CN115414107A - Bone fracture plate for orthopedics department, system and method for monitoring skeletal strain of human body and storage medium - Google Patents

Bone fracture plate for orthopedics department, system and method for monitoring skeletal strain of human body and storage medium Download PDF

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Publication number
CN115414107A
CN115414107A CN202211373472.2A CN202211373472A CN115414107A CN 115414107 A CN115414107 A CN 115414107A CN 202211373472 A CN202211373472 A CN 202211373472A CN 115414107 A CN115414107 A CN 115414107A
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strain
bone
fracture
plate
signal
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臧浠凝
赵喆
胡行健
李庆昂
黄金财
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Tsinghua University
Beijing Tsinghua Changgeng Hospital
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Tsinghua University
Beijing Tsinghua Changgeng Hospital
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Priority to CN202211373472.2A priority Critical patent/CN115414107A/en
Publication of CN115414107A publication Critical patent/CN115414107A/en
Priority to PCT/CN2023/129698 priority patent/WO2024094188A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022Monitoring a patient using a global network, e.g. telephone networks, internet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4504Bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4848Monitoring or testing the effects of treatment, e.g. of medication
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6878Bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0261Strain gauges

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Physiology (AREA)
  • Neurology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Rheumatology (AREA)
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Abstract

The invention relates to the technical field of surgery, in particular to an orthopedic bone plate, a system and a method for monitoring the bone strain of a human body and a storage medium, wherein the orthopedic bone plate comprises: the bone fracture plate comprises a bone fracture plate body, wherein a preset position of the bone fracture plate body is made of a preset material in a preset mode so as to sense strain on the bone fracture plate body and output a strain signal; the communication unit is used for receiving the strain signal and sending the strain signal to a preset terminal so as to obtain stress-strain data of a fracture end during the healing period of the human fracture based on the strain signal; the packaging body is used for packaging the bone fracture plate body and the communication unit. Therefore, the technical problems that materials and matched sensors in the related technology are complex in preparation process and high in cost, and therefore popularization and application are not facilitated are solved.

Description

Bone fracture plate for orthopedics department, system and method for monitoring skeletal strain of human body and storage medium
Technical Field
The invention relates to the technical field of surgery, in particular to an orthopedic bone plate, a system and a method for monitoring skeletal strain of a human body and a storage medium.
Background
The monitoring of the postoperative healing of the fracture is one of the troublesome problems in the orthopedic field, the traditional monitoring mode is performed by an X-ray plain film or a CT (Computer Tomography), the method by means of the medical image has the problems of low follow-up rate and sampling frequency, and the information provided by the medical image is an indirect reaction of the healing condition of the fracture end, especially in the early stage of fracture healing, the information provided is relatively limited, and the state of fracture healing cannot be reflected in detail. According to the strain theory, the healing tissue of the fractured end of the fracture has obvious elastic modulus change in the healing process, the corresponding mechanical load shared by the healing tissue is gradually increased, and the mechanical load shared by the bone implant is gradually reduced, so that the corresponding mechanical response change of the bone implant is caused, and therefore, the fracture healing process can be monitored by mechanically monitoring the bone implant.
In the related art, the strain sensing monitoring mode can be adopted: namely, the bone implantation strain sensing device is attached to an implant body by methods of bonding, physical fixation and the like, and a mechanical environment signal is obtained by a contact type strain sensing mode, so that the stress strain condition at the fracture end is monitored. However, in the related art, the bone fracture plate for orthopedics department is made of stainless steel or titanium alloy, the matched sensor adopts a semiconductor process, the preparation process is complex, the cost is high, and the bone fracture plate is not beneficial to popularization and application and needs to be improved.
Disclosure of Invention
The invention provides an orthopedic bone plate, a system and a method for monitoring skeletal strain of a human body and a storage medium, which aim to solve the technical problems that materials and matched sensors in the related technology are complex in preparation process and high in cost, so that the popularization and the application are not facilitated.
In a first aspect, the present invention provides an orthopedic plate, including: the bone fracture plate comprises a bone fracture plate body, wherein a preset position of the bone fracture plate body is made of a preset material in a preset mode so as to sense pressure on the bone fracture plate body and output a strain signal; the communication unit is used for receiving the strain signal and sending the strain signal to a preset terminal so as to obtain stress-strain data of a fracture end during fracture healing of a human body based on the strain signal; and the packaging body is used for packaging the bone fracture plate body and the communication unit.
Optionally, in an embodiment of the present invention, the preset material is carbon fiber reinforced polyetheretherketone, and the preset mode is an irradiation carbonization mode.
Optionally, in an embodiment of the present invention, the preset position is a position corresponding to the fracture end.
Optionally, in one embodiment of the invention, the bone plate body comprises at least one of a neutralization plate, a support plate, a skid plate, and a bridge plate.
Optionally, in an embodiment of the present invention, the communication unit includes: and the radio frequency tag is formed on the surface of a preset material, so that the radio frequency signal formed by the strain signal is transmitted to the preset terminal based on the radio frequency tag.
Optionally, in an embodiment of the present invention, the package is made by depositing a layer of parylene by chemical vapor deposition.
In a second aspect, an embodiment of the present invention provides a system for monitoring skeletal strain of a human body, including: at least one orthopedic bone plate according to the above embodiments, for collecting strain signals of fracture ends during fracture healing of human body; the communication device is used for receiving strain signals of one or more orthopedic bone plates; and the processor is used for obtaining stress-strain data of at least one patient according to the strain signals of the one or more orthopedic bone plates.
Optionally, in an embodiment of the present invention, the communication device includes: the receiver comprises at least one antenna, and is used for receiving the radio frequency signal of the orthopedic bone fracture plate when the receiver is within a preset distance from the orthopedic bone fracture plate and analyzing the strain signal based on the radio frequency signal.
In a third aspect of the present invention, a method for monitoring bone strain of a human body is provided, which uses the system for monitoring bone strain of a human body according to the above embodiments, and includes the following steps: collecting strain signals of fracture ends during the healing period of human fracture based on an orthopedic bone fracture plate; and obtaining stress-strain data of at least one patient according to the strain signal of the fracture end of the human body during the fracture healing period.
A fourth aspect of the present invention provides a computer-readable storage medium storing a computer program which, when executed by a processor, implements the above method for monitoring skeletal strain of a human body.
The embodiment of the invention can be implanted into the orthopedic bone fracture plate based on different fracture or injured positions, wherein the bone fracture plate body can be made of a preset material with good biocompatibility and high contrast strength in a preset mode to obtain a strain signal of the fracture or injured position, the strain signal can be sent by a communication unit which is packaged by a packaging body together with the bone fracture plate body to obtain stress and strain data of a fracture end of a human body during fracture healing, the preparation method is simple, the cost is low, noninvasive continuous monitoring of the fracture injured position can be realized, postoperative efficient follow-up and personalized rehabilitation of a patient can be realized, data uploading cloud and data sharing can be realized through a rear end, and therefore, prevention and treatment of the problem after healing are improved through a big data method, and reliability and timeliness of follow-up are improved. Therefore, the technical problems that materials and matched sensors in the related technology are complex in preparation process and high in cost, and accordingly popularization and application are not facilitated are solved.
Additional aspects and advantages of the invention will be set forth in part in the description which follows and, in part, will be obvious from the description, or may be learned by practice of the invention.
Drawings
The foregoing and/or additional aspects and advantages of the present invention will become apparent and readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings of which:
FIG. 1 is a schematic structural view of an orthopedic plate according to an embodiment of the present invention;
FIG. 2 is a schematic view of an orthopedic plate according to one embodiment of the present invention in use;
FIG. 3 is a graphical representation of three-point bending test results for an intramedullary nail body based on CFR PEEK in accordance with one embodiment of the present invention;
FIG. 4 is a schematic structural diagram of a system for monitoring skeletal strain of a human body according to an embodiment of the present invention;
FIG. 5 is a schematic diagram of a skeletal strain monitoring system of a human body according to one embodiment of the present invention;
fig. 6 is a flowchart of a method for monitoring bone strain of a human body according to an embodiment of the present invention.
Detailed Description
Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the drawings are illustrative and intended to be illustrative of the invention and are not to be construed as limiting the invention.
An orthopedic bone plate, a system and a method for monitoring bone strain of a human body, and a storage medium according to embodiments of the present invention will be described with reference to the accompanying drawings. The invention provides an orthopedics bone fracture plate, aiming at the technical problems that related technical materials and matched sensors mentioned in the background technology are complex in preparation process and high in cost, and therefore the popularization and the application are not facilitated, the orthopedics bone fracture plate can be implanted into the orthopedics bone fracture plate based on different fracture or injury positions, wherein a bone fracture plate body can be made of preset materials with good biocompatibility and high contrast strength in a preset mode to obtain strain signals of the fracture or injury positions, and a communication unit which is packaged together with the bone fracture plate body by a packaging body can send the strain signals to obtain stress-strain data of a fracture end during the fracture healing period of a human body. Therefore, the technical problems that materials and matched sensors in the related technology are complex in preparation process and high in cost, and therefore popularization and application are not facilitated are solved.
Specifically, fig. 1 is a schematic structural diagram of an orthopedic bone plate according to an embodiment of the present invention.
As shown in fig. 1, the orthopedic plate 10 includes: the bone plate comprises a bone plate body 101, a communication unit 102 and a packaging body 103.
Specifically, the bone plate body 101 is made of a predetermined material at a predetermined position thereof in a predetermined manner to sense a pressure thereon and output a strain signal.
In the actual implementation process, the embodiment of the invention can obtain the mechanical signal of the fracture or the affected part position in a contact type strain sensing mode to form a mechanical feedback mechanism, and particularly can fix the bone fracture plate body 101 at the fracture position as strain sensing equipment to sense the pressure on the implanted position so as to output the strain signal.
The bone plate body 101 provided by the embodiment of the invention can be made of preset materials in a preset mode, so that corresponding sensor equipment is not needed, the preparation process is simplified, and the cost is reduced.
Optionally, in an embodiment of the invention, the predetermined position is a position corresponding to the fracture end.
It can be understood that in the bone healing process, monitoring of the mechanical environment of the fracture or the affected part is an important basis for influencing the subsequent treatment and rehabilitation intervention after the fracture operation, and particularly, monitoring of the stress-strain condition at the fracture end can directly reflect the bone healing state, so that the preset position of the bone fracture plate body 101 of the embodiment of the invention can be the position corresponding to the fracture end, thereby facilitating real-time monitoring of the stress-strain condition at the fracture end, facilitating subsequent analysis of the in-vivo state of the bone fracture plate body 101 and healing process evaluation, and timely changing the behavior of the patient to guide the rehabilitation training of the patient.
Optionally, in an embodiment of the present invention, the preset material is carbon fiber reinforced polyetheretherketone, and the preset mode is an irradiation carbonization mode.
In some embodiments, the preset material of the bone plate body 101 may be carbon fiber reinforced polyetheretherketone, wherein the carbon fiber reinforced polyetheretherketone is a carbon fiber reinforced polyetheretherketone composite material, which concentrates the advantages of polyetheretherketone materials and carbon fiber materials, has light weight, excellent mechanical properties, chemical corrosion resistance and biocompatibility, and the material may have high conductivity and stress response characteristics after being carbonized by a high-energy laser beam, and the resin matrix has less electromagnetic interference, which provides possibility for directly converting the intramedullary nail itself into a sensing device.
For example, in the embodiment of the present invention, the conductive region with a corresponding shape is directly processed on the carbon fiber reinforced polyetheretherketone by using laser through a radiation carbonization method, so that the polyetheretherketone material is modified to sense a mechanical signal, a temperature signal, or a chemical signal in vivo.
The laser irradiation can adopt ultraviolet light, visible light and infrared light, the pulse width can be millisecond, nanosecond, picosecond, femtosecond and the like, and the required conductive area can be carbonized on the surface of the carbon fiber reinforced polyether-ether-ketone. In addition, the embodiment of the invention can change the energy density of the laser by changing the laser parameters such as the output power, the scanning speed, the repetition frequency, the defocusing amount and the like of the laser, further change the appearance, the components, the resistivity and the like of the conductive area, and simultaneously can carry out pattern design on the carbonized conductive layer (carbonized layer) by designing the laser processing track to form different patterns and be suitable for sensors for composite signal sensing of mechanics (pressure, strain, friction and the like), temperature, chemistry (pH and the like).
For example, the laser irradiation may be ultraviolet nanosecond laser, the output power of the laser may be 5W-10W, such as 5W, 6W, 7W, 8W, 9W, 10W, etc., the repetition frequency may be 40kHz-100kHz, such as 40kHz, 50kHz, 60kHz, 70kHz, 80kHz, 90kHz, 100kHz, etc., the scanning speed may be 20-110mm/s, such as 20mm/s, 30mm/s, 40mm/s, 50mm/s, 60mm/s, 70mm/s, 80mm/s, 90mm/s, 100mm/s, 110mm/s, etc., and the defocus amount may be 2-10mm, such as 2mm, 3mm, 4mm, 5mm, 6mm, 7mm, 8mm, 9mm, 10mm, etc. Therefore, the energy density irradiated on the surface of the carbon fiber reinforced polyether-ether-ketone matrix is larger than 0.83J/mm < 2 >, and a carbonization layer can be formed on the surface of the carbon fiber reinforced polyether-ether-ketone matrix.
Optionally, in one embodiment of the invention, the bone plate body 101 includes at least one of a neutralization plate, a support plate, a cleat plate, and a bridge plate.
As can be understood by those skilled in the art, as shown in fig. 2, the bone fracture plate body 101 may be applied to, but not limited to, clavicle, proximal humerus, humerus stem, distal humerus medial and lateral sides, ulna, radial stem, distal radius, proximal femur, femoral stem, distal femur, proximal tibia medial and lateral sides, tibial stem, distal tibia, and distal fibula according to different fracture injury locations and uses, and the bone fracture plate body 101 may include a neutralization plate, a supporting plate, an anti-slip plate, and a bridge plate, based on different plate and nail fixing principles, such as multi-angle locking, single-angle locking, dynamic pressurization, and the like.
And the communication unit 102 is used for receiving the strain signal and sending the strain signal to a preset terminal so as to obtain stress-strain data of the fracture end during the fracture healing period of the human body based on the strain signal.
As a possible implementation manner, the embodiment of the invention may implement signal transmission through the communication unit 102, wherein the communication unit 102 may receive the strain signal output by the bone fracture plate body 101, and transmit the strain signal to a preset terminal, such as a signal receiver, through wireless transmission, so as to convert the strain signal into stress-strain data of a fracture end during the healing of the human fracture. The wireless transmission can be performed in various manners, such as a wired active manner, a wireless passive manner, and the like, which are described in detail below.
Optionally, in an embodiment of the present invention, the communication unit 102 includes: and the radio frequency tag is formed on the surface of the preset material, so that the radio frequency signal formed by the strain signal is transmitted to a preset terminal based on the radio frequency tag.
The wireless passive approach is described in detail herein. Specifically, when the preset material of the bone plate body 101 is carbon fiber reinforced polyetheretherketone and the preset manufacturing method is an irradiation carbonization method, in the embodiment of the invention, in-situ carbonization of the surface of a carbon fiber reinforced polyetheretherketone substrate is realized by irradiation carbonization, carbide layers with different shapes are formed as radio frequency tags, the different shapes have corresponding characteristic frequencies, after strain is monitored, the resonance frequency is correspondingly changed, real-time monitoring of stress strain is realized, and the problem of obvious increase of the resonance response frequency is avoided because the combination between the radio frequency tags and the substrate is very firm and cannot be infirm along with the time extension.
The radio frequency tag on the carbon fiber reinforced polyether-ether-ketone substrate can be in various shapes, and different shapes can produce different effects, for example, the radio frequency tag can be in a thin strip shape, is more sensitive to mechanical signals, and can accurately and timely respond to the mechanical signals so as to be used for feeding back the mechanical signals, such as stress, strain and the like; the radio frequency tag can be a bent connection structure with a plurality of slender lines, and the structure can sense slight temperature change so as to be used for feeding back a temperature signal; the rf tag may be square and may be used to feed back chemical signals, such as changes in pH in the body, by absorbing the fluid components and sensing changes in the fluid. In the post-operation healing stage, the embodiment of the invention can obtain the mechanical signal of the fracture end in the body in a wireless communication mode, and is used for analyzing the prognosis condition of the patient operation, for example, when the preset terminal is close to the radio frequency tag on the bone fracture plate 10, a corresponding peak value can appear at the resonant frequency of the tag, and a person skilled in the art can calculate the stress state of the bone fracture plate 10 by analyzing the frequency, the kurtosis and other information of the peak, thereby evaluating the bone healing condition and realizing the radio frequency wireless communication.
The wired and passive approach is described in detail herein. In the laboratory research stage, because the device does not need to be implanted into a human body, for example, the device can be directly connected to a Personal Computer (PC) end through a data line for display, the embodiment of the invention can adopt a wired mode for data testing, calibration and evaluation, and is convenient for debugging equipment.
The wireless active mode is described in detail herein. In some embodiments, the embodiment of the invention may further send the strain signal acquired based on the bone fracture plate body 101 based on the wireless module, so as to realize wireless transmission of the strain signal, and the power module is used for supplying power to the wireless module, thereby ensuring normal operation of wireless transmission.
In the actual implementation process, the communication unit 102 can receive the resistance signal of the bone fracture plate body 101, i.e. the strain signal, the resistance signal can be converted into a voltage signal through a wheatstone bridge circuit and amplified to obtain an amplified signal, the amplified signal can be converted into a digital voltage signal through an analog-to-digital converter, the digital voltage signal can be wirelessly transmitted through a bluetooth module, i.e. a small peripheral circuit including a bluetooth module is additionally arranged, the external mobile device which can receive the wireless bluetooth signal directly by using a mobile phone and the like can directly receive and display the signal, and in addition, the portable vector network instrument can also be connected with the bluetooth module in a cascade manner to realize the data display of the mobile terminal.
And the packaging body 103 is used for packaging the bone plate body 101 and the communication unit 102.
In the practical implementation process, the bone fracture plate body 101 and the communication unit 102 can be packaged through the packaging body 103, so that adverse reactions caused by direct contact between the bone fracture plate body 101 and the communication unit 102 and a human body are avoided, and the performance stability of the embodiment of the invention is improved.
Alternatively, in an embodiment of the present invention, the package body 103 is made by depositing a layer of parylene by chemical vapor deposition.
In some embodiments, the package 103 may be a package protection made of a material with biocompatibility and high dielectric constant, which is prepared by depositing a parylene layer by chemical vapor deposition.
The working principle and advantages of the bone fracture plate 10 of the embodiment of the invention are explained in an embodiment.
According to the embodiment of the invention, ultraviolet nanosecond laser can be adopted to perform irradiation treatment on the surface of the carbon fiber reinforced polyether-ether-ketone matrix, the wavelength of the used ultraviolet nanosecond laser is 355nm, the pulse width is 25ns, the output power of a laser is 5.5W, the repetition frequency is 40kHz, the scanning speed is 60mm/s, the defocusing amount is 2mm, and a radio frequency label is formed on the surface of the carbon fiber reinforced polyether-ether-ketone matrix to obtain the bone fracture plate body 101.
The three-point bending test is performed on the bone fracture plate body 101, and the test result is shown in fig. 3, wherein the resistance change of the ordinate refers to the ratio of the absolute value of the resistance change to the initial resistance value, expressed in percentage, the initial resistance value refers to the resistance value measured when no bending strain occurs, and the absolute value of the resistance change refers to the absolute value of the difference between the resistance value measured after the bending strain occurs and the initial resistance value; curve 1 is the resistance change versus bending strain from actual testing, while dashed line 2 is obtained by origin software fitting.
Through calculation, in a working strain range of 0-2.5%, the bone fracture plate body 101 has high linearity (R2 = 0.997), the linearity is close to 1, the bone fracture plate body 101 has good reliability in sensing signal change and high repeatability, and meanwhile, tests show that the intramedullary nail body 101 also has high sensitivity (GF), the sensitivity is 29.0074, the sensitivity is high, the orthopedic implant is sensitive to signal change, and the orthopedic implant can be used for detecting tiny signal change.
The experiment shows that the radio frequency tag in the bone fracture plate body 101 can well feed back mechanical signals, the orthopedic intramedullary nail can be used in a human body or an animal body, and the healing condition of the injured part can be detected and monitored in real time by combining with an in-vitro communication device or an in-vivo communication unit 102.
The orthopedic bone fracture plate provided by the embodiment of the invention can be implanted into the orthopedic bone fracture plate based on different fracture or injury positions, wherein the bone fracture plate body can be made of a preset material with good biocompatibility and high contrast strength in a preset mode to obtain a strain signal of the fracture or injury position, the strain signal can be sent by a communication unit which is packaged by a packaging body together with the bone fracture plate body to obtain stress strain data of a fracture end of a human body during fracture healing, the preparation method is simple, the cost is low, non-invasive continuous monitoring on the fracture injury position can be realized, postoperative efficient follow-up visits and personalized rehabilitation of a patient can be favorably realized, data uploading cloud and data sharing can be realized through a rear end, the prevention and treatment on the problems after healing can be improved through a big data method, and the reliability and timeliness of the follow-up visits can be improved. Therefore, the technical problems that materials and matched sensors in the related technology are complex in preparation process and high in cost, and therefore popularization and application are not facilitated are solved.
Next, a skeletal strain monitoring system for a human body according to an embodiment of the present invention will be described with reference to the accompanying drawings.
Fig. 4 is a schematic structural diagram of a system for monitoring bone strain of a human body according to an embodiment of the present invention.
As shown in fig. 4, the system 40 for monitoring bone strain of a human body includes: an orthopedic bone plate 10, a communication device 401, and a processor 402.
In particular, at least one orthopaedic osteosynthesis plate 10 is used to collect strain signals at the fracture site during the healing of a human fracture.
A communication device 401 for receiving strain signals of one or more orthopedic bone plates 10.
In the actual implementation process, the embodiment of the invention can receive the strain signals of one or more orthopedic bone plates 10 through the communication device 401, monitor the stress and strain of the fracture end in the bone healing process, and facilitate the subsequent analysis of the bone healing state aiming at the strain signals.
Optionally, in an embodiment of the present invention, the communication device 401 includes: a receiver.
The receiver comprises at least one antenna, and is used for receiving the radio-frequency signal of the orthopedic bone fracture plate when the receiver is within a preset distance from the orthopedic bone fracture plate and analyzing the strain signal based on the radio-frequency signal.
Specifically, the embodiment of the present invention may use an antenna (e.g., a linear microstrip antenna) as a receiver, and receive the rf signal when the antenna is close to the rf tag on the bone plate 10, at which time, a corresponding peak occurs at the resonant frequency of the rf tag, so as to analyze the strain signal based on the rf signal.
And a processor 402 for obtaining stress-strain data of at least one patient based on the strain signals of one or more orthopedic bone plates 10.
As a possible implementation manner, the embodiment of the present invention may analyze the frequency, kurtosis, and other information of the peak through the processor 402, i.e., the stress state of the bone implant may be calculated, so as to evaluate the bone healing condition.
The working principle of the human bone strain monitoring system according to the embodiment of the present invention will be described in detail with reference to fig. 5.
As shown in fig. 5, in the embodiment of the invention, a specific part of the bone fracture plate body can be carbonized by irradiation to modify the part to obtain a strain sensing characteristic, the bone fracture plate 10 can achieve the purpose of monitoring the mechanical environment of the fracture position in real time after operation, the in-vivo state of the bone fracture plate 10 can be obtained by performing radio frequency communication through an external communication device 401, and the strain sensing characteristic of the position of the bone fracture plate 10 can be analyzed, so that the detection of the state of the bone fracture plate 10 in the whole life cycle such as biomechanical monitoring of the bone fracture plate 10 in the body can be realized, and the signal acquisition and analysis in a wireless mode can be used for changing the behavior of a patient, guiding the rehabilitation training of the patient and influencing the clinical prognosis.
In addition, besides radio frequency signals, the embodiment of the present invention may also use wireless transmission devices such as bluetooth, etc., as a substitute for the wireless transmission devices.
The orthopedic bone fracture plate 10 can be used for efficient postoperative follow-up and personalized rehabilitation of patients, and can also be used for analyzing the mechanical environment characteristics of fracture parts in a healing process in a clustering manner, so that guidance is finally generated for fixing positions of intramedullary nails in the operation, and the current equipment and diagnosis and treatment scheme can be optimized to the greatest extent. According to the human skeleton strain monitoring system provided by the embodiment of the invention, the bone fracture plate can be implanted into an orthopedic bone fracture plate based on different fracture or injury positions, wherein the bone fracture plate body can be made of a preset material with good biocompatibility and high contrast strength in a preset mode to obtain a strain signal of the fracture or injury position, the strain signal can be sent by a communication unit which is packaged by a packaging body together with the bone fracture plate body to obtain stress strain data of a fracture end of a human body during fracture healing, the preparation method is simple, the cost is low, non-invasive continuous monitoring on the fracture injury position can be realized, efficient postoperative follow-up and personalized rehabilitation of a patient can be realized, data uploading cloud and data sharing can be realized through a rear end, the prevention and treatment on the problem after healing can be improved, and the reliability and timeliness of follow-up are improved through a big data method. Therefore, the technical problems that materials and matched sensors in the related technology are complex in preparation process and high in cost, and accordingly popularization and application are not facilitated are solved.
A proposed method of monitoring skeletal strain of a human body according to an embodiment of the present invention will be described with reference to the accompanying drawings again.
FIG. 6 is a flow chart of a method for monitoring bone strain in a human body according to an embodiment of the invention.
As shown in fig. 6, the method for monitoring bone strain of a human body using the system for monitoring bone strain of a human body according to the above embodiment includes the following steps:
in step S601, strain signals of the fracture end during fracture healing of the human body are collected based on the bone fracture plate.
In step S602, stress-strain data of at least one patient is obtained according to the strain signal of the fracture end during the healing of the human fracture.
It should be noted that the foregoing explanation of the embodiment of the system for monitoring bone strain of a human body is also applicable to the method for monitoring bone strain of a human body of the embodiment, and is not repeated herein.
According to the method for monitoring the skeletal strain of the human body, which is provided by the embodiment of the invention, the bone fracture plate can be implanted based on different fracture or injured positions, wherein the bone fracture plate body can be made of a preset material with good biocompatibility and high contrast strength in a preset mode so as to obtain a strain signal of the fracture or injured position, the bone fracture plate body and a communication unit which is packaged by a packaging body can send the strain signal so as to obtain stress-strain data of a fracture end of a human body during fracture healing, the method for monitoring the skeletal strain of the human body is simple in preparation and low in cost, non-invasive continuous monitoring of the fracture injured position can be realized, efficient postoperative follow-up and personalized rehabilitation of a patient can be favorably realized, data uploading cloud and data sharing can be realized through a rear end, the prevention and treatment of the problems after healing can be improved, and the reliability and timeliness of follow-up can be improved through a big data method. Therefore, the technical problems that materials and matched sensors in the related technology are complex in preparation process and high in cost, and accordingly popularization and application are not facilitated are solved.
Embodiments of the present invention also provide a computer-readable storage medium, on which a computer program is stored, where the computer program, when executed by a processor, implements the above method for monitoring bone strain of a human body.
In the description herein, references to the description of the term "one embodiment," "some embodiments," "an example," "a specific example," or "some examples," etc., mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above are not necessarily intended to refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or N embodiments or examples. Furthermore, various embodiments or examples and features of different embodiments or examples described in this specification can be combined and combined by one skilled in the art without contradiction.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include at least one such feature. In the description of the present invention, "N" means at least two, e.g., two, three, etc., unless explicitly defined otherwise.
Any process or method descriptions in flow charts or otherwise described herein may be understood as representing modules, segments, or portions of code which include one or N executable instructions for implementing steps of a custom logic function or process, and alternate implementations are included within the scope of the preferred embodiment of the present invention in which functions may be executed out of order from that shown or discussed, including substantially concurrently or in reverse order, depending on the functionality involved, as would be understood by those reasonably skilled in the art of the present invention.
The logic and/or steps represented in the flowcharts or otherwise described herein, such as an ordered listing of executable instructions that can be considered to implement logical functions, can be embodied in any computer-readable medium for use by or in connection with an instruction execution system, apparatus, or device, such as a computer-based system, processor-containing system, or other system that can fetch the instructions from the instruction execution system, apparatus, or device and execute the instructions. For the purposes of this description, a "computer-readable medium" can be any means that can contain, store, communicate, propagate, or transport the program for use by or in connection with the instruction execution system, apparatus, or device. More specific examples (a non-exhaustive list) of the computer-readable medium would include the following: an electrical connection (electronic device) having one or N wires, a portable computer diskette (magnetic device), a Random Access Memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM or flash memory), an optical fiber device, and a portable compact disc read-only memory (CDROM). Additionally, the computer-readable medium could even be paper or another suitable medium upon which the program is printed, as the program can be electronically captured, via optical scanning of the paper or other medium, then compiled, interpreted or otherwise processed in a suitable manner if necessary, and then stored in a computer memory.
It should be understood that portions of the present invention may be implemented in hardware, software, firmware, or a combination thereof. In the above embodiments, the N steps or methods may be implemented in software or firmware stored in a memory and executed by a suitable instruction execution system. If implemented in hardware as in another embodiment, any one or combination of the following techniques, which are known in the art, may be used: a discrete logic circuit having a logic gate circuit for implementing a logic function on a data signal, an application specific integrated circuit having an appropriate combinational logic gate circuit, a Programmable Gate Array (PGA), a Field Programmable Gate Array (FPGA), or the like.
It will be understood by those skilled in the art that all or part of the steps carried out in the method of implementing the above embodiments may be implemented by hardware related to instructions of a program, which may be stored in a computer readable storage medium, and the program, when executed, includes one or a combination of the steps of the method embodiments.
In addition, functional units in the embodiments of the present invention may be integrated into one processing module, or each unit may exist alone physically, or two or more units are integrated into one module. The integrated module can be realized in a hardware mode, and can also be realized in a software functional module mode. The integrated module, if implemented in the form of a software functional module and sold or used as a stand-alone product, may also be stored in a computer readable storage medium.
The storage medium mentioned above may be a read-only memory, a magnetic or optical disk, etc. Although embodiments of the present invention have been shown and described above, it is understood that the above embodiments are exemplary and should not be construed as limiting the present invention, and that variations, modifications, substitutions and alterations can be made to the above embodiments by those of ordinary skill in the art within the scope of the present invention.

Claims (10)

1. An orthopedic bone plate, comprising:
the bone fracture plate comprises a bone fracture plate body, wherein a preset position of the bone fracture plate body is made of a preset material in a preset mode so as to sense strain on the bone fracture plate body and output a strain signal;
the communication unit is used for receiving the strain signal and sending the strain signal to a preset terminal so as to obtain stress and strain data of a fracture end during the fracture healing period of the human body based on the strain signal; and
and the packaging body is used for packaging the bone fracture plate body and the communication unit.
2. The orthopedic bone plate of claim 1, wherein the predetermined material is carbon fiber reinforced polyetheretherketone and the predetermined pattern is irradiation carbonization.
3. The orthopedic plate of claim 1 wherein said predetermined location is a location corresponding to said fracture end.
4. The orthopedic bone plate of claim 1 wherein the bone plate body comprises at least one of a neutralization plate, a support plate, a slip-resistant plate, and a bridge plate.
5. The orthopedic plate of claim 1, wherein said communication unit comprises:
and the radio frequency tag is formed on the surface of a preset material, so that the radio frequency signal formed by the strain signal is transmitted to the preset terminal based on the radio frequency tag.
6. The orthopedic bone plate of claim 1 wherein said package is made by depositing a layer of parylene by chemical vapor deposition.
7. A system for monitoring skeletal strain of a human body, comprising:
at least one orthopaedic osteosynthesis plate according to any one of claims 1 to 6, for acquiring strain signals of the fracture end during the healing of a fracture of a human body;
the communication device is used for receiving strain signals of one or more orthopedic bone plates; and
and the processor is used for obtaining stress-strain data of at least one patient according to the strain signals of the one or more orthopedic bone plates.
8. The human bone strain monitoring system of claim 7, wherein the communication device comprises:
the receiver comprises at least one antenna, and is used for receiving the radio frequency signal of the orthopedic bone fracture plate when the receiver is within a preset distance from the orthopedic bone fracture plate and analyzing the strain signal based on the radio frequency signal.
9. A method for monitoring skeletal strain of a human body, which is characterized by using the system for monitoring skeletal strain of a human body according to any one of claims 7 to 8, wherein the method comprises the following steps:
collecting strain signals of fracture ends during the healing period of human fracture based on an orthopedic bone fracture plate;
and obtaining stress-strain data of at least one patient according to the strain signal of the fracture end during the human fracture healing.
10. A computer-readable storage medium, on which a computer program is stored, characterized in that the program is executed by a processor to implement the method of monitoring skeletal strain of a human body as claimed in claim 9.
CN202211373472.2A 2022-11-04 2022-11-04 Bone fracture plate for orthopedics department, system and method for monitoring skeletal strain of human body and storage medium Pending CN115414107A (en)

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PCT/CN2023/129698 WO2024094188A1 (en) 2022-11-04 2023-11-03 Orthopedic implant, strain monitoring system, processing method and device, and medium

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