Abstract: At least one embodiment is directed to an insert sensing device for measuring a parameter of the muscular-skeletal system. The insert sensing device can be temporary or permanent. The insert sensing device is a self-contained encapsulated measurement device. The insert sensing device comprises a support structure having an articular surface for allowing articulation of the muscular-skeletal system and a support structure having a load bearing surface. The structures attach together to form a housing that includes one or more sensors, a power source, electronic circuitry, and communication circuitry. The electronic circuitry, power source, and communication circuitry are placed in a cavity of the insert sensing device that is unloaded or lightly loaded by the muscular-skeletal system. Shims can be attached to the load-bearing surface to adjust the height of insert sensing device.

Abstract: A load balance and alignment system is provided to assess load forces on the vertebra in conjunction with overall spinal alignment. The system includes a spine instrument having an electronic assembly and a sensorized head. The sensorized head can be inserted between vertebra and report vertebral conditions such as force, pressure, orientation and edge loading. A GUI is therewith provided to show where the spine instrument is positioned relative to vertebral bodies as the instrument is placed in the inter-vertebral space. The system can report optimal prosthetic size and placement in view of the sensed load and location parameters including optional orientation, rotation and insertion angle along a determined insert trajectory.

Abstract: A spine measurement system includes a plurality of sensored heads, a spinal instrument, and a remote system. The spinal instrument comprises a handle, a shaft, sensored heads, and a module. The sensored heads includes one or more sensors that couple to module and each has a different height. The module includes an electronic assembly for receiving, processing, and sending quantitative data from sensors in sensored heads. The module can be coupled to and removed from handle. Similarly, sensored heads can be coupled to and removed from shaft. A sensored head can be inserted between vertebra and report vertebral conditions such as force, pressure, orientation and edge loading. A GUI of remote system can display a workflow and report load and position of load during the workflow.

Abstract: A spine measurement system comprises a spinal instrument, alignment circuitry, insert instrument, and a remote system. The insert instrument comprises a handle, a shaft, and a module. The insert instrument can be used to retain, direct, and place a prosthetic component in a spinal region. The module includes an electronic assembly for receiving, processing, and sending data from the insert instrument. The module includes alignment circuitry for providing trajectory, alignment, and position information on the placement of the prosthetic component. A GUI of remote system can display a workflow and report the trajectory, alignment, and position information of insert instrument during different steps of the workflow. The system allows accurate placement of a prosthetic component in a previously probed region.

Abstract: A spine alignment system is provided to assess load forces on the vertebra in conjunction with overall spinal alignment. The system includes a spine instrument having an electronic assembly and a sensorized head. The sensorized head can be inserted between vertebra and report vertebral conditions such as force, pressure, orientation and edge loading. A GUI is therewith provided to show where the spine instrument is positioned relative to vertebral bodies as the instrument is placed in the inter-vetebral space. The system can distract vertebrae to a first height and measure the load applied by the spine region. The GUI can indicate that the load is outside a predetermined range. The spine region can be distracted to a second height where the load is measured within the predetermined load range.

Abstract: At least one embodiment is directed to an insert for measuring a parameter of the muscular-skeletal system. The insert can be temporary or permanent. In one embodiment, the insert is prosthetic component for a single compartment of the knee. The insert comprises a support structure and a support structure respectively having an articular surface and a load bearing surface. The height of the insert is less than 10 millimeters. At least one internal cavity is formed when support structures are coupled together for housing electronic circuitry, sensors, and the power source. The cavity is sterilized through a port. A membrane is between the port and the cavity. A sterilization gas permeates the membrane for sterilizing cavity. The membrane prevents ingress of solids and liquids to the cavity.

Abstract: At least one embodiment is directed to an insert for measuring a parameter of the muscular-skeletal system. The insert can be temporary or permanent. In one embodiment, the insert is prosthetic component for a single compartment of the knee. The insert comprises a support structure and a support structure respectively having an articular surface and a load bearing surface. The height of the insert is less than 10 millimeters. At least one internal cavity is formed when support structures are coupled together for housing electronic circuitry, sensors, and the power source. The sensors are supported by support structure on pad regions. A planar interconnect couples the sensors to electronic circuitry. The planar interconnect includes a tab that couples to a connector coupled to a printed circuit board.

Abstract: At least one embodiment is directed to an insert sensing device for measuring a parameter of the muscular-skeletal system. The insert sensing device can be temporary or permanent. The insert sensing device is a self-contained encapsulated measurement device. The insert sensing device comprises a support structure having an articular surface for allowing articulation of the muscular-skeletal system and a support structure having a load bearing surface. The structures attach together to form a housing that includes one or more sensors, a power source, electronic circuitry, and communication circuitry. Shims can be attached to the load-bearing surface to adjust the height of insert sensing device. The structures are substantially dimensionally equal to a passive final insert. The sensors are placed between a pad region and a load plate.

Abstract: At least one embodiment is directed to an insert sensing device for measuring a parameter of the muscular-skeletal system. The insert sensing device can be temporary or permanent. The insert sensing device is a self-contained encapsulated measurement device. The insert sensing device comprises a support structure having an articular surface for allowing articulation of the muscular-skeletal system and a support structure having a load bearing surface. The structures attach together to form a housing that includes one or more sensors, a power source, electronic circuitry, and communication circuitry. Shims can be attached to the load-bearing surface to adjust the height of insert sensing device. The structures are substantially dimensionally equal to a passive final insert. The sensors are placed between a pad region and a load plate.

Abstract: At least one embodiment is directed to an insert for measuring a parameter of the muscular-skeletal system. The insert can be temporary or permanent. In one embodiment, the insert is prosthetic component for a single compartment of the knee. The insert comprises a support structure and a support structure respectively having an articular surface and a load bearing surface. The height of the insert is less than 10 millimeters. At least one internal cavity is formed when support structures are coupled together for housing electronic circuitry, sensors, and the power source. The internal cavity is isolated from the external environment and can be hermetically sealed. The exterior surfaces of the support structure and the support structure are sterilized.

Abstract: At least one embodiment is directed to an insert for measuring a parameter of the muscular-skeletal system. The insert can be temporary or permanent. In one embodiment, the insert is prosthetic component for a single compartment of the knee. The insert comprises a support structure and a support structure respectively having an articular surface and a load bearing surface. The height of the insert is less than 10 millimeters. At least one internal cavity is formed when support structures are coupled together for housing electronic circuitry, sensors, and the power source. The cavity can be sterilized through a port. A membrane is between the port and the cavity. A sterilization gas permeates the membrane for sterilizing cavity. The membrane reduces the ingress of solids and liquids to the cavity.

Abstract: At least one embodiment is directed to an insert for measuring a parameter of the muscular-skeletal system. The insert can be temporary or permanent. In one embodiment, the insert is prosthetic component for a single compartment of the knee. The insert comprises a support structure and a support structure respectively having an articular surface and a load-bearing surface. At least one of the support structures comprises polycarbonate. The polycarbonate allows short-range transmission of measurement data. The height of the insert is less than 10 millimeters. At least one internal cavity is formed when support structures are coupled together for housing electronic circuitry, sensors, and the power source. The internal cavity is isolated from the external environment and can be hermetically sealed.

Abstract: A measurement tool for measuring a parameter of the muscular-skeletal system is disclosed. The measurement tool includes a sensored head that comprises a first support structure, a second support structure, and a plurality of sensors for measuring load and position of load. The housing for the measurement tool includes a first housing component and a second housing component. The first housing component comprises a handle portion, a shaft portion, and a first support structure. Similarly, the second housing component comprises a handle portion, a shaft portion, and a second support structure. The sensored head includes an interconnect, a sensor guide, sensors, and a load plate. The interconnect and the sensor guide are aligned and retained in the first support structure by a sidewall.

Abstract: A system for enabling a medical device. The system includes a cradle having a magnet for generating a magnetic field. The cradle supports and aligns the medical device in a predetermined orientation. Medical device placed in the cradle exposes a magnetic sensitive switch to the magnetic field of the magnet that produces a change in state of the magnetic sensitive switch. Medical device further includes a switch, indicator, logic circuitry, delay circuit, and detect circuit for coupling a power source to electronic circuitry. In a first mode of operation the medical device can be turned on and then turned off. In a second mode of operation the medical device cannot be turned off after being turned on.

Abstract: A distractor suitable for measuring a force, pressure, or load applied by the muscular-skeletal system is disclosed. In one embodiment, the distractor includes a measurement device that couples to the distractor. In a second embodiment, the sensor array and electronics are placed within the distractor. The distractor can dynamically distract the muscular-skeletal system. A handle of the distractor can be rotated to increase or decrease the spacing between support structures. The measurement system comprises a sensor array and electronic circuitry. In one embodiment, the electronic circuitry is coupled to the sensor array by a unitary circuit board or substrate. The sensors can be integrated into the unitary circuit board. For example, the sensors can comprise elastically compressible capacitors or piezo-resistive devices. The distractor wirelessly couples to a remote system for providing position and magnitude measurement data of the force, pressure, or load being measured.

Abstract: A distractor suitable for measuring a force, pressure, or load applied by the muscular-skeletal system is disclosed. An insert couples to the distractor. The insert has at least one articular surface allowing movement of the muscular-skeletal system when the distractor is inserted thereto. The insert can be a passive insert having no measurement devices. A sensor array and electronics are housed within the distractor. The distractor can dynamically distract the muscular-skeletal system. A handle of the distractor can be rotated to increase or decrease the spacing between support structures. The measurement system comprises a sensor array and electronic circuitry. In one embodiment, the electronic circuitry is coupled to the sensor array by a unitary circuit board or substrate. The sensors can be integrated into the unitary circuit board. For example, the sensors can comprise elastically compressible capacitors or piezo-resistive devices.

Abstract: A configurable check and balance system is provided to assess and report orthopedic measurements, including bone cut angles, trial inserts, extension gaps and prosthetic fit. The system can be configured for cut-check, trial-check, alignment and balance, dynamic distraction, and prosthetic trial fit. The measurements can be provided with respect to an anatomical coordinate system defined according to a positioning of a sensorized mechanical plate with respect to one or more referenced anatomical landmarks. In one example, the cut-check provides measurement of varus/valgus angle and anterior/posterior slope for distal femur cuts and proximal tibia cuts. The cut-check permits a surgeon to check bone cuts made by mechanical jigs, guides or patient specific implants (PSI). It also provides distance measurements. Other embodiments are also disclosed.

Abstract: A sensor system uses positive closed-loop feedback to provide energy waves into a medium. It comprises a transducer (604), a propagating structure (602), and a transducer (606). A parameter is applied to the propagating structure that affects the medium. A sensor is coupled to a propagation tuned oscillator (416) that forms a positive closed-loop feedback path. The propagation tuned oscillator (416) includes a zero-crossing receiver (200) that generates a pulse upon sensing a transition of an energy wave from the propagating structure (602). The zero-crossing receiver (200) is in the feedback path that maintains the emission of energy waves into the propagating structure (602). The zero-crossing receiver (200) comprises a preamplifier (206), a filter (208), an offset adjustment circuit (210), a comparator (212) and a pulse circuit (218). The transit time, phase, or frequency is measured of the propagating energy waves and correlated to the parameter being measured.

Abstract: A sensing insert device (100) is disclosed for measuring a parameter of the muscular-skeletal system. The sensing insert device (100) can be temporary or permanent. Used intra-operatively, the sensing insert device (100) comprises an insert dock (202) and a sensing module (200). The sensing module (200) is a self-contained encapsulated measurement device having at least one contacting surface that couples to the muscular-skeletal system. The sensing module (200) comprises one or more sensing assemblages, electronic circuitry (307), an antenna (2302), and communication circuitry (320). The sensing assemblages are between a top plate (1502) and a bottom plate (1504) in a sensing platform (121). The sensing assemblages comprise a load disc (2004) and a piezo-resistive sensor (2002) to measure the parameter. An elastic support structure or springs (1108) is coupled between the top plate (1502) and the bottom plate (1504) to prevent cantilevering of a surface.

Abstract: A method for short range alignment using ultrasonic sensing is provided. The method includes shaping an ultrasonic pulse on a first device to produce a pulse shaped signal and transmitting the pulse shaped signal from the first device to a second device, receiving the pulse shaped signal and determining an arrival time of the pulse shaped, identifying a relative phase of the pulse shaped signal with respect to a previously received pulse shaped signal, identifying a pointing location of the first device from the arrival time and the relative phase, determining positional information of the pointing location of the first device, and reporting an alignment of three or more points in three-dimensional space. Other embodiments are disclosed.