# US 12,178,610 B2 · Hip broach with embedded sensor and a feedback broach system

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- Number: US 12,178,610 B2
- Document ID: US12178610B2
- Status: Granted
- Kind: B2
- Application number: 18/151,231
- Filed: 2023-01-06
- Published: 2023-05-18
- Granted: 2024-12-31
- Earliest claimed: 2016-05-24
- Assignees: AOD Holdings, LLC
- Applicants: AOD Holdings, LLC
- Inventors: Austin T. Ferro; Thomas D. Ferro; Kyle Boucher; Joseph R. Phillips
- Web page: https://patentgrep.com/patent/US12178610B2

## CPC

- A61B 5/6847: {mounted on an invasive device}
- A61B 5/0031: {Implanted circuitry}
- A61B 5/4571: {Evaluating the hip}
- A61B 5/7455: {characterised by tactile indication, e.g. vibration or electrical stimulation}
- A61B 17/1659: {Surgical rasps, files, planes, or scrapers}
- A61B 17/1664: {for the hip}
- A61B 17/1668: {for the upper femur (A61B17/164 takes precedence)}
- A61B 17/164: {intramedullary}
- A61B 2090/064: {for measuring force, pressure or mechanical tension}
- A61B 2562/02: Details of sensors specially adapted for in-vivo measurements
- A61B 2562/0261: Strain gauges
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Within examples, a surgical device with an embedded sensor system for performing hip replacements is described. This device mitigates fracturing of the mid metaphyseal/diaphyseal region of the femur, and ensures adequate press-fit of the component into the bone. The device relays information regarding forces experienced by the patient's bone to a separate data acquisition device and displays it on an interface. This information is used by the surgeon to determine the force present inside of the patient's bone during broaching, and can then be used to provide better care, and mitigate fractures due to overloading in the bone.

## Claims

### Claim 1

A method comprising:
detecting, by one or more sensors positioned in a body of a component secured to a driving device at a proximal end of the component, a compression of the component as the component is impacted into a bone, wherein the compression is detected via a displacement of one or more of a first side of the body of the component toward a second side of the body of the component;
determining information indicative of a force transferred to the bone based on a signal output from the one or more sensors indicating the compression of the body of the component as the component is impacted into the bone due to being impressed upon by the bone; and
displaying, using a light indicator, a visual indication of the force transferred to the bone.

### Claim 2 (depends on 1)

The method of claim 1, further comprising:
causing the component to be detached from the driving device.

### Claim 3 (depends on 1)

The method of claim 1, wherein detecting the compression includes using a piezo-electric sensor within the component to determine the impact force.

### Claim 4 (depends on 1)

The method of claim 1, wherein the driving device is an impactor instrument.

### Claim 5 (depends on 1)

The method of claim 1, further comprising:
outputting an audible signal based on the determined force transferred to the bone.

### Claim 6 (depends on 5)

The method of claim 5, wherein outputting the audible signal comprises:
outputting the audible signal in real time during initial impaction.

### Claim 7 (depends on 1)

The method of claim 1, further comprising:
wirelessly transmitting the signal to a display interface.

### Claim 8 (depends on 1)

The method of claim 1, further comprising:
providing a tactile indicator based on the signal that is indicative of a quantity measured by the one or more sensors.

### Claim 9 (depends on 1)

The method of claim 1, further comprising:
outputting an audible or visual signal to a display interface based on the determined force transferred to the bone being above a threshold amount.

### Claim 10 (depends on 1)

The method of claim 1, further comprising:
providing alerts about whether the determined force transferred to the bone is above or below a threshold value.

### Claim 11 (depends on 1)

The method of claim 1, further comprising:
receiving, at a display interface, the information indicative of the force transferred to the bone; and
displaying the information.

### Claim 12 (depends on 1)

The method of claim 1, wherein the component further comprises one or more processors positioned in the component, wherein the one or more processors are coupled to the one or more sensors, and the method further comprises:
receiving, at the one or more processors, the signal and processing the signal into the information indicative of the force transferred to the bone.

### Claim 13 (depends on 12)

The method of claim 12, wherein the driving device is an impactor to apply the force for impacting the component into the bone, and wherein the method further comprises:
controlling, by the one or more processors, the impactor based on the determined force transferred to the bone.

### Claim 14 (depends on 13)

The method of claim 13, wherein the method further comprises:
applying, by the one or more processors, a feedback loop to the impactor to prevent further broaching based on the determined force transferred to the bone being above a threshold amount.

### Claim 15 (depends on 13)

The method of claim 13, wherein applying, by the one or more processors, the feedback loop to the impactor comprises:
causing additional or less power to be applied by the impactor based on the determined force transferred to the bone.

### Claim 16 (depends on 1)

The method of claim 1, wherein the component includes multiple sensors, and wherein the method further comprises:
mapping the force along a length of the component, based on outputs of the multiple sensors, to identify an area along which the force is being experienced.

### Claim 17 (depends on 16)

The method of claim 16, wherein mapping the force along the length of the component comprises:
receiving outputs from the multiple sensors; and
displaying the outputs of the multiple sensors to illustrate specific regions where stress is being experiencing on the component.

### Claim 18

A method comprising:
detecting, by multiple sensors positioned in a body of a component secured to a driving device, a compression of the component as the component is impacted into a bone;
determining information indicative of a force transferred to the bone based on a signal output from the one or more sensors indicating the compression of the body of the component as the component is impacted into the bone due to being impressed upon by the bone;
mapping the force along a length of the component, based on outputs of the multiple sensors, to identify an area along which the force is being experienced; and
displaying, using a light indicator, a visual indication of the force transferred to the bone.

### Claim 19 (depends on 18)

The method of claim 18, wherein mapping the force along the length of the component comprises:
receiving outputs from the multiple sensors; and
displaying the outputs of the multiple sensors to illustrate specific regions where stress is being experiencing on the component.
