公开(公告)号：US08668646B2

公开(公告)日：2014-03-11

申请号：US12825770

申请日：2010-06-29

Applicant: Marc Stein ,  James Ellis

Inventor： Marc Stein ,  James Ellis

IPC: A61B8/00

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

Abstract: 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.

Abstract translation: 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：US20100331738A1

公开(公告)日：2010-12-30

申请号：US12825883

申请日：2010-06-29

Applicant: Marc Stein ,  James Ellis

Inventor： Marc Stein ,  James Ellis

IPC: A61B5/103 ,  H05K1/14

CPC classification number: A61B5/4528 ,  A61B5/103 ,  A61B5/4509 ,  A61B5/6846 ,  A61B2562/0219 ,  H05K1/147 ,  H05K1/148

Abstract: A sensing insert device (100) is disclosed for measuring a parameter of the muscular-skeletal system. The sensing insert device (100) can be temporary or permanent. Used intra-operatively, the sensing insert device (100) comprises an insert dock (202) and a sensing module (200). The sensing module (200) is a self-contained encapsulated measurement device having at least one contacting surface that couples to the muscular-skeletal system. The sensing module (200) comprises one or more sensing assemblages (1802), electronic circuitry (307), and communication circuitry (320). An interconnect stack within the sensing module (1700) couples at least one circuit board (1612 and 1616) to one or more sensing assemblages (1802). The interconnect stack includes at least one flexible interconnect (1506) that couples to the circuit board (1612 and 1616). The flexible interconnect (1506) can be in a path for conducting an energy wave through the sensing assemblage (1802).

Abstract translation: 公开了一种用于测量肌肉 - 骨骼系统的参数的感测插入装置（100）。 感测插入装置（100）可以是暂时的或永久的。 在操作中使用的感测插入装置（100）包括插入坞（202）和感测模块（200）。 感测模块​​（200）是独立的封装测量装置，其具有耦合到肌肉 - 骨骼系统的至少一个接触表面。 感测模块​​（200）包括一个或多个感测组件（1802），电子电路（307）和通信电路（320）。 感测模块​​（1700）内的互连堆叠将至少一个电路板（1612和1616）耦合到一个或多个感测组件（1802）。 互连堆叠包括耦合到电路板（1612和1616）的至少一个柔性互连（1506）。 柔性互连（1506）可以在用于通过感测组件（1802）传导能量波的路径中。

公开(公告)号：US20100331737A1

公开(公告)日：2010-12-30

申请号：US12825736

申请日：2010-06-29

Applicant: Marc Stein ,  James Ellis

Inventor： Marc Stein ,  James Ellis

IPC: A61B5/103

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

Abstract: A sensing insert device (100) is disclosed for measuring a parameter of the muscular-skeletal system. The sensing insert device (100) can be temporary or permanent. Used intra-operatively, the sensing insert device (100) comprises an insert dock (202) and a sensing module (200). The sensing module (200) is a self-contained encapsulated measurement device having at least one contacting surface that couples to the muscular-skeletal system. The insert dock (202) is a passive component made for different prosthetic component manufacturers as well as for different size prosthetic components. The sensing module (200) fits in an opening or cavity of the insert dock (202). The intra-operative insert device is substantially equal in dimension to an implanted final insert. The sensing insert device (100) is also a permanent prosthetic component. The sensing module (200) residing within the sensing insert device and coupling to a bearing surface of the insert.

Abstract translation: 公开了一种用于测量肌肉 - 骨骼系统的参数的感测插入装置（100）。 感测插入装置（100）可以是暂时的或永久的。 在操作中使用的感测插入装置（100）包括插入坞（202）和感测模块（200）。 感测模块​​（200）是独立的封装测量装置，其具有耦合到肌肉 - 骨骼系统的至少一个接触表面。 插入坞（202）是为不同的假肢部件制造商以及用于不同尺寸的假体部件制成的被动部件。 感测模块​​（200）装配在插入坞（202）的开口或空腔中。 术中插入装置在尺寸上基本上等于植入的最终插入物。 感测插入装置（100）也是永久性假体部件。 感测模块​​（200）位于感测插入装置内并且联接到插入件的支承表面。

公开(公告)号：US08516907B2

公开(公告)日：2013-08-27

申请号：US12825753

申请日：2010-06-29

Applicant: Marc Stein ,  James Ellis

Inventor： Marc Stein ,  James Ellis

IPC: G01L1/04

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

Abstract: A load sensing platform (121) is disclosed for capturing a transit time, phase, or frequency of energy waves propagating through a medium that measures a parameter of the muscular-skeletal system. The load sensing platform (121) comprises a sensing assemblage (1), substrates (702, 704, and 706), springs (315), spring posts (708), and spring retainers (710). The sensing assemblage (1) comprises a stack of a transducer (5), waveguide (3), and transducer (6). A parameter is applied to the contact surfaces (8) of the load sensing platform (121). The sensing assemblage (1) measures changes in dimension due to the parameter. Position of the applied parameter can be measured by using more than one sensing assemblage (1). The springs (315) couple to the substrates (702, 704) providing mechanical support and to prevent cantilevering. The spring posts (708) and spring retainers (710) maintain the springs (315) at predetermined locations in the load sensing platform (121).

Abstract translation: 公开了负载感测平台（121），用于捕获通过测量肌肉 - 骨骼系统的参数的介质传播的能量波的渡越时间，相位或频率。 负载感测平台（121）包括感测组件（1），基底（702,704和706），弹簧（315），弹簧柱（708）和弹簧保持器（710）。 感测组件（1）包括传感器（5），波导（3）和换能器（6）的堆叠。 将参数应用于负载感测平台（121）的接触表面（8）。 感测组合（1）由于参数而测量尺寸变化。 应用参数的位置可以通过使用多个传感组件（1）来测量。 弹簧（315）耦合到提供机械支撑并防止悬臂的基板（702,704）。 弹簧柱（708）和弹簧保持器（710）将弹簧（315）保持在负载感测平台（121）中的预定位置处。

公开(公告)号：US20100331704A1

公开(公告)日：2010-12-30

申请号：US12825770

申请日：2010-06-29

Applicant: Marc Stein ,  James Ellis

Inventor： Marc Stein ,  James Ellis

IPC: A61B8/00

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

Abstract: 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.

Abstract translation: 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：US09844335B2

公开(公告)日：2017-12-19

申请号：US13631498

申请日：2012-09-28

Applicant: Marc Stein ,  Gabriel Carrasco

Inventor： Marc Stein ,  Gabriel Carrasco

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

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 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

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

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

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

CPC classification number: A61B5/1036 ,  A61B5/0031 ,  A61B5/6878 ,  A61B5/6882 ,  A61F2/38 ,  A61F2/389 ,  A61F2002/30616 ,  A61F2002/3067 ,  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. 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.

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

Applicant: Marc Stein ,  Martin Roche ,  Marc Boillot

Inventor： Marc Stein ,  Martin Roche ,  Marc Boillot

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

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

Abstract: 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.

Abstract translation: 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

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

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

IPC: A61B5/22

CPC classification number: A61B5/4851 ,  A61B5/0008 ,  A61B5/0022 ,  A61B5/0084 ,  A61B5/01 ,  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. 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.

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

Applicant: Marc Stein ,  Glen Vaughn

Inventor： Marc Stein ,  Glen Vaughn

IPC: G09B23/28

CPC classification number: A61B34/20 ,  G09B23/28 ,  G09B23/286

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。