surgical implantation
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2022 ◽  
pp. 161-172
Author(s):  
Anthony Triche ◽  
Md Abdullah Al Momin

Launched in 2017 to widespread publicity due to the involvement of tech magnate and outspoken futurist Elon Musk, Neuralink Corp. aims to develop an advanced brain-computer interface (BCI) platform capable of assisting in the treatment of serious neurological conditions with longer-term goals of approaching transhumanism through nonmedical human enhancement to enable human-machine “symbiosis with artificial intelligence.” The first published description of a complete prototype Neuralink system, detailed by Muskin the company's only white paper to date, describes a closed-loop, invasive BCI architecture with an unprecedented magnitude of addressable electrodes. Invasive BCI systems require surgical implantation to allow for directly targeted capture and/or stimulation of neural spiking activity in functionally associated clusters of neurons beneath the surface of the cortex.


2021 ◽  
Author(s):  
Rose T. Yin ◽  
Sheena W. Chen ◽  
K. Benjamin Lee ◽  
Yeon Sik Choi ◽  
Jahyun Koo ◽  
...  

Abstract Genetic engineering and implantable bioelectronics have transformed investigations of cardiovascular physiology and disease. However, the two approaches have been difficult to combine in the same species: genetic engineering is applied primarily in rodents, and implantable devices generally require large animal models. We recently developed several miniature cardiac bioelectronic devices suitable for mice and rats to combine the advantages of molecular tools and implantable devices. Successful implementation of these device-enabled studies requires microsurgery approaches that reliably interface bioelectronics to the beating heart with minimal disruption to native physiology. This protocol describes how to perform an open thoracic surgical technique for epicardial implantation of novel wireless cardiac bioelectronic devices in adult rats and has significantly lower mortality than transvenous implantation approaches. In addition, we provide the methodology for a full biocompatibility assessment of the physiological response to the implanted device. The surgical implantation procedure takes about 40 minutes to complete for an experienced operator, and up to 8 surgeries can be completed in one day. Implanted pacemakers provide programmed electrical stimulation for over 1 month. This protocol has broad applications to enable fully conscious in vivo studies of cardiovascular physiology in transgenic rodent disease models.


2021 ◽  
Vol 66 ◽  
pp. 173-187
Author(s):  
Daniel J. Dembkowski ◽  
Daniel A. Isermann ◽  
Christopher S. Vandergoot ◽  
Scott P. Hansen ◽  
Thomas R. Binder

2021 ◽  
Vol 14 (24) ◽  
pp. 2754-2756
Author(s):  
Dean J. Kereiakes ◽  
Geoff A. Answini ◽  
Steven J. Yakubov ◽  
Balaj Rai ◽  
J. Michael Smith ◽  
...  

Neurosurgery ◽  
2021 ◽  
Vol 89 (Supplement_2) ◽  
pp. S162-S162
Author(s):  
Max O Krucoff ◽  
Thomas A Wozny ◽  
Anthony T Lee ◽  
Vikram R Rao ◽  
Edward F Chang

2021 ◽  
Author(s):  
Jasmine Vu ◽  
Bhumi Bhusal ◽  
Joshua Rosenow ◽  
Julie Pilitsis ◽  
Laleh Golestanirad

Author(s):  
Robert L. Smith ◽  
Mohanad Hamandi ◽  
Gorav Ailawadi ◽  
Timothy J. George ◽  
Michael J. Mack ◽  
...  

2021 ◽  
Author(s):  
Wolf-Julian Neumann ◽  
Majid Memarian Sorkhabi ◽  
Moaad Benjaber ◽  
Lucia K. Feldmann ◽  
Assel Saryyeva ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Karen Tse ◽  
Edward Beamer ◽  
Deborah Simpson ◽  
Robert J. Beynon ◽  
Graeme J. Sills ◽  
...  

Intracranial electroencephalography (EEG) is commonly used to study epileptogenesis and epilepsy in experimental models. Chronic gliosis and neurodegeneration at the injury site are known to be associated with surgically implanted electrodes in both humans and experimental models. Currently, however, there are no reports on the impact of intracerebral electrodes on proteins in the hippocampus and proinflammatory cytokines in the cerebral cortex and plasma in experimental models. We used an unbiased, label-free proteomics approach to identify the altered proteins in the hippocampus, and multiplex assay for cytokines in the cerebral cortex and plasma of C57BL/6J mice following bilateral surgical implantation of electrodes into the cerebral hemispheres. Seven days following surgery, a repeated low dose kainate (KA) regimen was followed to induce status epilepticus (SE). Surgical implantation of electrodes reduced the amount of KA necessary to induce SE by 50%, compared with mice without surgery. Tissues were harvested 7 days post-SE (i.e., 14 days post-surgery) and compared with vehicle-treated mice. Proteomic profiling showed more proteins (103, 6.8% of all proteins identified) with significantly changed expression (p < 0.01) driven by surgery than by KA treatment itself without surgery (27, 1.8% of all proteins identified). Further, electrode implantation approximately doubled the number of KA-induced changes in protein expression (55, 3.6% of all identified proteins). Further analysis revealed that intracerebral electrodes and KA altered the expression of proteins associated with epileptogenesis such as inflammation (C1q system), neurodegeneration (cystatin-C, galectin-1, cathepsin B, heat-shock protein 25), blood–brain barrier dysfunction (fibrinogen-α, serum albumin, α2 macroglobulin), and gliosis (vimentin, GFAP, filamin-A). The multiplex assay revealed a significant increase in key cytokines such as TNFα, IL-1β, IL-4, IL-5, IL-6, IL-10, IL12p70, IFN-γ, and KC/GRO in the cerebral cortex and some in the plasma in the surgery group. Overall, these findings demonstrate that surgical implantation of depth electrodes alters some of the molecules that may have a role in epileptogenesis in experimental models.


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