Muscular-skeletal joint stability detection and method therefor

• US 9,622,701 B2
• Filed: 02/05/2016
• Issued: 04/18/2017
• 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:
  US15/017,208
• Publication Number:
  US 20160166201A1
• Time in Patent Office: 438 Days
• Field of Search: 7337901, 600595, 609 19, 609 18
• 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 5/11 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 5/4851 Prosthesis assessment or monitoring
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

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:

an inertial sensor;

electronic circuitry coupled to the inertial sensor wherein the electronic circuitry includes a transmitter configured to transmit quantitative measurement data from the inertial sensor;

a pulse generator configured to generate a pulse that traverses a bond coupling the orthopedic implant to the musculoskeletal system and wherein the inertial sensor receives the pulse after traversing the bond; and

a remote system configured to receive the quantitative measurement data where the remote system processes the quantitative measurement data from the inertial sensor to determine micro-motion or changes in micro-motion due to weakening of the bond.

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

3. The system of claim 1 wherein the bond holding the orthopedic implant to the musculoskeletal system is an adhesive.

4. The system of claim 1 wherein the bond holding the orthopedic implant to the musculoskeletal system is mechanical.

5. The system of claim 1 wherein the pulse is an ultrasonic pulse.

6. The system of claim 1 further including a transducer coupled to the musculoskeletal system that is configured to generate a pulse.

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

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

9. The system of claim 1 wherein the remote system is configured to store the quantitative measurement data to a database and wherein the inertial sensor is an accelerometer.

10. The system of claim 1 where the inertial sensor and the electronic circuitry are housed in a prosthetic component.

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

an inertial sensor coupled to the prosthetic component wherein the prosthetic component is configured to be bonded to the musculoskeletal system;

electronic circuitry coupled to the inertial sensor wherein the electronic circuitry includes a transmitter configured to transmit quantitative measurement data from the inertial sensor wherein the inertial sensor is configured to receive a pulse that traverses a bond holding the prosthetic component to the musculoskeletal system; 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.

12. The system of claim 11 wherein the remote system is configured to review the quantitative measurement data at frequencies less than 1 KHz.

13. The system of claim 11 wherein the inertial sensor is an accelerometer.

14. The system of claim 11 where the impact force is configured to be applied in a direction substantially along a single axis.

15. The system of claim 11 further including a transducer configured to provide the pulse.

16. The system of claim 11 wherein the pulse is ultrasonic.

17. The system of claim 11 wherein the bond is an adhesive or mechanical.

18. The system of claim 11 where the system is configured to detect micro-motion in the prosthetic component resulting from prosthetic component loosening, degradation of the bond, or osteolysis of surrounding bone adjacent to the prosthetic component.

19. The system of claim 11 where the remote system is configured to transmit a message when micro-motion is detected that poses a risk to a patient.

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

measuring a pulse through a bond holding the orthopedic implant to the muscular-skeletal system;

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.