An Integrated Passive Phase-Shift Keying Modulator for Biomedical Implants With Power Telemetry Over a Single Inductive Link

Wirelessly Powered and Bi-Directional Data Communication System With Adaptive Conversion Chain for Multisite Biomedical Implants Over Single Inductive Link

A wirelessly powered and data communication system is presented which is implemented as a full system, designed for multisite implanted biomedical applications. The system is capable of receiving wireless power and data communication for each implant separately, using inductive links with different resonance frequencies. To achieve this, dual-band coils are presented in the system. In addition, the system supports bi-directional half-duplex data communication, utilizing amplitude and load shift keying (ASK and LSK) modulation schemes over a single inductive link. The system employs a digitally assisted active rectifier and an automatic resonance tuning system, to improve the power transfer efficiency (PTE) through various coupling coefficients, while minimizing the reverse current and power dissipation. The power control unit enables closed-loop monitoring to prevent high or low power delivery, and it can detect inefficient or excessive wireless power transmission or prevent temperature elevation by limiting the voltage to a safe level. A new structure of self-sampling separated- Vb ASK demodulator is proposed in the paper which is utilized within the data conversion chain, serving both the external and implanted units. The whole system is fabricated using a standard 180-nm 1.8/3.3 V CMOS process with a core area of 0.82 mm[Formula: see text]. The system is tested with coupled multisite inductive links and offers the maximum overall PTE of 31.2%, from the Tx coil to the implant load.

Evolution of Biotelemetry in Medical Devices: From Radio Pills to mm-Scale Implants

The advent of semiconductor technology in the mid-20th century created unprecedented opportunities to develop a new generation of small-scale wireless medical sensing devices that can support remote monitoring of patients' vital signs. The first radio pills were developed as early as the 1950's using only a few transistors. These swallowable capsules could sense and wirelessly transmit vital parameters from inside the human body. Since then we have witnessed the rapid progress of medical devices driven by the evolution of semiconductor technology, from single-transistor oscillators to complex mixed-signal multi-channel and multi-modal systems. This paper retraces the evolution of biotelemetry devices from their very early inception to the smart miniaturized systems of modern days, focusing on semiconductor-enabled sensing methods and circuits developed over the last six decades. The paper also includes the author's perspective on current and future trends in the development of CMOS-based biotelemeters, focusing on concepts of implant modularity, miniaturization and hybrid energy harvesting solutions.

A Load-Insensitive Hybrid LSK Back Telemetry System With Slope-Based Demodulation for Inductively Powered Biomedical Devices

This paper presents a hybrid load-shift keying (LSK) modulation for a load-insensitive back telemetry system to realize near-constant voltage changes in a primary coil (L₁) against a wide range of load variations. The hybrid-LSK-enabled full-wave rectifier enables the sequential combination of open- and short-coil functions for hybrid-LSK modulation in addition to wireless power conversion operation. Load-insensitive L₁ voltage changes can be demodulated using the proposed slope- based demodulator, which utilizes the threshold slope of L₁ voltage changes over the back data pulse width, enabling robust data recovery regardless of the load conditions. The 0.56-mm² 0.18-μm standard CMOS hybrid-LSK prototype demonstrated that the variation of L₁ voltage changes could be minimized to 60 mV under load changes between 50 Ω and 50 kΩ at coil separation distance of 10 mm, achieving 88.2% reduction compared to the conventional short-coil LSK with 510 mV variation. The proposed back telemetry system also achieved a bit error rate (BER) of < 9.1 × 10^-10 under load ranges from 50 Ω to 50 kΩ and data rate of 1 Mbps, ensuring reliable back data recovery against load variations.

Wireless interfaces for brain neurotechnologies

Wireless interfaces enable brain-implanted devices to remotely interact with the external world. They are critical components in modern research and clinical neurotechnologies and play a central role in determining their overall size, lifetime and functionality. Wireless interfaces use a wide range of modalities-including radio-frequency fields, acoustic waves and light-to transfer energy and data to and from an implanted device. These forms of energy interact with living tissue through distinct mechanisms and therefore lead to systems with vastly different form factors, operating characteristics, and safety considerations. This paper reviews recent advances in the development of wireless interfaces for brain neurotechnologies. We summarize the requirements that state-of-the-art brain-implanted devices impose on the wireless interface, and discuss the working principles and applications of wireless interfaces based on each modality. We also investigate challenges associated with wireless brain neurotechnologies and discuss emerging solutions permitted by recent developments in electrical engineering and materials science. This article is part of the theme issue 'Advanced neurotechnologies: translating innovation for health and well-being'.

A Highly Miniaturized, Chronically Implanted ASIC for Electrical Nerve Stimulation

We present a wireless, fully implantable device for electrical stimulation of peripheral nerves consisting of a powering coil, a tuning network, a Zener diode, selectable stimulation parameters, and a stimulator IC, all encapsulated in biocompatible silicone. A wireless RF signal at 13.56 MHz powers the implant through the on-chip rectifier. The ASIC, designed in TSMC's 180 nm MS RF G process, occupies an area of less than 1.2 mm². The IC enables externally selectable current-controlled stimulation through an on-chip read-only memory with a wide range of 32 stimulation parameters (90-750 µA amplitude, 100 µs or 1 ms pulse width, 15 or 50 Hz frequency). The IC generates the constant current waveform using an 8-bit binary weighted DAC and an H-Bridge. At the most power-hungry stimulation parameter, the average power consumption during a stimulus pulse is 2.6 mW with a power transfer efficiency of ∼5.2%. In addition to benchtop and acute testing, we chronically implanted two versions of the device (a design with leads and a leadless design) on two rats' sciatic nerves to verify the long-term efficacy of the IC and the full system. The leadless device had the following dimensions: height of 0.45 cm, major axis of 1.85 cm, and minor axis of 1.34 cm, with similar dimensions for the device with leads. Both devices were implanted and worked for experiments lasting from 21-90 days. To the best of our knowledge, the fabricated IC is the smallest constant-current stimulator that has been tested chronically.

A Versatile Hermetically Sealed Microelectronic Implant for Peripheral Nerve Stimulation Applications

This article presents a versatile neurostimulation platform featuring a fully implantable multi-channel neural stimulator for chronic experimental studies with freely moving large animal models involving peripheral nerves. The implant is hermetically sealed in a ceramic enclosure and encapsulated in medical grade silicone rubber, and then underwent active tests at accelerated aging conditions at 100°C for 15 consecutive days. The stimulator microelectronics are implemented in a 0.6-μm CMOS technology, with a crosstalk reduction scheme to minimize cross-channel interference, and high-speed power and data telemetry for battery-less operation. A wearable transmitter equipped with a Bluetooth Low Energy radio link, and a custom graphical user interface provide real-time, remotely controlled stimulation. Three parallel stimulators provide independent stimulation on three channels, where each stimulator supports six stimulating sites and two return sites through multiplexing, hence the implant can facilitate stimulation at up to 36 different electrode pairs. The design of the electronics, method of hermetic packaging and electrical performance as well as in vitro testing with electrodes in saline are presented.

Wireless Power Transfer Approaches for Medical Implants: A Review

Wireless power transmission (WPT) is a critical technology that provides an alternative for wireless power and communication with implantable medical devices (IMDs). This article provides a study concentrating on popular WPT techniques for IMDs including inductive coupling, microwave, ultrasound, and hybrid wireless power transmission (HWPT) systems. Moreover, an overview of the major works is analyzed with a comparison of the symmetric and asymmetric design elements, operating frequency, distance, efficiency, and harvested power. In general, with respect to the operating frequency, it is concluded that the ultrasound-based and inductive-based WPTs have a low operating frequency of less than 50 MHz, whereas the microwave-based WPT works at a higher frequency. Moreover, it can be seen that most of the implanted receiver’s dimension is less than 30 mm for all the WPT-based methods. Furthermore, the HWPT system has a larger receiver size compared to the other methods used. In terms of efficiency, the maximum power transfer efficiency is conducted via inductive-based WPT at 95%, compared to the achievable frequencies of 78%, 50%, and 17% for microwave-based, ultrasound-based, and hybrid WPT, respectively. In general, the inductive coupling tactic is mostly employed for transmission of energy to neuro-stimulators, and the ultrasonic method is used for deep-seated implants.

Feasibility of Backscatter Communication Using LoRAWAN Signals for Deep Implanted Devices and Wearable Applications

This paper presents a method for low data rate transmission for devices implanted in the body using backscattered Long Range (LoRa) signals. The method uses an antenna loaded with a switch that changes between two load impedances at the rate of a modulating oscillator. Consequently, the LoRa signal transmitted by a LoRa node is reflected in the adjacent channels and can be detected with a LoRa gateway tuned to the shifted channels. A prototype developed to operate at Medical Implant Communication Service (MICS) and the Industrial Scientific and Medical (ISM) 433 MHz band is presented. The prototype uses a commercial ceramic antenna with a matched network tuned to the frequency band with high radiation efficiency. The effect of the coating material covering the antenna was studied. Simulated and experimental results using a phantom show that it is feasible to read data from deep implanted devices placed a few meters from the body because of the high sensitivity of commercial LoRa receivers.

Time Stamp - A Novel Time-to-Digital Demodulation Method for Bioimpedance Implant Applications

Bioimpedance analysis is a noninvasive and inexpensive technology used to investigate the electrical properties of biological tissues. The analysis requires demodulation to extract the real and imaginary parts of the impedance. Conventional systems use complex architectures such as I-Q demodulation. In this paper, a very simple alternative time-to-digital demodulation method or 'time stamp' is proposed. It employs only three comparators to identify or stamp in the time domain, the crossing points of the excitation signal, and the measured signal. In a CMOS proof of concept design, the accuracy of impedance magnitude and phase is 97.06% and 98.81% respectively over a bandwidth of 10 kHz to 500 kHz. The effect of fractional-N synthesis is analysed for the counter-based zero crossing phase detector obtaining a finer phase resolution (0.51˚ at 500 kHz) using a counter clock frequency ( f_clk = 12.5 MHz). Because of its circuit simplicity and ease of transmitting the time stamps, the method is very suited to implantable devices requiring low area and power consumption.

A 27-Mbps, 0.08-mm3 CMOS Transceiver with Simultaneous Near-field Power Transmission and Data Telemetry for Implantable Systems

This paper describes an inductively powered 27-Mbps, 0.08-mm³ CMOS transceiver with integrated RF receiver coils for simultaneous two-way, near-field data telemetry and power transmission for implantable systems. A four-coil inductive link operates at a 27-MHz carrier for power and a 700-MHz carrier for data telemetry with the antennae taking an area of only 2 mm by 2 mm. Amplitude-shift-keying (ASK) modulation is used for data downlink at 6.6 kbps and load-shift keying (LSK) backscattering is used for data uplink at 27 Mbps. The transceiver consumes 2.7 mW and can power a load consuming up to an additional 1.5 mW. Implemented in a 0.18-um silicon-on-insulator (SOI) technology, post-processing steps are used to decrease chip thickness to approximately 15um, making the chip flexible with a tissue-like form factor and removing the effects of the substrate on coil performance. Power harvesting circuitry, including passive rectifier, voltage regulator, RF limiter, ASK and LSK modulator, clock generator, and digital controller are positioned adjacent to the coils and limited to an area of 0.5 mm by 2mm. Complete transceiver functionality of the system has been achieved with overall power transfer efficiency (PTE) of 1.04% through 1 mm of tissue phantom between reader and implant.

Bidirectional Information Transmission in SWIPT System with Single Controlled Chopper Receiver

The wireless power transfer (WPT) technology has the advantages of convenience, safety and reliability due to its non-metal contact power supply and has a broad application prospect in many occasions. In practical applications, the information communication between the primary and secondary side is necessary for output voltage control, load detection, condition monitoring and other functions, which makes the WPT system more intelligent and convenient. A simultaneous wireless information and power transfer (SWIPT) system with controlled chopper circuit receiver is proposed in this paper. The load voltage remains constant by adjusting the pulse width of the secondary controlled device through feedback control. The information bidirectional transmission methods and two modes are proposed, considering different application scenarios. Simulation and experiment results validate the proposed topology and the method of information bidirectional transmission.

Maximizing Data Transmission Rate for Implantable Devices Over a Single Inductive Link: Methodological Review

Due to the constantly growing geriatric population and the projected increase of the prevalence of chronic diseases that are refractory to drugs, implantable medical devices (IMDs) such as neurostimulators, endoscopic capsules, artificial retinal prostheses, and brain-machine interfaces are being developed. According to many business forecast firms, the IMD market is expected to grow and they are subject to much research aiming to overcome the numerous challenges of their development. One of these challenges consists of designing a wireless power and data transmission system that has high power efficiency, high data rates, low power consumption, and high robustness against noise. This is in addition to minimal design and implementation complexity. This manuscript concerns a comprehensive survey of the latest techniques used to power up and communicate between an external base station and an IMD. Patient safety considerations related to biological, physical, electromagnetic, and electromagnetic interference concerns for wireless IMDs are also explored. The simultaneous powering and data communication techniques using a single inductive link for both power transfer and bidirectional data communication, including the various data modulation/demodulation techniques, are also reviewed. This review will hopefully contribute to the persistent efforts to implement compact reliable IMDs while lowering their cost and upsurging their benefits.

Practical Inductive Link Design for Biomedical Wireless Power Transfer: A Tutorial

Wireless power transfer systems, particularly those based on inductive coupling, provide an increasingly attractive method to safely deliver power to biomedical implants. Although there exists a large body of literature describing the design of inductive links, it generally focuses on single aspects of the design process. There is a variety of approaches, some analytic, some numerical, each with benefits and drawbacks. As a result, undertaking a link design can be a difficult task, particularly for a newcomer to the subject. This tutorial paper reviews and collects the methods and equations that are required to design an inductive link for biomedical wireless power transfer, with a focus on practicality. It introduces and explains the published methods and principles relevant to all aspects of inductive link design, such that no specific prior knowledge of inductive link design is required. These methods are also combined into a software package (the Coupled Coil Configurator), to further simplify the design process. This software is demonstrated with a design example, to serve as a practical illustration.

A Multichannel High-Frequency Power-Isolated Neural Stimulator With Crosstalk Reduction

In neuroprostheses applications requiring simultaneous stimulations on a multielectrode array, electric crosstalk, the spatial interaction between electric fields from various electrodes is a major limitation to the performance of multichannel stimulation. This paper presents a multichannel stimulator design that combines high-frequency current stimulation (using biphasic charge-balanced chopped pulse profile) with a switched-capacitor power isolation method. The approach minimizes crosstalk and is particularly suitable for fully integrated realization. A stimulator fabricated in a 0.6 μm CMOS high-voltage technology is presented. It is used to implement a multichannel, high-frequency, power-isolated stimulator. Crosstalk reduction is demonstrated with electrodes in physiological media while the efficacy of the high-frequency stimulator chip is proven in vivo. The stimulator provides fully independent operation on multiple channels and full flexibility in the design of neural modulation protocols.

A Magnetic-Balanced Inductive Link for the Simultaneous Uplink Data and Power Telemetry

When using the conventional two-coil inductive link for the simultaneous wireless power and data transmissions in implantable biomedical sensor devices, the strong power carrier could overwhelm the uplink data signal and even saturate the external uplink receiver. To address this problem, we propose a new magnetic-balanced inductive link for our implantable glaucoma treatment device. In this inductive link, an extra coil is specially added for the uplink receiving. The strong power carrier interference is minimized to approach zero by balanced canceling of the magnetic field of the external power coil. The implant coil is shared by the wireless power harvesting and the uplink data transmitting. Two carriers (i.e., 2-MHz power carrier and 500-kHz uplink carrier) are used for the wireless power transmission and the uplink data transmission separately. In the experiments, the prototype of this link achieves as high as 65.72 dB improvement of the signal-to-interference ratio (SIR) compared with the conventional two-coil inductive link. Benefiting from the significant improvement of SIR, the implant transmitter costs only 0.2 mW of power carrying 50 kbps of binary phase shift keying data and gets a bit error rate of 1 × 10−7, even though the coupling coefficient is as low as 0.005. At the same time, 5 mW is delivered to the load with maximum power transfer efficiency of 58.8%. This magnetic-balanced inductive link is useful for small-sized biomedical sensor devices, which require transmitting data and power simultaneously under ultra-weak coupling.

An NFC on Two-Coil WPT Link for Implantable Biomedical Sensors under Ultra-Weak Coupling

The inductive link is widely used in implantable biomedical sensor systems to achieve near-field communication (NFC) and wireless power transfer (WPT). However, it is tough to achieve reliable NFC on an inductive WPT link when the coupling coefficient is ultra-low (0.01 typically), since the NFC signal (especially for the uplink from the in-body part to the out-body part) could be too weak to be detected. Traditional load shift keying (LSK) requires strong coupling to pass the load modulation information to the power source. Instead of using LSK, we propose a dual-carrier NFC scheme for the weak-coupled inductive link; using binary phase shift keying (BPSK) modulation, its downlink data are modulated on the power carrier (2 MHz), while its uplink data are modulated on another carrier (125 kHz). The two carriers are transferred through the same coil pair. To overcome the strong interference of the power carrier, dedicated circuits are introduced. In addition, to minimize the power transfer efficiency decrease caused by adding NFC, we optimize the inductive link circuit parameters and approach the receiver sensitivity limit. In the prototype experiments, even though the coupling coefficient is as low as 0.008, the in-body transmitter costs only 0.61 mW power carrying 10 kbps of data, and achieves a 1 × 10 - 7 bit error rate under the strong interference of WPT. This dual-carrier NFC scheme could be useful for small-sized implantable biomedical sensor applications.

Technologies for Prolonging Cardiac Implantable Electronic Device Longevity

Prolonged longevity of cardiac implantable electronic devices (CIEDs) is needed not only as a passive response to match the prolonging life expectancy of patient recipients, but will also actively prolong their life expectancy by avoiding/deferring the risks (and costs) associated with device replacement. CIEDs are still exclusively powered by nonrechargeable primary batteries, and energy exhaustion is the dominant and an inevitable cause of device replacement. The longevity of a CIED is thus determined by the attrition rate of its finite energy reserve. The energy available from a battery depends on its capacity (total amount of electric charge), chemistry (anode, cathode, and electrolyte), and internal architecture (stacked plate, folded plate, and spiral wound). The energy uses of a CIED vary and include a background current for running electronic circuitry, periodic radiofrequency telemetry, high-voltage capacitor reformation, constant ventricular pacing, and sporadic shocks for the cardiac resynchronization therapy defibrillators. The energy use by a CIED is primarily determined by the patient recipient's clinical needs, but the energy stored in the device battery is entirely under the manufacturer's control. A larger battery capacity generally results in a longer-lasting device, but improved battery chemistry and architecture may allow more space-efficient designs. Armed with the necessary technical knowledge, healthcare professionals and purchasers will be empowered to make judicious selection on device models and maximize the utilization of all their energy-saving features, to prolong device longevity for the benefits of their patients and healthcare systems.