Abstract

Objective: Intuitive control of conventional prostheses is hampered by their inability to provide the real-time tactile and proprioceptive feedback of natural sensory pathways. The macro-sieve electrode (MSE) is a candidate interface to amputees’ truncated peripheral nerves for introducing sensory feedback from external sensors to facilitate prosthetic control. Its unique geometry enables selective control of the complete nerve cross-section by current steering. Unlike previously studied interfaces that target intact nerve, the MSE’s implantation requires transection and subsequent regeneration of the target nerve. Therefore, a key determinant of the MSE’s suitability for this task is whether it can elicit sensory percepts at low current levels in the face of altered morphology and caliber distribution inherent to axon regeneration. The present in vivo study describes a combined rat sciatic nerve and behavioral model developed to answer this question.Approach: Rats learned a go/no-go detection task using auditory stimuli and then underwent surgery to implant the MSE in the sciatic nerve. After healing, they were trained with monopolar electrical stimuli with one multi-channel and eight single-channel stimulus configurations. Psychometric curves derived by the method of constant stimuli (MCS) were used to calculate 50% detection thresholds and associated psychometric slopes. Thresholds and slopes were calculated at two time points 3 weeks apart.Main Results: For the multi-channel stimulus configuration, the average current required for stimulus detection was 19.37 μA (3.87 nC) per channel. Single-channel thresholds for leads located near the nerve’s center were, on average, half those of leads located near the periphery (54.92 μA vs. 110.71 μA, or 10.98 nC vs. 22.14 nC). Longitudinally, 3 of 5 leads’ thresholds decreased or remained stable over the 3-week span. The remaining two leads’ thresholds increased by 70–74%, possibly due to scarring or device failure.Significance: This work represents an important first step in establishing the MSE’s viability as a sensory feedback interface. It further lays the groundwork for future experiments that will extend this model to the study of other devices, stimulus parameters, and task paradigms.

Highlights

  • Conventional prostheses’ lack of tactile and proprioceptive feedback is one of several factors contributing to their abandonment

  • The present study developed a combined rat sciatic nerve and behavioral model to characterize the macro-sieve electrode (MSE)’s performance as a sensory feedback interface

  • method of constant stimuli (MCS) was applied for nine different monopolar stimulus configurations in which the MSE stimulated the nerve and titanium screws embedded in the skull provided a return path for current stimuli

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Summary

Introduction

Conventional prostheses’ lack of tactile and proprioceptive feedback is one of several factors contributing to their abandonment. Implanted electrodes interfaced with residual nerve tissue can relay information from prosthetic sensors, providing a means to reintroduce sensory feedback to the central nervous system (e.g., Dhillon et al, 2004; Raspopovic et al, 2014; Tan et al, 2015; Davis et al, 2016). The transverse intrafascicular multichannel electrode (TIME) is of similar design but penetrates the nerve perpendicularly This allows leads distributed along its length to interface separate fascicles, enabling selective control of a wider area of nerve (Boretius et al, 2010; Raspopovic et al, 2014; Petrini et al, 2019). The tines penetrate to varying depths so that an axon cluster anywhere within the nerve falls under the ambit of a nearby tine (Davis et al, 2016)

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