Energy-Efficient Integrated Circuit Solutions Toward Miniaturized Closed-Loop Neural Interface Systems

A Comprehensive Review of Emerging Trends and Innovative Therapies in Epilepsy Management

Epilepsy is a complex neurological disorder affecting millions worldwide, with a substantial number of patients facing drug-resistant epilepsy. This comprehensive review explores innovative therapies for epilepsy management, focusing on their principles, clinical evidence, and potential applications. Traditional antiseizure medications (ASMs) form the cornerstone of epilepsy treatment, but their limitations necessitate alternative approaches. The review delves into cutting-edge therapies such as responsive neurostimulation (RNS), vagus nerve stimulation (VNS), and deep brain stimulation (DBS), highlighting their mechanisms of action and promising clinical outcomes. Additionally, the potential of gene therapies and optogenetics in epilepsy research is discussed, revealing groundbreaking findings that shed light on seizure mechanisms. Insights into cannabidiol (CBD) and the ketogenic diet as adjunctive therapies further broaden the spectrum of epilepsy management. Challenges in achieving seizure control with traditional therapies, including treatment resistance and individual variability, are addressed. The importance of staying updated with emerging trends in epilepsy management is emphasized, along with the hope for improved therapeutic options. Future research directions, such as combining therapies, AI applications, and non-invasive optogenetics, hold promise for personalized and effective epilepsy treatment. As the field advances, collaboration among researchers of natural and synthetic biochemistry, clinicians from different streams and various forms of medicine, and patients will drive progress toward better seizure control and a higher quality of life for individuals living with epilepsy.

A review of neurophysiological effects and efficiency of waveform parameters in deep brain stimulation

Neurostimulation has diverse clinical applications and potential as a treatment for medically refractory movement disorders, epilepsy, and other neurological disorders. However, the parameters used to program electrodes-polarity, pulse width, amplitude, and frequency-and how they are adjusted have remained largely untouched since the 1970 s. This review summarizes the state-of-the-art in Deep Brain Stimulation (DBS) and highlights the need for further research to uncover the physiological mechanisms of neurostimulation. We focus on studies that reveal the potential for clinicians to use waveform parameters to selectively stimulate neural tissue for therapeutic benefit, while avoiding activating tissue associated with adverse effects. DBS uses cathodic monophasic rectangular pulses with passive recharging in clinical practice to treat neurological conditions such as Parkinson's Disease. However, research has shown that stimulation efficiency can be improved, and side effects reduced, through modulating parameters and adding novel waveform properties. These developments can prolong implantable pulse generator lifespan, reducing costs and surgery-associated risks. Waveform parameters can stimulate neurons based on axon orientation and intrinsic structural properties, providing clinicians with more precise targeting of neural pathways. These findings could expand the spectrum of diseases treatable with neuromodulation and improve patient outcomes.

Seamless Capacitive Body Channel Wireless Power Transmission Toward Freely Moving Multiple Animals in an Animal Cage

Unstable wireless power transmission toward multiple living animals in an animal cage is one of the significant barriers to performing long-term and real-time neural monitoring in preclinical research. Here, seamless capacitive body channel (SCB) wireless power transmission (WPT) along with power management integrated circuit (PMIC) is designed using a standard 65 nm CMOS process. The SCB WPT enables stable wireless power transmission toward multiple 35 mm×20 mm×2 mm sized receivers (RXs) attached to freely moving animals in a 600 mm×600 mm×120 mm sized animal cage. By utilizing fringe-field capacitance and a body channel for wireless power link between the cage and RXs, the maximum difference in all measured power efficiencies in diverse scenarios is only 6.66 % with a 20 mW load. Even with a 90 ^° RX rotation against the cage, power efficiency marks 17.76 %. Furthermore, an in-vivo experiment conducted with three untethered rats demonstrates the capability of continuous long-term power delivery in practical situations.

Full-duplex enabled wireless power transfer system via textile for miniaturized IMD

Full-duplex (FD) enabled wireless power transfer (WPT) system via textile for miniaturized IMD is presented. By utilizing the battery-free near-field communication (NFC) method, the system realizes wireless power and data transmission without a bulky battery or energy harvester which can diminish the physical size of implantable medical device (IMD). Moreover, using textile as a medium of power transmission, the system overcomes the drawback and extends the limited effective range of the NFC method. In addition, as realizing simultaneous bidirectional data transmission over a single data channel, IMD has been further miniaturized. The proposed system including an external transmitter and the minimized IMD receiver supports 200 kbps and 50 kbps data rates for FSK downlink and LSK uplink telemetries at the same time with bit error rate (BER) of < \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$8{ } \times { }10^{ - 5}$$\end{document}8×10-5 and < \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$4{ } \times { }10^{ - 5}$$\end{document}4×10-5, respectively. The measured power transfer efficiency (PTE) and DC-to-DC power delivered to load (PDL) are 5.77% and 64 mW at 0.5/60 cm of vertical/horizontal distance.

Gentle Patterning Approaches toward Compatibility with Bio-Organic Materials and Their Environmental Aspects

Advances in material science, bioelectronic, and implantable medicine combined with recent requests for eco-friendly materials and technologies inevitably formulate new challenges for nano- and micropatterning techniques. Overall, the importance of creating micro- and nanostructures is motivated by a large manifold of fundamental and applied properties accessible only at the nanoscale. Lithography is a crucial family of fabrication methods to create prototypes and produce devices on an industrial scale. The pure trend in the miniaturization of critical electronic semiconducting components has been recently enhanced by implementing bio-organic systems in electronics. So far, significant efforts have been made to find novel lithographic approaches and develop old ones to reach compatibility with delicate bio-organic systems and minimize the impact on the environment. Herein, such delicate materials and sophisticated patterning techniques are briefly reviewed.