Instrumented prosthesis for knee implants monitoring

In this work we present an instrumented smart knee prosthesis for in-vivo measurement of forces and kinematics. Studying the constraints, we designed minimal sensory systems to be placed in the polyethylene part of the prosthesis. The magnetic sensors and a permanent magnet are chosen and configured to measure the relative kinematics of the prosthesis. Moreover, the strain gauges were designed to measure the forces on the polyethylene part. The kinematic and kinetic measurements on a mechanical knee simulator are validated toward reference systems. The supplementary electronics, including the A/D, amplifier, rectifier and voltage doubler are designed. Consequently, by considering the necessary power budget for all the components to be performed, the optimal coils for remote powering is investigated. The system will be packaged in the polyethylene part. Therefore, by the end we will have a smart polyethylene part which can be easily modified for different types of the knee prosthesis without changing the prosthesis design.

[1]  D. D’Lima,et al.  THE CHITRANJAN RANAWAT AWARD: In Vivo Knee Forces after Total Knee Arthroplasty , 2005, Clinical orthopaedics and related research.

[2]  Oguz Atasoy,et al.  A study for remote powering of a knee prosthesis through inductive link , 2010, 6th Conference on Ph.D. Research in Microelectronics & Electronics.

[3]  Mauro Serpelloni,et al.  An Autonomous Sensor for Force Measurements in Human Knee Implants , 2009 .

[4]  Robert Puers,et al.  Inductive Powering: Basic Theory and Application to Biomedical Systems , 2009 .

[5]  P. Vaillancourt,et al.  EM radiation behavior upon biological tissues in a radio-frequency power transfer link for a cortical visual implant , 1997, Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136).

[6]  Christopher Townsend,et al.  A multiaxial force-sensing implantable tibial prosthesis. , 2006, Journal of biomechanics.

[7]  Shantanu Patil,et al.  In vivo knee forces after total knee arthroplasty , 2005 .

[8]  Antonius Rohlmann,et al.  Implantable 9-Channel Telemetry System for In Vivo Load Measurements With Orthopedic Implants , 2007, IEEE Transactions on Biomedical Engineering.

[9]  Reilly Jp Comments concerning "Guidelines for limiting exposure to time-varying electric, magnetic, and electromagnetic fields (up to 300 GHz)". , 1999 .

[10]  A Leardini,et al.  Position and orientation in space of bones during movement: experimental artefacts. , 1996, Clinical biomechanics.

[11]  Diana Hodgins,et al.  Inertial sensor-based knee flexion/extension angle estimation. , 2009, Journal of biomechanics.

[12]  D. D’Lima,et al.  e-Knee: Evolution of the Electronic Knee Prosthesis Telemetry Technology Development , 2001, The Journal of bone and joint surgery. American volume.

[13]  G. Bergmann,et al.  ESB Clinical Biomechanics Award 2008: Complete data of total knee replacement loading for level walking and stair climbing measured in vivo with a follow-up of 6-10 months. , 2009, Clinical biomechanics.

[14]  G. Bergmann,et al.  Design, calibration and pre-clinical testing of an instrumented tibial tray. , 2007, Journal of biomechanics.

[15]  G. Bergmann,et al.  Hip joint loading during walking and running, measured in two patients. , 1993, Journal of biomechanics.

[16]  B.J. Hosticka Analog circuits for sensors , 2007, ESSCIRC 2007 - 33rd European Solid-State Circuits Conference.

[17]  Peng Cheng,et al.  Joint-Angle Measurement Using Accelerometers and Gyroscopes—A Survey , 2010, IEEE Transactions on Instrumentation and Measurement.

[18]  K. Aminian,et al.  Evaluation of an ambulatory system for gait analysis in hip osteoarthritis and after total hip replacement. , 2004, Gait & posture.

[19]  D. D’Lima,et al.  AT THE ANNUAL MEETINGS OF THE KNEE SOCIETY The Mark Coventry Award In Vivo Knee Forces During Recreation and Exercise After Knee Arthroplasty , 2008 .

[20]  G. Bergmann,et al.  Loading of the knee joint during activities of daily living measured in vivo in five subjects. , 2010, Journal of biomechanics.