Stimulation Stability and Selectivity of Chronically Implanted Multicontact Nerve Cuff Electrodes in the Human Upper Extremity

Nine spiral nerve cuff electrodes were implanted in two human subjects for up to three years with no adverse functional effects. The objective of this study was to look at the long term nerve and muscle response to stimulation through nerve cuff electrodes. The nerve conduction velocity remained within the clinically accepted range for the entire testing period. The stimulation thresholds stabilized after approximately 20 weeks. The variability in the activation over time was not different from muscle-based electrodes used in implanted functional electrical stimulation systems. Three electrodes had multiple, independent contacts to evaluate selective recruitment of muscles. A single muscle could be selectively activated from each electrode using single-contact stimulation and the selectivity was increased with the use of field steering techniques. The selectivity after three years was consistent with selectivity measured during the implant surgery. Nerve cuff electrodes are effective for chronic muscle activation and multichannel functional electrical stimulation in humans.      

神经系统感应式电刺激方法的研究

植入式电刺激器由于体积较大给患者活动带来诸多不便,而磁刺激由于磁场衰减快使其很难应用于深部神经刺激.本文提出了一种感应式电刺激的方法,将一个很小的感应线圈埋入皮下,线圈两端接有与神经相接触的电极.刺激时,在体外放置一个与感应线圈同轴的激励线圈,激励线圈在脉冲电流的作用下产生脉冲磁场,使感应线圈中产生感应电动势并在两电极之间的神经上形成电场,从而使神经兴奋.本文通过理论推导,有限元软件仿真和实验的方法对比了采用感应式电刺激和直接磁刺激两种方法时作用在神经上的电场强度大小,结果均表明在增加感应线圈后受刺激神经上的电场强度明显提高.     

电容层析成像系统径向电极对传感器性能及敏感场分布的影响

电容层析成像系统传感器的敏感场分布受多相流介质分布的影响,软场特性给图像重建带来很大困难.该文以8电极油水两相流电容层析成像为研究对象,采用有限元仿真的方法,分析了径向电极及其嵌入尺寸对电容层析成像系统电容值及敏感场分布的影响.通过仿真分析,确定了径向电极的嵌入尺寸,从而能够在缩小测量电容值的动态变化范围,减轻数据采集电路设计难度的同时,提高电容响应的灵敏度,改善传感器敏感场的分布,提高电容层析成像系统的性能.     

Chronic intracortical microstimulation (ICMS) of cat sensory cortex using the Utah Intracortical Electrode Array.

In an effort to assess the safety and efficacy of focal intracortical microstimulation (ICMS) of cerebral cortex with an array of penetrating electrodes as might be applied to a neuroprosthetic device to aid the deaf or blind, we have chronically implanted three trained cats in primary auditory cortex with the 100-electrode Utah Intracortical Electrode Array (UIEA). Eleven of the 100 electrodes were hard-wired to a percutaneous connector for chronic access. Prior to implant, cats were trained to "lever-press" in response to pure tone auditory stimulation. After implant, this behavior was transferred to "lever-presses" in response to current injections via single electrodes of the implanted arrays. Psychometric function curves relating injected charge level to the probability of response were obtained for stimulation of 22 separate electrodes in the three implanted cats. The average threshold charge/phase required for electrical stimulus detection in each cat was, 8.5, 8.6, and 11.6 nC/phase respectively, with a maximum charge/phase of 26 nC/phase and a minimum of 1.5 nC/phase thresholds were tracked for varying time intervals, and seven electrodes from two cats were tracked for up to 100 days. Electrodes were stimulated for no more than a few minutes each day. Neural recordings taken from the same electrodes before and after multiple electrical stimulation sessions were very similar in signal/noise ratio and in the number of recordable units, suggesting that the range of electrical stimulation levels used did not damage neurons in the vicinity of the electrodes. Although a few early implants failed, we conclude that ICMS of cerebral cortex to evoke a behavioral response can be achieved with the penetrating UIEA. Further experiments in support of a sensory cortical prosthesis based on ICMS are warranted.     

Electrodeposited iridium oxide for neural stimulation and recordingelectrodes

Iridium oxide films formed by electrodeposition onto noniridium metal substrates are compared with activated iridium oxide films (AIROFs) as a low impedance, high charge capacity coating for neural stimulation and recording electrodes. The electrodeposited iridium oxide films (EIROFs) were deposited on Au, Pt, PtIr, and 316 LVM stainless steel substrates from a solution of IrCl₄, oxalic acid, and K ₂CO₃. A deposition protocol involving 50 potential sweeps at 50 mV/s between limits of 0.0 V and 0.55 V (versus Ag|AgCl) followed by potential pulsing between the same limits produced adherent films with a charge storage capacity of >25 mC/cm². Characterization by cyclic voltammetry and impedance spectroscopy revealed no differences in the electrochemical behavior of EIROF on non-Ir substrates and AIROF. The mechanical stability of the oxides was evaluated by ultrasonication in distilled water followed by dehydration and rehydration. Stability under charge injection was evaluated using 200 μs, 5.9 A/cm² (1.2 mC/cm²) cathodal pulses. Loss of iridium oxide charge capacity was comparable for AIROFs and the EIROFs, ranging from 1% to 8% of the capacity immediately after activation or deposition. The EIROFs were deposited and evaluated on silicon microprobe electrodes and on metallized polyimide electrodes being developed for neural recording and stimulation applications     

Noninvasive measurement of torque development in the rat foot: measurement setup and results from stimulation of the sciatic nerve with polyimide-based cuff electrodes

In neural rehabilitation, selective activation of muscles after electrical stimulation is mandatory for control of paralyzed limbs. For an evaluation of electrode selectivity, a setup to noninvasively measure the force development after electrical stimulation in the rat foot was developed. The setup was designed in accordance to the anatomical features of the rat model to test the isometric torque development at given ankle positions in an intact leg. In this paper, the setup design and development is presented and discussed. In a first study, the selectivity of small nerve cuffs with 12 electrodes implanted around the rat sciatic nerve was investigated. Special attention was drawn to the performance of the torque measurement setup in comparison to electrophysiological data obtained from compound muscle action potential recordings. Using one cuff around the nerve, electrical stimulation on different electrode tripoles led to plantarflexion and dorsiflexion of the foot without an a priori alignment of the cuff.     

The effect of wrist angle on electrically evoked hand opening in patients with spastic hemiplegia.

This paper studied the effect of wrist angle on the amount of hand opening achieved by electrical stimulation in people with spastic hemiplegia. With their forearm in pronation, subjects were asked to relax while their affected wrist was passively moved in steps of about 15 degrees from full flexion into extension. Trains of stimuli were applied to the long finger extensor muscles through surface electrodes on the forearm. At each wrist position stimulation was turned on for a few seconds until hand opening equilibrated. Wrist angle and fingertip positions were recorded using a three-dimensional (3-D) motion analysis system. Maximal displacements between thumbtip and each fingertip occurred when the wrist was fully flexed. As the wrist was extended, hand aperture achieved by electrical stimulation progressively declined, reaching zero at 40 degrees of wrist extension. We conclude that electrical stimulation can significantly increase the grasp aperture of the hemiplegic hand, but this is strongly dependent on wrist posture and accompanying voluntary effort.     

Optimization of cable terminations

This paper describes a study of various termination constructions for medium voltage cross-linked polyethylene (XLPE) power cables. A special device was used for electrical field measurements around the cable termination which made it possible to monitor how stress relief materials with different permittivity and placement of isolated or grounded embedded electrodes (EE) affected electrical stress grading. The results of measurements for each configuration were examined by mathematical modeling based on the finite element method (FEM). Finally, the selected constructions of cable termination have passed severe test conditions with load cycling     

Fast and precise positioning of single cells on planar electrodesubstrates

For cell biosensors and for studying neural networks using planar electrode substrates, a suitable technique for positioning single cells on electrodes was needed. We reported a new method for fast and efficient positioning of single cells on ring electrodes by controlled suction through holes. We described the microfabrication of electrode substrates with microholes and the cell positioning procedure. L929 cells and Neuro 2A cells could be positioned in parallel without cell damage.     

An investigation of thick PZT films for sensor applications: A case study with different electrode materials

Lead zirconate titanate (PZT) is a piezoelectric material that can sense or respond to mechanical deformations and can be used in ceramic micro-electro-mechanical systems (C-MEMS). A thick-film paste was prepared from a pre-reacted PZT powder (PbZr_0.53Ti_0.47O₃) and thick-film technology (screen-printing and firing) was used to deposit the PZT layers on LTCC tapes and on alumina substrates. The microstructural, electrical and piezoelectric characteristics of the thick PZT films on relatively inert alumina substrates and on LTCC tapes were studied. Preliminary experiments indicated that due to the interaction between the printed PZT layers and the LTCC substrates during firing the electrical characteristics deteriorate significantly. To minimise the influence of substrate-film interactions different electrode materials and the use of additional intermediate layers as a barrier were evaluated. The dielectric permittivities, dielectric losses, and piezoelectric coefficients (d ₃₃) were measured. The dielectric permittivities of the thick films fired on LTCC substrates were lower (210 with gold electrodes and 430 with silver electrodes) than those measured on alumina substrates (500). The piezoelectric coefficients d₃₃ were measured with a Berlincourt piezometer. The d ₃₃ values measured on the LTCC substrates were relatively low (60–80 pC/N) compared with the values obtained for the alumina substrates (around 140 pC/N). The lower dielectric constants and piezoelectric coefficients d ₃₃ of the films on LTCC substrates are attributed to the formation of phases with a lower permittivity. This was a result of the diffusion of SiO₂ from the LTCC into the active PZT layer. The diffusion of silica was confirmed by the SEM and EDS analyses.     

Stimulation artifact in surface EMG signal: effect of the stimulation waveform, detection system, and current amplitude using hybrid stimulation technique

The purpose of this study was to investigate the amplitude properties of the artifact generated on the recorded surface electromyography (EMG) signals during transcutaneous electrical muscle stimulation. The factors which were investigated are the shape of the stimulation waveform, the distance of the stimulating electrode from the recording system, the interelectrode distance of the detection system, the spatial filter used for signal detection, and the stimulation current amplitude. Surface EMG signals were recorded during electrical stimulation of the biceps brachii motor point with a linear adhesive array of eight electrodes. Electrical stimulation was applied with seven stimulation waveforms (mono- and biphasic triangular, sinusoidal, and rectangular), generated by a specifically designed neuromuscular stimulator with hybrid output stage. The stimulation peak current was linearly increased from 0 mA to the maximum tolerated by the subject. The detection systems investigated were single and double differential with interelectrode distances multiple of 5 mm. Two trials for each contraction were performed on three different days. The average rectified artifact values (both absolute and normalized with respect to the corresponding M-wave values) were computed to investigate the artifact amplitude properties. Results indicated that, while the artifact average rectified value, normalized with respect to the M-wave amplitude, depended on the distance of the detecting electrodes from the stimulation point, it did not depend on the stimulation waveform, on the current intensity, on the interelectrode distance, and on the spatial filter. It was concluded that, using hybrid stimulation techniques, the selection of particular stimulation waveforms, interelectrode distances, or spatial filters has a minor effect on the reduction of the artifact when recording M-waves.     

Sites of neuronal excitation by epiretinal electrical stimulation.

Action potentials arising from retinal ganglion cells ultimately create visual percepts. In persons blind from retinitis pigmentosa and age-related macular degeneration, viable retinal ganglion cells remain, and the retina can be stimulated electrically to restore partial sight. However, it is unclear what neuronal elements in the retina are activated by epiretinal electrical stimulation. This study investigated the effects of cellular geometry, electrode to neuron distance, stimulus duration, and stimulus polarity on excitation of a retinal ganglion cell with an epiretinal electrode. Computer-based compartmental models representing simplified retinal ganglion cell morphology provided evidence that the threshold for excitation was lower when an electrode was located in proximity to the characteristic 90 degrees bend in the axon of the retinal ganglion cell than when it was located over a passing axon of the nerve fiber layer. This electrode-position-dependent difference in threshold occurred with both cathodic and anodic monophasic stimuli, with point source and disk electrodes, at multiple electrode-to-neuron distances, and was robust to changes in the electrical properties of the model. This finding reveals that the physical geometry of the retinal ganglion cells produces stimulation thresholds that depend strongly on electrode position. The low excitation thresholds near the bend in the axon will result in activation of cells local to the electrode at lower currents than required to excite passing axons. This pattern of activation provides a potential explanation of how epiretinal electrical stimulation results in the production of punctuate, rather than diffuse or streaky phosphenes.     

Implanted functional electrical stimulation system for mobility in paraplegia: a follow-up case report.

A 16-channel functional electrical stimulation (FES) system has been implanted in a person with T10 paraplegia for over a year. The system consists of two eight-channel radio frequency controlled receiver-stimulators delivering stimuli through a network of 14 epimysial and two intramuscular electrodes. Using this system and a walker for support, the subject was able to stand up for 8 min and walk regularly for 20 m. The standing duration was limited by arm fatigue since upper extremities supported an average of 25% of body weight. This was due to suboptimal hip extension and some undesired recruitment of rectus femoris and sartorius with stimulation of quadriceps electrodes. The left quadriceps exhibited rapid fatigue that limited walking distance and duration. The metabolic energy requirements were well within the aerobic limits of the sedentary paraplegic population. At one-year follow-up evaluation all electrodes are functional except one intramuscular electrode. The implant caused no adverse physiological effects and the individual reported health benefits such as increased energy and overall fitness as a result of the FES system use. With further improvements in muscle response through innovative surgical techniques, the 16-channel implanted FES system can be a viable addition to exercise and mobility function in persons with paraplegia.     

Intraspinal microstimulation generates functional movements after spinal-cord injury

Restoring locomotion after spinal-cord injury has been a difficult problem to solve with traditional functional electrical stimulation (FES) systems. Intraspinal microstimulation (ISMS) is a novel approach to FES that takes advantage of spinal-cord locomotor circuits by stimulating in the spinal cord directly. Previous studies in spinal-cord intact cats showed near normal recruitment order, reduced fatigue, and functional, synergistic movements induced by stimulation through a few microwires implanted over a 3-cm region in the lumbosacral cord. The present study sought to test the feasibility of ISMS for restoring locomotion after complete spinal-cord transection. In four adult male cats, the spinal cord was severed at T10, T11, or T12. Two to four weeks later, 30 wires (30 microm, stainless steel) were implanted, under anesthesia, in both sides of the lumbosacral cord. The cats were then decerebrated. Stimulus pulses (40-50 Hz, 200 micros, biphasic) with amplitudes ranging from 1-4x threshold (threshold = 32 +/- 19 microA) were delivered through each unipolar electrode. Kinetics, kinematics, and electromyographic (EMG) measurements were obtained with the cats suspended over a stationary treadmill with embedded force platforms for the hindlimbs. Phasic, interleaved stimulation through electrodes generating flexor or extensor movements produced bilateral weight-bearing stepping of the hindlimbs with ample foot clearance during swing. Minimal changes in kinematics and little fatigue were seen during episodes of 40 consecutive steps. The results indicate that ISMS is a promising technique for restoring locomotion after injury.     

A discharge-avalanche theory for the propagation of electricaltrees. A physical basis for their voltage dependence

The voltage dependence of electrical tree propagation from both recessed voids and embedded needle electrodes is described in terms of a quantitatively expressed physical model. Voltage dependent changes in the fractal dimension of the trees are used to explain the nonmonotonic behavior observed in the embedded needle geometry. The relationship of the model to inverse power law and `Z' lifeline characteristics is briefly discussed     

New top and bottom electrodes for SrBi2Ta2O9 ferroelectric capacitors

Abstract

SBT is a candidate as the ferroelectric material for large scale FeRAMs with the great advantages of less fatigue and better squareness in its P-E hysteresis curves, while SBT has the disadvantages of higher crystallization temperature that results in difficulties realizing a stacked structure cell and greater damage to its ferroelectric properties from forming gas annealing. This paper presents new top and bottom electrodes to eliminate these disadvantages for SBT. The remanent polarization decreases only slightly after forming gas annealing with the top electrodes of partially oxidized Ru. Ru-O top electrodes show no bubbles or peeling after forming gas. In order to achieve the stacked structure cell for SBT capacitors, a new diffusion barrier was developed. This new diffusion barrier withstands the high temperature annealing that is required to crystallize SBT films. With the new diffusion barrier hysteresis curves could be obtained with electrical connections through Si substrates.     

Phase Development and Electrical Properties of Pb(Yb 1/2 Nb 1/2 )O 3 -PbTiO 3 Epitaxial Films

The growth and electrical properties of Pb(Yb 1/2 Nb 1/2 )O 3 -PbTiO 3 (PYbN-PT) epitaxial films were investigated. PYbN-PT epitaxial films with SrRuO 3 bottom electrodes were grown by pulsed laser deposition. Optimization of the growth conditions for the PYbN-PT epitaxial films was carried out on (100) SrRuO 3 /(100) LaAlO 3 substrates using the (50/50) composition target. It was found that formation of pyrochlore phase could be caused not only by low growth temperatures or lead deficiency, but also by poor surface condition of the SrRuO 3 bottom electrodes. (001) PYbN-PT epitaxial films with good crystalline quality were obtained for a range of deposition rates (60-100 nm/min) and temperatures (620-680 °C) after vacuum annealing the SrRuO 3 bottom electrodes. The ferroelectric and piezoelectric properties of 1 w m-thick PYbN-PT epitaxial films with (50/50) and (60/40) compositions and with (001) and (111) orientations were investigated using (100) LaAlO 3 , (100) SrTiO 3 , and (111) SrTiO 3 substrates with SrRuO 3 bottom electrodes. The highest remanent polarization (29 w C/cm 2 ) and effective piezoelectric coefficient e 31.f ( m 14 C/m 2 ) were observed in the (001) PYbN-PT (50/50) film. The transition temperature of the (001) PYbN-PT (50/50) film was about 380 °C. Because of the degradation of the target during the deposition, a 3 w m-thick film was prepared by three depositions (1 w m each layer). The 3 w m-thick film exhibited a higher e 31.f coefficient of m 19 C/m 2.     

The relationship between electrical stimulus and joint torque: a dynamic model.

The knowledge of the behavior of electrically activated muscles is an important requisite for the development of functional electrical stimulation (FES) systems to restore mobility to persons with paralysis. The aim of this work was to develop a model capable of relating electrical parameters to dynamic joint torque for FES applications. The knee extensor muscles, stimulated using surface electrodes, were used for the experimental preparation. Both healthy subjects and people with paraplegia were tested. The dynamics of the lower limb were represented by a nonlinear second order model, which took account of the gravitational and inertial characteristics of the anatomical segments as well as the damping and stiffness properties of the knee joint. The viscous-elastic parameters of the system were identified experimentally through free pendular movements of the leg. Leg movements induced by quadriceps stimulation were acquired too, using a motion analysis system. Results showed that, for the considered experimental conditions, a simple one-pole transfer function is able to model the relationship between stimulus pulsewidth (PW) and active muscle torque. The time constant of the pole was found to depend on the stimulus pattern (ramp or step) while gain was directly dependent on stimulation frequency.     

Automatic Synchronization of Functional Electrical Stimulation and Robotic Assisted Treadmill Training

This work presents a means to automatically synchronize two promising gait training technologies to address gait deficits in stroke survivors: functional electrical stimulation using intramuscular electrodes (FES-IM) and the Lokomat robotic gait orthosis. A system of hardware and software was developed to achieve the automatic synchronization. A series of bench tests were performed to verify the feasibility and reliability of automatic synchronization. The bench tests showed that automatic synchronization of FES-IM to the Lokomat gait cycle was feasible and reliable. Automatic synchronization was more consistent than manually triggered stimulation (10-fold smaller standard deviation of latency), and produced no early or missed stimulations across 634 strides. Automatic synchronization had greater accuracy than manually triggered stimulation, producing stimulation timed to an accuracy of 2.5% of one gait cycle duration (heel strike to heel strike ).     

Electrochemical characterization of the electrical deposition of Co and properties of deposited films using amorphous ribbons as substrate

Both nonelectrically deposited Co‐P and Co‐Fe‐B and electrically deposited Co films were prepared on rapid‐quenched amorphous alloy ribbons. These Co‐based alloy deposits exhibited characteristic polycrystalline structures, surface morphology, and magnetic properties, which were dependent on the species of the amorphous substrates. The electrochemical polarization measurements of substrate electrodes revealed that the electrocatalysis of substrates (e.g., for the anodic oxidation of reducing agent) thoroughly interpreted the deposition potential and the rate of nonelectrical deposition, and the overpotential of electrical deposition were dependent on alloy element of substrate. These electrochemical parameters influence the initial step of deposition, and hence determine the structural and magnetic properties of the deposits obtained. Furthermore, a basic study of the electrical deposition processes on an amorphous ribbon substrate has been carried out in connection with the structural and magnetic properties of the deposits. © 2000 Scripta Technica, Electr Eng Jpn, 130(4): 17–25, 2000