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用于视觉假体的密封无线视网膜下神经刺激器。

A hermetic wireless subretinal neurostimulator for vision prostheses.

机构信息

Center for Innovative Visual Rehabilitation, VA Boston Healthcare System, Boston, MA 02130, USA.

出版信息

IEEE Trans Biomed Eng. 2011 Nov;58(11):3197-205. doi: 10.1109/TBME.2011.2165713. Epub 2011 Aug 22.

DOI:10.1109/TBME.2011.2165713
PMID:21859595
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4876049/
Abstract

A miniaturized, hermetically encased, wirelessly operated retinal prosthesis has been developed for preclinical studies in the Yucatan minipig, and includes several design improvements over our previously reported device. The prosthesis attaches conformally to the outside of the eye and electrically drives a microfabricated thin-film polyimide array of sputtered iridium oxide film electrodes. This array is implanted into the subretinal space using a customized ab externo surgical technique. The implanted device includes a hermetic titanium case containing a 15-channel stimulator chip and discrete circuit components. Feedthroughs in the case connect the stimulator chip to secondary power and data receiving coils on the eye and to the electrode array under the retina. Long-term in vitro pulse testing of the electrodes projected a lifetime consistent with typical devices in industry. The final assembly was tested in vitro to verify wireless operation of the system in physiological saline using a custom RF transmitter and primary coils. Stimulation pulse strength, duration, and frequency were programmed wirelessly from a Peripheral Component Interconnect eXtensions for Instrumentation (PXI) computer. Operation of the retinal implant has been verified in two pigs for up to five and a half months by detecting stimulus artifacts generated by the implanted device.

摘要

一种微型、密封、无线操作的视网膜假体已被开发用于尤卡坦小型猪的临床前研究,并且相对于我们之前报道的设备,该假体具有多项设计改进。该假体与眼睛外部贴合,并通过微加工的薄膜聚酰亚胺阵列驱动溅射氧化铱薄膜电极进行电驱动。该阵列使用定制的外部手术技术植入到视网膜下空间。植入的设备包括一个密封的钛外壳,其中包含一个 15 通道刺激器芯片和离散的电路组件。外壳中的贯穿件将刺激器芯片连接到眼睛上的二次电源和数据接收线圈,以及连接到视网膜下的电极阵列。电极的长期体外脉冲测试预测了与典型工业设备一致的寿命。最终组件在体外进行了测试,使用定制的射频发射器和初级线圈,在生理盐水中验证了系统的无线操作。通过检测由植入设备产生的刺激伪影,已经在两只猪中验证了视网膜植入物长达五个半月的运行。

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本文引用的文献

1
Realization of a 15-channel, hermetically-encased wireless subretinal prosthesis for the blind.为盲人实现的一种15通道、气密封装的无线视网膜下假体。
Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:200-3. doi: 10.1109/IEMBS.2009.5333619.
2
Extraction of a chronically implanted, microfabricated, subretinal electrode array.慢性植入的微加工视网膜下电极阵列的提取。
Ophthalmic Res. 2009;42(3):128-37. doi: 10.1159/000227278. Epub 2009 Jul 4.
3
Development and implantation of a minimally invasive wireless subretinal neurostimulator.微创无线视网膜下神经刺激器的研制与植入。
IEEE Trans Biomed Eng. 2009 Oct;56(10):2502-11. doi: 10.1109/TBME.2009.2021401. Epub 2009 Apr 28.
4
A suprachoroidal electrical retinal stimulator design for long-term animal experiments and in vivo assessment of its feasibility and biocompatibility in rabbits.一种用于长期动物实验以及在兔体内评估其可行性和生物相容性的脉络膜上腔视网膜电刺激器设计。
J Biomed Biotechnol. 2008;2008:547428. doi: 10.1155/2008/547428.
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Retinal neurostimulator for a multifocal vision prosthesis.用于多焦点视觉假体的视网膜神经刺激器。
IEEE Trans Neural Syst Rehabil Eng. 2007 Sep;15(3):425-34. doi: 10.1109/TNSRE.2007.903958.
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Neural reprogramming in retinal degeneration.视网膜变性中的神经重编程
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The influence of electrolyte composition on the in vitro charge-injection limits of activated iridium oxide (AIROF) stimulation electrodes.电解质组成对活化氧化铱(AIROF)刺激电极体外电荷注入极限的影响。
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Visual performance using a retinal prosthesis in three subjects with retinitis pigmentosa.三名视网膜色素变性患者使用视网膜假体的视觉表现。
Am J Ophthalmol. 2007 May;143(5):820-827. doi: 10.1016/j.ajo.2007.01.027. Epub 2007 Mar 23.
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Experimental implantation of epiretinal retina implants (EPI-RET) with an IOL-type receiver unit.采用人工晶状体型接收器单元进行视网膜前视网膜植入物(EPI-RET)的实验性植入。
J Neural Eng. 2007 Mar;4(1):S38-49. doi: 10.1088/1741-2560/4/1/S06. Epub 2007 Feb 20.
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Responses of ganglion cells to repetitive electrical stimulation of the retina.神经节细胞对视网膜重复电刺激的反应。
J Neural Eng. 2007 Mar;4(1):S1-6. doi: 10.1088/1741-2560/4/1/S01. Epub 2007 Jan 24.