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Thomas Stieglitz

Publications and source records attributed to Thomas Stieglitz.

18 recordsLinked to original sources
PubMed2006

An implantable neuroprosthesis for standing and walking in paraplegia: 5-year patient follow-up.

We present the results of a 5-year patient follow-up after implantation of an original neuroprosthesis. The system is able to stimulate both epimysial and neural electrodes in such a way that the complete flexor-extensor chain of the lower limb can be activated without using the withdrawal reflex. We demonstrate that standing and assisted walking are possible, and the results have remained stable for 5 years. Nevertheless, some problems were noted, particularly regarding the muscle response on the epimysial channels. Analysis of the electrical behaviour and thresholds indicated that the surgical phase is crucial because of the sensitivity of the functional responses to electrode placement. Neural stimulation proved to be more efficient and more stable over time. This mode requires less energy and provides more selective stimulation. This FES system can be improved to enable balanced standing and less fatiguing gait, but this will require feedback on event detection to trigger transitions between stimulation sequences, as well as feedback to the patient about the state of his lower limbs.

Adult↗
PubMed2006

Original electronic design to perform epimysial and neural stimulation in paraplegia.

This paper presents an original electronic architecture to manage epimysial and neural stimulation using the same implantable device. All the muscles needed to achieve lower limb movements such as standing and walking can thus be activated. Mainly for surgical reasons, some muscles need to be stimulated through different inputs: epimysium or motor nerve. We developed an electronic solution, including the design of an application-specific integrated circuit, to meet the requirements of both types of stimulation. Five years after the successful implantation of the system, we were able to evaluate the system's performance. The patient is still using the system at home and no failure occurred during this 5-year period. We conclude that the electronic design not only provides a unique investigative tool for research, but that it can also be used to restore the motor function of the lower limb. This technology has an advantage over external stimulation because the patient can safely use the system at home. However, improvements such as lower power consumption, and thus greater autonomy, are needed. We further conclude that the modelling of the electrical behaviour of the electrodes is reliable and the estimated parameter values are homogeneous and consistent for the same type of electrode. Thus, the three parameters of the first-order model can be identified from an acute animal experiment and provide a means to optimize the design of the output stage of implanted stimulators.

Algorithms↗
PubMed2006

Design, in vitro and in vivo assessment of a multi-channel sieve electrode with integrated multiplexer.

This paper reports on the design, in vitro and in vivo investigation of a flexible, lightweight, polyimide based implantable sieve electrode with a hybrid assembly of multiplexers and polymer encapsulation. The integration of multiplexers enables us to connect a large number of electrodes on the sieve using few input connections. The implant assembly of the sieve electrode with the electronic circuitry was verified by impedance measurement. The 27 platinum electrodes of the sieve were coated with platinum black to reduce the electrode impedance. The impedance magnitude of the electrode sites on the sieve (geometric surface area 2,200 microm(2)) was |Z(f=1kHz)| = 5.7 kOmega. The sieve electrodes, encased in silicone, have been implanted in the transected sciatic nerve of rats. Initial experiments showed that axons regenerated through the holes of the sieve and reinnervated distal target organs. Nerve signals were recorded in preliminary tests after 3-7 months post-implantation.

Action Potentials↗
PubMed2005

Long term assessment of axonal regeneration through polyimide regenerative electrodes to interface the peripheral nerve.

Polyimide sieve electrodes were implanted between the severed ends of the sciatic nerve in rats. The degree of axonal regeneration through the electrode was examined by physiological and histological methods from 2 to 12 months postimplantation. Regeneration was successful in the 30 animals implanted. Functional reinnervation of hindlimb targets progressed to reach maximal levels at 6 months. Comparatively, the reinnervation of distal plantar muscles was lower than that of proximal muscles and of digital nerves. The number of regenerated myelinated fibers increased from 2 to 6 months, when it was similar to control values. The majority of myelinated fibers crossing the via holes and regenerated through the distal nerve had a normal appearance. However, in a few cases decline of target reinnervation and loss of regenerated nerve fibers was found from 6 to 12 months postimplantation. Motor axons labeled by ChAT immunoreactivity regenerated scattered within minifascicles, although they were found at higher density at the periphery of the regenerated nerve. The number of ChAT-positive axons was markedly lower distally than proximally to the sieve electrode.

Action Potentials↗
PubMed2005

A critical review of interfaces with the peripheral nervous system for the control of neuroprostheses and hybrid bionic systems.

Considerable scientific and technological efforts have been devoted to develop neuroprostheses and hybrid bionic systems that link the human nervous system with electronic or robotic prostheses, with the main aim of restoring motor and sensory functions in disabled patients. A number of neuroprostheses use interfaces with peripheral nerves or muscles for neuromuscular stimulation and signal recording. Herein, we provide a critical overview of the peripheral interfaces available and trace their use from research to clinical application in controlling artificial and robotic prostheses. The first section reviews the different types of non-invasive and invasive electrodes, which include surface and muscular electrodes that can record EMG signals from and stimulate the underlying or implanted muscles. Extraneural electrodes, such as cuff and epineurial electrodes, provide simultaneous interface with many axons in the nerve, whereas intrafascicular, penetrating, and regenerative electrodes may contact small groups of axons within a nerve fascicle. Biological, technological, and material science issues are also reviewed relative to the problems of electrode design and tissue injury. The last section reviews different strategies for the use of information recorded from peripheral interfaces and the current state of control neuroprostheses and hybrid bionic systems.

Animals↗
PubMed2005

Cortical activation via an implanted wireless retinal prosthesis.

PURPOSE: To demonstrate local cortical activations in the primary visual cortex of the cat as a result of retinal electrical stimulation by means of a completely wireless-controlled, implantable retinal prosthesis in a series of acute experiments. METHODS: The transfer of energy to drive the device and signals to activate any combination of 25 retinal electrodes was achieved completely wirelessly by an external transmitter positioned in front of the eye. Individually configured electrical stimuli were applied via any combination of 25 electrodes, on sending the necessary pulse parameters to the implant. Placement of the implant onto the retinal surface was achieved after lensectomy and vitrectomy in the cat. Fixation was performed with a retinal tack. Cortical activation patterns were recorded by means of optical imaging of intrinsic signals. RESULTS: Implantation and fixation were successfully performed in three cats. Wireless activation of the implant by radiofrequency was demonstrated by recording of stimulus artifacts from the sclera. Local activation of the visual cortex measured by optical imaging of intrinsic signals revealed a shift of cortical response that was well correlated with a change in the position of the activated retinal electrodes. CONCLUSIONS: The results demonstrate the retinotopic activation of the visual cortex using a completely wireless, remote-controlled retinal implant.

Animals↗
PubMed2005

Diameter-dependent excitation of peripheral nerve fibers by multipolar electrodes during electrical stimulation.

Neural prostheses are technical devices that interface the nervous system to restore lost body functions by means of electrical stimulation, and to increase the activities of daily living of disabled persons--at least to some extent. One of the major reasons for the limited performance of neural prostheses is caused by the inverse recruitment of axons via excitation, by means of electrical stimulation. Due to their biophysical properties, electrical stimulation excites axons according to their diameter, starting with large-diameter fibers. This is the inverse order with respect to physiologic recruitment. It causes muscle fatigue, dyssynergia and limited muscle force control, respectively. A new electrode arrangement, with longitudinal multipolar stimulation, allows the selection of fiber diameters by its design with rectangular stimulation pulses and a reasonable amount of charge per phase. This report discusses the impact of the new approach in comparison with other stimulation paradigms to obtain fiber-selective nerve activation and its opportunities for neural prostheses in context with miniaturization trends in implant technology.

Comment↗
PubMed2004

Submarine groundwater discharge into the near-shore zone of the Great Barrier Reef, Australia.

Along the tropical coastline of the Great Barrier Reef (GBR) region, little is known to date about submarine groundwater discharge (SGD) into the near-shore ocean. In an oceanographic sense, SGD consists of freshwater flow from land as well as seawater circulated through sediments. Recent radiochemical and geophysical studies, using the tracer (222)Rn and apparent ground conductivity respectively, provide evidence for SGD to occur in a variety of hydrogeological settings. In this paper, a non-quantitative overview of different settings of SGD in the region is presented: (1) recirculation of seawater through animal burrows in mangrove forests, (2) freshwater SGD from unconfined aquifers as a narrow coastal fringe of freshwater along Wet Tropics beaches, (3) SGD from coastal dune systems in form of localised freshwater springs in the intertidal zone, (4) inner-shelf SGD from confined submarine aquifer systems comprised of riverine paleochannels incised into the shelf.

Animals↗
PubMed2004

In vivo intravascular electric impedance spectroscopy using a new catheter with integrated microelectrodes.

Interventional techniques are necessary, which allow the characterization of intravascular pathological processes. Electric impedance spectroscopy (EIS) can provide cellular information of biological tissue. We tested the feasibility of intravascular EIS by using a new impedance catheter system with integrated microelectrodes in an experimental animal model. Eighteen stents were implanted into the iliac arteries of female New Zealand White rabbits (n = 11) to induce intimal proliferation. After 14, 28 and 56 days the electric impedance was measured inside and outside of the stented arterial segments by using a balloon catheter with four integrated microelectrodes. The impedance was recorded at a frequency ranging from 1 Hz to 1 MHz. After the measurements, the stents were explanted and histomorphometry was performed. The impedance inside and outside the stent was analysed and compared with the histomorphometric data. Fourteen (n = 6), 28 (n = 5) and 56 (n = 6) days after stent implantation the difference of the electrical impedance between the native and the stented iliac artery segment increased from -924 +/- 715 Ohm to 3689 +/- 1385 Ohm (14 days vs. 28 days; p < 0.05) and 8637 +/- 2881 Ohm (14 days vs. 56 days; p < 0.05), respectively. The increase of the electrical impedance corresponded to an increased neointimal proliferation in the stented arterial segment of 3.6% +/-0.7% after 14 days, 8.4% +/- 4.8% after 28 days (14 days vs. 28 days; p < 0.05) and 10.0% +/- 4.1% after 56 days (14 days vs. 56 days; p < 0.01). Intravascular EIS can be performed by a balloon catheter with integrated microelectrodes and allows the detection of neointimal proliferation after stent implantation.

Animals↗
PubMed2004

Optical energy transfer for intraocular microsystems studied in rabbits.

BACKGROUND: The development of a visual prosthesis aims to restore partial vision in patients with diseases which lead to total photoreceptor loss. The wireless power supply for a retinal implant may be realized with electromagnetic induction or with optical energy transfer. The present study investigates the feasibility of a photovoltaic power generation in the intraocular lens (IOL) part of an epiretinal implant for long-term tests in rabbits. METHODS: IOLs containing an array of photovoltaic cells (PVC) and a light-emitting diode (LED) were implanted into the capsular bag after phacoemulsification in three chinchilla rabbits. Optical energy transfer was established with an infrared laser beam at 850 nm wavelength. Lighting up of the LED proved the functioning of the PVC array. The maximum duration of in vivo functioning of the implant was determined by regular tests involving laser beam application. The explanted microsystems were technically analyzed. Tissues of both eyes underwent routine histological examinations. RESULTS: The lifespan of the microsystems ranged from 14 days to more than 7 months. Final malfunction was caused by PVC defects or by defective contacts between PVC and LED that may originate from the low adhesive strength between the silicone cover and the underlying electronic components. The histological examination showed no alterations of the retinal structure in the treated eyes. CONCLUSIONS: The power supply for intraocular microsystems by an array of photovoltaic cells was proven to be feasible in long-term tests in rabbits. An essential prerequisite for a future device is hermetic coating of the electronics.

Animals↗
PubMed2004

Considerations on surface and structural biocompatibility as prerequisite for long-term stability of neural prostheses.

Neural prostheses are technical systems that partially substitute neural functions of the body after traumatic lesions or neurological disorders. Using biomedical microsystems, complex implants can be designed and fabricated in very small dimensions. However, miniaturization of neural prostheses for long-term implantation is very challenging. Implants not only have to be biosafe and biostable in terms of cytotoxicity and degradation, they also have to cope with the biological requirements of structural biocompatibility. In this paper, examples of biomedical microimplants for neural prostheses use are introduced. Results from basic biocompatibility investigations regarding the cytotoxicity are reported, as well as aspects of the interaction between surface structure and cell behaviour. A detailed outlook addresses possible approaches to use nanosciences to ensure long-term stability of thin technical layers within the body and create surfaces for selective and specified functional reactions at the interface between the artificial implant and the biological environment.

Biocompatible Materials↗
PubMed2003

Chronically implanted epidural electrodes in Göttinger minipigs allow function tests of epiretinal implants.

BACKGROUND: To test the function of implantable devices for electrical stimulation of the retina, long-term registration tests of cortical-evoked potentials are required. Skin electrodes are not appropriate to provide representative recordings, due to the voluminous pneumatic frontal sinus of minipigs. Therefore, epidural electrodes were permanently implanted in minipigs and tested with visual and electrical retinal stimulation. The present study describes long-term recordings of electrically evoked cortical potentials in minipigs. METHODS: Three-channel silver-silver chloride electrodes were fixed on the epidura dorsal to the primary visual cortex of one hemisphere in Göttinger minipigs. Repeated light stimulation was performed and platinum-polyimide film multielectrode arrays were implanted on the retina for electrical stimulation and were later removed. Cortical potentials were recorded after stimulation with short biphasic charge-balanced currents. RESULTS: For up to 18 months, the implanted epidural electrodes allowed recording of visual cortex potentials evoked by visual or electrical retina stimulation. Small changes of response amplitudes in subsequent experiments indicated a stable location and recording properties of the cortex electrodes. Visual stimulation often yielded stronger responses for the contralateral eye. Superthreshold electrical retina stimulation evoked cortical responses with less delay compared to visual stimulation. We found threshold currents of 50 microA for charge-balanced biphasic trains of current impulses. Postoperative examination showed an attached and unchanged retina. CONCLUSIONS: The minipig model is appropriate for the implantation of epiretinal stimulation electrodes and for the long-term tests of retinal implants by recording of cortical responses with chronically implanted epidural electrodes.

Animals↗
PubMed2003

Noninvasive measurement of torque development in the rat foot: measurement setup and results from stimulation of the sciatic nerve with polyimide-based cuff electrodes.

In neural rehabilitation, selective activation of muscles after electrical stimulation is mandatory for control of paralyzed limbs. For an evaluation of electrode selectivity, a setup to noninvasively measure the force development after electrical stimulation in the rat foot was developed. The setup was designed in accordance to the anatomical features of the rat model to test the isometric torque development at given ankle positions in an intact leg. In this paper, the setup design and development is presented and discussed. In a first study, the selectivity of small nerve cuffs with 12 electrodes implanted around the rat sciatic nerve was investigated. Special attention was drawn to the performance of the torque measurement setup in comparison to electrophysiological data obtained from compound muscle action potential recordings. Using one cuff around the nerve, electrical stimulation on different electrode tripoles led to plantarflexion and dorsiflexion of the foot without an a priori alignment of the cuff.

Animals↗
PubMed2002

Morphologic and functional evaluation of peripheral nerve fibers regenerated through polyimide sieve electrodes over long-term implantation.

We evaluated by morphologic and functional analysis the regeneration of peripheral nerve fibers through polyimide regenerative-type electrodes over long-term implantation. Polyimide sieve electrodes were placed in silicone chambers and implanted between the severed ends of the sciatic nerve in rats. The sieve part had 281 round via holes of 40 microm in diameter, with nine integrated recording-stimulating electrodes arranged around the via holes. The degree of axonal regeneration was examined at 2, 7, and 12 months postimplantation (mpi). Regeneration was successful in 12 of the 13 animals implanted. Reinnervation of distal muscle and nerves increased with time, reaching a plateau about 7 mpi. The number of myelinated fibers increased from 2 to 7 months, at which time it was similar to control values. With time the myelinated fibers matured, with significant increases in axon diameter and myelin thickness. Only 0.6% of the regenerated axons showed evidence of compression near the implanted electrode. The majority of the myelinated fibers that crossed the via holes and had been regenerated through the distal nerve had a normal appearance. Sieve electrodes were useful for nerve stimulation at postimplantation. Stimulation through different active electrodes excited nerve bundles, evoking compound muscle action potentials of varying shape and amplitude, indicative of selective axonal stimulation.

Action Potentials↗
PubMedDate not supplied

Implantable microsystems for monitoring and neural rehabilitation, Part II.

Miniaturised implantable biomedical microsystems are opening up completely new markets for diagnosis and therapy products. Part II of this article discusses recent work on distributed intelligent implants and biohybrid systems, which combine microsystems with cells and tissues.

Biomedical Technology↗
PubMedDate not supplied

Implantable flexible electrodes for functional electrical stimulation.

A manufacturing technology has been developed to fabricate microelectrode systems with reportedly high numbers of electrodes and high reproducibility. The approach leads to flexible microimplants without the need for heavy and large titanium or ceramic housings.

Coated Materials, Biocompatible↗