A Miniature-Implantable RF-Wireless Active Glaucoma Intraocular Pressure Monitor

Glaucoma is a detrimental disease that causes blindness in millions of people worldwide. There are numerous treatments to slow the condition but none are totally effective and all have significant side effects. Currently, a continuous monitoring device is not available, but its development may open up new avenues for treatment. This work focuses on the design and fabrication of an active glaucoma intraocular pressure (IOP) monitor that is fully wireless and implantable. Major benefits of an active IOP monitoring device include the potential to operate independently from an external device for extended periods of time and the possibility of developing a closed-loop monitoring and treatment system. The fully wireless operation is based off using gigahertz-frequency electromagnetic wave propagation, which allows for an orientation independent transfer of power and data over reasonable distances. Our system is comprised of a micro-electromechanical systems (MEMS) pressure sensor, a capacitive power storage array, an application-specific integrated circuit designed on the Texas Instruments (TI) 130 nm process, and a monopole antenna all assembled into a biocompatible liquid-crystal polymer-based tadpole-shaped package.

[1]  P. Renaud,et al.  First steps toward noninvasive intraocular pressure monitoring with a sensing contact lens. , 2004, Investigative ophthalmology & visual science.

[2]  R. Banerjee,et al.  Artificial vitreous replacements. , 2003, Bio-medical materials and engineering.

[3]  E.M. Philofsky FRAM-the ultimate memory , 1996, Proceedings of Nonvolatile Memory Technology Conference.

[4]  R. Sampaolesi,et al.  Diurnal variation of intraocular pressure in healthy, suspected and glaucomatous eyes. , 1968, Bibliotheca ophthalmologica : supplementa ad ophthalmologica.

[5]  Bernardo Tellini,et al.  Design of a system for continuous intraocular pressure monitoring , 2004, IEEE Transactions on Instrumentation and Measurement.

[6]  Ieee Standards Board IEEE standard for safety levels with respect to human exposure to radio frequency electromagnetic fields, 3kHz to 300 GHz , 1992 .

[7]  Frank R. Dungan Electronic Communication Systems , 1987 .

[8]  R. Puers,et al.  Passive telemetry by harmonics detection , 1996, Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[9]  K. Wise,et al.  A double-sided single-chip wireless pressure sensor , 2002, Technical Digest. MEMS 2002 IEEE International Conference. Fifteenth IEEE International Conference on Micro Electro Mechanical Systems (Cat. No.02CH37266).

[10]  D. Garway-Heath,et al.  The relative effects of corneal thickness and age on Goldmann applanation tonometry and dynamic contour tonometry , 2005, British Journal of Ophthalmology.

[11]  François Krummenacher,et al.  A model for /spl mu/-power rectifier analysis and design , 2005, IEEE Transactions on Circuits and Systems I: Regular Papers.

[12]  Wilensky Jt,et al.  Diurnal variations in intraocular pressure. , 1991 .

[13]  J. Engel,et al.  Liquid crystal polymer (LCP) for MEMS: processes and applications , 2003 .

[14]  W.J. Chappell,et al.  Implantable Wireless Telemetry Boards for In Vivo Transocular Transmission , 2008, IEEE Transactions on Microwave Theory and Techniques.

[15]  Daniel R. Merrill,et al.  Electrical stimulation of excitable tissue: design of efficacious and safe protocols , 2005, Journal of Neuroscience Methods.

[16]  Wilfried Mokwa,et al.  Micro-transponder systems for medical applications , 2001, IEEE Trans. Instrum. Meas..

[17]  M.S. Humayun,et al.  Microfabricated Implantable Parylene-Based Wireless Passive Intraocular Pressure Sensors , 2008, Journal of Microelectromechanical Systems.

[18]  Robert Puers,et al.  Electrodeposited copper inductors for intraocular pressure telemetry , 2000 .

[19]  David Blaauw,et al.  A sub-pW timer using gate leakage for ultra low-power sub-Hz monitoring systems , 2007, 2007 IEEE Custom Integrated Circuits Conference.

[20]  Rainer Laur,et al.  Wireless intra-ocular pressure monitoring system integrated into an artificial lens , 2000, 1st Annual International IEEE-EMBS Special Topic Conference on Microtechnologies in Medicine and Biology. Proceedings (Cat. No.00EX451).

[21]  B.J. Hosticka,et al.  A programmable intraocular CMOS pressure sensor system implant , 2001, Proceedings of the 26th European Solid-State Circuits Conference.

[22]  Ylva Bäcklund,et al.  A system for wireless intra-ocular pressure measurements using a silicon micromachined sensor , 1992 .

[23]  Lars Rosengren,et al.  Passive silicon transensor intended for biomedical, remote pressure monitoring , 1990 .

[24]  T. Ohsawa,et al.  A new on-chip converter for submicrometer high-density DRAMs , 1987 .

[25]  Seung Woo Lee,et al.  Development of microelectrode arrays for artificial retinal implants using liquid crystal polymers. , 2009, Investigative ophthalmology & visual science.

[26]  P Pialoux,et al.  [Biocompatibility of cochlear implants]. , 1995, Bulletin de l'Academie nationale de medecine.

[27]  Khalil Najafi,et al.  A wide-range supply-independent CMOS voltage reference for telemetry-powering applications , 2002, 9th International Conference on Electronics, Circuits and Systems.

[28]  Bram Nauta,et al.  Embedded 5 V-to-3.3 V voltage regulator for supplying digital IC's in 3.3 V CMOS technology , 1998, IEEE J. Solid State Circuits.

[29]  H. Quigley,et al.  The number of people with glaucoma worldwide in 2010 and 2020 , 2006, British Journal of Ophthalmology.

[30]  Sudipto Chakraborty,et al.  Mixed-signal integrated circuits for self-contained sub-cubic millimeter biomedical implants , 2010, 2010 IEEE International Solid-State Circuits Conference - (ISSCC).

[31]  George Kennedy Electronic Communication Systems , 1970 .

[32]  André Mermoud,et al.  Wireless contact lens sensor for intraocular pressure monitoring: assessment on enucleated pig eyes , 2009, Acta ophthalmologica.

[33]  Euisik Yoon,et al.  Hermetically Sealed Inductor-Capacitor (LC) Resonator for Remote Pressure Monitoring , 1998 .

[34]  A. Bertsch,et al.  A soft contact lens with a MEMS strain gage embedded for intraocular pressure monitoring , 2003, TRANSDUCERS '03. 12th International Conference on Solid-State Sensors, Actuators and Microsystems. Digest of Technical Papers (Cat. No.03TH8664).

[35]  J. Wilensky,et al.  Diurnal variations in intraocular pressure. , 1991, Transactions of the American Ophthalmological Society.