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直接显微植入游离漫游兔神经束内的电极的长期可行性和生物相容性。

Long-term feasibility and biocompatibility of directly microsurgically implanted intrafascicular electrodes in free roaming rabbits.

机构信息

Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, 21205.

Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, Maryland, 21201.

出版信息

J Biomed Mater Res B Appl Biomater. 2019 Feb;107(2):435-444. doi: 10.1002/jbm.b.34135. Epub 2018 Apr 19.

Abstract

Novel neural interfaces capable of reliably capturing electrical signals are crucial for the development of prostheses. Longitudinal intrafascicular electrodes (LIFEs) have been proposed as a promising technology, and their feasibility and biocompatibility need to be investigated for long-term implantation. In this study, custom-designed 95%Pt-5%Ir intrafascicular electrodes were implanted into the sciatic nerves of 14 rabbits using our novel direct microsurgical technique. The biocompatibility and their ability to record electrophysiological signals were serially investigated up to 9 months after implantation. Nerve tissues were examined using light and transmitted electron microscopy, and axon diameters were quantified, evaluated over time, and compared with sham-control (N = 4). Selective stimulation and stable recording properties of electrical signals were achieved by intrafascicular electrodes along the experimental period. While electrophysiological signal amplitude decreased by as early as 1 month after implantation (p < 0.05), the signal strength recovered to baseline levels by 3-5 months (p > 0.05). Axon diameter results showed a similar trend of initial decline (10.8% reduction, p < 0.01) followed by gradual recovery by 6 months (p > 0.05). Microstructural and ultrastructural analysis revealed modest tissue damage at the implantation site after implantation with gradual normalization over time. Intrafascicular electrodes implanted with direct microsurgical techniques demonstrated good biocompatibility and have great potential for long-term implantation and electrophysiological recordings. Though subtle tissue damage impaired ability to capture electrophysiological signals in the first 2 months, this damage gradually normalized after 3 months, and was fully normalized by 6 months. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 107B: 435-444, 2019.

摘要

新型神经接口能够可靠地捕获电信号,对于假肢的发展至关重要。纵向神经束内电极(LIFEs)已被提出作为一种有前途的技术,需要对其进行长期植入的可行性和生物相容性进行研究。在这项研究中,使用我们的新型直接显微外科技术,将定制设计的 95%Pt-5%Ir 神经束内电极植入 14 只兔子的坐骨神经中。在植入后长达 9 个月的时间里,对其生物相容性和记录电生理信号的能力进行了连续研究。使用光镜和透射电子显微镜检查神经组织,并随时间定量评估轴突直径,并与假手术对照(N = 4)进行比较。通过神经束内电极实现了选择性刺激和稳定的电信号记录特性。虽然电生理信号幅度早在植入后 1 个月就下降(p < 0.05),但信号强度在 3-5 个月时恢复到基线水平(p > 0.05)。轴突直径结果显示出类似的趋势,最初下降(减少 10.8%,p < 0.01),然后在 6 个月时逐渐恢复(p > 0.05)。微观结构和超微结构分析显示,植入后植入部位有轻微的组织损伤,随着时间的推移逐渐正常化。使用直接显微外科技术植入的神经束内电极具有良好的生物相容性,非常适合长期植入和电生理记录。尽管最初 2 个月轻微的组织损伤会影响电生理信号的捕获能力,但这种损伤在 3 个月后逐渐正常化,在 6 个月时完全正常化。© 2018 Wiley Periodicals, Inc. J 生物材料 Res 部分 B: 应用生物材料,107B:435-444,2019。

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