A Hardware Platform for Communication and Localization Performance Evaluation of Devices inside the Human Body

Body area networks (BAN) is a technology gaining widespread attention for application in medical examination, monitoring and emergency therapy. The basic concept of BAN is monitoring a set of sensors on or inside the human body which enable transfer of vital parameters between the patient´s location and the physician in charge. As body area network has certain characteristics, which impose new demands on performance evaluation of systems for wireless access and localization for medical sensors. However, real-time performance evaluation and localization in wireless body area networks is extremely challenging due to the unfeasibility of experimenting with actual devices inside the human body. Thus, we see a need for a real-time hardware platform, and this thesis addressed this need. In this thesis, we introduced a unique hardware platform for performance evaluation of body area wireless access and in-body localization. This hardware platform utilizes a wideband multipath channel simulator, the Elektrobit PROPSimâ„¢ C8, and a typical medical implantable device, the Zarlink ZL70101 Advanced Development Kit. For simulation of BAN channels, we adopt the channel model defined for the Medical Implant Communication Service (MICS) band. Packet Reception Rate (PRR) is analyzed as the criteria to evaluate the performance of wireless access. Several body area propagation scenarios simulated using this hardware platform are validated, compared and analyzed. We show that among three modulations, two forms of 2FSK and 4FSK. The one with lowest raw data rate achieves best PRR, in other word, best wireless access performance. We also show that the channel model inside the human body predicts better wireless access performance than through the human body. For in-body localization, we focus on a Received Signal Strength (RSS) based localization algorithm. An improved maximum likelihood algorithm is introduced and applied. A number of points along the propagation path in the small intestine are studied and compared. Localization error is analyzed for different sensor positions. We also compared our error result with the Cramèr- Rao lower bound (CRLB), shows that our localization algorithm has acceptable performance. We evaluate multiple medical sensors as device under test with our hardware platform, yielding satisfactory localization performance

A Transcutaneous Data and Power Transfer System for Osteogenesis Monitoring Sensors

Implant devices are widely used in health care applications such as life support systems, patient rehabilitation devices and patient monitoring devices. Medical implants have enabled physicians to obtain relevant real time information regarding an organ, or a site of interest with in the body and suggest treatment accordingly. In some cases, the position of the implant within the body or threats of infections prevents wired communication techniques to extract information from the implant. Wireless communication is the alternative in such cases. Distraction osteogenesis is one such application where wireless communication can be established with callus growth monitoring sensors to obtain bone growth data and activate distraction device. As a solution for wireless communication, the computational design, fabrication and testing of a spiral antenna that can operate in the 401-406 MHz Medical Implant Communication Services (MICS) band is detailed. The proposed system uses ZL70103 MICS band transceiver from Microsemi Corporation and enables wireless communication with the implant. Antenna is tested in an in-vivo system that makes use of biomimetic material and pig femur bone to mimic an application environment. Power requirements for the implant actuator system that performs distraction cannot be satisfied by a single battery. Percutaneous wires for powering the implant poses threats of infection and frequent surgeries for battery replacement alters patient’s immune systems. Wireless charging is viable solution in this case. A short range inductive power transfer system prototype is designed and tested on a custom testbed to analyze the power transfer efficiency with change in distance

High-performance wireless interface for implant-to-air communications

Nous élaborons une interface cerveau-machine (ICM) entièrement sans fil afin de fournir un système de liaison directe entre le cerveau et les périphériques externes, permettant l’enregistrement et la stimulation du cerveau pour une utilisation permanente. Au cours de cette thèse, nous explorons la modélisation de canal, les antennes implantées et portables en tant que propagateurs appropriés pour cette application, la conception du nouveau système d’un émetteur-récepteur UWB implantable, la conception niveau système du circuit et sa mise en oeuvre par un procédé CMOS TSMC 0.18 um. En plus, en collaboration avec Université McGill, nous avons conçu un réseau de seize antennes pour une détection du cancer du sein à l’aide d’hyperfréquences. Notre première contribution calcule la caractérisation de canal de liaison sans fil UWB d’implant à l’air, l’absorption spécifique moyennée (ASAR), et les lignes directrices de la FCC sur la densité spectrale de puissance UWB transmis. La connaissance du comportement du canal est nécessaire pour déterminer la puissance maximale permise à 1) respecter les lignes directrices ANSI pour éviter des dommages aux tissus et 2) respecter les lignes directrices de la FCC sur les transmissions non autorisées. Nous avons recours à un modèle réaliste du canal biologique afin de concevoir les antennes pour l’émetteur implanté et le récepteur externe. Le placement des antennes est examiné avec deux scénarios contrastés ayant des contraintés de puissance. La performance du système au sein des tissus biologiques est examinée par l’intermédiaire des simulations et des expériences. Notre deuxième contribution est dédiée à la conception des antennes simples et à double polarisation pour les systèmes d’enregistrement neural sans fil à bande ultra-large en utilisant un modèle multicouches inhomogène de la tête humaine. Les antennes fabriquées à partir de matériaux flexibles sont plus facilement adaptées à l’implantation ; nous étudions des matériaux à la fois flexibles et rigides et examinons des compromis de performance. Les antennes proposées sont conçues pour fonctionner dans une plage de fréquence de 2-11 GHz (ayant S11-dessous de -10 dB) couvrant à la fois la bande 2.45 GHz (ISM) et la bande UWB 3.1-10.6 GHz. Des mesures confirment les résultats de simulation et montrent que les antennes flexibles ont peu de dégradation des performances en raison des effets de flexion (en termes de correspondance d’impédance). Finalement, une comparaison est réalisée entre quatre antennes implantables, couvrant la gamme 2-11 GHz : 1) une rigide, à la polarisation simple, 2) une rigide, à double polarisation, 3) une flexible, à simple polarisation et 4) une flexible, à double polarisation. Dans tous les cas une antenne rigide est utilisée à l’extérieur du corps, avec une polarisation appropriée. Plusieurs avantages ont été confirmés pour les antennes à la polarisation double : 1) une taille plus petite, 2) la sensibilité plus faible aux désalignements angulaires, et 3) une plus grande fidélité. Notre troisième contribution fournit la conception niveau système de l’architecture de communication sans fil pour les systèmes implantés qui stimulent simultanément les neurones et enregistrent les réponses de neurones. Cette architecture prend en charge un grand nombre d’électrodes (> 500), fournissant 100 Mb/s pour des signaux de stimulation de liaison descendante, et Gb/s pour les enregistrements de neurones de liaison montante. Nous proposons une architecture d’émetteur-récepteur qui partage une antenne ultra large bande, un émetteur-récepteur simplifié, travaillant en duplex intégral sur les deux bandes, et un nouveau formeur d’impulsions pour la liaison montante du Gb/s soutenant plusieurs formats de modulation. Nous présentons une démonstration expérimentale d’ex vivo de l’architecture en utilisant des composants discrets pour la réalisation les taux Gb/s en liaison montante. Une bonne performance de taux d’erreur de bit sur un canal biologique à 0,5, 1 et 2 Gb/s des débits de données pour la télémétrie de liaison montante (UWB) et 100 Mb/s pour la télémétrie en liaison descendante (bande 2.45 GHz) est atteinte. Notre quatrième contribution présente la conception au niveau du circuit d’un dispositif d’émission en duplex total qui est présentée dans notre troisième contribution. Ce dispositif d’émission en duplex total soutient les applications d’interfaçage neural multimodal et en haute densité (les canaux de stimulant et d’enregistrement) avec des débits de données asymétriques. L’émetteur (TX) et le récepteur (RX) partagent une seule antenne pour réduire la taille de l’implant. Le TX utilise impulse radio ultra-wide band (IR-UWB) basé sur une approche alliant des bords, et le RX utilise un nouveau 2.4 GHz récepteur on-off keying (OOK).Une bonne isolation (> 20 dB) entre le trajet TX et RX est mis en oeuvre 1) par mise en forme des impulsions transmises pour tomber dans le spectre UWB non réglementé (3.1-7 GHz), et 2) par un filtrage espace-efficace du spectre de liaison descendante OOK dans un amplificateur à faible bruit RX. L’émetteur UWB 3.1-7 GHz peut utiliser soit OOK soit la modulation numérique binaire à déplacement de phase (BPSK). Le FDT proposé offre une double bande avec un taux de données de liaison montante de 500 Mbps TX et un taux de données de liaison descendante de 100 Mb/s RX, et il est entièrement en conformité avec les standards TSMC 0.18 um CMOS dans un volume total de 0,8 mm2. Ainsi, la mesure de consommation d’énergie totale en mode full duplex est de 10,4 mW (5 mW à 100 Mb/s pour RX, et de 5,4 mW à 500 Mb/s ou 10,8 PJ / bits pour TX). Notre cinquième contribution est une collaboration avec l’Université McGill dans laquelle nous concevons des antennes simples et à double polarisation pour les systèmes de détection du cancer du sein à l’aide d’hyperfréquences sans fil en utilisant un modèle multi-couche et inhomogène du sein humain. Les antennes fabriquées à partir de matériaux flexibles sont plus facilement adaptées à des applications portables. Les antennes flexibles miniaturisées monopôles et spirales sur un 50 um Kapton polyimide sont conçus, en utilisant high frequency structure simulator (HFSS), à être en contact avec des tissus biologiques du sein. Les antennes proposées sont conçues pour fonctionner dans une gamme de fréquences de 2 à 4 GHz. Les mesures montrent que les antennes flexibles ont une bonne adaptation d’impédance dans les différentes positions sur le sein. De Plus, deux antennes à bande ultralarge flexibles 4 × 4 (simple et à double polarisation), dans un format similaire à celui d’un soutien-gorge, ont été développés pour un système de détection du cancer du sein basé sur le radar.We are working on a fully wireless brain-machine-interface to provide a communication link between the brain and external devices, enabling recording and stimulating the brain for permanent usage. In this thesis we explore channel modeling, implanted and wearable antennas as suitable propagators for this application, system level design of an implantable UWB transceiver, and circuit level design and implementing it by TSMC 0.18 um CMOS process. Also, in a collaboration project with McGill University, we designed a flexible sixteen antenna array for microwave breast cancer detection. Our first contribution calculates channel characteristics of implant-to-air UWB wireless link, average specific absorption rate (ASAR), and FCC guidelines on transmitted UWB power spectral density. Knowledge of channel behavior is required to determine the maximum allowable power to 1) respect ANSI guidelines for avoiding tissue damage and 2) respect FCC guidelines on unlicensed transmissions. We utilize a realistic model of the biological channel to inform the design of antennas for the implanted transmitter and the external receiver. Antennas placement is examined under two scenarios having contrasting power constraints. Performance of the system within the biological tissues is examined via simulations and experiments. Our second contribution deals with designing single and dual-polarization antennas for wireless ultra-wideband neural recording systems using an inhomogeneous multi-layer model of the human head. Antennas made from flexible materials are more easily adapted to implantation; we investigate both flexible and rigid materials and examine performance trade-offs. The proposed antennas are designed to operate in a frequency range of 2–11 GHz (having S11 below -10 dB) covering both the 2.45 GHz (ISM) band and the 3.1–10.6 GHz UWB band. Measurements confirm simulation results showing flexible antennas have little performance degradation due to bending effects (in terms of impedance matching). Finally, a comparison is made of four implantable antennas covering the 2-11 GHz range: 1) rigid, single polarization, 2) rigid, dual polarization, 3) flexible, single polarization and 4) flexible, dual polarization. In all cases a rigid antenna is used outside the body, with an appropriate polarization. Several advantages were confirmed for dual polarization antennas: 1) smaller size, 2) lower sensitivity to angular misalignments, and 3) higher fidelity. Our third contribution provides system level design of wireless communication architecture for implanted systems that simultaneously stimulate neurons and record neural responses. This architecture supports large numbers of electrodes (> 500), providing 100 Mb/s for the downlink of stimulation signals, and Gb/s for the uplink neural recordings. We propose a transceiver architecture that shares one ultra-wideband antenna, a streamlined transceiver working at full-duplex on both bands, and a novel pulse shaper for the Gb/s uplink supporting several modulation formats. We present an ex-vivo experimental demonstration of the architecture using discrete components achieving Gb/s uplink rates. Good bit error rate performance over a biological channel at 0.5, 1, and 2 Gbps data rates for uplink telemetry (UWB) and 100 Mbps for downlink telemetry (2.45 GHz band) is achieved. Our fourth contribution presents circuit level design of the novel full-duplex transceiver (FDT) which is presented in our third contribution. This full-duplex transceiver supports high-density and multimodal neural interfacing applications (high-channel count stimulating and recording) with asymmetric data rates. The transmitter (TX) and receiver (RX) share a single antenna to reduce implant size. The TX uses impulse radio ultra-wide band (IR-UWB) based on an edge combining approach, and the RX uses a novel 2.4-GHz on-off keying (OOK) receiver. Proper isolation (> 20 dB) between the TX and RX path is implemented 1) by shaping the transmitted pulses to fall within the unregulated UWB spectrum (3.1-7 GHz), and 2) by spaceefficient filtering (avoiding a circulator or diplexer) of the downlink OOK spectrum in the RX low-noise amplifier. The UWB 3.1-7 GHz transmitter can use either OOK or binary phase shift keying (BPSK) modulation schemes. The proposed FDT provides dual band 500-Mbps TX uplink data rate and 100 Mbps RX downlink data rate, and it is fully integrated into standard TSMC 0.18 um CMOS within a total size of 0.8 mm2. The total measured power consumption is 10.4 mW in full duplex mode (5 mW at 100 Mbps for RX, and 5.4 mW at 500 Mbps or 10.8 pJ/bit for TX). Our fifth contribution is a collaboration project with McGill University which we design single and dual-polarization antennas for wireless ultra-wideband breast cancer detection systems using an inhomogeneous multi-layer model of the human breast. Antennas made from flexible materials are more easily adapted to wearable applications. Miniaturized flexible monopole and spiral antennas on a 50 um Kapton polyimide are designed, using a high frequency structure simulator (HFSS), to be in contact with biological breast tissues. The proposed antennas are designed to operate in a frequency range of 2–4 GHz (with reflection coefficient (S11) below -10 dB). Measurements show that the flexible antennas have good impedance matching while in different positions with different curvature around the breast. Furthermore, two flexible conformal 4×4 ultra-wideband antenna arrays (single and dual polarization), in a format similar to that of a bra, were developed for a radar-based breast cancer detection system

Increasing the robustness of active upper limb prostheses

This thesis is based on my work done at the Institute for Neurorehabilitation Systems at the University Medical Center Goettingen. My work has been partially founded by German Ministry for Education and Research (BMBF) via the Bernstein Focus Neurotechnology (BFNT) Göttingen under grant number 1GQ0810 The local ethics committee approved all studies involving human subjects, and all subjects signed informed consents prior to their participation in the studies. The entire thesis has been originally written by me. Part of the materials used in this thesis have also been published in journals or conferences, where I am the first or corresponding author. All rights for re-use of previously published material were obtained. Reused figures and tables of IEEE publications are marked with © [Year] IEEE. Hereby I declare that I have written this thesis independently and with no other aids and sources than quoted

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

Doctor of Philosophy

dissertationMagnetic fields are permeable to the biological tissues and can induce electric field in the conductive structures. Some medical devices take advantage of this ability to transfer energy from the source to the receiving site without direct contact. Prosthetic devices such as retinal implants use time-varying magnetic field to achieve wireless power transfer to the implanted magnetic coil. However, devices such as magnetic stimulators use the induction principle to create an electric field at the stimulation site. Efficiency of these devices is primarily dependent on the design of the magnetic coils. Therefore, in this work, we designed and validated efficient magnetic coils for wireless power transfer to implanted devices and magnetic stimulation of the peripheral nerves. Typical wireless power transfer (WPT) systems uses two-coil based design to achieve contactless power transfer to the implanted electronics. These systems achieve low power transfer efficiency (< 30%) and frequency bandwidth. Moreover, efficient wireless system requires high coupling and load variation tolerance during device operation. To design an electromagnetic safe WPT system, the power absorbed by the tissue and radiated field due to the proximal magnetic coils needs to be minimized. In this work, we proposed a multi-coil power transfer system which solves some of the current challenges. The proposed multi-coil WPT system achieves more than twice the power transfer efficiency, controllable voltage gain, wider frequency bandwidth, higher tolerance to coupling and load variations, lower absorbed power in the tissue and lower radiated field from the magnetic coil than a comparable two-coil system. In this work, we have developed analytic models of the multi-coil WPT system and validated the accuracy of the solutions using experiments. Magnetic coils play an important role in controlling the distribution of induced electric field inside the nerve during magnetic stimulation. In the past, homogeneous models were used to estimate the field profile inside conductive tissue due to the time varying current in the magnetic coil. Moreover, the effect of the surrounding media and stimulation mechanisms was understudied, which limits the optimization accuracy of the magnetic coils. In this work, we developed anatomically correct tissue models to study the effect of tissue heterogeneity and the surrounding media on the induced electric field. We also developed an optimization algorithm for designing energy efficient cm-size magnetic coils, that were then used for ex-vivo magnetic stimulation of the frog's sciatic nerve

Towards Low Energy Atrial Defibrillation

A wireless powered implantable atrial defibrillator consisting of a battery driven hand-held radio frequency (RF) power transmitter (ex vivo) and a passive (battery free) implantable power receiver (in vivo) that enables measurement of the intracardiac impedance (ICI) during internal atrial defibrillation is reported. The architecture is designed to operate in two modes: Cardiac sense mode (power-up, measure the impedance of the cardiac substrate and communicate data to the ex vivo power transmitter) and cardiac shock mode (delivery of a synchronised very low tilt rectilinear electrical shock waveform). An initial prototype was implemented and tested. In low-power (sense) mode, &gt;5 W was delivered across a 2.5 cm air-skin gap to facilitate measurement of the impedance of the cardiac substrate. In high-power (shock) mode, &gt;180 W (delivered as a 12 ms monophasic very-low-tilt-rectilinear (M-VLTR) or as a 12 ms biphasic very-low-tilt-rectilinear (B-VLTR) chronosymmetric (6ms/6ms) amplitude asymmetric (negative phase at 50% magnitude) shock was reliably and repeatedly delivered across the same interface; with &gt;47% DC-to-DC (direct current to direct current) power transfer efficiency at a switching frequency of 185 kHz achieved. In an initial trial of the RF architecture developed, 30 patients with AF were randomised to therapy with an RF generated M-VLTR or B-VLTR shock using a step-up voltage protocol (50–300 V). Mean energy for successful cardioversion was 8.51 J ± 3.16 J. Subsequent analysis revealed that all patients who cardioverted exhibited a significant decrease in ICI between the first and third shocks (5.00 Ω (SD(σ) = 1.62 Ω), p &lt; 0.01) while spectral analysis across frequency also revealed a significant variation in the impedance-amplitude-spectrum-area (IAMSA) within the same patient group (|∆(IAMSAS1-IAMSAS3)[1 Hz − 20 kHz] = 20.82 Ω-Hz (SD(σ) = 10.77 Ω-Hz), p &lt; 0.01); both trends being absent in all patients that failed to cardiovert. Efficient transcutaneous power transfer and sensing of ICI during cardioversion are evidenced as key to the advancement of low-energy atrial defibrillation