Review on Medical Implantable Antenna Technology and Imminent Research Challenges

A metamaterial unit-cell based patch radiator for brain-machine interface technology

This paper presents a novel approach to the design of a brain implantable antenna tailored for brain-machine interface (BMI) technology. The design is based on a U-shaped unit-cell metamaterial (MTM), introducing innovative features to enhance performance and address specific challenges associated with BMI applications. The motivation behind the use of the unit-cell structure is to elongate the electric path within the antenna patch, diverging from a reliance on the electrical properties of the MTM. Consequently, the unit cell is connected to an inset-fed transmission line and shorted to the ground. This configuration serves the dual purpose of reducing the size of the antenna and enabling resonance at the 2.442 GHz band within a seven-layer brain phantom. The antenna is designed using a FR-4 substrate (ε r  = 4.3 and tan δ = 0.025) of 1.5 mm thickness, and it is coated with a biocompatible polyamide material (ε r  = 4.3 and tan δ = 0.004) of 0.05 mm thickness. The proposed antenna achieves a compact dimension of 20 × 20 × 1.6 m m 3 (0.338 × 0.338 × 0.027 λ g 3 ) and demonstrates a high bandwidth of 974 MHz with its gain of -14.6 dBi in the 2.442 GHz band. It also exhibits a matched impedance of 49.41-j1.32 Ω in the implantable condition, corresponding to a 50 Ω source impedance. In comparison to a selection of relevant research works, the proposed antenna has a low specific absorption rate (SAR) of 218 W/kg and 68 W/kg at 1g and 10g brain tissue standards, respectively. An antenna prototype has been fabricated and measured for return loss in both free space and in-vivo conditions using sheep's brain. The measurement results are found to be in close agreement with the simulation results for both conditions, showing the practical applicability of the proposed antenna for BMI applications.

Comparative analysis of energy transfer mechanisms for neural implants

As neural implant technologies advance rapidly, a nuanced understanding of their powering mechanisms becomes indispensable, especially given the long-term biocompatibility risks like oxidative stress and inflammation, which can be aggravated by recurrent surgeries, including battery replacements. This review delves into a comprehensive analysis, starting with biocompatibility considerations for both energy storage units and transfer methods. The review focuses on four main mechanisms for powering neural implants: Electromagnetic, Acoustic, Optical, and Direct Connection to the Body. Among these, Electromagnetic Methods include techniques such as Near-Field Communication (RF). Acoustic methods using high-frequency ultrasound offer advantages in power transmission efficiency and multi-node interrogation capabilities. Optical methods, although still in early development, show promising energy transmission efficiencies using Near-Infrared (NIR) light while avoiding electromagnetic interference. Direct connections, while efficient, pose substantial safety risks, including infection and micromotion disturbances within neural tissue. The review employs key metrics such as specific absorption rate (SAR) and energy transfer efficiency for a nuanced evaluation of these methods. It also discusses recent innovations like the Sectored-Multi Ring Ultrasonic Transducer (S-MRUT), Stentrode, and Neural Dust. Ultimately, this review aims to help researchers, clinicians, and engineers better understand the challenges of and potentially create new solutions for powering neural implants.

A Survey of the Thermal Analysis of Implanted Antennas for Wireless Biomedical Devices

Wireless implantable biomedical devices (IBDs) are emerging technologies used to enhance patient treatment and monitoring. The performance of wireless IBDs mainly relies on their antennas. Concerns have emerged regarding the potential of wireless IBDs to unintentionally cause tissue heating, leading to potential harm to surrounding tissue. The previous literature examined temperature estimations and specific absorption rates (SAR) related to IBDs, mainly within the context of thermal therapy applications. Often, these studies consider system parameters such as frequency, input power, and treatment duration without isolating their individual impacts. This paper provides an extensive literature review, focusing on key antenna design parameters affecting heat distribution in IBDs. These parameters encompass antenna design, treatment settings, testing conditions, and thermal modeling. The research highlights that input power has the most significant impact on localized temperature, with operating frequency ranked as the second most influential factor. While emphasizing the importance of understanding tissue heating and optimizing antennas for improved power transfer, these studies also illuminate existing knowledge gaps. Excessive tissue heat can lead to harmful effects such as vaporization, carbonization, and irreversible tissue changes. To ensure patient safety and reduce expenses linked to clinical trials, employing simulation-driven approaches for IBD antenna design and optimization is essential.

Current state of the art and future directions for implantable sensors in medical technology: Clinical needs and engineering challenges

Implantable sensors have revolutionized the way we monitor biophysical and biochemical parameters by enabling real-time closed-loop intervention or therapy. These technologies align with the new era of healthcare known as healthcare 5.0, which encompasses smart disease control and detection, virtual care, intelligent health management, smart monitoring, and decision-making. This review explores the diverse biomedical applications of implantable temperature, mechanical, electrophysiological, optical, and electrochemical sensors. We delve into the engineering principles that serve as the foundation for their development. We also address the challenges faced by researchers and designers in bridging the gap between implantable sensor research and their clinical adoption by emphasizing the importance of careful consideration of clinical requirements and engineering challenges. We highlight the need for future research to explore issues such as long-term performance, biocompatibility, and power sources, as well as the potential for implantable sensors to transform healthcare across multiple disciplines. It is evident that implantable sensors have immense potential in the field of medical technology. However, the gap between research and clinical adoption remains wide, and there are still major obstacles to overcome before they can become a widely adopted part of medical practice.

A Miniaturized Tri-Band Implantable Antenna for ISM/WMTS/Lower UWB/Wi-Fi Frequencies

This study aims to design a compact antenna structure suitable for implantable devices, with a broad frequency range covering various bands such as the Industrial Scientific and Medical band (868-868.6 MHz, 902-928 MHz, 5.725-5.875 GHz), the Wireless Medical Telemetry Service (WMTS) band, a subset of the unlicensed 3.5-4.5 GHz ultra-wideband (UWB) that is free of interference, and various Wi-Fi spectra (3.6 GHz, 4.9 GHz, 5 GHz, 5.9 GHz, 6 GHz). The antenna supports both low and high frequencies for efficient data transfer and is compatible with various communication technologies. The antenna features an asynchronous-meandered radiator, a parasitic patch, and an open-ended square ring-shaped ground plane. The antenna is deployed deep inside the muscle layer of a rectangular phantom below the skin and fat layer at a depth of 7 mm for numerical simulation. Furthermore, the antenna is deployed in a cylindrical phantom and bent to check the suitability for different organs. A prototype of the antenna is created, and its reflection coefficient and radiation patterns are measured in fresh pork tissue. The proposed antenna is considered a suitable candidate for implantable technology compared to other designs reported in the literature. It can be observed that the proposed antenna in this study has the smallest volume (75 mm3) and widest bandwidth (181.8% for 0.86 GHz, 9.58% for 1.43 GHz, and 285.7% for the UWB subset and Wi-Fi). It also has the highest gain (-26 dBi for ISM, -14 dBi for WMTS, and -14.2 dBi for UWB subset and Wi-Fi) compared to other antennas in the literature. In addition, the SAR values for the proposed antenna are well below the safety limits prescribed by IEEE Std C95.1-1999, with SAR values of 0.409 W/Kg for 0.8 GHz, 0.534 W/Kg for 1.43 GHz, 0.529 W/Kg for 3.5 GHz, and 0.665 W/Kg for 5.5 GHz when the applied input power is 10 mW. Overall, the proposed antenna in this study demonstrates superior performance compared to existing tri-band implantable antennas in terms of size, bandwidth, gain, and SAR values.

A sub 1 GHz ultra miniaturized folded dipole patch antenna for biomedical applications

A miniaturized folded dipole patch antenna (FDPA) design for biomedical applications operating at sub 1 GHz (434 MHz) band is presented. Antenna is fabricated on FR-4 substrate material having dimensions of 16.40 mm [Formula: see text] 8.60 mm [Formula: see text] 1.52 mm (0.023[Formula: see text] [Formula: see text] 0.012[Formula: see text] [Formula: see text] 0.002[Formula: see text]). Indirect feed coupling is applied through two parallel strips at bottom layer of the substrate. The antenna size is reduced by 83% through lumped inductor placed at the center path of the radiating FDPA, suitable for biomedical (implantable) applications and hyperthermia. Moreover, Impedance matching is achieved without using any Balun transformer or any other complex matching network. The proposed antenna provides an impedance bandwidth of 6 MHz (431-437 MHz) below - 10 dB and a gain of - 31 dB at 434 MHz. The designed antenna is also placed on a human body model to evaluate its performance for hyperthermia through Specific Absorption Rate (SAR), Effective Field Size (EFS), and penetration depth (PD).

Optimizing Cardiac Wireless Implant Communication: A Feasibility Study on Selecting the Frequency and Matching Medium

Cardiac wireless implantable medical devices (CWIMD) have brought a paradigm shift in monitoring and treating various cardiac conditions, including heart failure, arrhythmias, and hypertension. One of the key elements in CWIMD is the implant antenna which uses radio frequency (RF) technology to wirelessly communicate and transmit data to external devices. However, wireless communication with a deeply implanted antenna using RF can be challenging due to the significant loss of electromagnetic (EM) signal at the air-skin interface, and second, due to the propagation and reflection of EM waves from different tissue boundaries. The air-skin interface loss of the EM wave is pronounced due to the absence of a matching medium. This paper investigates the EM propagation losses in the human body and presents a choice of optimal frequency for the design of the cardiac implant antenna and the dielectric properties of the matching medium. First, the dielectric properties of all tissues present in the human thorax including skin, fat, muscle, cartilage, and heart are analyzed as a function of frequency to study the EM wave absorption at different frequencies. Second, the penetration of EM waves inside the biological tissues is analyzed as a function of frequency. Third, a transmission line (TL) formalism approach is adopted to examine the optimal frequency band for designing a cardiac implant antenna and the matching medium for the air-skin interface. Finally, experimental validation is performed at two ISM frequencies, 433 MHz and 915 MHz, selected from the optimal frequency band (0.4-1.5 GHz) suggested by our analytical investigation. For experimental validation, two off-the-shelf flexible dipole antennas operating at selected ISM frequencies were used. The numerical and experimental findings suggested that for the specific application of a cardiac implant with a penetration depth of 7-17 cm, the most effective frequency range for operation is within 0.4-1.5 GHz. The findings based on the dielectric properties of thorax tissues, the penetration depth of EM waves, and the optimal frequency band have provided valuable information on developing and optimizing CWIMDs for cardiac care applications.

Planar Elliptical Inductor Design for Wireless Implantable Medical Devices

Wireless implantable medical devices (WIMDs) have seen unprecedented progress in the past three decades. WIMDs help clinicians in better-understanding diseases and enhance medical treatment by allowing for remote data collection and delivering tailored patient care. The wireless connectivity range between the external reader and the implanted device is considered one of the key design parameters in WIMD technology. One of the common modes of communication in battery-free WIMDs is inductive coupling, where the power and data between the reader and the implanted device are transmitted via magnetically coupled inductors. The design and shape of these inductors depend on the requirements of the application. Several studies have reported models of standard planar inductors such as circular, square, hexagonal, and octagonal in medical applications. However, for applications, constrained by narrow implantable locations, elliptical planar inductors may perform better than standard-shaped planar inductors. The aim of this study is to develop a numerical model for elliptical inductors. This model allows for the calculation of the inductance of the elliptical planar inductor and its parasitic components, which are key design parameters for the development of WIMDs powered by inductive coupling. An area transformation technique is used to transform and derive elliptical inductor formulas from standard circular inductor formulas. The proposed model is validated for various combinations of the number of turns, trace width, trace separation, and different inner and outer diameters of the elliptical planar inductor. For a thorough experimental validation of the proposed numerical model, more than 75 elliptical planar inductors were fabricated, measured, and compared with the numerical output of the proposed model. The mean error between the measured inductor parameters and numerical estimates using the proposed model is <5%, with a standard deviation of <3.18%. The proposed model provides an accurate analytical method for estimating and optimizing elliptical planar inductor parameters using a combination of current sheet expression and area transformation techniques. An elliptical planar inductor integrated with a sensing element can be used as a wireless implant to monitor the physiological signal from narrow implantation sites.

An Ex Vivo Study of Wireless Linkage Distance between Implantable LC Resonance Sensor and External Readout Coil

The wireless monitoring of key physiological parameters such as heart rate, respiratory rate, temperature, and pressure can aid in preventive healthcare, early diagnosis, and patient-tailored treatment. In wireless implantable sensors, the distance between the sensor and the reader device is prone to be influenced by the operating frequency, as well as by the medium between the sensor and the reader. This manuscript presents an ex vivo investigation of the wireless linkage between an implantable sensor and an external reader for medical applications. The sensor was designed and fabricated using a cost-effective and accessible fabrication process. The sensor is composed of a circular planar inductor (L) and a circular planar capacitor (C) to form an inductor-capacitor (LC) resonance tank circuit. The reader system comprises a readout coil and data acquisition instrumentation. To investigate the effect of biological medium on wireless linkage, the readout distance between the sensor and the readout coil was examined independently for porcine and ovine tissues. In the bench model, to mimic the bio-environment for the investigation, skin, muscle, and fat tissues were used. The relative magnitude of the reflection coefficient (S11) at the readout coil was used as a metric to benchmark wireless linkage. A readable linkage signal was observed on the readout coil when the sensor was held up to 2.5 cm under layers of skin, muscle, and fat tissue. To increase the remote readout distance of the LC sensor, the effect of the repeater coil was also investigated. The experimental results showed that the magnitude of the reflection coefficient signal was increased 3-3.5 times in the presence of the repeater coil, thereby increasing the signal-to-noise ratio of the detected signal. Therefore, the repeater coil between the sensor and the readout coil allows a larger sensing range for a variety of applications in implanted or sealed fields.

Design of a Novel Compact MICS Band PIFA Antenna for Implantable Biotelemetry Applications

An implantable stacked planar inverted-F antenna (PIFA) for biotelemetric communication in the 402-405 MHz Medical Implant Communications Service (MICS) frequency band is designed and fabricated. With the proposed PIFA structure, a slot on each radiating patch was embedded, resulting in a size reduction of 0.013 λ and a compact size of 10 × 10 × 1.905 mm3. Both in vitro and in vivo experiments verified the simulation performance with characteristics of -10 dB bandwidth of 29 MHz, radiation efficiency of 0.9%, and a maximum far-field gain of -18.8 dB. We calculated the safety power delivered to the antenna using the specific absorption rate (SAR) limitation standard. Compared to other implantable antennas for biotelemetry, this antenna performs comparably and has a smaller size. This design would further develop implantable medical devices that communicate in the MICS band.

On the Design and Development of Planar Monopole Antenna for Bone Crack/Void Detection

In this study, the design of a compact narrowband monopole antenna for bone crack detection is presented. The proposed antenna consists of a modified hexagon-shaped radiator with six triangular slits integrated on its bottom periphery, a rectangular-shaped ground plane, and a microstrip feed line of 50 Ω. The antenna is fabricated on the FR-4 substrate with a thickness of 1.6 mm, an overall size of 32 mm × 30 mm, and electrical dimensions of 0.13λ0 × 0.122λ0, where λ0 is the free space wavelength at 2.45 GHz. The resonant frequency of the designed antenna is 2.45 GHz. The antenna offers a gain of 1.68 dB and an efficiency of 85.3%. The presence of a crack in the bone is detected by observing the shift in the peak resonating frequency of the antenna. This method can detect bone fractures in a noninvasive manner. The human arm model is constructed, and the effect of bone cracks of different lengths on the resonating frequency is investigated. The pig bone and tissues are used to validate the simulated results. The simulated results are in agreement with the measured outcomes. Also, the specific absorption rate (SAR) of the antenna is calculated and found to be less than 0.57 W/kg. The designed monopole antenna has several advantages, including a small footprint, straightforward design, low cost, and easy integration with other devices. The proposed method is suitable for primary-level bone crack diagnosis.

Deep Learning Assisted Automatic Methodology for Implanted MIMO Antenna Designs on Large Ground Plane

This paper provides a novel methodology for designing implanted multiple-input and multiple-output (MIMO) antennas in the automatic fashion. The proposed optimization consists of two sequential phases for firstly configuring the geometry of an implanted MIMO antenna and then sizing the design parameters through the hierarchy top-down optimization (TDO) and regression deep neural network (DNN), respectively. It tackles the difficulty in constructing the structure of antennas and also provides optimal values for the determined variables, sufficiently. This methodology results in valid electromagnetic (EM)-verified post-layout generation that is ready-to-fabricate. The effectiveness of the proposed optimization-oriented method is verified by designing and optimizing the implanted MIMO antenna in the frequency band of 4.34–4.61 GHz and 5.86–6.64 GHz suitable for medical applications at the emerging wireless band. For our design, we employ the actual biological tissues as bone, liquid (%1 sodium chloride, %40 sugar in distilled water), and plexiglass surroundings with a bio-compatible substrate, as aluminium oxide on a large ground plane, that is suitable to be used in a particular biomedical applications involving smart implants.