公开(公告)号：US09844335B2

公开(公告)日：2017-12-19

申请号：US13631498

申请日：2012-09-28

申请人： Marc Stein ,  Gabriel Carrasco

发明人： Marc Stein ,  Gabriel Carrasco

IPC分类号： A61B5/103 ,  A61B5/117 ,  A61F2/38 ,  A61B5/00 ,  A61B5/07

CPC分类号： A61B5/4528 ,  A61B5/076 ,  A61B5/1036 ,  A61B5/4509 ,  A61B5/4585 ,  A61B5/686 ,  A61B5/6878 ,  A61B5/7225 ,  A61B2562/0252

摘要： A measurement device suitable to measure a force, pressure, or load applied by the muscular-skeletal system is disclosed. The measurement module includes a unitary circuit board that couples electronic circuitry to sensors. In one embodiment, the sensors are integrated in the unitary circuit board. Using more than one sensor allows the position of applied load by the muscular-skeletal system to be measured. In one embodiment, the sensors of a sensor array can be elastically compressible capacitors. A load plate can underlie the sensor array. Similarly, a load plate can overlie the load plate. Load plates are rigid structures for distributing a force, pressure, or load. The measurement device can include an articular surface for allowing movement of the muscular-skeletal system. A remote system can be in proximity to the measurement device. The remote system can receive, process, and display data from the measurement module in real-time.

公开(公告)号：US09462964B2

公开(公告)日：2016-10-11

申请号：US13242662

申请日：2011-09-23

申请人： Marc Stein ,  Andrew Miller ,  Jason Addink ,  Andrew U. Chase

发明人： Marc Stein ,  Andrew Miller ,  Jason Addink ,  Andrew U. Chase

IPC分类号： A61B5/103 ,  A61B5/117 ,  A61B5/00 ,  A61F2/38 ,  A61F2/30 ,  A61F2/46

CPC分类号： A61B5/1036 ,  A61B5/0031 ,  A61B5/6878 ,  A61B5/6882 ,  A61F2/38 ,  A61F2/389 ,  A61F2002/30616 ,  A61F2002/3067 ,  A61F2002/3895 ,  A61F2002/4666

摘要： 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. 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 cavity can be sterilized through a port. A membrane is between the port and the cavity. A sterilization gas permeates the membrane for sterilizing cavity. The membrane reduces the ingress of solids and liquids to the cavity.

摘要翻译： 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载表面的支撑结构和支撑结构。 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。 空腔可以通过端口进行灭菌。 隔膜位于端口和腔体之间。 灭菌气体渗透膜用于消毒空腔。 膜减少了固体和液体进入腔体。

公开(公告)号：US08945133B2

公开(公告)日：2015-02-03

申请号：US13243762

申请日：2011-09-23

申请人： Marc Stein ,  Martin Roche ,  Marc Boillot

发明人： Marc Stein ,  Martin Roche ,  Marc Boillot

IPC分类号： A61B17/58 ,  A61B5/107 ,  A61B5/103 ,  A61F2/46 ,  A61F2/30

CPC分类号： A61B5/107 ,  A61B5/103 ,  A61B5/1036 ,  A61B5/1071 ,  A61F2/4611 ,  A61F2002/30607 ,  A61F2002/30616 ,  A61F2002/4662 ,  A61F2002/4666 ,  A61F2002/4667 ,  A61F2002/4668 ,  A61F2310/00023

摘要： A spine 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-vetebral space. The system can distract vertebrae to a first height and measure the load applied by the spine region. The GUI can indicate that the load is outside a predetermined range. The spine region can be distracted to a second height where the load is measured within the predetermined load range.

摘要翻译： 提供脊柱对准系统以评估椎骨上的负荷力与整体脊柱对准结合。 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。 其中提供了GUI，以便当仪器被放置在脑间空间中时显示脊柱仪器相对于椎体位于何处。 系统可以将椎骨分散到第一高度，并测量脊柱区域施加的负荷。 GUI可以指示负载在预定范围之外。 脊柱区域可以分散到在预定负载范围内测量负载的第二高度。

公开(公告)号：US08826733B2

公开(公告)日：2014-09-09

申请号：US13406525

申请日：2012-02-27

申请人： Marc Stein ,  Andrew Chase ,  John Keggi ,  Noah Bonnheim ,  Natalie Burkhard ,  Philip Henson

发明人： Marc Stein ,  Andrew Chase ,  John Keggi ,  Noah Bonnheim ,  Natalie Burkhard ,  Philip Henson

IPC分类号： A61B5/22

CPC分类号： A61B5/4851 ,  A61B5/0008 ,  A61B5/0022 ,  A61B5/0084 ,  A61B5/01 ,  A61B5/4509 ,  A61B5/4528 ,  A61B5/6846

摘要： 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 or a pH sensor. The temperature or pH of the synovial fluid can be correlated to a variety of joint conditions. Measurements over time can be analyzed for trends. The temperature or pH can be calibrated for the patient. For example, calibration can be for temperature or pH of a patient healthy joint. The measurements are compared against this patient reference.

摘要翻译： 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，具有被配置为联接到骨的至少一个特征的第二结构。 电子电路和传感器密封在假体部件内。 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。 假体部件可以包括温度传感器或pH传感器。 滑液的温度或pH可以与各种关节条件相关。 随着时间的推移可以分析趋势。 可以为患者校准温度或pH。 例如，校准可以用于患者健康关节的温度或pH。 将测量值与该患者参考值进行比较。

公开(公告)号：US20140134586A1

公开(公告)日：2014-05-15

申请号：US13673969

申请日：2012-11-09

申请人： Marc Stein ,  Glen Vaughn

发明人： Marc Stein ,  Glen Vaughn

IPC分类号： G09B23/28

CPC分类号： A61B34/20 ,  G09B23/28 ,  G09B23/286

摘要： 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.

摘要翻译： 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：US08720270B2

公开(公告)日：2014-05-13

申请号：US13406519

申请日：2012-02-27

申请人： Marc Stein ,  Andrew U. Chase ,  Philip Henson ,  Natalie Tran Burkhard ,  John Graham Keggi ,  Noah Byron Bonnheim

发明人： Marc Stein ,  Andrew U. Chase ,  Philip Henson ,  Natalie Tran Burkhard ,  John Graham Keggi ,  Noah Byron Bonnheim

IPC分类号： A61B5/22

CPC分类号： A61B8/0875 ,  A61B5/0082 ,  A61B5/01 ,  A61B5/1032 ,  A61B5/14539 ,  A61B5/4509 ,  A61B5/4528 ,  A61B5/4851 ,  A61B5/6846 ,  A61B8/58

摘要： 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. The prosthetic component includes at least on transmissive region. The transmissive region can be located in a region that has exposure to a region outside the joint. The transmissive region can comprise glass. One or more sensors can be used to monitor synovial fluid in proximity to the joint to determine joint health. The transmissive region can be used to support communication between the electronic circuitry and remote system.

摘要翻译： 提供了适合于长期植入的假体部件。 假肢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，具有被配置为联接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。 假体部件至少包括透射区域。 透射区域可以位于暴露于接头外部区域的区域中。 透射区域可以包括玻璃。 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。 透射区域可以用于支持电子电路和远程系统之间的通信。

公开(公告)号：US08701484B2

公开(公告)日：2014-04-22

申请号：US13406484

申请日：2012-02-27

申请人： Marc Stein ,  Andrew U. Chase

发明人： Marc Stein ,  Andrew U. Chase

IPC分类号： A61B5/22

CPC分类号： A61B5/107 ,  A61B5/4509 ,  A61B5/4528 ,  A61B5/6846

摘要： 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.

摘要翻译： 公开了一种用于测量肌肉骨骼系统参数的测量系统。 测量系统包括电容器，信号发生器，数字计数器，计数器寄存器，数字时钟，数字定时器和数据寄存器。 测量系统的传感器是电容器。 测量系统产生具有对应于电容器的电容的测量周期的重复信号。 电容器包括多个串联的电容器。 电气地，电容器包括多于一个并联的电容器。 在一个实施例中，电容器包括包含聚酰亚胺的电介质层。 力，压力或负载施加到弹性压缩装置的电容器上。

公开(公告)号：US08668646B2

公开(公告)日：2014-03-11

申请号：US12825770

申请日：2010-06-29

申请人： Marc Stein ,  James Ellis

发明人： Marc Stein ,  James Ellis

IPC分类号： A61B8/00

CPC分类号： A61B5/6878 ,  A61B5/4509 ,  A61B5/4528 ,  A61B5/6846 ,  A61B5/7239 ,  A61B8/15 ,  Y10T307/615

摘要： A sensing assemblage (1) for capturing a transit time, phase, or frequency of energy waves propagating through a medium is disclosed to measure a parameter of the muscular-skeletal system. The sensing assemblage (1) comprises a transducer (2) and a waveguide (3). The transducer (2) is coupled to the waveguide (3) at a first location. A second transducer (11) can be coupled to the waveguide (3) at a second location. An interface material that is transmissive to acoustic energy waves can be placed between transducers (402, 404) and a waveguide (414) to improve transfer. The interface material (408, 410) can affix the transducers (402, 404) to the waveguide (414). Alternatively, a reflecting feature (5) can be placed at a second location of the waveguide (3) to reflect acoustic waves back to the transducer (2) where transducer (2) emits energy waves into the medium and detects propagated energy waves.

摘要翻译： 公开了用于捕获通过介质传播的能量波的传播时间，相位或频率的感测组件（1），以测量肌肉 - 骨骼系统的参数。 感测组件（1）包括换能器（2）和波导（3）。 换能器（2）在第一位置处耦合到波导（3）。 第二传感器（11）可以在第二位置处耦合到波导（3）。 对声能波透射的界面材料可以放置在换能器（402,404）和波导（414）之间，以改善转移。 界面材料（408,410）可以将换能器（402,404）固定到波导（414）上。 或者，反射特征（5）可以放置在波导（3）的第二位置处，以将声波反射回到换能器（2），其中换能器（2）将能量波发射到介质中并检测传播的能量波。

公开(公告)号：US20130079793A1

公开(公告)日：2013-03-28

申请号：US13243082

申请日：2011-09-23

申请人： Marc Stein ,  Andrew U. Chase

发明人： Marc Stein ,  Andrew U. Chase

IPC分类号： A61B17/56

CPC分类号： A61F2/4657 ,  A61B5/45 ,  A61B5/4528 ,  A61B2034/2048 ,  A61B2090/064 ,  A61B2090/065 ,  A61F2/44 ,  A61F2/4684 ,  A61F2002/4666

摘要： A measurement tool for measuring a parameter of the muscular-skeletal system is disclosed. The measurement tool includes a sensored head that comprises a first support structure, a second support structure, and a plurality of sensors for measuring load and position of load. The housing for the measurement tool includes a first housing component and a second housing component. The first housing component comprises a handle portion, a shaft portion, and a first support structure. Similarly, the second housing component comprises a handle portion, a shaft portion, and a second support structure. The sensored head includes an interconnect, a sensor guide, sensors, and a load plate. The interconnect and the sensor guide are aligned and retained in the first support structure by a sidewall.

摘要翻译： 公开了一种用于测量肌肉骨骼系统参数的测量工具。 测量工具包括感测头，其包括第一支撑结构，第二支撑结构和用于测量负载和负载位置的多个传感器。 用于测量工具的壳体包括第一壳体部件和第二壳体部件。 第一壳体部件包括手柄部分，轴部分和第一支撑结构。 类似地，第二壳体部件包括手柄部分，轴部分和第二支撑结构。 感应头包括互连，传感器引导件，传感器和负载板。 互连和传感器引导件通过侧壁对准并保持在第一支撑结构中。

公开(公告)号：US20130079673A1

公开(公告)日：2013-03-28

申请号：US13244219

申请日：2011-09-23

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

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

IPC分类号： A61B5/103

CPC分类号： A61B5/4585 ,  A61B5/0031 ,  A61B5/11 ,  A61B5/686 ,  A61B5/6882 ,  A61B2560/0406 ,  A61B2562/24 ,  A61F2/4657 ,  A61F2/4684 ,  A61F2002/3895 ,  A61F2002/4666

摘要： 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. 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 cavity is sterilized through a port. A membrane is between the port and the cavity. A sterilization gas permeates the membrane for sterilizing cavity. The membrane prevents ingress of solids and liquids to the cavity.

摘要翻译： 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载表面的支撑结构和支撑结构。 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。 腔通过端口消毒。 隔膜位于端口和腔体之间。 灭菌气体渗透膜用于消毒空腔。 膜防止固体和液体进入腔体。