IEEE SENSORS JOURNAL, VOL. 7, NO. 12, DECEMBER 2007 1693 Parylene-Based Strain Sensors for Bone Gloria Y. Yang, Student Member, IEEE, Garrett Johnson, William C. Tang, Senior Member, IEEE, and Joyce H. Keyak Abstract—This paper presents a novel flexible implantable device to provide high-resolution mechanical strain data from a bone surface in real time. The design of the device has been verified with finite-element analysis, and a prototype has been successfully fabricated which consists of a thin-film metal gauge encapsulated between two layers of parylene-C. The prototype has been characterized simultaneously with a commercial strain gauge using tensile testing. The results indicated that the strain sensitivities of the prototype were approximately 2.5 times greater than those of commercial gauges. In addition, real-time strain data collection has been successfully demonstrated on bone surfaces with the novel devices using mechanical testing of chicken tibiae in three-point bending. Index Terms—Bone, parylene, piezoresistive devices, strain measurement. I. INTRODUCTION ONITORING strain on the surface of bones in real time would allow better understanding of the biomechanical behavior of the musculoskeletal system. Knowledge of bone strains would also facilitate advances in musculoskeletal diagnostics, rehabilitation monitoring, and feedback, as well as improved data collection and clinical studies to develop advanced orthopaedic implants. However, currently available devices for measuring strain are too large (typically 2 5 mm) to provide measurements with suitable resolution. These gauges are also difficult to mount on bones because of their large size and the bone’s irregular surface topology. If the strain sensors were formed using a thin and flexible membrane as the carrier material, the gauges would conform to the bone surface better, and thereby provide more accurate strain data. In addition, gauges with greater strain sensitivity would provide more detailed measurements with better precision. Previously, flexible strain gauges with polydimethylsiloxane (PDMS) as the carrier material were developed [1]–[3]. However, it was found that only silicone-based adhesives would form strong adhesion between the PDMS and the bone surface. This type M Manuscript received January 1, 2007; revised August 29, 2007; accepted August 31, 2007. The associate editor coordinating the review of this paper and approving it for publication was Prof. Fabien Josse. G. Y. Yang is with the Department of Electrical Engineering and Computer Science, University of California, Irvine, CA 92697 USA (e-mail: gyyang@uci. edu). G. Johnson is with the Department of Biomedical Engineering Department, University of California, Irvine, CA 92697 USA (e-mail: [email protected]). W. C. Tang is with the Departments of Biomedical Engineering and Electrical Engineering and Computer Science, University of California, Irvine, CA 92697 USA (e-mail: [email protected]). J. H. Keyak is with the Departments of Orthopaedic Surgery and Biomedical Engineering, University of California, Irvine, CA 92697 USA (e-mail: [email protected]). Color versions of one or more of the figures in this paper are available online at http://ieeexplore.ieee.org. Digital Object Identifier 10.1109/JSEN.2007.909923 Fig. 1. Drawing of the gauge design. L is the gauge length, w is the trace width, p is the pitch between turns, and n is the number of turns. of adhesives usually requires a day to be fully cured at room temperature, making PDMS-based sensors less desirable for measuring bone surface deformations in vivo. Hence, this paper presents a new type of carrier material for strain sensors for this specific application. II. DESIGN AND SIMULATION A. Design Chlorine-substituted poly-para-xylylene (Parylene-C) has been widely used as a material to encapsulate medical devices such as cardiac pacemakers [4], probes for neural prostheses [5], neurocages [6], and cell manipulation platforms [7]. Its wide popularity is due to its biocompatibility, low moisture vapor transmission rate compared with epoxy, silicones, and urethanes [8], and ease with which a conformal layer can be deposited at room temperature. Therefore, Parylene-C was chosen as the carrier material for strain sensors reported in this paper. The operating principle of the current strain gauge is based on piezoresistivity as the transduction mechanism. The fractional change in resistance is proportional to the applied strain in direct response to induced stress. The gauge piezoresistive metal was designed with a serpentine pattern with a target resistance of 180 . Previously, it was found that metal trace failures often occurred at the corners of the turns during fabrication. In order to increase the fabrication yield and mechanical robustness of the gauges, an end loop at each turn and tapered traces from the bond pads were incorporated in the design, as illustrated in Fig. 1. To ensure that attachment of the strain gauge to the bone surface would produce a negligible effect on the bone behavior, the stiffness of the device should be much less than that of the target bone. The Young’s modulus of Parylene-C is between 2 and 5 Ga [5], which is an order of magnitude lower than that of human cortical bone (20.5 GPa) and trabecular bone tissue (18 GPa) [9], [10]. According to [11], the cortical thickness 1530-437X/$25.00 © 2007 IEEE 1694 IEEE SENSORS JOURNAL, VOL. 7, NO. 12, DECEMBER 2007 varied from 0.3 mm at the superior half of the human femoral neck to 6 mm thick at the inferior half of the neck. The matrix length and width of the sensor of 6.1 and 4.1 mm, respectively, and the cortical thickness of 1 mm were used in the analysis of sensor influence on the bone biomechanics. From (1) and (2), a total Parylene-C membrane thickness of 12 m, which was two orders of magnitude less than the calculated requirement, was chosen for the device reported in this paper (1) (2) where is the stiffness, is the cross-sectional area, is the Young’s modulus, is the length of the senor or bone, and is the thickness. A Wheatstone bridge circuit configuration was usually adopted to measure the change in the resistances of the strain gauges. According to [12], the power consumption of the Wheatstone bridge was inversely proportional to the gauge resistance, as shown in (3). In this design, the overall power budget was estimated to be 100 W with gauge resistor of 100 . As our device resistance is higher than 100 , hence less power would be consumed. The power could be supplied to the sensor through inductive coupling once it is fully implanted Fig. 2. Example of simulated plots of strain gauges by ANSYS with tensile deformation of 20 m in uniaxial direction. These showed the stress distribution (left plot) and strain distribution (right plot) in the gauge region. The color scheme indicates different stress and strain levels. In the stress distribution plot, navy blue –53 MPa and green –241 MPa. In the strain distribution –.025% of strain, and teal –0.27% of strain. plot, light blue : : =5 = 0 18% = 194 = 0 25% (3) where is the power dissipated through the Wheatstone is the initial rebridge, is the gauge factor of the sensor, is the minimum measurement sistance of the strain gauge, is the input noise of the first amplifier, and resolution, is the bridge bias voltage. Fig. 3. Process flow for the microstrain sensor. (a) Deposit a stress-free flexible membrane of Parylene-C (6-m thick) as the bottom structural layer. (b) E-beam evaporate 10-nm Cr and 120-nm Au, followed by wet etch to pattern the metal traces. (c) Deposit the top structural layer of Parylene-C of 6-m thickness. (d) Etch Parylene-C with oxygen plasma to expose the wire bonding pads. (e) Peel off the device from silicon wafer, and bond wires to electrode pads. B. Simulations To verify the designs, ANSYS finite-element modeling tool was used. The strain and stress distributions within the gauges were investigated when they were under tensile deformations in the and directions. The model included a thin-film gold m, m, m gauge with dimensions of , embedded in the center of a 1 cm 1 cm and Paylene-C membrane. A 2D-model was adopted, since thickness of the gauges was approximately two orders of magnitude less than the width of the traces. In all simulations, deformations were applied to the edges of the Parylene-C membrane. Fig. 2 shows a uniform stress distribution along the gauge lengths and high stress concentrations at the corners of the turns. The gauge was uniformly elongated with average strain close to the applied strain of 0.2%, validating the feasibility of the Parylene-based strain gauge design. III. FABRICATION The thin metal film gauges sandwiched by membranes of Paylene-C were fabricated using surface micromachining technology. The process only requires two masks and the steps are described in details below and shown in Fig. 3. 1) First layer of Parylene-C: A 6- m Parylene-C layer was deposited using the Parylene deposition equipment (Specialty Coating Systems, Model PDS-2010 Labcoter© 2). The Parylene thickness depended on the amount of evaporated polymer. It was 1 m of Parylene-C deposited per 1 g of polymer. 2) Patterning metal traces: A 120-nm gold film with a 10-nm chrome adhesion layer was deposited onto the Parylene layer with e-beam evaporation. Photolithography was used followed by wet etching to pattern the metal gauges. 3) Second layer of Parylene-C: Another 6- m Parylene-C layer was deposited to encapsulate the metal traces. 4) Exposure of bond pads: Since the etch rate of AZ-4620 photoresist is faster than Parylene-C [13], a thicker layer m was patterned on the of AZ-4620 photoresist Parylene-C. The Parylene-C was etched using reactive ion etching (RIE) (Plasma-Therm 790 Series), with oxygen flows set at 50 sccm, pressure at 200 mT, and power at 350 W. The etching rate was found to be approximately 0.5 m min. 5) Device separation: Each individual device was peeled off from the silicon wafer. YANG et al.: PARYLENE-BASED STRAIN SENSORS FOR BONE Fig. 4. Example of fabricated device. The matrix length and width of the device were 6.1 and 4.1 mm, respectively. The gauge length and grid width of the sensor were 350 and 390 m, respectively. Inset shows the enlarged picture of the gauge region. 1695 Fig. 5. Sample under test in the Instron machine. Inset shows the extensometer in use to measure the reference strain in the region where our device and the commercial gauge were attached. Gauges with two different lengths, 350 and 500 m, width of 10 m and pitch of 10 m between each turn were fabricated, as shown in Fig. 4. IV. CHARACTERIZATIONS AND RESULTS Two types of experiments were conducted to characterize the performance of the devices. A. Electromechanical Testing Aluminum rods were machined according to ASTM E8-01 standard [14], with a diameter of 6.35 mm (0.25 in.) at the reduced section and gauge length of 2.54 cm (1 in.). The surface of the rods was pretreated with ethanol to remove oil and grease, then abraded with silicon-carbide paper to remove thin oxides, and finally reapplied ethanol repeatedly till no discoloring occurred. All devices were installed within 30 min on the aluminum rods after the surface preparation. The strain gauges were affixed onto the aluminum rods with certified M-Bond 200 (Vishay Micro-Measurements) adhesive. Commercial strain gauges (Omega Engineering, Inc.) were also installed on the rods next to our devices using the same procedures. After wires were soldered on the bonding pads, epoxy adhesive (Hysol M-31Cl, Loctite) was used to encapsulate the bonding regions to provide robust wire bonds, as well as a protective coating. The specimens were left at room temperature for more than 72 h before tensile testing was performed. In order to obtain repeatability of the results, aluminum rods would need to be maintained within the elastic region when the devices were under test. To do so, an Instron testing machine (model 3367) with an extensometer was used to characterize the mechanical properties of the aluminum rod by applying longitudinal tensile forces. From the result, the yield strain of the rod was found to be approximately 0.2%. The Young’s modulus, yield strength, and ultimate tensile strength were also found to be 58 GPa, 128 MPa, and 173 MPa, respectively. These values were close to those provided by the manufacture, hence validating the testing method and setup. The Instron machine was again used to apply tensile forces to the aluminum rods with strain gauges on them. The extensometer was placed in the reduced section of the rod across the gauges for measuring the reference strain (as illustrated in Fig. 5). The gauges under test were prestrained three times to 10% , to ensure more than the intended test strain, i.e., 1000 Fig. 6. Strain sensitivities of the measured Parylene-based gauge and commercial gauge. The Parylene-based gauge demonstrated repeatable data when it was tested from 0% to 1% of strain for six test runs. that the yield strain of the aluminum rod was not reached. The strain loading cycles were Each strain gauge was tested in at least four runs. The resistance changes of our device and the commercial strain gauge were measured with digital multimeters (HP34401A) and recorded in real-time simultaneously by computers, while the devices were tested. The relative change in resistances was calculated in order to find the gauge sensitivity. Examples of measured results are plotted in Fig. 6. The gauge factor , can be obtained from the slope of the curves with the following equation: (4) where is the percent resistance change, and is the strain experienced by the strain gauge. The average gauge factor of the Parylene-based gauges was 2.56, with standard deviation of 0.06, and standard uncertainty of 0.015 over 16-test runs with three different gauges from the same batch. The average gauge sensitivity of commercial strain gauges was calculated to be 1.03 with standard deviation of 0.097 and standard uncertainty of 0.024 over 15- test runs with three gauges, although the gauge factor provided by the manufacturer was 2. An example of measured strain sensitivity and the calculated correlation coefficients from a tested Parylenebased and a commercial gauges over six test runs were listed 1696 IEEE SENSORS JOURNAL, VOL. 7, NO. 12, DECEMBER 2007 TABLE I COMPARISON OF THE SENSITIVITY, LINEARITY AND REPEATABILITY OF A PARYLENE-BASED AND A COMMERCIAL GAUGE in Table I. The measured gauge sensitivities of the Parylenebased gauges were found to be approximately 2.5 times higher than those of the commercial gauges. This could be due to different materials used, i.e., ours was gold and the commercial gauge was made of constantan. Different sensor dimensions could also play a role, especially when the thicknesses differ by an order of magnitude. Moreover, different manufacturing process (e-beam evaporation against electroplating) could cause the grain size and grain boundary thickness of the metal materials to differ and, hence, contribute to higher gauge factor. The Parylene-based gauges also demonstrated a linear relationship with changes in resistance versus strain for a large range of strain. The data showed a high degree of linearity with correlation coefficients, , higher than 0.9991 and 0.9929 for the Parylene-based and commercial gauges, respectively. Furthermore, it was observed that the metal traces of the Parylene-based gauge yielded, causing open circuit, when it was elongated to 2.2% of strain. According to [15], the tensile yield strain for human cortical bone and trabecular tissue were found to be 0.73 0.05% and 0.62 0.04%, respectively. The measured results demonstrated that the device was capable of monitoring strain in the required strain range below the yield strain, i.e., 0 to 0.5%, for nondestructive bone testing in vivo. The Parylene-based gauges are also suitable for measuring surface strain in the osteoporotic femoral head, where the strain levels (av) were found to be 70% higher on average erage of 520 ) [16]. than those in a healthy one (average of 304 Fig. 7. (a) Sample under test in the MTS hydraulic machine. (b) Close-up picture of the bone specimen after it had been fractured into two pieces. The Parylene-based gauge also broke into two pieces, indicating its ability to conform to the bone surface deformation well and to measure the maximum strain when the bone fractured. B. Three-Point Bending on Chicken Tibiae Chicken tibiae were chosen as test specimens for the threepoint bending for convenience and cost considerations. To expose the bone surfaces, the soft tissues on the chicken tibiae were removed with a scalpel. The ends of the bones were cut, so that they could fit into a metal mold. Polymethyl-methacrylate (PMMA) was mixed in 1:5 ratio by volume. The mixed solution was poured into the mold where the bone had been fixed in the desired location. Once it was cured, 2.54 cm (1 in.)-cubic PMMA was formed at each end of the tibiae. The tibiae were wrapped with wet cloths to maintain the moisture on bone surface during the molding. Ethanol was used to remove the grease on the bone surfaces before strain gauges were installed with M-Bond 200 adhesive. Parylene-based gauges and commercial gauges were placed at equidistance (5 mm) from the midpoint of the tibiae. Epoxy was Fig. 8. Strain measurements of the three chicken tibiae. The top graph shows the force that was applied to the tibiae versus time. The bottom graph shows the strain measurements of Parylene-based and commercial gauges versus time. used to secure the bonding sites after wires were soldered onto the bond pads. A materials testing system (MTS) servo-hydraulic testing machine was set up to apply three-point bending loading with free ends to the chicken tibiae (as shown in Fig. 7). A force was applied to the center of the bone, on the side opposite the gauges. In such cases, the gauges experienced tension. Both gauges monitored the bone surface strain simultaneously YANG et al.: PARYLENE-BASED STRAIN SENSORS FOR BONE as the force was applied, and the resistances of the sensors were measured in real-time by digital multimeters and recorded by computers. Since strain gauges could not be reused, new strain gauges were installed on each chicken tibia for testing. Bone surface strains were calculated from the measured changes in resistances recorded from both Parylene-based gauges and commercial gauges. As bone surfaces are irregular, the strain distributions would be different as the positions varied. This caused the measured strain levels from both gauges to differ slightly, as shown in the plots for specimen 1 and 3 in Fig. 7(b). However, the curves from both gauges in the plot exhibited similar profiles for specimen 2. The Parylene-based gauges demonstrated the ability to measure strain up to 2.6%, at which point the bone fractured into two as illustrated in Figs. 7(b) and 8. V. CONCLUSION This paper has presented the design and fabrication of a microstrain gauge encapsulated in a biocompatible Parylene-C membrane. It has been shown that these gauges exhibit greater strain sensitivities, hence providing better strain data resolution than that of the commercial gauge tested in this work. The capability of these gauges to monitor strain on chicken tibiae has also been demonstrated. Ultimately, this Parylene-based strain gauge combined with a wireless telemetry circuit can be used to monitor the real-time surface deformation of a bone in vivo. ACKNOWLEDGMENT The authors would like to thank T. Kaneko, W. Dang, Y.-H. Hsu, and W.-M. Wong for their technical assistances. 1697 [9] C. H. Turner, J. Rho, Y. Takano, T. Y. Tsui, and G. M. Pharr, “The elastic properties of trabecular and cortical bone tissues are similar: Results from two microscopic measurement techniques,” J. Biomechanics, vol. 32, pp. 437–441, 1999. [10] J. Y. Rho, R. B. Ashman, and C. H. Turner, “Young’s modulus of trabecular and cortical bone material: Ultrasonic and microtensile measurements,” J. Biomechanics, vol. 26, pp. 111–119, 1993. [11] C. M. Bagi, D. Wilkie, K. Georgelos, D. Williams, and D. Bertolini, “Morphological and structural characteristics of the proximal femur in human and rat,” Bone, vol. 21, pp. 261–267, 1997. [12] S. Colin, “Low Power Integrated Circuit for the Signal Conditioning of a Wireless Bone Strain Sensor Implant,” M.S. thesis, Inst. Microtechnology, Univ. Neuchatel (IMT), Neuchatel, Switzerland, 2007. [13] E. Meng and Y. C. Tai, “Parylene etching techniques for microfluidics and bioMEMS,” in Proc. 18th IEEE Int. Conf. MEMS, 2005, pp. 568–571. [14] “Standarad testing methods for tension testing of metallic materials (E8-01),” 2002, vol. 03.01, Annual book of ASTM Standards, pp. 60–81. [15] H. H. Bayraktar, E. F. Morgan, G. L. Niebur, G. E. Morris, E. K. Wong, and T. M. Keaveny, “Comparison of the elastic and yield properties of human femoral trabecular and cortical bone tissue,” J. Biomechanics, vol. 37, pp. 27–35, 2004. [16] B. V. Rietbergen, R. Huiskes, F. Eckstein, and P. Ruegsegger, “Trabecular bone tissue strains in the healthy and osteoporotic human femur,” J. Bone Mineral Res., vol. 18, pp. 1781–1788, 2003. Gloria Y. Yang (S’04) received the B.E. degree in electrical engineering and the M.S. degree in biomedical engineering from the University of New South Wales, Sydney, Australia, in 2000. She is currently working towards the Ph.D. degree in the Department of Electrical Engineering and Computer Sciences at University of California, Irvine. Garrett Johnson was born in Riverside, CA, and now lives in Irvine, CA. He is a fourth year biomedical engineering major and plans to work in the biotechnology field after graduation. He also has plans to attend graduate school in the future. REFERENCES [1] G. Y. Yang, V. J. Bailey, Y.-H. Wen, G. Lin, W. C. Tang, and J. H. Keyak, “Fabrication and characterization of microscale sensors for bone surface strain measurement,” in Proc. 3rd IEEE Int. Conf. Sensors, Vienna, Austria, Oct. 2004, pp. 1355–1358. [2] Y.-H. Wen, G. Y. Yang, V. J. Bailey, G. Lin, W. C. Tang, and J. H. Keyak, “Mechanically robust micro-fabricated strain gauges for use on bones,” in Proc. 3rd Annu. Int. IEEE EMBS Special Topic Conf. Microtechnol. Med. Biol., Kahuku, Oahu, HI, May 2005, pp. 302–304. [3] G. Y. Yang, V. J. Bailey, G. Lin, W. C. Tang, and J. H. 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Craighead, “Micro- and nanofabricating lipid patterns using a polymerbased wet lift-off,” Proc. Mater. Res. Soc. Symp., vol. 705, pp. Y7.18. 1–Y7.18.6, 2002. [8] “Specifications & properties of parylene from specialty coating systems.” [Online]. Available: http://www.scscoatings.com/parylene_knowledge/specifications.cfm William C. Tang (S’86–M’90–SM’02) received the B.S., M.S., and Ph.D. degrees in electrical engineering and computer sciences from the University of California at Berkeley, Berkeley, in 1980, 1982, and 1990, respectively. His invention and seminal thesis work on the electrostatic comb drive has become one of the crucial building blocks for many sensors and actuators in the MEMS field. His career includes developing MEMS for the automotive industry, while working at the Ford Research Laboratory, Dearborn, MI, and Ford Microelectronics, Inc., Colorado Springs, CO. In 1996, he joined the Jet Propulsion Laboratory, Pasadena, CA, and pursued MEMS applications for space explorations. In 1999, he assumed the responsibility as the Program Manager for the MEMS programs at the Defense Advanced Research Projects Agency. In 2002, he joined the faculty as a Professor with the Department of Biomedical Engineering, University of California, Irvine, with a joint appointment with the Department of Electrical Engineering and Computer Science. His current research interests are in micro and nanoscale technologies for wireless medical implants and microbiomechanics. Dr. Tang is a member of the Biomedical Engineering Society, a Fellow and Chartered Physicist with the Institute of Physics, and a Fellow of the American Institute for Medical and Biological Engineering. Joyce H. Keyak did her undergraduate work at the University of California, Berkeley, in mechanical engineering and received the Ph.D. degree from the University of California, San Francisco/Berkeley (Joint Program in Bioengineering). She specializes in the biomechanics of bone and in evaluating the effects of osteoporosis and tumors on bone strength.
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