Future of smart cardiovascular implants

Cardiovascular disease remains the leading cause of death in Western society. Recent technological advances have opened the opportunity of developing new and innovative smart stent devices that have advanced electrical properties that can improve diagnosis and even treatment of previously intractable conditions, such as central line access failure, atherosclerosis and reporting on vascular grafts for renal dialysis. Here we review the latest advances in the field of cardiovascular medical implants, providing a broad overview of the application of their use in the context of cardiovascular disease rather than an in-depth analysis of the current state of the art. We cover their powering, communication and the challenges faced in their fabrication. We focus specifically on those devices required to maintain vascular access such as ones used to treat arterial disease, a major source of heart attacks and strokes. We look forward to advances in these technologies in the future and their implementation to improve the human condition

Fully Integrated Biochip Platforms for Advanced Healthcare

Recent advances in microelectronics and biosensors are enabling developments of innovative biochips for advanced healthcare by providing fully integrated platforms for continuous monitoring of a large set of human disease biomarkers. Continuous monitoring of several human metabolites can be addressed by using fully integrated and minimally invasive devices located in the sub-cutis, typically in the peritoneal region. This extends the techniques of continuous monitoring of glucose currently being pursued with diabetic patients. However, several issues have to be considered in order to succeed in developing fully integrated and minimally invasive implantable devices. These innovative devices require a high-degree of integration, minimal invasive surgery, long-term biocompatibility, security and privacy in data transmission, high reliability, high reproducibility, high specificity, low detection limit and high sensitivity. Recent advances in the field have already proposed possible solutions for several of these issues. The aim of the present paper is to present a broad spectrum of recent results and to propose future directions of development in order to obtain fully implantable systems for the continuous monitoring of the human metabolism in advanced healthcare applications

Power Approaches for Implantable Medical Devices.

Implantable medical devices have been implemented to provide treatment and to assess in vivo physiological information in humans as well as animal models for medical diagnosis and prognosis, therapeutic applications and biological science studies. The advances of micro/nanotechnology dovetailed with novel biomaterials have further enhanced biocompatibility, sensitivity, longevity and reliability in newly-emerged low-cost and compact devices. Close-loop systems with both sensing and treatment functions have also been developed to provide point-of-care and personalized medicine. Nevertheless, one of the remaining challenges is whether power can be supplied sufficiently and continuously for the operation of the entire system. This issue is becoming more and more critical to the increasing need of power for wireless communication in implanted devices towards the future healthcare infrastructure, namely mobile health (m-Health). In this review paper, methodologies to transfer and harvest energy in implantable medical devices are introduced and discussed to highlight the uses and significances of various potential power sources

Miniaturised Wireless Power Transfer Systems for Neurostimulation: A Review

In neurostimulation, wireless power transfer is an efficient technology to overcome several limitations affecting medical devices currently used in clinical practice. Several methods were developed over the years for wireless power transfer. In this review article, we report and discuss the three most relevant methodologies for extremely miniaturised implantable neurostimulator: ultrasound coupling, inductive coupling and capacitive coupling. For each powering method, the discussion starts describing the physical working principle. In particular, we focus on the challenges given by the miniaturisation of the implanted integrated circuits and the related ad-hoc solutions for wireless power transfer. Then, we present recent developments and progresses in wireless power transfer for biomedical applications. Last, we compare each technique based on key performance indicators to highlight the most relevant and innovative solutions suitable for neurostimulation, with the gaze turned towards miniaturisation

Wireless Power Transfer For Biomedical Applications

In this research wireless power transfer using near-field inductive coupling is studied and investigated. The focus is on delivering power to implantable biomedical devices. The objective of this research is to optimize the size and performance of the implanted wireless biomedical sensors by: (1) proposing a hybrid multiband communication system for implantable devices that combines wireless communication link and power transfer, and (2) optimizing the wireless power delivery system. Wireless data and power links are necessary for many implanted biomedical devices such as biosensors, neural recording and stimulation devices, and drug delivery and monitoring systems. The contributions from this research work are summarized as follows: 1. Development of a combination of inductive power transfer and antenna system. 2. Design and optimization of novel microstrip antenna that may resonate at different ultra-high frequency bands including 415 MHz, 905 MHz, and 1300MHz. These antennas may be used to transfer power through radiation or send/receive data. 3. Design of high-frequency coil (13.56 MHz) to transfer power and optimization of the parameters for best efficiency. 4. Study of the performance of the hybrid antenna/coil system at various depths inside a body tissue model. 5. Minimizing the coupling effect between the coil and the antenna through addressed by optimizing their dimensions. 6. Study of the effects of lateral and angular misalignment on a hybrid compact system consisting of coil and antenna, as well as design and optimize the coilâs geometry which can provide maximum power efficiency under misalignment conditions. 7. Address the effects of receiver bending of a hybrid power transfer and communication system on the communication link budget and the transmitted power. 8. Study the wireless power transfer safety and security systems

Design and miniaturization of a microsystem to power biomedical implants using grey wolf optimizer-based cuckoo search algorithm

One of the greatest techniques, inductive coupling is frequently utilized in the biomedical sector for wireless energy transfer to implants. The aim of this article is to develop and analyze the effect of inductor geometrical characteristics, distance between transmitter (TX) and receiver (RX) and also the operating frequency on the wireless power transfer system, using grey wolf optimizer-based cuckoo search (GWO-CS) algorithm. Power transfer efficiency (PTE), power provided to load, and other critical components must all be improved or maximized and miniaturaze the microsystem proposed. The invention, design, and optimization of coils square spirals in a wireless energy transfer system using a resonant inductive link are the emphasis of this paper. The GWO-CS approach is evaluated to existing methods, demonstrated by simulations and to demonstrate the effectiveness of the suggested strategy

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