Stability of flexible thin-film metallization stimulation electrodes: analysis of explants after first-in-human study and improvement of in vivo performance
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OBJECTIVE: Micro-fabricated neural interfaces based on polyimide (PI) are achieving increasing importance in translational research. The ability to produce well-defined micro-structures with properties that include chemical inertness, mechanical flexibility and low water uptake are key advantages for these devices. APPROACH: This paper reports the development of the transverse intrafascicular multichannel electrode (TIME) used to deliver intraneural sensory feedback to an upper-limb amputee in combination with a sensorized hand prosthesis. A failure mode analysis on the explanted devices was performed after a first-in-human study limited to 30 d. MAIN RESULTS: About 90% of the stimulation contact sites of the TIMEs maintained electrical functionality and stability during the full implant period. However, optical analysis post-explantation revealed that 62.5% of the stimulation contacts showed signs of delamination at the metallization-PI interface. Such damage likely occurred due to handling during explantation and subsequent analysis, since a significant change in impedance was not observed in vivo. Nevertheless, whereas device integrity is mandatory for long-term functionality in chronic implantation, measures to increase the bonding strength of the metallization-PI interface deserve further investigation. We report here that silicon carbide (SiC) is an effective adhesion-promoting layer resisting heavy electrical stimulation conditions within a rodent animal trial. Optical analysis of the new electrodes revealed that the metallization remained unaltered after delivering over 14 million pulses in vivo without signs of delamination at the metallization-PI interface. SIGNIFICANCE: Failure mode analysis guided implant stability optimization. Reliable adhesion of thin-film metallization to substrate has been proven using SiC, improving the potential transfer of micro-fabricated neural electrodes for chronic clinical applications. (Document number of Ethical Committee: P/905/CE/2012; Date of approval: 2012-10-04).
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The mechanical matching with tissue renders these implants very robust, exhibiting very little damage or delamination after implantation.
“The mechanical matching with tissue renders these implants very robust, exhibiting very little damage or delamination after implantation (Cvančara et al., 2020).”
From Foreign Body Reaction to Implanted Biomaterials and Its Impact in Nerve Neuroprosthetics (2021) · cites this paper as Cvančara et al., 2020
Section 3.2 reports delamination in 62.5% of available stimulation contacts and all available ground contacts after explantation, contrary to the claim of very little damage or delamination. The paper cautions that some damage may have occurred during explantation or analysis; it does not attribute robustness to mechanical matching with tissue. (LLM, conf=0.88)
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References 45 · Cited by 58
- Authors
- Čvančara, P., Boretius, T., López-Álvarez, V. M., Maciejasz, P., Andreu, D., Raspopovic, S., Petrini, F., Micera, S., Granata, G., Fernandez, E., Rossini, P. M., Yoshida, K., Jensen, W., Divoux, J.-L., Guiraud, D., Navarro, X., & Stieglitz, T.
- Affiliations
- University of Freiburg (DE)
- Universitat Autònoma de Barcelona (ES)
- Institut national de recherche en sciences et technologies du numérique (FR)
- ETH Zurich (CH)
- Scuola Superiore Sant'Anna (IT)
- Università Cattolica del Sacro Cuore (IT)
- Indiana University – Purdue University Indianapolis (US)
- Aalborg University (DK)
- Corresponding author
- Čvančara, Paul
- ORCID
- Venue
- Journal of Neural Engineering
- Publisher
- IOP Publishing
- Published
- 2020-07-08
- Volume
- 17
- Issue
- 4
- Pages
- 046006
- ISSN
- 1741-2552 (ISSN-L)
- 1741-2560
- OpenAlex
- W3033620724
- Cited by
- 58
- References
- 45
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 9 · 2023: 14 · 2022: 6 · 2021: 13 · 2020: 3
- FWCI
- 4.13
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Neural Engineering (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Repository for Publications and Research Data (ETH Zurich) (publishedVersion, cc-by)
- VBN Forskningsportal (Aalborg Universitet) (submittedVersion, cc-by)
- HAL (submittedVersion, cc-by)
- Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion, cc-by-nc-nd)
- CINECA IRIS Institutional Research Information System (Sant'Anna School of Advanced Studies) (submittedVersion)
- ETH Zürich Research Collection (cc-by)
- Funders
- FP7 Health (224012)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
- Physical Sciences › Engineering › Biomedical Engineering › Muscle activation and electromyography studies
- Physical Sciences › Engineering › Biomedical Engineering › Analog and Mixed-Signal Circuit Design
- Keywords
- neural stimulation electrodes, thin film metallization, polyimide substrate, delamination, chronic implantation, failure mode analysis
- MeSH terms
- Amputees, Animals, Electric Stimulation, Electrodes, Electrodes, Implanted, Humans, Microelectrodes, Electric Impedance, Prostheses and Implants
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