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4D printing for nerve stimulation: Self-folding electrodes stimulate fine nerves

TECHNICAL UNIVERSITY OF MUNICH

NEWS RELEASE

Self-folding electrodes stimulate fine nerves

4D printing for nerve stimulation

  • Researchers have produced very fine, flexible electrodes
  • Upon contact with tissue moisture, the electrodes wrap themselves around thin nerves
  • Nerve stimulation and recording with the foldable electrodes has already been demonstrated in insects

Specific nerves may be stimulated artificially, for example to treat pain. The finer the nerves, the more difficult it is to attach the required electrodes. Researchers at the Technical University of Munich (TUM) and NTT Research have now developed flexible electrodes produced with 4D printing technology. On contact with moisture, they automatically fold and wrap themselves around thin nerves.

The nervous system controls our movements through electrical impulses. These pass from nerve cell to nerve cell until finally, for example, a muscle contraction is triggered. Nerve cells can also be stimulated artificially, triggering the nerves with current pulses via acutely applied or implanted electrodes. Peripheral nerve stimulation is used, for example, to treat chronic pain or sleep apnea. Furthermore, there are clinical applications for stimulating the vagus nerve to treat for depression and epilepsy. With a diameter of several millimeters, this nerve is relatively thick.

In comparison, stimulation of nerves with diameters ranging from tens to hundreds of micrometers is more challenging. These thin as hair nerves require electrodes produced with fineness and precision. Inserting and attaching the electrode to the nerves in the micrometer range is also more complicated.

4D printing opens the door to novel shapes

4D printing involves reshaping 3D-printed objects in a targeted manner, for example using moisture or heat. Researchers at the Technical University of Munich and the Medical & Health Informatics (MEI) Lab at NTT Research have now developed 4D-printed electrodes that wrap themselves around ultra-thin nerves when inserted into moist tissue. The electrode is initially fabricated using 3D printing technology, allowing flexible adaptation of the shape, diameter, and other features.

The outer sheath of the electrode comprises a biocompatible hydrogel that swells upon contact with moisture. The material on the inside is flexible but does not swell. This configuration causes the electrodes to automatically wrap themselves around the nerves when exposed to the moisture of the tissue.

The structured titanium-gold coating on the inside of the electrodes transmits electrical signals between the electrodes and the nerve fibers. "The close contact between the folded cuffs and the nerves allows us to both stimulate the nerves and measure nerve signals with the electrodes," says Bernhard Wolfrum, Professor of Neuroelectronics at the Munich Institute of Biomedical Engineering (MIBE) at TUM and head of the study. This expands the range of possibilities for potential applications.

Better selectivity in stimulation

A variety of biomedical applications for the new electrodes are conceivable in the future. One example is improved implants for sleep apnea. In patients who suffer from sleep apnea, the tongue drops back toward the throat and briefly obstructs the airway. Stimulating the muscles that pull the tongue forward can correct the problem. "Currently, however, selectively stimulating only those muscles that move the tongue forward is difficult. This is where the flexible electrodes might be applied to facilitate stimulating nerves more selectively in the future," says Professor Clemens Heiser, senior physician at the Department of Otolaryngology at the TUM University Hospital Klinikum rechts der Isar.

The self-folding electrodes are robust and easy to manage. The research team has already demonstrated the application of the electrodes in locusts: fine nerves with a diameter of 100 micrometers were sheathed without damaging the nerves. This allowed the scientists to stimulate muscles in a very targeted manner. While still in an early development stage, the electrodes may provide an important means of deploying peripheral nerve stimulation for broader clinical application in the future.

Publication:

Lukas Hiendlmeier, Francisco Zurita, Jonas Vogel, Fulvia Del Duca, George Al Boustani, Hu Peng, Inola Kopic, Marta Nikić, Tetsuhiko F. Teshima, Bernhard Wolfrum: 4D-Printed Soft and Stretchable Self-Folding Cuff Electrodes for Small-Nerve Interfacing, Advanced Materials (2023), DOI: https://doi.org/10.1002/adma.202210206

Additional Material for Media Outlets:

Further information:

  • Prof. Bernhard Wolfrum conducts research at the Munich Institute of Biomedical Engineering (MIBE), an Integrative Research Institute within TUM. At MIBE, researchers specializing in medicine, the natural sciences, engineering, and computer science join forces to develop new methods for preventing, diagnosing, or treating diseases. The activities cover the entire development process – from the study of basic scientific principles through to their application in new medical devices, medicines, and software. https://www.bioengineering.tum.de/en/
  • The Medical & Health Informatics (MEI) Lab at NTT Research, Inc., a division of NTT, collaborated on the work.
  • The work is part of a project of the TUM Innovation Network NEUROTECH. In the TUM Innovation Networks, researchers work closely together across disciplines to open up new research areas and shape future innovation hotspots at an early stage.
  • The work was also supported by the Munich Multiscale Biofabrication Network, which is part of the ONE MUNICH Strategy Forum, in which TUM and LMU identify and promote joint initiatives on major future issues and fields. The ONE MUNICH Strategy Forum is supported by Hightech Agenda Bayern.
  • The ONE MUNICH Strategy Forum and the TUM Innovation Networks are funded by the Federal Ministry of Education and Research (BMBF) and the Free State of Bavaria under the Excellence Strategy of the Federal Government and the Länder.

Subject matter expert:

Prof. Dr. Bernhard Wolfrum

Technical University of Munich

Professor of Neuroelectronics

https://www.ee.cit.tum.de/en/nel/home/

TUM Corporate Communications Center contact:

Carolin Lerch

Media Relations

Tel. +49 89 289 10808

presse@tum.de

www.tum.de

The Technical University of Munich (TUM) is one of Europe’s leading research universities, with more than 600 professors, 50,000 students, and 11,000 academic and non-academic staff. Its focus areas are the engineering sciences, natural sciences, life sciences and medicine, combined with economic and social sciences. TUM acts as an entrepreneurial university that promotes talents and creates value for society. In that it profits from having strong partners in science and industry. It is represented worldwide with the TUM Asia campus in Singapore as well as offices in Beijing, Brussels, Mumbai, San Francisco, and São Paulo. Nobel Prize winners and inventors such as Rudolf Diesel, Carl von Linde, and Rudolf Mößbauer have done research at TUM. In 2006, 2012, and 2019 it won recognition as a German "Excellence University." In international rankings, TUM regularly places among the best universities in Germany.

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