Fascicle-Specific Targeting of Longitudinal Intrafascicular Electrodes for Motor and Sensory Restoration in Upper-Limb Amputees.

Hand Clin · Aug 2021 · Review

Cheng J, Yang Z, Overstreet CK, Keefer E

Nerves Incorporated, P.O. Box 141295, Dallas

Hand & Upper Extremity

SUMMARY — THE REDUCTIONFascicle-specific longitudinal intrafascicular electrodes enabled six amputees to control robotic hands individually and restore sensory feedback through residual nerve interfaces.
Abstract, as published

Multichannel longitudinal intrafascicular electrode (LIFE) interfaces provide optimized balance of invasiveness and stability for chronic sensory stimulation and motor recording/decoding of peripheral nerve signals. Using a fascicle-specific targeting (FAST)-LIFE approach, where electrodes are individually placed within discrete sensory- and motor-related fascicular subdivisions of the residual ulnar and/or median nerves in an amputated upper limb, FAST-LIFE interfacing can provide discernment of motor intent for individual digit control of a robotic hand, and restoration of touch- and movement-related sensory feedback. The authors describe their findings from clinical studies performed with 6 human amputee trials using FAST-LIFE interfacing of the residual upper limb.

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