Browsing by Author "Anton, Steven R."

Now showing 1 - 6 of 6
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    Compartmental Force and Contact Location Sensing in Instrumented Total Knee Replacements
    (Elsevier, 2020-09) Safaei, Mohsen; Meneghini, R. Michael; Anton, Steven R.; Orthopaedic Surgery, School of Medicine
    For the past three decades, total knee replacement has become the main solution for progressed knee injuries and diseases. Due to a lack of postoperative in vivo data, a universal correlation between intra- and postoperative soft tissue balance in the knee joint has not been established. In this work, an instrumented knee implant design with six piezoelectric transducers embedded in the tibial bearing is proposed. The aim of the presented device is to measure the total and compartmental forces as well as to track the location of contact points on the medial and lateral compartments of the bearing. A numerical analysis using finite element software is first performed to obtain the best sensory system arrangement inside the bearing. The chosen design is then used to fabricate a prototype of the device. Several experiments are designed and performed using the prototype, and the ability of the proposed system to track the location and magnitude of applied compartmental forces on the bearing is evaluated. The experimental results show that the instrumented knee bearing is able to accurately measure the compartmental force quantities with a maximum error of 2.6% of the peak axial load, and the CP locations with a maximum error of less than 1 mm.
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    Embedded piezoelectrics for sensing and energy harvesting in total knee replacement units
    (SPIE, 2015-04) Wilson, Brooke E.; Meneghini, R. Michael; Anton, Steven R.; Department of Orthopaedic Surgery, IU School of Medicine
    The knee replacement is the second most common orthopedic surgical intervention in the United States, but currently only 1 in 5 knee replacement patients are satisfied with their level of pain reduction one year after surgery. It is imperative to make the process of knee replacement surgery more objective by developing a data driven approach to ligamentous balance, which increases implant life. In this work, piezoelectric materials are considered for both sensing and energy harvesting applications in total knee replacement implants. This work aims to embed piezoelectric material in the polyethylene bearing of a knee replacement unit to act as self-powered sensors that will aid in the alignment and balance of the knee replacement by providing intraoperative feedback to the surgeon. Postoperatively, the piezoelectric sensors can monitor the structural health of the implant in order to perceive potential problems before they become bothersome to the patient. Specifically, this work will present on the use of finite element modeling coupled with uniaxial compression testing to prove that piezoelectric stacks can be utilized to harvest sufficient energy to power sensors needed for this application. © (2015) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
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    Energy Harvesting and Sensing With Embedded Piezoelectric Ceramics in Knee Implants
    (IEEE, 2018-01) Safaei, Mohsen; Meneghini, R. Michael; Anton, Steven R.; Orthopaedic Surgery, School of Medicine
    The knee replacement is one of the most common orthopedic surgical interventions in the United States; however, recent studies have shown up to 20% of patients are dissatisfied with the outcome. One of the key issues to improving these operations is a better understanding of the ligamentous balance during and after surgery. The goal of this paper is to investigate the feasibility of embedding piezoelectric transducers in the polyethylene bearing of a total knee replacement to act as self-powered sensors to aid in the alignment and balance of the knee replacement by providing intra- and postoperative feedback to the surgeon. A model consisting of a polyethylene disc with a single embedded piezoelectric ceramic transducer is investigated as a basis for future work. A modeling framework is developed including a biomechanical model of the knee joint, a finite element model of the knee bearing with encapsulated transducer, and an electromechanical model of the piezoelectric transducer. Model predictions show that a peak voltage of 2.3 V with a load resistance of 1.01 MΩ can be obtained from a single embedded piezoelectric stack, and an average power of 12 μW can be obtained from a knee bearing with four embedded piezoelectric transducers. Uniaxial compression testing is also performed on a fabricated sample for model validation. The results found in this paper show promising potential of embedded piezoelectric transducers to be utilized for autonomous self-powered in vivo knee implant force sensors.
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    Evaluation of electromechanical impedance based structural health monitoring for detection of loosening in total knee arthroplasty
    (SPIE, 2019) Ponder, Robert I.; Meneghini, R. Michael; Anton, Steven R.; Orthopaedic Surgery, School of Medicine
    Total Knee Arthroplasty (TKA) continues to be a common and important orthopedic procedure for many in the United States. Despite recent medical advancements and increasing knowledge in the orthopedic community, it has been determined that 20% of TKA patients are still dissatisfied with their knee replacements. Causes of this failure include septic loosening and wear on the bearing component of the implant. Another cause of failure that has received specific attention from the mechanical community is aseptic loosening, which has been attributed to unbalanced ligaments or misalignment of the implant components. Previous efforts have been made to detect loosening by using passive force sensors such as piezoelectric transducers or strain gauges to detect misalignment. An alternative to this is to perform active sensing or structural health monitoring to evaluate possible loosening before it becomes a critical concern to the patient. One method of structural health monitoring, called the electromechanical impedance (EMI) method, is particularly attractive as it can use a single, compact piezoelectric transducer to determine the state of the host structure. This work is intended to evaluate the ability of the EMI method in sensing loosening between the cement and bone of a TKA tibial tray. This work will utilize real tibial trays implanted into synthetic bone (Sawbone) to evaluate the feasibility of detecting loosening using the EMI method. The intention of this work is to serve as a foundation for further in-vivo and intraoperative studies.
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    Force detection, center of pressure tracking, and energy harvesting from a piezoelectric knee implant
    (IOP Publishing, 2018-11) Safaei, Mohsen; Meneghini, R. Michael; Anton, Steven R.; Orthopaedic Surgery, School of Medicine
    Recent developments in the field of orthopedic materials and procedures have made the total knee replacement (TKR) an option for people who suffer from knee diseases and injuries. One of the ongoing debates in this area involves the correlation of postoperative joint functionality to intraoperative alignment. Due to a lack of in vivo data from the knee joint after surgery, the establishment of a well-quantified alignment method is hindered. In order to obtain information about knee function after the operation, the design of a self-powered instrumented knee implant is proposed in this study. The design consists of a total knee replacement bearing equipped with four piezoelectric transducers distributed in the medial and lateral compartments. The piezoelectric transducers are utilized to measure the total axial force applied on the tibial bearing through the femoral component of the joint, as well as to track the movement in the center of pressure (CoP). In addition, the generated voltage from the piezoelectrics can be harvested and stored to power embedded electronics for further signal conditioning and data transmission purposes. Initially, finite element (FE) analysis is performed on the knee bearing to select the best location of the transducers with regards to sensing the total force and location of the CoP. A series of experimental tests are then performed on a fabricated prototype which aim to investigate the sensing and energy harvesting performance of the device. Piezoelectric force and center of pressure measurements are compared to actual experimental quantities for twelve different relative positions of the femoral component and bearing of the knee implant in order to evaluate the performance of the sensing system. The output voltage of the piezoelectric transducers is measured across a load resistance to determine the optimum extractable power, and then rectified and stored in a capacitor to evaluate the realistic energy harvesting ability of the system. The results show only a small level of error in sensing the force and the location of the CoP. Additionally, a maximum power of 269.1 μW is achieved with a 175 kΩ optimal resistive load, and a 4.9 V constant voltage is stored in a 3.3 mF capacitor after 3333 loading cycles. The sensing and energy harvesting results present the promising potential of this system to be used as an integrated self-powered instrumented knee implant.
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    Parametric analysis of electromechanical and fatigue performance of total knee replacement bearing with embedded piezoelectric transducers
    (IOP, 2017-09) Safaei, Mohsen; Meneghini, R. Michael; Anton, Steven R.; Orthopaedic Surgery, School of Medicine
    Total knee arthroplasty (TKA) is a common procedure in the United States; it has been estimated that about 4 million people are currently living with primary knee replacement in this country. Despite huge improvements in material properties, implant design, and surgical techniques, some implants fail a few years after surgery. A lack of information about in vivo kinetics of the knee prevents the establishment of a correlated intra- and postoperative loading pattern in knee implants. In this study, a conceptual design of an ultra high molecular weight (UHMW) knee bearing with embedded piezoelectric transducers is proposed, which is able to measure the reaction forces from knee motion as well as harvest energy to power embedded electronics. A simplified geometry consisting of a disk of UHMW with a single embedded piezoelectric ceramic is used in this work to study the general parametric trends of an instrumented knee bearing. A combined finite element and electromechanical modeling framework is employed to investigate the fatigue behavior of the instrumented bearing and the electromechanical performance of the embedded piezoelectric. The model is validated through experimental testing and utilized for further parametric studies. Parametric studies consist of the investigation of the effects of several dimensional and piezoelectric material parameters on the durability of the bearing and electrical output of the transducers. Among all the parameters, it is shown that adding large fillet radii results in noticeable improvement in the fatigue life of the bearing. Additionally, the design is highly sensitive to the depth of piezoelectric pocket. Finally, using PZT-5H piezoceramics, higher voltage and slightly enhanced fatigue life is achieved.