An Adaptive Element-Level Impedance-Matched ASIC With Improved Acoustic Reflectivity for Medical Ultrasound Imaging.

This paper presents an active impedance matching scheme that tries to optimize electrical power transfer and acoustic reflectivity in ultrasound transducers. Leveraging negative capacitance-based impedance matching would potentially improve the bandwidth and electrical power transfer while minimizing acoustic reflection of transducer elements and improve uniformity while reducing acoustic crosstalk of transducer arrays. A 16-element transceiver front-end is designed which employs an element-level active capacitive impedance cancellation scheme using an element-level negative impedance converter. The ASIC fabricated in 180-nm HVBCD technology provides high-voltage pulses up to 60 V consuming 3.6 mW and occupying 2.5 mm2. The front-end ASIC is used with a 1-D capacitive micromachined ultrasonic transducer (CMUT) array and its acoustical reflectivity reduction and imaging capabilities have successfully been demonstrated through pulse-echo measurements and acoustic imaging experiments.

Design and Preliminary Evaluation of a Tongue-Operated Exoskeleton System for Upper Limb Rehabilitation.

Stroke is a devastating condition that may cause upper limb paralysis. Robotic rehabilitation with self-initiated and assisted movements is a promising technology that could help restore upper limb function. Previous studies have established that the tongue motion can be used to communicate human intent and control a rehabilitation robot/assistive device. The goal of this study was to evaluate a tongue-operated exoskeleton system (TDS-KA), which we have developed for upper limb rehabilitation. We adopted a tongue-operated assistive technology, called the tongue drive system (TDS), and interfaced it with the exoskeleton KINARM. We also developed arm reaching and tracking tasks, controlled by different tongue operation modes, for training and evaluation of arm motor function. Arm reaching and tracking tasks were tested in 10 healthy participants (seven males and three females, 23-60 years) and two female stroke survivors with upper extremity impairment (32 and 58 years). All healthy and two stroke participants successfully performed the tasks. One stroke subject demonstrated a clinically significant improvement in Fugl-Meyer upper extremity score after practicing the tasks in six 3-h sessions. We conclude that the TDS-KA system can accurately translate tongue commands to exoskeleton arm movements, quantify the function of the arm, and perform rehabilitation training.

A Trimodal Wireless Implantable Neural Interface System-on-Chip.

A wireless and battery-less trimodal neural interface system-on-chip (SoC), capable of 16-ch neural recording, 8-ch electrical stimulation, and 16-ch optical stimulation, all integrated on a 5 ×  3 mm2 chip fabricated in 0.35-µm standard CMOS process. The trimodal SoC is designed to be inductively powered and communicated. The downlink data telemetry utilizes on-off keying pulse-position modulation (OOK-PPM) of the power carrier to deliver configuration and control commands at 50 kbps. The analog front-end (AFE) provides adjustable mid-band gain of 55-70 dB, low/high cut-off frequencies of 1-100 Hz/10 kHz, and input-referred noise of 3.46 µVrms within 1 Hz-50 kHz band. AFE outputs of every two-channel are digitized by a 50 kS/s 10-bit SAR-ADC, and multiplexed together to form a 6.78 Mbps data stream to be sent out by OOK modulating a 434 MHz RF carrier through a power amplifier (PA) and 6 cm monopole antenna, which form the uplink data telemetry. Optical stimulation has a switched-capacitor based stimulation (SCS) architecture, which can sequentially charge four storage capacitor banks up to 4 V and discharge them in selected µLEDs at instantaneous current levels of up to 24.8 mA on demand. Electrical stimulation is supported by four independently driven stimulating sites at 5-bit controllable current levels in ±(25-775) µA range, while active/passive charge balancing circuits ensure safety. In vivo testing was conducted on four anesthetized rats to verify the functionality of the trimodal SoC.

A Power-Efficient Bridge Readout Circuit for Implantable, Wearable, and IoT Applications.

A power-efficient bridge-to-digital sensing interface is proposed, which also offers immunity against power supply noise. The interface utilizes duty-cycling to reduce the static power consumption of resistive bridge sensors, which are commonly used in implantable, wearable, and internet of things (IoT) applications, such as intracranial pressure (ICP) sensing and blood pressure (BP) monitoring. The proposed interface uses a revised version of the pseudo-pseudo differential (PPD) topology with the ping-pong technique to reduce the complexity of traditional fully-differential counterparts. A proof-of-concept prototype has been fabricated in 0.35-µm CMOS and occupies an active area of 0.48 mm2. It achieves 9.13 effective number of bits (ENOB) at 3.72 kHz sampling rate and improvement of more than 50 dB in the power supply rejection ratio (PSRR) by employing the ping-pong technique. It reduces the power consumption of a 5-kΩ Wheatstone bridge by 99.6% compared to a traditional interface, down to 2.53 µw at 1.8 V supply. The functionality of the system has also been demonstrated in an experimental setup in conjunction with an embedded resistive bridge pressure sensor.

A mm-Sized Free-Floating Wireless Implantable Opto-Electro Stimulation Device.

Towards a distributed neural interface, consisting of multiple miniaturized implants, for interfacing with large-scale neuronal ensembles over large brain areas, this paper presents a mm-sized free-floating wirelessly-powered implantable opto-electro stimulation (FF-WIOS2) device equipped with 16-ch optical and 4-ch electrical stimulation for reconfigurable neuromodulation. The FF-WIOS2 is wirelessly powered and controlled through a 3-coil inductive link at 60 MHz. The FF-WIOS2 receives stimulation parameters via on-off keying (OOK) while sending its rectified voltage information to an external headstage for closed-loop power control (CLPC) via load-shift-keying (LSK). The FF-WIOS2 system-on-chip (SoC), fabricated in a 0.35-µm standard CMOS process, employs switched-capacitor-based stimulation (SCS) architecture to provide large instantaneous current needed for surpassing the optical stimulation threshold. The SCS charger charges an off-chip capacitor up to 5 V at 37% efficiency. At the onset of stimulation, the capacitor delivers charge with peak current in 1.7-12 mA range to a micro-LED (µLED) array for optical stimulation or 100-700 µA range to a micro-electrode array (MEA) for biphasic electrical stimulation. Active and passive charge balancing circuits are activated in electrical stimulation mode to ensure stimulation safety. In vivo experiments conducted on three anesthetized rats verified the efficacy of the two stimulation mechanisms. The proposed FF-WIOS2 is potentially a reconfigurable tool for performing untethered neuromodulation.

Highly Integrated Guidewire Ultrasound Imaging System-on-a-Chip.

In this article, we present a highly integrated guidewire ultrasound (US) imaging system-on-a-chip (GUISoC) for vascular imaging. The SoC consists of a 16-channel US transmitter (Tx) and receiver (Rx) electronics, on-chip power management IC (PMIC), and quadrature sampler. Using a synthetic aperture imaging algorithm, a Tx/Rx pair, connected to capacitive micromachined ultrasound transducers (CMUTs), can be activated at any time. The Tx generates acoustic waves by driving the CMUT, while the Rx picks up the echo signal and amplify it to be delivered through an interconnect that is driven by a buffer. On-chip logic controls the pulsers that generate the high-voltage (HV)-pulse for Tx. An on-chip PMIC provides 1.8-, 5-, 39-, and 44-V supplies and a clock signal from the two interconnects besides GND. A quadrature sampler down-converts the Rx echo signal to baseband, reducing its bandwidth requirement for the output interconnect. The system design, including transimpedance amplifier (TIA) optimization, based on the equivalent circuit of a specific CMUT is presented. The SoC was fabricated by a 0.18-µm HV CMOS process, occupying 1.5-mm2 active area and consuming 25.2 and 44 mW from 1.8 to 44 V supplies, respectively. The US Tx and Rx show bandwidths of 32-42 and 32.7-37.5 MHz, respectively. The input-referred noise of the system was measured as 9.66 nA in band with 2-m-long 52 American Wire Gauge (AWG) wire interconnects. The functionality of the GUISoC was verified in vitro by imaging wire targets.

Toward a High-Throughput Wireless Smart Arena for Behavioral Experiments on Small Animals.

This work presents a high-throughput and scalable wirelessly-powered smart arena for behavioral experiments made of multiple EnerCage Homecage (HC) systems, operating in parallel in a way that they can fit in standard racks that are commonly used in animal facilities. The proposed system, which is referred to as the multi-EnerCage-HC (mEHC), increases the volume of data that can be collected from more animal subjects, while lowering the cost and duration of experiments as well as stress-induced bias by minimizing the involvement of human operators. Thus improving the quality, reproducibility, and statistical power of experiment outcomes, while saving precious lab space. The system is equipped with an auto-tuning mechanism to compensate for the resonance frequency shifts caused by the dynamic nature of the mutual inductance between adjacent homecages. A functional prototype of the mEHC system has been implemented with 7 units and analyzed for theoretical design considerations that would minimize the effects of interference and resonance frequency bifurcation. Experiment results demonstrate robust wireless power and data transmissions capabilities of this system within the noisy lab environment.

An Impulse Radio PWM-Based Wireless Data Acquisition Sensor Interface.

A sensor interface circuit based on impulse radio pulse width modulation (IR-PWM) is presented for low power and high throughput wireless data acquisition systems (wDAQ) with extreme size and power constraints. Two triple-slope analog-to-time converters (ATC) convert two analog signals, each up to 5 MHz in bandwidth, into PWM signals, and an impulse radio (IR) transmitted (Tx) with an all-digital power amplifier (PA) combines them while preserving the timing information by transmitting impulses at the PWM rising and falling edges. On the receiver (Rx) side, an RF-LNA followed by an envelope detector recovers the incoming impulses, and a T-flipflop reverts the impulse sequence back to PWM to be digitized by a time-to-digital converter (TDC). Detailed analysis and design guideline on ATC was introduced, and a proof-of-concept prototype was fabricated for a capacitive micromachined ultrasound transducer (CMUT) imaging system in a 0.18-µm HV CMOS process, occupying 0.18 mm2 active area and consuming 3.94 mW from a 1.8 V supply. The proposed TDC in this prototype yielded 7-bit resolution, while the entire wDAQ achieved 5.8 effective number of bits (ENOB) at 2 × 10 MS/s.

A Software-Defined Radio Receiver for Wireless Recording From Freely Behaving Animals.

To eliminate tethering effects on the small animals' behavior during electrophysiology experiments, such as neural interfacing, a robust and wideband wireless data link is needed for communicating with the implanted sensing elements without blind spots. We present a software-defined radio (SDR) based scalable data acquisition system, which can be programmed to provide coverage over standard-sized or customized experimental arenas. The incoming RF signal with the highest power among SDRs is selected in real-time to prevent data loss in the presence of spatial and angular misalignments between the transmitter (Tx) and receiver (Rx) antennas. A 32-channel wireless neural recording system-on-a-chip (SoC), known as WINeRS-8, is embedded in a headstage and transmits digitalized raw neural signals, which are sampled at 25 kHz/ch, at 9 Mbps via on-off keying (OOK) of a 434 MHz RF carrier. Measurement results show that the dual-SDR Rx system reduces the packet loss down to 0.12%, on average, by eliminating the blind spots caused by the moving Tx directionality. The system operation is verified in vivo on a freely behaving rat and compared with a commercial hardwired system.

A Stand-Alone Intraoral Tongue-Controlled Computer Interface for People With Tetraplegia.

The intraoral Tongue Drive System (iTDS) is an embedded wireless tongue-operated assistive technology developed for people with tetraplegia to provide them a higher level of independence in performing daily living tasks, such as accessing computers, smartphones, and driving wheelchairs. The iTDS was built as an arch-shaped dental retainer hermetically sealed and placed in the buccal shelf area of the mouth, completely hidden from sight. To provide high level of comfort, the iTDS is customized based on the users' oral anatomy to stably fix onto the lower teeth. We have presented a standalone version of the iTDS, capable of recognizing tongue gestures/commands by processing raw magnetic sensor data with a built-in pattern recognition algorithm in real time. The iTDS then sends the commands out in 10-b packets through a custom-designed high-gain intraoral antenna at 2.4 GHz to an external receiver. To evaluate the standalone iTDS performance, four subjects performed a computer access task by issuing random tongue commands over five sessions. Subjects completed 99.2% of the commands, and achieved an information transfer rate of 150.1 b/min. Moreover, a new typing method, designed specifically for the iTDS, resulted in typing at a rate of 3.76 words/min and error rate of 2.23%.

Inductively coupled, mm-sized, single channel optical neuro-stimulator with intensity enhancer.

We introduce a single channel neuro-stimulator consisting of a reflector-coupled microscale light emitting diode (µLED) with an integrated mm-sized wireless receiver (Rx) coil for free-floating, battery-free, untethered optogenetics neuromodulation. The system utilizes a two-coil inductive link to deliver instantaneous power at a low operating frequency (<100 MHz) for continuous optical stimulation with minimized invasiveness and tissue exposure to electromagnetic radiation. Coupling a microscale reflector to the µLED provides significant light intensity enhancement compared to a bare µLED. Our activated stimulators have an operational temperature increase of <1 °C, well below the safety limit of biomedical implants. In vivo experiment and histological analysis verify the efficacy of wireless optical stimulation in the primary visual cortex of rats, using c-Fos biomarker as a reporter of light-evoked neuronal activity.

A mm-Sized Free-Floating Wirelessly Powered Implantable Optical Stimulation Device.

This paper presents a mm-sized, free-floating, wirelessly powered, implantable optical stimulation (FF-WIOS) device for untethered optogenetic neuromodulation. A resonator-based three-coil inductive link creates a homogeneous magnetic field that continuously delivers sufficient power (>2.7 mW) at an optimal carrier frequency of 60 MHz to the FF-WIOS in the near field without surpassing the specific absorption rate limit, regardless of the position of the FF-WIOS in a large brain area. Forward data telemetry carries stimulation parameters by on-off-keying the power carrier at a data rate of 50 kb/s to selectively activate a 4 × 4 µLED array. Load-shift-keying back telemetry controls the wireless power transmission by reporting the FF-WIOS received power level in a closed-loop power control mechanism. LEDs typically require high instantaneous power to emit sufficient light for optical stimulation. Thus, a switched-capacitor-based stimulation architecture is used as an energy storage buffer with one off-chip capacitor to receive charge directly from the inductive link and deliver it to the selected µLED at the onset of stimulation. The FF-WIOS system-on-a-chip prototype, fabricated in a 0.35-µm standard CMOS process, charges a 10-µF capacitor up to 5 V with 37% efficiency and passes instantaneous current spikes up to 10 mA in the selected µLED, creating a bright exponentially decaying flash with minimal wasted power. An in vivo experiment was conducted to verify the efficacy of the FF-WIOS by observing light-evoked local field potentials and immunostained tissue response from the primary visual cortex (V1) of two anesthetized rats.

A Dual-Band Wireless Power Transmission System for Evaluating mm-Sized Implants.

Distributed neural interfaces made of many mm-sized implantable medical devices (IMDs) are poised to play a key role in future brain-computer interfaces because of less damage to the surrounding tissue. Evaluating them wirelessly at preclinical stage (e.g., in a rodent model), however, is a major challenge due to weak coupling and significant losses, resulting in limited power delivery to the IMD within a nominal experimental arena, like a homecage, without surpassing the specific absorption rate limit. To address this problem, we present a dual-band EnerCage system with two multi-coil inductive links, which first deliver power at 13.56 MHz from the EnerCage (46 × 24 × 20 cm3) to a headstage (18 × 18 × 15 mm3, 4.8 g) that is carried by the animal via a 4-coil inductive link. Then, a 60 MHz 3-coil inductive link from the headstage powers up the small IMD (2.5 × 2.5 × 1.5 mm3, 15 mg), which in this case is a free floating, wirelessly powered, implantable optical stimulator (FF-WIOS). The power transfer efficiency and power delivered to the load (PDL) from EnerCage to the headstage at 7 cm height were 14.9%-22.7% and 122 mW; and from headstage to FF-WIOS at 5 mm depth were 18% and 2.7 mW, respectively. Bidirectional data connectivity between EnerCage-headstage was established via bluetooth low energy. Between headstage and FF-WIOS, on-off keying and load-shift-keying were used for downlink and uplink data, respectively. Moreover, a closed-loop power controller stabilized PDL to both the headstage and the FF-WIOS against misalignments.

An Inductively-Powered Wireless Neural Recording and Stimulation System for Freely-Behaving Animals.

An inductively-powered wireless integrated neural recording and stimulation (WINeRS-8) system-on-a-chip (SoC) that is compatible with the EnerCage-HC2 for wireless/battery-less operation has been presented for neuroscience experiments on freely behaving animals. WINeRS-8 includes a 32-ch recording analog front end, a 4-ch current-controlled stimulator, and a 434 MHz on - off keying data link to an external software- defined radio wideband receiver (Rx). The headstage also has a bluetooth low energy link for controlling the SoC. WINeRS-8/EnerCage-HC2 systems form a bidirectional wireless and battery-less neural interface within a standard homecage, which can support longitudinal experiments in an enriched environment. Both systems were verified in vivo on rat animal model, and the recorded signals were compared with hardwired and battery-powered recording results. Realtime stimulation and recording verified the system's potential for bidirectional neural interfacing within the homecage, while continuously delivering 35 mW to the hybrid WINeRS-8 headstage over an unlimited period.

Supply-Inverted Bipolar Pulser and Tx/Rx Switch for CMUTs Above the Process Limit for High Pressure Pulse Generation.

A combined supply-inverted bipolar pulser and a Tx/Rx switch is proposed to drive capacitive micromachined ultrasonic transducers (CMUTs). The supply-inverted bipolar pulser adopts a bootstrap circuit combined with stacked transistors, which guarantees high voltage (HV) operation above the process limit without lowering device reliability. This circuit generates an output signal with a peak-to-peak voltage that is almost twice the supply level. It generates a bipolar pulse with only positive supply voltages. The Tx/Rx switch adopts a diode-bridge structure with the protection scheme dedicated to this proposed pulser. A proof- of-concept ASIC prototype has been implemented in 0.18-µm HV CMOS/DMOS technology with 60 V devices. Measurement results show that the proposed pulser can safely generate a bipolar pulse of -34.6 to 45 V, from a single 45 V supply voltage. The Tx/Rx switch blocks the HV bipolar pulse, resulting in less than 1.6 V at the input of the receiver. Acoustic measurements are performed connecting the pulser to CMUTs with 2 pF capacitance and 8 MHz center frequency. The variation of acoustic output pressures for different pulse shapes were simulated with the large signal CMUT model and compared with the experimental results for transmit pressure optimization. A potential implementation of the methods using MEMS fabrication methods is also described.

A Reduced-Wire ICE Catheter ASIC With Tx Beamforming and Rx Time-Division Multiplexing.

This paper presents a single chip reduced-wire active catheter application-specific integrated circuit (ASIC), equipped with programmable transmit (Tx) beamforming and receive (Rx) time-division multiplexing (TDM). The proposed front-end ASIC is designed for driving a 64-channel one-dimensional transducer array in intracardiac echocardiography (ICE) ultrasound catheters. The ASIC is implemented in 60 V 0.18-µm HV-BCD technology, integrating Tx beamformers with high voltage pulsers and Rx front end in the same chip, which occupies 2.6 × 11 mm2 that can fit in the catheter size of 9 F (<3 mm). The proposed system reduces the number of wires from >64 to only 22 by integrating Tx beamformer that is programmable using a single low-voltage differential signaling data line. In Rx mode, the system uses 8:1 TDM with direct digital demultiplexing providing raw channel data that enables dynamic Rx beamforming using individual array elements. This system has been successfully used for B-mode imaging on standard ultrasound phantom with 401 mW of average power consumption. The ASIC has a compact element pitch-matched layout, which is also compatible with capacitive micromachined ultrasound transducer on CMOS application. This system addresses cable number and dimensional restrictions in catheters to enable ICE imaging under magnetic resonance imaging by reducing radio frequency induced heating.

The Helping Hand: An Assistive Manipulation Framework Using Augmented Reality and Tongue-Drive Interfaces.

A human-in-the-loop system is proposed to enable collaborative manipulation tasks for person with physical disabilities. Studies show that the cognitive burden of subject reduces with increased autonomy of assistive system. Our framework obtains high-level intent from the user to specify manipulation tasks. The system processes sensor input to interpret the user's environment. Augmented reality glasses provide ego-centric visual feedback of the interpretation and summarize robot affordances on a menu. A tongue drive system serves as the input modality for triggering a robotic arm to execute the tasks. Assistance experiments compare the system to Cartesian control and to state-of-the-art approaches. Our system achieves competitive results with faster completion time by simplifying manipulation tasks.

Comparing the Use of Single vs. Multiple Combined Abilities in Conducting Complex Computer Tasks Hands-free.

OBJECTIVE: Assistive technologies often focus on a remaining ability of their users, particularly those with physical disabilities, e.g. tetraplegia, to facilitate their computer access. We hypothesized that by combining multiple remaining abilities of the end users in an intuitive fashion, it is possible to improve the quality of computer access. In this study, 15 able-bodied subjects completed four computer access tasks without using their hands: center-out tapping, on-screen maze navigation, playing a game, and sending an email. They used the multimodal Tongue Drive System (mTDS), which offers proportional cursor control via head motion, discrete clicks via tongue gestures, and typing via speech recognition simultaneously. Their performances were compared against unimodal tongue gestures (TDS), and Keyboard & Mouse combination (KnM), as the gold standard. RESULTS: Center-out tapping task average throughputs using mTDS and TDS were 0.84 bps and 0.94 bps, which were 21% and 22.4% of the throughput using mouse, respectively, while the average error rate and missed targets using mTDS were 4.1% and 25.5% less than TDS. Maze navigation throughputs using mTDS and TDS were 0.35 bps and 0.46 bps, which were 16.6% and 21.8% of the throughput using mouse, respectively. Participants achieved 72.32% higher score using mTDS than TDS when playing a simple game. Average email generating time with mTDS was ~2x longer than KnM with a mean typing accuracy of 78.1%. CONCLUSION: Engaging multimodal abilities helped participants perform considerably better in complex tasks, such as sending an email, compared to a unimodal system (TDS). Their performances were similar for simpler task, while multimodal inputs improved interaction accuracy. Cursor navigation with head motion led to higher score in less constrained tasks, such as game, than a highly constrained maze task.

Chip-Scale Coils for Millimeter-Sized Bio-Implants.

Next generation implantable neural interfaces are targeting devices with mm-scale form factors that are freely floating and completely wireless. Scalability to more recording (or stimulation) channels will be achieved through distributing multiple devices, instead of the current approach that uses a single centralized implant wired to individual electrodes or arrays. In this way, challenges associated with tethers, micromotion, and reliability of wiring is mitigated. This concept is now being applied to both central and peripheral nervous system interfaces. One key requirement, however, is to maximize specific absorption rate (SAR) constrained achievable wireless power transfer efficiency (PTE) of these inductive links with mm-sized receivers. Chip-scale coil structures for microsystem integration that can provide efficient near-field coupling are investigated. We develop near-optimal geometries for three specific coil structures: in-CMOS, above-CMOS (planar coil post-fabricated on a substrate), and around-CMOS (helical wirewound coil around substrate). We develop analytical and simulation models that have been validated in air and biological tissues by fabrications and experimental measurements. Specifically, we prototype structures that are constrained to a 4 mm 4 mm silicon substrate, i.e., the planar in-/above-CMOS coils have outer diameters 4 mm, whereas the around-CMOS coil has an inner diameter of 4 mm. The in-CMOS and above-CMOS coils have metal film thicknesses of 3- m aluminium and 25- m gold, respectively, whereas the around-CMOS coil is fabricated by winding a 25-m gold bonding wire around the substrate. The measured quality factors (Q) of the mm-scale Rx coils are 10.5 @450.3 MHz (in-CMOS), 24.61 @85 MHz (above-CMOS), and 26.23 @283 MHz (around-CMOS). Also, PTE of 2-coil links based on three types of chip-scale coils is measured in air and tissue environment to demonstrate tissue loss for bio-implants. The SAR-constrained maximum PTE measured (together with resonant frequencies, in tissue) are 1.64% @355.8 MHz (in-CMOS), 2.09% @82.9 MHz (above-CMOS), and 3.05% @318.8 MHz (around-CMOS).