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. 2016 Oct 2;7(10):179. doi: 10.3390/mi7100179

Table 1.

Summary of potential causes of damages, nature of the incurred damage, and solutions to minimize the damage in chronological order of implantation *.

Stage Before Implantation During Implantation Post-Implant (<1 Week) Post-Implant (>1 Week)
In vivo procedure Acute graphic file with name micromachines-07-00179-i001.jpg Chronic
graphic file with name micromachines-07-00179-i002.jpg graphic file with name micromachines-07-00179-i003.jpg graphic file with name micromachines-07-00179-i004.jpg graphic file with name micromachines-07-00179-i005.jpg
Schematic view graphic file with name micromachines-07-00179-i006.jpg graphic file with name micromachines-07-00179-i007.jpg graphic file with name micromachines-07-00179-i008.jpg graphic file with name micromachines-07-00179-i009.jpg
Potential causes of damage
  • Drilling of skull

  • Impact of insertion

  • Mechanical vibration during implantation

  • Micromotion

  • Micromotion

  • Macromotion

  • Strain from cable attachment

  • Corrosion

Induced effects
  • Undesired excision of brain tissue

  • Contamination of electrode surface due to bleeding

  • Cell death

  • Hemorrhage and edema

  • Blood-brain barrier (BBB) disruption

  • On-set of inflammation

  • Acute inflammatory response

  • BBB disruption

  • Unstable electrode-tissue interface

  • Chronic foreign body response

  • BBB disruption

  • Encapsulation (kill zone)

graphic file with name micromachines-07-00179-i010.jpg graphic file with name micromachines-07-00179-i011.jpg graphic file with name micromachines-07-00179-i012.jpg graphic file with name micromachines-07-00179-i013.jpg
Results
  • No detection

  • Low signal-to-noise ratio (SNR)

  • Larger dead zone

  • Unstable impedance and recording

  • Low SNR

  • No detection

Proposed solutions
  • Mastery of surgery

  • Optimization of probe dimension

  • Optimization of insertion speed

  • Pneumatic insertion

  • Biocompatible coating

  • Anti-inflammatory coating

  • BBB modulation

  • Flexible substrate

  • Drug coating

  • BBB modulation

  • Rejuvenation

  • Wireless transmission

* Reproduced with permission from Szarowski et al. [75]. A scale bar of 100 μm.