US20040068205A1 - Passive and wireless displacement measuring device using parallel sensors - Google Patents
Passive and wireless displacement measuring device using parallel sensors Download PDFInfo
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- US20040068205A1 US20040068205A1 US10/679,799 US67979903A US2004068205A1 US 20040068205 A1 US20040068205 A1 US 20040068205A1 US 67979903 A US67979903 A US 67979903A US 2004068205 A1 US2004068205 A1 US 2004068205A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/45—For evaluating or diagnosing the musculoskeletal system or teeth
- A61B5/4504—Bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0031—Implanted circuitry
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1121—Determining geometric values, e.g. centre of rotation or angular range of movement
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1126—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb using a particular sensing technique
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements 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
- A61B5/6879—Means for maintaining contact with the body
- A61B5/6883—Sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements 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
- A61B5/6867—Arrangements 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
- A61B5/6878—Bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
Definitions
- This invention relates to devices for measuring displacement, and more particularly to a wireless device that can be implanted between two adjacent objects and used to measure changes in their separation distance.
- Displacement and proximity sensors play large roles in the automotive, aerospace, food, beverage, metal, and computer industries.
- the increase in automation has vastly increased the demand for such sensors. This demand is due to the replacement of outdated plant equipment and the overall increase in factory automation.
- Magnetic displacement sensors include LVDT (linear variable differential transform) sensors, hall effect sensors, and magnetostrictive sensors.
- LVDT sensors use three coils, a primary coil and two secondary coils. The secondary coils are connected to establish a null position. A magnetic core inside the coil winding assembly provides a magnetic flux. When the core is displaced from the null position, an electromagnetic imbalance occurs.
- Hall effect sensors are based on a voltage that is generated in one direction when a current and a magnetic field pass through semiconductor material in the other two perpendicular directions.
- One aspect of the invention is a sensor/interrogator system for measuring displacement between two adjacent objects.
- the sensor has a magnetic rod, a sensor coil, and a capacitor attached to the sensor coil so as to form a tuned circuit.
- a first end of the rod is insertable into a first end of the coil and moveable along the axis of the coil.
- the rod has an end mount at its second end, as does the coil, which permits the sensor to be attached between the two objects. When the objects move, the rod moves along the coil.
- the interrogator having at least one interrogator coil, transmit circuitry for delivering to the sensor coil an excitation signal through a range of frequencies, and receive circuitry for receiving a response signal from the sensor coil. The change in frequency of the response signal is related to the amount of motion of the rod inside the coil.
- an advantage of the invention is that it provides a non-invasive system that incorporates an implantable passive sensor and an external interrogating device.
- the system is especially useful to diagnose spinal fusion postoperatively, by measuring the changes in separation of the vertebrae.
- the sensor response can be correlated to the relative motion of the vertebrae.
- the system can also be used for diagnosing other types of bone fusion, such as motion between an orthopedic implant and the surrounding bone. Small motions in this case, indicate implant loosening.
- the system can also measure motion between two bone segments of a fracture. Small motions in this case, indicate non-fusion of the fracture.
- the physician needs to determine whether the pain is the same as the preoperative pain or if it is from a different source.
- the sensor/interrogator system may be used to diagnose whether the spine has fused (a new source of pain must be the cause) or not (the same area may be causing the pain). This determination will affect the patient's treatment.
- the physician can use the information from the system to guide the patient's rehabilitation program, allowing a faster recovery time and reduced healthcare costs.
- methods to diagnose spinal fusion have used radiographic tools.
- the system described herein does not need radiography, and allows the physician to diagnose spinal fusion in his or her office.
- FIG. 1 illustrates a sensor in accordance with the invention, affixed between two vertebra of the human spine.
- FIG. 2 illustrates a sensor similar to that shown in FIG. 1, with its rod and coil separated.
- FIG. 3 illustrates the sensor of FIG. 2, with its rod inserted into the coil, and with the addition of a protective sheath.
- FIG. 4 illustrates the placement of an interrogator used to transmit an excitation signal to the sensor and receive a response signal from the sensor.
- FIG. 5 illustrates one implementation of the circuitry of the interrogator of FIG. 4.
- FIG. 6 illustrates an example of the signal receive circuitry of the interrogator of FIG. 5.
- FIG. 7 illustrates a two-coil embodiment of the interrogator of FIG. 4.
- FIG. 8 illustrates a three-coil embodiment of the interrogator of FIG. 4.
- FIG. 9 illustrates the relationship of the sensor frequency response, as detected by the interrogator, and the displacement of the sensor rod relative to the sensor coil.
- FIG. 10 illustrates a sensor-pair configuration, which may be used as an alternative to the sensor of FIG. 1.
- FIG. 11 illustrates an application of the sensor-pair of FIG. 10.
- FIG. 1 illustrates a displacement sensor 10 in accordance with the invention.
- sensor 10 is used to measure displacement along the human spine and is implanted within the lumbar spine.
- Sensor 10 is comprised of rod 12 , coil 13 , capacitor 14 , and end mounts 15 .
- Sensor 10 is particularly useful in environments in which wires and other types of electrical leads are impractical. As explained below, to obtain a displacement measurement, an interrogator device (not shown in FIG. 1) is placed near sensor 10 . In the orthopedic application of FIG. 1, where sensor 10 is implanted, the interrogator device is external to the body.
- sensor 10 could be implanted between any two objects and used to noninvasively measure the displacement between them.
- sensor 10 could be placed between blocks of a bridge or building. The size and robustness of sensor 10 is easily scaled to the type of application and to the environment in which it is to be used.
- the objects whose displacements are to be measured are “adjacent” in the sense that an end mount 15 of sensor 10 may be attached to each object.
- the only limitation is that the end mounts 15 of sensor 10 each be affixed in a manner that permits sensor 10 to “bridge” the two objects and that permits coil 13 and rod 12 to move relative to each other if the objects move.
- the term “objects” is used herein in the broadest sense; the two “objects” between which sensor 10 is attached could be two surfaces of two different pieces of material or two surfaces of a single piece of material.
- End mounts 15 are at either end of sensor 10 . Each end mount 15 is attached to one of two objects whose displacement is to be measured. In the example of FIG. 1, end mounts 15 are ball joints. Motion is measured along a single axis—that of the sensor 10 . There may be more degrees of freedom, but only axial motion is sensed. Screws are used to attach the end mounts 15 to the vertebrae through holes in end mount 15 .
- FIGS. 2 and 3 illustrate sensor 10 with its coil 13 and rod 12 segments separated and coupled, respectively.
- sensor 10 is shown without end mounts.
- FIG. 3 further illustrates a flexible sheath 21 , which may be placed over rod 12 , coil 13 , and capacitor 14 .
- Sheath 21 is typically used when sensor 10 is implanted for biomedical applications, such as the orthopedic application of FIG. 1.
- the motion of rod 12 within coil 13 can be correlated to the relative motion of the two objects to which sensor 10 is attached.
- the motion of rod 12 within coil 13 can be correlated to lumbar spine motion and therefore to spinal fusion success.
- Sensor 10 may be positioned between any two vertebrae involved in the spinal fusion or on the ends of a spinal fusion segment. More than one sensor 10 could be implanted.
- Sensor 10 can be attached to the anterior or anterolateral spine or the vertebral body.
- Sensor 10 can be attached to the posterior spine on either the spinous processes, transverse processes or the facets. Alternative attachment sites may be necessary given the specific anatomy of a patient. In the example of FIG. 1, sensor 10 is attached to the spinous processes.
- end mounts 15 A vast variety of attachment mechanisms can be used as end mounts 15 , such as rivets, epoxy, or spring mechanisms. End mounts 15 may themselves be some type of screw or insertion post. For some applications, the attachment means should rigidly attach sensor 10 to the objects whose displacement is to be measured, minimizing any relative motion between sensor 10 and the objects to which it is attached. For other applications, end mounts 15 might be in the form of a loop or bushing that permits slight misalignment.
- Rod 12 is oriented along the direction of expected motion and travels along the longitudinal axis of coil 13 as motion occurs.
- Rod 12 is made from a magnetically permeable material such as ferrite.
- the optimum rod size can be determined experimentally and depends on the application; sensor 10 is easily scaled in size for different applications. The optimum rod size may involve a tradeoff between the size of the objects whose displacement is to be measured, their expected displacement, and the distance between sensor 10 and the external interrogator device.
- rod 12 will typically range in length from one-half inch upwards, depending on where it is attached to the spine. Its diameter will usually range from one-eighth to one-quarter inch.
- Coil 13 is comprised of coiled wire, the diameter of which again depends on the application and other dimensions of sensor 10 .
- the inner diameter of coil 13 is slightly larger than the outer diameter of rod 12 .
- the length of coil 13 may range from three-quarters the length of rod 12 to twice as long as rod 12 .
- a typical range of wire diameters is 28 AWG (American Wire Gauge) to 40 AWG.
- the dimensions of coil 13 might range from one-fourth to three-quarters inch long by one-eighth to three-eighths inch in internal diameter.
- the dimensions of coil 13 again depend on considerations such as the environment in which sensor 10 is placed and on the expected distance from the external interrogator device.
- Capacitor 14 is attached to coil 13 , and is chosen to set the resonant frequency of sensor 10 .
- a typical frequency range for various applications is 1 to 10 MHz.
- the size of capacitor 14 might range from 50 pF to 0.01 ⁇ F.
- a suitable capacitor size for spinal fusion applications has been determined experimentally as 220 to 1000 pF. However, for other applications, the capacitor size depends on considerations such as the maximum allowable size of the coil 13 , desired resonant frequency of sensor 10 , and the need to minimize the effects of stray capacitance on the resonant frequency.
- Sensor 10 uses a tuned radio frequency circuit to achieve displacement measurement.
- the inductance is determined by the plunge depth of rod 12 , which, in turn, is determined by the spacing between the two objects to which sensor 10 is attached.
- Means other than a capacitor 14 external to coil 13 may be used to provide a resonant circuit.
- the coil 13 could be made self resonant.
- it could be resonated with stripline, with a gyrator, or with a capacitor in the interrogator unit.
- resonance improves the output signal, the concept of measuring relative displacement remotely using a variable magnetic coupling between two magnetically active objects may be implemented without resonance.
- Sensor 10 is passive in that no battery or other energy source is required to power it. When excited by the interrogator device, its tuned circuit absorbs and re-radiates a signal at the sensor resonant frequency. The resonant frequency changes as the plunge depth of the rod 12 changes. This permits displacement of rod 12 within coil 13 to be inferred and used to measure displacement between the objects. For the application of FIG. 1, the spacing between vertebrae is inferred from a measurement of the resonant frequency of the tuned circuit.
- sensor 10 might be desired to be biocompatible.
- biocompatible materials for each component, coating the components with a biocompatible material, or covering sensor 10 with a biocompatible cover to achieve biocompatibility.
- One of these methods, as well as any combination of these methods, can be used. The method chosen should not interfere with the ability of rod 12 to move within coil 13 .
- a sheath such as sheath 21 of FIG. 3, may be desirable to prevent shorting and permit proper functioning.
- Sheath 21 may be fabricated as a rubber or plastic sleeve, latex tubing, or heat shrink coating. Biocompatible materials similar to those used for angioplasty could be used.
- a feature of sensor 10 is that it does not interfere with normal motion of the objects to which it is attached. Specifically, for orthopedic applications, sensor 10 does not compromise the normal kinematics of the body. Sensor 10 may be attached to anatomic positions such as the spinous process or facet that will not interfere with spine motion. In addition, sensor 10 can be used with implanted fixation devices such as pedicle screw fixation systems or spinal fusion cages and can be viewed radiographically.
- FIG. 4 illustrates interrogator 40 , placed against a patient's back during displacement measurement.
- sensor 10 may be internal to the body, whereas interrogator 40 is external and introduced only when measurements are desired.
- sensor 10 is not disruptive to normal movement or operation of the environment in which it is used; interrogator 40 need only be in place when measurements are to be obtained.
- interrogator 40 is placed proximate to sensor 10 .
- interrogator 40 “reads” sensor 10 using an interrogation coil or set of coils and appropriate circuitry.
- interrogator 40 and sensor 10 need not remain constant in order for the system to work correctly. An increase in separation distance will result in a reduced signal, but will not affect the frequency response.
- FIG. 5 is a block diagram of one example of interrogator 40 . It has an interrogation coil 51 , a mutual inductance bridge 52 , signal transmit and receive circuitry 53 , a swept frequency source 56 , and a driver 57 .
- interrogation coil 51 is placed sufficiently near sensor 10 so as to loosely couple the sensor coil 13 and interrogation coil 51 .
- the interrogation coil 51 is driven by the swept frequency source 56 through the mutual inductance bridge 52 over a frequency span that encompasses the range of possible resonant frequencies of sensor 10 .
- This frequency range is bounded by the frequency associated with minimum displacement and the frequency associated with maximum displacement of rod 12 relative to coil 13 .
- sensor 10 absorbs and re-radiates energy, resulting in a change in the output of the mutual inductance bridge 52 .
- FIG. 6 illustrates an example of signal transmit and receive circuitry 53 . It has a signal detector circuit 61 , an analog to digital converter 62 , a microcontroller 63 , memory 65 , and a data output interface 64 . Its functions include control of the swept frequency source 56 , calibration of the mutual inductance bridge 52 , extraction of the measured data, and formatting of the user output display.
- frequency source 56 is a commercially available integrated circuit, but other types of frequency generation techniques may be implemented.
- the output of frequency source 56 may be mixed with the received signal for coherent detection. The amplitude of the resulting signal will then vary with frequency. This mixing technique is useful to enhance the signal to noise ratio and sensitivity of the interrogator.
- coil 51 is a single coil loop antenna that transmits an excitation signal to coil and receives a response signal.
- multiple coils transmit and receive
- Various AC coupling or mechanical nulling techniques can be used to minimize the offset portion of the signal. This permits increased gain of the received signal, and thereby increases the sensitivity of interrogator 40 .
- FIG. 7 illustrates another example of interrogator 40.
- Two coils 71 and 72 are arranged in a null coupling geometry.
- the coils 71 and 72 are overlapped side by side at the critical coupling spacing so that the field from the transmit coil 71 nulls that of the receive coil 72 .
- a differential amplifier 73 receives and amplifies the output of the receive coil 72 .
- FIG. 8 illustrates a three coil geometry of the interrogator 40 .
- Coil 81 is a transmit coil.
- Two receive coils 82 are connected as a differential receiver and cancel the transmitted signal.
- a differential amplifier 83 measures the difference between the positive signal from one receive coil 82 and the equal in amplitude but opposite in phase signal from the other receive coil 82 , and provides an amplified output of the difference.
- interrogation is accomplished by loosely coupling to sensor 10 and sweeping the frequency over the anticipated resonant frequency of the sensor.
- the transmit coil 71 or 81 and receive coil(s) 72 or 82 can both couple to sensor coil 13 , but not to each other.
- energy is coupled from the transmit coil 71 or 81 to the receive coils(s) 72 or 82 via the sensor's tuned circuit.
- the output of the receive coil(s) 72 or 82 is detected and processed as before.
- FIG. 9 illustrates the relationship between the frequency response of sensor 10 , as detected by interrogator 40 , and the relative displacement of rod 12 relative to coil 13 . This graph shows that displacements of approximately 0.1 mm can be resolved.
- FIG. 10 illustrates an alternative sensor configuration, comprised of a pair of sensors 100 .
- Each sensor 100 has a rod 102 , a coil 103 , and a capacitor 104 .
- the rod 102 , coil 103 , and capacitor 104 form a tuned circuit.
- the rod 102 of a sensor 100 does not move relative to its coil 13 . It is the displacement between sensors 100 that is of interest.
- Sensors 100 are used to measure the displacement between any two locations.
- One sensor 100 is attached or embedded at one location, and the other sensor 100 to a nearby location.
- the sensors 100 can be mounted independently, with no physical connection between the two. However, the sensors 100 should be initially placed sufficiently close together and in the correct orientation so as to form the overcoupled system described below. In general, the sensors 100 are placed substantially parallel to each other and offset axially.
- sensors 100 may each have end mounts (not shown). Furthermore, an end mount might be at only one end rather than at both ends.
- an advantage of the configuration of FIG. 10 is that sensors 100 may be simply embedded within an object or within each of two different objects; there is no need for mechanical coupling of sensors 100 .
- FIG. 11 illustrates the application of sensors 100 for measuring spinal fusion.
- Rods 102 are threaded on the end to allow them to be screwed directly into the spine. If a large area of the spine is of interest, numerous sensors 100 could be implanted. The relative motion of sensors 100 can be correlated to spine motion and therefore spinal fusion success.
- FIGS. 10 and 11 can be interrogated with an interrogator that is similar to interrogator 40 .
- the primary difference is that the data is inferred from the frequency separation of a double peak response instead of the location of a single resonant peak.
- the interrogator 40 When the patient visits the physician, the interrogator 40 is secured to the patient. It is placed sufficiently close to the patient such that the distance between the sensor 10 (or sensors 100 ) and the interrogator 40 is minimized. As the patient moves, the internal sensor 101 frequency response changes will be measured and correlated to motion.
- the same system can be used for diagnosing other types of bone fusion.
- the system can measure motion between an orthopedic implant and the surrounding bone. Small motions in this case would indicate implant loosening.
- the system can also measure motion between two bone segments of a fracture. Small motions in this case would indicate a non-fusion of the fracture. Therefore, the invention provides a very simple and consistent measuring system for diagnosing small motions between bones or between orthopedic implants and bone surfaces without being invasive.
- the sensors are attached to “skeletal objects” whether they be natural or artificial.
Abstract
A system that remotely measures displacement between two objects. A passive sensor is affixed to each object, such that the sensors are substantially parallel. Each sensor has a permeable rod, a surrounding coil, and a tuning capacitor, and have substantially the same resonant frequency. When an interrogating device is placed near the sensors, the frequency responses of the sensors indicates their relative displacement and thus the displacement between the objects.
Description
- This application is a divisional of U.S. patent application Ser. No. 09/789,832, filed Feb. 20, 2001, and entitled “Passive and Wireless Displacement Measuring Device,” which claims the benefit of U.S. Provisional Application No. 60/200,835, filed May 1, 2000 and entitled “Passive Spinal Fusion Diagnostic System”.
- This invention relates to devices for measuring displacement, and more particularly to a wireless device that can be implanted between two adjacent objects and used to measure changes in their separation distance.
- Displacement and proximity sensors play large roles in the automotive, aerospace, food, beverage, metal, and computer industries. The increase in automation has vastly increased the demand for such sensors. This demand is due to the replacement of outdated plant equipment and the overall increase in factory automation.
- Of the sensors in the proximity and displacement sensor market, inductive (magnetic) and photoelectric sensors are probably the most popular. Other types of displacement sensors are capacitive sensors, ultrasonic sensors, potentiometric sensors, laser sensors, and ultrasonic sensors.
- Magnetic displacement sensors include LVDT (linear variable differential transform) sensors, hall effect sensors, and magnetostrictive sensors. LVDT sensors use three coils, a primary coil and two secondary coils. The secondary coils are connected to establish a null position. A magnetic core inside the coil winding assembly provides a magnetic flux. When the core is displaced from the null position, an electromagnetic imbalance occurs. Hall effect sensors are based on a voltage that is generated in one direction when a current and a magnetic field pass through semiconductor material in the other two perpendicular directions.
- Variations of magnetic and inductive sensors have been developed with one or two coils. A disadvantage of many magnetic and inductive designs is the need for an electrical connection to the sensor.
- One aspect of the invention is a sensor/interrogator system for measuring displacement between two adjacent objects. The sensor has a magnetic rod, a sensor coil, and a capacitor attached to the sensor coil so as to form a tuned circuit. A first end of the rod is insertable into a first end of the coil and moveable along the axis of the coil. The rod has an end mount at its second end, as does the coil, which permits the sensor to be attached between the two objects. When the objects move, the rod moves along the coil. The interrogator having at least one interrogator coil, transmit circuitry for delivering to the sensor coil an excitation signal through a range of frequencies, and receive circuitry for receiving a response signal from the sensor coil. The change in frequency of the response signal is related to the amount of motion of the rod inside the coil.
- For orthopedic applications, an advantage of the invention is that it provides a non-invasive system that incorporates an implantable passive sensor and an external interrogating device. The system is especially useful to diagnose spinal fusion postoperatively, by measuring the changes in separation of the vertebrae. The sensor response can be correlated to the relative motion of the vertebrae. The system can also be used for diagnosing other types of bone fusion, such as motion between an orthopedic implant and the surrounding bone. Small motions in this case, indicate implant loosening. The system can also measure motion between two bone segments of a fracture. Small motions in this case, indicate non-fusion of the fracture.
- For spinal fusion applications, when a patient postoperatively complains of pain, the physician needs to determine whether the pain is the same as the preoperative pain or if it is from a different source. The sensor/interrogator system may be used to diagnose whether the spine has fused (a new source of pain must be the cause) or not (the same area may be causing the pain). This determination will affect the patient's treatment. In addition, as the patient is monitored postoperatively, the physician can use the information from the system to guide the patient's rehabilitation program, allowing a faster recovery time and reduced healthcare costs. In the past, methods to diagnose spinal fusion have used radiographic tools. In contrast, the system described herein does not need radiography, and allows the physician to diagnose spinal fusion in his or her office.
- FIG. 1 illustrates a sensor in accordance with the invention, affixed between two vertebra of the human spine.
- FIG. 2 illustrates a sensor similar to that shown in FIG. 1, with its rod and coil separated.
- FIG. 3 illustrates the sensor of FIG. 2, with its rod inserted into the coil, and with the addition of a protective sheath.
- FIG. 4 illustrates the placement of an interrogator used to transmit an excitation signal to the sensor and receive a response signal from the sensor.
- FIG. 5 illustrates one implementation of the circuitry of the interrogator of FIG. 4.
- FIG. 6 illustrates an example of the signal receive circuitry of the interrogator of FIG. 5.
- FIG. 7 illustrates a two-coil embodiment of the interrogator of FIG. 4.
- FIG. 8 illustrates a three-coil embodiment of the interrogator of FIG. 4.
- FIG. 9 illustrates the relationship of the sensor frequency response, as detected by the interrogator, and the displacement of the sensor rod relative to the sensor coil.
- FIG. 10 illustrates a sensor-pair configuration, which may be used as an alternative to the sensor of FIG. 1.
- FIG. 11 illustrates an application of the sensor-pair of FIG. 10.
- Single Sensor Configuration
- FIG. 1 illustrates a
displacement sensor 10 in accordance with the invention. In the example of FIG. 1,sensor 10 is used to measure displacement along the human spine and is implanted within the lumbar spine.Sensor 10 is comprised ofrod 12,coil 13,capacitor 14, andend mounts 15. -
Sensor 10 is particularly useful in environments in which wires and other types of electrical leads are impractical. As explained below, to obtain a displacement measurement, an interrogator device (not shown in FIG. 1) is placed nearsensor 10. In the orthopedic application of FIG. 1, wheresensor 10 is implanted, the interrogator device is external to the body. - The orthopedic application of FIG. 1 is but one application of
sensor 10. In general,sensor 10 could be implanted between any two objects and used to noninvasively measure the displacement between them. For example, for structural applications,sensor 10 could be placed between blocks of a bridge or building. The size and robustness ofsensor 10 is easily scaled to the type of application and to the environment in which it is to be used. - Regardless of the application, the objects whose displacements are to be measured are “adjacent” in the sense that an
end mount 15 ofsensor 10 may be attached to each object. The only limitation is that the end mounts 15 ofsensor 10 each be affixed in a manner that permitssensor 10 to “bridge” the two objects and thatpermits coil 13 androd 12 to move relative to each other if the objects move. The term “objects” is used herein in the broadest sense; the two “objects” between whichsensor 10 is attached could be two surfaces of two different pieces of material or two surfaces of a single piece of material. - End mounts15 are at either end of
sensor 10. Each end mount 15 is attached to one of two objects whose displacement is to be measured. In the example of FIG. 1, end mounts 15 are ball joints. Motion is measured along a single axis—that of thesensor 10. There may be more degrees of freedom, but only axial motion is sensed. Screws are used to attach the end mounts 15 to the vertebrae through holes inend mount 15. - FIGS. 2 and 3 illustrate
sensor 10 with itscoil 13 androd 12 segments separated and coupled, respectively. In FIG. 2,sensor 10 is shown without end mounts. FIG. 3 further illustrates aflexible sheath 21, which may be placed overrod 12,coil 13, andcapacitor 14.Sheath 21 is typically used whensensor 10 is implanted for biomedical applications, such as the orthopedic application of FIG. 1. - In operation, as explained below, the motion of
rod 12 withincoil 13 can be correlated to the relative motion of the two objects to whichsensor 10 is attached. In the example of FIG. 1, the motion ofrod 12 withincoil 13 can be correlated to lumbar spine motion and therefore to spinal fusion success.Sensor 10 may be positioned between any two vertebrae involved in the spinal fusion or on the ends of a spinal fusion segment. More than onesensor 10 could be implanted.Sensor 10 can be attached to the anterior or anterolateral spine or the vertebral body.Sensor 10 can be attached to the posterior spine on either the spinous processes, transverse processes or the facets. Alternative attachment sites may be necessary given the specific anatomy of a patient. In the example of FIG. 1,sensor 10 is attached to the spinous processes. - A vast variety of attachment mechanisms can be used as end mounts15, such as rivets, epoxy, or spring mechanisms. End mounts 15 may themselves be some type of screw or insertion post. For some applications, the attachment means should rigidly attach
sensor 10 to the objects whose displacement is to be measured, minimizing any relative motion betweensensor 10 and the objects to which it is attached. For other applications, end mounts 15 might be in the form of a loop or bushing that permits slight misalignment. -
Rod 12 is oriented along the direction of expected motion and travels along the longitudinal axis ofcoil 13 as motion occurs.Rod 12 is made from a magnetically permeable material such as ferrite. The optimum rod size can be determined experimentally and depends on the application;sensor 10 is easily scaled in size for different applications. The optimum rod size may involve a tradeoff between the size of the objects whose displacement is to be measured, their expected displacement, and the distance betweensensor 10 and the external interrogator device. - For orthopedic applications,
rod 12 will typically range in length from one-half inch upwards, depending on where it is attached to the spine. Its diameter will usually range from one-eighth to one-quarter inch. -
Coil 13 is comprised of coiled wire, the diameter of which again depends on the application and other dimensions ofsensor 10. The inner diameter ofcoil 13 is slightly larger than the outer diameter ofrod 12. For best performance, the length ofcoil 13 may range from three-quarters the length ofrod 12 to twice as long asrod 12. - For orthopedic applications, a typical range of wire diameters is 28 AWG (American Wire Gauge) to 40 AWG. The dimensions of
coil 13 might range from one-fourth to three-quarters inch long by one-eighth to three-eighths inch in internal diameter. For other applications, the dimensions ofcoil 13 again depend on considerations such as the environment in whichsensor 10 is placed and on the expected distance from the external interrogator device. -
Capacitor 14 is attached tocoil 13, and is chosen to set the resonant frequency ofsensor 10. A typical frequency range for various applications is 1 to 10 MHz. For this frequency range, the size ofcapacitor 14 might range from 50 pF to 0.01 μF. - A suitable capacitor size for spinal fusion applications has been determined experimentally as 220 to 1000 pF. However, for other applications, the capacitor size depends on considerations such as the maximum allowable size of the
coil 13, desired resonant frequency ofsensor 10, and the need to minimize the effects of stray capacitance on the resonant frequency. -
- The inductance is determined by the plunge depth of
rod 12, which, in turn, is determined by the spacing between the two objects to whichsensor 10 is attached. - Means other than a
capacitor 14 external tocoil 13 may be used to provide a resonant circuit. For example, thecoil 13 could be made self resonant. Alternatively, it could be resonated with stripline, with a gyrator, or with a capacitor in the interrogator unit. Furthermore, although resonance improves the output signal, the concept of measuring relative displacement remotely using a variable magnetic coupling between two magnetically active objects may be implemented without resonance. -
Sensor 10 is passive in that no battery or other energy source is required to power it. When excited by the interrogator device, its tuned circuit absorbs and re-radiates a signal at the sensor resonant frequency. The resonant frequency changes as the plunge depth of therod 12 changes. This permits displacement ofrod 12 withincoil 13 to be inferred and used to measure displacement between the objects. For the application of FIG. 1, the spacing between vertebrae is inferred from a measurement of the resonant frequency of the tuned circuit. - For biomedical applications, such as the spinal application of FIG. 1,
sensor 10 might be desired to be biocompatible. These considerations call for the use of biocompatible materials for each component, coating the components with a biocompatible material, or coveringsensor 10 with a biocompatible cover to achieve biocompatibility. One of these methods, as well as any combination of these methods, can be used. The method chosen should not interfere with the ability ofrod 12 to move withincoil 13. - Another consideration for biomedical and other applications that call for
sensor 10 to be placed in a fluid environment, is the need to prevent shorting between the elements ofsensor 10. A sheath, such assheath 21 of FIG. 3, may be desirable to prevent shorting and permit proper functioning.Sheath 21 may be fabricated as a rubber or plastic sleeve, latex tubing, or heat shrink coating. Biocompatible materials similar to those used for angioplasty could be used. - A feature of
sensor 10 is that it does not interfere with normal motion of the objects to which it is attached. Specifically, for orthopedic applications,sensor 10 does not compromise the normal kinematics of the body.Sensor 10 may be attached to anatomic positions such as the spinous process or facet that will not interfere with spine motion. In addition,sensor 10 can be used with implanted fixation devices such as pedicle screw fixation systems or spinal fusion cages and can be viewed radiographically. - Interrogator
- FIG. 4 illustrates
interrogator 40, placed against a patient's back during displacement measurement. Thus, for orthopedic or other biomedical applications,sensor 10 may be internal to the body, whereasinterrogator 40 is external and introduced only when measurements are desired. Thus, in general,sensor 10 is not disruptive to normal movement or operation of the environment in which it is used;interrogator 40 need only be in place when measurements are to be obtained. - During a measurement session,
interrogator 40 is placed proximate tosensor 10. To obtain a displacement measurement,interrogator 40 “reads”sensor 10 using an interrogation coil or set of coils and appropriate circuitry. - The distance between
interrogator 40 andsensor 10 need not remain constant in order for the system to work correctly. An increase in separation distance will result in a reduced signal, but will not affect the frequency response. - FIG. 5 is a block diagram of one example of
interrogator 40. It has an interrogation coil 51, amutual inductance bridge 52, signal transmit and receivecircuitry 53, a sweptfrequency source 56, and adriver 57. - During a measurement session, interrogation coil51 is placed sufficiently near
sensor 10 so as to loosely couple thesensor coil 13 and interrogation coil 51. The interrogation coil 51 is driven by the sweptfrequency source 56 through themutual inductance bridge 52 over a frequency span that encompasses the range of possible resonant frequencies ofsensor 10. This frequency range is bounded by the frequency associated with minimum displacement and the frequency associated with maximum displacement ofrod 12 relative tocoil 13. As the frequency sweeps through the resonant frequency ofsensor 10,sensor 10 absorbs and re-radiates energy, resulting in a change in the output of themutual inductance bridge 52. - FIG. 6 illustrates an example of signal transmit and receive
circuitry 53. It has asignal detector circuit 61, an analog todigital converter 62, amicrocontroller 63,memory 65, and adata output interface 64. Its functions include control of the sweptfrequency source 56, calibration of themutual inductance bridge 52, extraction of the measured data, and formatting of the user output display. - In the example of FIGS. 5 and 6,
frequency source 56 is a commercially available integrated circuit, but other types of frequency generation techniques may be implemented. At the receive side ofinterrogator 40, the output offrequency source 56 may be mixed with the received signal for coherent detection. The amplitude of the resulting signal will then vary with frequency. This mixing technique is useful to enhance the signal to noise ratio and sensitivity of the interrogator. - In the example of FIG. 5, coil51 is a single coil loop antenna that transmits an excitation signal to coil and receives a response signal. In other embodiments, multiple coils (transmit and receive) could be used. Various AC coupling or mechanical nulling techniques can be used to minimize the offset portion of the signal. This permits increased gain of the received signal, and thereby increases the sensitivity of
interrogator 40. - FIG. 7 illustrates another example of
interrogator 40. Two coils 71 and 72 are arranged in a null coupling geometry. Thecoils coil 71 nulls that of the receivecoil 72. Adifferential amplifier 73 receives and amplifies the output of the receivecoil 72. - FIG. 8 illustrates a three coil geometry of the
interrogator 40.Coil 81 is a transmit coil. Two receivecoils 82 are connected as a differential receiver and cancel the transmitted signal. Adifferential amplifier 83 measures the difference between the positive signal from one receivecoil 82 and the equal in amplitude but opposite in phase signal from the other receivecoil 82, and provides an amplified output of the difference. - For the interrogator embodiments of FIGS. 7 and 8, interrogation is accomplished by loosely coupling to
sensor 10 and sweeping the frequency over the anticipated resonant frequency of the sensor. The transmitcoil sensor coil 13, but not to each other. As the frequency sweeps through the resonance ofsensor 10, energy is coupled from the transmitcoil - FIG. 9 illustrates the relationship between the frequency response of
sensor 10, as detected byinterrogator 40, and the relative displacement ofrod 12 relative tocoil 13. This graph shows that displacements of approximately 0.1 mm can be resolved. - Sensor Pair Configuration
- FIG. 10 illustrates an alternative sensor configuration, comprised of a pair of
sensors 100. Eachsensor 100 has arod 102, a coil 103, and acapacitor 104. Likesensor 10, therod 102, coil 103, andcapacitor 104 form a tuned circuit. However, unlike the rods ofsensors 10, therod 102 of asensor 100 does not move relative to itscoil 13. It is the displacement betweensensors 100 that is of interest. -
Sensors 100 are used to measure the displacement between any two locations. Onesensor 100 is attached or embedded at one location, and theother sensor 100 to a nearby location. - One advantage of the configuration of FIG. 10 is that the
sensors 100 can be mounted independently, with no physical connection between the two. However, thesensors 100 should be initially placed sufficiently close together and in the correct orientation so as to form the overcoupled system described below. In general, thesensors 100 are placed substantially parallel to each other and offset axially. - Like
sensor 10,sensors 100 may each have end mounts (not shown). Furthermore, an end mount might be at only one end rather than at both ends. However, an advantage of the configuration of FIG. 10 is thatsensors 100 may be simply embedded within an object or within each of two different objects; there is no need for mechanical coupling ofsensors 100. - For the sensor embodiment of FIG. 10, two tuned circuits are used, both to the same resonant frequency.
Sensors 100 have a fixed frequency response. When placed in proximity to one another, the tuned circuits ofsensors 100 interact and form an overcoupled resonant system. Rather than a single resonant peak, there is a double peak. The frequency separation between the peaks is sensitive to the spacing between the twosensors 100. Relative motion between thesensors 100 is detectable by a shift in peak separation. - FIG. 11 illustrates the application of
sensors 100 for measuring spinal fusion.Rods 102 are threaded on the end to allow them to be screwed directly into the spine. If a large area of the spine is of interest,numerous sensors 100 could be implanted. The relative motion ofsensors 100 can be correlated to spine motion and therefore spinal fusion success. - The sensor-pair configuration of FIGS. 10 and 11 can be interrogated with an interrogator that is similar to
interrogator 40. The primary difference is that the data is inferred from the frequency separation of a double peak response instead of the location of a single resonant peak. - Orthopedic Applications
- In practice, for orthopedic applications, one or
more sensors 10 are implanted during surgery. The length ofrod 12 is chosen so that at rest,rod 12 is positioned withincoil 13 only one-quarter to three-quarters the length ofrod 12. For the sensor-pair configuration of FIG. 10, the twosensors 100 are placed parallel to each other and offset axially. - When the patient visits the physician, the
interrogator 40 is secured to the patient. It is placed sufficiently close to the patient such that the distance between the sensor 10 (or sensors 100) and theinterrogator 40 is minimized. As the patient moves, the internal sensor 101 frequency response changes will be measured and correlated to motion. - For the spinal fusion application of FIG. 1, theoretically, if the spinal fusion surgery was successful, there should be no measurable motion between the spinal fusion segments. The changes in the sensor response can then be correlated to relative motion of the vertebrae and to spinal fusion success. Unlike flexion-extension x-rays and CT scans which measure a static position and compare it to another static position,
sensor 10 and interrogator 60 can dynamically measure motion and any sensor response changes can be correlated to fusion success. Dynamic measurement and analysis of motions are completed through automated data analysis, allowing the physician to see the outcome of the diagnostic test immediately after the test is completed. Therefore, the spinal fusion healing progression could also be objectively observed over time. - The same system can be used for diagnosing other types of bone fusion. For instance, the system can measure motion between an orthopedic implant and the surrounding bone. Small motions in this case would indicate implant loosening. The system can also measure motion between two bone segments of a fracture. Small motions in this case would indicate a non-fusion of the fracture. Therefore, the invention provides a very simple and consistent measuring system for diagnosing small motions between bones or between orthopedic implants and bone surfaces without being invasive. In general, the sensors are attached to “skeletal objects” whether they be natural or artificial.
- Other Embodiments
- Although the present invention has been described in detail, it should be understood that various changes, substitutions, and alterations can be made hereto without departing from the spirit and scope of the invention as defined by the appended claims.
Claims (24)
1. A system for a performing a remote measurement of the displacement between two adjacent objects, comprising:
a pair of sensors, each sensor having a magnetic rod and a sensor coil;
wherein each sensor is operable to form a tuned circuit, and wherein the sensors have substantially the same resonant frequency;
an interrogator having a transmit coil and at least one receive coil, transmit circuitry for delivering to the sensor coils an excitation signal through a range of frequencies, and receive circuitry for receiving a response signal from the sensor coils;
wherein the interrogator is operable to detect a pair of peak frequencies from the sensors when the sensors are placed substantially parallel to each other in an environment where displacement is to be measured.
2. The system of claim 1 , further comprising means for electrically resonating the each coil.
3. The system of claim 1 , wherein each rod has at least one end mount operable to be attached to one of the objects.
4. The system of claim 1 , wherein the transmit coil and the at least one receive coil are configured in a nulling geometry.
5. The system of claim 4 , wherein the nulling geometry has one receive coil and one transmit coil.
6. The system of claim 4 , wherein the nulling geometry has two receive coils and one transmit coil.
7. The system of claim 1 , wherein each sensor is encased in a flexible sheath.
8. The system of claim 1 , wherein the sensors are coated with a biocompatible material.
9. The system of claim 1 , wherein the sensors are made from biocompatible materials.
10. The system of claim 1 , wherein the interrogator further has mixer circuitry for mixing the transmitted signal and the received signal.
11. The system of claim 1 , wherein the interrogator has digital processing circuitry for processing the received signal.
12. The system of claim 1 , wherein the interrogator has a mutual inductance bridge electrically connected to at least one coil.
13. The system of claim 1 , further comprising means for adjusting the resonance of the sensor.
14. A method for determining displacement between two objects, comprising the steps of:
attaching a first sensor to a first location;
attaching a second sensor to a second location, such that the second sensor is substantially parallel to the first sensor;
wherein each sensor has a rod, a coil, and a capacitor, electrically connected such that the rod, the sensor coil, and the capacitor form a tuned circuit;
interrogating the sensors with an interrogation signal; and
receiving a response signal from the sensors, said response signal having a pair of peak frequencies that indicate the motion of the sensors relative to each other.
15. The method of claim 14 , wherein the sensors are attached by being embedded.
16. The method of claim 14 , wherein each sensor is attached by means of an end mount at one end of each sensor.
17. The method of claim 14 , wherein the receiving step is performed with at least one receive coil and at least one transmit coil configured in a nulling geometry.
18. The method of claim 17 , wherein the nulling geometry has one transmit coil and one receive coil.
19. The method of claim 17 , wherein the nulling geometry has two receive coils and one transmit coil.
20. The method of claim 14 , further comprising the step of encasing each sensor in a protective sheath.
21. The method of claim 14 , further comprising the step of creating an electrical resonance of each sensor, such that the response signal has a pair of resonant frequencies.
22. The method of claim 14 , wherein each sensor is self resonating in response to the interrogation step.
23. A method for determining displacement between two objects within a living body, comprising the steps of:
attaching a first sensor to a first skeletal object;
attaching a second sensor to a second skeletal object, such that the second sensor is substantially parallel to the first sensor;
wherein each sensor has a rod, a coil, and a capacitor, electrically connected such that the rod, the sensor coil, and the capacitor form a tuned circuit;
interrogating the sensors with an interrogation signal; and
receiving a response signal from the sensors, said response signal having a pair of peak frequencies that indicate the motion of the sensors relative to each other
24. The method of claim 23 , wherein the skeletal objects are portions of the spine.
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