Abstract

The ingress of body fluids or their constituents is one of the main causes of failure of active implantable medical devices (AIMDs). Progressive delamination takes its origin at the junctions where exposed electrodes and conductive pathways enter the implant interior. The description of this interface is considered challenging because electrochemically-diffusively coupled processes are involved. Furthermore, standard tests and specimens, with clearly defined 3-phase boundaries (body fluid-metal-polymer), are lacking. We focus on polymers as substrate and encapsulation and present a simple method to fabricate reliable test specimens with defined boundaries. By using silicone rubber as standard material in active implant encapsulation in combination with a metal surface, a corrosion-triggered delamination process was observed that can be universalised towards typical AIMD electrode materials. Copper was used instead of medical grade platinum since surface energies are comparable but corrosion occurs faster. The finding is that two processes are superimposed there: First, diffusion-limited chemical reactions at interfaces that undermine the layer adhesion. The second process is the influx of ions and body fluid components that leave the aqueous phase and migrate through the rubber to internal interfaces. The latter observation is new for active implants. Our mathematical description with a Stefan-model coupled to volume diffusion reproduces the experimental data in good agreement and lends itself to further generalisation.

Highlights

  • Neural prostheses emit electrical signals directly into nerve paths restoring lost neural functions

  • According to the EU Medical Device Regulation, neural prostheses are active implantable medical devices (AIMDs) which belong to the highest risk Class III of medical devices

  • The cochlear implant serves as a blueprint and frame of reference for the developed specimen in this study, as it is the most commonly implanted neural prosthesis [4]

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Summary

Introduction

Neural prostheses emit electrical signals directly into nerve paths restoring lost neural functions. In this way, neural faults and dysfunctions can be treated. This study addresses neural prostheses, which are implanted permanently into the human body and exposed to its fluids [1,2,3]. The cochlear implant serves as a blueprint and frame of reference for the developed specimen in this study, as it is the most commonly implanted neural prosthesis [4]. In this kind of prosthesis, an electrode array forms the interface between the implant and the nervous system.

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