Effect on signal-to-noise ratio of splitting the continuous contacts of cuff electrodes into smaller recording areas.

BackgroundCuff electrodes have been widely used chronically in different clinical applications. This neural interface has been dominantly used for nerve stimulation while interfering noise is the major issue when employed for recording purposes. Advancements have been made in rejecting extra-neural interference by using continuous ring contacts in tripolar topologies. Ring contacts provide an average of the neural activity, and thus reduce the information retrieved. Splitting these contacts into smaller recording areas could potentially increase the information content. In this study, we investigate the impact of such discretization on the Signal-to-Noise Ratio (SNR). The effect of contacts positioning and an additional short circuited pair of electrodes were also addressed.MethodsDifferent recording configurations using ring, dot, and a mixed of both contacts were studied in vitro in a frog model. An interfering signal was induced in the medium to simulate myoelectric noise. The experimental setup was design in such a way that the only difference between recordings was the configuration used. The inter-session experimental differences were taken care of by a common configuration that allowed normalization between electrode designs.ResultsIt was found that splitting all contacts into small recording areas had negative effects on noise rejection. However, if this is only applied to the central contact creating a mixed tripole configuration, a considerable and statistically significant improvement was observed. Moreover, the signal to noise ratio was equal or larger than what can be achieved with the best known configuration, namely the short circuited tripole. This suggests that for recording purposes, any tripole topology would benefit from splitting the central contact into one or more discrete contacts.ConclusionsOur results showed that a mixed tripole configuration performs better than the configuration including only ring contacts. Therefore, splitting the central ring contact of a cuff electrode into a number of dot contacts not only provides additional information but also an improved SNR. In addition, the effect of an additional pair of short circuited electrodes and the "end effect" observed with the presented method are in line with previous findings by other authors

Electromyogram Interference Reduction In Neural Signal Recording Using Simple RC Compensation Circuits

Neuroprosthesis can partially restore lost motor functionalities of individuals such as bladder voiding using functional electrical stimulation (FES) techniques. FES involves applying pattern of electrical current pulses using implanted electrodes to trigger affected nerves that are damaged due to paralysis. A neural signal recorded using tripolar cuff electrodes is significantly contaminated due to the presence of EMG interference from the surrounding muscles. Conventional neural amplifiers are unable to remove such interferences and modifications to the design are required. The modification to the design of the Quasi-tripole (QT) amplifier is considered in this work to minimise the EMG interferences from neural signal recording. The analogy between this modified version of QT known as mQT and Wheatstone bridge claims to neutralise the EMG interference by adding compensation circuit to either end of the outer electrodes of the tripolar cuff and therefore balancing the bridge. In this work, we present simple 3 and 2 stage RC compensation circuits to minimise EMG interference in trying to balance the bridge in the neural frequency band of interest (500-10kHz). It is shown that simple RC compensation circuit in series reduces EMG interference only at the spot frequency rather than linearly in the entire frequency band of interest. However, two and three stages RC ladder compensation circuits mimicking electrode-electrolyte interface, can minimize the EMG interference linearly in the entire frequency band of interest, without requiring any readjustment to their components. The aim is to minimise EMG interference as close to null as possible. Invitro testing of about 20% imbalanced cuff electrode with proposed 3 and 2 stage RC ladder compensation circuits resulted in linear EMG interference reduction atleast by a factor of 6. On an average, this yielded an improvement of above 80% EMG minimisation, in contrast to above 90% observed in the optimisation results, when 1Ω transimpedance (EMG) was introduced into the setup. Further improvements to the setup and design can give more promising results in reliable neural signal recording for FES applications

Neutralisation of myoelectric interference from recorded nerve signals using models of the electrode impedance

Any form of paralysis due to spinal cord injury or other medical condition, can have a significant impact on the quality and life expectancy of an individual. Advances in medicine and surgery have offered solutions that can improve the condition of a patient, however, most of the times an individual’s life does not dramatically improve. Implanted neuroprosthetic devices can partially restore the lost functionalities by means of functional electrical stimulation techniques. This involves applying patterns of electrical current pulses to innervate the neural pathways between the brain and the affected muscles/organs, while recording of neural information from peripheral nerves can be used as feedback to improve performance. Recording naturally occurring nerve signals via implanted electrodes attached to tripolar amplifier configurations is an approach that has been successfully used for obtaining desired information in non-acute preparations since the mid-70s. The neural signal (i.e. ENG), which can be exploited as feedback to another system (e.g. a stimulator), or simply extracted for further processing, is then intrinsically more reliable in comparison to signals obtained by artificial sensors. Sadly, neural recording of this type can be greatly compromised by myoelectric (i.e. EMG) interference, which is present at the neural interface and registered by the recording amplifier. Although current amplifier configurations reduce myoelectric interference this is suboptimal and therefore there is room for improvement. The main difficulty exists in the frequency-dependence of the electrode-tissue interface impedance which is complex. The simplistic Quasi-Tripole amplifier configuration does not allow for the complete removal of interference but it is the most power efficient because it uses only one instrumentation amplifier. Conversely, the True-Tripole and its developed automatic counterpart the Adaptive-Tripole, although minimise interference and provide means of compensating for the electrode asymmetries and changes that occur to the neural interface (e.g. due to tissue growth), they do not remove interference completely as the insignificant electrode impedance is still important. Additionally, removing interference apart from being dependent on the frequency of the interfering source, it is also subject to its proximity and orientation with respect to the recording electrodes, as this affects the field. Hence neutralisation with those two configurations, in reality, is not achieved in the entire bandwidth of the neural signal in the interfering spectrum. As both are less power efficient than the Quasi-Tripole an alternative configuration offering better performance in terms of interference neutralisation (i.e. frequency-independent, insensitive to the external interference fields) and, if possible, consume less power, is considered highly attractive. The motivation of this work is based on the following fact: as there are models that can mimic the frequency response of metal electrodes it should be possible, by constructing a network of an equivalent arrangement to the impedance of electrodes, to fit the characteristic neutralisation impedance – the impedance needed to balance a recording tripole – and ideally require no adjustment for removing interference. The validity of this postulation is proven in a series of in-vitro preparations using a modified version of the Quasi-Tripole made out of discrete circuit components where an impedance is placed at either side of the outer electrodes for balancing the recording arrangement. Various models were used in place of that impedance. In particular, representing the neutralisation impedance as a parallel RC reduced interference by a factor of 10 at all frequencies in the bandwidth of the neural signal while removed it completely at a spot frequency. Conversely, modelling the effect of the constant phase angle impedance of highly polarisable electrodes using a 20 stages non-uniform RC ladder network resulted in the minimisation of interference without the initial requirement of continuous adjustment. It is demonstrated that with a model that does not perfectly fit the impedance profile of a monopolar electrochemical cell an average reduction in interference of about 100 times is achieved, with the cell arranged as a Wheatstone bridge that can be balanced in the ENG band

A simulation study of the combined thermoelectric extracellular stimulation of the sciatic nerve of the Xenopus laevis: the localized transient heat block

The electrical behavior of the Xenopus laevis nerve fibers was studied when combined electrical (cuff electrodes) and optical (infrared laser, low power sub-5 mW) stimulations are applied. Assuming that the main effect of the laser irradiation on the nerve tissue is the localized temperature increase, this paper analyzes and gives new insights into the function of the combined thermoelectric stimulation on both excitation and blocking of the nerve action potentials (AP). The calculations involve a finite-element model (COMSOL) to represent the electrical properties of the nerve and cuff. Electric-field distribution along the nerve was computed for the given stimulation current profile and imported into a NEURON model, which was built to simulate the electrical behavior of myelinated nerve fiber under extracellular stimulation. The main result of this study of combined thermoelectric stimulation showed that local temperature increase, for the given electric field, can create a transient block of both the generation and propagation of the APs. Some preliminary experimental data in support of this conclusion are also shown

An Implantable Stimulator for Selective Stimulation of Nerves

Acute experimentation performed at many centres over the last twenty years has shown techniques which allow small neurones to be stimulated without large, the reverse of the normal recruitment order usually encountered during electrical stimulation; one-way excitation of neurones; and excitation of only a region of a nerve. These techniques should improve neural prosthesis by, for example: avoiding pain during stimulation and requiring electrode sites and therefore fewer incisions. To enable chronic clinical experiments of these advanced methods, there is a need for a specialised chronically-implantable stimulator, which can control either dipolar, tripolar or pentapolar nerve cuff electrodes. This thesis is concerned with the design and development of such a stimulator and, in particular, a fully customised analogue integrated circuit that converts incoming digital words into corresponding stimulation currents. A binary word is transmitted to the implant, which defines the current waveform parameters for the electrodes. This word is loaded into a shift register at the input. Part of the word is presented to a digital to analogue converter, to specify stimulation amplitude, and a pulse generator, which generates either a quasi-trapezoidal, or a square shaped stimulation waveforms. Four novel low offset linear transconductors provide the stimulation currents that are switched to the desired outputs. The charge balancing of the stimulation waveform is realised by a very long time-constant switched capacitor integrator. The major difficulties in the design of the analogue full custom IC proved to be the linear transconductor stages and the integrator. Results for the test ICs are presented and the design of a complete stimulator system is described

Separability of neural responses to standardised mechanical stimulation of limbs

Abstract Considerable scientific and technological efforts are currently being made towards the development of neural prostheses. Understanding how the peripheral nervous system responds to electro-mechanical stimulation of the limb, will help to inform the design of prostheses that can restore function or accelerate recovery from injury to the sensory motor system. However, due to differences in experimental protocols, it is difficult, if not impossible, to make meaningful comparisons between different peripheral nerve interfaces. Therefore, we developed a low-cost electronic system to standardise the mechanical stimulation of a rat’s hindpaw. Three types of mechanical stimulations, namely, proprioception, touch and nociception were delivered to the limb and the electroneurogram signals were recorded simultaneously from the sciatic nerve with a 16-contact cuff electrode. For the first time, results indicate separability of neural responses according to stimulus type as well as intensity. Statistical analysis reveal that cuff contacts placed circumferentially, rather than longitudinally, are more likely to lead to higher classification rates. This flexible setup may be readily adapted for systematic comparison of various electrodes and mechanical stimuli in rodents. Hence, we have made its electro-mechanical design and computer programme available onlin

Comparison of the Bi-Directional Performance of Micro-Channel Sieve and Thin-Film TIME Peripheral Nerve Interfaces

Sophisticated motorized prosthetic limbs contain multiple degrees of freedom of motion as well as embedded pressure and angle transducers to provide sensory feedback in amputees. Although several central neural recording and stimulation modalities exist for both controlling these motions and providing sensory feedback from a prosthetic limb, directly interfacing the peripheral nerves which originally innervated the limb has many advantages. A difficulty with this bi-directional approach is that electrically stimulating axons to provide haptic feedback creates stimulation artifacts at neighboring recording sites within the nerve that are several orders of magnitude larger than the electroneurogram used for control. In this dissertation, a novel micro-channel sieve electrode is designed, optimized and tested that can provide true bi-directional and concurrent electrical stimulation to sensory axons while simultaneously recording high-fidelity electroneurograms from motor axons in the same peripheral nerve. This research, through computational modeling, compares the concurrent bi-directional performance of both the novel micro-channel sieve electrode designed in this dissertation and the gold standard intrafascicular electrode (tfTIME) used in current clinical research studies in human amputees. The novel micro-channel sieve electrode was found to significantly outperform the tfTIME electrode by increasing recording levels and decreasing stimulation artifact yielding a signal to artifact ratio greater than 50 dB compared to -56.4 dB for the tfTIME. The novel micro-channel sieve electrode developed in this dissertation could provide the first concurrentl, bi-directional peripheral nerve interface for clinical applications

On the viability of implantable electrodes for the natural control of artificial limbs: Review and discussion

The control of robotic prostheses based on pattern recognition algorithms is a widely studied subject that has shown promising results in acute experiments. The long-term implementation of this technology, however, has not yet been achieved due to practical issues that can be mainly attributed to the use of surface electrodes and their highly environmental dependency. This paper describes several implantable electrodes and discusses them as a solution for the natural control of artificial limbs. In this context "natural" is defined as producing control over limb movement analogous to that of an intact physiological system. This includes coordinated and simultaneous movements of different degrees of freedom. It also implies that the input signals must come from nerves or muscles that were originally meant to produce the intended movement and that feedback is perceived as originating in the missing limb without requiring burdensome levels of concentration. After scrutinizing different electrode designs and their clinical implementation, we concluded that the epimysial and cuff electrodes are currently promising candidates to achieving a long-term stable and natural control of robotic prosthetics, provided that communication from the electrodes to the outside of the body is guaranteed

Vagus nerve stimulation: State of the art of stimulation and recording strategies to address autonomic function neuromodulation

International audienceObjective. Neural signals along the vagus nerve (VN) drive many somatic and autonomic functions. The clinical interest of VN stimulation (VNS) is thus potentially huge and has already been demonstrated in epilepsy. However, side effects are often elicited, in addition to the targeted neuromodulation. Approach. This review examines the state of the art of VNS applied to two emerging modulations of autonomic function: heart failure and obesity, especially morbid obesity. Main results. We report that VNS may benefit from improved stimulation delivery using very advanced technologies. However, most of the results from fundamental animal studies still need to be demonstrated in humans

An ASIC for Recording and Stimulation in Stacked Microchannel Neural Interfaces

This paper presents an active microchannel neural interface (MNI) using seven stacked application specific integrated circuits (ASIC). The approach provides a solution to the present problem of interconnect density in 3-dimensional MNIs. The 4 mm2 ASIC is implemented in 0.35 μm high-voltage CMOS technology. Each ASIC is the base for seven microchannels each with three electrodes in a pseudo-tripolar arrangement. Multiplexing allows stimulating or recording from any one of 49 channels, across 7 ASICs. Connections to the ASICs are made with a 5-line parallel bus. Current controlled biphasic stimulation from 5 μA to 500 μA has been demonstrated with switching between channels and ASICs. The high-voltage technology gives a compliance of 40 V for stimulation, appropriate for the high impedances within microchannels. High frequency biphasic stimulation, up to 40 kHz is achieved, suitable for reversible high frequency nerve blocks. Recording has been demonstrated with mV level signals; common-mode inputs are differentially distorted and limit the CMRR to 40dB. The ASIC has been used in vitro in conjunction with an oversize (2 mm diameter) microchannel in phosphate buffered saline, demonstrating attenuation of interference from outside the microchannel and tripolar recording of signals from within the microchannel. By using 5-lines for 49 active microchannels the device overcomes limitations with connecting many electrodes in a 3-dimensional miniaturised nerve interface