18 research outputs found
Wireless Intraocular Pressure Sensing Using Microfabricated Minimally Invasive Flexible-Coiled LC Sensor Implant
This paper presents an implant-based wireless pressure
sensing paradigm for long-range continuous intraocular
pressure (IOP) monitoring of glaucoma patients. An implantable
parylene-based pressure sensor has been developed, featuring an
electrical LC-tank resonant circuit for passive wireless sensing
without power consumption on the implanted site. The sensor
is microfabricated with the use of parylene C (poly-chlorop-
xylylene) to create a flexible coil substrate that can be folded
for smaller physical form factor so as to achieve minimally invasive
implantation, while stretched back without damage for
enhanced inductive sensor–reader coil coupling so as to achieve
strong sensing signal. A data-processed external readout method
has also been developed to support pressure measurements. By
incorporating the LC sensor and the readout method, wireless
pressure sensing with 1-mmHg resolution in longer than 2-cm distance
is successfully demonstrated. Other than extensive on-bench
characterization, device testing through six-month chronic in vivo
and acute ex vivo animal studies has verified the feasibility and
efficacy of the sensor implant in the surgical aspect, including
robust fixation and long-term biocompatibility in the intraocular
environment. With meeting specifications of practical wireless
pressure sensing and further reader development, this sensing
methodology is promising for continuous, convenient, direct, and
faithful IOP monitoring
Microfabricated Implantable Parylene-Based Wireless Passive Intraocular Pressure Sensors
This paper presents an implantable parylene-based wireless pressure sensor for biomedical pressure sensing applications specifically designed for continuous intraocular pressure (IOP) monitoring in glaucoma patients. It has an electrical LC tank resonant circuit formed by an integrated capacitor and an inductor coil to facilitate passive wireless sensing using an external interrogating coil connected to a readout unit. Two surface-micromachined sensor designs incorporating variable capacitor and variable capacitor/inductor resonant circuits have been implemented to realize the pressure-sensitive components. The sensor is monolithically microfabricated by exploiting parylene as a biocompatible structural material in a suitable form factor for minimally invasive intraocular implantation. Pressure responses of the microsensor have been characterized to demonstrate its high pressure sensitivity (> 7000 ppm/mmHg) in both sensor designs, which confirms the feasibility of pressure sensing with smaller than 1 mmHg of resolution for practical biomedical applications. A six-month animal study verifies the in vivo bioefficacy and biostability of the implant in the intraocular environment with no surgical or postoperative complications. Preliminary ex vivo experimental results verify the IOP sensing feasibility of such device. This sensor will ultimately be implanted at the pars plana or on the iris of the eye to fulfill continuous, convenient, direct, and faithful IOP monitoring
Implantable parylene-based wireless intraocular pressure sensor
This paper presents a novel implantable, wireless,
passive pressure sensor for ophthalmic applications. Two
sensor designs incorporating surface-micromachined
variable capacitor and variable capacitor/inductor are
implemented to realize the pressure sensitive components.
The sensor is monolithically microfabricated using parylene
as a biocompatible structural material in a suitable form
factor for increased ease of intraocular implantation.
Pressure responses of the microsensor are characterized
on-chip to demonstrate its high pressure sensitivity (> 7000
ppm/mmHg) with mmHg level resolution. An in vivo animal
study verifies the biostability of the sensor implant in the
intraocular environment after more than 150 days. This
sensor will ultimately be implanted at the pars plana or iris of
the eye to fulfill continuous intraocular pressure (IOP)
monitoring in glaucoma patients
Implantable micromechanical parylene-based pressure sensors for unpowered intraocular pressure sensing
This paper presents the first implantable, unpowered, parylene-based microelectromechanical system (MEMS) pressure sensor for intraocular pressure (IOP) sensing. From in situ mechanical deformation of the compliant spiral-tube structures, this sensor registers pressure variations without electrical or powered signal transduction of any kind. Micromachined high-aspect-ratio polymeric hollow tubes with different geometric layouts are implemented to obtain high-sensitivity pressure responses. An integrated device packaging method has been developed toward enabling minimally invasive suture-less needle-based implantation of the device. Both in vitro and ex vivo device characterizations have successfully demonstrated mmHg resolution of the pressure responses. In vivo animal experiments have also been conducted to verify the biocompatibility and functionality of the implant fixation method inside the eye. Using the proposed implantation scheme, the pressure response of the implant can be directly observed from outside the eye under visible light, with the goal of realizing convenient, direct and faithful IOP monitoring in glaucoma patients
Implantable Flexible-Coiled Wireless Intraocular Pressure Sensor
This work presents an implantable wireless passive pressure sensor for long-range continuous intraocular pressure (IOP) monitoring of glaucoma patients. The sensor is microfabricated with use of parylene C (poly-chloro-p-xylylene) to create a flexible coil substrate that can be folded during implantation for suture-less minimally invasive surgery, while stretched back without damage for enhanced inductive sensor-reader coil coupling and the corresponding sensing signal. Extensive device characterizations including on-bench testing and in vivo and ex vivo animal studies verify the device feasibility in both engineering (1 mmHg pressure sensing accuracy and 2 cm sensing distance) and surgical (robust fixation to the iris and long-term biocompatibility in the intraocular environment) aspects, all meeting specifications for future practical implementation of such IOP sensing technology
Wireless Intraocular Pressure Sensing Using Microfabricated Minimally Invasive Flexible-Coiled LC Sensor Implant
Implantable micromechanical parylene-based pressure sensors for unpowered intraocular pressure sensing
Acute variations in retinal vascular oxygen content in a rabbit model of retinal venous occlusion.
PURPOSE: To study the variation in intravascular oxygen saturation (oximetry) during an acute retinal vein occlusion (RVO) using hyperspectral computed tomographic spectroscopy based oximetry measurements. METHODS: Thirty rabbits were dilated and anesthetized for experiments. Baseline oximetry measurements were made using a custom-made hyperspectral computed tomographic imaging spectrometer coupled to a fundus camera. RVO were induced using argon green laser following an intravenous injection of Rose Bengal. RVO induction was confirmed by fluorescein angiography. Retinal oximetry measurements were repeated in arterial and venous branches one hour after RVO induction and up to 4 weeks afterwards. Comparison of retinal oximetry before and after vein occlusion was made using the Student T-test. RESULTS: One hour after RVO induction, we observed statistically significant reductions in the intravascular oxygen saturation in temporal retinal arteries (85.1 ± 6.1% vs. 80.6 ± 6.6%; p<0.0001) and veins (71.4 ± 5.5% vs. 64.0 ± 4.7%; p<0.0001). This decrease was reversible in animals that spontaneously recannulated the vein occlusion. There were no statistically significant differences in oxygen saturation in the nasal control arteries and veins before and after temporal vein RVO induction. CONCLUSIONS: We demonstrate, for the first time, acute changes in the intravascular oxygen content of retinal vessels 1 hour after RVO. These changes are reversible upon spontaneous recannulation of retinal vessels. This study demonstrates that hyperspectral computer tomographic spectroscopy based oximetry can detect physiological variations in intravascular retinal oxygen saturation. The study also provides the first qualitative and quantitative evidence of the variation in retinal vascular oxygen content directly attributable to an acute retinal vein occlusion