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Implementation of an implantable joint-angle transducer.
Niloy Bhadra1, P Hunter Peckham, Michael W Keith
1MetroHealth Medical Center, Cleveland, OH 44109, USA. nxb26@po.cwru.edu
Journal of Rehabilitation Research and Development
|August 14, 2002
Summary
This study developed an implantable joint-angle transducer (IJAT) for hand neuroprostheses. The safe and effective IJAT provides reliable wrist control signals for functional neuromuscular stimulation, demonstrating long-term clinical feasibility.
Area of Science:
- Biomedical Engineering
- Neuroprosthetics
- Implantable Sensors
Background:
- Functional neuromuscular stimulation (FNS) neuroprostheses require reliable control signals.
- Existing control methods may lack precision or long-term stability.
- Wrist joint-angle data is crucial for intuitive hand grasp control.
Purpose of the Study:
- To evaluate the chronic functionality, safety, biocompatibility, and clinical feasibility of an implantable joint-angle transducer (IJAT).
- To assess the IJAT's performance as a command-control input for FNS neuroprostheses.
- To determine the long-term viability and efficacy of the IJAT in human subjects.
Main Methods:
- Development of an IJAT utilizing the Hall effect for joint-angle sensing.
- Accelerated bench testing to project device lifespan.
- Chronic implantation in animal models to assess performance and biocompatibility.
- Clinical implantation in human subjects for evaluating control signal quality and feasibility.
Main Results:
- Accelerated testing projected an operational lifespan exceeding 50 years.
- Chronic animal studies showed stable output from three of four IJATs for 10-19 months.
- Histological analysis confirmed acceptable osseointegration.
- Human implantation for over 2 years yielded an excellent control signal for hand grasp.
Conclusions:
- The implantable joint-angle transducer (IJAT) is safe and effective for chronic human use.
- The IJAT provides a reliable control input for implanted hand neuroprostheses.
- The device demonstrates significant clinical feasibility for improving FNS neuroprosthetic control.