HRP20220503T1 - Uređaji, sustavi i postupci za nadzor zamjenskih kukova - Google Patents

Uređaji, sustavi i postupci za nadzor zamjenskih kukova Download PDF

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Publication number
HRP20220503T1
HRP20220503T1 HRP20220503TT HRP20220503T HRP20220503T1 HR P20220503 T1 HRP20220503 T1 HR P20220503T1 HR P20220503T T HRP20220503T T HR P20220503TT HR P20220503 T HRP20220503 T HR P20220503T HR P20220503 T1 HRP20220503 T1 HR P20220503T1
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Croatia
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sensors
femur
memory
data
prosthesis
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HRP20220503TT
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English (en)
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William L. Hunter
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Canary Medical Inc.
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Publication of HRP20220503T1 publication Critical patent/HRP20220503T1/hr

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • 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
    • A61B5/48Other medical applications
    • A61B5/4851Prosthesis assessment or monitoring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/34Acetabular cups
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/40ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30667Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/30668Means for transferring electromagnetic energy to implants
    • A61F2002/3067Means for transferring electromagnetic energy to implants for data transfer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4666Measuring instruments used for implanting artificial joints for measuring force, pressure or mechanical tension
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4668Measuring instruments used for implanting artificial joints for measuring angles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/467Measuring instruments used for implanting artificial joints for measuring fluid pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4672Measuring instruments used for implanting artificial joints for measuring temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4674Measuring instruments used for implanting artificial joints for measuring the pH

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Transplantation (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Business, Economics & Management (AREA)
  • Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Prostheses (AREA)
  • Emergency Alarm Devices (AREA)

Claims (15)

1. Proteza (10) za zamjenu kuka koja sadrži bedrenu kost (20), glavu bedrene kosti (18), ili acetabularni sklop (12, 14) i jedan ili više senzora spojenih sa navedenom bedrenom kosti, glavom bedrene kosti, ili acetabularnim sklopom, pri čemu proteza za zamjenu kuka dalje sadrži memoriju za skladištenje podataka prikupljenih od strane jednog ili više senzora i pozicioniranu u bedrenoj kosti, naznačena time da navedeni jedan ili više senzora sadrže jedan ili više akcelerometara (42, 53).
2. Proteza za zamjenu kuka prema zahtjevu 1, pri čemu navedeni jedan ili više senzora dalje sadrže senzore izabrane iz grupe koja se sastoji od žiroskopa, senzora pritiska, senzora kontakta, senzora položaja, kemijskih mikrosenzora, senzora metabolizma tkiva, senzora mehaničkog stresa i temperaturnih senzora.
3. Proteza za zamjenu kuka prema zahtjevima 1 ili 2, koja dalje uključuje: elektronski procesor, pozicioniran unutar bedrene kosti, koji je električno uparen s jednim ili više senzora, izborno pri čemu je električno uparivanje bežično uparivanje, pri čemu je memorija uparena sa elektronskim procesorom i pozicionirana unutar bedrene kosti.
4. Proteza za zamjenu kuka prema bilo kojem od zahtjeva od 1 do 3, pri čemu je jedan ili više senzora pozicionirano unutar proteze.
5. Proteza za zamjenu kuka iz zahtjeva 1, pri čemu navedeni jedan ili više senzora dalje sadrže senzore kontakta pozicionirane između bedrene kosti i acetabularnog sklopa, ili na vanjskoj površini acetabularnog sklopa.
6. Proteza za zamjenu kuka iz zahtjeva 1, pri čemu navedeni jedan ili više senzora dalje sadrže mnoštvo senzora naprezanja pozicioniranih između bedrene kosti i acetabularnog sklopa, ili pri čemu acetabularni sklop sadrži acetabularnu čašicu i acetabularni umetak i navedeni jedan ili više senzora dalje sadrže senzore naprezanja pozicionirane između acetabularnog umetka i acetabularne čašice.
7. Proteza za zamjenu kuka iz zahtjeva 1, pri čemu navedeni jedan ili više senzora dalje sadrže žiroskope, i akcelerometri ili žiroskopi su pozicionirani na bedrenoj kosti.
8. Postupak za prijenos podataka koji sadrži a) pribavljanje podataka od jednog ili više senzora proteze prema bilo kojem od zahtjeva od 1 do 7; b) skladištenje podataka u memoriji na mjestu za skladištenje unutar proteze; i c) prenošenje podataka iz memorije na lokaciju van mjesta za skladištenje, naročito pri čemu se proteza implantira unutar subjekta, i podaci se prenose na mjesto izvan subjekta, naročito pri čemu se navedeni podaci prenose na sat, narukvicu, mobilni telefon ili naočale; ili u prebivalište ili ordinaciju; ili pružatelju zdravstvenih usluga.
9. Postupak prema zahtjevu 8, koji sadrži: pribavljanje podataka o kontaktu od senzora kontakta pozicioniranih između glave bedrene kosti i acetabularnog sklopa proteze prema zahtjevu 5 koji se nalazi in situ u kuku pacijenta; skladištenje podataka o kontaktu u memoriji, gdje je memorija locirana u bedrenoj kosti koja je spojena sa glavom bedrene kosti; i prijenos podataka iz memorije na lokaciju izvan bedrene kosti.
10. Postupak prema zahtjevu 8, koji sadrži: prikupljanje podataka o naprezanju od senzora naprezanja koji su pozicionirani između glave bedrene kosti i acetabularnog sklopa proteze za zamjenu kuka prema zahtjevu 6, lociranih unutar kuka pacijenta; skladištenje podataka o naprezanju u memoriji, gdje je memorija locirana u bedrenoj kosti koja je spojena sa glavom bedrene kosti; i prijenos podataka o naprezanju iz memorije u bedrenoj kosti do memorije na lokaciji izvan bedrene kosti.
11. Postupak prema zahtjevu 8, koji sadrži: prikupljanje podataka o kontaktu od senzora kontakta pozicioniranih između acetabularnog sklopa proteze prema bilo kojem od zahtjeva 2-7 i zdjelične kosti pacijenta; skladištenje podataka o kontaktu u memoriji, gdje je memorija locirana u bedrenoj kosti; i prijenos podataka o kontaktu iz memorije u bedrenoj kosti do memorije na lokaciji izvan bedrene kosti.
12. Postupak prema zahtjevu 8, koji sadrži: pribavljanje podataka o ubrzanju od akcelerometara ili žiroskopa pozicioniranih na bedrenoj kosti proteze prema zahtjevu 7, lociranih in situ u kuku pacijenta; skladištenje podataka o ubrzanju u memoriji, gdje je memorija locirana u bedrenoj kosti koja je spojena sa glavom bedrene kosti; i prijenos podataka o ubrzanju iz memorije u bedrenoj kosti do memorije na lokaciji izvan bedrene kosti.
13. Postupak prema bilo kojem od zahtjeva od 8 do 12, koji dalje sadrži korak analiziranja podataka.
14. Postupak prema bilo kojem od zahtjeva od 8 do 13, pri čemu su navedeni podaci iscrtani da bi se omogućila vizualizacija promjene tokom vremena, ili iscrtani da bi se pružila dvodimenzionalna ili trodimenzionalna slika, ili iscrtani da bi se pružila pokretna dvodimenzionalna ili trodimenzionalna slika, i/ili pri čemu se navedeni podaci upotrebljavaju za određivanje opsega pokreta subjekta sa navedenom protezom kuka, ili za utvrđivanje ili predviđanje bilo kakvih nedostataka ili kvarova proteze kuka.
15. Postupak za otkrivanje degradacije u protezi za zamjenu kuka prema bilo kojem od zahtjeva od 1 do 7, koja je osigurana pacijentu, sadrži korak otkrivanja promjene u jednom ili više senzora proteze kuka, i utvrđivanjem degradacije proteze kuka na taj način, naročito pri čemu je navedeni senzor sposoban otkriti jedan ili više fizioloških i/ili lokacijskih parametara.
HRP20220503TT 2013-03-15 2014-03-14 Uređaji, sustavi i postupci za nadzor zamjenskih kukova HRP20220503T1 (hr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361789170P 2013-03-15 2013-03-15
PCT/US2014/028381 WO2014144107A1 (en) 2013-03-15 2014-03-14 Devices, systems and methods for monitoring hip replacements
EP14762650.1A EP2967879B1 (en) 2013-03-15 2014-03-14 Devices, systems and methods for monitoring hip replacements

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HRP20220503T1 true HRP20220503T1 (hr) 2022-05-27

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US (2) US20160029952A1 (hr)
EP (3) EP2967879B1 (hr)
JP (4) JP2016516489A (hr)
KR (3) KR102548797B1 (hr)
CN (5) CN105283150A (hr)
CA (2) CA2940515C (hr)
DK (1) DK2967879T3 (hr)
ES (1) ES2910362T3 (hr)
HK (1) HK1220350A1 (hr)
HR (1) HRP20220503T1 (hr)
PL (1) PL2967879T3 (hr)
PT (1) PT2967879T (hr)
RS (1) RS63111B1 (hr)
SG (2) SG11201507270VA (hr)
WO (1) WO2014144107A1 (hr)

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