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  4. Microstructured thin-film electrode technology enables proof of concept of scalable, soft auditory brainstem implants
 
research article

Microstructured thin-film electrode technology enables proof of concept of scalable, soft auditory brainstem implants

Vachicouras, Nicolas  
•
Tarabichi, Osama
•
Kanumuri, Vivek V.
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October 16, 2019
Science Translational Medicine

Auditory brainstem implants (ABIs) provide sound awareness to deaf individuals who are not candidates for the cochlear implant. The ABI electrode array rests on the surface of the cochlear nucleus (CN) in the brainstem and delivers multichannel electrical stimulation. The complex anatomy and physiology of the CN, together with poor spatial selectivity of electrical stimulation and inherent stiffness of contemporary multichannel arrays, leads to only modest auditory outcomes among ABI users. Here, we hypothesized that a soft ABI could enhance biomechanical compatibility with the curved CN surface. We developed implantable ABIs that are compatible with surgical handling, conform to the curvature of the CN after placement, and deliver efficient electrical stimulation. The soft ABI array design relies on precise microstructuring of plastic-metal-plastic multilayers to enable mechanical compliance, patterning, and electrical function. We fabricated soft ABIs to the scale of mouse and human CN and validated them in vitro. Experiments in mice demonstrated that these implants reliably evoked auditory neural activity over 1 month in vivo. Evaluation in human cadaveric models confirmed compatibility after insertion using an endoscopic-assisted craniotomy surgery, ease of array positioning, and robustness and reliability of the soft electrodes. This neurotechnology offers an opportunity to treat deafness in patients who are not candidates for the cochlear implant, and the design and manufacturing principles are broadly applicable to implantable soft bioelectronics throughout the central and peripheral nervous system.

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Type
research article
DOI
10.1126/scitranslmed.aax9487
Web of Science ID

WOS:000490558200005

Author(s)
Vachicouras, Nicolas  
Tarabichi, Osama
Kanumuri, Vivek V.
Tringides, Christina M.
Macron, Jennifer  
Fallegger, Florian  
Thenaisie, Yohann
Epprecht, Lorenz
McInturff, Stephen
Qureshi, Ahad A.
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Date Issued

2019-10-16

Published in
Science Translational Medicine
Volume

11

Issue

514

Article Number

eaax9487

Subjects

Cell Biology

•

Medicine, Research & Experimental

•

Research & Experimental Medicine

•

cochlear nucleus

•

stimulation

•

surface

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LSBI  
CNP  
Available on Infoscience
October 26, 2019
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/162368
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