A Comprehensive Comparative Study on Inductive and Ultrasonic Wireless Power Transmission to Biomedical Implants

Enhancing Ultrasound Power Transfer: Efficiency, Acoustics, and Future Directions

Implantable medical devices (IMDs), like pacemakers regulating heart rhythm or deep brain stimulators treating neurological disorders, revolutionize healthcare. However, limited battery life necessitates frequent surgeries for replacements. Ultrasound power transfer (UPT) emerges as a promising solution for sustainable IMD operation. Current research prioritizes implantable materials, with less emphasis on sound field analysis and maximizing energy transfer during wireless power delivery. This review addresses this gap. A comprehensive analysis of UPT technology, examining cutting-edge system designs, particularly in power supply and efficiency is provided. The review critically examines existing efficiency models, summarizing the key parameters influencing energy transmission in UPT systems. For the first time, an energy flow diagram of a general UPT system is proposed to offer insights into the overall functioning. Additionally, the review explores the development stages of UPT technology, showcasing representative designs and applications. The remaining challenges, future directions, and exciting opportunities associated with UPT are discussed. By highlighting the importance of sustainable IMDs with advanced functions like biosensing and closed-loop drug delivery, as well as UPT's potential, this review aims to inspire further research and advancements in this promising field.

MagSonic: Hybrid Magnetic-Ultrasonic Wireless Interrogation of Millimeter-Scale Biomedical Implants With Magnetoelectric Transducer

Wireless interrogation (power and data transfer) of biomedical implants, miniaturized to millimeter (mm) dimensions, is critical for their chronic operation. Achieving simultaneous wireless power and data transfer at deep sites reliably within safety limits for closed-loop sensing/actuation functions of mm-sized implants is challenging. To enable this operation, a hybrid magnetic-ultrasonic interrogation approach (called MagSonic) is realized through a single magnetoelectric (ME) transducer at the implant that can generate and receive both magnetic field and ultrasound. The fabricated mm-sized bar-shaped ME transducer (5.2×2×1.6 mm3) operates at acoustic wave resonance, functioning at sub-MHz frequencies. For the first time, we demonstrate wireless power reception through one modality (magnetic field or ultrasound) and simultaneous uplink data transmission using the other. At 40 mm depth, the MagSonic link could achieve 100 kbps uplink data rate (bit error rate ≤ 10-5) using 190 pJ/bit transmitted energy and 8 mW delivered power in tissue. The robustness of the MagSonic interrogation link against power carrier interference and misalignments is also demonstrated.

Comparative analysis of energy transfer mechanisms for neural implants

As neural implant technologies advance rapidly, a nuanced understanding of their powering mechanisms becomes indispensable, especially given the long-term biocompatibility risks like oxidative stress and inflammation, which can be aggravated by recurrent surgeries, including battery replacements. This review delves into a comprehensive analysis, starting with biocompatibility considerations for both energy storage units and transfer methods. The review focuses on four main mechanisms for powering neural implants: Electromagnetic, Acoustic, Optical, and Direct Connection to the Body. Among these, Electromagnetic Methods include techniques such as Near-Field Communication (RF). Acoustic methods using high-frequency ultrasound offer advantages in power transmission efficiency and multi-node interrogation capabilities. Optical methods, although still in early development, show promising energy transmission efficiencies using Near-Infrared (NIR) light while avoiding electromagnetic interference. Direct connections, while efficient, pose substantial safety risks, including infection and micromotion disturbances within neural tissue. The review employs key metrics such as specific absorption rate (SAR) and energy transfer efficiency for a nuanced evaluation of these methods. It also discusses recent innovations like the Sectored-Multi Ring Ultrasonic Transducer (S-MRUT), Stentrode, and Neural Dust. Ultimately, this review aims to help researchers, clinicians, and engineers better understand the challenges of and potentially create new solutions for powering neural implants.

A Study on Ultrasonic Wireless Power Transfer With Phased Array for Biomedical Implants

This article presents the design, fabrication, and sensitivity analysis of an ultrasound (US) wireless power transfer (WPT) link using an external phased array. Optimal beam focusing and steering is needed for efficient, safe, and reliable US WPT to biomedical implants with millimeter (mm) dimensions. Therefore, the main contributions of this work include the investigation of the 1) performance of the US WPT link using different mm-sized US receivers, 2) effect of different types of errors in the delay profile of the beamforming system on the delivered power, and 3) implant's localization. In measurements, the fabricated 0.94 MHz, 32-element array (39.48 × 9.6 × 2 mm3) driven by 25 V pulses with beam focusing and steering capability up to 50 mm depth and ±60o angle could deliver power to different mm-sized US receivers within the FDA safety limit of 720 mW/cm2. Specifically, several US transducers with a 1 mm dimension (sphere, cubic, disc shape) and 2 mm dimension (disc shape) received 0.095 mW, 0.25 mW, 0.22 mW, and 0.53 mW, respectively, at a 30 mm depth (0o steering angle). Among these transducers, the sphere shape transducer featured less sensitivity to misalignments. A random error in the phased array delays had a more drastic effect on delivered power reduction. For implant's localization, the measurement results demonstrated comparable power delivery by measuring pulse delays of only 5 elements (out of 32 elements) using 4 different interpolation methods.

Design and Optimization of Capacitive Links for Wireless Power Transfer to Biomedical Implants

This paper provides a comprehensive overview of capacitive wireless power transfer (C-WPT) links for biomedical implants, and proposes an algorithmic approach to optimize their design for a theoretically feasible desired power transmission efficiency (PTE). Two C-WPT links, one involving external inductors for parasitic capacitance cancellation, and another without external inductors are presented. An accurate electrical model has been presented for both cases considering the finite conductivity of the body tissue and fringe fields emanated from the metallic plates. Ex-vivo experiments were conducted with beef tissue to demonstrate the viability of the model and the optimization algorithm. The analytical and simulation results show good agreement with the measurement (with real tissue) for both types of links across a wide range of operating frequency, including one with the highest reported frequency (∼14.6 MHz) among tuned links.

An Ultrasonic Energy Harvesting IC Providing Adjustable Bias Voltage for Pre-Charged CMUT

Ultrasonic wireless power transmission (WPT) using pre-charged capacitive micromachined ultrasonic transducers (CMUT) is drawing great attention due to the easy integration of CMUT with CMOS techniques. Here, we present an integrated circuit (IC) that interfaces with a pre-charged CMUT device for ultrasonic energy harvesting. We implemented an adaptive high voltage charge pump (HVCP) in the proposed IC, which features low power, overvoltage stress (OVS) robustness, and a wide output range. The ultrasonic energy harvesting IC is fabricated in the 180 nm HV BCD process and occupies a 2 × 2.5 mm² silicon area. The adaptive HVCP offers a 2× - 12× voltage conversion ratio (VCR), thereby providing a wide bias voltage range of 4 V-44 V for the pre-charged CMUT. Moreover, a VCR tunning finite state machine (FSM) implemented in the proposed IC can dynamically adjust the VCR to stabilize the HVCP output (i.e., the pre-charged CMUT bias voltage) to a target voltage in a closed-loop manner. Such a closed-loop control mechanism improves the tolerance of the proposed IC to the received power variation caused by misalignments, amount of transmitted power change, and/or load variation. Besides, the proposed ultrasonic energy harvesting IC has an average power consumption of 35 μW-554 μW corresponding to the HVCP output from 4 V-44 V. The CMUT device with a local surface acoustic intensity of 3.78 mW/mm², which is well below the FDA limit for power flux (7.2 mW/mm²), can deliver sufficient power to the IC.

An ultrasound-induced wireless power supply based on AlN piezoelectric micromachined ultrasonic transducers

Wireless power transfer is one of the enabling technologies for powering implantable biomedical devices. Biocompatibility and CMOS compatibility of wireless power transfer devices are highly desired due to safety and footprint concerns. Toward implantable applications, this paper presents an ultrasound-induced wireless power supply based on AlN piezoelectric micromachined ultrasonic transducer (PMUT). The wireless power supply integrates wireless power transfer, power management and energy storage functions. The PMUT array is used as a passive wireless power receiver, followed by electrical impedance matching networks and a voltage multiplier for efficient power transmission and rectification. The output power intensity of the wireless receiver reaches 7.36 μW/mm² with an incident ultrasound power below the FDA safety limit. The output power of the wireless power supply reaches 18.8 μW and a 100-μF capacitor is fully charged to 3.19 V after power management, which are sufficient to power many low-power implantable biomedical devices such as for neural electrical stimulation, biosensors and intrabody communication applications. The wireless power supply is implemented in a PCB with a diameter of 1 cm. With biocompatibility and CMOS compatibility of AlN thin film compared to commonly used PZT, the proposed solution paves the way for safer and ultraminiaturized wireless power supplies with further development incorporating all the functions on a monolithic chip in the future.

Wireless interfaces for brain neurotechnologies

Wireless interfaces enable brain-implanted devices to remotely interact with the external world. They are critical components in modern research and clinical neurotechnologies and play a central role in determining their overall size, lifetime and functionality. Wireless interfaces use a wide range of modalities-including radio-frequency fields, acoustic waves and light-to transfer energy and data to and from an implanted device. These forms of energy interact with living tissue through distinct mechanisms and therefore lead to systems with vastly different form factors, operating characteristics, and safety considerations. This paper reviews recent advances in the development of wireless interfaces for brain neurotechnologies. We summarize the requirements that state-of-the-art brain-implanted devices impose on the wireless interface, and discuss the working principles and applications of wireless interfaces based on each modality. We also investigate challenges associated with wireless brain neurotechnologies and discuss emerging solutions permitted by recent developments in electrical engineering and materials science. This article is part of the theme issue 'Advanced neurotechnologies: translating innovation for health and well-being'.

Fully implantable wireless batteryless vascular electronics with printed soft sensors for multiplex sensing of hemodynamics

The continuous monitoring of hemodynamics attainable with wireless implantable devices would improve the treatment of vascular diseases. However, demanding requirements of size, wireless operation, and compatibility with endovascular procedures have limited the development of vascular electronics. Here, we report an implantable, wireless vascular electronic system, consisting of a multimaterial inductive stent and printed soft sensors capable of real-time monitoring of arterial pressure, pulse rate, and flow without batteries or circuits. Developments in stent design achieve an enhanced wireless platform while matching conventional stent mechanics. The fully printed pressure sensors demonstrate fast response times, high durability, and sensing at small bending radii. The device is monitored via inductive coupling at communication distances notably larger than prior vascular sensors. The wireless electronic system is validated in artery models, while minimally invasive catheter implantation is demonstrated in an in vivo rabbit study. Overall, the vascular system offers an adaptable framework for comprehensive monitoring of hemodynamics.

Design and Optimization of Ultrasonic Links With Phased Arrays for Wireless Power Transmission to Biomedical Implants

Ultrasound (US) is an attractive modality for wireless power transfer (WPT) to biomedical implants with millimeter (mm) dimensions. To compensate for misalignments in WPT to a mm-sized implant (or powering a network of mm-sized implants), a US transducer array should electronically be driven in a beamforming fashion (known as US phased array) to steer focused US beams at different locations. This paper presents the theory and design methodology of US WPT links with phased arrays and mm-sized receivers (Rx). For given constraints imposed by the application and fabrication, such as load (R_L) and focal distance (F), the optimal geometries of a US phased array and Rx transducer, as well as the optimal operation frequency (f_c) are found through an iterative design procedure to maximize the power transfer efficiency (PTE). An optimal figure of merit (FoM) related to PTE is proposed to simplify the US array design. A design example of a US link is presented and optimized for WPT to a mm-sized Rx with a linear array. In measurements, the fabricated 16-element array (10.9×9×1.7 mm³) driven by 100 V pulses at f_c of 1.1 MHz with optimal delays for focusing at F = 20 mm generated a US beam with a pressure output of 0.8 MPa. The link could deliver up to 6 mW to a ∼ 1 mm³ Rx with a PTE of 0.14% (R_L = 850 Ω). The beam steering capability of the array at -45^o to 45^o angles was also characterized.

Safety-Optimized Inductive Powering of Implantable Medical Devices: Tutorial and Comprehensive Design Guide

A tutorial and comprehensive guide are presented for the design of planar spiral inductors with maximum energy delivery in biomedical implants. Rather than maximizing power transfer efficiency (PTE), the ratio of the received power to the square of the magnetic flux density is maximized in this technique. This ensures that the highest power is delivered for a given level of safe electromagnetic radiation, as measured by the specific absorption rate (SAR) in the tissue. By using quasi-static field approximations, the maximum deliverable power under SAR constraints is embedded in a lumped-element model of a 2-coil inductive link, from which planar coil geometries are derived. To compare the proposed methodology with the conventional approach that maximizes PTE, the results of both techniques are compared for three examples of state-of-the-art designs. It is demonstrated that the presented technique increases the maximum deliverable power while operating at a given level of non-ionizing radiation by factors of 8×, 410×, and 560× as compared to the three existing designs, and maintaining moderate link efficiencies of 12%, 23%, and 12%, respectively.

A Comprehensive Study on Magnetoelectric Transducers for Wireless Power Transfer Using Low-Frequency Magnetic Fields

Magnetoelectric (ME) transducers, comprising of layered magnetostrictive and piezoelectric materials, are more efficient than inductive coils in converting low-frequency magnetic fields into electric fields, particularly in applications that require miniaturized devices such as biomedical implants. Therefore, ME transducers are an attractive candidate for wireless power transfer (WPT) using low-frequency magnetic fields, which are less harmful to the human body and can penetrate easily through different lossy media. The literature lacks a comprehensive study on the ME transducer as a power receiver in a WPT link. This paper studies the impact of different ME design parameters on the WPT link performance. An accurate analytical model of the ME transducer, operating in the longitudinal-transverse mode, is presented, describing both temporal and spatial deformations. Nine ME transducers with different sizes (ME volume: 5-150 mm³) were fabricated with Galfenol and PZT-5A as magnetostrictive and piezoelectric layers, respectively. Through the modeling and measurement of these ME transducers, the effects of the ME transducer dimension, DC bias magnetic field, loading (R_L), and operation frequency on the resonance frequency, quality factor, and received power (P_L) of the ME transducer are determined. In measurements, a 150 mm³ ME transducer achieved > 10-fold higher P_L for a wide R_L range of 500 Ω to 1 MΩ at 95.5 kHz, compared to an optimized coil with comparable size and operation frequency.

On the Non-idealities of a Capacitive Link for Wireless Power Transfer to Biomedical Implants

This paper studies the performance of a resonant capacitive wireless power transfer (C-WPT) link for biomedical implants in the presence of non-idealities. The study emphasizes on finding an accurate electrical model of a practical C-WPT link, which can be used to investigate the performance of the link under different practical/non-ideal scenarios. A sound knowledge about these non-idealities is crucial for device optimization. For the first time, a circuit model has been presented and analyzed, which is applicable to a practical C-WPT link undergoing plate mismatch, flexion, tissue contraction, and stretching. Our model considers the finite conductivity of the body tissue and fringe fields formed by capacitor plates. Analytical and HFSS^TM simulation results have been presented for different non-idealities, and are in good agreement. Additionally, we show a procedure to interpolate non-ideal case results. The study shows that plate misalignment (causing reduction in parallel plate overlap area) and skin tissue contraction (while muscle grows) are the most detrimental individual factors to the link performance. We recorded ∼32% and ∼14% power transfer efficiency decrease due to these two worst-case scenarios, respectively for a C-WPT link comprising of two pairs of 400 mm² parallel plates (12 cm edge-to-edge separation) coated with 63.5 µm thick Kapton layer and aligned around a 3 mm tissue at 20 MHz.

A Review of Power Management Integrated Circuits for Ultrasound-Based Energy Harvesting in Implantable Medical Devices

This paper aims to review the recent architectures of power management units for ultrasound-based energy harvesting, while focusing on battery-less implantable medical devices. In such systems, energy sustainability is based on piezoelectric devices and a power management circuit, which represents a key building block since it maximizes the power extracted from the piezoelectric devices and delivers it to the other building blocks of the implanted device. Since the power budget is strongly constrained by the dimension of the piezoelectric energy harvester, complexity of topologies have been increased bit by bit in order to achieve improved power efficiency also in difficult operative conditions. With this in mind, the introduced work consists of a comprehensive presentation of the main blocks of a generic power management unit for ultrasound-based energy harvesting and its operative principles, a review of the prior art and a comparative study of the performance achieved by the considered solutions. Finally, design guidelines are provided, allowing the designer to choose the best topology according to the given design specifications and technology adopted.

Miniaturised Wireless Power Transfer Systems for Neurostimulation: A Review

In neurostimulation, wireless power transfer is an efficient technology to overcome several limitations affecting medical devices currently used in clinical practice. Several methods were developed over the years for wireless power transfer. In this review article, we report and discuss the three most relevant methodologies for extremely miniaturised implantable neurostimulators: ultrasound coupling, inductive coupling and capacitive coupling. For each powering method, the discussion starts describing the physical working principle. In particular, we focus on the challenges given by the miniaturisation of the implanted integrated circuits and the related ad-hoc solutions for wireless power transfer. Then, we present recent developments and progresses in wireless power transfer for biomedical applications. Last, we compare each technique based on key performance indicators to highlight the most relevant and innovative solutions suitable for neurostimulation, with the gaze turned towards miniaturisation.

A Dual-Band Wireless Power Transmission System for Evaluating mm-Sized Implants

Distributed neural interfaces made of many mm-sized implantable medical devices (IMDs) are poised to play a key role in future brain-computer interfaces because of less damage to the surrounding tissue. Evaluating them wirelessly at preclinical stage (e.g., in a rodent model), however, is a major challenge due to weak coupling and significant losses, resulting in limited power delivery to the IMD within a nominal experimental arena, like a homecage, without surpassing the specific absorption rate limit. To address this problem, we present a dual-band EnerCage system with two multi-coil inductive links, which first deliver power at 13.56 MHz from the EnerCage (46 × 24 × 20 cm3) to a headstage (18 × 18 × 15 mm3, 4.8 g) that is carried by the animal via a 4-coil inductive link. Then, a 60 MHz 3-coil inductive link from the headstage powers up the small IMD (2.5 × 2.5 × 1.5 mm3, 15 mg), which in this case is a free floating, wirelessly powered, implantable optical stimulator (FF-WIOS). The power transfer efficiency and power delivered to the load (PDL) from EnerCage to the headstage at 7 cm height were 14.9%-22.7% and 122 mW; and from headstage to FF-WIOS at 5 mm depth were 18% and 2.7 mW, respectively. Bidirectional data connectivity between EnerCage-headstage was established via bluetooth low energy. Between headstage and FF-WIOS, on-off keying and load-shift-keying were used for downlink and uplink data, respectively. Moreover, a closed-loop power controller stabilized PDL to both the headstage and the FF-WIOS against misalignments.

Self-Image-Guided Ultrasonic Wireless Power Transmission to Millimeter-Sized Biomedical Implants

This paper introduces the concept of self-image-guided ultrasonic (SIG-US) wireless power transmission (WPT) for robust and efficient WPT to millimeter-sized biomedical implants distributed inside the body. In SIG-US WPT, a sharp pulse is transmitted periodically by the implant to create short ringing with relatively various delays across an array of external (wearable) ultrasonic transducers. These relative delays are used to drive the external array as in phased-array beamforming, generating a highly focused ultrasound intensity at the implant's location due to the reciprocity. Therefore, regardless of implant's misalignment, orientation, and medium (i.e., without any prior knowledge) optimal parameters for beamforming is found by the SIG-US technique without the need for a conventional imaging system, suffering from high power consumption, size, cost, and complexity. In our proof-of-concept simulation setup with a linear transducer array (11 transducers), the SIG-US technique improved delivered power to a 1 mm³ implant with 6 mm misalignment (powering distance of 30 mm) by 95.7 times compared with conventional beamforming. In addition, for up to 6 mm implant's misalignment, the received power with the SIG-US technique only varied by 1.2 times compared with 156.3 times variation in the received power in conventional beamforming.

Gastric Seed: Towards Distributed Ultrasonically Interrogated Millimeter-Sized Implants for Large-Scale Gastric Electrical-Wave Recording

This paper presents the concept of Gastric Seed, which is an ultrasonically interrogated millimeter-sized implant for gastric electrical-wave (also known as slow waves, SWs) recording. A network of Gastric Seeds can be endoscopically implanted within the stomach submucosal space for large-scale SW recording. This paper also summarizes our recent effort towards Gastric Seed development including ultrasonic self-regulated power management and addressable ultrasonic pulse-based data transfer. The proposed power management in the form of a voltage doubler only requires a single off-chip capacitor for simultaneous rectification, regulation and over-voltage protection (OVP) by utilizing ultrasonic transducer's internal capacitance and reverse current. For data transfer, sharp ultrasonic pulses are transmitted to reduce the implant's power consumption. A proof-of-concept addressable chip was fabricated in a 0.35-μm standard CMOS process. Utilizing two pairs of millimeter-sized stacked power/data ultrasonic transducers spaced by 3.75 cm in a water tank, the chip achieved measured regulated voltage of 3 V and data rate of 75 kbps with the data transmitter energy consumption of 440 pJ/bit.