Visual Cortical Prosthesis : an Electrical Perspective
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THE 11TH WORLD CONGRESS on the Relationship Between Neurobiology and Nano-Electronics Focusing on Artificial Vision
THE 11TH WORLD CONGRESS On the Relationship Between Neurobiology and Nano-Electronics Focusing on Artificial Vision November 10-12, 2019 The Henry, An Autograph Collection Hotel DEPARTMENT OF OPHTHALMOLOGY Detroit Institute of Ophthalmology Thank you to Friends of Vision for your support of the Bartimaeus Dinner The Eye and The Chip 2 DEPARTMENT OF OPHTHALMOLOGY Detroit Institute of Ophthalmology TABLE OF CONTENTS WELCOME LETTER—PAUL A. EDWARDS. M.D. ....................................................... WELCOME LETTER—PHILIP C. HESSBURG, M.D. ..................................................... DETROIT INSTITUTE OF OPHTHALMOLOGY ......................................................... ORGANIZING COMMITTEE/ACCREDITATION STATEMENT ............................................... CONGRESS 3-DAY SCHEDULE ................................................................... PLATFORM SPEAKER LIST ...................................................................... SPEAKER ABSTRACTS .......................................................................... POSTER PRESENTERS’ LIST ..................................................................... POSTER ABSTRACTS ........................................................................... BARTIMAEUS AWARD—PREVIOUS RECIPIENTS ...................................................... SUPPORTING SPONSORS . Audio-Visual Services Provided by Dynasty Media Network http://dynastymedianetwork.com/ The Eye and The Chip Welcome On behalf of the Henry Ford Health System and the Department of Ophthalmology, -
Intracortical Microstimulation Modulates Cortical Induced Responses
7774 • The Journal of Neuroscience, September 5, 2018 • 38(36):7774–7786 Systems/Circuits Intracortical Microstimulation Modulates Cortical Induced Responses Mathias Benjamin Voigt,1,2 XPrasandhya Astagiri Yusuf,1,2,3 and XAndrej Kral1,2 1Institute of AudioNeuroTechnology and Department of Experimental Otology, Hannover Medical School, 30625 Hannover, Germany, 2Cluster of Excellence “Hearing4all”, 30625 Hannover, Germany, and 3Department of Medical Physics/Medical Technology Cluster IMERI, Faculty of Medicine Universitas Indonesia, 10430 Jakarta, Indonesia Recentadvancesincorticalprostheticsreliedonintracorticalmicrostimulation(ICMS)toactivatethecorticalneuralnetworkandconvey information to the brain. Here we show that activity elicited by low-current ICMS modulates induced cortical responses to a sensory stimulus in the primary auditory cortex (A1). A1 processes sensory stimuli in a stereotyped manner, encompassing two types of activity: evoked activity (phase-locked to the stimulus) and induced activity (non-phase-locked to the stimulus). Time-frequency analyses of extracellular potentials recorded from all layers and the surface of the auditory cortex of anesthetized guinea pigs of both sexes showed that ICMS during the processing of a transient acoustic stimulus differentially affected the evoked and induced response. Specifically, ICMS enhanced the long-latency-induced component, mimicking physiological gain increasing top-down feedback processes. Further- more, the phase of the local field potential at the time of stimulation was -
Challenges in the Design of Large-Scale, High-Density, Wireless Stimulation and Recording Interface
Challenges in the Design of Large-Scale, High-Density, Wireless Stimulation and Recording Interface Po-Min Wang, Stanislav Culaclii, Kyung Jin Seo, Yushan Wang, Hui Fang, Yi-Kai Lo, and Wentai Liu 1 Introduction Neural stimulation and recording have been widely applied to fundamental research to better understand the nervous systems as well as to the clinical therapy of a variety of diseases. Well-known examples include monitoring and manipulating neural activities in the brain to map the brain function [1–3], spinal cord implant to restore the motor function after spinal cord injury [4–6], gastrointestinal (GI) implant to monitor and treat GI motility disorders [7–9], and retinal prostheses to regain eyesight in the blind [10–12]. These applications require continuous techno- logical advancement in designs of stimulation and recording electronics, electrodes, and the interconnections between the electronics and the electrodes. Despite technological advances to date, there are still challenges to overcome in applications requiring large-scale, high-density, wireless stimulation and recording. Concretely, the study of the brain function through monitoring and manipulating neural activities in freely moving and behaving subjects requires decoding the com- plex brain dynamics by mapping brain activity with both large-scale and high spa- tial resolution. This decoding demands a large-scale, high-density electrode array with small electrode size, which imposes significant challenges in electrode array fabrication as well as its interconnect with electronics. In addition, the capability to record high channel number implies the need for wireless electronics with high P.-M. Wang · S. Culaclii · Y. Wang · W. Liu (*) Department of Bioengineering, University of California, Los Angeles, Los Angeles, CA, USA e-mail: [email protected] K. -
Upper Extremity Rehabilitation
Stroke Rehabilitation Clinician Handbook 2020 4. Hemiplegic Upper Extremity Rehabilitation Robert Teasell MD, Norhayati Hussein MD, Magdalena Mirkowski MSc, MScOT, Danielle Vanderlaan RRT, Marcus Saikaley HBSc, Mitchell Longval BSc, Jerome Iruthayarajah MSc Table of Contents 4.3.16 Repetitive Transcranial Magnetic 4.1 Recovery for Upper Extremity ............ 2 Stimulation (rTMS) ....................................... 33 4.1.1 Brunnstrom Stages of Motor Recovery 2 4.3.17 Transcranial Direct Current Stimulation 4.1.2 Typical Recovery and Predictors ........... 2 (tDCS) ........................................................... 35 4.1.3 Recovery of Upper Extremity: Fixed 4.3.18 Telerehabilitation ............................. 36 Proportion ...................................................... 3 4.3.19 Orthosis in Hemiparetic Upper 4.2 Evaluation of Upper Extremity ........... 4 Extremity...................................................... 37 4.3.20 Robotics in Rehabilitation of Upper 4.2.1 Upper Extremity Asessement and Extremity Post-Stroke .................................. 38 Outcome Measures ........................................ 4 4.3.21 Virtual Reality ................................... 41 4.2.2 Motor Function ..................................... 5 4.3.22 Antidepressants and Upper Extremity 4.2.3 Dexterity................................................ 7 Function ....................................................... 42 4.2.4 ADLs ...................................................... 7 4.3.23 Peptides ........................................... -
Electronic Approaches to Restoration of Sight
Home Search Collections Journals About Contact us My IOPscience Electronic approaches to restoration of sight This content has been downloaded from IOPscience. Please scroll down to see the full text. 2016 Rep. Prog. Phys. 79 096701 (http://iopscience.iop.org/0034-4885/79/9/096701) View the table of contents for this issue, or go to the journal homepage for more Download details: IP Address: 171.64.108.170 This content was downloaded on 09/08/2016 at 17:30 Please note that terms and conditions apply. IOP Reports on Progress in Physics Reports on Progress in Physics Rep. Prog. Phys. Rep. Prog. Phys. 79 (2016) 096701 (29pp) doi:10.1088/0034-4885/79/9/096701 79 Review 2016 Electronic approaches to restoration of sight © 2016 IOP Publishing Ltd G A Goetz1,2 and D V Palanker1,3 RPPHAG 1 Hansen Experimental Physics Laboratory, Stanford University, Stanford, CA 94305, USA 2 Neurosurgery, Stanford University, Stanford, CA 94305, USA 096701 3 Ophthalmology, Stanford University, Stanford, CA 94305, USA E-mail: [email protected] and [email protected] G A Goetz and D V Palanker Received 11 November 2014, revised 11 April 2016 Accepted for publication 23 May 2016 Electronic approaches to restoration of sight Published 9 August 2016 Abstract Printed in the UK Retinal prostheses are a promising means for restoring sight to patients blinded by the gradual atrophy of photoreceptors due to retinal degeneration. They are designed to reintroduce ROP information into the visual system by electrically stimulating surviving neurons in the retina. This review outlines the concepts and technologies behind two major approaches to retinal prosthetics: epiretinal and subretinal. -
Cortical Responses to Vagus Nerve Stimulation Are Modulated by Brain State in Nonhuman Primates Irene Rembado1, Weiguo Song2, David K
Cerebral Cortex, 2021;00: 1–19 https://doi.org/10.1093/cercor/bhab158 Original Article ORIGINAL ARTICLE Downloaded from https://academic.oup.com/cercor/advance-article/doi/10.1093/cercor/bhab158/6306501 by guest on 06 July 2021 Cortical Responses to Vagus Nerve Stimulation Are Modulated by Brain State in Nonhuman Primates Irene Rembado1, Weiguo Song2, David K. Su3, Ariel Levari4, Larry E. Shupe4, Steve Perlmutter4, Eberhard Fetz4 and Stavros Zanos2 1MindScope Program, Allen Institute, 615 Westlake Ave N., Seattle, WA 98103, USA, 2Institute of Bioelectronic Medicine, Feinstein Institutes for Medical Research, Manhasset NY 11030, USA, 3Providence Regional Medical Center Cranial Joint and Spine Clinic, Everett, WA 98201, USA and 4Department of Physiology & Biophysics, University of Washington, Seattle, WA 98195, USA Address correspondence to Irene Rembado, MindScope Program at the Allen Institute, 615 Westlake Ave N., Seattle, WA 98103, USA. Email: [email protected]; Stavros Zanos, Institute of Bioelectronic Medicine, Feinstein Institutes for Medical Research, 350 Community Drive, Manhasset NY 11030, USA. Email: [email protected] Abstract Vagus nerve stimulation (VNS) has been tested as therapy for several brain disorders and as a means to modulate cortical excitability and brain plasticity. Cortical effects of VNS, manifesting as vagal-evoked potentials (VEPs), are thought to arise from activation of ascending cholinergic and noradrenergic systems. However, it is unknown whether those effects are modulated by brain state at the time of stimulation. In 2 freely behaving macaque monkeys, we delivered short trains of 5 pulses to the left cervical vagus nerve at different frequencies (5-300 Hz) while recording local field potentials (LFPs) from sites in contralateral prefrontal, sensorimotor and parietal cortical areas. -
Revolutionizing Prosthetics—Phase 3
Revolutionizing Prosthetics—Phase 3 Alan D. Ravitz, Michael P. McLoughlin, James D. Beaty, Francesco V. Tenore, Matthew S. Johannes, Scott A. Swetz, John B. Helder, Kapil D. Katyal, Matthew P. Para, Kenneth M. Fischer, Timothy C. Gion, and Brock A. Wester n early 2006, APL was awarded a contract to start the first phase of the Revolutionizing Prosthetics 2009 program, a multiyear, multimillion-dollar effort to develop an advanced upper-extremity prosthetic limb, the Modular Prosthetic Limb (MPL). This program’s goal is to develop an advanced limb that would allow a prosthetic wearer to button a shirt, tune a radio, and feel the warmth of a loved one’s hand; such a limb might even provide the warfighter with the opportunity to return to active duty. Currently in the third phase of Revolutionizing Prosthetics, APL is leading the Defense Advanced Research Projects Agency’s effort to provide upper- extremity functionality to people who have no ability to control their native arms, such as amputees and those with high spinal cord injury or neurodegenerative diseases such as amyotrophic lateral sclerosis. Phase 3 of the program involves significant focus on clinical activities including maturing the MPL’s robustness, submitting regulatory filings, designing and executing preclinical and clinical activities, and advancing cortical implant technology. Initial clinical activities during this third year of Phase 3 have involved a sub- ject with tetraplegia using a brain computer interface to control the MPL. Further trials with this subject continue as the program team prepares for four additional subjects during Phase 3. INTRODUCTION Throughout history, the battlefield loss of limbs and/ injuries resulting from recent military operations, in or motor function has been the major driving force for addition to individuals in the general public with simi- technological progress in the field of prosthetics. -
A Review of Retinal Prosthesis Approaches
International Conference Mathematical and Computational Biology 2011 International Journal of Modern Physics: Conference Series Vol. 9 (2012) 209–231 World Scientific Publishing Company DOI: 10.1142/S2010194512005272 A REVIEW OF RETINAL PROSTHESIS APPROACHES TRAN TRUNG KIEN School of Computer Science, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor 43500, Malaysia [email protected] TOMAS MAUL School of Computer Science, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor 43500, Malaysia [email protected] ANDRZEJ BARGIELA School of Computer Science, The University of Nottingham, Nottingham, NG8 1BB [email protected] Age-related macular degeneration and retinitis pigmentosa are two of the most common diseases that cause degeneration in the outer retina, which can lead to several visual impairments up to blindness. Vision restoration is an important goal for which several different research approaches are currently being pursued. We are concerned with restoration via retinal prosthetic devices. Prostheses can be implemented intraocularly and extraocularly, which leads to different categories of devices. Cortical Prostheses and Optic Nerve Prostheses are examples of extraocular solutions while Epiretinal Prostheses and Subretinal Prostheses are examples of intraocular solutions. Some of the prostheses that are successfully implanted and tested in animals as well as humans can restore basic visual functions but still have limitations. This paper will give an overview of the current state of art of Retinal Prostheses and compare the advantages and limitations of each type. The purpose of this review is thus to summarize the current technologies and approaches used in developing Retinal Prostheses and therefore to lay a foundation for future designs and research directions. -
A Neural Interface for a Cortical Vision Prosthesis
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Vision Research 39 (1999) 2577–2587 A neural interface for a cortical vision prosthesis Richard A. Normann *, Edwin M. Maynard, Patrick J. Rousche, David J. Warren Department of Bioengineering, Uni6ersity of Utah, 2840 Merrill Engineering Building, Salt Lake City, UT 84112, USA Received 11 August 1998; received in revised form 7 December 1998 Abstract The development of a cortically based vision prosthesis has been hampered by a lack of basic experiments on phosphene psychophysics. This basic research has been hampered by the lack of a means to safely stimulate large numbers of cortical neurons. Recently, a number of laboratories have developed arrays of silicon microelectrodes that could enable such basic studies on phosphene psychophysics. This paper describes one such array, the Utah electrode array, and summarizes neurosurgical, physiological and histological experiments that suggest that such an array could be implanted safely in visual cortex. We also summarize a series of chronic behavioral experiments that show that modest levels of electrical currents passed into cortex via this array can evoke sensory percepts. Pending the successful outcome of biocompatibility studies using such arrays, high count arrays of penetrating microelectrodes similar to this design could provide a useful tool for studies of the psychophysics of phosphene perception in human volunteers. Such studies could provide a proof-of-concept for cortically based artificial vision. © 1999 Published by Elsevier Science Ltd. All rights reserved. Keywords: Neuroprosthetics; Artificial vision; Electrode arrays; Multielectrode recordings; Biocompatibility 1. Introduction with an array of electrodes implanted subdurally over its surface. -
What Do Blind People “See” with Retinal Prostheses? Observations And
bioRxiv preprint doi: https://doi.org/10.1101/2020.02.03.932905; this version posted February 4, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY 4.0 International license. 1 What do blind people “see” with retinal prostheses? Observations and qualitative reports of epiretinal 2 implant users 3 4 5 6 Cordelia Erickson-Davis1¶* and Helma Korzybska2¶* 7 8 9 10 11 1 Stanford School of Medicine and Stanford Anthropology Department, Stanford University, Palo Alto, 12 California, United States of America 13 14 2 Laboratory of Ethnology and Comparative Sociology (LESC), Paris Nanterre University, Nanterre, France 15 16 17 18 19 * Corresponding author. 20 E-mail: [email protected], [email protected] 21 22 23 ¶ The authors contributed equally to this work. 24 25 26 1 bioRxiv preprint doi: https://doi.org/10.1101/2020.02.03.932905; this version posted February 4, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY 4.0 International license. 27 Abstract 28 29 Introduction: Retinal implants have now been approved and commercially available for certain 30 clinical populations for over 5 years, with hundreds of individuals implanted, scores of them closely 31 followed in research trials. Despite these numbers, however, few data are available that would help 32 us answer basic questions regarding the nature and outcomes of artificial vision: what do 33 participants see when the device is turned on for the first time, and how does that change over time? 34 35 Methods: Semi-structured interviews and observations were undertaken at two sites in France and 36 the UK with 16 participants who had received either the Argus II or IRIS II devices. -
The Orion Visual Prosthesis System
Development of a Visual Prosthesis: The Orion Visual Prosthesis System Nader Pouratian, M.D., Ph.D. Daniel Yoshor, M.D., Ph.D. Study partly funded by NIH BRAIN Initiative grant: UH3NS103442 Disclosures Second Sight – Grant Support for this project Consultant BrainLab – Grant Support Medtronic – Fellowship Support Boston Scientific – Consultant, DSMB 2 3 Overall Goal: Cortical Prosthesis for Previously Sighted Patients with No or Bare Light Perception Safe – Implant-related concerns (infection) Seizures Practical – Surgically Practical and Adoptable (microarray “tiles” vs ECoG) Clinically Useful – Perceptions Shadows Edges 4 Visual Cortical Prosthesis: Orion I Implant Leverages existing Argus II technology Bypasses the eyes and optic nerve and directly stimulates the visual cortex Designated a Breakthrough Device by FDA Early Feasibility Study underway in U.S. In planning stages for next phase (pivotal or feasibility study) Orion I Implant Glasses & Antenna Medial View Lateral View Cable Implant coil (receiving Electrode array (60 channels) antenna) Video Processing Unit Cover Early Testing in a Blind Subject with “Off the shelf” Device 30 year old with an 8 year history of bare light perception blindness due to Voght- Koaynagi-Harada Syndrome Implantation of a Neuropace responsive neurostimulation device with 2 parallel 4-contact leads implanted over the right medial occipital lobe via a posterior interhemispheric approach. Systematic manipulation of stimulation intensity, pulse width, frequency, and site of stimulation over 10 months. -
Getting Signals Into the Brain: Visual Prosthetics Through Thalamic Microstimulation
Neurosurg Focus 27 (1):E6, 2009 Getting signals into the brain: visual prosthetics through thalamic microstimulation JOHN S. PEZARI S , PH.D., AN D EMA D N. ES KAN D AR , M.D. Department of Neurosurgery, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts Common causes of blindness are diseases that affect the ocular structures, such as glaucoma, retinitis pigmen- tosa, and macular degeneration, rendering the eyes no longer sensitive to light. The visual pathway, however, as a pre- dominantly central structure, is largely spared in these cases. It is thus widely thought that a device-based prosthetic approach to restoration of visual function will be effective and will enjoy similar success as cochlear implants have for restoration of auditory function. In this article the authors review the potential locations for stimulation electrode placement for visual prostheses, assessing the anatomical and functional advantages and disadvantages of each. Of particular interest to the neurosurgical community is placement of deep brain stimulating electrodes in thalamic structures that has shown substantial promise in an animal model. The theory of operation of visual prostheses is discussed, along with a review of the current state of knowledge. Finally, the visual prosthesis is proposed as a model for a general high-fidelity machine-brain interface.(DOI: 10.3171/2009.4.FOCUS0986) KEY WOR ds • visual prosthesis • deep brain stimulation • visual function N this article we review the current state of visual Evaluating Points Along the Early prosthetics with particular attention to the approaches Visual Pathway as Stimulation Targets that include neurosurgical methodologies. I There are 6 locations along the visual pathway with potential for functional restoration of sight through mi- Background: Causes of Blindness crostimulation as depicted in Fig.