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Load sensing total knee replacement (TKR) implants are useful tools for monitoring prosthesis health and providing quantitative data to support patient claims of pain or instability. However, powering such devices throughout the entire life of the knee replacement is a challenge, and self-powered telemetry via energy harvesting is an attractive solution. In this article, we implemented vertical contact mode triboelectric energy harvesters inside a knee implant package to generate the power required for embedded digitization and communications circuitry. The harvesters produce small-scale electric power from physiologically relevant loads transmitted through the knee. Experiments were performed on a joint motion simulator with an instrumented package prototype between the polyethylene bearing and tibial tray. The amplitude and the pattern of the power output varied with the input loadings. Under sinusoidal loading the maximum apparent power harvested was around 7 μW at (50–2000)N whereas, under vertical compressive gait loading the harvesters generated around 10 μW at average human knee loads of (151–1950)N and 20 μW when the maximum applied load was increased by 25%. Full six degrees-of-freedom gait load/motions at 0.67 Hz produced 50% less power due to the slower loading rate. The results show the potential of developing a triboelectric energy harvesting-based self-powered instrumented knee implant for long-term in vivo knee joint force measurement. [ABSTRACT FROM AUTHOR]

There has been a significant increase in the number of total knee replacement (TKR) surgeries over the past few years, particularly among active young and elderly people suffering from knee pain. Continuous and optimal monitoring of the load on the knee is highly desirable for designing more reliable knee implants. This paper focuses on designing a smart knee implant consisting of a triboelectric energy harvester and a frontend electronic system to process the harvested signal for monitoring the knee load. The harvester produces an AC signal with peak voltages ranging from 10 V to 150 V at different values of knee cyclic loads. This paper demonstrates the measurement results of a PCB prototype of the frontend electronic system fabricated to verify the functionality and feasibility of the proposed approach for a small range of cycling load. The frontend electronic system consists of a voltage processing unit to attenuate high peak voltages, a rectifier and a regulator to convert the input AC signal into a stabilized DC signal. The DC voltage signal provides biasing for the delta-sigma analog-to-digital converter (ADC). Thus, the output of the triboelectric harvester acts as both the power signal that is rectified/regulated and data signal that is digitized. The power consumption of the proposed PCB design is approximately $5.35~\mu \text{W}$. Next, the frontend sensor circuitry is improved to accommodate a wider range of cyclic load. These results demonstrate that triboelectric energy harvesting is a promising technique for self-monitoring the load inside knee implants. [ABSTRACT FROM AUTHOR]