title: An externally powered, multichannel, implantable stimulator-telemeter for control of paralyzed muscle.
abstract: An implantable integrated stimulator and telemetry system has been developed. The system is capable of fulfilling the stimulus and telemetry needs of advanced functional neuromuscular stimulation (FNS) applications requiring multiple channels of stimulation and multiple channels of sensor or biopotential sensing. This system provides a command control structure, an inductive radio frequency link providing power to the implant device as well as two-way transcutaneous communication, an ASIC for decoding the command and for providing functional control within the implant, and modular circuitry providing the application specific implant functions. Biocompatible hermetic packaging, lead systems, and in-line connectors suitable for long-term implantation, provide encapsulation for the circuitry and access to the electrodes and sensors used in the application. The first implant configuration realized from this modular system is targeted for clinical implementation in persons with tetraplegia at the C6 level for restoration of hand function, using wrist position as the command control source. The implant device realized has ten channels of stimulation and telemetry used to control and sense a joint angle transducer implanted in the radio-carpal joint of the wrist. A prototype device has been fabricated and is undergoing testing in an animal.
authors.affiliation: Cleveland Medical Devices, OH 44106, USA.
authors.forename: B
authors.initials: B
authors.lastname: Smith
authors.forename: Z
authors.initials: Z
authors.lastname: Tang
authors.forename: M W
authors.initials: MW
authors.lastname: Johnson
authors.forename: S
authors.initials: S
authors.lastname: Pourmehdi
authors.forename: M M
authors.initials: MM
authors.lastname: Gazdik
authors.forename: J R
authors.initials: JR
authors.lastname: Buckett
authors.forename: P H
authors.initials: PH
authors.lastname: Peckham
mesh_terms: D000465:Algorithms; D000818:Animals; D002348:Carpal Bones / Q000601:surgery; D004285:Dogs; D004558:Electric Stimulation / Q000295:instrumentation*; D004867:Equipment Design; D010243:Paralysis / Q000534:rehabilitation*; D019736:Prostheses and Implants; D012815:Signal Processing, Computer-Assisted; D013686:Telemetry; D013813:Therapy, Computer-Assisted; D014159:Transducers