Biphasic Current Stimulus Research Articles

Minimally Invasive Hypoglossal Nerve Stimulator Enabled by ECG Sensor and WPT to Manage Obstructive Sleep Apnea

A hypoglossal nerve stimulator (HGNS) is an invasive device that is used to treat obstructive sleep apnea (OSA) through electrical stimulation. The conventional implantable HGNS device consists of a stimuli generator, a breathing sensor, and electrodes connected to the hypoglossal nerve via leads. However, this implant is bulky and causes significant trauma. In this paper, we propose a minimally invasive HGNS based on an electrocardiogram (ECG) sensor and wireless power transfer (WPT), consisting of a wearable breathing monitor and an implantable stimulator. The breathing external monitor utilizes an ECG sensor to identify abnormal breathing patterns associated with OSA with 88.68% accuracy, achieved through the utilization of a convolutional neural network (CNN) algorithm. With a skin thickness of 5 mm and a receiving coil diameter of 9 mm, the power conversion efficiency was measured as 31.8%. The implantable device, on the other hand, is composed of a front-end CMOS power management module (PMM), a binary-phase-shift-keying (BPSK)-based data demodulator, and a bipolar biphasic current stimuli generator. The PMM, with a silicon area of 0.06 mm2 (excluding PADs), demonstrated a power conversion efficiency of 77.5% when operating at a receiving frequency of 2 MHz. Furthermore, it offers three-voltage options (1.2 V, 1.8 V, and 3.1 V). Within the data receiver component, a low-power BPSK demodulator was ingeniously incorporated, consuming only 42 μW when supplied with a voltage of 0.7 V. The performance was achieved through the implementation of the self-biased phase-locked-loop (PLL) technique. The stimuli generator delivers biphasic constant currents, providing a 5 bit programmable range spanning from 0 to 2.4 mA. The functionality of the proposed ECG- and WPT-based HGNS was validated, representing a highly promising solution for the effective management of OSA, all while minimizing the trauma and space requirements.

Spontaneous Oscillatory Rhythms in the Degenerating Mouse Retina Modulate Retinal Ganglion Cell Responses to Electrical Stimulation

Characterization of the electrical activity of the retina in the animal models of retinal degeneration has been carried out in part to understand the progression of retinal degenerative diseases like age-related macular degeneration (AMD) and retinitis pigmentosa (RP), but also to determine optimum stimulus paradigms for use with retinal prosthetic devices. The models most studied in this regard have been the two lines of mice deficient in the β-subunit of phosphodiesterase (rd1 and rd10 mice), where the degenerating retinas exhibit characteristic spontaneous hyperactivity and oscillatory local field potentials (LFPs). Additionally, there is a robust ~10 Hz rhythmic burst of retinal ganglion cell (RGC) spikes on the trough of the oscillatory LFP. In rd1 mice, the rhythmic burst of RGC spikes is always phase-locked with the oscillatory LFP and this phase-locking property is preserved regardless of postnatal ages. However, in rd10 mice, the frequency of the oscillatory rhythm changes according to postnatal age, suggesting that this rhythm might be a marker of the stage of degeneration. Furthermore when a biphasic current stimulus is applied to rd10 mice degenerate retina, distinct RGC response patterns that correlate with the stage of degeneration emerge. This review also considers the significance of these response properties.

A programmable closed-loop recording and stimulating wireless system for behaving small laboratory animals.

A portable 16-channels microcontroller-based wireless system for a bi-directional interaction with the central nervous system is presented in this work. The device is designed to be used with freely behaving small laboratory animals and allows recording of spontaneous and evoked neural activity wirelessly transmitted and stored on a personal computer. Biphasic current stimuli with programmable duration, frequency and amplitude may be triggered in real-time on the basis of the recorded neural activity as well as by the animal behavior within a specifically designed experimental setup. An intuitive graphical user interface was developed to configure and to monitor the whole system. The system was successfully tested through bench tests and in vivo measurements on behaving rats chronically implanted with multi-channels microwire arrays.

Bio-impedance characterization technique with implantable neural stimulator using biphasic current stimulus.

Knowledge of the bio-impedance and its equivalent circuit model at the electrode-electrolyte/tissue interface is important in the application of functional electrical stimulation. Impedance can be used as a merit to evaluate the proximity between electrodes and targeted tissues. Understanding the equivalent circuit parameters of the electrode can further be leveraged to set a safe boundary for stimulus parameters in order not to exceed the water window of electrodes. In this paper, we present an impedance characterization technique and implement a proof-of-concept system using an implantable neural stimulator and an off-the-shelf microcontroller. The proposed technique yields the parameters of the equivalent circuit of an electrode through large signal analysis by injecting a single low-intensity biphasic current stimulus with deliberately inserted inter-pulse delay and by acquiring the transient electrode voltage at three well-specified timings. Using low-intensity stimulus allows the derivation of electrode double layer capacitance since capacitive charge-injection dominates when electrode overpotential is small. Insertion of the inter-pulse delay creates a controlled discharge time to estimate the Faradic resistance. The proposed method has been validated by measuring the impedance of a) an emulated Randles cells made of discrete circuit components and b) a custom-made platinum electrode array in-vitro, and comparing estimated parameters with the results derived from an impedance analyzer. The proposed technique can be integrated into implantable or commercial neural stimulator system at low extra power consumption, low extra-hardware cost, and light computation.

An Integrated 256-Channel Epiretinal Prosthesis

This paper reports an integrated 256-channel epiretinal prosthesis integrated circuit (IC). This epiretinal prosthesis system consists of a power telemetry subsystem to deliver 100 mW power, a data telemetry subsystem to transfer 2 Mbps data, digital controllers to decode stimulation patterns, and a 256-channel stimulator to generate user programmable bi-phasic current stimuli. In this study, dual-band telemetry is adopted to achieve both high power efficiency and high data rate. Frequencies of 2 and 22 MHz are chosen for power and data carrier frequencies, respectively. A mixed-mode and multiple-voltage design is applied to the stimulator for withstanding a high-compliance voltage of ± 10 V at the output stage as well as for reducing the area of each pixel. To add flexibility to the stimulator, each pixel has a local digital controller, which enables the stimulator IC to generate 256 parallel stimulations with various pulse widths and amplitudes. The chip is fabricated in TSMC 0.18 μm 32 V CMOS process with 256 area pads constructed above the stimulus current drivers.

Uniqueness and Stability of Action Potential Models during Rest, Pacing, and Conduction Using Problem-Solving Environment

Development and application of physiologically detailed dynamic models of the action potential (AP) and Ca 2+ cycling in cardiac cells is a rapidly growing aspect of computational cardiac electrophysiology. Given the large scale of the nonlinear system involved, questions were recently raised regarding reproducibility, numerical stability, and uniqueness of model solutions, as well as ability of the model to simulate AP propagation in multicellular configurations. To address these issues, we reexamined ventricular models of myocyte AP developed in our laboratory with the following results. 1), Recognizing that the model involves a system of differential-algebraic equations, a procedure is developed for estimating consistent initial conditions that insure uniqueness and stability of the solution. 2), Model parameters that can be used to modify these initial conditions according to experimental values are identified. 3), A convergence criterion for steady-state solution is defined based on tracking the incremental contribution of each ion species to the membrane voltage. 4), Singularities in state variable formulations are removed analytically. 5), A biphasic current stimulus is implemented to completely eliminate stimulus artifact during long-term pacing over a broad range of frequencies. 6), Using the AP computed based on 1–5 above, an efficient scheme is developed for computing propagation in multicellular models.

High Resolution Implantable Microsystem and Probe Design for Retinal Prosthesis

By a retinal prosthesis, the researchers have been able to stimulate a limited number of neurons (around 100) by biphasic current stimulus to reproduce an image spatially by multiplexing technique. For functional restoration of sight (visual acuity 20/80), we are to stimulate at least 2500 neurons/mm2. We are far behind that target. The time required by biphasic current stimulus, the sequential stimulation by multiplexing technique, and the conventional probes used for stimulation limits our ability to stimulate large number of neurons and maintains the persistence of vision. To address this problem, we have designed high resolution donut probes and used them in designing neural implant chip (NIC) applying parallel multiplexing technique, which helped us stimulate large number of neurons. This paper presents the design of a donut probe and an implantable CMOS-based 5x5 array NIC to demonstrate that idea. This 5x5 array NIC is scalable to any larger array. It uses external clock, which makes it suitable for any data rate. The programmable biphasic width controller (BWC) used in this design is capable of generating various kinds of stimulus for stimulation. NIC doesn’t need address to route the pixels, which reduces the data transmission overhead. 0.5 µm CMOS technology is used to fabricate NIC with donut probes. Test results verify our technique of increasing the resolution.

Pulse frequency modulation based CMOS image sensor for subretinal stimulation

We have developed a CMOS image sensor based on pulse frequency modulation for subretinal implantation. The sensor chip forms part of the proposed intraocular retinal prosthesis system where data and power transmission are provided wirelessly from an extraocular unit. Image sensing and electrical stimulus are integrated onto the same chip. Image of sufficient resolution has been demonstrated using 16/spl times/16 pixels. Biphasic current stimulus pulses at above threshold levels of the human retina (500 /spl mu/A) at varying frame rates (4 Hz to 8 kHz) have been achieved. The implant chip was fabricated using standard CMOS technology.

A neuro-stimulus chip with telemetry unit for retinal prosthetic device

In this retinal prosthesis project, a rehabilitative device is designed to replace the functionality of defective photoreceptors in patients suffering from retinitis pigmentosa (RP) and age-related macular degeneration (AMD). The device consists of an extraocular and an intraocular unit. The implantable component receives power and a data signal via a telemetric inductive link between the two units. The extraocular unit includes a video camera and video processing board, a telemetry protocol encoder chip, and an RF amplifier and primary coil. The intraocular unit consists of a secondary coil, a rectifier and regulator, a retinal chip with a telemetry protocol decoder, a stimulus signal generator, and an electrode array. This paper focuses on the design, fabrication, and testing of a microchip which serves as the telemetry protocol decoder and stimulus signal generator. It is fabricated by MOSIS with 1.2-mm CMOS technology and was demonstrated to provide the desired biphasic current stimulus pulses for an array of 100 retinal electrodes at video frame rates.