Sacral Neuromodulation for Bowel and Sexual Functions
US-2024424299-A1 · Dec 26, 2024 · US
US9861810B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9861810-B2 |
| Application number | US-201313919594-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jun 17, 2013 |
| Priority date | Jun 17, 2013 |
| Publication date | Jan 9, 2018 |
| Grant date | Jan 9, 2018 |
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Thermal drawing processes can be used to make multifunctional, high-resolution neural probes for neural recording and stimulation. An exemplary neural probe may include one or more conductive fibers or microelectrodes coated with two or more layers of insulating material, at least one of which is partially etched to expose a tip at the neural probe's distal end. The conductive fibers conduct electrical signals (e.g., neural spikes or electrical stimulation) between the tip and the neural probe's proximal end. Optional optical and fluidic waveguides may guide light and fluid, respectively, between the tip and the proximal end. A neural probe may be flexible enough for long-term (chronic) implantation in neural tissue (e.g., the brain) without excessive tissue damage, even during movement of the brain in the skull. The probe may be made from biocompatible materials, such as insulating and conductive polymers, that have negligible (insignificant) interaction with the surrounding tissue.
Opening claim text (preview).
What is claimed is: 1. A neural probe to probe neural tissue, the neural probe comprising: at least one outer insulating layer; at least one inner insulating layer, disposed within the at least one outer insulating layer and projecting out of the at least one outer insulating layer to form a tip at a distal end of the neural probe, the tip having an outer diameter of less than about 500 μm; at least one conductive fiber, disposed within the at least one inner insulating layer, to conduct at least one electrical signal between a proximal end of the neural probe and the distal end of the neural probe; and a mammalian cell, separate from the neural tissue and trapped on or within the distal end of the neural probe, to interact with the neural tissue. 2. The neural probe of claim 1 , wherein: the at least one conductive fiber comprises a plurality of conductive fibers; and the at least one inner insulating layer comprises a plurality of inner insulating layers respectively disposed about a corresponding conductive fiber of the plurality of conductive fibers. 3. The neural probe of claim 2 , further comprising: a soluble adhesive, disposed on a surface at the tip of the neural probe, to secure a first conductive fiber of the plurality of conductive fibers to a second conductive fiber of the plurality of conductive fibers during insertion of the neural probe into tissue. 4. The neural probe of claim 1 , wherein an impedance of the at least one conductive fiber at the distal end of the neural probe is about 150 kΩ to about 10 MΩ. 5. The neural probe of claim 4 , wherein the impedance of the at least one conductive fiber at the distal end of the neural probe is about 150 kΩ to about 3 MΩ. 6. The neural probe of claim 1 , wherein the at least one conductive fiber comprises at least one of tin, tin-indium, tin-silver, tin-gold, tin-zinc, gold, silver, platinum, iridium, tungsten, conductive polyethylene, conductive polycarbonate, or conductive polyurethane. 7. The neural probe of claim 1 , wherein at least one of the at least one inner insulating layer or the at least one outer insulating layer comprises a polymer. 8. The neural probe of claim 1 , wherein the at least one inner insulating layer has a first solubility and the at least one outer insulating layer has a second solubility different than the first solubility. 9. The neural probe of claim 1 , wherein the at least one inner insulating layer has a first molecular weight and the at least one outer insulating layer has a second molecular weight different than the first molecular weight. 10. The neural probe of claim 1 , further comprising: at least one optical fiber, disposed within the at least one outer insulating layer, to guide electromagnetic radiation between the proximal end of the neural probe and the distal end of the neural probe. 11. The neural probe of claim 1 , wherein the neural probe further defines a hollow lumen, disposed within the at least one outer insulating layer, to facilitate transport of a fluid between the proximal end of the neural probe and the distal end of the neural probe. 12. The neural probe of claim 1 , wherein the mammalian cell is trapped within a lumen or cavity defined by the neural probe within about 500 μm of the distal end of the neural probe. 13. The neural probe of claim 12 , wherein at least one of the at least one conductive fiber, an optical fiber, or the lumen defines a channel configured to transmit at least one of stimulation to the mammalian cell or a physiological response of the mammalian cell to interaction with the neural tissue. 14. The neural probe of claim 1 , wherein the mammalian cell is a transfected mammalian cell. 15. The neural probe of claim 1 , wherein the mammalian cell is at least one of a neuron cell, a renal cell, a glial cell, or a muscle cell. 16. The neural probe of claim 1 , wherein the mammalian cell is from an animal. 17. A method of making the neural probe of claim 1 , the method comprising: (A) disposing a first insulating material about an outer surface of at least one conductive rod so as to form a first pre-form; (B) disposing a second insulating material different than the first insulating material about an outer surface of the first pre-form so as to form a second pre-form; (C) drawing the second pre-form so as to form a coated conductive fiber; (D) removing at least a portion of the second insulating material from a distal end of the coated conductive fiber so as to form the neural probe; and (E) trapping the mammalian cell on or within the distal end of the neural probe. 18. The method of claim 17 , wherein (A) comprises at least one of: (A1) dip-coating the conductive rod in the first insulating material; (A2) wrapping a sheet of the first insulating material around the conductive rod; (A3) spraying the first insulating material onto the conductive rod; (A4) inserting the conductive rod into a lumen formed by the first insulating material; (A5) sputtering the first insulating material onto the conductive rod; (A6) depositing the first insulating material onto the conductive rod; or (A7) painting the first insulating material onto the conductive rod. 19. The method of claim 17 , wherein (B) further comprises: (B1) drawing the first pre-form to form a drawn pre-form; (B2) sectioning the drawn pre-form into a plurality of segments; and (B3) disposing the second insulating material about at least some of the plurality of segments to form the second pre-form. 20. The method of claim 17 , wherein (B) further comprises disposing the second insulating material about an outer surface of an optical fiber pre-form. 21. The method of claim 17 , wherein (B) further comprises disposing the second insulating material about an outer surface of a structure defining a hollow lumen. 22. The method of claim 17 , wherein (C) further comprises: (C1) heating the second pre-form to a first temperature above a first temperature higher than both a melting temperature of the second pre-form and a glass transition temperature of the second pre-form; (C2) heating the second pre-form to a second temperature below the first temperature; and (C3) drawing the second pre-form at a predetermined drawdown ratio. 23. The method of claim 22 , wherein: the first temperature is about 30% to about 80% above the higher of the melting temperature of the second pre-form and the glass transition temperature of the second pre-form, and the second temperature is about 5% to about 30% above the higher of the melting temperature of the second pre-form and the glass transition temperature of the second pre-form. 24. The method of claim 22 , wherein (C3) further comprises applying a stress of about 150 g/mm 2 to about 1.5 kg/mm 2 to the second pre-form. 25. The method of claim 17 , wherein (D) further comprises at least one of: (D1) dissolving at least a portion of the second insulating material at the distal end of the neural probe in a solvent; (D2) etching at least a portion of the second insulating material at the distal end of the neural probe; or (D3) stripping at least a portion of the second insulating material at the distal end of the neural probe based on a difference in molecular weight between the first insulating layer and the second insulating layer. 26. The method of claim 17 , wherein (E) comprises at least one of: disposing the mammalian cell o
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