A Miniature Configurable Wireless System for Recording Gastric Electrophysiological Activity and Delivering High-Energy Electrical Stimulation

The purpose of this paper is to develop and validate a miniature system that can wirelessly acquire gastric electrical activity called slow waves and deliver high-energy electrical pulses to modulate its activity. The system is composed of a front-end unit and an external stationary back-end unit that is connected to a computer. The front-end unit contains a recording module with three channels and a single-channel stimulation module. Commercial off-the-shelf components were used to develop front- and back-end units. A graphical user interface was designed in LabVIEW to process and display the recorded data in real-time and store the data for off-line analysis. The system was successfully validated on bench top and in vivo in porcine models. The bench-top studies showed an appropriate frequency response for analog conditioning and digitization resolution to acquire gastric slow waves. The system was able to deliver electrical pulses at amplitudes up to 10 mA to a load smaller than $880~\Omega $ . Simultaneous acquisition of the slow waves from all three channels was demonstrated in vivo. The system was able to modulate—by either suppressing or entraining—the slow wave activity. This paper reports the first high-energy stimulator that can be controlled wirelessly and integrated into a gastric bioelectrical activity monitoring system. The system can be used for treating functional gastrointestinal disorders.

[1]  H. Parkman,et al.  Review article: gastric electrical stimulation for gastroparesis – physiological foundations, technical aspects and clinical implications , 2009, Alimentary pharmacology & therapeutics.

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

[3]  Amir Javan-Khoshkholgh,et al.  An Implantable Inductive Near-Field Communication System with 64 Channels for Acquisition of Gastrointestinal Bioelectrical Activity , 2019, Sensors.

[4]  G O'Grady,et al.  High‐resolution spatial analysis of slow wave initiation and conduction in porcine gastric dysrhythmia , 2011, Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society.

[5]  S. Ben‐Haim,et al.  Enhancement of antral contractions and vagal afferent signaling with synchronized electrical stimulation. , 2003, American journal of physiology. Gastrointestinal and liver physiology.

[6]  M. Mintchev,et al.  Implantable neural electrical stimulator for external control of gastrointestinal motility. , 2007, Medical engineering & physics.

[7]  M P Mintchev,et al.  Design, implementation and testing of an implantable impedance-based feedback-controlled neural gastric stimulator , 2011, Physiological measurement.

[8]  Aydin Farajidavar,et al.  A 64-channel wireless implantable system-on-chip for gastric electrical-wave recording , 2016, 2016 IEEE SENSORS.

[9]  J D Z Chen,et al.  Systematic review: applications and future of gastric electrical stimulation , 2006, Alimentary pharmacology & therapeutics.

[10]  Leo K. Cheng,et al.  Recent progress in gastric arrhythmia: Pathophysiology, clinical significance and future horizons , 2014, Clinical and experimental pharmacology & physiology.

[11]  Leo K. Cheng,et al.  High-resolution entrainment mapping of gastric pacing: a new analytical tool. , 2010, American journal of physiology. Gastrointestinal and liver physiology.

[12]  Aydin Farajidavar,et al.  An inductive narrow-pulse RFID telemetry system for gastric slow waves monitoring. , 2016, Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference.

[13]  Leo K. Cheng,et al.  A miniature bidirectional telemetry system for in vivo gastric slow wave recordings , 2012, Physiological measurement.

[14]  Leo K. Cheng,et al.  The gastrointestinal electrical mapping suite (GEMS): software for analyzing and visualizing high-resolution (multi-electrode) recordings in spatiotemporal detail , 2012, BMC Gastroenterology.

[15]  P. Nielsen,et al.  High-resolution Mapping of In Vivo Gastrointestinal Slow Wave Activity Using Flexible Printed Circuit Board Electrodes: Methodology and Validation , 2009, Annals of Biomedical Engineering.

[16]  Smitha Rao,et al.  An endoscopic wireless gastrostimulator (with video). , 2012, Gastrointestinal endoscopy.

[17]  Aydin Farajidavar,et al.  A wireless system for gastric slow wave acquisition and gastric electrical stimulation , 2016, 2016 IEEE Topical Conference on Biomedical Wireless Technologies, Networks, and Sensing Systems (BioWireleSS).

[18]  H. Sallam,et al.  Therapeutic potential of synchronized gastric electrical stimulation for gastroparesis: enhanced gastric motility in dogs. , 2007, American journal of physiology. Regulatory, integrative and comparative physiology.

[19]  Aydin Farajidavar,et al.  Towards a highly-scalable wireless implantable system-on-a-chip for gastric electrophysiology , 2015, 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[20]  Leo K. Cheng,et al.  HP21P HIGH‐FREQUENCY GASTRIC ELECTRICAL STIMULATION FOR THE TREATMENT OF GASTROPARESIS: A META‐ANALYSIS , 2009 .

[21]  A. Farajidavar,et al.  A Closed Loop Feedback System for Automatic Detection and Inhibition of Mechano-Nociceptive Neural Activity , 2012, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[22]  M. Laghrouche,et al.  Microcontroller - Based System for Electrogastrography Monitoring Through Wireless Transmission , 2009 .

[23]  J. H. Cho,et al.  Telemetry system for slow wave measurement from the small bowel , 2009, Medical & Biological Engineering & Computing.

[24]  Anand Gopinath,et al.  A Miniature Power-Efficient Bidirectional Telemetric Platform for in-vivo Acquisition of Electrophysiological Signals , 2011 .

[25]  B. Schirmer,et al.  Effects of pacing parameters on entrainment of gastric slow waves in patients with gastroparesis. , 1998, The American journal of physiology.

[26]  Khosrow Behbehani,et al.  Recognition and inhibition of dorsal horn nociceptive signals within a closed-loop system , 2010, 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology.

[27]  W. Hasler,et al.  Methods of gastric electrical stimulation and pacing: a review of their benefits and mechanisms of action in gastroparesis and obesity , 2009, Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society.