Assessment of human bones encompassing physiological decay and damage using piezo sensors in non-bonded configuration

Abstract

In the recent years, several biomedical applications of lead zirconate titanate piezo-electric ceramic patches based on the electro-mechanical impedance technique have been reported in the literature. However, practical application of the technique on live subjects is severely hampered due to the requirement of bonding the patch with bone or cartilage with an adhesive. In addition, live subjects have skin cover over the bone. This article proposes and evaluates the feasibility of employing lead zirconate titanate patches as biomedical sensors in non-bonded configuration for assessing the physiological conditions of bones. For this purpose, a special design is proposed where the lead zirconate titanate patch is first bonded on a thin aluminum strip, which is in turn clamped securely on the biomedical subject. The proposed configuration is investigated both in vitro and in vivo. The non-bonded piezo sensors are first investigated to identify dynamic parameters of the bone through lab-based experimental study involving artificial bones. Thereafter, physiological damage and decay conditions are artificially simulated in the experimental bones and the same are correlated with changes in conductance signatures from the non-bonded piezo sensor as well as the lead zirconate titanate patch in the conventional adhesively bonded (direct bonding to the subject) configuration. The trend of the conductance signatures in the healthy and the damaged conditions from the non-bonded piezo sensor is found to correlate well with the corresponding signatures from the directly bonded piezo sensor. At the same time, the repeatability of the signatures is also found to be satisfactory. After success in bare bones, the non-bonded piezo sensor configuration is extended to monitor the condition of bones covered with skin and tissue, simulated in the lab with the aid of silicone-based coating. Finally, a proof-of-concept experiment on a live human subject is successfully demonstrated. The overall results of the study demonstrate very good prospects of employing lead zirconate titanate patches in non-bonded piezo sensor mode for monitoring the condition of human bones and other related biomedical subjects.