Design of radio-frequency powered coils for implant instruments

Influence of skin flap thickness on the transmission characteristics of middle ear implant audio processors

OBJECTIVE

To measure signal transmission characteristics for audio processors of an active middle ear implant as a function of skin flap thickness, i.e., distance between audio processor and the implant's receiver coil.

METHODS

Output sound pressure levels for 90 dB input sound pressure level (OSPL90), reference test gains as function of frequency for an input sound pressure level of 60 dB (RTG60), and reference test gains (RTG - high frequency averages) were recorded in a hearing aid test box for Samba 2 Hi, Samba 2 Lo, and AP404 audio processors (MED-EL, Innsbruck, Austria) positioned on an implant-in-the-box and distances of 0-10 mm between audio processors and the receiver coil.

RESULTS

For all audio processors, the OSPL90 and RTG decreased linearly with increasing distance. The effect was dependent on audio processor type and the strongest reduction was observed for Samba 2 Lo. Between distances of 0 mm and 10 mm, the relative change of RTG was - 9,9 dB for Samba 2 Hi, -10,3 dB for AP404, and -27,7 dB for Samba 2 Lo.

CONCLUSIONS

Skin thickness is a clinically significant factor which has to be considered in VSB treatment. In combination with insufficient transducer coupling or in patients with hearing thresholds close to the indication criteria limit, a thick skin flap could lead to loss of transmitted energy resulting in insufficient audiological outcome with the active middle ear implant.

Design and Optimization of Planar Spiral Coils for Powering Implantable Neural Recording Microsystem

This paper presents a design and optimization method utilizing inductive coupling coils for wireless power transfer in implantable neural recording microsystems, aiming at maximizing power transfer efficiency, which is essential for reducing externally transmitted power and ensuring biological tissue safety. The modeling of inductive coupling is simplified by combining semi-empirical formulations with theoretical models. By introducing the optimal resonant load transformation, the coil optimization is decoupled from an actual load impedance. The complete design optimization process of the coil parameters is given, which takes the maximum theoretical power transfer efficiency as the objective function. When the actual load changes, only the load transformation network needs to be updated instead of rerunning the entire optimization process. Planar spiral coils are designed to power neural recording implants given the challenges of limited implantable space, stringent low-profile restrictions, high-power transmission requirements and biocompatibility. The modeling calculation, electromagnetic simulation and measurement results are compared. The operating frequency of the designed inductive coupling is 13.56 MHz, the outer diameter of the implanted coil is 10 mm and the working distance between the external coil and the implanted coil is 10 mm. The measured power transfer efficiency is 70%, which is close to the maximum theoretical transfer efficiency of 71.9%, confirming the effectiveness of this method.

Flexible Magnetic Metasurface with Defect Cavity for Wireless Power Transfer System

In this paper, we present a flexible magnetic metamaterial structure for enhancing the efficiency of wireless power transfer (WPT) systems operating at 13.56 MHz. The metasurface between transmitter (Tx) and receiver (Rx) coils of the WPT system is constructed of a 3 × 5 metamaterial unit cell array with a total size of 150 × 300 mm². Most metamaterial structures integrated into WPT systems are in planar configurations with a rigid substrate, which limits practical applications. The proposed metasurface is fabricated on an FR-4 substrate with a thin thickness of 0.2 mm; therefore, it can be bent with radii greater than 80 mm. A defect cavity is formed in the non-homogeneous metasurface by controlling the resonant frequency of the unit cell with an external capacitor. Simulation and measurement results show that the efficiency of the WPT system is significantly enhanced with metasurfaces. The performance of the WPT system can also be optimized with suitable bend profiles of metasurfaces. This proposed flexible metasurface could be widely applied to WPT systems, especially asymmetric, bendable, or wearable WPT systems.

Implants with Sensing Capabilities

Because of the aging human population and increased numbers of surgical procedures being performed, there is a growing number of biomedical devices being implanted each year. Although the benefits of implants are significant, there are risks to having foreign materials in the body that may lead to complications that may remain undetectable until a time at which the damage done becomes irreversible. To address this challenge, advances in implantable sensors may enable early detection of even minor changes in the implants or the surrounding tissues and provide early cues for intervention. Therefore, integrating sensors with implants will enable real-time monitoring and lead to improvements in implant function. Sensor integration has been mostly applied to cardiovascular, neural, and orthopedic implants, and advances in combined implant-sensor devices have been significant, yet there are needs still to be addressed. Sensor-integrating implants are still in their infancy; however, some have already made it to the clinic. With an interdisciplinary approach, these sensor-integrating devices will become more efficient, providing clear paths to clinical translation in the future.

Evolution of Biotelemetry in Medical Devices: From Radio Pills to mm-Scale Implants

The advent of semiconductor technology in the mid-20th century created unprecedented opportunities to develop a new generation of small-scale wireless medical sensing devices that can support remote monitoring of patients' vital signs. The first radio pills were developed as early as the 1950's using only a few transistors. These swallowable capsules could sense and wirelessly transmit vital parameters from inside the human body. Since then we have witnessed the rapid progress of medical devices driven by the evolution of semiconductor technology, from single-transistor oscillators to complex mixed-signal multi-channel and multi-modal systems. This paper retraces the evolution of biotelemetry devices from their very early inception to the smart miniaturized systems of modern days, focusing on semiconductor-enabled sensing methods and circuits developed over the last six decades. The paper also includes the author's perspective on current and future trends in the development of CMOS-based biotelemeters, focusing on concepts of implant modularity, miniaturization and hybrid energy harvesting solutions.

Vagus nerve stimulation using a miniaturized wirelessly powered stimulator in pigs

Neuromodulation of peripheral nerves has been clinically used for a wide range of indications. Wireless and batteryless stimulators offer important capabilities such as no need for reoperation, and extended life compared to their wired counterparts. However, there are challenging trade-offs between the device size and its operating range, which can limit their use. This study aimed to examine the functionality of newly designed wirelessly powered and controlled implants in vagus nerve stimulation for pigs. The implant used near field inductive coupling at 13.56 MHz industrial, scientific, and medical band to harvest power from an external coil. The circular implant had a diameter of 13 mm and weighed 483 mg with cuff electrodes. The efficiency of the inductive link and robustness to distance and misalignment were optimized. As a result, the specific absorption rate was orders of magnitude lower than the safety limit, and the stimulation can be performed using only 0.1 W of external power. For the first time, wireless and batteryless VNS with more than 5 cm operation range was demonstrated in pigs. A total of 84 vagus nerve stimulations (10 s each) have been performed in three adult pigs. In a quantitative comparison of the effectiveness of VNS devices, the efficiency of systems on reducing heart rate was similar in both conventional (75%) and wireless (78.5%) systems. The pulse width and frequency of the stimulation were swept on both systems, and the response for physiological markers was drawn. The results were easily reproducible, and methods used in this study can serve as a basis for future wirelessly powered implants.

Two-Way Communication Digital Power Controllers for Wireless Retinal Prosthesis Systems

Power-efficient digital controllers are proposed for wireless retinal prosthetic systems. Power management plays an important role in reducing the power consumption and avoiding malfunctions in implantable medical devices. In the case of implantable devices with only one-way communication, the received power level is uncertain because there is no feedback on the power status. Accordingly, system breakdown due to inefficient power management should be avoided to prevent harm to patients. In this study, digital power controllers were developed for achieving two-way communication. Three controllers—a forward and back telemetry control unit, a power control unit, and a preamble control unit—operated simultaneously to control the class-E amplifier input power, provided command data to stimulators, monitored the power levels of the implanted devices, and generated back telemetry data. For performance verification, we implemented a digital power control system using a field-programmable gate array and then demonstrated it by employing a wireless telemetry system.

Design Guidelines for Sensors Based on Spiral Resonators

Wireless microwave sensors provide a practical alternative where traditional contact-based measurement techniques are not possible to implement or suffer from performance deterioration. Resonating elements are commonly used in these sensors as the sensing concept relies on the resonance properties of the employed structure. This work presents some simple guidelines for designing displacement sensors based on spiral resonator (SR) tags. The working principle of this sensor is based on the variation of the coupling strength between the SR tag and a probing microstrip loop with the distance between them. The performance of the sensor depends on the main design parameters, such as tag dimensions, filling factor, number of turns, and the size of probing loop. The guidelines provided herein can be used for the initial phase of the design process by helping to select a preliminary set of parameters according to the desired application requirements. The provided conclusions are supported using electromagnetic simulations and analytical expressions. Finally, a corrected equivalent circuit model that takes into account the phenomenon of the resonant frequency shift at small distances is provided. The findings are compared against experimental measurements to verify their validity.

Wireless UV-A LEDs-driven AOP in the treatment of agro-industrial wastewaters

A wireless UV-A LEDs lab-scale reactor powered by a resonant inductive coupling (RLC) system was built to maximize the UV photon absorption of agro-industrial wastewaters. The UV-A LEDs (λ = 365 nm) energy was supplied through a magnetic field generated inside of the photoreactor by induction coils placed on the external wall made of polyvinyl chloride. Immersing the light sources in the wastewater increases the photon transfer efficiency and the reaction rate. Maximum magnetic field and optical irradiance were obtained at 26.8 and 27.0 kHz, respectively. As proof-of-concept, elderberry wastewater (EW), olive washing wastewater (OWW) and white and red winery wastewaters (WWW and RWW) were treated combining the wireless UV-A LEDs with the Advanced Oxidation Process (AOP) - Fenton reagent. Fenton experiments were performed using [Fe²⁺] = 10 mg L^-1_, [H₂O₂] = 500 mg L^-1, pH = 3 and a reaction time of 4 h. With EW a DOC removal of 35% (k = 0.0696 h^-1) was achieved, whereas adding the wireless UV-A LEDs (f = 26.8 kHz) 53% was attained (k = 0.1722 h^-1). The Electric Energy per Order (E_EO) for the wireless UV-A LEDs consumption was calculated (E_{EO LEDs} = 48.7 kWh m^-3 order^-1) and for all the remain equipment (air pump, RC box and power amplifier), E_{EO total} = 495 kWh m^-3 order^-1. Experiments with OWW presented a DOC removal of 62% and a E_{EO LEDs} = 40.5 kWh m^-3 order^-1; RWW shown 40% of DOC removal and a E_{EO LEDs} = 68.4 kWh m^-3 order^-1, while with WWW 35% of DOC removal and a E_{EO LEDs} = 79.8 kWh m^-3 order^-1 were obtained. This work shows that wireless UV-A LEDs can be a promising alternative to conventional UV lamps and wired LEDs in the treatment of real wastewaters. However, optimization of the induction system is still needed, as well as the number and wavelength of the LEDs (e.g. UV-C LEDs) to reduce the overall treatment costs.

Simultaneous Power Feedback and Maximum Efficiency Point Tracking for Miniaturized RF Wireless Power Transfer Systems

Near-field interfaces with miniaturized coil systems and low output power levels, such as applied in biomedical sensor systems, can suffer from severe efficiency degradation due to dynamic impedance mismatches, reducing battery life of the power transmitter unit and requiring to increase the level of electromagnetic emission. Moreover, the stability of weakly-coupled power transfer systems is generally limited by transient changes in coil alignment and load power consumption. Hence, a central research question in the domain of wireless power transfer is how to realize an adaptive impedance matching system under the constraints of a simultaneous power feedback to increase the system’s efficiency and stability, while maintaining circuit characteristics such as small size, low power consumption and fast reaction times. This paper presents a novel approach based on a two-stage control loop implemented in the primary-side reader unit, which uses a digital PI controller to maintain the rectifier output voltage for power feedback and an on-top perturb-and-observe controller configuring the setpoint of the voltage controller to maximize efficiency. The paper mathematically analyzes the AC and DC transfer characteristics of a resonant inductive link to design the reactive AC matching network, the digital voltage controller and ultimately the DC-domain impedance matching algorithm. It was found that static reactive L networks result in suitable efficiency levels for coils with sufficiently high quality factor even without adaptive tuning of operational frequency or reactive components. Furthermore, the regulated output voltage of the rectifier is a direct measure of the DC load impedance when using a regular DC/DC converter to supply the load circuits, so that this quantity can be tuned to maximize efficiency. A prototype implementation demonstrates the algorithms in a 40.68 MHz inductive link with load power levels from 10 to 100 mW and tuning time constants of 300 ms, while allowing for a simplified receiver with a footprint smaller than 200 mm² and a self-consumption below 1 mW. Hence, the presented concepts enable adaptive impedance matching with favorable characteristics for low-energy sensor systems, i.e., minimized footprint, power level and reaction time.

A Review of Acoustic Impedance Matching Techniques for Piezoelectric Sensors and Transducers

The coupling of waves between the piezoelectric generators, detectors, and propagating media is challenging due to mismatch in the acoustic properties. The mismatch leads to the reverberation of waves within the transducer, heating, low signal-to-noise ratio, and signal distortion. Acoustic impedance matching increases the coupling largely. This article presents standard methods to match the acoustic impedance of the piezoelectric sensors, actuators, and transducers with the surrounding wave propagation media. Acoustic matching methods utilizing active and passive materials have been discussed. Special materials such as nanocomposites, metamaterials, and metasurfaces as emerging materials have been presented. Emphasis is placed throughout the article to differentiate the difference between electric and acoustic impedance matching and the relation between the two. Comparison of various techniques is made with the discussion on capabilities, advantages, and disadvantages. Acoustic impedance matching for specific and uncommon applications has also been covered.

Wireless Power Transfer Techniques for Implantable Medical Devices: A Review

Wireless power transfer (WPT) systems have become increasingly suitable solutions for the electrical powering of advanced multifunctional micro-electronic devices such as those found in current biomedical implants. The design and implementation of high power transfer efficiency WPT systems are, however, challenging. The size of the WPT system, the separation distance between the outside environment and location of the implanted medical device inside the body, the operating frequency and tissue safety due to power dissipation are key parameters to consider in the design of WPT systems. This article provides a systematic review of the wide range of WPT systems that have been investigated over the last two decades to improve overall system performance. The various strategies implemented to transfer wireless power in implantable medical devices (IMDs) were reviewed, which includes capacitive coupling, inductive coupling, magnetic resonance coupling and, more recently, acoustic and optical powering methods. The strengths and limitations of all these techniques are benchmarked against each other and particular emphasis is placed on comparing the implanted receiver size, the WPT distance, power transfer efficiency and tissue safety presented by the resulting systems. Necessary improvements and trends of each WPT techniques are also indicated per specific IMD.

A Precision Driver Device for Intraoperative Stimulation of a Bone Conduction Implant

Semi-implantable bone conduction implants (BCI) and active middle ear implants (AMEI) for patients with sensorineural, conductive or mixed hearing loss commonly use an amplitude modulation technology to transmit power and sound signals from an external audio processor to the implant. In patients, the distance dependence of the signal amplitude is of minor importance as the skin thickness is constant and only varies between 3–7 mm. In this range, critical coupling transmission technique sufficiently reduces the variability in amplitude, but fails to provide well-defined amplitudes in many research and clinical applications such as intraoperative integrity tests where the distance range is exceeded by using sterile covers. Here we used the BCI Bonebridge (BB, Med-El, Austria) as an example to develop and demonstrate a system that synthesizes the transmission signal, determines the distance between the transmitter and the receiver implant coil and compensates transmission losses. When compared to an external audio processor (AP304) on an artificial mastoid, our system mainly decreased amplitude variability from over 11 dB to less than 3 dB for audio frequencies (0.1–10 kHz) at distances up to 15 mm, making it adequate for intraoperative and audiometric tests.

A Method of Estimating Mutual Inductance and Load Resistance Using Harmonic Components in Wireless Power Transfer System

In general, for the WPT (Wireless Power Transfer) system, as the mutual inductance and load resistance are calculated according to the measured data of both the transmitter and receiver, the wireless communication modules are needed to share data. A method for estimating mutual inductance and load resistance without wireless communication is proposed, based on the fundamental and third harmonic components. The circuit is decomposed with respect to the frequencies, by which the mathematic model is established. The fundamental and harmonic components of the output voltage and current of a high-frequency inverter are found by FFT (Fast Fourier Transform). The experimental WPT system with a SiC power MOSFET is designed, and the effectiveness of the proposed method is verified by the simulation and experiment results. Additional hardware and frequency scanning operation are not needed because of the use of the harmonic components.

Methods for powering bioelectronic microdevices

Bioelectronic microdevices are an emerging class of biomedical devices miniaturized at the scale of a millimeter or less, which promise new capabilities for monitoring and treating human disease. Although rapid progress has been made in the sensing and actuation capabilities of microdevices, a major technological challenge remains in the way that these devices are powered within the body. In this review, we revisit the power requirements of microdevices, describe current methods for storing, transferring or harvesting energy in microdevices, provide an overview of emerging powering approaches and discuss the promise of microdevices in biomedicine.

Practical Inductive Link Design for Biomedical Wireless Power Transfer: A Tutorial

Wireless power transfer systems, particularly those based on inductive coupling, provide an increasingly attractive method to safely deliver power to biomedical implants. Although there exists a large body of literature describing the design of inductive links, it generally focuses on single aspects of the design process. There is a variety of approaches, some analytic, some numerical, each with benefits and drawbacks. As a result, undertaking a link design can be a difficult task, particularly for a newcomer to the subject. This tutorial paper reviews and collects the methods and equations that are required to design an inductive link for biomedical wireless power transfer, with a focus on practicality. It introduces and explains the published methods and principles relevant to all aspects of inductive link design, such that no specific prior knowledge of inductive link design is required. These methods are also combined into a software package (the Coupled Coil Configurator), to further simplify the design process. This software is demonstrated with a design example, to serve as a practical illustration.

Transcutaneous Transmission of Digital Data and Energy in a Cochlear Prosthesis System

This paper describes the inductive power and data link employed in the CAP Cochlear Prosthesis System (CAP stands for Combined Analog and Pulsative Stimulation Strategy). The inductive link consisting of a parallel-tuned receiver resonant circuit weakly coupled to a series-tuned transmitter resonant circuit, is driven by a self-oscillating class-E-tuned power amplifier. The class-E concept allows coupling-insensitive high-efficency transcutaneous transmission of power. In the CAP implant, variations of the coil distance within a range of 0 to 9 mm result in changes of the implant supply voltage which are lower than 10%. Within this coil distance range, the mean overall efficiency is 49%. In view of the excellent switching properties of the class-E tuned power oscillator, a practical scheme for data transmission is ASK (Amplitude Shift Keying). To ensure constant energy flow and easy synchronization of the bitstream in the implant, a self-clocking bit format is employed.

Electromechanically Actuated Multifunctional Wireless Auxetic Device for Wound Management

The design and fabrication of a wound healing device for chronic wounds, with multiple functions for controlled drug delivery and exudate removal, has been described in this paper. The structural features have been machined and modified through laser cutting in a biocompatible polymer cast. Miniaturized versions of electronically actuated (lead-screw and pulley) mechanisms are used for the specific purpose of controlled drug delivery. These mechanisms have been studied and tested, being controlled through a microcontroller setup. An auxetic polymeric barrier membrane has been used for restricting the drug quantities administered. Drug delivery mechanisms are powered wirelessly, through an external, active RF component; this communicates with a passive component that is buried inside the wound healing device. The exudate removal efficiency of the device has been assessed through several simple tests using simulated wound exudate. It has been found that reasonably precise quantities of drug dosages to be administered to the wound site can be controlled through both drug delivery mechanisms; however, the lead-screw mechanism provides a better control of auxetic barrier membrane actuation and hence controlled drug delivery. We propose that this device can have potential clinical significance in controlled drug delivery and exudate removal in the management of chronic wounds.

High-performance wireless powering for peripheral nerve neuromodulation systems

Neuromodulation of peripheral nerves with bioelectronic devices is a promising approach for treating a wide range of disorders. Wireless powering could enable long-term operation of these devices, but achieving high performance for miniaturized and deeply placed devices remains a technological challenge. We report the miniaturized integration of a wireless powering system in soft neuromodulation device (15 mm length, 2.7 mm diameter) and demonstrate high performance (about 10%) during in vivo wireless stimulation of the vagus nerve in a porcine animal model. The increased performance is enabled by the generation of a focused and circularly polarized field that enhances efficiency and provides immunity to polarization misalignment. These performance characteristics establish the clinical potential of wireless powering for emerging therapies based on neuromodulation.

Wireless induction coils embedded in diamond for power transfer in medical implants

Wireless power and data transfer to medical implants is a research area where improvements in current state-of-the-art technologies are needed owing to the continuing efforts for miniaturization. At present, lithographical patterning of evaporated metals is widely used for miniature coil fabrication. This method produces coils that are limited to low micron or nanometer thicknesses leading to high impedance values and thus limiting their potential quality. In the present work we describe a novel technique, whereby trenches were milled into a diamond substrate and filled with silver active braze alloy, enabling the manufacture of small, high cross-section, low impedance microcoils capable of transferring up to 10 mW of power up to a distance of 6 mm. As a substitute for a metallic braze line used for hermetic sealing, a continuous metal loop when placed parallel and close to the coil surface reduced power transfer efficiency by 43%, but not significantly, when placed perpendicular to the microcoil surface. Encapsulation of the coil by growth of a further layer of diamond reduced the quality factor by an average of 38%, which can be largely avoided by prior oxygen plasma treatment. Furthermore, an accelerated ageing test after encapsulation showed that these coils are long lasting. Our results thus collectively highlight the feasibility of fabricating a high-cross section, biocompatible and long lasting miniaturized microcoil that could be used in either a neural recording or neuromuscular stimulation device.

Interventional placement of thin coil shaped implants powered wirelessly for monitoring vital signals and controlling abnormal activities by electro-stimulation

Various types of implants are being commonly used for monitoring vital signals and controlling the critically ill patient's condition such as arrhythmia, sick sinus syndrome, etc. For implanting these medical devices under the skin, surgery is inevitable. These days many patients are more willing to accept interventional therapies that are less invasive, especially inserting a catheter into a blood vessel or endoscopy through a natural orifice. To be able to use interventional therapy for implanting medical devices, they will need to be small enough to fit them through a catheter or the forceps channel of an endoscope. We evaluated a wirelessly powered prototype of a thin coil shaped (diameter 0.05 inches) implant for electrocardiogram (ECG) monitoring and controlling abnormal heart rhythms. An extracorporeal unit fed power to the sensors and transceiver circuit. We are planning to add sensors for detecting ECG signals and also a pulse generator for transmitting signals to the heart. At 13.6MHz, 10mW was wirelessly transferred from the helical antenna attached to the chest wall of the phantom to the coil's receiving antenna and the power enabled the sensors and circuits to work. Moreover, the coil's receiving antennas worked as stimulating electrodes similar to a pacemaker lead.

Inductive Powering of Subcutaneous Stimulators: Key Parameters and Their Impact on the Design Methodology

Inductive powering of implantable medical devices involves numerous factors acting on the system efficiency and safety in adversarial ways. This paper lightens up their role and identifies a procedure enabling the system design. The latter enables the problem to be decoupled into four principal steps: the frequency choice, the magnetic link optimization, the secondary circuit and then finally the primary circuit designs. The methodology has been tested for the powering system of a device requirering a power of 300mW and implanted at a distance of 15 to 30mm from the outside power source. It allowed the identification of the most critical parameters. A satisfying efficiency of 34% was reached at 21mm and tend to validate the proposed design procedure.

A Triple-Loop Inductive Power Transmission System for Biomedical Applications

A triple-loop wireless power transmission (WPT) system equipped with closed-loop global power control, adaptive transmitter (Tx) resonance compensation (TRC), and automatic receiver (Rx) resonance tuning (ART) is presented. This system not only opposes coupling and load variations but also compensates for changes in the environment surrounding the inductive link to enhance power transfer efficiency (PTE) in applications such as implantable medical devices (IMDs). The Tx was built around a commercial off-the-shelf (COTS) radio-frequency identification (RFID) reader, operating at 13.56 MHz. A local Tx loop finds the optimal capacitance in parallel with the Tx coil by adjusting a varactor. A global power control loop maintains the received power at a desired level in the presence of changes in coupling distance, coil misalignments, and loading. Moreover, a local Rx loop is implemented inside a power management integrated circuit (PMIC) to avoid PTE degradation due to the Rx coil surrounding environment and process variations. The PMIC was fabricated in a 0.35- μm 4M2P standard CMOS process with 2.54 mm(2) active area. Measurement results show that the proposed triple-loop system improves the overall PTE by up to 10.5% and 4.7% compared to a similar open- and single closed-loop system, respectively, at nominal coil distance of 2 cm. The added TRC and ART loops contribute 2.3% and 1.4% to the overall PTE of 13.5%, respectively. This is the first WPT system to include three loops to dynamically compensate for environment and circuit variations and improve the overall power efficiency all the way from the driver output in Tx to the load in Rx.

Omnidirectional Ultrasonic Powering for Millimeter-Scale Implantable Devices

In addition to superior energy-conversion efficiency at millimeter-scale dimensions, ultrasonic wireless powering offers deeper penetration depth and omnidirectionality as compared to the traditional inductive powering method. This makes ultrasound an attractive candidate for powering deep-seated implantable medical devices. In this paper, we investigate ultrasonic powering of millimeter-scale devices with specific emphasize on the output power levels, efficiency, range, and omnidirectionality. Piezoelectric receivers 1 ×5 ×1 mm(3), 2 ×2 ×2 mm(3), and 2 ×4 ×2 mm(3) in size are able to generate 2.48, 8.7, and 12.0 mW of electrical power, while irradiated at 1.15 and 2.3 MHz within FDA limits for medical imaging (peak acoustic intensity of 720 mW/cm(2)). The receivers have corresponding efficiencies of 0.4%, 1.7%, and 2.7%, respectively, at 20-cm powering distance. Due to the form factor and reflections from tissue-air boundaries, the output power stays constant to within 92% when the angular positions of the transmitter and receiver are varied around a cylindrical shell.

Technical design of a new bone conduction implant (BCI) system

OBJECTIVE

The objective of this study is to describe the technical design and verify the technical performance of a new bone conduction implant (BCI) system.

DESIGN

The BCI consists of an external audio processor and an implanted unit called the bridging bone conductor. These two units use an inductive link to communicate with each other through the intact skin in order to drive an implanted transducer.

STUDY SAMPLE

In this study, the design of the full BCI system has been described and verified on a skull simulator and on real patients.

RESULTS

It was found that the maximum output force (peak 107 dB re 1 μN) of the BCI is robust for skin thickness range of 2-8 mm and that the total harmonic distortion is below 8% in the speech frequency range for 70 dB input sound pressure level. The current consumption is 7.5 mA, which corresponds to 5-7 days use with a single battery.

CONCLUSIONS

This study shows that the BCI is a robust design that gives a sufficiently high output and an excellent sound quality for the hearing rehabilitation of indicated patients.

An implantable pressure sensing system with electromechanical interrogation scheme

In this paper, we report on the development of an implantable pressure sensing system that is powered by mechanical vibrations in the audible acoustic frequency range. This technique significantly enhances interrogation range, alleviates the misalignment issues commonly encountered with inductive powering, and simplifies the external receiver circuitry. The interrogation scheme consists of two phases: a mechanical vibration phase and an electrical radiation phase. During the first phase, a piezoelectric cantilever acts as an acoustic receiver and charges a capacitor by converting sound vibration harmonics occurring at its resonant frequency into electrical power. In the subsequent electrical phase, when the cantilever is not vibrating, the stored electric charge is discharged across an LC tank whose inductor is pressure sensitive; hence, when the LC tank oscillates at its natural resonant frequency, it radiates a high-frequency signal that is detectable using an external receiver and its frequency corresponds to the measured pressure. The pressure sensitive inductor consists of a planar coil (single loop of wire) with a ferrite core whose distance to the coil varies with applied pressure. A prototype of the implantable pressure sensor is fabricated and tested, both in vitro and in vivo (swine bladder). A pressure sensitivity of 1 kHz/cm H2O is achieved with minimal misalignment sensitivity (26% drop at 90° misalignment between the implanted device and acoustic source; 60% drop at 90° misalignment between the implanted device and RF receiver coil).

Fully Integrated On-Chip Coil in 0.13 μm CMOS for Wireless Power Transfer Through Biological Media

Delivering milliwatts of wireless power at centimeter distances is advantageous to many existing and emerging biomedical applications. It is highly desirable to fully integrate the receiver on a single chip in standard CMOS with no additional post-processing steps or external components. This paper presents a 2 × 2.18 mm(2) on-chip wireless power transfer (WPT) receiver (Rx) coil fabricated in 0.13 μm CMOS. The WPT system utilizes a 14.5 × 14.5 mm(2) transmitter (Tx) coil that is fabricated on a standard FR4 substrate. The on-chip power harvester demonstrates a peak WPT efficiency of -18.47 dB , -20.96 dB and -20.15 dB at 10 mm of separation through air, bovine muscle and 0.2 molar NaCl, respectively. The achieved efficiency enables the delivery of milliwatts of power to application circuits while staying below safe power density and electromagnetic (EM) exposure limits.

Analysis and optimization of spiral circular inductive coupling link for bio-implanted applications on air and within human tissue

The use of wireless communication using inductive links to transfer data and power to implantable microsystems to stimulate and monitor nerves and muscles is increasing. This paper deals with the development of the theoretical analysis and optimization of an inductive link based on coupling and on spiral circular coil geometry. The coil dimensions offer 22 mm of mutual distance in air. However, at 6 mm of distance, the coils offer a power transmission efficiency of 80% in the optimum case and 73% in the worst case via low input impedance, whereas, transmission efficiency is 45% and 32%, respectively, via high input impedance. The simulations were performed in air and with two types of simulated human biological tissues such as dry and wet-skin using a depth of 6 mm. The performance results expound that the combined magnitude of the electric field components surrounding the external coil is approximately 98% of that in air, and for an internal coil, it is approximately 50%, respectively. It can be seen that the gain surrounding coils is almost constant and confirms the omnidirectional pattern associated with such loop antennas which reduces the effect of non-alignment between the two coils. The results also show that the specific absorption rate (SAR) and power loss within the tissue are lower than that of the standard level. Thus, the tissue will not be damaged anymore.

Wireless power transfer to deep-tissue microimplants

The ability to implant electronic systems in the human body has led to many medical advances. Progress in semiconductor technology paved the way for devices at the scale of a millimeter or less ("microimplants"), but the miniaturization of the power source remains challenging. Although wireless powering has been demonstrated, energy transfer beyond superficial depths in tissue has so far been limited by large coils (at least a centimeter in diameter) unsuitable for a microimplant. Here, we show that this limitation can be overcome by a method, termed midfield powering, to create a high-energy density region deep in tissue inside of which the power-harvesting structure can be made extremely small. Unlike conventional near-field (inductively coupled) coils, for which coupling is limited by exponential field decay, a patterned metal plate is used to induce spatially confined and adaptive energy transport through propagating modes in tissue. We use this method to power a microimplant (2 mm, 70 mg) capable of closed-chest wireless control of the heart that is orders of magnitude smaller than conventional pacemakers. With exposure levels below human safety thresholds, milliwatt levels of power can be transferred to a deep-tissue (>5 cm) microimplant for both complex electronic function and physiological stimulation. The approach developed here should enable new generations of implantable systems that can be integrated into the body at minimal cost and risk.

On the analysis of using 3-coil wireless power transfer system in retinal prosthesis

Designing a wireless power transmission system(WPTS) using inductive coupling has been investigated extensively in the last decade. Depending on the different configurations of the coupling system, there have been various designing methods to optimise the power transmission efficiency based on the tuning circuitry, quality factor optimisation and geometrical configuration. Recently, a 3-coil WPTS was introduced in retinal prosthesis to overcome the low power transferring efficiency due to low coupling coefficient. Here we present a method to analyse this 3-coil WPTS using the S-parameters to directly obtain maximum achievable power transferring efficiency. Through electromagnetic simulation, we brought a question on the condition of improvement using 3-coil WPTS in powering retinal prosthesis.

Misalignment tolerable coil structure for biomedical applications with wireless power transfer

Coil-misalignment is one of the major hurdles for inductively coupled wireless power transfer in applications like retinal prosthesis. Weak magnetic flux linkage due to coil misalignments would significantly impair the power efficiency. A novel receiver configuration with high misalignment tolerance is presented in this paper. The proposed receiver is composed of two receiver coils placed orthogonally, so as to reduce the variation of mutual inductance between transmitting and receiving coils under misalignment conditions. Three different receiver coil structures are analyzed and compared using the same length of wire. Theoretical predictions have been confirmed with measurement results.

A low-frequency versatile wireless power transfer technology for biomedical implants

Implantable biomedical sensors and actuators are highly desired in modern medicine. In many cases, the implant's electrical power source profoundly determines its overall size and performance . The inductively coupled coil pair operating at the radio-frequency (RF) has been the primary method for wirelessly delivering electrical power to implants for the last three decades . Recent designs significantly improve the power delivery efficiency by optimizing the operating frequency, coil size and coil distance . However, RF radiation hazard and tissue absorption are the concerns in the RF wireless power transfer technology (RF-WPTT) , . Also, it requires an accurate impedance matching network that is sensitive to operating environments between the receiving coil and the load for efficient power delivery . In this paper, a novel low-frequency wireless power transfer technology (LF-WPTT) using rotating rare-earth permanent magnets is demonstrated. The LF-WPTT is able to deliver 2.967 W power at  ∼ 180 Hz to an 117.1 Ω resistor over 1 cm distance with 50% overall efficiency. Because of the low operating frequency, RF radiation hazard and tissue absorption are largely avoided, and the power delivery efficiency from the receiving coil to the load is independent of the operating environment. Also, there is little power loss observed in the LF-WPTT when the receiving coil is enclosed by non-magnetic implant-grade stainless steel.

A study of multi-layer spiral inductors for remote powering of implantable sensors

An approach based on multi-layer spiral inductors to remotely power implantable sensors is investigated. As compared to single-layer inductors having the same area, multi-layer printed inductors enable a higher efficiency (up to 35% higher) and voltage gain (almost one order of magnitude higher). A system conceived to be embedded into a skin patch is designed to verify the performance. The system is able to transmit up to 15 mW over a distance of 6 mm and up to 1.17 mW where a 17 mm beef sirloin is placed between the inductors. Furthermore, the system performs downlink communication (up to 100 kbps) and uplink communication based on the backscattering technique (up to 66.6 kbps). Long-range communication is achieved by means of a bluetooth module.

Midfield wireless powering of subwavelength autonomous devices

We obtain an analytical bound on the efficiency of wireless power transfer to a weakly coupled device. The optimal source is solved for a multilayer geometry in terms of a representation based on the field equivalence principle. The theory reveals that optimal power transfer exploits the properties of the midfield to achieve efficiencies far greater than conventional coil-based designs. As a physical realization of the source, we present a slot array structure whose performance closely approaches the theoretical bound.

A wireless and batteryless microsystem with implantable grid electrode/3-dimensional probe array for ECoG and extracellular neural recording in rats

This paper presents the design and implementation of an integrated wireless microsystem platform that provides the possibility to support versatile implantable neural sensing devices in free laboratory rats. Inductive coupled coils with low dropout regulator design allows true long-term recording without limitation of battery capacity. A 16-channel analog front end chip located on the headstage is designed for high channel account neural signal conditioning with low current consumption and noise. Two types of implantable electrodes including grid electrode and 3D probe array are also presented for brain surface recording and 3D biopotential acquisition in the implanted target volume of tissue. The overall system consumes less than 20 mA with small form factor, 3.9 × 3.9 cm2 mainboard and 1.8 × 3.4 cm2 headstage, is packaged into a backpack for rats. Practical in vivo recordings including auditory response, brain resection tissue and PZT-induced seizures recording demonstrate the correct function of the proposed microsystem. Presented achievements addressed the aforementioned properties by combining MEMS neural sensors, low-power circuit designs and commercial chips into system-level integration.

High-efficiency wireless power delivery for medical implants using hybrid coils

With the exciting developments in the implant technology allowing sophisticated signal processing, stimulation, and drug delivery capabilities, there is new hope for many patients of epilepsy, Parkinson's disease, and stroke to improve their quality of life. Such implants require high power to deliver the promised rich functionality. Yet, delivering high power to implants without damaging the tissue due to heating while keeping the implant footprint small is a challenge. In this paper, we propose a hybrid multi-layer coil as the secondary coil to provide a power and space-efficient solution. The proposed coils can deliver power to an implant for long durations without increasing the skin temperature over 1C.

Attaining higher resolution visual prosthetics: a review of the factors and limitations

Visual prosthetics is an expanding subfield of functional electrical stimulation which has gained increased interest recently in light of new advances in treatments and technology. These treatments and technology represent a major improvement over prior art, but are still subject to a host of limitations which are dependent on the manner in which one approaches the topic of visual prosthetics. These limitations pose new research challenges whose solutions are directly applicable to the well-being of blind individuals everywhere. In this review, we will outline and critically compare major current approaches to visual prosthetics, and in particular retinal prosthetics. Then, we will engage in an in-depth discussion of the limitations imposed by current technology, physics, and the underlying biology of the retina to highlight several of the challenges currently facing researchers.

Geometrical Design of a Scalable Overlapping Planar Spiral Coil Array to Generate a Homogeneous Magnetic Field

We present a design methodology for an overlapping hexagonal planar spiral coil (hex-PSC) array, optimized for creation of a homogenous magnetic field for wireless power transmission to randomly moving objects. The modular hex-PSC array has been implemented in the form of three parallel conductive layers, for which an iterative optimization procedure defines the PSC geometries. Since the overlapping hex-PSCs in different layers have different characteristics, the worst case coil-coupling condition should be designed to provide the maximum power transfer efficiency (PTE) in order to minimize the spatial received power fluctuations. In the worst case, the transmitter (Tx) hex-PSC is overlapped by six PSCs and surrounded by six other adjacent PSCs. Using a receiver (Rx) coil, 20 mm in radius, at the coupling distance of 78 mm and maximum lateral misalignment of 49.1 mm (1/√3 of the PSC radius) we can receive power at a PTE of 19.6% from the worst case PSC. Furthermore, we have studied the effects of Rx coil tilting and concluded that the PTE degrades significantly when θ > 60°. Solutions are: 1) activating two adjacent overlapping hex-PSCs simultaneously with out-of-phase excitations to create horizontal magnetic flux and 2) inclusion of a small energy storage element in the Rx module to maintain power in the worst case scenarios. In order to verify the proposed design methodology, we have developed the EnerCage system, which aims to power up biological instruments attached to or implanted in freely behaving small animal subjects' bodies in long-term electrophysiology experiments within large experimental arenas.

Geometry-based optimization of radio-frequency coils for powering neuroprosthetic implants

Biomedical implants powered by inductive links have several advantages over batteries or percutaneous power linkages. The inductive link power transfer efficiency must be optimized to realize the full advantage over other power delivery technologies. Optimization is also important to reduce the electromagnetic radiation exposure, reduce secondary heating effects and improve power efficiency, so that large primary side storage batteries are not required. Geometric constraints, i.e., size and shape, of biomedical implants are a primary concern of device design. In this paper, we present a novel coil optimization strategy driven by geometric constraints. By considering the relationship between wire diameter, number of turns, quality factor, coupling coefficient and shape of coil, we can optimize the inductively coupled coils to maximize the power transfer efficiency under stringent geometric constraints. This new approach is verified using a design example targeted for an intraocular visual prosthesis. In this example, we demonstrate an experimental power transfer efficiency of 52% by co-optimization of the primary and secondary coils.

The Circuit Theory Behind Coupled-Mode Magnetic Resonance-Based Wireless Power Transmission

Inductive coupling is a viable scheme to wirelessly energize devices with a wide range of power requirements from nanowatts in radio frequency identification tags to milliwatts in implantable microelectronic devices, watts in mobile electronics, and kilowatts in electric cars. Several analytical methods for estimating the power transfer efficiency (PTE) across inductive power transmission links have been devised based on circuit and electromagnetic theories by electrical engineers and physicists, respectively. However, a direct side-by-side comparison between these two approaches is lacking. Here, we have analyzed the PTE of a pair of capacitively loaded inductors via reflected load theory (RLT) and compared it with a method known as coupled-mode theory (CMT). We have also derived PTE equations for multiple capacitively loaded inductors based on both RLT and CMT. We have proven that both methods basically result in the same set of equations in steady state and either method can be applied for short- or midrange coupling conditions. We have verified the accuracy of both methods through measurements, and also analyzed the transient response of a pair of capacitively loaded inductors. Our analysis shows that the CMT is only applicable to coils with high quality factor (Q) and large coupling distance. It simplifies the analysis by reducing the order of the differential equations by half compared to the circuit theory.

Analysis and design of RF power and data link using amplitude modulation of Class-E for a novel bone conduction implant

This paper presents analysis and design of a radio frequency power and data link for a novel Bone Conduction Implant (BCI) system. Patients with conductive and mixed hearing loss and single-sided deafness can be rehabilitated by bone-anchored hearing aids (BAHA). Whereas the conventional hearing aids transmit sound to the tympanic membrane via air conduction, the BAHA transmits sound via vibrations through the skull directly to the cochlea. It uses a titanium screw that penetrates the skin and needs life-long daily care; it may cause skin infection and redness. The BCI is developed as an alternative to the percutaneous BAHA since it leaves the skin intact. The BCI comprises an external audio processor with a transmitter coil and an implanted unit called the bridging bone conductor with a receiver coil. Using amplitude modulation of the Class-E power amplifier that drives the inductive link, the sound signal is transmitted to the implant through the intact skin. It was found that the BCI can generate enough output force level for candidate patients. Maximum power output of the BCI was designed to occur at 5-mm skin thickness and the variability was within 1.5 dB for 1-8-mm skin thickness variations.

A two-hop wireless power transfer system with an efficiency-enhanced power receiver for motion-free capsule endoscopy inspection

This paper presents a wireless power transfer system for a motion-free capsule endoscopy inspection. Conventionally, a wireless power transmitter in a specifically designed jacket has to be connected to a strong power source with a long cable. To avoid the power cable and allow patients to walk freely in a room, this paper proposes a two-hop wireless power transfer system. First, power is transferred from a floor to a power relay in the patient's jacket via strong coupling. Next, power is delivered from the power relay to the capsule via loose coupling. Besides making patients much more conformable, the proposed techniques eliminate the sources of reliability issues arisen from the moving cable and connectors. In the capsule, it is critical to enhance the power conversion efficiency. This paper develops a switch-mode rectifier (rectifying efficiency of 93.6%) and a power combination circuit (enhances combining efficiency by 18%). Thanks to the two-hop transfer mechanism and the novel circuit techniques, this system is able to transfer an average power of 24 mW and a peak power of 90 mW from the floor to a 13 mm × 27 mm capsule over a distance of 1 m with the maximum dc-to-dc power efficiency of 3.04%.

Wireless power delivery for retinal prostheses

Delivering power to an implanted device located deep inside the body is not trivial. This problem is made more challenging if the implanted device is in constant motion. This paper describes two methods of transferring power wirelessly by means of magnetic induction coupling. In the first method, a pair of transmit and receive coils is used for power transfer over a large distance (compared to their diameter). In the second method, an intermediate pair of coils is inserted in between transmit and receive coils. Comparison between the power transfer efficiency with and without the intermediate coils shows power transfer efficiency to be 11.5 % and 8.8 %, respectively. The latter method is especially suitable for powering implanted devices in the eye due to immunity to movements of the eye and ease of surgery. Using this method, we have demonstrated wireless power delivery into an animal eye.

Maximum achievable efficiency in near-field coupled power-transfer systems

Wireless power transfer is commonly realized by means of near-field inductive coupling and is critical to many existing and emerging applications in biomedical engineering. This paper presents a closed form analytical solution for the optimum load that achieves the maximum possible power efficiency under arbitrary input impedance conditions based on the general two-port parameters of the network. The two-port approach allows one to predict the power transfer efficiency at any frequency, any type of coil geometry and through any type of media surrounding the coils. Moreover, the results are applicable to any form of passive power transfer such as provided by inductive or capacitive coupling. Our results generalize several well-known special cases. The formulation allows the design of an optimized wireless power transfer link through biological media using readily available EM simulation software. The proposed method effectively decouples the design of the inductive coupling two-port from the problem of loading and power amplifier design. Several case studies are provided for typical applications.

Design and Optimization of a 3-Coil Inductive Link for Efficient Wireless Power Transmission

Inductive power transmission is widely used to energize implantable microelectronic devices (IMDs), recharge batteries, and energy harvesters. Power transfer efficiency (PTE) and power delivered to the load (PDL) are two key parameters in wireless links, which affect the energy source specifications, heat dissipation, power transmission range, and interference with other devices. To improve the PTE, a 4-coil inductive link has been recently proposed. Through a comprehensive circuit based analysis that can guide a design and optimization scheme, we have shown that despite achieving high PTE at larger coil separations, the 4-coil inductive links fail to achieve a high PDL. Instead, we have proposed a 3-coil inductive power transfer link with comparable PTE over its 4-coil counterpart at large coupling distances, which can also achieve high PDL. We have also devised an iterative design methodology that provides the optimal coil geometries in a 3-coil inductive power transfer link. Design examples of 2-, 3-, and 4-coil inductive links have been presented, and optimized for 13.56 MHz carrier frequency and 12 cm coupling distance, showing PTEs of 15%, 37%, and 35%, respectively. At this distance, the PDL of the proposed 3-coil inductive link is 1.5 and 59 times higher than its equivalent 2- and 4-coil links, respectively. For short coupling distances, however, 2-coil links remain the optimal choice when a high PDL is required, while 4-coil links are preferred when the driver has large output resistance or small power is needed. These results have been verified through simulations and measurements.