Technological advances have greatly increased the potential for, and practicability of, using medical neurotechnologies to revolutionize how a wide array of neurological and nervous system diseases and dysfunctions are treated. These technologies have the potential to help reduce the impact of symptoms in neurological disorders such as Parkinson’s Disease and depression as well as help regain lost function caused by spinal cord damage or nerve damage. Medical Neurobionics is a concise overview of the biological underpinnings of neurotechnologies, the development process for these technologies, and the practical application of these advances in clinical settings.
Medical Neurobionics is divided into three sections. The first section focuses specifically on providing a sound foundational understanding of the biological mechanisms that support the development of neurotechnologies. The second section looks at the efforts being carried out to develop new and exciting bioengineering advances. The book then closes with chapters that discuss practical clinical application and explore the ethical questions that surround neurobionics.
A timely work that provides readers with a useful introduction to the field, Medical Neurobionics will be an essential book for neuroscientists, neuroengineers, biomedical researchers, and industry personnel.
Содержание
1. The Historical Foundation of Bionics
Nick Donaldson and Giles.S. Brindley
1.1 Bionics Past & Future
1.2 History in 1973
1.2.1 Biomaterials
1.2.2 Nerve Stimulation & Recording
1.2.3 Transistors
1.2.4 Conclusion
1.3 Anaesthesia
1.4 Aseptic Surgery
1.5 Clinical Observation & Experiments
1.6 Hermetic Packages
1.6.1 Vacuum Methods
1.6.2 Welding
1.6.3 Glass
1.6.4 Glass Ceramics & Solder Glasses
1.6.5 Ceramics
1.6.6 Microcircuit Technologies
1.6.7 Leak Testing
1.7 Encapsulation (Electrical Insulation)
1.7.1 Insulation
1.7.2 Under-water insulation
1.7.3 Silicones
1.7.4 Primers
1.8 Early Implanted Devices
1.9 Afterword
References
2. Development of Stable Long-Term Electrode Tissue Interfaces for Recording and Stimulation
Jens Schouenborg
2.1 Introduction
2.2 Tissue responses in the brain to an implanted foreign body
2.2.1 Acute tissue responses
2.2.2 Chronic tissue responses
2.2.3 On the importance of physiological conditions
2.3 Brain Computer Interfaces (BCI) — state of the art
2.4 Biocompatibility of BCI – on the importance of mechanical compliance
2.5 Novel electrode constructs and implantation procedures
2.5.1 Methods to implant ultraflexible electrodes
2.5.2 Surface configurations
2.5.3 Matrix embedded electrodes
2.5.4 Electrode arrays encorporating drugs
2.6 Concluding remarks
Acknowledgements
References
3. Electrochemical Principles of Safe Charge Injection
Stuart F. Cogan, David J. Garrett and Rylie A. Green
3.1 Introduction
3.2 Charge Injection Requirements
3.2.1 Stimulation Levels for Functional Responses
3.2.2 Tissue damage thresholds
3.2.3 Charge Injection Processes
3.2.4 Capacitive Charge Injection
3.2.5 Faradaic Charge Injection
3.2.6 Stimulation Waveforms
3.2.7 Voltage Transient Analysis
3.3 Electrode Materials
3.3.1 Non-noble Metal Electrodes
3.3.2 Noble metals
3.3.3 High Surface Area Capacitor Electrodes
3.3.4 Three-dimensional Noble Metal Oxide Films
3.4 Factors Influencing Electrode Reversibility
3.4.1 In vivo versus saline charge injection limits
3.4.2 Degradation Mechanisms and Irreversible Reactions
3.5 Emerging Electrode Materials
3.5.1 Intrinsically conductive polymers
3.5.2 Carbon Nanotubes and Conductive Diamond
3.6 Conclusion
References
4. Principles of Recording from an Electrical Stimulation of Neural Tissue
James B. Fallon and Paul M. Carter
4.1 Introduction
4.2 Anatomy and physiology of neural tissue
4.2.1 Active Neurons
4.3 Physiological principles of recording from neural tissue
4.3.1 Theory of recording
4.3.2 Recording electrodes
4.3.3 Amplification
4.3.4 Imaging
4.4 Principles of Stimulation of Neural Tissue
4.4.1 Introduction
4.4.2 Principles of Neural Stimulator Design
4.4.3 Modelling Nerve Stimulation
4.4.4 The Activating Function
4.4.5 Properties of Nerves Under Electrical Stimulation
4.5 Safety of Electrical Stimulation
4.5.1 Safe Stimulation Limits
4.5.2 Metabolic Stress
4.5.3 Electrochemical Stress
4.6 Conclusion
References
5. Wireless Neurotechnology for Neural Prostheses
Arto Nurmikko, David Borton and Ming Yin
5.1 Introduction
5.2 Rationale and overview of Technical Challenges Associated with Wireless Neuroelectronic Interfaces
5.3 Wireless Brain Interfaces Require Specialized Microelectronics
5.3.1 Lessons learned from Cabled Neural Interfaces
5.3.2 Special Demands for Compact Wireless Neural Interfaces
5.4 Illustrative Microsystems for High Data Rate Wireless Brain Interfaces in Primates
5.5 Power Supply and Management for Wireless Neural Interfaces
5.6 Packaging and Challenges in Hermetic Sealing
5.7 Deployment of High Data Rate Wireless Recording in Freely Moving Large Animals
5.8 Summary and Prospects for High Data Rate Brain Interfaces for Neural Prostheses
Acknowledgements
References
6. Preclinical Testing of Neural Prostheses
Douglas Mc Creery
6.1 Introduction
6.2 Biocompatibility testing of neural implants
6.3 Testing for mechanical and electrical integrity
6.4 In vitro accelerated testing and accelerated aging of neural implants
6.5 In vivo testing of neural prostheses
6.6 Conclusion
References
7. Auditory and Visual Neural Prostheses
Robert K. Shepherd, Peter M. Seligman, Mohit N. Shivdasani
7.1 Introduction
7.2 Auditory prostheses
7.2.1 The Auditory system
7.2.2 Hearing loss
7.2.3 Cochlear implants
7.2.4 Central auditory prostheses
7.2.5 Combined electric and acoustic stimulation
7.2.6 Bilateral cochlear implants
7.2.7 Future directions
7.3 Visual prostheses
7.3.1 The Visual system
7.3.2 Vision loss
7.3.3 Retinal prostheses
7.3.4 Central visual prostheses
7.3.5 Perception through a vision prosthesis
7.3.6 Future directions
7.4 Sensory prostheses and brain plasticity
7.5 Conclusions
Acknowledgments
References
8. Neurobionics: Treatments for Disorders of the Central Nervous System
Hugh Mc Dermott
8.1 Introduction
8.2 Psychiatric conditions
8.2.1 Obsessive-compulsive disorder
8.2.2 Major depression
8.3 Movement disorders
8.3.1 Essential Tremor
8.3.2 Parkinson’s disease
8.3.3 Dystonia
8.3.4 Tourette syndrome
8.4 Epilepsy
8.5 Pain
8.6 Future directions
Acknowledgements
References
9. Brain Computer Interfaces
David M. Brandman and Leigh R. Hochberg
9.1 Introduction
9.2 Motor Physiology
9.2.1 Neurons are the fundamental unit of the Brain
9.2.2 Movement occurs through coordinated activity between multiple regions of the nervous system
9.2.3 Motor Cortex: a first source for i BCI signals
9.2.4 The Parietal Cortex is implicated in spatial coordination
9.2.5 The premotor and supplementary motor cortices are engaged in movement goals
9.2.6 Functional brain organization is constantly changing
9.2.7 Section Summary
9.3 The Clinical Population for Brain Machine Interfaces
9.3.1 Paralysis may result from damage to the motor system
9.3.2 Individuals with spinal cord injuries develop motor impairments that may impact hand function
9.3.3 Individuals with LIS develop motor impairment that impacts communication
9.4 BCI Modalities
9.4.1 BCI Modalities
9.4.2 Electrodes placed in the cortex record action potentials from neurons
9.4.3 Raw voltage signals are processed into spikes
9.5 BCI Decoding and applications
9.5.1 BCI decoders convert neural information into control of devices
9.5.2 BCI decoders allow for the control of prosthetic devices
9.6 Future directions
9.6.1 Scientific and engineering directions for developing BMI technology
9.6.2 Clinical directions for development of BCI technology
9.7 Conclusion
References
10. Taking a Device to Market: Regulatory and Commercial Issues
John L. Parker
10.1 Introduction
10.2 Basic Research
10.3 Preclinical Development
10.4 Clinical trials and approval to sell
10.5 Building a Business not a product
10.6 Conclusions
References
11. Ethical Considerations in the Development of Neural Prostheses
Frank J. Lane, Kristian P. Nitsch, and Marcia Scherer
11.1 Introduction
11.2 Individuals with Disabilities & Technology Development
11.3 Ethical Principles of Biomedical Research
11.4 Conclusions
References
Appendix: Companies Developing and/or Marketing Bionic Devices
Об авторе
Robert Shepherd is Professor of Medical Bionics and Director of the Bionics Institute in the Department of Otolaryngology at the University of Melbourne.
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