Tissue Damage by Pulsed Electrical Stimulation
Abstract
Repeated pulsed electrical stimulation is used in a multitude of neural interfaces; damage resulting from such stimulation was studied as a function of pulse duration, electrode size, and number of pulses using a fluorescent assay on chick chorioallontoic membrane (CAM) in vivo and chick retina in vitro. Data from the chick model were verified by repeating some measurements on porcine retina in-vitro. The electrode size varied from 100 microm to 1 mm, pulse duration from 6 micros to 6 ms, and the number of pulses from 1 to 7500. The threshold current density for damage was independent of electrode size for diameters greater than 300 microm, and scaled as 1/r2 for electrodes smaller than 200 microm. Damage threshold decreased with the number of pulses, dropping by a factor of 14 on the CAM and 7 on the retina as the number of pulses increased from 1 to 50, and remained constant for a higher numbers of pulses. The damage threshold current density on large electrodes scaled with pulse duration as approximately 1/t0.5, characteristic of electroporation. The threshold current density for repeated exposure on the retina varied between 0.061 A/cm2 at 6 ms to 1.3 A/cm2 at 6 micros. The highest ratio of the damage threshold to the stimulation threshold in retinal ganglion cells occurred at pulse durations near chronaxie-around 1.3 ms.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Butterwick et al. obtained similar results stimulating chick chorioallontoic membranes and retinas, observing a decrease in threshold current density proportional to increasing pulse duration.
“Butterwick et al. obtained similar results stimulating chick chorioallontoic membranes and retinas, observing a decrease in threshold current density proportional to increasing pulse duration [80].”
From Safety of long-term electrical peripheral nerve stimulation: review of the state of the art (2019) · cites this paper as [80]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
BioelectromagnetismPrinciples and Applications of Bioelectric and Biomagnetic Fields
Malmivuo, J., & Plonsey, R. (1995) · doi:10.1093/acprof:oso/9780195058239.001.0001 · Cited by 1,834 · see citing works
Photoreceptor loss in age-related macular degeneration.
Curcio, C. A., Medeiros, N. E., & Millican, C. L. (1996) · PubMed · Cited by 802 · see citing works
Charge density and charge per phase as cofactors in neural injury induced by electrical stimulation
McCreery, D. B., Agnew, W. F., Yuen, T. G. H., & Bullara, L. (1990) · IEEE Transactions on Biomedical Engineering · doi:10.1109/10.102812 · Cited by 708 · see citing works
Preservation of the Inner Retina in Retinitis Pigmentosa
Santos, A. (1997) · Archives of Ophthalmology · doi:10.1001/archopht.1997.01100150513011 · Cited by 644 · see citing works
Visual Perception Elicited by Electrical Stimulation of Retina in Blind Humans
Humayun, M. S. (1996) · Archives of Ophthalmology · doi:10.1001/archopht.1996.01100130038006 · Cited by 602 · see citing works
A model of safe levels for electrical stimulation
Shannon, R. V. (1992) · IEEE Transactions on Biomedical Engineering · doi:10.1109/10.126616 · Cited by 526 · see citing works
Stone, J. L. (1992) · Archives of Ophthalmology · doi:10.1001/archopht.1992.01080230134038 · Cited by 471 · see citing works
A neural interface for a cortical vision prosthesis
Normann, R. A., Maynard, E. M., Rousche, P. J., & Warren, D. J. (1999) · Vision Research · doi:10.1016/s0042-6989(99)00040-1 · Cited by 411 · see citing works
Strength-duration properties of human peripheral nerve
Mogyoros, I., Kiernan, M. C., & Burke, D. (1996) · Brain · doi:10.1093/brain/119.2.439 · Cited by 358 · see citing works
Belloc, F., Dumain, P., Boisseau, M. R., Jalloustre, C., Reiffers, J., Bernard, P., & Lacombe, F. (1994) · Cytometry · doi:10.1002/cyto.990170108 · Cited by 250 · see citing works
The Effects of Intense Submicrosecond Electrical Pulses on Cells
Deng, J., Schoenbach, K. H., Buescher, E. S., Hair, P. S., Fox, P. M., & Beebe, S. J. (2003) · Biophysical Journal · doi:10.1016/s0006-3495(03)75076-0 · Cited by 239 · see citing works
Yeh, C. G., Hsi, B., & Faulk, W. P. (1981) · Journal of Immunological Methods · doi:10.1016/0022-1759(81)90174-5 · Cited by 191 · see citing works
Perceptual thresholds and electrode impedance in three retinal prosthesis subjects
Mahadevappa, M., Weiland, J. D., Yanai, D., Fine, I., Greenberg, R. J., & Humayun, M. S. (2005) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2005.848687 · Cited by 187 · see citing works
Roth, B. J. (1995) · IEEE Transactions on Biomedical Engineering · doi:10.1109/10.476124 · Cited by 185 · see citing works
Mechanisms for electrical stimulation of excitable tissue.
Roth, B. J. (1994) · PubMed · Cited by 175 · see citing works
Wyatt, J. L., & Rizzo, J. F. (1996) · IEEE Spectrum · doi:10.1109/6.490056 · Cited by 175 · see citing works
Jensen, R. J., Ziv, O. R., & Rizzo, J. F. (2005) · Investigative Opthalmology & Visual Science · doi:10.1167/iovs.04-1018 · Cited by 159 · see citing works
Jensen, R. J., Rizzo, J. F., Ziv, O. R., Grumet, A., & Wyatt, J. (2003) · Investigative Opthalmology & Visual Science · doi:10.1167/iovs.02-1041 · Cited by 145 · see citing works
Unal Cevik, I., & Dalkara, T. (2003) · Cell Death & Differentiation · doi:10.1038/sj.cdd.4401250 · Cited by 114 · see citing works
Response characteristics and receptive field widths of on‐bipolar cells in the mouse retina
Berntson, A., & Taylor, W. R. (2000) · The Journal of Physiology · doi:10.1111/j.1469-7793.2000.00879.x · Cited by 114 · see citing works
THE CHICK CHORIOALLANTOIC MEMBRANE AS A MODEL TISSUE FOR SURGICAL RETINAL RESEARCH AND SIMULATION
Leng, T., Miller, J. M. L., Bilbao, K., et al. (2004) · Retina · doi:10.1097/00006982-200406000-00014 · Cited by 103 · see citing works
Membrane electroporation and direct gene transfer
Neumann, E. (1992) · Journal of Electroanalytical Chemistry · doi:10.1016/0022-0728(92)85091-g · Cited by 102 · see citing works
Noxious effects of excessive currents used for intracortical microstimulation
Asanuma, H., & Arnold, A. P. (1975) · Brain Research · doi:10.1016/0006-8993(75)90579-x · Cited by 97 · see citing works
Membrane electroporation and direct gene transfer
Neumann, E. (1992) · Bioelectrochemistry and Bioenergetics · doi:10.1016/0302-4598(92)80017-b · Cited by 97 · see citing works
Vitamin A Supplementation for Retinitis Pigmentosa
Berson, E. L. (1993) · Archives of Ophthalmology · doi:10.1001/archopht.1993.01090110014001 · Cited by 86 · see citing works
Subretinal electrical stimulation of the rabbit retina with acutely implanted electrode arrays
Gekeler, F., Kobuch, K. A., Schwahn, H., Stett, A., Shinoda, K., & Zrenner, E. (2004) · Graefe s Archive for Clinical and Experimental Ophthalmology · doi:10.1007/s00417-004-0862-6 · Cited by 82 · see citing works
Virtual electrode theory explains pacing threshold increase caused by cardiac tissue damage
Sambelashvili, A. T., Nikolski, V. P., & Efimov, I. R. (2004) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00637.2003 · Cited by 70 · see citing works
Bevensee, M. O., Schwiening, C. J., & Boron, W. F. (1995) · Journal of Neuroscience Methods · doi:10.1016/0165-0270(94)00159-e · Cited by 65 · see citing works
Yang, X., & Wu, S. M.-S. (1997) · Journal of Neurophysiology · doi:10.1152/jn.1997.78.5.2662 · Cited by 48 · see citing works
Propidium iodide in vivo: an early marker of neuronal damage in rat hippocampus
Wilde, G. J. C., Sundström, L., & Iannotti, F. (1994) · Neuroscience Letters · doi:10.1016/0304-3940(94)90525-8 · Cited by 22 · see citing works
Perspectives for microelectrode arrays for biosensing and membrane electroporation
Neumann, E., Tönsing, K., & Siemens, P. M. (2000) · Bioelectrochemistry · doi:10.1016/s0302-4598(99)00084-7 · Cited by 21 · see citing works
Understanding the Degradation of Organic Coatings Through Local Electrochemical Impedance Methods
Mierisch, A. M., Taylor, S. R., & Celli, V. (2003) · Journal of The Electrochemical Society · doi:10.1149/1.1576224 · Cited by 21 · see citing works
Humayun, M. S., Yanai, D., Greenberg, R. J., et al. (2003) · Investigative Ophthalmology & Visual Science · Cited by 16 · see citing works
Electrical alternative to pulsed fiber-delivered lasers in microsurgery
Palanker, D., Turovets, I., & Lewis, A. (1997) · Journal of Applied Physics · doi:10.1063/1.365346 · Cited by 14 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 2
- [6][6] W. Liu, E. McGuken, M. Clemments, K. Vichienchom, C. Demarco, M. S. Humayun, E. de Juan, J. Weiland, and R. Greenberg, 'The engineering of a prototype retinal prosthesis,' Invest. Ophthal. Vis. Sci. , vol. 40, no. 4, pp. S782-S782, 1999. -
- [8][8] M. Humayun, R. J. Greenberg, B. V. Mech, D. Yanai, M. Mahadevappa, G. van Boemel, G. Y. Fujii, J. D. Weiland, and E. de Juan, 'Chronically implanted intraocular retinal prosthesis in two blind subjects,' Invest. Ophthal. Vis. Sci. , vol. 44, pp. U467-U467, 2003. -
Cited by
Sorted by citations
Tissue damage thresholds during therapeutic electrical stimulation
Cogan, S. F., Ludwig, K. A., Welle, C. G., & Takmakov, P. (2016) · Journal of Neural Engineering · doi:10.1088/1741-2560/13/2/021001 · Cited by 386 · see citing works
The Argus® II Retinal Prosthesis System
Luo, Y. H.-L., & da Cruz, L. (2016) · Progress in Retinal and Eye Research · doi:10.1016/j.preteyeres.2015.09.003 · Cited by 351 · see citing works
Safety of long-term electrical peripheral nerve stimulation: review of the state of the art
Günter, C., Delbeke, J., & Ortiz-Catalan, M. (2019) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-018-0474-8 · Cited by 198 · see citing works
Jepson, L. H., Hottowy, P., Mathieson, K., Gunning, D. E., Dąbrowski, W., Litke, A. M., & Chichilnisky, E. J. (2013) · The Journal of Neuroscience · doi:10.1523/jneurosci.4967-12.2013 · Cited by 97 · see citing works
Neural interfaces engineered via micro- and nanostructured coatings
Chen, N., Tian, L., Patil, A. C., Peng, S., Yang, I. H., Thakor, N. V., & Ramakrishna, S. (2017) · Nano Today · doi:10.1016/j.nantod.2017.04.007 · Cited by 74 · see citing works
Electrode-size dependent thresholds in subretinal neuroprosthetic stimulation
Corna, A., Herrmann, T., & Zeck, G. (2018) · Journal of Neural Engineering · doi:10.1088/1741-2552/aac1c8 · Cited by 42 · see citing works
The argus ii retinal prosthesis system
Bloch, E., & da Cruz, L. (2020) · Prosthesis · doi:10.5772/intechopen.84947 · Cited by 31 · see citing works
van Dongen, M. N., Hoebeek, F. E., Koekkoek, S. K. E., De Zeeuw, C. I., & Serdijn, W. A. (2015) · Frontiers in Neuroengineering · doi:10.3389/fneng.2015.00002 · Cited by 15 · see citing works
- Authors
- Butterwick, A., Vankov, A., Huie, P., Freyvert, Y., & Palanker, D.
- Affiliations
- Stanford University (US)
- Stanford Medicine (US)
- Sangamo BioSciences (United States) (US)
- ORCID
- Palanker, D.
- Venue
- IEEE Transactions on Biomedical Engineering
- Published
- 2007-12
- Volume
- 54
- Issue
- 12
- Pages
- 2261-2267
- ISSN
- 0018-9294 (ISSN-L)
- OpenAlex
- W2146199250
- Cited by
- 136
- References
- 34
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 7 · 2023: 9 · 2022: 6 · 2021: 5 · 2020: 4 · 2019: 12 · 2018: 6 · 2017: 6 · 2016: 16 · 2015: 8 · 2014: 7 · 2013: 14 · 2012: 8
- FWCI
- 1.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- IEEE Transactions on Biomedical Engineering (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Eye Institute (R01EY012888)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biotechnology › Microbial Inactivation Methods
- Health Sciences › Medicine › Ophthalmology › Ocular and Laser Science Research
- Keywords
- pulsed electrical stimulation, tissue damage, neural interfaces, threshold current density, pulse duration, electrode size, pulse number, electroporation, chorioallantoic membrane, retina, retinal ganglion cells, chronaxie, porcine retina, chick retina
- MeSH terms
- Animals, Cell Membrane, Cells, Cultured, Chick Embryo, Chickens, Dose-Response Relationship, Radiation, Electric Stimulation, Eye Injuries, Radiation Dosage, Radiation Injuries, Retina, Chorioallantoic Membrane
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review