title: High-tech hip implant for wireless temperature measurements in vivo.
abstract: When walking long distances, hip prostheses heat up due to friction. The influence of articulating materials and lubricating properties of synovia on the final temperatures, as well as any potential biological consequences, are unknown. Such knowledge is essential for optimizing implant materials, identifying patients who are possibly at risk of implant loosening, and proving the concepts of current joint simulators. An instrumented hip implant with telemetric data transfer was developed to measure the implant temperatures in vivo. A clinical study with 100 patients is planned to measure the implant temperatures for different combinations of head and cup materials during walking. This study will answer the question of whether patients with synovia with poor lubricating properties may be at risk for thermally induced bone necrosis and subsequent implant failure. The study will also deliver the different friction properties of various implant materials and prove the significance of wear simulator tests. A clinically successful titanium hip endoprosthesis was modified to house the electronics inside its hollow neck. The electronics are powered by an external induction coil fixed around the joint. A temperature sensor inside the implant triggers a timer circuit, which produces an inductive pulse train with temperature-dependent intervals. This signal is detected by a giant magnetoresistive sensor fixed near the external energy coil. The implant temperature is measured with an accuracy of 0.1°C in a range between 20°C and 58°C and at a sampling rate of 2-10 Hz. This rate could be considerably increased for measuring other data, such as implant strain or vibration. The employed technique of transmitting data from inside of a closed titanium implant by low frequency magnetic pulses eliminates the need to use an electrical feedthrough and an antenna outside of the implant. It enables the design of mechanically safe and simple instrumented implants.
authors.affiliation: Julius Wolff Institute, Charité-Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Georg
authors.initials: G
authors.lastname: Bergmann
authors.forename: Friedmar
authors.initials: F
authors.lastname: Graichen
authors.forename: Jörn
authors.initials: J
authors.lastname: Dymke
authors.forename: Antonius
authors.initials: A
authors.lastname: Rohlmann
authors.forename: Georg N
authors.initials: GN
authors.lastname: Duda
authors.forename: Philipp
authors.initials: P
authors.lastname: Damm
mesh_terms: D017276:Friction; D006621:Hip Joint; D006801:Humans; D055595:Mechanical Phenomena; D019736:Prostheses and Implants / Q000009:adverse effects; D011474:Prosthesis Design; D012449:Safety; D013582:Synovial Fluid; D013686:Telemetry; D013696:Temperature; D059015:Wireless Technology / Q000295:instrumentation*