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Artif Organs ; 39(10): 886-96, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26471140

RESUMO

The trend in neural prostheses using selective nerve stimulation for electrical stimulation therapies is headed toward single-part systems having a large number of working electrodes (WEs), each of which selectively stimulate neural tissue or record neural response (NR). The present article reviews the electrochemical and electrophysiological performance of platinum WE within a ninety-nine-electrode spiral cuff for selective nerve stimulation and recording of peripheral nerves, with a focus on the vagus nerve (VN). The electrochemical properties of the WE were studied in vitro using the electrochemical impedance spectroscopy (EIS) technique. The equivalent circuit model (ECM) of the interface between the WE and neural tissue was extracted from the EIS data and simulated in the time domain using a preset current stimulus. Electrophysiological performance of in-space and fiber-type highly selective vagus nerve stimulation (VNS) was tested using an isolated segment of a porcine VN and carotid artery as a reference. A quasitrapezoidal current-controlled pulse (stimulus) was applied to the VN or arterial segment using an appointed group of three electrodes (triplet). The triplet and stimulus were configured to predominantly stimulate B-fibers and minimize the stimulation of A-fibers. The EIS results revealed capacitive charge transfer predominance, which is a highly desirable property. Electrophysiological performance testing indicated the potential existence of certain parameters and waveforms of the stimulus for which the contribution of the A-fibers to the NR decreased slightly and that of the B-fibers increased slightly. Findings show that the design of the stimulating electrodes, based on the EIS and ECM results, could act as a useful tool for nerve cuff development.


Assuntos
Eletrodos , Estimulação Elétrica Nervosa Transcutânea/métodos , Espectroscopia Dielétrica , Eletroquímica , Eletrodos Implantados , Fenômenos Eletrofisiológicos/fisiologia , Humanos , Nervos Periféricos/fisiopatologia , Platina , Estimulação Elétrica Nervosa Transcutânea/instrumentação , Nervo Vago/fisiopatologia , Estimulação do Nervo Vago/instrumentação , Estimulação do Nervo Vago/métodos
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