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Remote Stimulation of Sciatic Nerve Using Cuff Electrodes and Implanted Diodes

机译:使用袖带电极和植入二极管远程刺激坐骨神经

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摘要

We demonstrate a method of neurostimulation using implanted, free-floating, inter-neural diodes. They are activated by volume-conducted, high frequency, alternating current (AC) fields and address the issue of instability caused by interconnect wires in chronic nerve stimulation. The aim of this study is to optimize the set of AC electrical parameters and the diode features to achieve wireless neurostimulation. Three different packaged Schottky diodes (1.5 mm, 500 µm and 220 µm feature sizes) were tested in vivo (n = 17 rats). A careful assessment of sciatic nerve activation as a function of diode⁻dipole lengths and relative position of the diode was conducted. Subsequently, free-floating Schottky microdiodes were implanted in the nerve (n = 3 rats) and stimulated wirelessly. Thresholds for muscle twitch responses increased non-linearly with frequency. Currents through implanted diodes within the nerve suffer large attenuations (~100 fold) requiring 1⁻2 mA drive currents for thresholds at 17 µA. The muscle recruitment response using electromyograms (EMGs) is intrinsically steep for subepineurial implants and becomes steeper as diode is implanted at increasing depths away from external AC stimulating electrodes. The study demonstrates the feasibility of activating remote, untethered, implanted microscale diodes using external AC fields and achieving neurostimulation.
机译:我们证明了使用植入的自由漂浮的神经二极管进行神经刺激的方法。它们由音量导通,高频,交流电流(AC)字段激活,并解决慢性神经刺激中互连线引起的不稳定性问题。本研究的目的是优化AC电气参数和二极管特征的集合,以实现无线神经刺激。在体内测试三个不同的肖特基二极管(1.5mm,500μm和220μm特征尺寸)(n = 17只大鼠)。对作为二极管长度的函数的仔细评估坐骨神经激活和二极管的相对位置。随后,在神经(n = 3大鼠)中植入自由浮动肖特基微偶极物并无线刺激。肌肉抽搐响应的阈值与频率不直线性增加。通过神经内的植入二极管电流遭受大的衰减(〜100倍),需要1⁻2MA驱动电流,用于17μA的阈值。使用电灰度(EMGS)的肌肉招募响应是针对皮下植物的本质上陡峭,并且由于二极管植入远离外部交流刺激电极的深度而变得陡峭。该研究展示了使用外部交流场和实现神经刺激激活遥控器,不可阻止的微观二极管的可行性。

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