A Cuff Lead for Delivering Ionic Direct Current (iDC) to Block Neural Activities of Sciatic Nerve.

Direct current (DC) applied extracellularly can block action potential (AP) propagation in a neuron. This suppression paradigm has been proposed as a possible treatment for blocking nociceptive pain. However, the application of DC is limited in duration due to the charge injection constraint imposed by the evolution of electrochemical reactions at the metal electrode. To prolong the application of DC, a microfluidic lead filled with conductive electrolyte can be used to separate the metal electrode from the target nerve. Here, we describe a tripolar nerve cuff lead fabricated with biocompatible silicone to block the APs in the rat sciatic nerve. This lead has a self-curling silicone membrane to wrap around sciatic nerve for secured mechanical attachment and electrical isolation between the nerve and the surrounding muscle. In-vivo testing showed that delivering 1.4mA DC via the cuff lead blocked the nerve activity and reduced the evoked compound action potential (eCAP) to 30% of its unblocked response.

A microfluidic system integrated with shape memory alloy valves for a safe direct current delivery system.

Direct current (DC) has potential as a clinical and scientific tool to accelerate wound healing, increase the permeability of the skin to drug treatment and modulate neural activity. But long duration delivery of DC unavoidably causes hazardous electrolysis at the tissue-electrode interface. To be able to deliver long duration DC, we previously proposed a design for a safe direct current stimulator (SDCS). This device uses alternating current that does not cause chemical reactions at the metal electrodes within the device, but delivers ionic direct current output to the tissue via microfluidic valves. We previously developed and published designs of multiple SDCS components including microfluidic, electronic, data processing, and energy systems. In this paper we focus on the development of the integrated microfluidics needed by the SDCS system. We developed a fabrication method and characterized valve performance within the multi-valve microfluidic system. We used poly-dimethylsiloxane (PDMS) to fabricate three microfluidic chips that integrated valves actuated by 50-µm Nitinol (NiTi) shape memory alloy (SMA) wire. We tested system operation by driving SMA valves with a current pulse and recording the valve response with an electrical assay. The valve operation complied with the SDCS system requirements. The time for valves to open was rapid at 0.177 ± 0.04 seconds, and the time for the valves to close was 0.265 ± 0.05 seconds. Open microfluidic channel impedance for unrestricted ionic current flow was 15.90 ± 8.28 kΩ and it increased by a factor of 40 to restrict ionic current flow at 678 ± 102 kΩ for the closed valves.

Combined ionic direct current and pulse frequency modulation improves the dynamic range of vestibular canal stimulation.

BACKGROUND: Vestibular prostheses emulate normal vestibular function by electrically stimulating the semicircular canals using pulse frequency modulation (PFM). Spontaneous activity at the vestibular nerve may limit the dynamic range elicited by PFM. One proposed solution is the co-application of ionic direct current (iDC) to inhibit this spontaneous activity. OBJECTIVE: We aimed to test the hypothesis that a tonic iDC baseline delivered in conjunction with PFM to the vestibular semicircular canals could improve the dynamic range of evoked eye responses. METHODS: Gentamicin-treated chinchillas were implanted with microcatheter electrodes in the vestibular semicircular canals through which pulsatile and iDC current was delivered. PFM was used to modulate vestibulo-ocular reflex (VOR) once it was adapted to a preset iDC and pulse-frequency baseline. Responses to stimulation were assessed by recording the evoked VOR eye direction and velocity. RESULTS: PFM produced VOR responses aligned to the stimulated canal. Introduction of an iDC baseline lead to a small but statistically significant increase in eye response velocity, without influencing the direction of eye rotation. CONCLUSIONS: Tonic iDC baselines increase the dynamic range of encoding head velocity evoked by pulsatile stimulation, potentially via the inhibition of spontaneous activity in the vestibular nerve.

Fabrication of a Self-Curling Cuff with a Soft, Ionically Conducting Neural Interface.

Direct current (DC) has the potential not only to excite but also to inhibit neurons. This property of DC stimulus has been used for generating peripheral nerve blocks. One translational challenge of DC-based neuromodulation technologies, especially for pain suppression, is that the commercially available cuff electrodes have metal-tissue interfaces that are incapable of delivering DC safely. Passing DC through any metal-tissue interface generates harmful electrochemical products which can damage the target nerve. To address this issue, we present a fabrication process for making self-curling silicone cuffs with paper/agar based, ionically conducting neural interface. We fabricate monopolar as well as bipolar cuffs and demonstrate that the electrode impedances can be easily controlled by modulating the paper/agar channel dimensions. Further, we perform in-vivo implantation of these electrodes on a rat sciatic nerve to qualitatively validate the self-curling action.