Abstract

Peripheral nerve interfaces are a central technology in advancing bioelectronic medicines because these medical devices can record and modulate the activity of nerves that innervate visceral organs. Peripheral nerve interfaces that use electrical signals for recording or stimulation have advanced our collective understanding of the peripheral nervous system. Furthermore, devices such as cuff electrodes and multielectrode arrays of various form factors have been implanted in the peripheral nervous system of humans in several therapeutic contexts. Substantive advances have been made using devices composed of off-the-shelf commodity materials. However, there is also a demand for improved device performance including extended chronic reliability, enhanced biocompatibility, and increased bandwidth for recording and stimulation. These aspirational goals manifest as much needed improvements in device performance including: increasing mechanical compliance (reducing Young’s modulus and increasing extensibility); improving the barrier properties of encapsulation materials; reducing impedance and increasing the charge injection capacity of electrode materials; and increasing the spatial resolution of multielectrode arrays. These proposed improvements require new materials and novel microfabrication strategies. This mini-review highlights selected recent advances in flexible electronics for peripheral nerve interfaces. The foci of this mini-review include novel materials for flexible and stretchable substrates, non-conventional microfabrication techniques, strategies for improved device packaging, and materials to improve signal transduction across the tissue-electrode interface. Taken together, this article highlights challenges and opportunities in materials science and processing to improve the performance of peripheral nerve interfaces and advance bioelectronic medicine.

Highlights

  • Peripheral nerve interfaces (PNI) are implantable electronic medical devices that serve as a physical link between the natural nervous system and human-made computing environments

  • PNI designed for electrical recording or stimulation of peripheral nerve targets often contain multielectrode arrays fabricated using materials commonly used in clinically approved medical devices for neuromodulation such as silicone-based

  • Microfabricated multielectrode arrays for PNI have grown in complexity leading to form factors that including Michigan arrays, Utah arrays, Utah slant arrays, transverse intrafascicular multielectrodes (TIME), longitudinal intrafascicular electrodes (LIFE), regenerative sieve electrodes, tissueengineered electrodes, and other microscale multielectrode arrays (Grill et al, 2009)

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Summary

Introduction

Peripheral nerve interfaces (PNI) are implantable electronic medical devices that serve as a physical link between the natural nervous system and human-made computing environments. PNI designed for electrical recording or stimulation of peripheral nerve targets often contain multielectrode arrays fabricated using materials commonly used in clinically approved medical devices for neuromodulation such as silicone-based In addition to managing reliability at the tissue-device interface, there are several other dimensions of materials challenges that limit the performance, and the practical application, of PNI as tools to advance bioelectronic medicine.

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