Introduction
Tissue temperature increase induced by electrical stimulation should be limited because abnormal body temperature affects many biological reactions [1]–[5]. It has been reported that tissue temperature could increase during electrical stimulation through electrodes on neural probes [6], [7]. For future generation of neural probes with more than 1000 electrodes, temperature rise due to stimulation by a large number of electrodes could be significant [8]. Therefore, tissue temperature during electrical stimulation should be monitored, as temperature increase should be kept to <2 °C to avoid physiological abnormality in retina [9]. Even though self-regulated tissue temperature related to immune or metabolic responses could help to prevent temperature increase due to blood perfusion or induced tears [10], [11], any temperature increase caused by electrical stimulation should be kept to a minimum to avoid tissue damage. In addition to neural stimulation, temperature increases were also reported due to laser [12], RF source [13], and electromagnetic wave irradiation [14]. Thus, development of an in vivo temperature sensor integrated on a neural probe for temperature monitoring is necessary to prevent stimulation induced thermal damage to the tissue.
A number of methods have been developed to obtain the tissue temperature around neural probes. Noninvasive methods to monitor neural probe temperature include infrared camera [15] and optoacoustic detection [16], [17]. These methods did not require implantation surgery of temperature sensors in the body. However, human body could block the infrared or optoacoustic wave. Invasive temperature sensors such as thermocouple probe were implanted in the body or tissue to monitor temperature changes [18], [19]. These temperature sensors have to be biocompatible since they are implanted inside the body. Commercial thermal resistors and thermocouples [20], [21] were inserted next to neural probes for temperature measurements. These approaches have the disadvantages of requiring additional surgery and large in size that could generate damage to the tissue. Simulations using finite element method (FEM) were also developed to study temperature distribution around the electrodes of neural probes [22]–[24]. Results from stimulation need to be verified by in vivo temperature measurements.
As neural probe is inserted into the retina or deep brain region, probe temperature initially increases from air temperature to a stable temperature of the tissue. For probe implantation into the retina or deep brain region, visual inspection of the probe position is difficult and stereotactic imaging may be limited. It will be useful to have an alternative way to monitor the position of the inserted neural probe to determine whether the probe has reached the desired location. Due to heat exchange with air, temperature variations from the surface to the core of tissue is expected, as indicated in the results shown in this paper. Our results agree with previous publication [25] which showed increase of temperature from the cooler peripheral areas to a warmer brain core. Moreover, for chronic neural recording or stimulation using the neural probe in the brain, the probe position may shift or move to the surface, but it cannot be checked visually because the incision was covered. In this case, the temperature sensor could record temperature changes related to movement of the probe when it is out of its designated position.
In this paper, gold (Au) resistive temperature sensors were integrated on neural probes for neural signal recording and stimulation. The integrated temperature sensors were small in size and utilized the same Au metal for the electrodes and the resistors for the sensors. They were placed in close proximity to the electrodes on the neural probes and could be used to precisely monitor temperature distribution in the tissue. In vivo measurements of neural probes with integrated temperature sensors were carried out by implanting the probes into the retina in the eye and deep brain region. Temperature changes during implantation and stimulation were monitored. The results showed that the Au integrated temperature sensors could monitor the temperature rise under large stimulation current.
Methods
A. Fabrication Process for Neural Probes and Temperature Sensors
The neural probes and the integrated temperature sensors were fabricated with polyimide (PI) (ZKPI Series, POME Sci-tech, China) as the substrate to make it flexible to avoid tissue damage and to provide better contact with the retina [26]–[28]. Au was used as the material for the electrodes and the temperature sensor. Figure 1 shows the schematics of the fabrication process. A
Fabrication process for neural probe with integrated temperature sensor. (a)
Neural probe with electrodes integrated with temperature sensor. (a) Neural probe in PI substrate which was 2.5 cm long, 0.8 mm wide and
The neural probe was 2.5 cm long and 0.8 mm wide. It consisted of two
B. Experimental Setup for in~vivo
Measurements
Adult Long-Evans (LE) rats were used for all in vivo measurements. They were obtained from the laboratory animal services center of the Chinese University of Hong Kong and housed with a 12 h light/dark cycle and with food and water available ad libitum. All experimental procedures were approved by the Animal Subjects Ethics Sub-Committee of City University of Hong Kong.
Rats were anesthetized using a combination solution of ketamine (70 mg/kg, Alfasan, Holland, i.p.) and xylazine (7 mg/kg, Alfasan, Holland, i.p.) by 2:1 and maintained with an anaesthesia machine (SurgiVet, Smiths Medical PM, USA) by isoflurane throughout the stereotaxic surgery and in vivo tests. The body temperature was monitored and kept within 35.8-37.5 °C by a heating pad (TP702, Gaymar Industries, USA). The room temperature and humidity of lab were 22 °C and 70%, respectively.
For in vivo testing of neural probe in retina, rats were mounted in a stereotaxic device, and two drops of tropicamide (Mydrin-P, Santen Pharmaceutical, Japan) were used to dilate the pupil and eye gel (Lubrithal, Dechra Veterinary Products A/S, Denmark) was applied from time to time throughout the experiment to maintain the moisture and clarity of the stimulated eye. A small incision was made in the upper sclera near the limbus of the eye for neural probe implantation. The neural probe was inserted through the incision into the natural gap between the lens and the retina, with an angle cling to the surface of the sclera to avoid penetrating through the lens while reaching the vitreous space of the retina. Figure 3(a) shows a neural probe implanted into the retina of an eye. The neural probe should be flexible enough to have a successful implantation into the eye and contact well with the retina.
Implantation of neural probe and waveform of stimulation current. (a) Implantation of neural probe in retina of eye. (b) Implantation of neural probe in deep brain region. (c) Charge balanced biphasic pulses for stimulation.
After finishing the in vivo testing of neural probes in the retina, a craniotomy was performed at the occipital lobe (2.5-5.5 mm medial to lateral and 1.5-4.5 mm posterior to bregma) to access the deep brain region. The neural probe was implanted into the deep brain region at a depth up to 3 mm from the dura mater above the cortex for in vivo measurements. Figure 3(b) shows a neural probe implanted into the deep brain region. As shown in the figure, the
Different waveforms of stimulation pulses were applied for in vivo testing [32]–[34]. Stimulation currents were supplied by a channel stimulus generator (STG-4004, MCS GmbH, Germany). It consisted of four output channels and each channel was connected to an electrode on the neural probe. The stimulation current of each channel could be assigned independently. Charge balanced biphasic pulses were used for neural stimulation as shown in figure 3(c) and two levels of stimulation current were applied. Under the safe current limit, the stimulation current was
Six rats were used for the in vivo experiments. The data obtained from the retinal implantation was obtained from 9 different eyes of 6 rats using 9 different neural probes. The data obtained from the brain implantation was obtained from 3 different brains with 3 different neural probes. To avoid complications from previous neural probe implantation, a fresh neural probe was used for each experiment. Stimulation experiments were carried out in 30 min time intervals, including a 10 min period for stimulation and a 10 min period for resting in between stimulations. Typically each rat could last for 4 to 6 h while it was under anesthesia.
Results
A. Calibration of Temperature Sensors
The temperature sensors at the tips of the neural probes were calibrated in a temperature controlled water bath (TW2, JULABO Gmbh, Germany) with temperature varying from 18 to 42 °C. The temperature of the water bath was measured in close proximity to the neural probe using a PT100 temperature sensor (CRZ-2005-100-A-1, Hayashi denko, Japan) which had an accuracy of ±0.15 °C. The resistance of the temperature sensors was recorded as a function of temperature by measuring the voltage across the Au resistor as 1 mA DC current was applied. Since a DC current was needed for the temperature measurements, the self-heating effect of the Au resistor was investigated. The measured temperature and voltage across the sensors were shown in figures 4(a) and 4(b). As shown in figure 4(a) at a base temperature of 21 °C, with DC current varying from 0.2 to 3.5 mA, the self-induced temperature increase could be up to 4.2 °C. The corresponding voltage increase across the temperature sensor is shown on the right hand side axis of the plot. However, since only 1 mA DC current was used for the Au resistive temperature sensor, the temperature increase was <0.05 °C and it was a negligible self-heating effect.
(a) Temperature and voltage changes of temperature sensors as DC current was applied. (b) Resistance and voltage changes of resistive sensor as function of temperature showing good linearity and temperature coefficient of 0.32%.
As shown in figure 4(b), the resistance of the Au temperature sensors changed with temperature according to the following equation:\begin{equation} R_{\mathrm {t}}= R_{\mathrm {o}}[1 + \alpha (T - T_{\mathrm {o}})] \end{equation}
Each temperature sensor on the neural probe was calibrated before the probe was implanted to ensure the measured temperature was accurate. These resistive sensors were covered by 1
B. Characterization of Electrodes
There are mainly three important parameters to characterize electrodes for neural stimulation, including impedance, charge delivery capacity (CDC), and safe current limit. For impedance measurement, a potentiostat (Gamry 600, Gamry Instruments, USA) was used to supply the voltage. As shown in figure 5(a), the neural probe was immersed in 0.1 M PBS solution. The Pt counter electrode and Ag wire coated with AgCl reference electrode were also immersed in the PBS solution and connected to the potentiostat. A sinusoidal signal of 100 mV root mean square (rms) voltage with frequency ranging from 1 Hz to 1 MHz was applied to the electrodes of the neural probes and the corresponding current was collected in the Pt counter electrode. The impedance of the electrodes as a function of frequency is shown in figure 5(b). The results showed that impedance decreased with frequency and electrode size. Impedances for 200 and
(a) Impedance measurements of electrodes on neural probe in 0.1 M phosphate buffered saline (PBS) solution. (b) Impedance for 200 and
Cyclic voltammetry (CV) measurement was used to obtain the charge delivery capacity (CDC) of the electrodes. The measurement system was the same as the impedance measurement system described previously. The potentiostat supplied a voltage ramped at 50 mV/s to the electrodes on the neural probe and a current was collected by the Pt counter electrode. The current-voltage traces are shown in figure 6. The safe charge injection window of 200 and 400
Cyclic voltammetry (CV) for 200 and
Potential transient measurement (PTM) was used to determine the safe current limit of the electrode within the safe charge injection window. Neural probe and reference electrode were connected to a stimulus generator which provided bipolar rectangular current pulses to the electrodes on the neural probe. Safe current limit of an electrode was obtained by applying the current pulses in steps of
C. Temperature Changes During Neural Probe Implantation in Retina and Brain
During in vivo testing, as neural probe is implanted, it is desirable to detect the position of the probe in the tissue. Electrode impedance has been used to measure neural probe position [40]–[43]. Since electrodes were in direct contact with the tissue, the electrode impedance could change due to exposure to the tissue. Temperature sensors used in this study were covered by a layer of PI film and had the advantage of not exposing the resistive sensors directly to the tissue, and hence the temperature measurements were more stable than impedance measurement to infer the position of the neural probes.
For the retinal implantation, neural probe was inserted from the incision near the limbus onto the retinal surface. A typical temperature variation measured by the temperature sensor on a neural probe during implantation in the retina is shown in figure 7(a). The temperature measurements were first taken in air with a stationery probe before insertion into the retina. Several pauses were made manually during the implantation to monitor temperature changes as the neural probe was moved towards the retina. Once the probe contacted the retina, the temperature became stable, and there was no further probe movement. A total of 9 neural probes were implanted and similar temperature responses were obtained.
(a) Temperature changes during insertion in retina with several pauses. (b) Temperature changes during insertion in brain with several pauses. (c) Temperature changes as neural probes were moved 3 mm from dura mater to deep brain region.
For the brain implantation, neural probe was implanted in the deep brain region of the anesthetized rat. The cortex of the rat remained exposed during measurements. Temperature measurements were taken using the temperature sensor on the neural probe while it was stationery in air. The probe was inserted manually by turning the stereotaxic apparatus through the brain surface and finally reached the deep brain region. A few pauses in different depths of 1 mm intervals were made during the neural probe implantation so that the probe was about 3 mm below the surface after the third pause. The temperature of the neural probe changed gradually from 24 to 34 °C, as shown in figure 7(b).
Three neural probes that were 2.5 cm long, 0.8 mm wide, and
D. In~Vivo
Temperature Changes During Stimulation in Retina and Brain
Electrical stimulation by applying current to the electrodes on neural probes could produce Joule heating and cause increase of temperature. During in vivo stimulation experiments, the charge balanced biphasic stimulation currents as shown in figure 3(c) were supplied. Two current levels were used for retina and brain stimulations. Low stimulation level was within the safe current limit of 8 and
Each stimulation experiment took 30 min, including 10 min without stimulation, 10 min stimulation, followed by another 10 min without stimulation. The temperature was recorded every 1 s and averaged over 30 s. Figure 8(a) shows temperature changes of the retina during stimulation with two different stimulation levels. Under safe current limit of
Temperature changes during stimulation in retina under (a) safe current limit of
Similar stimulation experiments were carried out in deep brain region. The effects were nearly the same as stimulation in the retina. There was no temperature increase in the deep brain region under safe current limit of
Stimulations in the retina and the deep brain region were repeated several times. A total of 6 rats were used for the in vivo experiments. The temperature changes due to the low and high levels retinal stimulations were obtained from 9 different eyes, each time with a fresh neural probe implanted. For the brain implantation, 3 neural probes were inserted into 3 different rats. Temperature changes due to 10 min stimulations in the retina and the brain at two different current levels are shown in figure 8(e). At the low stimulation current level with 8 and
Discussion
Temperature increase induced by electrical stimulation using neural probes should be limited. For future generation of retinal neural probes with at least 1000 electrodes, stimulation current and electronic components on the probes could generate a lot of heat [8]. Likewise, large stimulation current used in deep brain stimulator (DBS) could cause excessive tissue heating and brain damage [45]. For epi-retinal prostheses application, the electrode charge density is possible to momentarily exceed the safe charge-injection limit due to the uneven electrode-retina distance, leading to thermal elevation in the eye. Charge density levels above the safe charge-injection limit were necessary to obtain perceptual threshold. In two human subjects implanted with
Only the tip of the neural probe was immersed in the temperature controlled water bath to ensure that the calibration setup was similar to the in vivo measurements. Air above the dura mater could influence the temperature measurement and this influence was minimized by decreasing the resistance of the interconnection wires, which were exposed in air. This was achieved by having
A total of 29 retinal stimulation experiments were made with low and high levels of stimulation. For stimulation in the retina, at low stimulation current with
Temperature increase could be due to many factors during stimulation. The heat balance during stimulation could be described as [46]:\begin{align} C\rho \frac {\partial T}{\partial t}=&\nabla \cdot (K \nabla T)+A_{\mathrm{ o}}-B_{\mathrm{ o}}(T-T_{\mathrm{ B}})\notag \\&+\,\rho SAR+P_{\mathrm{ Density}}+P_{\mathrm{ Electronics}} \end{align}
\begin{equation} C\rho \frac {\partial T}{\partial t}=\nabla \cdot (K\nabla T)+A_{\mathrm{ o}}-B_{\mathrm{ o}} (T-T_{\text {B}})+P_{\mathrm{ Density}} \end{equation}
For the in vivo measurements, the room temperature was 22 °C and the humidity was 60-70%. The body temperature of the rat was maintained at physiological range (35.8-37.5 °C) by a heating pad. The changes of temperature recorded in eye and brain were a little bit lower than body temperature, while still kept in normal level and quite similar in other published data [21], [47].
Besides temperature changes due to stimulation current applied on the electrodes, there were several factors that could also influence temperature including air temperature variations, body and blood temperature variations [10], as well as metabolic responses and blood perfusion [11], [44]. FEM simulations and experimental results showed 2 °C temperature increase due to electronic components on the neural probe if there were no metabolic responses or blood perfusion [20], [48]. We observed that the body temperature of rats would decrease from 35 to 30 °C in 30 min after death even with the heating pad since there was no blood perfusion to regulate the body temperature. Our work to measure temperature changes in the retina of the eye and in the deep brain region induced by stimulation current as shown in figure 8 were the first demonstration of using integrated temperature sensors in neural probes to monitor temperature increase during electrical stimulation with active metabolic responses and blood perfusion. At the higher level stimulation current, the rise time for the increased temperature could vary from 10 to 200 s, much slower than the rise time of 1.3 s for the temperature sensor. The rise time variations due to electrical stimulation were partly due to the differences in physiological responses for various rats. Typically, stimulation induced temperature increase has a faster rise time in the deep brain region compared to the retina. This could be due to the vitreous body which acts as a heat sink next to the retina that has different heat capacity or conductivity compared to the brain tissue.
Conclusion
Flexible PI-based neural probes integrated with Au temperature sensors were developed to monitor the temperature changes during implantation and stimulation in the retina of the eye and the deep brain region. The Au temperature sensor had a good linearity and the temperature coefficient of the temperature sensor was 0.32%. For neural probe implantation, temperature changed from air temperature to the body temperature gradually. The positions of the neural probe could be monitored by the temperature changes. Once the measured temperature became stable, the neural probe had reached the desired implantation location where the temperature was not affected by the environment. For electrical stimulation through the electrodes in the neural probes, high level stimulation current of
ACKNOWLEDGMENT
The authors like to thank all the members of the Pang and Chan labs for their ideas, discussions, and encouragement.