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Toward Bioelectronic Medicine—Neuromodulation of Small Peripheral Nerves Using Flexible Neural Clip

Neural modulation technology and the capability to affect organ function have spawned the new field of bioelectronic medicine. Therapeutic interventions depend on wireless bioelectronic neural interfaces that can conformally and easily attach to small (few hundred micrometers) nerves located deep in...

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Autores principales: Lee, Sanghoon, Peh, Wendy Yen Xian, Wang, Jiahui, Yang, Fengyuan, Ho, John S., Thakor, Nitish V., Yen, Shih‐Cheng, Lee, Chengkuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700646/
https://www.ncbi.nlm.nih.gov/pubmed/29201608
http://dx.doi.org/10.1002/advs.201700149
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author Lee, Sanghoon
Peh, Wendy Yen Xian
Wang, Jiahui
Yang, Fengyuan
Ho, John S.
Thakor, Nitish V.
Yen, Shih‐Cheng
Lee, Chengkuo
author_facet Lee, Sanghoon
Peh, Wendy Yen Xian
Wang, Jiahui
Yang, Fengyuan
Ho, John S.
Thakor, Nitish V.
Yen, Shih‐Cheng
Lee, Chengkuo
author_sort Lee, Sanghoon
collection PubMed
description Neural modulation technology and the capability to affect organ function have spawned the new field of bioelectronic medicine. Therapeutic interventions depend on wireless bioelectronic neural interfaces that can conformally and easily attach to small (few hundred micrometers) nerves located deep in the body without neural damage. Besides size, factors like flexibility and compliance to attach and adapt to visceral nerves associated moving organs are of paramount importance and have not been previously addressed. This study proposes a novel flexible neural clip (FNC) that can be used to interface with a variety of different peripheral nerves. To illustrate the flexibility of the design, this study stimulates the pelvic nerve, the vagus nerve, and branches of the sciatic nerve and evaluates the feasibility of the design in modulating the function of each of these nerves. It is found that this FNC allows fine‐tuning of physiological processes such as micturition, heart rate, and muscle contractions. Furthermore, this study also tests the ability of wirelessly powered FNC to enable remote modulation of visceral pelvic nerves located deep in the body. These results show that the FNC can be used with a range of different nerves, providing one of the critical pieces in the field of bioelectronics medicines.
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spelling pubmed-57006462017-11-30 Toward Bioelectronic Medicine—Neuromodulation of Small Peripheral Nerves Using Flexible Neural Clip Lee, Sanghoon Peh, Wendy Yen Xian Wang, Jiahui Yang, Fengyuan Ho, John S. Thakor, Nitish V. Yen, Shih‐Cheng Lee, Chengkuo Adv Sci (Weinh) Full Papers Neural modulation technology and the capability to affect organ function have spawned the new field of bioelectronic medicine. Therapeutic interventions depend on wireless bioelectronic neural interfaces that can conformally and easily attach to small (few hundred micrometers) nerves located deep in the body without neural damage. Besides size, factors like flexibility and compliance to attach and adapt to visceral nerves associated moving organs are of paramount importance and have not been previously addressed. This study proposes a novel flexible neural clip (FNC) that can be used to interface with a variety of different peripheral nerves. To illustrate the flexibility of the design, this study stimulates the pelvic nerve, the vagus nerve, and branches of the sciatic nerve and evaluates the feasibility of the design in modulating the function of each of these nerves. It is found that this FNC allows fine‐tuning of physiological processes such as micturition, heart rate, and muscle contractions. Furthermore, this study also tests the ability of wirelessly powered FNC to enable remote modulation of visceral pelvic nerves located deep in the body. These results show that the FNC can be used with a range of different nerves, providing one of the critical pieces in the field of bioelectronics medicines. John Wiley and Sons Inc. 2017-07-26 /pmc/articles/PMC5700646/ /pubmed/29201608 http://dx.doi.org/10.1002/advs.201700149 Text en © 2017 The Authors. Published by WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Full Papers
Lee, Sanghoon
Peh, Wendy Yen Xian
Wang, Jiahui
Yang, Fengyuan
Ho, John S.
Thakor, Nitish V.
Yen, Shih‐Cheng
Lee, Chengkuo
Toward Bioelectronic Medicine—Neuromodulation of Small Peripheral Nerves Using Flexible Neural Clip
title Toward Bioelectronic Medicine—Neuromodulation of Small Peripheral Nerves Using Flexible Neural Clip
title_full Toward Bioelectronic Medicine—Neuromodulation of Small Peripheral Nerves Using Flexible Neural Clip
title_fullStr Toward Bioelectronic Medicine—Neuromodulation of Small Peripheral Nerves Using Flexible Neural Clip
title_full_unstemmed Toward Bioelectronic Medicine—Neuromodulation of Small Peripheral Nerves Using Flexible Neural Clip
title_short Toward Bioelectronic Medicine—Neuromodulation of Small Peripheral Nerves Using Flexible Neural Clip
title_sort toward bioelectronic medicine—neuromodulation of small peripheral nerves using flexible neural clip
topic Full Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700646/
https://www.ncbi.nlm.nih.gov/pubmed/29201608
http://dx.doi.org/10.1002/advs.201700149
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