Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric...

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Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 March 9, 2001 Tom Chiesl, Eric Tom Chiesl, Eric Faulring, Faulring, Elizabeth Nunamaker, Elizabeth Nunamaker, Jonathan Yuen Jonathan Yuen
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Transcript of Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric...

Page 1: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Investigations in Deep Brain Stimulation:

Neurostimulating Electrodes

March 9, 2001March 9, 2001

Tom Chiesl, Eric Faulring, Tom Chiesl, Eric Faulring,

Elizabeth Nunamaker, Jonathan YuenElizabeth Nunamaker, Jonathan Yuen

Page 2: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Parkinson’s Disease

• Progressive central nervous system disorder

• Degeneration of pigmented neurons of the Substantia Nigra

• Men and women over fifty

• Inability to control muscular activity

• Gait difficulty

• Rigidity

• Tremor

Page 3: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Traditional Treatment Options

• Drugs (Levodopa)

• Initial reduction of symptoms

• Tolerance develops over time

•Pallidotomy

•Thalamotomy

Page 4: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Emerging Treatment Options

• Deep Brain Stimulation (DBS)

• Placement of electrode within thalamus

• Periodic stimulation overrides faulty signals

• Intensity / Frequency adjusted as needed

Page 5: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Medtronics Production Electrode

 

Voltage (V) 3.07 1.2 3.30 1.1 3.38 1.1

Frequency (Hz) 158.1 29.1160.6 29.0 165.6 23.5

Pulse Width (sec) 107.0 47.6 105.041.5 117.5 80.8

3 Months 6 Months 12 Months

Page 6: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Biological Requirements of Bio-Electrodes

• Size

• Non-toxic

• Non-inflammatory / non-immunogenic

• Bio-fouling

Page 7: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Engineering Requirements of Bio-Electrodes

• Corrosion Resistance

• Packaging (Control, Power, Communication)

• Manufacturing Complexity / Cost

• Component Materials Compatibility

• Functionality (Maintenance, Adjustments)

Page 8: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

• Recording Electrode - Large Capacitance

• Stimulating Electrode - Small Resistance

• High Surface Area (Minimize Electrical Impedance)

• Gas Evolution (Safe Charge Density Injection Limit)

Electrical Requirements Bio-Electrodes

Page 9: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Emerging Fabrication Technologies –

• Doping electrode tracings onto silicon substrate

• Evaporative metal deposition on micro-injection molded plastic substrate

• Polycrystalline silicon tracings

Current Fabrication Technologies –

• Macroscale production (Au, Pt electrodes)

• CMOS processing

• Photolithography

Page 10: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Emerging Fabrication Technologies -Evaporative metal deposition on micro-injection molded plastic substrate

Page 11: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Emerging Fabrication Technologies -• Doping electrode tracings onto silicon substrate

Quadripolar Electrode

Etched holes for neural growth factor and nerve in-growth

Page 12: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Summary

Use thin film CMOS technology incorporating polycrystaline electrodes or doped silicon electrodes

• Electrodes are microscale

• More electrodes for increased stimulation options

• Closed loop – feedback control

• Less destructive to neural tissue

Page 13: Investigations in Deep Brain Stimulation: Neurostimulating Electrodes March 9, 2001 Tom Chiesl, Eric Faulring, Elizabeth Nunamaker, Jonathan Yuen.

Questions