Retinal Prosthetic Devices
- doi: 10.1109/TTM.2011.6005172
- title: Retinal prosthetic devices
- publisher: IEEE
- isbn: 978-1-4577-0415-4
- issn:
- partnum: 11EX5454
- rank: 3467
- access_type: LOCKED
- content_type: Conferences
-
abstract: Summary form only given. In case of retinitis
pigmentosa (RP) and aged-macular de generation (AMD), the photoreceptor
cells are dysfunctional, whereas most of the other retinal cells, such
as ganglion cells, remain healthy, unless the disease is in the terminal
stage. Consequently, by stimulating the remaining retinal cells, visual
sensation or phosphene can be evoked. This is the principle of the
retinal prosthesis, or artificial vision. Based on this principle, a
retinal prosthesis device stimulates retinal cells with a patterned
electrical signal so that a blind patient may sense a patterned
phosphene, or something like an image. According to the place where the
retinal stimulator is placed, the retinal prosthesis device is
classified into three categories; sub-retinal, epi-retinal, and STS
(supra choroid transretinal stimulation) which is recently developed. In
epi-retinal implantation, a retinal stimulator is attached to the
retina. In these methods, power supply and stimulus pattern data
generated from input image data are transmitted by wireless technique of
electromagnetic coupling of primary coil placed outside the body and
secondary coil placed inside the body. These wireless transmission
technology has been established in artificial cochlear system. There are
several groups engaged in epi-retinal stimulation and mostly advanced in
clinical trials. The disadvantage of this type is the fixation of the
stimulator. In addition, the electrodes may happen to stimulate optic
nerve instead of ganglion cells. The fixation of the stimulator
sometimes causes this type of phosphen. STS has the same advantage of
epi-retinal implantation. In addition, the surgical operation is the
easiest among retinal prostheses. The eye is not needed to be open,
because a stimulator is inserted into a pocket produced in a sclera. The
implantation in a sclera pocket means the electrode has a distance from
a retina, so that the threshold current to elicit the phosphen may be
higher than the other methods. The other advantage of STS is the wider
coverage of the stimulation area. Acute clinical trials have shown that
the threshold is 200-1000 mA, which is a little higher of than one in
the other methods and the patients suffered from RP sensed phosphens
when stimulated. In sub-retinal implantation, a retinal stimulator is
inserted underneath the retina, so that the device is fixed naturally.
The electrodes are attached to the retina, especially photoreceptors and
thus the retinotopy is probably maintained. Some sub-retinal devices are
integrated with stimulus electrodes and photo-sensors in the same plane,
so that they act like photoreceptors. Thus such a sub-retinal device is
ideal for artificial retina. The disadvantage is that the stimulator may
obstruct the flow of internal fluids including nutrition from epithelium
to retinal cells. Clinical trials are executed in sub retinal
implantation. In order to realize better vision through a retinal
prosthesis, over 1,000 electrodes would be preferable. When increasing
the number of electrodes, we are faced with problems associated with
interconnection between electrodes and external lead wires with good
mechanical flexibility. Specifically, the stimulator must be bent to
match the curvature of the eyeball. It is a good idea to introduce a
CMOS-based chip in the stimulator because scanning circuits can be
integrated in order to reduce the amount of wiring. For implantation,
the thin and flexible CMOS-based stimulator is preferable to be thin and
flexible in order to fit the eye and to avoid damaging tissue. To solve
this problem, a smart stimulator that consists of a number of CMOS-based
microchips distributed on a flexible substrate is proposed and
demonstrated. We have developed such a multiple microchip-based retinal
stimulator and validated its effectiveness by animal experiments. We
need to solve several issues to realize retinal stimulator with 1000+
stimulus electrodes; the bio-compatible capsulation of a microchip with
better water-resistance, ultra-small stimulus electrodes, better contact
to tissues, high efficient power and data transmission system, and so
on.
- article_number: 6005172
-
pdf_url:
https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=6005172
-
html_url:
https://ieeexplore.ieee.org/document/6005172/
-
abstract_url:
https://ieeexplore.ieee.org/document/6005172/
-
publication_title: 2011 IEEE Technology Time Machine
Symposium on Technologies Beyond 2020
- conference_location: Hong Kong, China
- conference_dates: 1-3 June 2011
- publication_number: 5992667
- is_number: 6005147
- publication_year: 2011
- publication_date: 1-3 June 2011
- start_page: 1
- end_page: 1
- citing_paper_count: 0
- citing_patent_count: 0
- download_count: 348
- insert_date: 20110829
-
index_terms:
-
ieee_terms:
- Retina
- Electrodes
- Prosthetics
- Clinical trials
- Wireless communication
- Photoreceptors
- Wireless sensor networks
-
dynamic_index_terms:
- Retinal Prosthesis
- Visual Prostheses
- Artificial Retina
- Transformer
- Retinal Cells
- Ganglion Cells
- Polyethylene Terephthalate
- Dacron
- Flexible Substrates
- Photoreceptor Cells
- Photoreception
- Retinotopic
- Blinding Of Patients
-
isbn_formats:
-
format: Print ISBN,
value: 978-1-4577-0415-4,
isbnType: New-2005
-
format: Electronic ISBN,
value: 978-1-4577-0416-1,
isbnType: New-2005
-
authors:
-
Author Name: Jun Ohta
Affiliation: Graduate School of Material Science,
Nara Institute of Science and Technology, Japan
Author URL:
https://ieeexplore.ieee.org/author/37278016600
ID: 37278016600
Order: 1
Author Affiliations:
-
Graduate School of Material Science, Nara Institute of Science
and Technology, Japan
Image Sensor
- sensor_type: CMOS
- resolution: Not specified
- dynamic_range: Not specified
- pixel_size: Not specified
- dark_current: Not specified
Optical Data
- focal_length: Not specified
- aperture: Not specified
- field_of_view: Not specified
- distortion: Not specified
Performance Metrics
Applications & Benefits
- cell_imaging: Not specified
- benefits: Not specified
Supporting Organizations
- supported_by: Not specified
Manuscript Details
- publication_date: 1-3 June 2011
Relevancy Score
- score: 5
-
missing_fields:
- resolution
- dynamic_range
- pixel_size
- dark_current
- focal_length
- aperture
- field_of_view
- distortion
- frame_rate
- signal_to_noise_ratio
- sensitivity
- shutter_speed
- power_consumption
- noise
- cell_imaging
- benefits
- supported_by
- publication_date
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