The present disclosure relates to implantable net, devices and methods of fabrication, and in particular to thin-film lead assemblies and neural interfaces, and methods of microfabricating thin-film lead assemblies and neural interfaces.
Normal neural activity is an intricate balance of electrical and chemical signals, which can be disrupted by a variety of insults (genetic, chemical or physical trauma) to the nervous system, causing cognitive, motor and sensory impairments. Similar to the way a cardiac pacemaker or defibrillator corrects heartbeat abnormalities, neuromodulation therapies help to reestablish normal neural balance. In particular instances, neuromodulation therapies utilize medical device technologies to enhance or suppress activity of the nervous system for the treatment of disease. These technologies include implantable as well as non-implantable neuromodulation devices and systems that deliver electrical, chemical or other agents to reversibly modify brain and nerve cell activity. The mast common neuromodulation therapy is spinal cord stimulation to treat chronic neuropathic pain. In addition to chronic pain relief, some examples of neuromodulation therapies include deep brain stimulation for essential tremor, Parkinson's disease, dystonia, epilepsy and psychiatric disorders such as depression, obsessive compulsive disorder and Tourette syndrome; sacral nerve stimulation for pelvic disorders and incontinence; vagus nerve stimulation for rheumatoid arthritis; gastric and colonic stimulation for nastrointestinal disorders such as dysmotility or obesity; varus nerve stimulation for epilepsy, obesity or depression; carotid artery stimulation for hypertension, and spinal cord stimulation for ischemic disorders such as angina and peripheral vascular disease.
Neuromodulation devices and systems tend to have a similar form factor, derived from their predecessors, e.g. the pacemaker or defibrillator. Such neuromodulation devices and systems typically consist of an implant comprising a neurostimulator having electronics connected to a lead assembly that delivers electrical pulses to electrodes interfaced with nerves or nerve bundles via a neural interface. The lead assembly is typically thrilled of a conductive material and takes the form of an insulated wire connected to the neural interface via a first connector on one end (e.g., a distal end) and the electronics of the neurostimulator via a second connector on another end (e.g., a proximal end). In some instances (e.g., deep implants), the lead assembly comprises additional conductors and connectors such as extension wires or a cable connected via connectors between the electrodes and the electronics of the neurostimulator.
Conventional microfabrication processes enable neural interfaces of significant complexity such as retinal prostheses. For example, neural interfaces formed from flexible electronics may be manufactured using lithographic patterning and lamination methods that enable smaller feature sizes and increased scalability. Flexible electronics, also known as flex circuits, is a technology for assembling electronic circuits by mounting electronic devices on flexible substrates, such as polyimide, polyether ether ketone (PEEK), or transparent conductive polyester film. Most flexible substrates used for microfabricated neural interfaces maintain some rigidity, and thus are mechanically mismatched with the neural tissue. As a result, the flexible substrates may be overmolded with softer materials such as silicones and urethanes in order to mechanically match with the neural tissue. However, adhesion of the softer materials to flexible substrates can degrade over time, exposing the flexible substrate to the tissue. This loss of adhesion can eventually result in release of the flexible substrates from the soft material backing. In view of these factors, it may be desirable to develop neuromodulation devices and systems with neural interfaces that are capable of having design flexibility such that the electrodes sit as close to the neural tissue as possible, and desirable mechanical properties to mitigate loss of adhesion of the softer materials and improve upon reliability of performance.
In various embodiments, a thin-film neural interface is provided comprising: a supporting structure comprised of one or more layers of dielectric material, where the supporting structure comprises a front side and a back side', one or more conductive traces formed on the one or more layers of dielectric material; one or more electrodes formed on the front side of the supporting structure in electrical connection with the one or more conductive traces; and a backing formed on the back side of the supporting structure, where the backing is comprised of a medical grade polymer material, the supporting structure includes one or more through holes, and the medical grade polymer material fills at least a portion of each of the one or more through holes.
In some embodiments, the one or more layers of dielectric material have a thickness from 1 μm to 100 μm, and the dielectric material is polyimide, liquid crystal polymer, parylene, polyether ether ketone, or a combination thereof.
In some embodiments, the one or more conductive traces have a thickness from 0.05 μm to 25 μm, the one or more conductive traces are comprised of one or more layers of conductive material, and the conductive material is gold (Au), gold/chromium (Au/Cr), platinum (Pt), platinum/iridium (Pt/Ir), titanium (Ti), gold/titanium (Au/Ti), or any alloy thereof.
In some embodiments, the one or more electrodes have a thickness from 0.05 μm to 25 μm, the one or more electrodes are comprised of one or more, layers of conductive material, and the conductive material is PEDOT (Poly(3,4-ethylenedioxythiophene)), gold (Au), gold/chromium (Au/Cr), platinum (Pt), platinum/iridium (Pt/Ir), titanium (Ti), gold/titanium (Au/Ti), or any alloy thereof.
In some embodiments, the backing has a thickness from 10 μm to 150 μm, and the medical grade polymer material is silicone, a polymer dispersion, parylene, or a polyurethane.
In some embodiments, the supporting structure further comprises opposing edges, the backing wraps around the opposing edges from the back side of the supporting structure, and the backing is coplanar with the front side of the supporting structure.
In other embodiments, the supporting structure further comprises opposing edges, and the backing wraps around the opposing edges from the back side of the supporting structure. Optionally, the opposing edges comprise a pattern in the one or more layers of dielectric material, and the backing further comprises a pattern in the medical grade polymer material that interlocks with the pattern in the one or more layers of dielectric material. Optionally, the backing is overmolded over the opposing edges, and the medical grade polymer material forms a backing layer on a portion of the front side of the supporting structure that is adjacent to the opposing edges. In some embodiments, the backing layer has a thickness from 10 μm to 150 μm. In some embodiments, the opposing edges are extended or folded to maintain a predetermined distance between the backing layer and the one or more electrodes. Optionally, the predetermined distance is from 0.25 mm to 25 mm.
In various embodiments, a thin-film neural interface is provided comprising: a supporting structure comprised of one or more layers of dielectric material, where the supporting structure comprises a front side, a back side, and opposing edges; one or more conductive traces formed on the one or more layers of dielectric material; one or more electrodes formed on the front side of the supporting structure in electrical connection with the one or more conductive traces; and a backing formed on the back side of the supporting structure and wraps around the opposing edges from the back side of the supporting structure, where the backing is comprised of a medical grade polymer material, the opposing edges comprise a pattern in the one or more layers of dielectric material, and the backing further comprises a pattern in the medical grade polymer material that interlocks with the pattern in the one or more layers of dielectric material.
In some embodiments, the one or more layers of dielectric material have a thickness from 1 μm to 100 μm, and the dielectric material is polyimide, liquid crystal polymer, parylene, polyether ether ketone, or a combination thereof.
In some embodiments, the one or more conductive traces have a thickness from 0.05 μm to 25 μm, the one or more conductive traces are comprised of one or more layers of conductive material, and the conductive material is gold (Au), gold/chromium (Au/Cr), platinum (Pt), platinum/iridium (Pt/Ir), titanium (Ti), gold/titanium (Au/Ti), or any alloy thereof.
In some embodiments, the one or more electrodes have a thickness from 0.05 μm to 25 μm, the one or more electrodes are comprised of one or more layers of conductive material, and the conductive material is PEDOT (Poly(3,4-ethylenedioxythiophene)), gold (Au), gold/chromium (Au/Cr), platinum (Pt), platinum/iridium (Pt/Ir), titanium (Ti), gold/titanium (Au/Ti), or any alloy thereof.
In some embodiments, the backing has a thickness from 10 μm to 150 μm, and the medical grade polymer material is silicone, a polymer dispersion, parylene, or a polyurethane.
In some embodiments, the backing is coplanar with the front side, of the supporting structure.
In various embodiments, a thin-film neural interface is provided comprising: a supporting structure comprised of one or more layers of dielectric material, where the supporting structure comprises a front side, a back side, and opposing edges; one or more conductive traces formed on the one or more layers of dielectric material; one or more electrodes formed on the front side of the supporting structure in electrical connection with the one or more conductive traces; and a backing formed on the back side of the supporting structure and wraps around the opposing edges from the back side of the supporting structure, where the backing is comprised of a medical grade polymer material, the backing is overmolded over the opposing edges, and the medical grade polymer material forms a backing layer on a portion of the front side of the supporting structure that is adjacent to the opposing edges.
In some embodiments, the one or more layers of dielectric material have a thickness from 1 μm to 100 μm, and the dielectric material is polyimide, liquid crystal polymer, parylene, polyether ether ketone, or a combination thereof.
In some embodiments, the one or more conductive traces have a thickness from 0.05 μm to 25 μm, the one or more conductive traces are comprised of one or more layers of conductive material, and the conductive material is gold (Au), gold/chromium (Au/Cr), platinum (Pt), platinum/iridium (Pt/Ir), titanium (Ti), gold/titanium (Au/Ti), or an alloy thereof.
In some embodiments, the one or more electrodes have a thickness from 0.05 μm to 25 μm, the one or more electrodes are comprised of one or more layers of conductive material, and the conductive material is PEDOT (Poly(3,4-ethylenedioxythiophene)), gold (Au), gold/chromium (Au/Cr), platinum (Pt), platinum/iridium (Pt/Ir), titanium (Ti), gold/titanium. (Au/Ti), or any alloy thereof.
In some embodiments the backing has a thickness from 10 μm to 150 μm, and the medical grade polymer material is silicone, a polymer dispersion, parylene, or a polyurethane.
In some embodiments, the backing layer has a thickness from 10 μm to 150 μm.
In some embodiments, the opposing edges are extended or folded to maintain a predetermined distance between the backing layer and the one or more electrodes. Optionally, the predetermined distance is from 0.25 mm to 25 mm.
In various embodiments, a thin-film lead assembly is provided comprising: a cable comprising a supporting structure and a plurality of conductive traces formed on a portion of the supporting structure, where the supporting structure is comprised of one or more layers of dielectric material; an thin-film neural interface formed on the supporting structure at a distal end of the cable, where the thin-film neural interface comprises; (i) one or more electrodes formed on a front side of the supporting structure in electrical connection with one or more conductive traces of the plurality of conductive traces, and (ii) a backing formed on a back side of the supporting structure, where the backing is comprised of a medical grade polymer material, and the supporting structure includes one or more features for mechanical adhesion with the backing; and a connector in electrical connection with the one or more conductive traces of the plurality of conductive traces at a proximal end of the cable.
In some embodiments, the supporting structure further comprises opposing edges, the backing wraps around the opposing edges from the back side of the supporting structure, and the backing is coplanar with the front side of the supporting structure.
In some embodiments, the supporting structure further comprises opposing edges, and the backing wraps around the opposing edges from the back side of the supporting structure.
In some embodiments, the one or more features comprise one or more through holes, and the medical grade polymer material fills at least a portion of each of the one or more through holes.
In some embodiments, the one or more features comprise a pattern formed in the one or more layers of dielectric material at the opposing edges, and the backing further comprises a pattern in the medical grade polymer material that interlocks with the pattern in the one or more layers of dielectric material.
In some embodiments, the backing is overmolded over the opposing edges, the medical grade polymer material forms a backing layer on a portion of the front side of the supporting structure that is adjacent to the opposing edges, and the one or more features comprise the opposing edges being extended or folded to maintain a predetermined distance between the backing layer and the one or more electrodes.
In various embodiments, a method of manufacturing a thin-film neural interface is provided that comprises: obtaining an initial structure comprising: a proximal end, a distal end, a supporting structure that extends from the proximal end to the distal end, one or more of conductive traces formed on a portion of the supporting structure, and one or more electrodes in electrical connection with the one or more conductive traces of the plurality of conductive traces, where the one or more electrodes are formed on a front side of the supporting structure, and the supporting structure comprises one or more features for mechanical adhesion with a backing; adding a manipulation device to the initial structure, where the manipulation device extends from the proximal end to the distal end of the initial structure, and the manipulation device hangs over each of the proximal end and the distal end; attaching, using the manipulation device, the initial structure to a mandrel; loading the mandrel with the attached initial structure into a cavity of a mold; injecting a backing material into the cavity of the mold to form a backing over a back side of the supporting structure; heating the backing and the initial structure attached to the mandrel to form the thin-film neural interface with the backing attached to the back side of the supporting structure via the one or more features; and removing; the mandrel from the thin-film neural interface.
In various embodiments, a method of manufacturing a thin-film neural interface is provided that comprises: obtaining an initial structure comprising: a proximal end, a distal end, a supporting structure that extends from the proximal end to the distal end, one or more of conductive traces formed on a portion of the supporting structure, and one or more electrodes in electrical connection with the one or more conductive traces of the plurality of conductive traces, where the one or more electrodes are formed on a front side of the supporting structure, and the supporting structure comprises one or more features for mechanical adhesion with a backing; adding a manipulation device to the initial structure, where the manipulation device extends from the proximal end to the distal end of the initial structure, and the manipulation device hangs over each of the proximal end and the distal end; attaching, using the manipulation device, the initial structure to a mandrel; inserting the mandrel with the attached initial structure into a tube of backing material to form an intermediate structure; heating the intermediate structure to reflow the tube of backing material and form the thin-film neural interface with the backing attached to a back side of the supporting structure via the one or more features; and removing the mandrel from the thin-film neural interface.
In some embodiments, the obtaining the initial structure comprises: forming a first polymer layer of the supporting structure on a wafer or panel of substrate; forming the one or more conductive traces on a first portion of the first polymer layer; forming a wiring layer on a second portion of the first polymer layer, where the forming the wiring layer comprises depositing a conductive material in electrical contact with the one or more of conductive traces; depositing a second polymer layer of the supporting structure on the wiring layer and the second portion of the first polymer layer; forming the one or more electrodes on the second polymer layer such that the one or more electrodes are in electrical contact with at least a portion of a top surface of the wiring layer; forming the one or more features in the first polymer layer, the second polymer layer, or a combination thereof; cutting the initial structure from the first polymer layer and the second polymer layer; and removing the initial structure from the wafer or panel of substrate,
In some embodiments, the supporting structure is comprised of one or more layers of dielectric material.
In some embodiments, the one or more layers of dielectric material have a thickness from 1 μm to 100 μm, and the dielectric material is polyimide, liquid crystal polymer, parylene, polyether ether ketone, or a combination thereof.
In some embodiments, the one or more conductive traces have a thickness from 0.05 μm to 25 μm, the one or more conductive traces are comprised of one or more layers of conductive material, and the conductive material is gold (Au), gold/chromium (Au/Cr), platinum (Pt), platinum/iridium (Pt/Ir), titanium (Ti), gold/titanium (Au/Ti), or any alloy thereof.
In some embodiments, the one or more electrodes have a thickness from 0.05 μm to 25 μm, the one or more electrodes are comprised of one or more layers of conductive material, and the conductive material is PEDOT (Poly(3,4-ethylenedioxythiophene)), gold (Au), gold/chromium (Au/Cr), platinum (Pt), platinum/iridium (Pt/Ir), titanium (Ti), gold/titanium (Au/Ti), or any alloy thereof.
In some embodiments, the backing has a thickness from 10 μm to 150 μm, and the backing material is silicone, a polymer dispersion, parylene, or a polyurethane.
In some embodiments, the supporting structure comprises opposing edges, and where the mold, the mandrel, or a combination thereof comprises a design feature such that when the backing material is injected or reflowed the backing is formed wrapping around the opposing edges from the back side of the supporting structure, and the backing is coplanar with the front side of the supporting structure.
In some embodiments, the supporting structure comprises opposing edges, and where the mold, the mandrel, or a combination thereof comprises a first design feature such that when the backing material is injected or reflowed the backing is formed wrapping around the opposing edges from the back side of the supporting structure.
In some embodiments, the one or more features comprise one or more through holes, and the backing material fills at least a portion of each of the one or more through holes.
In some embodiments, the one or more features comprise a pattern formed in the supporting structure at the opposing edges, and where the mold, the mandrel, or a combination thereof comprises a second design feature such that when the backing material is injected or reflowed the backing is formed comprising a pattern that interlocks with the pattern in the supporting structure.
In some embodiments, the mold, the mandrel, or a combination thereof comprises a third design feature such that when the backing material is injected or reflowed the backing is overmolded over the opposing edges, the backing material forms a backing layer on a portion of the front side of the supporting structure that is adjacent to the opposing edges, and the one or more features comprise the opposing edges being extended or folded to maintain a predetermined distance between the backing layer and the one or more electrodes.
The present invention will be better understood in view of the following non-limiting figures, in which:
The following disclosure describes thin-film lead assemblies and neural interfaces, and methods of microfabricating thin-film lead assemblies and neural interfaces. As used herein, the phrases “microfabrication” and “microfabricating” refers to the process of fabricating miniature structures on micrometer scales and smaller. The major concepts and principles of microfabrication are microlithography, doping, thin-films, etching, banding, and polishing. As used herein, the phrase “thin-films” refers to a layer of material ranging from fractions of a nanometer (monolayer) to several micrometers in thickness (e.g., between a few nanometers to about 100 μm, or the thickness of a few atoms). Thin-films may be deposited by applying a very thin film of material (e.g., between a few nanometers to about 100 μm, or the thickness of a few atoms) onto a substrate surface to be coated, or onto a previously deposited layer of thin film. In various embodiments, the thin-film lead assemblies and neural interfaces are provided comprising a substrate (e.g., a flexible substrate or supporting structure), one or more electrodes formed on a front side of the base polymer layer, and a backing formed on the back side of the base polymer layer.
Limitations associated with conventional thin-film lead assemblies and neural interfaces is that the substrate (e.g., a flexible substrate or supporting structure) used for the interface maintains some rigidity, and thus is mechanically mismatched with the neural tissue. As a result, the substrate may be overmolded with softer materials such as silicones and urethanes in order to mechanically match with the neural tissue. The softer materials may be spin coated or overmolded to the backside of an unperforated substrate. There is a desire to only use the softer materials as the backing on the backside of the substrate (e.g., without an intervening adhesion layer) so that the electrodes on the front side of the substrate can sit as close to the neural tissue as possible. However, there are challenges to creating such a neural interface without poor mechanical and reliability performance. For example, adhesion of the softer materials to substrates can degrade over time under exposure to bodily fluid, exposing the substrate to the tissue. This loss of adhesion can eventually result in release of the substrates from the soft material backing and ultimately results in mechanical and/or performance failure.
To address these limitations and problems, the thin-film neural interface of various embodiments disclosed herein comprises a supporting structure that has one or more features structured to facilitate mechanical adhesion between the supporting structure and the backing. The one or more features may include: (i) through holes in the supporting structure, (ii) a pattern formed in the supporting structure, (iii) edges of the supporting structure that are extended or folded, or (iv) any combination thereof. One illustrative embodiment of the present disclosure is directed to a thin-film neural interface comprising: a supporting structure comprised of one or more layers of dielectric material, where the supporting structure comprises a front side and a back side; one or more conductive traces formed on the one or more layers of dielectric material; one or more electrodes formed on the from side of the supporting structure in electrical connection with the one or more conductive traces; and a backing formed on the back side of the supporting structure. The backing is comprised of a medical grade polymer material, the supporting structure includes one or more through holes, and the medical grade polymer material fills at least a portion of each of the one or more through holes.
In other embodiments, a thin-film neural interface is provided comprising: a supporting structure comprised of one or more layers of dielectric material, where the supporting structure comprises a front side, a back side, and opposing edges; one or more conductive traces formed on the one or more layers of dielectric material; one or more electrodes formed on the front side of the supporting structure in electrical connection with the one or more conductive traces; and a backing formed on the back side of the supporting structure and wraps around the opposing edges from the back side of the supporting structure. The backing is comprised of a medical grade polymer material, the opposing edges comprise a pattern in the one or more layers of dielectric material, and the backing further comprises a pattern in the medical grade polymer material that interlocks with the pattern in the one or more layers of dielectric material,
In other embodiments, a thin-film neural interface is provided comprising: a supporting structure comprised of one or more layers of dielectric material, where the supporting structure comprises a front side, a back side, and opposing edges; one or more conductive traces formed on the one or more layers of dielectric material; one or more electrodes formed on the front side of the supporting structure in electrical connection with the one or more conductive traces; and a backing formed on the back side of the supporting structure and wraps around the opposing edges from the back side of the supporting structure. The backing is comprised of a medical grade polymer material, the backing is overmolded over the opposing edges, and the medical grade polymer material forms a backing layer on a portion of the front side of the supporting structure that is adjacent to the opposing edges.
In other embodiments, a thin-film lead assembly is provided comprising: a cable comprising a supporting structure and a plurality of conductive traces formed on a portion of the supporting structure, where the supporting structure is comprised of one or more layers of dielectric material; an thin-film neural interface formed on the supporting structure at a distal end of the cable, where the thin-film neural interface comprises: (i) one or more electrodes formed on a front side of the supporting structure in electrical connection with one or more conductive traces of the plurality of conductive traces, and (ii) a backing formed on a back side of the supporting structure, and where the backing is comprised of a medical article polymer material, and the supporting structure includes one or more features for mechanical adhesion with the backing; and a connector in electrical connection with the one or more conductive traces of the plurality of conductive traces at a proximal end of the cable.
To further address these limitations and problems, a method of manufacturing a thin-film neural interface of various embodiments disclosed herein includes process steps for creating a structure, which results in improved mechanical adhesion between the supporting structure and the backing, a smaller footprint, and greater design flexibility. One illustrative embodiment of the present disclosure is directed to method of manufacturing a thin-film neural interface that comprises obtaining an initial structure comprising: a proximal end, a distal end, a supporting structure that extends from the proximal end to the distal end, one or more of conductive traces formed on a portion of the supporting structure, and one or more electrodes in electrical connection with the one or more conductive traces of the plurality of conductive traces, where the one or more electrodes are formed on a front side of the supporting structure, and the supporting structure comprises one or more features for mechanical adhesion with a backing; adding a suture to the initial structure, where the suture extends from the proximal end to the distal end of the initial structure, and the suture hangs over each of the proximal end and the distal end; attaching, using the suture, the initial structure to a mandrel; loading the mandrel with the attached initial structure into a cavity of a mold; injecting a backing material into the cavity of the mold to form the backing over a back side of the supporting structure; heating the backing and the initial structure attached to the mandrel to form the thin-film neural interface with the backing attached to the back side of the supporting structure via the one or more features; and removing the mandrel from the thin-film neural interface.
In other embodiments, a method of manufacturing a thin-film neural interface is provided that comprises obtaining an initial structure comprising: a proximal end, a distal end, a supporting, structure that extends from the proximal end to the distal end, one or more of conductive traces formed on a portion of the supporting structure, and one or more electrodes in electrical connection with the one or more conductive traces of the plurality of conductive traces, where the one or more electrodes are formed on a front side of the supporting structure, and the supporting structure comprises one or more features for mechanical adhesion with a backing; adding a suture to the initial structure, where the suture extends from the proximal end to the distal end of the initial structure, and the suture bangs over each of the proximal end and the distal end; attaching, using the suture, the initial structure to a mandrel; inserting the mandrel with the attached initial structure into a tube of backing material to form an intermediate structure; heating the intermediate structure to reflow the tube of backing material and form thin-film neural interface with the backing attached to a back side of the supporting structure via the one or more features; and removing the mandrel from the thin-film neural interface.
Advantageously, these approaches provide a thin-film neural interface, which has improved mechanical adhesion between the supporting structure and the backing, a smaller footprint, and greater design flexibility. This solution is scalable to interface multiple electrodes with tissue using thin film substrates, and thus enabling several therapeutic opportunities for neurostimulation. Furthermore even for applications where multiple electrodes are not required, various embodiments can be miniaturized to make the implant minimally invasive, additionally may make invasive anatomies to become accessible (or navigable) due to the miniaturization. It should be understood that although deep brain neurostimulation and vagus nerve or artery/nerve plexus device applications are provided as examples of some embodiments, this solution is applicable to all interfaces, leads, and devices that need electrodes/sensors interfaced with tissue.
In some embodiments, the electronics module 135 may be connected (e.g., electrically connected) to interior ends of the feedthrough assembly 120 such that the electronics module 135 is able to apply a signal or electrical current to conductive traces of the lead assembly 110 connected to exterior ends of the feedthrough assembly 120. The electronics module 135 may include discrete and/or integrated electronic circuit components that implement analog and/or digital circuits capable of producing the functions attributed to the neuromodulation devices or systems such as applying or delivering neural stimulation to a patient. In various embodiments, the electronics module 135 may include software and/or electronic circuit components such as a pulse generator 140 that generates a signal to deliver a voltage, current, optical, or ultrasonic stimulation to a nerve or artery/nerve plexus via electrodes, a controller 145 that determines or senses electrical activity and physiological responses via the electrodes and sensors, controls stimulation parameters of the pulse generator 140 (e.g., control stimulation parameters based on feedback from the physiological responses), and/or causes delivery of the stimulation via the pulse generator 140 and electrodes, and a memory 150 with program instructions operable on by the pulse generator 140 and the controller 145 to perform one or more processes for applying or delivering neural stimulation.
In various embodiments, the lead assembly 110 is a monolithic structure that includes a cable or lead body 155. In some embodiments, the lead assembly 110 further includes one or more thin-film neural interfaces 160 (e.g., an electrode assembly) having one or more electrodes 165, and optionally one or more sensors. In some embodiments, the lead assembly 110 further includes a connector 170. In certain embodiments, the connector 170 is bonding material that bonds conductor material of the cable 155 to the electronics module 135 of the implantable neurostimulator 105 via the feedthrough assembly 120. The bonding material may be a conductive epoxy or a metallic solder or weld such as platinum. In other embodiments, the connector 170 is conductive wire, conductive traces, or bond pads (e.g., a wire, trace, or bond pads formed of a conductive material such as copper, silver, or gold) formed on a substrate and bonds a conductor of the cable 155 to the electronics module 135 of the implantable neurostimulator 105. In alternative embodiments, the implantable neurostimulator 105 and the cable 155 are designed to connect with one another via a mechanical connector 170 such as a pin and sleeve connector, snap and lock connector, flexible printed circuit connectors, or other means known to those of ordinary skill in the art.
The cable 155 may include one or more conductive traces 175 formed on a supporting structure 180. The one or more conductive traces 175 allow for electrical coupling of the electronics module 135 to the electrodes 165 and/or sensors of the thin-film neural interface 160. The supporting structure 180 may be formed with a dielectric material such as a polymer having suitable dielectric, flexibility and biocompatibility characteristics. Polyurethane, polycarbonate, silicone, polyethylene, fluoropolymer and/or other medical polymers, copolymers and combinations or blends may be used. The conductive material for the traces 175 may be any suitable conductor such as stainless, steel, silver, copper or other conductive materials, which may have separate coatings or sheathing for anticorrosive, insulative and/or protective reasons.
The thin-film neural interface 160 may include the electrodes 165 and/or sensors fabricated using various shapes and patterns to create certain types of interfaces (e.g., book electrodes, split cuff electrodes, spiral cuff electrodes, epidural electrodes, helical electrodes, probe electrodes, linear electrodes, neural probe, paddle electrodes, intraneural electrodes, etc.). In various embodiments, the thin-film neural interface 160 include abase material that provides support for microelectronic structures including the electrodes 165, a wiring layer, optional contacts, etc. In some embodiments, the base material is the supporting structure 180. The wiring layer may be embedded within or located on a surface of the supporting structure 180. The wiring layer may be used to electrically connect the electrodes 165 with the one or more conductive traces 175 directly or indirectly via a lead conductor. The term “directly”, as used herein, may be defined as being without something in between. The term “indirectly”, as used herein, may be defined as having something in between. In some embodiments, the electrodes 165 may make electrical contact with the wiring layer by using the contacts.
In various embodiments, the supporting structure 205 is made of one or more layers of dielectric material (i.e., an insulator). The dielectric material may be selected from the group of electrically nonconductive materials consisting of organic or inorganic polymers, ceramics, glass, glass-ceramics, polyimide-epoxy, epoxy-fiberglass, and the like. In some embodiments, the dielectric material is a polymer of imide monomers (i.e., a polyimide), a liquid crystal polymer (LCP) such as Kevlar®, parylene, polyether ether ketone (PEEK), or a combination thereof. In other embodiments, the supporting structure 205 is made of one or more layers of dielectric material formed on a substrate. The substrate may be made from any type of metallic or non-metallic material. In some embodiments, the supporting structure 205 comprising the one or more layers of dielectric material, and optionally the substrate, has a thickness (t) from the front side 220 to the backside side 225 and a length (l) from the proximal end 210 to the distal end 215. In some embodiments, the thickness (t) is from 1 μm to 250 μm, from 1 μm to 100, or from 10 μm to 150, for example about 50 μm or about 60 μm. In some embodiments, the length (l) is from 0.5 mm to 25 cm or 0.5 mm to 10 cm, e.g., about 2 cm. used herein, the terms “substantially,” “approximately” and “about” are defined as being largely but not necessarily wholly what is specified (and include wholly what is specified) as understood by one of ordinary skill in the art. In any disclosed. embodiment, the term “substantially,” “approximately,” or “about” may be substituted with “within [a percentage] of” what is specified, where the percentage includes 0.1, 1, 5, and 10 percent.
As shown in
The one or more conductive traces 240 may be deposited onto a surface of the supporting structure 205 by using thin film deposition techniques well known to those skilled in the art such as by sputter deposition, chemical vapor deposition, metal organic chemical vapor deposition, electroplating, electroless plating, and the like. In various embodiments, the thickness of the one or more conductive traces 240 is dependent on the particular impedance desired for conductor, in order to ensure excellent signal integrity (e.g., electrical signal integrity for stimulation or recording). For example, if a conductor having a relatively high impedance is desired, a small thickness of conductive material should be deposited onto the supporting structure 240. If, however, a signal plane having a relatively low impedance is desired, a greater thickness of electrically conductive material should be deposited onto the supporting structure 240. In some embodiments, each of the one or more conductive traces 240 has a thickness (d). In some embodiments, the thickness (d) is from 0.05 μm to 100 μm, from 0.05 μm to 25 μm, or from 0.1 μm to 15 μm, for example about 0.5 μm or about 10 μm. In some embodiments, each of the one or more conductive traces 240 has a length (m) of about 0.1 mm to 25 cm or 0.5 mm to 10 cm, e.g., about 3 mm.
As shown in
In some embodiments, the one or more electrodes 245 are comprised of one or m r layers of conductive material, and the conductive material is PEDOT (Poly(3,4-ethylenedioxythiophene)), gold (Au), gold/chromium (Au/Cr), platinum (Pt), platinum/iridium (Pt/Ir), titanium (Ti), gold/titanium (Au/Ti), or any alloy thereof. The one or more electrodes 245 may have a thickness (z) of from 0.05 μm to 150 μm, from 0.05 μm to 50 μm, from 0.05 μm to 25 μm, or from 1 μm to 15 μm. The one or more electrodes 245 may be formed directly on the supporting structure 205. Alternatively, the one or more electrodes 245 may be formed indirectly on the supporting structure 245 (e.g., a layer of polymer such as silicone may be formed between the electrodes and the supporting structure). In some embodiments, contact(s) 255 are formed on the supporting structure 205 and provide the electrical connection between the one or more electrodes 245 and one or more conductive traces 240, optionally via the wiring layer 250. The contact(s) 255 may be comprised of conductive material such as gold (Au), gold/chromium (Au/Cr), platinum (Pt), platinum/iridium (Pt/Ir), titanium (Ti), gold/titanium (Au/Ti), or any alloy thereof. for example.
As shown in
In some embodiments, the supporting structure 305 includes one or more features 365 for mechanical adhesion with the backing 360. As shown in
In some embodiments, the supporting structure 405 includes one or more features 465 for mechanical adhesion with the backing 460. As shown in
In some embodiments, the supporting structure 505 includes one or more features 565 for mechanical adhesion with the backing 560. As shown in
In various embodiments, the one or more features provided to facilitate mechanical adhesion are a single feature (e.g., the through holes, the patterns, or the extensions). In other embodiments, the one or more features provided to facilitate mechanical adhesion are a multiple features (e.g., a combination of two or more of the features: the through holes, the patterns, and the extensions). For example, the through boles may be combined with the patterns, the extensions, or a combination thereof to thither facilitate mechanical adhesion. Alternatively, the patterns may be combined with the through holes, the extensions, or a combination thereof to further facilitate mechanical adhesion. Alternatively, the extensions may be combined with the through holes, the patterns, or a combination thereof to further facilitate mechanical adhesion (see, e.g.,
While the thin-film neural interfaces have been described at some length and with some particularity with respect to a specific design and/or performance need, it is not intended that the thin-film neural interface be limited to any such particular design and/or performance need. Instead, it should be understood the lead assemblies described herein are exemplary embodiments, and that the thin-film neural interface are to he construed with the broadest sense to include variations of the specific design and/or performance need described herein, as well as other variations that are well known to those of skill in the art. In particular, the shape and location of components and layers in the thin-film neural interface may be adjusted or modified to meet specific design and/or performance needs. Furthermore, it is to be understood that other structures have been omitted from the description of the thin-film neural interface for clarity. The omitted structures may include sensor structures, insulating layers, interconnect components, passive devices, etc.
As used herein, the term “depositing” may include any known or later developed techniques appropriate for the material to be deposited including but not limited to, for example: chemical vapor deposition (CVD), low-pressure CVD (LPCVD), plasma-enhanced CVD (PECVD), semi-atmosphere CVD (SACVD) and high density plasma CVD (HDPCVD), rapid thermal CVD (RTCVD), ultra-high vacuum CVD (UHVCVD), limited reaction processing CVD (LRPCVD), metalorganic CVD (MOCVD), sputtering deposition, ion beam deposition, electron beam deposition, laser assisted deposition, thermal oxidation, thermal nitridation, spin-on methods, physical vapor deposition(PVD), atomic layer deposition (ALD), chemical oxidation, molecular beam epitaxy (MBE), plating (e.g., electroplating), or evaporation.
The first polymer layer 605 may be comprised of dielectric material (i.e., an insulator). The dielectric material may be selected from the group of electrically nonconductive materials consisting of organic or inorganic polymers, ceramics, glass, glass-ceramics, polyimide-epoxy, epoxy-fiberglass, and the like. In certain embodiments, the dielectric material is a thermoplastic or thermosetting polymer. For example, the polymer may be a polyimide, a LCP, parylene, a PEEK, or combinations thereof. The forming of the first polymer layer 605 may include depositing and curing a dielectric material directly on the substrate 610 without an adhesion promoter. For example, a solution comprised of an imidizable polyamic acid compound dissolved in a vaporizable organic solvent without an adhesion promoter may be deposited (e.g., spin coated) onto the substrate 610. The solution may then be heated at a temperature, preferably less than 250° C., to imidize the polyamic acid compound to form the desired polyimide and vaporize the solvent. The first polymer layer 605 may then be thinned to a desired thickness by planarization, grinding, wet etch, dry etch, oxidation followed by oxide etch, or any combination thereof. This process can be repeated to achieve a desired thickness for the first polymer layer 605. In some embodiments, the first polymer layer 605 may have a thickness from 10 μm to 150 μm. In some embodiments, the first polymer layer 605 may have a thickness from 25 μm to 100 μm. In some embodiments, the first polymer layer 605 may have a thickness from 35 μm to 75 μm.
Following deposition of the seed layer, a resist pattern may be formed above the first polymer layer 605. The resist pattern may include openings that align over at least a portion of the first polymer layer 605 for forming of a plurality of conductive traces 615 (e.g., a conductive layer with a cross-sectional thickness of 0.05 μm to 25 μm or from 0.5 μm to 15 μm) on the first polymer layer 805. For example, the resist may be patterned with openings to form: (i) a first conductive trace 615 over a first region 617 of the first polymer layer 605, and (ii) a second conductive trace 615 over a second region 618 of the first polymer layer 805. It should be understood by those of skill in the art that different patterns and shapes are also contemplated by the present invention based on the design and complexity of the neural interface 600.
In various embodiments, the conductive traces 615 may be deposited through electroplating (e.g., through Au electroplating, Sn electroplating, Au/Cr electroplating, etc.) and may be positioned over at least a portion of the first polymer layer 605 (e.g., the first region 617 and the second region 618). The electroplating maybe performed at a current density of about 4.0 mA/cm2 to about 4.5 mA/cm2. In some embodiments, the exposed area or portion of the first polymer layer 605 may encompass about 8 cm2 to about 10 cm2. The current may be about 14 mA to about 18 mA and the duration may be from about 110 minutes to about 135 minutes to form the conductive traces 615 having a thickness of about 8 μm to about 10 μm. In other embodiments, the exposed area or portion of the first polymer layer 605 may encompass about 10 cm2 to about 18 cm2. The current may be about 18 mA to about 28 mA and the duration may be from about 35 minutes to about 50 minutes to form the wiring layer 615 having a thickness of about 2 μm to about 5 μm.
Following the deposition of the conductive traces 615, the intermediate structure may be subjected to a strip resist to remove the resist pattern and expose portions of the seed layer (portions without wire formation), and optionally the adhesion layer. The exposed portions of the seed layer, and optionally the adhesion layer, may then be subjected to an etch (e.g., wet etch, dry etch, etc.) to remove those portions, thereby isolating the conductive traces 615 over at least a portion of the first polymer layer 605.
The forming of the second polymer layer 620 may include depositing and curing of a polymer material directly on the conductive traces 615 and the first polymer layer 605. For example, a solution comprised of an imidizable polyamic acid compound dissolved in a vaporizable organic solvent may be applied to the conductive traces 615 and the first polymer layer 605. The solution may then be heated at a temperature, preferably less than 250° C., to imidize the polyamic acid compound to form the desired polyimide and vaporize the solvent. The second polymer layer 620 may then be thinned to a desired thickness by planarization, grinding, wet etch, dry etch, oxidation followed by oxide etch, or any combination thereof. This process can be repeated to achieve a desired thickness for the second polymer layer 620. In some embodiments, the second polymer layer 620 may have a thickness from 1.0 μm to 50.0 μm. In some embodiments, the second polymer layer 620 may have a thickness from 4.0 μm to 15.0 μm. In some embodiments, the second polymer layer 620 may have a thickness from 5.0 μm to 7.0 μm.
In various embodiments, the neural interface 600 may further comprise one. or more additional supporting structures that may support one or more additional electronic structures of the interface such as an electrode, sensor, conductor, and/or connector.
In some embodiments, forming the one or more electrodes 625 comprises forming the second polymer layer 620 over the wiring layer 630 and the second portion of the first polymer layer 605. As described herein, the second polymer layer 620 may be comprised of dielectric material (i.e., an insulator) selected from the group of electrically nonconductive materials consisting of organic or inorganic polymers, ceramics, glass, glass-ceramics, polyimide-epoxy, epoxy-fiberglass, and the like. In certain embodiments, the dielectric material is a thermoplastic or thermosetting polymer. For example, the polymer may be a polyimide, a LCP, parylene, silicone, a PEEK, or combinations thereof. The second polymer layer 620 may be comprised of the same material or a different material from that of the first polymer layer 605.
In some embodiments, forming the one or more electrodes 630 further comprises forming contact vias 635 in the second polymer layer 620 to the wiring layer 630. The contact vias can e.g. be formed using conventional lithographic, etching, and cleaning processes, known to those of skill in the art.
In various embodiments, the neural interface 600 may further comprise one or more features provided to facilitate mechanical adhesion (e.g., the through holes, the patterns, and/or the extensions).
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While the manufacturing processes of neural interfaces have been described at some length and with some particularity with respect to a specific steps, it is not intended that the processes be limited to any such particular set of steps. Instead, it should be understood the manufacturing processes described herein are exemplary embodiments, and that the manufacturing processes are to be construed with the broadest sense to include variations of the steps to meet specific design and/or performance need described herein, as well as other variations that are well known to those of skill in the art. For example, the various intermediate and final structures described may be adjusted or modified with treatments to increase wettability of the thin-film lead assembly or to seal the ends of the lumens to meet specific design and/or performance needs. Furthermore, it is to be understood that other steps have been omitted from the description of the manufacturing processes for simplicity and clarity. The omitted steps may include obtaining or fabricating the polymer tubes, waiting predetermined amounts of time for curing or thermosetting, etc.
While the invention has been described in detail, modifications within the spirit and scope of the invention will be readily apparent to the skilled artisan. It should be understood that aspects of the invention and portions of various embodiments and various features recited above and/or in the appended claims may be combined or interchanged either in whole or in part. In the foregoing descriptions of the various embodiments, those embodiments which refer to another embodiment may be, appropriately combined with other embodiments as will be appreciated by the skilled artisan. Furthermore, the skilled artisan will appreciate that the foregoing description is by way of example only, and is not intended to limit the invention.
The present application claims priority and benefit from U.S. Provisional Application No. 62/822,189, filed Mar. 22, 2019, entitled “THIN-FILM LEAD ASSEMBLIES AND NEURAL INTERFACES,” the entire contents of which are incorporated herein by reference for all purposes.
Filing Document | Filing Date | Country | Kind |
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PCT/US2020/024173 | 3/23/2020 | WO | 00 |
Number | Date | Country | |
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62822189 | Mar 2019 | US |