Wireless Power Transfer Techniques for Implantable Medical Devices:A Review

Wireless power transfer (WPT) systems have become increasingly suitable solutions for the electrical powering of advanced multifunctional micro-electronic devices such as those found in current biomedical implants. The design and implementation of high power transfer efficiency WPT systems are, however, challenging. The size of the WPT system, the separation distance between the outside environment and location of the implanted medical device inside the body, the operating frequency and tissue safety due to power dissipation are key parameters to consider in the design of WPT systems. This article provides a systematic review of the wide range of WPT systems that have been investigated over the last two decades to improve overall system performance. The various strategies implemented to transfer wireless power in implantable medical devices (IMDs) were reviewed, which includes capacitive coupling, inductive coupling, magnetic resonance coupling and, more recently, acoustic and optical powering methods. The strengths and limitations of all these techniques are benchmarked against each other and particular emphasis is placed on comparing the implanted receiver size, the WPT distance, power transfer efficiency and tissue safety presented by the resulting systems. Necessary improvements and trends of each WPT techniques are also indicated per specific IMD

Low Power Circuits for Smart Flexible ECG Sensors

Cardiovascular diseases (CVDs) are the world leading cause of death. In-home heart condition monitoring effectively reduced the CVD patient hospitalization rate. Flexible electrocardiogram (ECG) sensor provides an affordable, convenient and comfortable in-home monitoring solution. The three critical building blocks of the ECG sensor i.e., analog frontend (AFE), QRS detector, and cardiac arrhythmia classifier (CAC), are studied in this research. A fully differential difference amplifier (FDDA) based AFE that employs DC-coupled input stage increases the input impedance and improves CMRR. A parasitic capacitor reuse technique is proposed to improve the noise/area efficiency and CMRR. An on-body DC bias scheme is introduced to deal with the input DC offset. Implemented in 0.35m CMOS process with an area of 0.405mm2, the proposed AFE consumes 0.9W at 1.8V and shows excellent noise effective factor of 2.55, and CMRR of 76dB. Experiment shows the proposed AFE not only picks up clean ECG signal with electrodes placed as close as 2cm under both resting and walking conditions, but also obtains the distinct -wave after eye blink from EEG recording. A personalized QRS detection algorithm is proposed to achieve an average positive prediction rate of 99.39% and sensitivity rate of 99.21%. The user-specific template avoids the complicate models and parameters used in existing algorithms while covers most situations for practical applications. The detection is based on the comparison of the correlation coefficient of the user-specific template with the ECG segment under detection. The proposed one-target clustering reduced the required loops. A continuous-in-time discrete-in-amplitude (CTDA) artificial neural network (ANN) based CAC is proposed for the smart ECG sensor. The proposed CAC achieves over 98% classification accuracy for 4 types of beats defined by AAMI (Association for the Advancement of Medical Instrumentation). The CTDA scheme significantly reduces the input sample numbers and simplifies the sample representation to one bit. Thus, the number of arithmetic operations and the ANN structure are greatly simplified. The proposed CAC is verified by FPGA and implemented in 0.18m CMOS process. Simulation results show it can operate at clock frequencies from 10KHz to 50MHz. Average power for the patient with 75bpm heart rate is 13.34W

A three-axis accelerometer for measuring heart wall motion

This thesis presents the work carried out in the design, simulation, fabrication and testing of miniaturised three-axis accelerometers. The work was carried out at the Faculty of Science and Engineering at Vestfold University College (Tønsberg, Norway), the MIcroSystems Engineering Centre (MISEC) at Heriot-Watt University and in collaboration with the Interventional Centre at Rikshospitalet University Hospital (Oslo, Norway). The accelerometers presented in this thesis were produced to be stitched to the surface of human hearts. In doing so they are used to measure the heart wall motion of patients that have just undergone heart bypass surgery. Results from studies carried out are presented and prove the concept of using such sensors for the detection of problems that can lead to the failure of heart bypasses. These studies were made possible using commercially available MEMS (MicroElectroMechanical Systems) three-axis accelerometers. However, the overall size of these sensors does not meet the requirements deemed necessary by the medical team (2(W) 2(H) 5(L) mm3) and fabrication activities were necessary to produce custom-made sensors. Design verification and performance modelling were carried out using Finite Element Analysis (FEA) and these results are presented alongside relevant analytical calculations. For fabrication, accelerometer designs were submitted to three foundry processes during the course of the work. The designs utilise the piezoresistive effect for the acceleration sensing and fabrication was carried out by bulk micromachining. Results of the characterisaton of the sensors are presente

An Implantable Microsystem for Autonomous Intraocular Pressure Monitoring .

Glaucoma, a leading cause of blindness worldwide, is a disease in which the pressure within the eye is too high for the eye to tolerate and must be reduced in order to slow or prevent damage to the optic nerve. Conventional methods for monitoring eye pressure are normally only used in the physician’s office and rely on indirect measurement methods, leading to inaccuracies. Furthermore, intraocular pressure can vary throughout the day and also depends on activity. An autonomous implantable microsystem capable of monitoring intraocular pressure with minimal patient intervention would provide useful information to the clinician in the management of glaucoma. This dissertation studies the feasibility of an integrated microsystem for autonomously measuring intraocular pressure. Small size ensures minimal impact on the patient, preventing the device from entering the field of view and simplifying implantation. Integrated haptics aid surgical implantation and minimize trauma while allowing the implant to be removed if needed. A touch-mode capacitive pressure sensor, fabricated using the dissolved wafer process, transduces intraocular pressure into capacitance with a linear response and a sensitivity of 26 fF/mmHg. A new fabrication technique has been developed to embed vertical interconnects within a glass package containing the pressure sensor, a microbattery, readout circuitry, and an antenna. This enables the vertical stacking of these components and very efficient use of limited volume. The 1.5 mm x 2 mm x 0.5 mm transparent parylene-coated glass package enables solar cells to be placed on the circuit chip for power generation, trickle charging an on-board microbattery formed using standard cleanroom materials and a non-toxic electrolyte. Flooded-cell tests verified the electrochemistry and achieved a current capacity of 8 µAh/mm2. A simple integrated readout circuit consuming 35 pW in the idle mode implemented a finite-state machine and used an optical wakeup trigger to further reduce power. The microsystem has also been demonstrated with a microprocessor to autonomously gather and store data, reading it out on demand. Finally, a pulse-based ultrawideband wireless transmission technique is proposed using non-resonant antennas. The all-digital transmitter is expected to consume much less power than conventional encoded wireless transmitters and eliminates complex circuitry.Ph.D.Electrical EngineeringUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/89809/1/rhaque_1.pd

The effects of ionising radiation on implantable MOS electronic devices

Space exploration and the rapid growth of the satellite communications industry has promoted substantial research into the effects of ionising radiation on modem electronic technology. The enabling electronics and computer processing has seen a commensurate growth in the use of radiation for diagnostic and therapeutic purposes in medicine. Numerous studies exist in both these fields but an analysis combining the fields of study to ascertain the effects of radiation on medically implantable electronics is lacking. A review of significant ground level radiation sources is presented with particular emphasis on the medical environment. Mechanisms of permanent and transient ionising radiation damage to Metal Oxide Semiconductors are summarised. Three significant sources of radiation are classified as having the ability to damage or alter the behavior of implantable electronics; Secondary neutron cosmic radiation, alpha particle radiation from the device packaging and therapeutic doses of high energy radiation. With respect to cosmic radiation, the most sensitive circuit structure within a typical microcomputer architecture is the Random Access Memory(RAM). A theoretical model which predicts the susceptibility of a RAM cell to single event upsets from secondary cosmic ray neutrons is presented. A previously unreported method for calculating the collection efficiency term in the upset model has been derived along with an extension of the model to enable estimation of multiple bit upset rates. An Implantable Cardioverter Defibrillator is used as a case example to demonstrate model applicability and test against clinical experience. The model correlates well with clinical experience and is consistent with the expected geographical variations of the secondary cosmic ray neutron flux. This is the first clinical data set obtained indicating the effects of cosmic radiation on implantable devices. Importantly, it may be used to predict the susceptibility of future implantable device designs to cosmic radiation. The model is also used as a basis for developing radiation hardened circuit techniques and system design. A review of methods to radiation harden electronics to single event upsets is used to recommend methods applicable to the low power/small area constraints of implantable systems

Antenna Development in Brain-Implantable Biotelemetric Systems for Next-Generation of Human Healthcare

In the growing efforts of promoting patients’ life quality through health technology solutions, implantable wireless medical devices (IMDs) have been identified as one of the frontrunners. They are bringing compelling wireless solutions for medical diagnosis and treatment through bio-telemetric systems that deliver real-time transmission of in-body physiological data to an external monitoring/control unit. To set up this bidirectional wireless biomedical communication link for the long- term, the IMDs need small and efficient antennas. Designing antenna-enabled biomedical telemetry is a challenging aim, which must fulfill demanding issues and criteria including miniaturization, appropriate radiation performance, bandwidth enhancement, good impedance matching, and biocompatibility. Overcoming the size restriction mainly depends on the resonant frequency of the required applications. Defined frequency bands for biomedical telemetry systems contain the Medical Implant Communication Service (MICS) operating at the frequency band of 402– 405 MHz, Medical Device Radiocommunication Service (MedRadio) resonating at the frequency ranges of 401– 406 MHz, 413 – 419 MHz, 426 – 432 MHz, 438 – 444 MHz, and 451 – 457 MHz, Wireless Medical Telemetry Service (WMTS) operating at frequency specturms of 1395 to 1400 MHz and 1427 to 1432 MHz, and Industrial, Scientific, and Medical (ISM) bands of 433.1–434.8 MHz, 868–868.6 MHz, 902.8–928.0 MHz, and 2.4–2.48 GHz. On the other hand, a single band antenna may not fulfill all requirements of a bio-telemetry system in either MedRadio, WMTS, or ISM bands. As a result, analyzing dual/multi-band implantable antenna supporting wireless power, data transmission, and control signaling can meet the demand for multitasking biotelemetry systems. In addition, among different antenna structures, PIFA has been found a promising type in terms of size-performance balance in lossy human tissues. To overcome the above-mentioned challenges, this thesis, first, starts with a discussion of antenna radiation in a lossy medium, the requirements of implantable antenna development, and numerical modeling of the human head tissues. In the following discussion, we concentrate on approaching a new design for far-field small antennas integrated into brain-implantable biotelemetric systems that provide attractive features for versatile functions in modern medical applications. To this end, we introduce three different implantable antenna structures including a compact dual-band PIFA, a miniature triple-band PIFA and a small quad-band PIFA for brain care applications. The compelling performance of the proposed antennas is analyzed and discussed with simulation results and the triple-band PIFA is evaluated using simulation outcomes compared with the measurement results of the fabricated prototype. Finally, the first concept and platform of in-body and off-body units are proposed for wireless dopamine monitoring as a brain care application. In addition to the main focus of this thesis, in the second stage, we focus on introducing an equivalent circuit model to the electrical connector-line transition. We present a data fitting technique for two transmission lines characterization independent of the dielectric properties of the substrate materials at the ultra-high frequency band (UHF). This approach is a promising solution for the development of wearable and off-body antennas employing textile materials in biomedical telemetry systems. The approach method is assessed with measurement results of several fabricated transmission lines on different substrate materials

NASA Tech Briefs, November 1993

Topics covered: Advanced Manufacturing; Electronic Components and Circuits; Electronic Systems; Physical Sciences; Materials; Computer Programs; Mechanics; Machinery; Fabrication Technology; Mathematics and Information Sciences; Life Sciences

Self-folding 3D micro antennas for implantable medical devices

Tese de Doutoramento em Engenharia Biomédica.Recent advances in device miniaturization have been enabling smart and small implantable medical devices. These are often powered by bulky batteries whose dimensions represent one of the major bottlenecks on further device miniaturization. However, alternative powering methods, such as electromagnetic waves, do not rely on stored energy and are capable of providing high energy densities per unit of area, thus increasing the potential for device miniaturization. Hence, we envision an implanted medical device with an integrated miniaturized antenna, capable of receiving a radiofrequency signal from an exterior source, and converting it to a DC signal, thus enabling remote powering. This thesis addresses the analysis, design, fabrication and characterization of novel 3D micro antennas that can be integrated on 500 × 500 × 500 μm3 cubic devices, and used for wireless power transfer purposes. The analysis is built upon the theory of electrically small antennas in lossy media, and the antenna design takes into consideration miniaturization techniques which are compatible with the antenna fabrication process. For the antenna fabrication, a methodology that combines conventional planar photolithography techniques and self-folding was used. While photolithography allows the easy patterning of virtually every desired planar antenna configuration with reproducible feature precision, and the flexibility to easily and precisely change the antenna geometry and size, self-folding allows assembly of the fabricated planar patterns into a 3D structure in a highly parallel and scalable manner. After fabrication, we characterized the fabricated antennas by measuring their S-parameters and radiation patterns, demonstrating their efficacy at 2 GHz when immersed in dispersive media such as water. This step required the development and test of multiple characterization setups based on connectors, RF probes and transmission lines and the use of an anechoic chamber. Moreover, we successfully show that the antennas can wireless transfer energy to power an LED, highlighting a proof of concept for practical applications. Our findings suggest that self-folding micro antennas could provide a viable solution for powering tiny micro devices.Os recentes avanços das tecnologias de miniaturização têm permitido o desenvolvimento de dispositivos médicos implantáveis inteligentes e mais pequenos. Estes são muitas vezes alimentados por baterias volumosas cujas dimensões limitam o nível de miniaturização alcançável por um micro dispositivo. No entanto, existem formas alternativas de alimentar estes dispositivos que não dependem de energia armazenada, tais como ondas eletromagnéticas, que são capazes de providenciar uma elevada densidade de energia por unidade de área, aumentando assim o potencial de miniaturização dos dispositivos. Desta forma, visionamos um dispositivo médico implantado, com uma antena miniaturizada e integrada, capaz de receber um sinal de rádio frequência a partir de uma fonte externa, e convertê-lo num sinal DC, permitindo assim a alimentação remota do aparelho. Esta tese apresenta a análise, desenho, fabrico e caracterização de micro antenas 3D, passíveis de serem integradas em micro dispositivos cúbicos (500 × 500 × 500 μm3), e utilizadas para fins de transferência de energia sem fios. A análise assenta na teoria das antenas eletricamente pequenas em meios com perdas, e o design da antena considera técnicas de miniaturização de antenas. Para o fabrico da antena foi utilizada uma metodologia que combina técnicas de fotolitografia planar e auto-dodragem (self-folding). Enquanto a fotolitografia permite a padronização de virtualmente todos os tipos de configurações planares de forma precisa, reprodutível, e com a flexibilidade para se mudar rapidamente a geometria e o tamanho da antena, o self-folding permite a assemblagem dos painéis planares fabricados numa estrutura 3D. Depois do fabrico, as antenas foram caracterizadas medindo os seus parâmetros S e diagramas de radiação, demonstrando a sua eficácia a 2 GHz quando imersas num meio dispersivo, tal como água. Esta etapa exigiu o desenvolvimento e teste de várias setups de caracterização com base em conectores, sondas de RF e linhas de transmissão, e ainda o uso de uma câmara anecóica. Além disso, mostramos com sucesso que as micro antenas podem receber e transferir o energia para um LED acendendo-o, destacando assim esta prova de conceito para aplicações práticas. Os nossos resultados sugerem que estas micro antenas auto-dobráveis podem fornecer uma solução viável para alimentar micro dispositivos implantáveis muito pequenos.Fundação para a Ciência e a Tecnologia (FCT) bolsa SFRH/BD/63737/2009

A Study of Techniques and Mechanisms of Vagus Nerve Stimulation for Treatment of Inflammation

Vagus nerve stimulation (VNS) has been on the forefront of inflammatory disorder research for the better part of the last three decades and has yielded many promising results. There remains, however, much debate about the actual biological mechanisms of such treatments, as well as, questions about inconsistencies in methods used in many research efforts. In this work, I identify shortcomings in past VNS methods and submit new developments and findings that can progress the research community towards more selective and relevant VNS research and treatments. In Aim 1, I present the most recent advancements in the capabilities of our fully implantable Bionode stimulation device platform for use in VNS studies to include stimulation circuitry, device packaging, and stimulation cuff design. In Aim 2, I characterize the inflammatory cytokine response of rats to intraperitoneally injected endotoxin utilizing new data analysis methods and demonstrate the modulatory effects of VNS applied by the Bionode stimulator to subdiaphragmatic branches of the left vagus nerve in an acute study. In Aim 3, using fully implanted Bionode devices, I expose a previously unidentified effect of chronically cuffing the left cervical vagus nerve to suppress efferent Fluorogold transport and cause unintended attenuation to physiological effects of VNS. Finally, in accordance with our findings from Aims 1, 2, and 3, I present results from new and promising techniques we have explored for future use of VNS in inflammation studies

Ion Channels of Nociception

The Special Issue “Ion Channels of Nociception” contains 13 articles united by a focus on the peripheral mechanisms of pain. The content covers the mechanisms of neuropathic, inflammatory, and dental pain as well as pain in migraine and diabetes; nociceptive roles of P2X3, ASIC, Piezo and TRP channels; pain control through GPCRs and pharmacological agents; and nonpharmacological treatment with electroacupuncture