure color of the synovial fluid.

10. A prosthetic component comprising:

a temperature sensor configured to couple to synovial fluid in proximity to the prosthetic component;

at least one load sensor configured to measure a load applied by the musculoskeletal system to the prosthetic component;

at least one photo-diode configured to measure a region outside the prosthetic component in support of detecting synovial fluid color; and

electronic circuitry coupled to the temperature sensor, at least one load-sensor, and the at least one photo-diode where the electronic circuitry is housed in the prosthetic component, where the electronic circuitry is configured to control a measurement process and transmit measurement data to a computer, where one of the temperature sensor, at least one load sensor, or the at least one photo-diode is shielded, and where measurement data from the temperature sensor and the at least one photo-diode is used to determine a presence of an infection.

11. The prosthetic component of claim 10 further including a pH sensor coupled to the electronic circuitry wherein the pH sensor is configured to measure a pH of the synovial fluid.

12. The prosthetic component of claim 10 wherein the prosthetic component includes a transmissive region, wherein the transmissive region of the prosthetic component is between the photo-diode and the synovial fluid, and wherein the transmissive region is transmissive to light.

13. The prosthetic component of claim 10 where the at least one photo-diode is configured to measure synovial fluid turbidity.

14. The prosthetic component of claim 10 where at least one light emitting diode is coupled to the electronic circuitry and where the at least one light emitting diode is configured to illuminate synovial fluid in proximity to the prosthetic component.

15. The prosthetic component of claim 10 wherein the prosthetic component includes a transmissive region, wherein the transmissive region of the prosthetic component is between the photo-diode and the synovial fluid, and wherein the transmissive region is transmissive to light.

16. A prosthetic component comprising:

a temperature sensor configured to couple to synovial fluid in proximity to the prosthetic component;

at least one photo-diode configured to measure a region outside the prosthetic component in support of measuring synovial fluid turbidity;

at least one load sensor configured to measure a load applied by a musculoskeletal system to the prosthetic component;

and

electronic circuitry coupled to the temperature sensor, at least one load-sensor, and the at least one photo-diode where the electronic circuitry is housed in the prosthetic component, where the electronic circuitry is configured to control a measurement process and transmit measurement data to a computer, where one of the temperature sensor, at least one load sensor, or the at least one photo-diode is shielded, and the at least one photo-diode is used to determine a presence of an infection.

18. The prosthetic component of claim 16 wherein the prosthetic component includes a transmissive region, wherein the transmissive region of the prosthetic component is between the photo-diode and the synovial fluid, and wherein the transmissive region is transmissive to light.

19. The prosthetic component of claim 16 where at least one light emitting diode is coupled to the electronic circuitry and where the at least one light emitting diode is configured to illuminate synovial fluid in proximity to the prosthetic component.

20. The prosthetic component of claim 16 where the at least one optical sensor further supports detection of synovial fluid color.

17. The prosthetic component of 16 further including a pH sensor coupled to the electronic circuitry wherein the pH sensor is configured to measure a pH of the synovial fluid.