公开(公告)号：US20140136143A1

公开(公告)日：2014-05-15

申请号：US13673941

申请日：2012-11-09

Applicant: Marc Stein ,  Glen Vaughn

Inventor： Marc Stein ,  Glen Vaughn

IPC: G06F19/00

CPC classification number: A61B5/061 ,  A61B5/064 ,  A61B5/066 ,  A61B5/067 ,  A61B17/00 ,  A61B34/20 ,  A61B34/25 ,  A61B2017/00473 ,  A61B2017/00725 ,  A61B2017/00734 ,  A61B2034/2048 ,  A61B2560/063 ,  A61F2/4611

Abstract: At least one embodiment is directed to a tracking system for the muscular-skeletal system. The tracking system can identify position and orientation. The tracking system can be attached to a device or integrated into a device. In one embodiment, the tracking system couples to a handheld tool. The handheld tool with the tracking system and one or more sensors can be used to generate tracking data of the tool location and trajectory while measuring parameters of the muscular-skeletal system at an identified location. The tracking system can be used in conjunction with a second tool to guide the second tool to the identified location of the first tool. The tracking system can guide the second tool along the same trajectory as the first tool. For example, the second tool can be used to install a prosthetic component at a predetermined location and a predetermined orientation. The tracking system can track hand movements of a surgeon holding the handheld tool within 1 millimeter over a path less than 5 meters.

Abstract translation: 至少一个实施例涉及用于肌肉骨骼系统的跟踪系统。 跟踪系统可以识别位置和方向。 跟踪系统可以连接到设备或集成到设备中。 在一个实施例中，跟踪系统耦合到手持工具。 具有跟踪系统和一个或多个传感器的手持式工具可用于产生工具位置和轨迹的跟踪数据，同时测量识别位置处的肌肉 - 骨骼系统的参数。 跟踪系统可以与第二工具结合使用，以将第二工具引导到第一工具的识别位置。 跟踪系统可以沿着与第一工具相同的轨迹引导第二工具。 例如，第二工具可以用于在预定位置和预定取向安装假体部件。 跟踪系统可以在小于5米的路径上跟踪持有手持式工具的外科医生的手部移动量在1毫米内。

公开(公告)号：US20140135744A1

公开(公告)日：2014-05-15

申请号：US13673921

申请日：2012-11-09

Applicant: Marc Stein ,  Glen Vaughn

Inventor： Marc Stein ,  Glen Vaughn

IPC: A61B17/00

CPC classification number: A61B5/061 ,  A61B5/064 ,  A61B5/066 ,  A61B5/067 ,  A61B17/00 ,  A61B34/20 ,  A61B34/25 ,  A61B2017/00473 ,  A61B2017/00725 ,  A61B2017/00734 ,  A61B2034/2048 ,  A61B2560/063 ,  A61F2/4611

Abstract: At least one embodiment is directed to a tracking system for the muscular-skeletal system. The tracking system can identify position and orientation. The tracking system can be attached to a device or integrated into a device. In one embodiment, the tracking system couples to a handheld tool. The handheld tool with the tracking system and one or more sensors can be used to generate tracking data of the tool location and trajectory while measuring parameters of the muscular-skeletal system at an identified location. The tracking system can be used in conjunction with a second tool to guide the second tool to the identified location of the first tool. The tracking system can guide the second tool along the same trajectory as the first tool. For example, the second tool can be used to install a prosthetic component at a predetermined location and a predetermined orientation. The tracking system can track hand movements of a surgeon holding the handheld tool within 1 millimeter over a path less than 5 meters.

Abstract translation: 至少一个实施例涉及用于肌肉骨骼系统的跟踪系统。 跟踪系统可以识别位置和方向。 跟踪系统可以连接到设备或集成到设备中。 在一个实施例中，跟踪系统耦合到手持工具。 具有跟踪系统和一个或多个传感器的手持式工具可用于产生工具位置和轨迹的跟踪数据，同时测量识别位置处的肌肉 - 骨骼系统的参数。 跟踪系统可以与第二工具结合使用，以将第二工具引导到第一工具的识别位置。 跟踪系统可以沿着与第一工具相同的轨迹引导第二工具。 例如，第二工具可以用于在预定位置和预定取向安装假体部件。 跟踪系统可以在小于5米的路径上跟踪持有手持式工具的外科医生的手部移动量在1毫米内。

公开(公告)号：US20140135616A1

公开(公告)日：2014-05-15

申请号：US13673964

申请日：2012-11-09

Applicant: Marc Stein ,  Glen Vaughn

Inventor： Marc Stein ,  Glen Vaughn

IPC: A61B19/00

CPC classification number: A61B17/92 ,  A61B17/1703 ,  A61B17/1746 ,  A61B34/20 ,  A61B34/25 ,  A61B34/30 ,  A61B2017/00725 ,  A61B2017/00734 ,  A61B2034/2048 ,  A61B2090/3614 ,  A61F2/4611 ,  G01P15/18 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

Abstract: A prosthetic hip installation system comprising a reamer, an impactor, a tracking element, and a remote system. The tracking element can be integrated into the reamer or impactor for providing tracking data on the position or orientation. Alternatively, the tracking element can be housed in a separate module that can be coupled to either the reamer or impactor. The tracking element will couple to a predetermined location. Points in 3D space can be registered to provide a frame of reference for the tracking element or when the tracking element is moved from tool to tool. The tracking element sends data from the reamer or impactor wirelessly. The remote system receives the tracking data and can further process the data. A display on the remote system can support placement and orientation of the tool to aid in the installation of the prosthetic component.

Abstract translation: 包括铰刀，冲击器，跟踪元件和远程系统的假肢髋部安装系统。 跟踪元件可以集成到铰刀或冲击器中，用于提供关于位置或方向的跟踪数据。 或者，跟踪元件可以容纳在可以连接到铰刀或冲击器的单独的模块中。 跟踪元件将耦合到预定位置。 可以注册3D空间中的点以为跟踪元素提供一个参考帧，或者当跟踪元素从工具移动到工具时。 跟踪元件以无线方式从铰刀或冲击器发送数据。 远程系统接收跟踪数据并进一步处理数据。 远程系统上的显示器可以支持工具的放置和定向以辅助假肢部件的安装。

公开(公告)号：US08707782B2

公开(公告)日：2014-04-29

申请号：US13406523

申请日：2012-02-27

Applicant: Marc Stein ,  Andrew U. Chase ,  Philip Henson ,  Natalie Burkhard ,  John Keggi ,  Noah Bonnheim

Inventor： Marc Stein ,  Andrew U. Chase ,  Philip Henson ,  Natalie Burkhard ,  John Keggi ,  Noah Bonnheim

IPC: A61B5/22

CPC classification number: A61B5/14507 ,  A61B5/1455 ,  A61B5/4509 ,  A61B5/4528 ,  A61B5/6846

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, and at least one sensor. The electronic circuitry and sensors are hermetically sealed within the prosthetic component. One or more sensors can be used to monitor synovial fluid in proximity to the joint to determine joint health. The prosthetic component includes a transmissive region. One or more optical sensors are mounted in proximity to the transmissive region. Periodic measurements of the synovial fluid are measured through the transmissive region. The measurements can include color and turbidity of the synovial fluid. The color and turbidity data can be compared against known data to determine joint status.

Abstract translation: 提供了适合于长期植入的假体部件。 假体部件包括用于测量肌肉 - 骨骼系统的参数的电子电路和传感器。 假体部件包括具有至少一个支撑表面的第一结构，具有被配置为耦合到骨骼的至少一个特征的第二结构以及至少一个传感器。 电子电路和传感器密封在假体部件内。 一个或多个传感器可用于监测靠近关节的滑液，以确定关节的健康状况。 假体部件包括透射区域。 一个或多个光学传感器安装在透射区域附近。 通过透射区域测量滑液的周期性测量。 测量可以包括滑液的颜色和浊度。 可以将颜色和浊度数据与已知数据进行比较以确定联合状态。

公开(公告)号：US20130226035A1

公开(公告)日：2013-08-29

申请号：US13631680

申请日：2012-09-28

Applicant: Marc Stein ,  Gabriel Carrasco

Inventor： Marc Stein ,  Gabriel Carrasco

IPC: A61B5/103

CPC classification number: A61B5/4528 ,  A61B5/076 ,  A61B5/1036 ,  A61B5/4509 ,  A61B5/4585 ,  A61B5/686 ,  A61B5/6878 ,  A61B5/7225 ,  A61B2562/0252

Abstract: A measurement device suitable to measure a load applied by the muscular-skeletal system is disclosed. The measurement device can be a prosthetic component having an articular surface for measuring parameters of a joint in extension or flexion. A first and second support structure forms an enclosure having load-bearing surfaces. The first support structure includes at least one alignment feature extending from a surface. The second support structure includes a corresponding opening for receiving the alignment feature. The first and second support structures include a peripheral channel and corresponding flange to support sealing of the enclosure. Interior to the enclosure is the measurement system. The alignment feature couples through and aligns a first load plate, a sensor array, and a second load plate to surfaces of the first and second support structures. The sensor array is coupled to electronic circuitry in the enclosure via a unitary circuit board.

Abstract translation: 公开了一种适用于测量肌肉骨骼系统施加的负荷的测量装置。 测量装置可以是具有关节表面的假体部件，用于在伸展或屈曲中测量关节的参数。 第一和第二支撑结构形成具有承载表面的外壳。 第一支撑结构包括从表面延伸的至少一个对准特征。 第二支撑结构包括用于接收对准特征的对应开口。 第一和第二支撑结构包括外围通道和相应的凸缘以支撑外壳的密封。 测量系统内部至外壳。 对准特征将第一负载板，传感器阵列和第二负载板耦合到第一和第二支撑结构的表面。 传感器阵列经由整体电路板耦合到外壳中的电子电路。

公开(公告)号：US08490488B2

公开(公告)日：2013-07-23

申请号：US12826085

申请日：2010-06-29

Applicant: Marc Stein ,  Andrew Kelly

Inventor： Marc Stein ,  Andrew Kelly

IPC: G01N3/32

CPC classification number: A61B5/6878 ,  A61B5/4509 ,  A61B5/4528 ,  A61B5/6846 ,  A61B5/7239 ,  A61B8/15 ,  Y10T307/615

Abstract: A sensor system uses positive closed-loop feedback to provide energy waves into a medium. A sensor comprises a transducer (604), a propagating structure (602), and a reflecting surface (606). A parameter is applied to the propagating structure that affects the medium. The sensor is coupled to a propagation tuned oscillator (416) that forms the positive closed-loop feedback path with the sensor. The propagation tuned oscillator (416) includes an edge-detect receiver (200) that generates a pulse upon sensing a wave front of an energy wave in propagating structure (602). The edge-detect receiver (100) is in the feedback path that continues emitting energy waves into the propagating structure (602). The edge-detect receiver (200) comprises a preamplifier (212), a differentiator (214), a digital pulse circuit (216), and a deblank circuit (218). The transit time, phase, or frequency is measured of the propagating energy waves and correlated to the parameter being measured.

Abstract translation: 传感器系统使用正闭环反馈来向介质提供能量波。 传感器包括换能器（604），传播结构（602）和反射表面（606）。 将参数应用于影响介质的传播结构。 传感器耦合到与传感器形成正闭环反馈路径的传播调谐振荡器（416）。 传播调谐振荡器（416）包括边缘检测接收器（200），其在感测传播结构（602）中的能量波的波前时产生脉冲。 边缘检测接收器（100）处于继续将能量波发射到传播结构（602）中的反馈路径中。 边缘检测接收器（200）包括前置放大器（212），微分器（214），数字脉冲电路（216）和除铅电路（218）。 传播时间，相位或频率是测量传播的能量波，并与所测量的参数相关。

公开(公告)号：US20130079884A1

公开(公告)日：2013-03-28

申请号：US13244234

申请日：2011-09-23

Applicant: Marc Stein ,  Andrew P. Miller ,  Jason Addink ,  Andrew U. Chase

Inventor： Marc Stein ,  Andrew P. Miller ,  Jason Addink ,  Andrew U. Chase

IPC: A61F2/30 ,  A61B5/103

CPC classification number: A61B5/686 ,  A61B5/0031 ,  A61B5/4528 ,  A61F2/389 ,  A61F2/4657 ,  A61F2/4684 ,  A61F2002/3895 ,  A61F2002/4666

Abstract: At least one embodiment is directed to an insert for measuring a parameter of the muscular-skeletal system. The insert can be temporary or permanent. In one embodiment, the insert is prosthetic component for a single compartment of the knee. The insert comprises a support structure and a support structure respectively having an articular surface and a load-bearing surface. At least one of the support structures comprises polycarbonate. The polycarbonate allows short-range transmission of measurement data. The height of the insert is less than 10 millimeters. At least one internal cavity is formed when support structures are coupled together for housing electronic circuitry, sensors, and the power source. The internal cavity is isolated from the external environment and can be hermetically sealed.

Abstract translation: 至少一个实施例涉及用于测量肌肉 - 骨骼系统的参数的插入件。 插入可以是临时的或永久的。 在一个实施例中，插入件是用于膝盖的单个隔室的假体部件。 插入件包括分别具有关节表面和承重表面的支撑结构和支撑结构。 至少一个支撑结构包括聚碳酸酯。 聚碳酸酯允许短距离传输测量数据。 刀片的高度小于10毫米。 当支撑结构耦合在一起以容纳电子电路，传感器和电源时，形成至少一个内部空腔。 内部空腔与外部环境隔离，可以密封。

公开(公告)号：US20130079790A1

公开(公告)日：2013-03-28

申请号：US13242278

申请日：2011-09-23

Applicant: Marc Stein ,  Andrew U. Chase

Inventor： Marc Stein ,  Andrew U. Chase

IPC: A61B17/56

CPC classification number: A61B17/885 ,  A61B17/025 ,  A61B17/86 ,  A61B34/20 ,  A61B34/25 ,  A61B90/06 ,  A61B2017/00221 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00734 ,  A61B2017/0256 ,  A61B2034/2048 ,  A61B2090/064 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2/4657 ,  A61F2002/2835 ,  A61F2002/30011 ,  A61F2002/3085 ,  A61F2002/4475 ,  A61F2002/4666 ,  A61F2310/00023

Abstract: A spine measurement system includes at least one spinal instrument and a remote system. The spinal instrument comprises a handle, a shaft, an accelerometer, a sensored head, and an electronic assembly. The sensored head includes one or more sensors that are operatively coupled to the electronic assembly. The sensored head can be inserted between vertebra and report vertebral conditions such as force, pressure, orientation and edge loading. A GUI of remote system can report position via the accelerometer to show spinal instrument relative to vertebral bodies as the instrument is placed in the inter-vertebral space. The system can report optimal prosthetic size and placement in view of the sensed load and location parameters including optional orientation, rotation and insertion angle along a determined insert trajectory.

Abstract translation: 脊柱测量系统包括至少一个脊柱器械和远程系统。 脊柱器械包括手柄，轴，加速度计，感应头和电子组件。 感测头包括可操作地耦合到电子组件的一个或多个传感器。 感觉头可以插入椎骨和报告椎体条件如力，压力，方向和边缘负荷之间。 远程系统的GUI可以通过加速度计报告位置，以便当仪器放置在椎间空间中时，显示脊柱器械相对于椎体。 鉴于感测的负载和位置参数，系统可以报告最佳的假体尺寸和位置，包括沿着确定的插入轨迹的可选取向，旋转和插入角度。

公开(公告)号：US20130079679A1

公开(公告)日：2013-03-28

申请号：US13243362

申请日：2011-09-23

Applicant: Martin Roche ,  Marc Boillot ,  Marc Stein

Inventor： Martin Roche ,  Marc Boillot ,  Marc Stein

IPC: A61B5/103 ,  A61B17/56

CPC classification number: A61B5/103 ,  A61B5/1036 ,  A61B5/1071 ,  A61B5/4566 ,  A61B5/686 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/30011 ,  A61F2002/3085 ,  A61F2002/4475 ,  A61F2310/00023

Abstract: A load balance and alignment system is provided to assess load forces on the vertebra in conjunction with overall spinal alignment. The system includes a spine instrument having an electronic assembly and a sensorized head. The sensorized head can be inserted between vertebra and report vertebral conditions such as force, pressure, orientation and edge loading. A GUI is therewith provided to show where the spine instrument is positioned relative to vertebral bodies as the instrument is placed in the inter-vertebral space. The system can report optimal prosthetic size and placement in view of the sensed load and location parameters including optional orientation, rotation and insertion angle along a determined insert trajectory.

Abstract translation: 提供负载平衡和对准系统以评估椎骨上的负荷力与整体脊柱对准。 该系统包括具有电子组件和传感头的脊柱仪器。 传感头可插入椎骨和报告椎体条件如力，压力，方位和边缘负荷之间。 因此，提供了GUI，以便当仪器被放置在脊椎间隙中时，显示脊柱仪器相对于椎体位于何处。 鉴于感测的负载和位置参数，系统可以报告最佳的假体尺寸和位置，包括沿着确定的插入轨迹的可选取向，旋转和插入角度。

公开(公告)号：US20130023795A1

公开(公告)日：2013-01-24

申请号：US13631477

申请日：2012-09-28

Applicant: Marc Stein ,  Gabriel Carrasco ,  Martin Roche

Inventor： Marc Stein ,  Gabriel Carrasco ,  Martin Roche

IPC: A61B5/103 ,  A61B17/60

CPC classification number: A61B5/4528 ,  A61B5/076 ,  A61B5/1036 ,  A61B5/1076 ,  A61B5/412 ,  A61B5/4509 ,  A61B5/4585 ,  A61B5/686 ,  A61B5/6878 ,  A61B17/025 ,  A61B2017/00221 ,  A61B2017/0268 ,  A61B2090/064 ,  A61B2562/0247 ,  A61F2/389 ,  A61F2/4657 ,  A61F2/4684 ,  A61F2002/4666 ,  G01L1/165 ,  G01L1/255 ,  G06Q50/22 ,  G06Q50/24

Abstract: A distractor suitable for measuring a force, pressure, or load applied by the muscular-skeletal system is disclosed. An insert couples to the distractor. The insert has at least one articular surface allowing movement of the muscular-skeletal system when the distractor is inserted thereto. The insert can be a passive insert having no measurement devices. A sensor array and electronics are housed within the distractor. The distractor can dynamically distract the muscular-skeletal system. A handle of the distractor can be rotated to increase or decrease the spacing between support structures. The measurement system comprises a sensor array and electronic circuitry. In one embodiment, the electronic circuitry is coupled to the sensor array by a unitary circuit board or substrate. The sensors can be integrated into the unitary circuit board. For example, the sensors can comprise elastically compressible capacitors or piezo-resistive devices. The distractor wirelessly couples to a remote system for providing position and magnitude measurement data of the force, pressure, or load being measured.

Abstract translation: 公开了适用于测量由肌肉 - 骨骼系统施加的力，压力或负载的牵引器。 插入物连接到牵引器。 插入物具有至少一个关节表面，当牵引器插入其中时允许肌肉 - 骨骼系统的运动。 插入件可以是没有测量​​装置的被动插入件。 传感器阵列和电子器件容纳在牵引机内。 牵引器可以动态地分散肌肉 - 骨骼系统。 牵引器的手柄可以旋转以增加或减小支撑结构之间的间距。 测量系统包括传感器阵列和电子电路。 在一个实施例中，电子电路通过整体电路板或基板耦合到传感器阵列。 传感器可以集成到整体电路板中。 例如，传感器可以包括弹性可压缩电容器或压阻装置。 牵引器无线耦合到远程系统，用于提供测量的力，压力或负载的位置和幅度测量数据。