Troyk P R
Department of Electrical and Computer Engineering, Pritzker Institute of Medical Engineering, Illinois Institute of Technology, Chicago, Illinois 60616, USA.
Annu Rev Biomed Eng. 1999;1:177-209. doi: 10.1146/annurev.bioeng.1.1.177.
Historically, electronic devices such as pacemakers and neuromuscular stimulators have been surgically implanted into animals and humans. A new class of implants made possible by advances in monolithic electronic design and implant packaging is small enough to be implanted by percutaneous injection through large-gauge hypodermic needles and does not require surgical implantation. Among these, commercially available implants, known as radio frequency identification (RFID) tags, are used for livestock, pet, laboratory animal, and endangered-species identification. The RFID tag is a subminiature glass capsule containing a solenoidal coil and an integrated circuit. Acting as the implanted half of a transcutaneous magnetic link, the RFID tag is powered by and communicates with an extracorporeal magnetic reader. The tag transmits a unique identification code that serves the function of identifying the animal. Millions of RFID tags have been sold since the early 1980s. Based on the success of the RFID tags, research laboratories have developed injectable medical implants, known as micromodules. One type of micromodule, the microstimulator, is designed for use in functional-neuromuscular stimulation. Each microstimulator is uniquely addressable and could comprise one channel of a multichannel functional-neuromuscular stimulation system. Using bidirectional telemetry and commands, from a single extracorporeal transmitter, as many as 256 microstimulators could form the hardware basis for a complex functional-neuromuscular stimulation feedback-control system. Uses include stimulation of paralyzed muscle, therapeutic functional-neuromuscular stimulation, and neuromodulatory functions such as laryngeal stimulation and sleep apnea.
从历史上看,诸如起搏器和神经肌肉刺激器等电子设备已通过手术植入动物和人体。单块电子设计和植入封装技术的进步使一类新型植入物成为可能,这类植入物体积小到足以通过大口径皮下注射针经皮注射植入,且不需要手术植入。其中,市售的植入物,即射频识别(RFID)标签,用于牲畜、宠物、实验动物和濒危物种的识别。RFID标签是一种包含螺线管线圈和集成电路的超小型玻璃胶囊。作为经皮磁链路的植入部分,RFID标签由体外磁阅读器供电并与之通信。该标签传输一个唯一的识别码,用于识别动物。自20世纪80年代初以来,已售出数百万个RFID标签。基于RFID标签的成功,研究实验室开发了可注射的医疗植入物,即微模块。一种微模块,即微刺激器,设计用于功能性神经肌肉刺激。每个微刺激器都具有唯一的可寻址性,并且可以构成多通道功能性神经肌肉刺激系统的一个通道。利用来自单个体外发射器的双向遥测和命令,多达256个微刺激器可以构成复杂的功能性神经肌肉刺激反馈控制系统的硬件基础。其用途包括刺激瘫痪肌肉、治疗性功能性神经肌肉刺激以及神经调节功能,如喉部刺激和睡眠呼吸暂停。