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Online proceedings - EDA Publishing Association

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11-13 <br />

May 2011, Aix-en-Provence, France<br />

We can conclude that B-NCD offers several advantages when<br />

<br />

compared to metallic materials. Its carbon surface offers high<br />

biocompatibility, and the B-NCD potential window is about<br />

twice that of Pt.<br />

We can also see on Figure 5 that retinal ganglion cells can<br />

grow their neurites onto electrodes. Cells can be seen to<br />

organize along lines (Fig. 5B) whereas they do not show any<br />

organization in the absence of similar patterns (Fig. 5A).<br />

Such fabricated B-NCD MEAs were also tested to record the<br />

spontaneous neural activity on mouse spinal cord, and they<br />

were compared with standard Pt MEAs in term of noise level<br />

found to be around 10µV peak to peak, Figure 6.<br />

Different procedures are still under investigation to obtain<br />

other significant biological measurable signals.<br />

Figure 6. Illustration of B-NCD MEAs used to record<br />

spontaneous neural activity.<br />

IV.<br />

Recorded spontaneous activity<br />

Rms noise: 10µV peak to peak<br />

MEA APPLICATION TO RETINAL IMPLANTS<br />

10 µV<br />

A<br />

Figure 4. Retinal Ganglion Cell survival on different<br />

substrates.<br />

B<br />

At present time, in the case of retinal diseases, affecting<br />

around 12 Million people in both Europe and US, among the<br />

most frequent pathologies, photoreceptor degeneration is<br />

causing blindness in both hereditary diseases like retinitis<br />

pigmentosa and non-hereditary diseases like age-related<br />

macular degeneration (AMD).<br />

In such cases of retinal dystrophies, the number of<br />

photoreceptor cells is significantly reduced, causing a<br />

progressive reduction of visual acuity and, in worst cases,<br />

complete blindness. It can cause photoreceptor degeneration<br />

following which other layers of the retina, including bipolar<br />

and ganglion cells, partially remain [13]. Amongst several<br />

strategies, the concept of retinal prostheses was developed to<br />

restore useful vision in blind patients by activating this<br />

remaining inner retinal network using subretinal stimulation,<br />

as illustrated on Figure 7 [14].<br />

This concept was also validated in several clinical trials<br />

showing that patients were able for instance to follow moving<br />

light targets and were able to identify specific known<br />

contrasted objects [15, 16]. The first existing system (from<br />

Second Sight, US) is composed by an implanted stimulating<br />

device, using a micro-electrode array (MEA), coupled with an<br />

external camera and a coding device [17].<br />

Figure 5. Retinal ganglion cell cultures on multi-electrode<br />

arrays. Note in (B) the presence of cells organized along lines<br />

when a square pattern is aligned with electrodes.<br />

Based on the patterning of nanodiamond seeds prior to growth<br />

as described in part II, it comes possible to process structured<br />

MEAs where the active area is diamond (B-NCD). Here an<br />

additional challenge is to propose a fabrication of diamond<br />

electrodes compatible with a soft substrate material, which is<br />

achieved using a sacrificial substrate lift-off technique,<br />

resulting in retinal implants embedded into polyimide.<br />

Such implants are based on 16, 32 or 64 electrodes arrays and<br />

are tested in-vivo on rats, as one can see on Figure 8.<br />

Biologists developed a surgical technique to introduce the<br />

implants in the subretinal space of blind P23H rats. After 14<br />

weeks in vivo, the eye can be fixed and histological sections of<br />

the eye are obtained to visualize the retinal tissue with respect<br />

to the implant. These preliminary results are very encouraging<br />

because no major reactive gliosis is detected in contact with<br />

the implant. The significant reduction of glial cells appearance<br />

380

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