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6  Structures, Materials, and Processes at the Electrode-to-Tissue Interface

133

for safe current decreased logarithmically with increasing stimulus duration. There was severe damage in the inner layers when the applied current exceeded this threshold. Colodetti et al. [11] found that the retina is sensitive to pressure exerted by the electrode. They studied the type of damage due to pressure exerted by the electrode with and without accompanying high charge stimulation in the rodent retina. Although the type of damage exhibited in both cases were roughly similar, the extent of damaged area was significantly larger in the case of accompanying high charge stimulation. These studies although informative do not in any way give a complete picture of how the retina would respond to continuous stimulation. Also, as increasing efforts are being made to make these implants more sophisticated, the added requirement of a large number of closely spaced electrodes makes it imperative to study the possible consequences of high level stimulation on both the retina and associated cortical structures. Recent work in these areas is presented in Chaps. 7 (Loudin, Butterwick, Huie and Palanker) and 12 (Fried and Jensen).

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Chapter 7

Delivery of Information and Power

to the Implant, Integration of the Electrode Array with the Retina, and Safety of Chronic Stimulation

James Loudin, Alexander Butterwick, Philip Huie, and Daniel Palanker

AbstractThe fundamental function of a visual prosthesis is to deliver information about a patient’s surroundings to his/her neurons, usually via patterned electronic stimulation. In addition to transmitting visual information from the outside world to the implanted stimulating array, visual prostheses must also pass the electrical power necessary for such stimulation from the external world to the intraocular electrode array. The first section of this chapter reviews three common methods for achieving this data and power transfer: direct wireline connections (suitable for research studies), inductively coupled coils, and photodiode-based optical systems which utilize the natural optics of the eye.

Once the data and power has been received, retinal prostheses must effectively deliver stimulation currents to surviving retinal neurons. This necessitates an understanding of the electrode/retina interface. The second section of this chapter is a histological description of this interface for the case of subretinal implants, investigating the tissue response to flat implants coated with different materials. Several three-dimensional geometries are also described and evaluated to decrease the implant–neuron distance.

Finally, stimulation currents must not damage the stimulated neurons. The third section of this chapter describes measurements and scaling laws associated with tissue damage from electric currents. Damage thresholds are found to be approximately 50–100 times stimulation thresholds.

Abbreviations

AC

Alternating current

ASR

Artificial silicon retina, a retinal prosthesis fabricated by Optobionics

CMOS

Combined metal on silicon

CMP

Computational molecular phenotyping

J. Loudin (*)

Department of Applied Physics, Stanford University, 450 Serra Mall, Stanford, CA 94305, USA

e-mail: loudin@stanford.edu

G. Dagnelie (ed.), Visual Prosthetics: Physiology, Bioengineering, Rehabilitation,

137

DOI 10.1007/978-1-4419-0754-7_7, © Springer Science+Business Media, LLC 2011