A touch probe method of operating an implantable RFID tag for orthopedic implant identification

“Smart Knee Implants: An Overview of Current Technologies and Future Possibilities”

Background

This article focuses on clinical implementation of smart knee implants for total knee replacement and the future development of smart implant technology. With the number of total knee replacements undertaken growing worldwide, smart implants incorporating embedded sensor technology offer opportunity to improve post-operative recovery, reducing implant failure rates, and increasing overall patient satisfaction.

Methods

A literature review on smart implants, historical prototypes, current clinically available smart implants, and the future potential for conventional implant instrumentation with embedded sensors and electronics was undertaken.

Results

The overview of current and future technology describes use cases for various diagnostic and therapeutic treatment solutions.

Conclusion

Smart knee implants are at an early development stage, with the first generation of smart implants being available to patients and with more novel technologies under development.

A flexible, stretchable system for simultaneous acoustic energy transfer and communication

The use of implantable medical devices, including cardiac pacemakers and brain pacemakers, is becoming increasingly prevalent. However, surgically replacing batteries owing to their limited lifetime is a drawback of those devices. Such an operation poses a risk to patients—a problem that, to date, has not yet been solved. Furthermore, current devices are large and rigid, potentially causing patient discomfort after implantation. To address this problem, we developed a thin, battery-free, flexible, implantable system based on flexible electronic technology that can not only achieve wireless recharging and communication simultaneously via ultrasound but also perform many current device functions, including in vivo physiological monitoring and cardiac pacing. To prove this, an animal experiment was conducted involving creating a cardiac arrest model and powering the system by ultrasound. The results showed that it automatically detected abnormal heartbeats and responded by electrically stimulating the heart, demonstrating the device’s potential clinical utility for emergent treatment.

Chipless RFID Label with Identification and Touch-Sensing Capabilities

This article presents a 14-bit chipless RFID label which, in addition to classical identification feature, can be used as decimal numeric keypad, allowing the deployment of secure access control applications. A low-cost single layer label comprising 10 RF loop scatterers is used to code information in the frequency domain. In addition, each resonator is associated to a digit in the decimal number system, and the difference in the spectrum caused by the touch event is exploited for the detection of each key pressing. The shape of the resonators has been carefully selected to be both highly resonant and to show high sensitivity to the presence or absence of the human finger. The concept is validated by measurements in an office environment using an FCC compliant low-cost chipless reader and microstrip vivaldi antennas. Simple detection algorithms are proposed for both identification and touch sensing in real environment.

A Thought-Operated Digital Random-Access Memory

The capacity and reliability of biological memory could be exceeded by a constantly growing flux of information to remember and operate by. Yet, our memory is fragile and could be easily impaired, and the prevalence of memory disorders is increasing in correlation with the population's mean age. As expected, auxiliary memory devices (such as writing pads and computers) are abundant but are operated indirectly using significant effort compared with biological memory. We report a working prototype of a simplified, 4 KB random-access memory (RAM) that can be written to or read from using thought and could be embedded more seamlessly than other artificial memory aids. The system analyses EEG signals to extract attention levels, which trained subjects can use to write messages into an RFID sticker, or read from it on a display. We describe basic modes of using memory by a single subject, emulate common forms of social communication using this system, and highlight new forms of social usage and allocation of memories that are linked to specific persons. This preliminary prototype highlights the technical feasibility and the possibilities of implantable thought-operated memory devices and could be developed further to provide seamless aid to people suffering from memory disorders in the near future.

Tissue Variability and Antennas for Power Transfer to Wireless Implantable Medical Devices

The design of effective transcutaneous systems demands the consideration of inevitable variations in tissue characteristics, which vary across body areas, among individuals, and over time. The purpose of this paper was to design and evaluate several printed antenna topologies for ultrahigh frequency (UHF) transcutaneous power transfer to implantable medical devices, and to investigate the effects of variations in tissue properties on dipole and loop topologies. Here, we show that a loop antenna topology provides the greatest achievable gain with the smallest implanted antenna, while a dipole system provides higher impedance for conjugate matching and the ability to increase gain with a larger external antenna. In comparison to the dipole system, the loop system exhibits greater sensitivity to changes in tissue structure and properties in terms of power gain, but provides higher gain when the separation is on the order of the smaller antenna dimension. The dipole system was shown to provide higher gain than the loop system at greater implant depths for the same implanted antenna area, and was less sensitive to variations in tissue properties and structure in terms of power gain at all investigated implant depths. The results show the potential of easily-fabricated, low-cost printed antenna topologies for UHF transcutaneous power, and the importance of environmental considerations in choosing the antenna topology.

Adaptive Transcutaneous Power Transfer to Implantable Devices: A State of the Art Review

Wireless energy transfer is a broad research area that has recently become applicable to implantable medical devices. Wireless powering of and communication with implanted devices is possible through wireless transcutaneous energy transfer. However, designing wireless transcutaneous systems is complicated due to the variability of the environment. The focus of this review is on strategies to sense and adapt to environmental variations in wireless transcutaneous systems. Adaptive systems provide the ability to maintain performance in the face of both unpredictability (variation from expected parameters) and variability (changes over time). Current strategies in adaptive (or tunable) systems include sensing relevant metrics to evaluate the function of the system in its environment and adjusting control parameters according to sensed values through the use of tunable components. Some challenges of applying adaptive designs to implantable devices are challenges common to all implantable devices, including size and power reduction on the implant, efficiency of power transfer and safety related to energy absorption in tissue. Challenges specifically associated with adaptation include choosing relevant and accessible parameters to sense and adjust, minimizing the tuning time and complexity of control, utilizing feedback from the implanted device and coordinating adaptation at the transmitter and receiver.

A passive biodegradable implant for subcutaneous soft-tissue trauma monitoring

In-body medical devices can play an important role in clinical monitoring and diagnosis of diseases. Wireless devices implanted within a patient have to be physically small, and must overcome the challenges of having a little or no onboard electrical power and the highly attenuating electromagnetic propagation environment which is the human body. In this paper, we investigate the use of biodegradable implant to monitor the healing of soft-tissue trauma and to allow early stage diagnosis of infection. The implantable tag is designed to degrade in a predetermined and controlled method, the stage of which can be measured from outside the body without the need for further surgical intervention. The speed of degradation of the tag depends on the temperature and acidity of the subcutaneous tissue in which the tag is implanted. We show that as the electrical length of the tag pattern increases due to degradation, the resonant frequency changes significantly, and this change in resonant frequency can be detected from outside the patient. Results are presented showing the tag's performance at normal and oblique incidence, and techniques for miniaturizing and enhancing the tag's response sensitivity are given. As the entire tag is biodegradable, there is no need for further postoperative surgery to remove it from the patient at the end of its useful life.