A self-sizing spiral cuff electrode for nerve recordings : morphological and physiological study
(2005)
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- (en) Chronic nerve recording and stimulation can be performed by means of nerve cuff electrodes in both animals and humans. These extraneural electrodes have been used not only for fundamental research but also for rehabilitation purposes as part of a neuroprosthetic device. They have therefore contributed to our knowledge of the nervous system and also allowed partial motor and sensory rehabilitation. However, the performance of existing nerve cuff electrodes remains limited and their designs must be improved. The main drawbacks of cuff electrodes are their poor selectivity and the morphological modifications they induce to surrounding tissue. Their selectivity is mainly dependant on the number of contacts which is limited by the hand-made manufacturing process. The morphological modifications are determined by the tissue-electrode interactions. A new spiral cuff nerve electrode is proposed to improve the selectivity and lessen the tissue reaction. The manufacture of this new electrode, based on photolithographic metal deposition technology, should allow for an increased number of contacts. Additionally, this electrode has self-sizing properties that potentially lowers the implant-induced tissue reaction. The present work aims to study the interactions between the electrode and implanted tissue in an attempt to better characterise the tissue reaction and to further control it. Firstly, the interactions between connective tissue and the laser-irradiated-platinum-metallised silicone rubber are assessed both with in vitro and in vivo methods. The cytocompatibility and biocompatibility of silicone is not altered by the platinum deposition process, suggesting that this new biomaterial can be used to manufacture cuff electrodes that can safely be implanted for chronic studies. The mechanical biocompatibility of spiral cuff nerve electrodes is then investigated by morphological, immunohistochemical and western-blots analyses. The peri-operative, acute and chronic events that are related to the implantation are studied. The results show that the commonly described fibrotic reaction surrounding the implant is preceded by an important early epineurial inflammation. Additionally, cytokines involved in this tissue reaction are identified and include the pro-inflammatory cytokine TNF-alpha and pro-fibrotic cytokine TGF-beta1. In continuation of the biocompatibility testing, cytokine neutralisation through monoclonal antibodies is proposed as a way to control some of the cuff electrode-induced tissue modifications. Immunohistochemistry and morphometry are used to demonstrate the feasibility of such a control. Results show that a single systemic injection of TNF-alpha neutralising antibodies is sufficient to reduce the early inflammatory reaction occurring in the epineurial compartment but not the subsequent fibrosis. The success of an implanted neuroprosthesis is fully dependant upon the interaction between the electrode and the surrounding tissue. This study suggests that, when trying to improve the design of an electrode, one should also consider the modulation of the tissue reaction as a convenient way to enhance the implanted electrode's long-term performance.
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Vince, V. (2005). A self-sizing spiral cuff electrode for nerve recordings : morphological and physiological study. https://hdl.handle.net/2078.5/129666