Conformable transistors for bioelectronics

The diversity of network disruptions that occur in patients with neuropsychiatric disorders creates a strong demand for personalized medicine. Such approaches often take the form of implantable bioelectronic devices that are capable of monitoring pathophysiological activity for identifying biomarkers to allow for local and responsive delivery of intervention. They are also required to transmit this data outside of the body for evaluation of the treatment’s efficacy. However, the ability to perform these demanding electronic functions in the complex physiological environment with minimum disruption to the biological tissue remains a big challenge. An optimal fully implantable bioelectronic device would require each component from the front-end to the data transmission to be conformable and biocompatible. For this reason, organic material-based conformable electronics are ideal candidates for components of bioelectronic circuits due to their inherent flexibility, and soft nature. In this work, first an organic mixed-conducting particulate composite material (MCP) able to form functional electronic components and non-invasively acquire high–spatiotemporal resolution electrophysiological signals by directly interfacing human skin is presented. Secondly, we introduce organic electrochemical internal ion-gated transistors (IGTs) as a high-density, high-amplification sensing component as well as a low leakage, high-speed processing unit. Finally, a novel wireless, battery-free strategy for electrophysiological signal acquisition, processing, and transmission that employs IGTs and an ionic communication circuit (IC) is introduced. We show that the wirelessly-powered IGTs are able to acquire and modulate neurophysiological data in-vivo and transmit them transdermally, eliminating the need for any hard Si-based electronics in the implant

Bidirectional Parallel Capacitive Data Links: Modeling and Experimental Results

We present, in this paper, a bidirectional capacitive data link. Enhancement of the spatial pulse position modulation used on the downlink is introduced, and a load-shift keying modulation is implemented for the uplink. Different grounds on the transmitter and the receiver are discussed, and a compatible solution is proposed. A human skin electrical model is extracted using the agilent impedance analyzer 4294A while doing in vivo measurements on cheek skin and then applying curve fitting to the data between 2 and 20 MHz. Multiple geometries for the link are analyzed, and a 5-mm × 5-mm plate size is used for the design of the transceiver. The signal-to-noise ratio along with the capacity of the channel is analyzed theoretically while computing the limits for the downlink and the valid operating frequency to highlight the core parameters that affect the crosstalk interference between channels. The tradeoff in using the uplink on the same channel as the downlink is also discussed and analyzed. The operating frequency is 10 MHz, a bit-rate of 20 Mb/s is demonstrated on the uplink, and 10 Mb/s is demonstrated on the downlink. An in vivo human skin model for a 5-mm × 5-mm plate size with 21.2-mm separation is extracted, and the capacity's equation of the channel is computed using the equations for the analysis of the system.This work was supported by the Natural Sciences and Engineering Research Council of Canada, Canada. The authors would like to acknowledge the financial support from the Canada Research Chair in Smart Medical Devices and the design tools from CMC Microsystems.Scopu

Bidirectional parallel capacitive data links: Modeling and experimental results

ABSTRACT: We present, in this paper, a bidirectional capacitive data link. Enhancement of the spatial pulse position modulation used on the downlink is introduced, and a load-shift keying modulation is implemented for the uplink. Different grounds on the transmitter and the receiver are discussed, and a compatible solution is proposed. A human skin electrical model is extracted using the agilent impedance analyzer 4294A while doing in vivo measurements on cheek skin and then applying curve fitting to the data between 2 and 20 MHz. Multiple geometries for the link are analyzed, and a 5-mm × 5-mm plate size is used for the design of the transceiver. The signal-to-noise ratio along with the capacity of the channel is analyzed theoretically while computing the limits for the downlink and the valid operating frequency to highlight the core parameters that affect the crosstalk interference between channels. The tradeoff in using the uplink on the same channel as the downlink is also discussed and analyzed. The operating frequency is 10 MHz, a bit-rate of 20 Mb/s is demonstrated on the uplink, and 10 Mb/s is demonstrated on the downlink. An in vivo human skin model for a 5-mm × 5-mm plate size with 21.2-mm separation is extracted, and the capacity's equation of the channel is computed using the equations for the analysis of the system

A Wireless, High-Voltage Compliant, and Energy-Efficient Visual Intracortical Microstimulator

RÉSUMÉ L’objectif général de ce projet de recherche est la conception, la mise en oeuvre et la validation d’une interface sans fil intracorticale implantable en technologie CMOS avancée pour aider les personnes ayant une déficience visuelle. Les défis majeurs de cette recherche sont de répondre à la conformité à haute tension nécessaire à travers l’interface d’électrode-tissu (IET), augmenter la flexibilité dans la microstimulation et la surveillance multicanale, minimiser le budget de puissance pour un dispositif biomédical implantable, réduire la taille de l’implant et améliorer le taux de transmission sans fil des données. Par conséquent, nous présentons dans cette thèse un système de microstimulation intracorticale multi-puce basée sur une nouvelle architecture pour la transmission des données sans fil et le transfert de l’énergie se servant de couplages inductifs et capacitifs. Une première puce, un générateur de stimuli (SG) éconergétique, et une autre qui est un amplificateur de haute impédance se connectant au réseau de microélectrodes de l’étage de sortie. Les 4 canaux de générateurs de stimuli produisent des impulsions rectangulaires, demi-sinus (DS), plateau-sinus (PS) et autres types d’impulsions de courant à haut rendement énergétique. Le SG comporte un contrôleur de faible puissance, des convertisseurs numérique-analogiques (DAC) opérant en mode courant, générateurs multi-forme d’ondes et miroirs de courants alimentés sous 1.2 et 3.3V se servant pour l’interface entre les deux technologies utilisées. Le courant de stimulation du SG varie entre 2.32 et 220μA pour chaque canal. La deuxième puce (pilote de microélectrodes (MED)), une interface entre le SG et de l’arrangement de microélectrodes (MEA), fournit quatre niveaux différents de courant avec la valeur maximale de 400μA par entrée et 100μA par canal de sortie simultanément pour 8 à 16 sites de stimulation à travers les microélectrodes, connectés soit en configuration bipolaire ou monopolaire. Cette étage de sortie est hautement configurable et capable de délivrer une tension élevée pour satisfaire les conditions de l’interface à travers l’impédance de IET par rapport aux systèmes précédemment rapportés. Les valeurs nominales de plus grandes tensions d’alimentation sont de ±10V. La sortie de tension mesurée est conformément 10V/phase (anodique ou cathodique) pour les tensions d’alimentation spécifiées. L’incrémentation de tensions d’alimentation à ±13V permet de produire un courant de stimulation de 220μA par canal de sortie permettant d’élever la tension de sortie jusqu’au 20V par phase. Cet étage de sortie regroupe un commutateur haute tension pour interfacer une matrice des miroirs de courant (3.3V /20V), un registre à décalage de 32-bits à entrée sérielle, sortie parallèle, et un circuit dédié pour bloquer des états interdits.----------ABSTRACT The general objective of this research project is the design, implementation and validation of an implantable wireless intracortical interface in advanced CMOS technology to aid the visually impaired people. The major challenges in this research are to meet the required highvoltage compliance across electrode-tissue interface (ETI), increase lexibility in multichannel microstimulation and monitoring, minimize power budget for an implantable biomedical device, reduce the implant size, and enhance the data rate in wireless transmission. Therefore, we present in this thesis a multi-chip intracortical microstimulation system based on a novel architecture for wireless data and power transmission comprising inductive and capacitive couplings. The first chip is an energy-efficient stimuli generator (SG) and the second one is a highimpedance microelectrode array driver output-stage. The 4-channel stimuli-generator produces rectangular, half-sine (HS), plateau-sine (PS), and other types of energy-efficient current pulse. The SG is featured with low-power controller, current mode source- and sinkdigital- to-analog converters (DACs), multi-waveform generators, and 1.2V/3.3V interface current mirrors. The stimulation current per channel of the SG ranges from 2.32 to 220μA per channel. The second chip (microelectrode driver (MED)), an interface between the SG and the microelectrode array (MEA), supplies four different current levels with the maximum value of 400μA per input and 100μA per output channel. These currents can be delivered simultaneously to 8 to 16 stimulation sites through microelectrodes, connected either in bipolar or monopolar configuration. This output stage is highly-configurable and able to deliver higher compliance voltage across ETI impedance compared to previously reported designs. The nominal values of largest supply voltages are ±10V. The measured output compliance voltage is 10V/phase (anodic or cathodic) for the specified supply voltages. Increment of supply voltages to ±13V allows 220μA stimulation current per output channel enhancing the output compliance voltage up to 20V per phase. This output-stage is featured with a high-voltage switch-matrix, 3.3V/20V current mirrors, an on-chip 32-bit serial-in parallel-out shift register, and the forbidden state logic building blocks. The SG and MED chips have been designed and fabricated in IBM 0.13μm CMOS and Teledyne DALSA 0.8μm 5V/20V CMOS/DMOS technologies with silicon areas occupied by them 1.75 x 1.75mm2 and 4 x 4mm2 respectively. The measured DC power budgets consumed by low-and mid-voltage microchips are 2.56 and 2.1mW consecutively

Télémétrie capacitive pour des dispositifs implantables

RÉSUMÉ Ce travail vise à concevoir un système de transfert de données bidirectionnel et capacitif. Une introduction couvrant l'histoire des liens de communication dédiés aux implants médicaux est tout d’abord présentée. Ensuite, nous développons une revue de la littérature des télémétries de données qui se basent sur l'approche capacitive ainsi que celles basées sur la modulation de changement de charge. Deux systèmes de transfert de données à base capacitive sont présentés : le premier est unidirectionnel et se base sur la modulation de la position spatiale de la porteuse. Le second est bidirectionnel et utilise une modulation spatiale de la position du pulse pour la liaison descendante et la modulation par déplacement de charge pour la liaison ascendante. Le premier système a été testé sur un cuir chevelu de mouton et a atteint un débit de 20 Mb/s en utilisant des composants discrets. Le système a été modélisé sur COMSOL afin de comprendre le comportement du champ électrique dans ce type de tissu. Les défis du premier système ont été réglés par la conception du deuxième système. Les contributions apportées ont résolu les limitations suivantes : le problème de différence de masse sur l’émetteur et le récepteur, la grande taille des plaques nécessaire pour obtenir une capacité d'isolation valide et finalement l’ajustement automatique du seuil de détection du récepteur en ajoutant une cinquième plaque commune. Une analyse détaillée des paramètres qui affectent le rapport signal sur bruit pour la liaison descendante (de la partir externe du système vers l’implant) est réalisée avec un modèle électrique correspondant à la peau de la joue humaine. La capacité est calculée en utilisant les variables paramétriques du système. La modulation sur la liaison ascendante est analysée en mettant en évidence les compromis nécessaires sur la liaison descendante. Un débit de 10 Mb/s est réalisé sur la liaison ascendante et un débit de 20 Mb/s sur la liaison descendante. Finalement, nous proposons une nouvelle modulation qui utilise le complément de la SPPM et permet une augmentation de 50 % dans le débit binaire en ajoutant un bit aux deux bits transmis par impulsion formant des codes à 3 bits chacun.----------ABSTRACT This work aims to design a bidirectional capacitive data link. An introduction covering the history of communication links used for medical implants is introduced along with a literature review covering the data telemetries using the capacitive approach and some of the other types of telemetries using load shift keying modulation. Two capacitive based telemetry systems are presented; the first is a unidirectional using spatial carrier position modulation and the second is a bidirectional transceiver using spatial pulse position modulation for the downlink and load shift keying for the uplink. The first system achieved a data rate of 20 Mb/s experimentally using discrete components, four plate geometry and sheep head skin. COMSOL modeling has been implanted to understand the behavior of the electric field in this type of tissue. The challenges of the first system were sorted by the design of the second transceiver which solved the different ground on the transmitter and the receiver, the big plate size required to achieve a valid insulation capacitance and most importantly the autonomy of the receiver detection threshold by adding a fifth common plate. A detailed analysis of the parameters that affect the signal to noise ratio for the downlink is made along with an electrical model that fits the human cheek skin. The capacity is computed using the parametric variables of the system. Load shift keying system analysis is done while highlighting the tradeoffs required for implementing on the uplink along with the downlink. A data rate of 10 Mb/s is achieved on the uplink and a 20 Mb/s on the downlink. A new modulation is implemented that uses the complement of the SPPM and allows a 50% increase in the bit-rate by adding a bit to the two transmitted bits per pulse for a total of three

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

Remote Powering and Data Communication Over a Single Inductive Link for Implantable Medical Devices

RÉSUMÉ Les implants médicaux électroniques (Implantable Medical Devices - IMDs) sont notamment utilisés pour restaurer ou améliorer des fonctions perdues de certains organes. Ils sont capables de traiter des complications qui ne peuvent pas être guéries avec des médicaments ou par la chirurgie. Offrant des propriétés et des améliorations curatives sans précédent, les IMDs sont de plus en plus demandés par les médecins et les patients. En 2017, le marché mondial des IMD était évalué à 15,21 milliards de dollars. D’ici 2025, il devrait atteindre 30,42 mil-liards de dollars, soutenu par un taux de croissance annuel de 9,24% selon le nouveau rapport publié par Fior Markets. Cette expansion entraîne une augmentation des exigences pour as-surer des performances supérieures, des fonctionnalités supplémentaires et une durée de vie plus longue. Ces exigences ne peuvent être satisfaites qu’avec des techniques d’alimentation avancées, un débit de données élevé et une électronique miniaturisée robuste. Construire des systèmes capables de fournir toutes ces caractéristiques est l’objectif principal d’un grand nombre de chercheurs. Parmi plusieurs technologies sans fil, le lien inductif, qui consiste en une paire de bobines à couplage magnétique, est la technique sans fil la plus largement utilisée pour le transfert de puissance et de données. Cela est dû à sa simplicité, sa sécurité et sa capacité à transmettre à la fois de la puissance et des données de façon bidirectionnelle. Cependant, il existe encore un certain nombre de défis concernant la mise en œuvre d’un tel système de transfert d’énergie et de données sans fil (Wireless Power and Data Transfer - WPDT system). Un défi majeur est que les exigences pour une efficacité de transfert d’énergie élevée et pour une communication à haut débit sont contradictoires. En fait, la bande passante doit être élargie pour des débits de données élevés, mais réduite pour une transmission efficace de l’énergie. Un autre grand défi consiste à réaliser un démodulateur fonctionnant à haute vitesse avec une mise en œuvre simple et une consommation d’énergie ultra-faible. Dans ce projet, nous proposons et expérimentons un nouveau système WPDT dédié aux IMD permettant une communication à haute vitesse et une alimentation efficace tout en maintenant une faible consommation d’énergie, une petite surface de silicium et une mise en œuvre simple du récepteur. Le système proposé est basé sur un nouveau schéma de modulation appelé "Carrier Width Modulation (CWM)", ainsi que sur des circuits de modulation et de démodulation inédits. La modulation consiste en un coupe-circuit synchronisé du réservoir LC primaire pendant un ou deux cycles en fonction des données transmises.----------ABSTRACT Implantable Medical Devices (IMDs) are electronic implants notably used to restore or en-hance lost organ functions. They may treat complications that cannot be cured with medica-tion or through surgery. O˙ering unprecedented healing properties and enhancements, IMDs are increasingly requested by physicians and patients. In 2017, the worldwide IMD market was valued at USD 15,21 Billion. By 2025, it is expected to attain USD 30.42 Billion sus-tained by a compound annual growth rate of 9.24% according to a recent report published by Fior Markets. This expansion is bringing-up more demand for higher performance, additional features, and longer device lifespan and autonomy. These requirements can only be achieved with advanced power sources, high-data rates, and robust miniaturized electronics. Building systems able to provide all these characteristics is the main goal of many researchers. Among several wireless technologies, the inductive link, which consists of a magnetically-coupled pair of coils, is the most widely used wireless technique for both power and data transfer. This is due to its simplicity, safety, and ability to provide simultaneously both power and bidirectional data transfer to the implant. However there are still a number of challenges regarding the implementation of such Wireless Power and Data Transfer (WPDT) systems. One main challenge is that the requirements for high Power Transfer Eÿciency (PTE) and for high-data rate communication are contra-dictory. In fact, the bandwidth needs to be widened for high data rates, but narrowed for eÿcient power delivery. Another big challenge is to implement a high-speed demodulator with simple implementation and ultra-low power consumption. In this project, we propose and experiment a new WPDT system dedicated to IMDs allow-ing high-speed communication and eÿcient power delivery, while maintaining a low power consumption, small silicon area, and simple implementation of the receiver. The proposed system is based on a new Carrier Width Modulation (CWM) scheme, as well as novel modu-lation and demodulation circuits. The modulation consists of a synchronized opening of the primary LC tank for one or two cycles according to the transmitted data. Unlike conventional modulation techniques, the data rate of the proposed CWM modulation is not limited by the quality factors of the primary and secondary coils. On the other hand, the proposed CWM demodulator allows higher-speed demodulation and simple implementation, unlike conven-tional demodulators for a similar modulation scheme. It also o˙ers a wide range of data rates under any selected frequency from 10 to 31 MHz

Toward an energy-efficient high-voltage compliant visual intracortical multichannel stimulator

ABSTRACT: We present, in this paper, a new multichip system aimed toward building an implantable visual intracortical stimulation device. The objective is to deliver energy-optimum pulse patterns to neural sites with needed compliance voltage across high electrode–tissue interface impedance of implantable microelectrodes. The first chip is an energy-efficient stimuli generator (SG), and the second one is a high-impedance microelectrode array driver (MED) output stage. The fourchannel SG produces rectangular, half-sine, plateau-sine, and other types of current pulse with stimulation current ranging from 2.32 to 220 μA per channel. The microelectrode array driver is able to deliver 20 V per anodic or cathodic phase across the microelectrode–tissue interface for ±13 V power supplies. The MED supplies different current levels with the maximum value of 400 μA per input and 100 μA per output channel simultaneously to 8–16 stimulation sites through microelectrodes, connected either in bipolar or monopolar configuration. Both chips receive power via inductive link and data through capacitive coupling. The SG and MED chips have been fabricated in 0.13-μm CMOS and 0.8-μm 5-/20-V CMOS/double-diffused metal-oxidesemiconductor technologies. The measured dc power budgets consumed by low- and mid-voltage chips are 2.56 and 2.1 mW consecutively. The system, modular in architecture, is interfaced with a newly developed platinum-coated pyramidal microelectrode array. In vitro test results with 0.9% phosphate buffer saline show the microelectrode impedance of 70 Ωk at 1 kHz

Ultrasound data communication system for bioelectronic medicines

PhD ThesisThe coming years may see the advent of distributed implantable devices to support bioelectronic medicinal treatments. Such treatments could be complementary and, in some cases, may even prove superior to pharmaceutical treatments for certain chronic disease conditions. Therefore, a significant research effort is being undertaken in the bioelectronics domain. Target conditions include diabetes, inflammatory bowel disease, lupus, and arthritis. Modern active medical implantable devices require communications to transmit information to the outside world or other implantable sub-systems. This can include physiological data, diagnostics, and parameters to optimise the therapeutic protocol. However, the communication scheme can be very challenging especially for deeper devices. Challenges include absorption and scattering by tissue, and the need to ensure there are no undesirable heating effects. Wired connectivity is undesirable and tissue absorption of traditional radio frequency and optical methods mean that ultrasound communications have significant potential in this niche. In this thesis, a reliable and efficient ultrasonic communication telemetry is presented. An omnidirectional transducer has been employed to implement intra body communication inside a model of the human body. A prototype has been implemented to evaluate the system performance in saline and up to 30 distance between the transmitter and receiver. Short pulses sequences with guard intervals have been employed to minimise the multipath effect that leads to an increase in the bit and thus packet error rates with distance. Error detection and correction code have been employed to improve communication at a low signal to noise ratio. The data rate is limited to 0.6 due to the necessary guard intervals. Energy per bit and current consumption for the transmitter and receiver main parts are presented and discussed in terms of battery life. Transmission can be achieved at an energy cost of 642 per bit data packet using on/off power cycling in the electronics