Evidence map›Paper›PMID 34864397›Full record

ArticleJournal of the mechanical behavior of biomedical materials2022

Design considerations for piezoelectrically powered electrical stimulation: The balance between power generation and fatigue resistance.

Ember D Krech, Leighton J LaPierre, Safakcan Tuncdemir, A Erkan Gurdal, Evan G Haas, Paul M Arnold, Elizabeth A Friis

Open access · greenAbstract read
In one paragraph

Article in Journal of the mechanical behavior of biomedical materials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 59% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Electrostrategies in orthopaedic research.Biomaterials translational · 2025
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ember D KrechUniversity of Kansas, Bioengineering Graduate Program, Lawrence, KS, USA; Evoke Medical, LLC, Lawrence, KS, USA.
Leighton J LaPierreEvoke Medical, LLC, Lawrence, KS, USA.
Safakcan TuncdemirQorTek, Inc, Stage College, PA, USA.
A Erkan GurdalQorTek, Inc, Stage College, PA, USA.
Evan G HaasUniversity of Kansas, Department of Mechanical Engineering, Lawrence, KS, USA.
Paul M ArnoldEvoke Medical, LLC, Lawrence, KS, USA; University of Illinois Carle College of Medicine, Champaign, IL, USA.
Elizabeth A FriisUniversity of Kansas, Bioengineering Graduate Program, Lawrence, KS, USA; Evoke Medical, LLC, Lawrence, KS, USA; University of Kansas, Department of Mechanical Engineering, Lawrence, KS, USA. Electronic address: lfriis@ku.edu.
University of Kansas · US

Funding

Mentoring CoreP20GM103418 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SUSAN J. BROWN · 2012 to 2026
$63.0M
Development of an Osteoinductive Spinal Fusion Implant for Enhanced Fusion RatesR44AR070088 · NIAMS · EVOKE MEDICAL, LLC · PI LAPIERRE, LEIGHTON · 2018 to 2019
$1.5M
NIAMS NIH HHS R44 AR070088NIGMS NIH HHS P20 GM103418
6 · The paper itself

Abstract

Quality and timing of bone healing from orthopedic surgeries, especially lumbar spinal fusion procedures, is problematic for many patients. To address this issue, clinicians often use electrical stimulation to improve surgery success rates and decrease healing time in patients with increased risk of pseudarthrosis, including smokers and diabetics. Current invasive electrical stimulation devices require an implantable battery and a second surgery for removal. Piezoelectric composites within an interbody implant generate sufficient power under physiologic loads to deliver pulsed electrical stimulation without a battery and have demonstrated promising preclinical bone growth and fusion success. The objective of the current study was to assess the power generation and fatigue resistance of three commercially manufactured piezocomposite configurations in a modified implant design to demonstrate efficacy as a robust biomaterial within osteogenic implants. The three configurations were electromechanically assessed under physiological lumbar loading conditions, and all configurations produced sufficient power to promote bone healing. Additionally, electrical and mechanical fatigue performance was assessed under high load, low cycle conditions. All configurations demonstrated runout with no gross mechanical failure and two configurations demonstrated electrical fatigue resistance. Future piezoelectric implant design decisions should be based on power generation needs to stimulate bone growth, as mechanical fatigue efficacy was proven for all piezocomposite configurations tested.

Indexed as

Spinal FusionBiocompatible MaterialsElectric Power SuppliesElectric StimulationHumansProstheses and ImplantsBiocompatible MaterialsElectrical stimulationFatigue resistanceImplant designPiezoelectric compositesPower generation

Identifiers

PMID34864397
PMCPMC8792359
OpenAlexW3216903320

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.