Journal of Neuroscience Methods 134 (2004) 81–90
High frequency block of selected axons using an
implantable microstimulator
Chih-Wei Peng
a
, Jia-Jin Jason Chen
a,∗
, Chou-Ching K. Lin
b
, Paul Wai-Fung Poon
c
,
Chih-Kuo Liang
d
, Kang-Ping Lin
e
a
Institute of Biomedical Engineering, National Cheng Kung University, 1 University Road, Tainan 701, Taiwan
b
Department of Neurology, National Cheng Kung University Hospital, Tainan 701, Taiwan
c
Institute of Physiology, National Cheng Kung University, Tainan, Taiwan
d
Department of Electrical Engineering, Southern Taiwan University of Technology, Tainan, Taiwan
e
Department of Electrical Engineering, Chung Yuan Christine University, Chung-Li, and Biomedical Engineering Center, ITRI, Hsinchu, Taiwan
Received 28 May 2003; received in revised form 13 November 2003; accepted 18 November 2003
Abstract
Currently, the majority of neural stimulation studies are limited to acute animal experiments due to lack of suitable implantable microstim-
ulation devices. As an initial step to observe the long-term effects of neural stimulation, a system consisting of an external wireless controller
and an implantable dual-channel microcontroller-based microstimulator for tripolar high frequency blocking was developed. The system is
not only small in size, and thus suitable for short-term implantation, but also has sufficient current output parameter ranges to meet the demand
for high frequency blocking experiments. Using this implantable microstimulator, a series of experiments were conducted on New Zealand
rabbit’s tibial nerve, including frequency and amplitude selection in driving stimulus and blocking effect tests, which were designed to assess
the feasibility and efficiency of the device via torque measurements. Our results showed that the implantable microstimulator system gave a
satisfactory performance and could be utilized to achieve selective stimulation and blocking on various sizes of nerve fibers. Our implantable
microstimulation system is not only a novel tool for neuromuscular control studies but could also provide a basis for developing various types
of sophisticated neural prostheses.
© 2003 Elsevier B.V. All rights reserved.
Keywords: Implantable microstimulator; High frequency blocking; Tibial nerve
1. Introduction
Both the sensory and motor nerves in the peripheral ner-
vous system (PNS) are controlled by the central nervous
system (CNS). Injuries to the CNS, e.g., spinal cord lesion
or stroke, can cause permanent loss of voluntary motor and
sensation functions. Electrical activation can restore the de-
prived motor/sensory functions as long as the peripheral mo-
tor and/sensory nerves and muscle below the level of CNS
lesion remain intact (Stein et al., 1992). Various types of
electrical stimulation techniques have made it possible to re-
store some motor and sensory functions (Bhadra et al., 2001;
Clements et al., 1999; Davis et al., 2001; Loeb et al., 2001).
The development of electrical stimulation systems has
moved from surface stimulation (Kralj et al., 1983) and
∗
Corresponding author. Tel.: +886-6-2757575/63423;
fax: +886-6-2343270.
E-mail address: pcw@jason.bme.ncku.edu.tw (J.-J.J. Chen).
percutaneous stimulation (Scheiner et al., 1994) to a totally
implanted stimulation (Bourret et al., 1997). Surface elec-
trical stimulation is used to stimulate the peripheral nerve
or muscle by using larger size electrodes attached to the
skin surface at some distance from the nerve innervation
zone. Generally, surface stimulation is only useful for mus-
cle strengthening but provides less significant functional
benefit and lacks selectivity for small muscle groups. In
order to obtain a more sophisticated movement or organ
function, selective electrical stimulation is applied closely
to or directly to the nerve (Fang and Mortimer, 1991; Grill
and Mortimer, 1996). Selective stimulation on peripheral
nerves is essential for achieving bladder control (Shanker
et al., 1998), natural recruitment order for neuroprosthesis
control (Solomonow, 1984) and even spasticity suppression
(Stefanovska et al., 1988). In addition to spatial selectiv-
ity, another important aspect of the electrical stimulation
is the fiber diameter selectivity, which refers to the ability
to stimulate nerve fibers within a given range of diameters
0165-0270/$ – see front matter © 2003 Elsevier B.V. All rights reserved.
doi:10.1016/j.jneumeth.2003.11.005