A Power-Efficient Bio-Potential Acquisition Device with DS-MDE Sensors for Long-Term Healthcare Monitoring Applications

This work describes a power-efficient bio-potential acquisition device for long-term healthcare applications that is implemented using novel microelectromechanical dry electrodes (MDE) and a low power bio-potential processing chip. Using micromachining technology, an attempt is also made to enhance the sensing reliability and stability by fabricating a diamond-shaped MDE (DS-MDE) that has a satisfactory self-stability capability and superior electric conductivity when attached onto skin without any extra skin tissue injury technology. To acquire differential bio-potentials such as ECG signals, the proposed processing chip fabricated in a standard CMOS process has a high common mode rejection ratio (C.M.R.R.) differential amplifier and a 12-bit analog-to-digital converter (ADC). Use of the proposed system and integrate simple peripheral commercial devices can obtain the ECG signal efficiently without additional skin tissue injury and ensure continuous monitoring more than 70 hours with a 400 mAh battery

Wired, wireless and wearable bioinstrumentation for high-precision recording of bioelectrical signals in bidirectional neural interfaces

It is widely accepted by the scientific community that bioelectrical signals, which can be used for the identification of neurophysiological biomarkers indicative of a diseased or pathological state, could direct patient treatment towards more effective therapeutic strategies. However, the design and realisation of an instrument that can precisely record weak bioelectrical signals in the presence of strong interference stemming from a noisy clinical environment is one of the most difficult challenges associated with the strategy of monitoring bioelectrical signals for diagnostic purposes. Moreover, since patients often have to cope with the problem of limited mobility being connected to bulky and mains-powered instruments, there is a growing demand for small-sized, high-performance and ambulatory biopotential acquisition systems in the Intensive Care Unit (ICU) and in High-dependency wards. Furthermore, electrical stimulation of specific target brain regions has been shown to alleviate symptoms of neurological disorders, such as Parkinson’s disease, essential tremor, dystonia, epilepsy etc. In recent years, the traditional practice of continuously stimulating the brain using static stimulation parameters has shifted to the use of disease biomarkers to determine the intensity and timing of stimulation. The main motivation behind closed-loop stimulation is minimization of treatment side effects by providing only the necessary stimulation required within a certain period of time, as determined from a guiding biomarker. Hence, it is clear that high-quality recording of local field potentials (LFPs) or electrocorticographic (ECoG) signals during deep brain stimulation (DBS) is necessary to investigate the instantaneous brain response to stimulation, minimize time delays for closed-loop neurostimulation and maximise the available neural data. To our knowledge, there are no commercial, small, battery-powered, wearable and wireless recording-only instruments that claim the capability of recording ECoG signals, which are of particular importance in closed-loop DBS and epilepsy DBS. In addition, existing recording systems lack the ability to provide artefact-free high-frequency (> 100 Hz) LFP recordings during DBS in real time primarily because of the contamination of the neural signals of interest by the stimulation artefacts. To address the problem of limited mobility often encountered by patients in the clinic and to provide a wide variety of high-precision sensor data to a closed-loop neurostimulation platform, a low-noise (8 nV/√Hz), eight-channel, battery-powered, wearable and wireless multi-instrument (55 × 80 mm2) was designed and developed. The performance of the realised instrument was assessed by conducting both ex vivo and in vivo experiments. The combination of desirable features and capabilities of this instrument, namely its small size (~one business card), its enhanced recording capabilities, its increased processing capabilities, its manufacturability (since it was designed using discrete off-the-shelf components), the wide bandwidth it offers (0.5 – 500 Hz) and the plurality of bioelectrical signals it can precisely record, render it a versatile tool to be utilized in a wide range of applications and environments. Moreover, in order to offer the capability of sensing and stimulating via the same electrode, novel real-time artefact suppression methods that could be used in bidirectional (recording and stimulation) system architectures are proposed and validated. More specifically, a novel, low-noise and versatile analog front-end (AFE), which uses a high-order (8th) analog Chebyshev notch filter to suppress the artefacts originating from the stimulation frequency, is presented. After defining the system requirements for concurrent LFP recording and DBS artefact suppression, the performance of the realised AFE is assessed by conducting both in vitro and in vivo experiments using unipolar and bipolar DBS (monophasic pulses, amplitude ranging from 3 to 6 V peak-to-peak, frequency 140 Hz and pulse width 100 µs). Under both in vitro and in vivo experimental conditions, the proposed AFE provided real-time, low-noise and artefact-free LFP recordings (in the frequency range 0.5 – 250 Hz) during stimulation. Finally, a family of tunable hardware filter designs and a novel method for real-time artefact suppression that enables wide-bandwidth biosignal recordings during stimulation are also presented. This work paves the way for the development of miniaturized research tools for closed-loop neuromodulation that use a wide variety of bioelectrical signals as control signals.Open Acces

Wireless tools for neuromodulation

Epilepsy is a spectrum of diseases characterized by recurrent seizures. It is estimated that 50 million individuals worldwide are affected and 30% of cases are medically refractory or drug resistant. Vagus nerve stimulation (VNS) and deep brain stimulation (DBS) are the only FDA approved device based therapies. Neither therapy offers complete seizure freedom in a majority of users. Novel methodologies are needed to better understand mechanisms and chronic nature of epilepsy. Most tools for neuromodulation in rodents are tethered. The few wireless devices use batteries or are inductively powered. The tether restricts movement, limits behavioral tests, and increases the risk of infection. Batteries are large and heavy with a limited lifetime. Inductive powering suffers from rapid efficiency drops due to alignment mismatches and increased distances. Miniature wireless tools that offer behavioral freedom, data acquisition, and stimulation are needed. This dissertation presents a platform of electrical, optical and radiofrequency (RF) technologies for device based neuromodulation. The platform can be configured with features including: two channels differential recording, one channel electrical stimulation, and one channel optical stimulation. Typical device operation consumes less than 4 mW. The analog front end has a bandwidth of 0.7 Hz - 1 kHz and a gain of 60 dB, and the constant current driver provides biphasic electrical stimulation. For use with optogenetics, the deep brain optical stimulation module provides 27 mW/mm2 of blue light (473 nm) with 21.01 mA. Pairing of stimulating and recording technologies allows closed-loop operation. A wireless powering cage is designed using the resonantly coupled filter energy transfer (RCFET) methodology. RF energy is coupled through magnetic resonance. The cage has a PTE ranging from 1.8-6.28% for a volume of 11 x 11 x 11 in3. This is sufficient to chronically house subjects. The technologies are validated through various in vivo preparations. The tools are designed to study epilepsy, SUDEP, and urinary incontinence but can be configured for other studies. The broad application of these technologies can enable the scientific community to better study chronic diseases and closed-loop therapies

Recent Advances in Neural Recording Microsystems

The accelerating pace of research in neuroscience has created a considerable demand for neural interfacing microsystems capable of monitoring the activity of large groups of neurons. These emerging tools have revealed a tremendous potential for the advancement of knowledge in brain research and for the development of useful clinical applications. They can extract the relevant control signals directly from the brain enabling individuals with severe disabilities to communicate their intentions to other devices, like computers or various prostheses. Such microsystems are self-contained devices composed of a neural probe attached with an integrated circuit for extracting neural signals from multiple channels, and transferring the data outside the body. The greatest challenge facing development of such emerging devices into viable clinical systems involves addressing their small form factor and low-power consumption constraints, while providing superior resolution. In this paper, we survey the recent progress in the design and the implementation of multi-channel neural recording Microsystems, with particular emphasis on the design of recording and telemetry electronics. An overview of the numerous neural signal modalities is given and the existing microsystem topologies are covered. We present energy-efficient sensory circuits to retrieve weak signals from neural probes and we compare them. We cover data management and smart power scheduling approaches, and we review advances in low-power telemetry. Finally, we conclude by summarizing the remaining challenges and by highlighting the emerging trends in the field

SoC-FPGA systems for the acquisition and processing of electroencephalographic signals

Real-time acquisition and processing of electroencephalographic signals have promising applications in the implementation of brain-computer interfaces. These devices allow the user to control a device without performing motor actions, and are usually made up of a biopotential acquisition stage and a personal computer (PC). This structure is very flexible and appropriate for research, but for final users it is necessary to migrate to an embedded system, eliminating the PC from the scheme. The strict real-time processing requirements of such systems justify the choice of a system on a chip field-programmable gate arrays (SoC-FPGA) for its implementation. This article proposes a platform for the acquisition and processing of electroencephalographic signals using this type of device, which combines the parallelism and speed capabilities of an FPGA with the simplicity of a general-purpose processor on a single chip. In this scheme, the FPGA is in charge of the real-time operation, acquiring and processing the signals, while the processor solves the high-level tasks, with the interconnection between processing elements solved by buses integrated into the chip. The proposed scheme was used to implement a brain-computer interface based on steady-state visual evoked potentials, which was used to command a speller. The first tests of the system show that a selection time of 5 seconds per command can be achieved. The time delay between the user’s selection and the system response has been estimated at 343 µs.Fil: Oliva, Matias Javier. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Investigaciones en Electrónica, Control y Procesamiento de Señales. Universidad Nacional de La Plata. Instituto de Investigaciones en Electrónica, Control y Procesamiento de Señales; ArgentinaFil: Arias García, Pablo Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Investigaciones en Electrónica, Control y Procesamiento de Señales. Universidad Nacional de La Plata. Instituto de Investigaciones en Electrónica, Control y Procesamiento de Señales; ArgentinaFil: Spinelli, Enrique Mario. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Investigaciones en Electrónica, Control y Procesamiento de Señales. Universidad Nacional de La Plata. Instituto de Investigaciones en Electrónica, Control y Procesamiento de Señales; ArgentinaFil: Veiga, Alejandro Luis. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Investigaciones en Electrónica, Control y Procesamiento de Señales. Universidad Nacional de La Plata. Instituto de Investigaciones en Electrónica, Control y Procesamiento de Señales; Argentin

Invited: Can Wi-R enable perpetual IoB nodes?

While the number of wearables is steadily growing, the wearables/person wearing them faces a limitation due to the need for charging all of them every day. To unlock the true power of IoB, we need to make these IoB nodes perpetual. However, that is not possible with today's technology. In this paper, we will debate, whether with the advent of Wi-R protocol that uses the body to communicate at 100X lower energy that BTLE/Wi-Fi, is it going to be possible to enable the long-standing desire of perpetual sensing/actuation nodes for the Internet of Bodies.Comment: 5 pages, 5 figure

BioGAP: a 10-Core FP-capable Ultra-Low Power IoT Processor, with Medical-Grade AFE and BLE Connectivity for Wearable Biosignal Processing

Wearable biosignal processing applications are driving significant progress toward miniaturized, energy-efficient Internet-of-Things solutions for both clinical and consumer applications. However, scaling toward high-density multi-channel front-ends is only feasible by performing data processing and machine Learning (ML) near-sensor through energy-efficient edge processing. To tackle these challenges, we introduce BioGAP, a novel, compact, modular, and lightweight (6g) medical-grade biosignal acquisition and processing platform powered by GAP9, a ten-core ultra-low-power SoC designed for efficient multi-precision (from FP to aggressively quantized integer) processing, as required for advanced ML and DSP. BioGAPs form factor is 16x21x14 mm$^3$ and comprises two stacked PCBs: a baseboard integrating the GAP9 SoC, a wireless Bluetooth Low Energy (BLE) capable SoC, a power management circuit, and an accelerometer; and a shield including an analog front-end (AFE) for ExG acquisition. Finally, the system also includes a flexibly placeable photoplethysmogram (PPG) PCB with a size of 9x7x3 mm$^3$ and a rechargeable battery ($\phi$ 12x5 mm$^2$). We demonstrate BioGAP on a Steady State Visually Evoked Potential (SSVEP)-based Brain-Computer Interface (BCI) application. We achieve 3.6 uJ/sample in streaming and 2.2 uJ/sample in onboard processing mode, thanks to an efficiency on the FFT computation task of 16.7 Mflops/s/mW with wireless bandwidth reduction of 97%, within a power budget of just 18.2 mW allowing for an operation time of 15 h.Comment: 7 pages, 9 figures, 1 table, accepted for IEEE COINS 202

A Hybrid-Powered Wireless System for Multiple Biopotential Monitoring

Chronic diseases are the top cause of human death in the United States and worldwide. A huge amount of healthcare costs is spent on chronic diseases every year. The high medical cost on these chronic diseases facilitates the transformation from in-hospital to out-of-hospital healthcare. The out-of-hospital scenarios require comfortability and mobility along with quality healthcare. Wearable electronics for well-being management provide good solutions for out-of-hospital healthcare. Long-term health monitoring is a practical and effective way in healthcare to prevent and diagnose chronic diseases. Wearable devices for long-term biopotential monitoring are impressive trends for out-of-hospital health monitoring. The biopotential signals in long-term monitoring provide essential information for various human physiological conditions and are usually used for chronic diseases diagnosis. This study aims to develop a hybrid-powered wireless wearable system for long-term monitoring of multiple biopotentials. For the biopotential monitoring, the non-contact electrodes are deployed in the wireless wearable system to provide high-level comfortability and flexibility for daily use. For providing the hybrid power, an alternative mechanism to harvest human motion energy, triboelectric energy harvesting, has been applied along with the battery to supply energy for long-term monitoring. For power management, an SSHI rectifying strategy associated with triboelectric energy harvester design has been proposed to provide a new perspective on designing TEHs by considering their capacitance concurrently. Multiple biopotentials, including ECG, EMG, and EEG, have been monitored to validate the performance of the wireless wearable system. With the investigations and studies in this project, the wearable system for biopotential monitoring will be more practical and can be applied in the real-life scenarios to increase the economic benefits for the health-related wearable devices