Energy sources and their development for application in medical devices

Biomimetic Exogenous "Tissue Batteries" as Artificial Power Sources for Implantable Bioelectronic Devices Manufacturing

Implantable bioelectronic devices (IBDs) have gained attention for their capacity to conformably detect physiological and pathological signals and further provide internal therapy. However, traditional power sources integrated into these IBDs possess intricate limitations such as bulkiness, rigidity, and biotoxicity. Recently, artificial "tissue batteries" (ATBs) have diffusely developed as artificial power sources for IBDs manufacturing, enabling comprehensive biological-activity monitoring, diagnosis, and therapy. ATBs are on-demand and designed to accommodate the soft and confining curved placement space of organisms, minimizing interface discrepancies, and providing ample power for clinical applications. This review presents the near-term advancements in ATBs, with a focus on their miniaturization, flexibility, biodegradability, and power density. Furthermore, it delves into material-screening, structural-design, and energy density across three distinct categories of TBs, distinguished by power supply strategies. These types encompass innovative energy storage devices (chemical batteries and supercapacitors), power conversion devices that harness power from human-body (biofuel cells, thermoelectric nanogenerators, bio-potential devices, piezoelectric harvesters, and triboelectric devices), and energy transfer devices that receive and utilize external energy (radiofrequency-ultrasound energy harvesters, ultrasound-induced energy harvesters, and photovoltaic devices). Ultimately, future challenges and prospects emphasize ATBs with the indispensability of bio-safety, flexibility, and high-volume energy density as crucial components in long-term implantable bioelectronic devices.

Development of an implantable bionic for dynamic eye closure in facial nerve paralysis: Evolution of the design

Facial nerve paralysis (FNP) presents with a constellation of clinical problems but its most concerning consequence is corneal exposure from lack of blinking. Bionic lid implant for natural closure (BLINC) is an implantable solution for dynamic eye closure in FNP. It uses an electromagnetic actuator to mobilise the dysfunctional eyelid by means of an eyelid sling. This study highlights issues relating to device biocompatibility and describes its evolution to overcome some of these issues. The essential components of the device are the actuator, the electronics including energy storage, and an induction link for wireless power transfer. Effective arrangement of these components within the anatomical confines and their integration is achieved through a series of prototypes. The response of each prototype is tested in a synthetic or cadaveric model for eye closure with the final prototype designed for acute and chronic animal trials.

Wearable devices for continuous monitoring of biosignals: Challenges and opportunities

The ability for wearable devices to collect high-fidelity biosignals continuously over weeks and months at a time has become an increasingly sought-after characteristic to provide advanced diagnostic and therapeutic capabilities. Wearable devices for this purpose face a multitude of challenges such as formfactors with long-term user acceptance and power supplies that enable continuous operation without requiring extensive user interaction. This review summarizes design considerations associated with these attributes and summarizes recent advances toward continuous operation with high-fidelity biosignal recording abilities. The review also provides insight into systematic barriers for these device archetypes and outlines most promising technological approaches to expand capabilities. We conclude with a summary of current developments of hardware and approaches for embedded artificial intelligence in this wearable device class, which is pivotal for next generation autonomous diagnostic, therapeutic, and assistive health tools.

An External Ocean Thermal Energy Power Generation Modular Device for Powering Smart Float

Smart Float is a new multi-modal underwater vehicle, a tool for ocean observation and detection, whose performance is limited by its underwater voyage distance and endurance like most underwater vehicles. The utilization of marine energy provides an ideal way to overcome these limitations. In this paper, an external ocean thermal energy power generation module is developed for Smart Float, which can be used for multiple times of energy storage and power generation and is expected to be further applied to small and medium-sized underwater vehicles. The integration of the proposed device will cause changes in the counterweight characteristic, hydrodynamic characteristic, and heat transfer characteristic of the vehicle, which are deeply analyzed in this study, and adaptive modification solutions are proposed according to the analysis results. Finally, a prototype of Smart Float integrating the proposed device was deployed in the South China Sea to perform a sea trial, to test its performance in thermal energy utilization. According to the results, the device generates 1.341 Wh in a profile diving to 700 m, with the maximum single-profile generation of 1.487 Wh, the average electrical energy of 1.368 Wh, and the hydraulic-to-electric efficiency of about 60% in the power generation stage, which verifies its excellent performance in thermal energy utilization. This study realizes the integration of thermal energy power generation modules into an underwater vehicle for the first time, exploring a new way to improve the endurance and self-sustainability of commercial underwater vehicles.

A Broad Dual-Band Implantable Antenna for RF Energy Harvesting and Data Transmitting

An implantable antenna, operating at the dual Industrial, Scientific, and Medical (ISM) bands of 902–928 MHz and 2.4–2.48 GHz, is presented for RF energy harvesting and data transmission. By introducing multiple radiating branches and etching a C-shaped slot, multiple resonant frequencies were generated to produce the wide dual bands. The proposed antenna has compact dimensions of 7.9 × 7.7 × 1.27 mm3. The simulated impedance bandwidths of the antenna are 0.67–1.05 GHz (44.2%) and 2.11–2.96 GHz (33.5%), and the peak gains are −28.9 dBi and −29.5 dBi, respectively. The lower band can be applied in RF energy harvesting, while the upper band is designed for data transmission with external medical equipment. Furthermore, to convert RF power into DC power, in RF energy harvesting, a voltage-doubled rectifier was positioned under the ground plane of the proposed antenna. The rectifier circuit can achieve a maximum conversion efficiency of 52% at an input power of 5 dBm. Furthermore, the integrated scheme of the implantable rectenna was fabricated and the numerical performance of the wireless power transfer was verified with the measurement results.

A Circularly Polarized Implantable Rectenna for Microwave Wireless Power Transfer

A circularly polarized implantable antenna integrated with a voltage-doubled rectifier (abbr., rectenna) is investigated for microwave wireless power transfer in the industrial, scientific, and medical (ISM) band of 2.4–2.48 GHz. The proposed antenna is miniaturized with the dimensions of 7.5 mm × 7.5 mm × 1.27 mm by etching four C-shaped open slots on the patch. A rectangular slot truncated diagonally is cut to improve the circular polarization performance of the antenna. The simulated impedance bandwidth in a three-layer phantom is 30.4% (1.9–2.58 GHz) with |S11| below −10 dB, and the 3-dB axial-ratio bandwidth is 16.9% (2.17–2.57 GHz). Furthermore, a voltage-doubled rectifier circuit that converts RF power to DC power is designed on the back of the antenna. The simulated RF-to-DC conversion efficiency can be up to 45% at the input power of 0 dBm. The proposed rectenna was fabricated and measured in fresh pork to verify the simulated results and evaluate the performance of wireless power transfer.

A Current-Switching Technique for Intra-Body Communication With Miniaturized Electrodes

Medical implants are required to be minimized in size to alleviate surgical pains. Battery and antenna are often the main bottlenecks in system miniaturization. Wireless power transfer (WPT) is a possible way to minimize or eliminate the battery. Medical implants with WPT often use backscattering for data communication due to its low power consumption and low hardware cost. However, the conventional backscattering approach with WPT requires a large implanted antenna to ensure a relatively high efficiency and enough signal-to-noise ratio (SNR) for demodulation. In this work, we propose a current-switching technique for intra-body communication to achieve a high SNR and data rate with a pair of small implanted electrodes. Instead of the conventional electric-field based WPT and communication, a current loop is configured in the body tissue for WPT, where a new passive-communication scheme is implemented at the same time. A prototype is implemented to validate the proposed technique, in which the implanted electrodes are designed to be as small as 200 μm × 200 μm, located 13 mm deep in the tissue. The system achieves a communication rate of 10 Mbps with a bit error rate (BER) of 8.4 ×10^-4 over the 406 MHz MedRadio band, while the signal-to-blocker ratio and SNR are measured to be -35.7 dB and 12.4dB, respectively.

Wireless and battery-free platforms for collection of biosignals

Recent progress in biosensors have quantitively expanded current capabilities in exploratory research tools, diagnostics and therapeutics. This rapid pace in sensor development has been accentuated by vast improvements in data analysis methods in the form of machine learning and artificial intelligence that, together, promise fantastic opportunities in chronic sensing of biosignals to enable preventative screening, automated diagnosis, and tools for personalized treatment strategies. At the same time, the importance of widely accessible personal monitoring has become evident by recent events such as the COVID-19 pandemic. Progress in fully integrated and chronic sensing solutions is therefore increasingly important. Chronic operation, however, is not truly possible with tethered approaches or bulky, battery-powered systems that require frequent user interaction. A solution for this integration challenge is offered by wireless and battery-free platforms that enable continuous collection of biosignals. This review summarizes current approaches to realize such device architectures and discusses their building blocks. Specifically, power supplies, wireless communication methods and compatible sensing modalities in the context of most prevalent implementations in target organ systems. Additionally, we highlight examples of current embodiments that quantitively expand sensing capabilities because of their use of wireless and battery-free architectures.

High-Performance Flexible Bismuth Telluride Thin Film from Solution Processed Colloidal Nanoplates

Thermoelectric generators are an environmentally friendly and reliable solid-state energy conversion technology. Flexible and low-cost thermoelectric generators are especially suited to power flexible electronics and sensors using body heat or other ambient heat sources. Bismuth telluride based thermoelectric materials exhibit their best performance near room temperature making them an ideal candidate to power wearable electronics and sensors using body heat. In this report Bi2Te3 thin films are deposited on a flexible polyimide substrate using low-cost and scalable manufacturing methods. The synthesized Bi2Te3 nanocrystals have a thickness of 35 ± 15 nm and a lateral dimension of 692 ± 186 nm. Thin films fabricated from these nanocrystals exhibit a peak power factor of 0.35 mW/m·K2 at 433 K, which is among the highest reported values for flexible thermoelectric films. In order to evaluate the flexibility of the thin films, static and dynamic bending tests were performed while monitoring the change in electrical resistivity. After 1000 bending cycles over a 50mm ROC, the change in electrical resistance of the film was 23%. Using our Bi2Te3 solutions, we demonstrated the ability to print thermoelectric thin films with an aerosol jet printer, highlighting the potential of additive manufacturing techniques for fabricating flexible thermoelectric generators.

Design, Performance, and Application of Thermoelectric Nanogenerators

Thermal energy harvesting from the ambient environment through thermoelectric nanogenerators (TEGs) is an ideal way to realize self-powered operation of electronics, and even relieve the energy crisis and environmental degradation. As one of the most significant energy-related technologies, TEGs have exhibited excellent thermoelectric performance and played an increasingly important role in harvesting and converting heat into electric energy, gradually becoming one of the hot research fields. Here, the development of TEGs including materials optimization, structural designs, and potential applications, even the opportunities, challenges, and the future development direction, is analyzed and summarized. Materials optimization and structural designs of flexibility for potential applications in wearable electronics are systematically discussed. With the development of flexible and wearable electronic equipment, flexible TEGs show increasingly great application prospects in artificial intelligence, self-powered sensing systems, and other fields in the future.

A Fully Integrated RF-Powered Energy-Replenishing Current-Controlled Stimulator

This paper presents a fully-integrated current-controlled stimulator that is powered directly from on-chip coil antenna and achieves adiabatic energy-replenishing operation without any bulky external components. Adiabatic supply voltages, which can reach a differential range of up to 7.2 V, are directly generated from an on-chip 190-MHz resonant LC tank via a self-cascading/folding rectifier network, bypassing the losses that would otherwise be introduced by the 0.8 V system supply-generating rectifier and regulator. The stimulator occupies 0.22 mm ² in a 180 nm silicon-on-insulator process and produces differential currents up to 145  μA. Using a charge replenishing scheme, the stimulator redirects the charges accumulated across the electrodes to the system power supplies for 63.1% of stimulation energy recycling. To benchmark the efficiency of stimulation, a figure of merit termed the stimulator efficiency factor (SEF) is introduced. The adiabatic power rails and energy replenishment scheme enabled our stimulator to achieve an SEF of 6.0.

Maximizing Data Transmission Rate for Implantable Devices Over a Single Inductive Link: Methodological Review

Due to the constantly growing geriatric population and the projected increase of the prevalence of chronic diseases that are refractory to drugs, implantable medical devices (IMDs) such as neurostimulators, endoscopic capsules, artificial retinal prostheses, and brain-machine interfaces are being developed. According to many business forecast firms, the IMD market is expected to grow and they are subject to much research aiming to overcome the numerous challenges of their development. One of these challenges consists of designing a wireless power and data transmission system that has high power efficiency, high data rates, low power consumption, and high robustness against noise. This is in addition to minimal design and implementation complexity. This manuscript concerns a comprehensive survey of the latest techniques used to power up and communicate between an external base station and an IMD. Patient safety considerations related to biological, physical, electromagnetic, and electromagnetic interference concerns for wireless IMDs are also explored. The simultaneous powering and data communication techniques using a single inductive link for both power transfer and bidirectional data communication, including the various data modulation/demodulation techniques, are also reviewed. This review will hopefully contribute to the persistent efforts to implement compact reliable IMDs while lowering their cost and upsurging their benefits.

Empowering lower limbs exoskeletons: state-of-the-art

Given the advanced breakthroughs in the field of supportive robotic technologies, interest in the integration of the human body and a robot into a single system has rapidly increased. The aim of this work is to provide an overview of empowering lower limbs exoskeletons. Along with lower exoskeleton limbs, their unique design concepts, operator–exoskeleton interactions and control strategies are described. Although many problems have been solved in recent development, many challenges remain. Especially in the context of infantry soldiers, fire fighters and rescuers, the challenges of empowering exoskeletons are discussed, and improvements are outlined and described. This study is not only a summary of the current state, but also points to weaknesses of empowering lower limbs exoskeletons and outlines possible improvements.

Realizing zT of 2.3 in Ge1-x-y Sbx Iny Te via Reducing the Phase-Transition Temperature and Introducing Resonant Energy Doping

GeTe with rhombohedral-to-cubic phase transition is a promising lead-free thermoelectric candidate. Herein, theoretical studies reveal that cubic GeTe has superior thermoelectric behavior, which is linked to (1) the two valence bands to enhance the electronic transport coefficients and (2) stronger enharmonic phonon-phonon interactions to ensure a lower intrinsic thermal conductivity. Experimentally, based on Ge_1-x Sb_x Te with optimized carrier concentration, a record-high figure-of-merit of 2.3 is achieved via further doping with In, which induces the distortion of the density of states near the Fermi level. Moreover, Sb and In codoping reduces the phase-transition temperature to extend the better thermoelectric behavior of cubic GeTe to low temperature. Additionally, electronic microscopy characterization demonstrates grain boundaries, a high-density of stacking faults, and nanoscale precipitates, which together with the inevitable point defects result in a dramatically decreased thermal conductivity. The fundamental investigation and experimental demonstration provide an important direction for the development of high-performance Pb-free thermoelectric materials.

Extending the Limits of Wireless Power Transfer to Miniaturized Implantable Electronic Devices

Implantable electronic devices have been evolving at an astonishing pace, due to the development of fabrication techniques and consequent miniaturization, and a higher efficiency of sensors, actuators, processors and packaging. Implantable devices, with sensing, communication, actuation, and wireless power are of high demand, as they pave the way for new applications and therapies. Long-term and reliable powering of such devices has been a challenge since they were first introduced. This paper presents a review of representative state of the art implantable electronic devices, with wireless power capabilities, ranging from inductive coupling to ultrasounds. The different power transmission mechanisms are compared, to show that, without new methodologies, the power that can be safely transmitted to an implant is reaching its limit. Consequently, a new approach, capable of multiplying the available power inside a brain phantom for the same specific absorption rate (SAR) value, is proposed. In this paper, a setup was implemented to quadruple the power available in the implant, without breaking the SAR limits. A brain phantom was used for concept verification, with both simulation and measurement data.

Tissue Variability and Antennas for Power Transfer to Wireless Implantable Medical Devices

The design of effective transcutaneous systems demands the consideration of inevitable variations in tissue characteristics, which vary across body areas, among individuals, and over time. The purpose of this paper was to design and evaluate several printed antenna topologies for ultrahigh frequency (UHF) transcutaneous power transfer to implantable medical devices, and to investigate the effects of variations in tissue properties on dipole and loop topologies. Here, we show that a loop antenna topology provides the greatest achievable gain with the smallest implanted antenna, while a dipole system provides higher impedance for conjugate matching and the ability to increase gain with a larger external antenna. In comparison to the dipole system, the loop system exhibits greater sensitivity to changes in tissue structure and properties in terms of power gain, but provides higher gain when the separation is on the order of the smaller antenna dimension. The dipole system was shown to provide higher gain than the loop system at greater implant depths for the same implanted antenna area, and was less sensitive to variations in tissue properties and structure in terms of power gain at all investigated implant depths. The results show the potential of easily-fabricated, low-cost printed antenna topologies for UHF transcutaneous power, and the importance of environmental considerations in choosing the antenna topology.

Stimulation Efficiency With Decaying Exponential Waveforms in a Wirelessly Powered Switched-Capacitor Discharge Stimulation System

The purpose of this study was to test the feasibility of using a switched-capacitor discharge stimulation (SCDS) system for electrical stimulation, and, subsequently, determine the overall energy saved compared to a conventional stimulator. We have constructed a computational model by pairing an image-based volume conductor model of the cat head with cable models of corticospinal tract (CST) axons and quantified the theoretical stimulation efficiency of rectangular and decaying exponential waveforms, produced by conventional and SCDS systems, respectively. Subsequently, the model predictions were tested in vivo by activating axons in the posterior internal capsule and recording evoked electromyography (EMG) in the contralateral upper arm muscles. Compared to rectangular waveforms, decaying exponential waveforms with time constants >500 μs were predicted to require 2%-4% less stimulus energy to activate directly models of CST axons and 0.4%-2% less stimulus energy to evoke EMG activity in vivo. Using the calculated wireless input energy of the stimulation system and the measured stimulus energies required to evoke EMG activity, we predict that an SCDS implantable pulse generator (IPG) will require 40% less input energy than a conventional IPG to activate target neural elements. A wireless SCDS IPG that is more energy efficient than a conventional IPG will reduce the size of an implant, require that less wireless energy be transmitted through the skin, and extend the lifetime of the battery in the external power transmitter.

A LOW TEMPERATURE INCREASE TRANSCUTANEOUS BATTERY CHARGER FOR IMPLANTABLE MEDICAL DEVICES

Many medical groups have used wireless battery charging technology for rechargeable batteries used in implantable devices. During charging, battery heat is lost from the battery and other heat sources within an implantable device, which may be harmful to patients’ tissues. Therefore, charging batteries with minimum discomfort to patients while replenishing battery capacity as much as possible is a challenge. In this paper, a constant voltage with a different limiting current strategy for a lithium-ion polymer battery is proposed, thereby modulating the limiting current rate that reduces battery temperature increase. Experiments show that better safety charging performance for 260, 600, and 1000[Formula: see text]mAh lithium-ion polymer batteries can be obtained by the proposed current-limiting method. Compared with conventional constant-current–constant-voltage charging strategies, the maximum battery temperature increase is improved.

Portable Wind Energy Harvesters for Low-Power Applications: A Survey

Energy harvesting has become an increasingly important topic thanks to the advantages in renewability and environmental friendliness. In this paper, a comprehensive study on contemporary portable wind energy harvesters has been conducted. The electrical power generation methods of portable wind energy harvesters are surveyed in three major groups, piezoelectric-, electromagnetic-, and electrostatic-based generators. The paper also takes another view of this area by gauging the required mechanisms for trapping wind flow from ambient environment. In this regard, rotational and aeroelastic mechanisms are analyzed for the portable wind energy harvesting devices. The comparison between both mechanisms shows that the aeroelastic mechanism has promising potential in producing an energy harvester in smaller scale although how to maintain the resonator perpendicular to wind flow for collecting the maximum vibration is still a major challenge to overcome for this mechanism. Furthermore, this paper categorizes the previously published portable wind energy harvesters to macro and micro scales in terms of their physical dimensions. The power management systems are also surveyed to explore the possibility of improving energy conversion efficiency. Finally some insights and research trends are pointed out based on an overall analysis of the previously published works along the historical timeline.

Wireless energizing system for an automated implantable sensor

The wireless drive of an automated implantable electronic sensor has been explored for health monitoring applications. The proposed system comprises of an automated biomedical sensing system which is energized through resonant inductive coupling. The implantable sensor unit is able to monitor the body temperature parameter and sends back the corresponding telemetry data wirelessly to the data recoding unit. It has been observed that the wireless power delivery system is capable of energizing the automated biomedical implantable electronic sensor placed over a distance of 3 cm from the power transmitter with an energy transfer efficiency of 26% at the operating resonant frequency of 562 kHz. This proposed method ensures real-time monitoring of different human body temperatures around the clock. The monitored temperature data have been compared with a calibrated temperature measurement system to ascertain the accuracy of the proposed system. The investigated technique can also be useful for monitoring other body parameters such as blood pressure, bladder pressure, and physiological signals of the patient in vivo using various implantable sensors.

Semicrystalline Structure-Dielectric Property Relationship and Electrical Conduction in a Biaxially Oriented Poly(vinylidene fluoride) Film under High Electric Fields and High Temperatures

Poly(vinylidene fluoride) (PVDF)-based homopolymers and copolymers are attractive for a broad range of electroactive applications because of their high dielectric constants. Especially, biaxially oriented PVDF (BOPVDF) films exhibit a DC breakdown strength as high as that for biaxially oriented polypropylene films. In this work, we revealed the molecular origin of the high dielectric constant via study of a commercial BOPVDF film. By determination of the dielectric constant for the amorphous phase in BOPVDF, a high value of ca. 21-22 at 25 °C was obtained, and a three-phase (i.e., lamellar crystal/oriented interphase/amorphous region) semicrystalline model was proposed to explain this result. Meanwhile, electronic conduction mechanisms in BOPVDF under high electric fields and elevated temperatures were investigated by thermally stimulated depolarization current (TSDC) spectroscopy and leakage current studies. Space charge injection from metal electrodes was identified as a major factor for electronic conduction when BOPVDF was poled above 75 °C and 20 MV/m. In addition, when silver or aluminum were used as electrodes, new ions were generated from electrochemical reactions under high fields. Due to the electrochemical reactions between PVDF and the metal electrode, a question is raised for practical electrical applications using PVDF and its copolymers under high-field and high-temperature conditions. A potential method to prevent electrochemical degradation of PVDF is proposed in this study.

Wearable devices for blood purification: principles, miniaturization, and technical challenges

The prevalences of end-stage renal disease (ESRD) and renal replacement therapy (RRT) continue to increase across the world imposing staggering costs on providers. Therefore, strategies to optimize the treatment and improve survival are of fundamental importance. Despite the benefits of daily dialysis, its implementation is difficult and wearable hemodialysis might represent an alternative by which frequent treatments can be delivered to ESRD patients with much less interference in their routines promoting better quality of life. The development of the wearable artificial kidney (WAK) requires incorporation of basic components of a dialysis system into a wearable device that allows mobility, miniaturization, and above all, patient-oriented management. The technical requirements necessary for WAK can be divided into the following broad categories: dialysis membranes, dialysis regeneration, vascular access, patient monitoring systems, and power sources. Pumping systems for blood and other fluids are the most critical components of the entire device.

Flexible supercapacitors based on paper substrates: a new paradigm for low-cost energy storage

This review introduces the background, design and applications of paper-based supercapacitors, highlighting their importance for low-cost flexible energy storage.

Restoration of vision in blind individuals using bionic devices: a review with a focus on cortical visual prostheses

The field of neurobionics offers hope to patients with sensory and motor impairment. Blindness is a common cause of major sensory loss, with an estimated 39 million people worldwide suffering from total blindness in 2010. Potential treatment options include bionic devices employing electrical stimulation of the visual pathways. Retinal stimulation can restore limited visual perception to patients with retinitis pigmentosa, however loss of retinal ganglion cells precludes this approach. The optic nerve, lateral geniculate nucleus and visual cortex provide alternative stimulation targets, with several research groups actively pursuing a cortically-based device capable of driving several hundred stimulating electrodes. While great progress has been made since the earliest works of Brindley and Dobelle in the 1960s and 1970s, significant clinical, surgical, psychophysical, neurophysiological, and engineering challenges remain to be overcome before a commercially-available cortical implant will be realized. Selection of candidate implant recipients will require assessment of their general, psychological and mental health, and likely responses to visual cortex stimulation. Implant functionality, longevity and safety may be enhanced by careful electrode insertion, optimization of electrical stimulation parameters and modification of immune responses to minimize or prevent the host response to the implanted electrodes. Psychophysical assessment will include mapping the positions of potentially several hundred phosphenes, which may require repetition if electrode performance deteriorates over time. Therefore, techniques for rapid psychophysical assessment are required, as are methods for objectively assessing the quality of life improvements obtained from the implant. These measures must take into account individual differences in image processing, phosphene distribution and rehabilitation programs that may be required to optimize implant functionality. In this review, we detail these and other challenges facing developers of cortical visual prostheses in addition to briefly outlining the epidemiology of blindness, and the history of cortical electrical stimulation in the context of visual prosthetics.

One-step synthesis of graphene/polypyrrole nanofiber composites as cathode material for a biocompatible zinc/polymer battery

The significance of developing implantable, biocompatible, miniature power sources operated in a low current range has become manifest in recent years to meet the demands of the fast-growing market for biomedical microdevices. In this work, we focus on developing high-performance cathode material for biocompatible zinc/polymer batteries utilizing biofluids as electrolyte. Conductive polymers and graphene are generally considered to be biocompatible and suitable for bioengineering applications. To harness the high electrical conductivity of graphene and the redox capability of polypyrrole (PPy), a polypyrrole fiber/graphene composite has been synthesized via a simple one-step route. This composite is highly conductive (141 S cm(-1)) and has a large specific surface area (561 m(2) g(-1)). It performs more effectively as the cathode material than pure polypyrrole fibers. The battery constructed with PPy fiber/reduced graphene oxide cathode and Zn anode delivered an energy density of 264 mWh g(-1) in 0.1 M phosphate-buffer saline.

Application of wireless power transmission systems in wireless capsule endoscopy: an overview

Wireless capsule endoscopy (WCE) is a promising technology for direct diagnosis of the entire small bowel to detect lethal diseases, including cancer and obscure gastrointestinal bleeding (OGIB). To improve the quality of diagnosis, some vital specifications of WCE such as image resolution, frame rate and working time need to be improved. Additionally, future multi-functioning robotic capsule endoscopy (RCE) units may utilize advanced features such as active system control over capsule motion, drug delivery systems, semi-surgical tools and biopsy. However, the inclusion of the above advanced features demands additional power that make conventional power source methods impractical. In this regards, wireless power transmission (WPT) system has received attention among researchers to overcome this problem. Systematic reviews on techniques of using WPT for WCE are limited, especially when involving the recent technological advancements. This paper aims to fill that gap by providing a systematic review with emphasis on the aspects related to the amount of transmitted power, the power transmission efficiency, the system stability and patient safety. It is noted that, thus far the development of WPT system for this WCE application is still in initial stage and there is room for improvements, especially involving system efficiency, stability, and the patient safety aspects.

In Vitro Zinc-Air Battery Evaluation for Use in Intraoral Medical Devices

The aim of the present work was to evaluate the possibility of using zinc-air batteries in intraoral medical devices. We analyzed the electrical behavior of zinc-air batteries when submitted to different levels of temperature, humidity, and limited quantities of air. The experimental setup was divided in three different parts. Firstly, a set of batteries were tested within a climatic chamber and subjected to discharging tests similar to those recommended by the manufacturer. The climatic chamber allowed an accurate variation of humidity and temperature. Secondly, the batteries were placed in a small prototype of intraoral medical device and tested in the absence of air. Lastly, we used a robot arm to repeatedly immerse the prototype in artificial saliva. The results obtained demonstrated the viability of zinc-air batteries as a power solution for intraoral medical devices, as they tolerate high levels of humidity and are capable of working with limited quantities of air. In addition, this kind of battery presents a volume to electrical capacity ratio more than three times higher than lithium batteries, which may open important improvement for powered medical devices.

Fabrication of high-performance flexible alkaline batteries by implementing multiwalled carbon nanotubes and copolymer separator

A flexible alkaline battery with multiwalled carbon nanotube (MWCNT) enhanced composite electrodes and polyvinyl alcohol (PVA)-poly (acrylic acid) (PAA) copolymer separator has been developed. Purified MWCNTs appear to be the most effective conductive additive, while the flexible copolymer separator not only enhances flexibility but also serves as electrolyte storage.

Instrumented hip implants: electric supply systems

Instrumented hip implants were proposed as a method to monitor and predict the biomechanical and thermal environment surrounding such implants. Nowadays, they are being developed as active implants with the ability to prevent failures by loosening. The generation of electric energy to power active mechanisms of instrumented hip implants remains a question. Instrumented implants cannot be implemented without effective electric power systems. This paper surveys the power supply systems of seventeen implant architectures already implanted in-vivo, namely from instrumented hip joint replacements and instrumented fracture stabilizers. Only inductive power links and batteries were used in-vivo to power the implants. The energy harvesting systems, which were already designed to power instrumented hip implants, were also analyzed focusing their potential to overcome the disadvantages of both inductive-based and battery-based power supply systems. From comparative and critical analyses of the methods to power instrumented implants, one can conclude that: inductive powering and batteries constrain the full operation of instrumented implants; motion-driven electromagnetic energy harvesting is a promising method to power instrumented passive and active hip implants.

HAPTIC MODELING OF STOMACH FOR REAL-TIME PROPERTY AND FORCE ESTIMATION

Robotic devices are being employed in gastrointestinal endoscopy procedures for diagnostics and surgery. However, force measurement, a very important factor for control and haptic feedback, becomes very challenging due to the strict size limitation of such devices and the flexible nature of the endoscope. This paper focuses on the modeling of the interior stomach wall for tool–tissue interactions from two perspectives: (1) If the interaction force between the robotic tool and the tissue can be measured, we utilize the force information to estimate the mechanical property of the stomach wall in real-time; given the force and position information, we would derive mathematically the only system model that can guarantee identifiability under arbitrary manipulation; (2) in the worst case scenario where force measurement is not available, we propose a viscoelastic model to restore force information solely based on position and motion information available from the robot. Ex-vivo experiments were performed on porcine stomach specimens to demonstrate the performance of the proposed models. Based on these findings, generalization and implementations of the modeling in real-time applications were discussed.

Modeling tendon-sheath mechanism with flexible configurations for robot control

Surgical and search/rescue robots often work in environments with very strict spatial constraints. The tendon-sheath mechanism is a promising candidate for driving such systems, allowing power sources and actuation motors placed outside to transmit force and energy to the robot at the distal end through the constrained environment. Having both compactness and high force capability makes it very attractive for manipulation devices. On the other hand, the friction attenuation of tendon tension is nonlinear and configuration-dependent due to tendon/sheath interactions throughout the transmission path. This is a major obstacle for the tendon-sheath mechanism to be widely adopted. Here, we focus on the friction analysis for flexible and time-varying tendon-sheath configurations: the most challenging but yet commonly encountered case for real-world applications. Existing results on fixed-path configurations are reviewed, revisited, and extended to flexible and time-varying cases. The effect of tendon length to friction attenuation is modeled. While focusing on tension transmission, tendon elongation is also discussed with the length effect applied. In the end, two-dimensional results are extended to three-dimensional tendon-sheath configurations. All propositions and theorems are validated on a dedicated experimental platform.

Inductive and ultrasonic multi-tier interface for low-power, deeply implantable medical devices

We report the development of a novel multi-tier interface which enables the wireless, noninvasive transfer of sufficient amounts of power as well as the collection and transmission of data from low-power, deeply implantable analog sensors. The interface consists of an inductive coupling subsystem and an ultrasonic subsystem. The designed and experimentally verified inductive subsystem ensures that 5 W of power is transferred across 10 mm of air gap between a single pair of PCB spiral coils with an efficiency of 83% using our prototype CMOS logic gate-based driver circuit. The implemented ultrasonic subsystem, based on ultrasonic PZT ceramic discs driven in their low-frequency, radial/planar-excitation mode, further ensures that 29 μW of power is delivered 70 mm deeper inside a homogenous liquid environment-with no acoustic matching layer employed-with an efficiency of 1%. Overall system power consumption is 2.3 W. The implant is intermittently powered every 800 msec; charging a capacitor which provides sufficient power for a duration of ~ 18 msec; sufficient for an implant μC operating at a frequency of 500 KHz to transmit a nibble (4 bits) of digitized sensed data.

Multi-layer thermoelectric-temperature-mapping microbial incubator designed for geo-biochemistry applications

We demonstrate a novel, vertical temperature-mapping incubator utilizing eight layers of thermoelectric (TE) modules mounted around a test tube. The temperature at each layer of the TE module is individually controlled to simulate the vertical temperature profile of geo-temperature variations with depth. Owing to the constraint of non-intrusion to the filled geo-samples, the temperature on the tube wall is adopted for measurement feedback. The design considerations for the incubator include spatial arrangement of the energy transfer mechanism, heating capacity of the TE modules, minimum required sample amount for follow-up instrumental or chemical analysis, and the constraint of non-intrusion to the geo-samples during incubation. The performance of the incubator is experimentally evaluated with two tube conditions and under four preset temperature profiles. Test tubes are either empty or filled with quartz sand, which has comparable thermal properties to the materials in the geo-environment. The applied temperature profiles include uniform, constant temperature gradient, monotonic-increasing parabolic, and parabolic. The temperature on the tube wall can be controlled between 20 °C and 90 °C with an averaged root mean squared error of 1 °C.

Electrochemically active biofilms: facts and fiction. A review

This review examines the electrochemical techniques used to study extracellular electron transfer in the electrochemically active biofilms that are used in microbial fuel cells and other bioelectrochemical systems. Electrochemically active biofilms are defined as biofilms that exchange electrons with conductive surfaces: electrodes. Following the electrochemical conventions, and recognizing that electrodes can be considered reactants in these bioelectrochemical processes, biofilms that deliver electrons to the biofilm electrode are called anodic, ie electrode-reducing, biofilms, while biofilms that accept electrons from the biofilm electrode are called cathodic, ie electrode-oxidizing, biofilms. How to grow these electrochemically active biofilms in bioelectrochemical systems is discussed and also the critical choices made in the experimental setup that affect the experimental results. The reactor configurations used in bioelectrochemical systems research are also described and the authors demonstrate how to use selected voltammetric techniques to study extracellular electron transfer in bioelectrochemical systems. Finally, some critical concerns with the proposed electron transfer mechanisms in bioelectrochemical systems are addressed together with the prospects of bioelectrochemical systems as energy-converting and energy-harvesting devices.