Abstract:
A system is disclosed herein for providing a kinetic assessment and preparation of a prosthetic joint comprising one or more prosthetic components. The system comprises a prosthetic component including sensors and circuitry configured to measure load, position of load, and joint alignment. The system further includes a remote system for receiving, processing, and displaying quantitative measurements from the sensors. The kinetic assessment measures joint alignment under loading that will be similar to that of a final joint installation. The kinetic assessment can use trial or permanent prosthetic components. Furthermore, adjustments can be made to the applied load magnitude, position of load, and joint alignment by various means to fine-tune an installation. The kinetic assessment increases both performance and reliability of the installed joint by reducing error that is introduced by elements that load or modify the joint dynamics not taken into account by prior assessment methods.
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:
A system and method is disclosed herein for measuring bone slope or tilt of a prepared bone surface of the muscular-skeletal system. The system comprises a three-axis accelerometer for measuring position, rotation, and tilt. In one embodiment, the three-axis accelerometer can be housed in a prosthetic component that couples to a prepared bone surface. The system further includes a remote system for receiving, processing, and displaying quantitative measurements from one or more sensors. A bone is placed in extension. The three-axis accelerometer is referenced to a bone landmark of the bone when the bone is in extension. The three-axis accelerometer is then coupled to the prepared bone surface with the bone in extension. The slope or tilt of the bone surface is measured. In the example, the slope or tilt of the bone surface corresponds to at least one surface of the prosthetic component attached thereto.
Abstract:
A graphical user interface having a portion of an orthopedic system displayed on an electronic display. Where the graphical user interface displays: a parameter of the orthopedic system; a portion of an orthopedic insert; and a parameter of the orthopedic insert. Where in response to detecting movement of the orthopedic system the displayed portion of the orthopedic system is moved, a change of the parameter of the orthopedic system is displayed, and a change in parameter of the orthopedic insert is displayed.
Abstract:
A measurement system for measuring a parameter of the muscular-skeletal system is disclosed. The measurement system comprises a capacitor, a signal generator, a digital counter, counter register, a digital clock, a digital timer, and a data register. The sensor of the measurement system is the capacitor. The measurement system generates a repeating signal having a measurement cycle that corresponds to the capacitance of the capacitor. The capacitor comprises more than one capacitor mechanically in series. Electrically, the capacitor comprises more than one capacitor in parallel. In one embodiment, the capacitor includes a dielectric layer comprising polyimide. A force, pressure, or load is applied to the capacitor that elastically compresses the device. The capacitor is shielded from parasitic coupling and parasitic capacitance.
Abstract:
A prosthetic component suitable for long-term implantation is provided. The prosthetic component measures a parameter of the muscular-skeletal system is disclosed. 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. The sensor couples to the support surface of the first structure. The first and second structure are coupled together housing the at least one sensor. In one embodiment, the first and second structure are welded together forming the hermetic seal that isolates the at least one sensor from an external environment. The at least one sensor can be a pressure sensor for measuring load and position of load.
Abstract:
A bone cutting system is disclosed that supports one or more bone cuts that are aligned relative to a mechanical axis. The system comprises a first bone cutting jig, a second bone cutting jig, a sensored insert, a bone jig adapter shim, and a device having at least two reference surfaces. The sensored insert includes a three-axis accelerometer to measure position, rotation, and tilt and includes a plurality of sensors to measure a parameter of the muscular-skeletal system. The reference surface device can be an operating table having a first reference surface and a second reference surface that is perpendicular to the first reference surface for referencing the three-axis accelerometer. The bone jig adapter shim can include a tab that fits into a slot of the first or second bone cutting jigs. A remote system receives accelerometer data to calculate offset relative to a mechanical axis.
Abstract:
An orthopedic implant having an energy-harvesting device is disclosed. In one embodiment the orthopedic implant is a prosthetic component of a joint of the muscular-skeletal system. The orthopedic implant can include electronic circuitry, a power source, and one or more sensors for measuring a parameter of the muscular-skeletal system or a parameter of in proximity to the implant. The energy-harvesting device generates charge for powering the electronic circuitry using movement of the muscular-skeletal system. The energy-harvesting device comprises a piezo-electric element that converts changes in force into charge that is stored onto a storage device. The energy-harvesting device is coupled to the patella of a knee joint. Movement of the knee joint changes a force applied to the energy-harvesting device thereby generating charge that is coupled to circuitry in a prosthetic component of the knee joint.
Abstract:
An orthopedic system to monitor a parameter related to the muscular-skeletal system is disclosed. The orthopedic system includes electronic circuitry, a sensor, and a remote system to monitor and measure. The sensor is configured to measure color or turbidity. The electronic circuitry is coupled to and interfaces with the sensor. The electronic circuit includes a transmitter to transmit measurement data from the sensor to the remote system. The orthopedic system is configured to monitor color or turbidity of a fluid in proximity to the muscular-skeletal system. The orthopedic system can transmit a signal when a predetermined color is detected or when the turbidity of the fluid exceeds a predetermined value. Alternatively, the remote system includes a processor and software configured to analyze the measurement data from the sensor and transmit a signal when a predetermined color is detected or when the turbidity of the fluid exceeds a predetermined value.
Abstract:
A method of providing feedback to a user of an orthopedic alignment system, which displays: a portion of an orthopedic system; a parameter of the orthopedic system; a portion of an orthopedic insert in the display; and a parameter of the orthopedic insert. Where the method detects movement of the orthopedic system, and moves the displayed portion of the orthopedic system in response to the movement of the orthopedic system. Where the method additionally detects changes of the parameter of the orthopedic insert and of the parameter of the orthopedic system during movement of the orthopedic system, and displays the changes of the parameter of the orthopedic insert and the parameter of the orthopedic system.