Flexible Soft Diamond Implant
20210177333 · 2021-06-17
Assignee
- Chambre de Commerce et D'Industrie de Region Paris Ile de France (Noisy Le Grand, FR)
- Commissariat A L'energie Atomique Et Aux Energies Alternatives (Paris, FR)
Inventors
Cpc classification
International classification
A61N1/05
HUMAN NECESSITIES
Abstract
Flexible implant for electrically recording or stimulating a nerve structure, said flexible implant comprising: a first layer of electrically insulating diamond; an electrode of electrically conductive doped diamond, in contact with the first layer of electrically insulating diamond; an electrically conductive layer in contact with the electrode and the first layer, so as to define a conductive track for the electrode; and a second layer of electrically insulating diamond, at least in contact with the electrically conductive layer and a remaining portion of the first layer, all of the above arranged such that: electrically insulating diamond/electrically conductive doped diamond sealing is provided at the electrode (3) by resumption of epitaxial growth; and the electrically conductive layer is encapsulated by the electrode (3), the first layer and the second layer, at the electrode and over the entirety of the remaining surface thereof except over an area defining an electrical contact. The implant has two faces, namely: a front face comprising one of the two layers of electrically insulating diamond, open locally, providing access to the electrode and the area defining an electrical contact; and a rear face comprising the other of the two layers of electrically insulating diamond.
Claims
1. A flexible soft implant (1) for focal stimulation or electrical recording of a nerve structure of an organ of interest, comprising: at least one outer layer of biocompatible polymer, a first layer (5) of electrically insulating diamond, at least one electrically conductive doped diamond electrode (3) in contact with the first electrically insulating diamond layer (5) located at a first opening (41), an electrically conductive layer (2) of metal or electrically conductive doped diamond in contact with: the electrode (3), and the first layer (5), to define a conductive track per electrode (3); a second layer (6) of electrically insulating diamond at least in contact with the electrically conductive layer (2) and a remaining part of the first layer (5), arranged in such a way that: an electrically insulating diamond/electrically conductive doped diamond seal is produced at the electrode (3) by epitaxial regrowth; the electrically conductive layer (2) is encapsulated by: the electrode (3), the first layer (5), and the second layer (6), at the electrode (3), and the first layer (5), and the second layer (6), over its entire remaining surface except for an area at a second opening (42) defining an electrical contact per electrode (3) for connecting the flexible soft implant (1) via the electrically conductive layer (2) to an electronic component in order to control the electrical coupling between the electrode (3) and the nerve structure, the flexible soft implant (1) having two sides: a front side (11) comprising one of the two locally open, electrically insulating diamond layers allowing access to the electrode (3) and to the area defining an electrical contact for the electrode (3); a back side (12) having the other of the two electrically insulating diamond layers, the first layer (5), the electrode (3), and the second layer (6) each have thicknesses of less than one micrometer, preferably 500 nm, the electrically conductive layer (2) has a thickness of less than 3μm, the total thickness and the geometry of the flexible soft implant (1) being adapted so that the flexible soft implant (1) conforms to the surface of the organ of interest, the total thickness of the flexible soft implant (1) being less than 20 μm so as to give it flexibility.
2. The flexible soft implant (1) as claimed in claim 1, characterized in that, at the electrode (3), the electrically conductive layer (2) is encapsulated by the electrode (3) and the second layer (6) is produced by epitaxial regrowth from the electrode (3), the electrode (3) being encapsulated, except on a central measuring part, by the first layer (5), by the second layer (6) and by the electrically conductive layer (2).
3. The flexible soft implant (1) as claimed in claim 1, characterized in that the electrically conductive layer (2) is encapsulated by the electrode (3) and the first and second layers (5, 6), the first layer (5) being produced by epitaxial regrowth from the electrode (3).
4. The flexible soft implant (1) as claimed in one of the preceding claims 1 to 3, characterized in that the implant comprises a first outer polymer layer (71) on the back side (12) of the implant (1).
5. The flexible soft implant (1) as claimed in the preceding claim 4, characterized in that the implant (1) comprises a second outer polymer layer (72) on the front side (11) of the implant (1) except at at least one measuring portion of the electrode (3) and at an electrical contact area, the implant (1) being thus completely encapsulated by polymer, except at the measuring part of the electrode (3) and at the electrical contact area.
6. The flexible soft implant (1) as claimed in one of the preceding claims 3 to 5, characterized in that the outer polymer layer(s) has (have) a thickness of between 2 and 10 μm.
7. The flexible soft implant (1) as claimed in one of the preceding claims 3 to 6, wherein the polymer is a biodegradable polymer.
8. The flexible soft implant (1) as claimed in one of the preceding claims 1 to 2, 4 to 7, wherein the doped diamond electrode is nanostructured.
9. The flexible soft implant (1) as claimed in one of the preceding claims 1 to 8, wherein the total thickness and the geometry of the flexible soft implant (1) are adapted so that the flexible soft implant (1) conforms to the surface of the organ of interest, the total thickness of the flexible soft implant (1) being less than 10 μm so as to give it flexibility.
10. The flexible soft implant (1) as claimed in one of the preceding claims, wherein diamond of the following elements: electrode (3), first layer (5), second layer (6), and electrically conductive layer (2) when made of diamond, is not ultrananocrystalline (UNCD).
11. The flexible soft implant (1) as claimed in one of the preceding claims, wherein the diamond for the electrode (3) is doped with boron or phosphorus.
12. The flexible soft implant (1) as claimed in one of the preceding claims, wherein the ratio of the length between the first opening (41) and the second opening (42) to the thickness of the implant is greater than 100.
13. A process for manufacturing at least one flexible soft implant (1) for the focal stimulation or electrical recording of a nerve structure of an organ of interest, defined according to one of the preceding claims, said implant (1) being made by the following steps from a substrate (S): (S1) producing a first electrically insulating diamond layer (5) and at least one electrically conductive doped diamond electrode (3) by epitaxial growth, the electrode (3) and the first layer (5) being deposited one on top of the other by epitaxial regrowth at the end of this step (S1); (S2) depositing an electrically conductive layer (2) resting on at least part of the electrode (3) and at least a given part of the first layer (5), to define a conductive track per electrode (3); (S3) producing a second layer (6) supported on at least part of the electrically conductive layer (2) and at least on a remaining part of the first layer (5) by epitaxial growth; the steps of the process are carried out so that: an electrically insulating diamond/electrically conductive doped diamond seal is produced at the electrode (3) by epitaxial regrowth, the electrically conductive layer (2) is encapsulated by: the electrode (3), the first layer (5), and the second layer (6), at the electrode (3), and the first layer (5), and the second layer (6), over its entire remaining surface except for an area defining an electrical contact per electrode (3).
14. The process as claimed in claim 13, wherein the total thickness of the flexible soft implant is less than 20 μm.
15. The process as claimed in one of the preceding claims 13 to 14, wherein: in step (S1), producing the first electrically insulating diamond layer (5) on the substrate (S) by epitaxial growth, then producing at least one electrically conductive doped diamond electrode (3) resting on the first layer (5) by epitaxial regrowth, in step (S2), depositing the electrically conductive layer (2) on an outer contour of the electrode (3) and at least on a given part of the first layer (5), in step (S3), epitaxial growth of the second layer (6) is performed on: the electrically conductive layer (2) except on an area defining an electrical contact per conductive track, as well as on the electrode (3) by epitaxial regrowth, leaving a central measuring part of the electrode (3) open to the air, this electrically insulating diamond regrowth on electrically conductive doped diamond guarantees the implant's impermeability at the electrode (3).
16. The process as claimed in one of the preceding claims 13 to 14, wherein: in step (S1), producing at least one electrically conductive doped diamond electrode (3) on the substrate (S) by epitaxial growth, then producing the first diamond layer (5) on the outer contour of the electrode (3) by epitaxial regrowth and on part of the substrate (S) by epitaxial growth except in a given area which defines an electrical contact, in step (S2), depositing the conductive layer (2) on at least a central part of the electrode (3), on at least a given part of the first layer (5) to make one conductive track per electrode (3), and on the given area of electrical contact to make one electrical contact per conductive track.
17. The process as claimed in one of claims 13 to 16, comprising the following further step (S4) of depositing at least one outer polymer layer, for example on the back side (12) of the implant (1).
18. The process as claimed in claim 17, comprising the following further steps: (S41) depositing an outer polymer layer on the front side of the implant, where the electrode (3) and the associated electrical contact are located, as well as on the substrate (S); (S42) opening the outer polymer layer at the electrical contact and electrode (3) and depositing a protective resin; (S43) etching the substrate until the back side (12) of the implant is exposed; (S44) depositing another outer polymer layer on the back side of the implant, removing the protective resin and cutting the implant to give it its final shape.
19. The process as claimed in one of the preceding claims 14-15,17-18, wherein the electrode (3) is nanostructured as follows: a material forming a nanostructured 3D pattern is deposited on the electrode (3); an electrically conductive doped diamond layer is deposited over the material forming the nanostructured pattern.
Description
PRESENTATION OF THE FIGURES
[0084] Other features, purposes and advantages of the invention will appear upon reading the following description of different embodiments represented in the following drawings which are not at full scale, the implant being much longer than it is thick:
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DESCRIPTION OF THE INVENTION
[0100] As shown in
[0104] The protective coating 4 includes a first opening 41 at each electrode 3 to allow each electrode 3 to be coupled with the desired nerve structure. The protective coating 4 also includes a second opening 42 at the electrically conductive layer 2 to form an electrical contact area for an electrode, thereby allowing the flexible soft implant 1 to be connected to an electronic component to control the electrical coupling between the electrode 3 and the nerve structure.
[0105] The flexible soft implant 1 comprises a front side 11 on which the first opening 41 and the second opening 42 are located, and a back side 12 which is opposite said front side 11.
[0106] The fact that the protective coating 4 is made of electrically non-conductive diamond and the electrode 3 is made of electrically conductive doped diamond ensures long-term protection of the electrically conductive layer 2, which is completely encapsulated by diamond (except at the second opening 42 which is not in contact with biological tissue), the diamond being perfectly impermeable because the density of the diamond prevents the particles from diffusing through it. In addition, diamond offers the advantage of being biocompatible, and can therefore be implanted in the human body.
[0107] In addition, the impermeability of the flexible soft implant 1 is ensured by the fact that the contacts between the electrode 3 and the protective coating 4 are areas of epitaxial regrowth of the electrode 3 on the protective coating 4, and of the protective coating 4 on the electrode 3. Such regrowth ensures that there is no discontinuity between the electrode 3 and the protective coating 4, thus guaranteeing the impermeability of the implant 1.
[0108] In addition, as shown in
[0109] For simplification purposes, the implant 1 is described with one electrode 3, but the implant 1 preferably comprises a plurality of electrodes 3 in contact with the electrically conductive layer 2, said electrically conductive layer 2 forming an electrical track for each electrode 3 of the implant.
[0110] As shown in
[0111] The second layer 6 is located on the front side 11 of the implant 1 and thus comprises the first opening 41 and the second opening 42, the first layer 5 being located on the back side 12 of said implant 1.
[0112] The electrically conductive layer 2 is encapsulated (bounded or located enclosed, enveloped, surrounded or coated) by the electrode 3, by the first layer 5 and by the second layer 6, at the electrode 3, and by the first layer 5 and the second layer 6 over its entire remaining surface (length, width and thickness) except for the area defining the electrical contact because of the second opening 42. In addition, at the electrode 3, the electrically conductive layer 2 is encapsulated by the electrode 3 and the second layer 6.
[0113] The electrode 3 is made by regrowth from the first layer 5, and the second layer 6 is made by regrowth from the electrode 3, thus ensuring the impermeability of the flexible soft implant 1.
[0114] The electrode 3 is encapsulated (or bounded or located enclosed, enveloped, surrounded or coated) by the first layer 5, by the second layer 6, and by the electrically conductive layer 2, except for a central measuring part corresponding to the first opening 41.
[0115] As shown in
[0116] This polymer layer makes the flexible soft implant 1 easier to handle, especially by the doctor when the implant 1 is implanted, as the flexibility and thinness of the implant 1 may make it difficult to handle.
[0117] The polymer can be biodegradable in order to be removed after implantation of flexible soft implant 1 in the patient's body, the polymer being useful only when implanting the flexible soft implant 1.
[0118] In the variant shown in
[0119] In the variant shown in
[0120] The polymer layer(s) deposited on the implant 1 should preferably be between 2 and 10 μm thick, in order to facilitate the handling of the implant 1 while keeping the implant 1 with satisfactory flexibility.
[0121] As shown in
[0122] The first layer 5 is located on the front side 11 of the implant 1 and thus includes the first opening 41 and the second opening 42, while the second layer 6 is located on the back side 12.
[0123] In this embodiment, the electrically conductive layer 2 is encapsulated by the electrode 3 and by the first and second diamond layers 5 and 6 at the electrode 3 and over its entire remaining surface (length, width and thickness) by the first and second diamond layers 5 and 6, except for the area defining the electrical contact. In addition, at the electrode 3, the electrically conductive layer 2 is encapsulated by the electrode 3 and the first and second diamond layers 5 and 6, the first layer 5 being produced by regrowth from the electrode 3.
[0124] According to the second embodiment, electrode 3 has its coupling side, the side intended to face the nerve structure, which is flush with the first layer 5 over its entire surface.
[0125] As shown in
[0126] Again, the polymer can be biodegradable so that it can be removed after the implant 1 is implanted in the patient's body, the polymer being useful only when the implant 1 is implanted.
[0127] In the variant shown in
[0128] The polymer layer(s) deposited on the implant 1 should preferably be between 2 and 10 μm thick, in order to facilitate the handling of the implant 1 while keeping the implant 1 with satisfactory flexibility.
[0129] For both embodiments, the electrode 3, the first layer 5 and the second layer 6 are each less than 500 nm and maximum 1 μm thick, thus allowing the implant 1 to be highly flexible, despite the fact that the electrode 3, the first layer 5 and the second layer 6 are made of diamond.
[0130] In addition, for both embodiments, the electrically conductive layer 2 is less than 3 μm thick, to ensure the flexibility of the implant.
[0131] Moreover, for both embodiments, the electrode 3 is preferably nanostructured in order to increase the signal-to-noise ratio. The side of the electrode 3 intended to face the nerve structure is not smooth, but has a nanometric relief, so as to increase the surface area of this side of the electrode 3 facing the nerve structure.
[0132] The nanostructuring of the electrode 3, or in other words, giving a nano-sized relief to one side of the electrode 3, can be done as follows: [0133] a material forming a nanostructured 3D pattern is deposited on one side of the electrode 3; [0134] an electrically conductive doped diamond layer is deposited over the material forming the 3D pattern, so that the electrode 3 is re-formed with a side that follows the 3D pattern of the material, and is thus nanostructured. Doped diamond can for example be deposited by chemical vapor deposition (CVD), in which case the material comprising the 3D pattern must be able to withstand the high temperature required for the growth of a diamond layer by CVD.
[0135] According to a first possible example for producing the electrode 3 with a nanostructured side, after growing doped diamond to form the electrode 3, a polymer foam, such as polypyrrole, is deposited on the side of the electrode 3 intended to form the coupling side with the nerve structure. Then a layer of doped diamond is formed on the polymer foam, this layer of doped diamond is nanostructured because it conforms to the very uneven relief of the polymer foam and forms a three-dimensional (3D) pattern.
[0136] According to another possible example for producing the electrode 3 with a nanostructured side, after growing doped diamond to form the electrode 3, carbon nanotubes are deposited on the side of the electrode 3 intended to form the coupling side with the nerve structure. Next, a doped diamond layer is formed on the carbon nanotubes, this doped diamond layer is nanostructured because it conforms to the very uneven relief of nanometric dimension created by the carbon nanotubes and forms a three-dimensional (3D) pattern.
[0137] The electrode 3 can of course be nanostructured by depositing other conductive materials that also have high porosity and good resistance to the growth conditions of synthetic diamond.
[0138] The flexible soft implant 1 according to any one of the previously presented embodiments can be obtained by the manufacturing process shown in
[0139] S1: producing a first electrically insulating diamond layer 5 and at least one electrically conductive doped diamond electrode 3 by epitaxial growth, the electrode 3 and the first layer 5 being deposited one on top of the other by epitaxial regrowth at the end of this step S1;
[0140] S2: depositing an electrically conductive layer 2 abutting at least part of the electrode 3 and at least part of the first layer 5, thus defining a conductive track for the electrode 3;
[0141] S3: producing a second electrically insulating diamond layer 6 supported on at least part of the electrically conductive layer 2, and at least on part of the remaining part of the first layer 5, by epitaxial growth.
[0142] The steps of the process are carried out so that: [0143] an electrically insulating diamond/electrically conductive doped diamond seal is produced at the electrode by epitaxial regrowth, [0144] the electrically conductive layer 2 is encapsulated by the electrically conductive doped diamond electrode 3, by the first electrically insulating diamond layer 5 and by the second electrically insulating diamond layer 6, at the electrode 3 and over its entire remaining surface (length, width and thickness), except for an area defining an electrical contact (this area corresponding to the second opening 42).
[0145] The process may also include a step S4 of depositing at least one outer polymer layer, for example on the back side 12 of the implant 1 or the front side 11 of the implant 1.
[0146] In a possible variant of step S4 shown in
[0147] S41: depositing a polymer layer on the front side 11 of the flexible soft implant 1, where the electrode 3 and the associated electrical contact formed by the electrically conductive layer 2 are located, as well as on the substrate on which the implant is manufactured. The polymer layer deposited in this step is the second outer polymer layer 72.
[0148] S42: opening the polymer layer at the electrical contact and the electrode 3, thus opening the polymer layer at the first opening 41 and the second opening 42, and depositing a protective resin.
[0149] S43: etching the substrate until the back side 12 of the flexible soft implant 1 is uncovered.
[0150] S44: depositing another polymer layer on the back side 12 of the flexible soft implant 1. The polymer layer deposited in this step corresponds to the first outer polymer layer 71; removal of the protective resin and cutting of the implant to give it its final shape.
[0151] A possible first implementation of the manufacturing process for producing an implant 1 according to the first embodiment is illustrated in
[0152] As shown in
[0153] In the first implementation of the process, as shown in
[0154] In order to determine the area on which the first layer 5 is formed, several solutions are possible. For example, it is possible to deposit the diamond nanoparticles on the entire substrate S and then to remove the diamond nanoparticles by etching in the areas on which it is not desired that the first layer 5 is formed, while the area of interest is protected from etching by a mask which protects the diamond nanoparticles on this area of interest. It is also possible to deposit the diamond nanoparticles only on the area of interest by covering the areas on which it is not desired for the first layer 5 to be formed by a mask when depositing the diamond nanoparticles.
[0155] Then, as shown in
[0156] In order to determine the area on which electrode 3 is formed, several solutions are possible. For example, it is possible to deposit the diamond nanoparticles on the entire layer 5 and the substrate S, and then to remove the diamond nanoparticles by etching in the areas on which it is not desired that the electrode 3 is formed, while the area of interest is protected from etching by a mask which protects the diamond nanoparticles on this area of interest. It is also possible to deposit the diamond nanoparticles only on the area of interest by covering the areas on which it is not desired for the electrode 3 to be formed by a mask when depositing the diamond nanoparticles.
[0157] The electrode 3 can be nanostructured in this step, for example by one of the methods described above.
[0158] As shown in
[0159] As shown in
[0160] As shown in
[0161] As shown in
[0162] As shown in
[0163] When the protective layer P is a film with an adhesive, the protective layer P can be removed by exposing it to UV radiation which removes its adhesion to the adhesive, and then placing the implant 1 in an ethanol solution to remove the film.
[0164] When the protective layer P is a resin, said protective layer P can be removed with a solvent.
[0165] In addition, as mentioned above, the implant 1 may include a polymer layer to facilitate the handling of said implant 1.
[0166] As shown in
[0167] As shown in
[0168] As shown in
[0169] The protective layer P is then deposited on the second outer polymer layer 72, as shown in
[0170] Then, in a manner similar to the variant in
[0171] A possible second implementation of the manufacturing process for producing an implant 1 according to the second embodiment is shown in
[0172] As shown in
[0173] In the second implementation of the process, as shown in
[0174] In order to determine the area on which the electrode 3 is formed, several solutions are possible. For example, it is possible to deposit the diamond nanoparticles on the entire substrate S and then remove the diamond nanoparticles by etching in the areas on which it is not desired for the electrode 3 to be formed, while the area of interest is protected from etching by a mask which protects the diamond nanoparticles on this area of interest. It is also possible to deposit the diamond nanoparticles only on the area of interest by covering the areas on which it is not desired for the electrode 3 to be formed by a mask when depositing the diamond nanoparticles.
[0175] Then, as shown in
[0176] As shown in
[0177] As shown in
[0178] As shown in
[0179] As shown in
[0180] As shown in
[0181] When the protective layer P is a film with an adhesive, the protective layer P can be removed by exposing it to UV radiation which removes its adhesion to the adhesive, and then placing the implant 1 in an ethanol solution to remove the film.
[0182] When the protective layer P is a resin, said protective layer P can be removed with a solvent.
[0183] In addition, as mentioned above, the implant 1 may include a polymer layer to facilitate the handling of said implant 1.
[0184] As shown in
[0185] The substrate S and the protective layer P are then removed, as shown in
[0186]
[0187]
[0188] Here this first layer 5 of insulating diamond has a desired thickness and surface shape perpendicular to the thickness.
[0189]
[0190]
[0191]
[0192]
[0193] Similarly, the second layer 6 of insulating diamond has a desired thickness and surface shape perpendicular to the thickness.
[0194]
[0195]
[0196] As can be seen in
[0197] The flexibility of the implant according to the invention is comparable to that of implants of the prior art which do not include intrinsic diamond layers of encapsulation of the conductive track.
[0198] Thus, the total thickness and geometry of the implant 1 are adapted so that the flexible soft implant 1 hugs the surface of the organ of interest, such as the cortical cortex, the heart, or a muscle, the total thickness of the implant being less than 20 μm.
[0199] The total thickness is equal to=thickness of the electrical layer 2+thickness of the electrically insulating diamond layers 5 and 6+thickness of the outer polymer layer 72+thickness of the outer polymer layer 71.
[0200] The total thickness is so small that the implant, although it contains diamond (to ensure a high seal and therefore a high robustness of the implant over time), is extremely flexible and can be deformed as desired to take the shape of the element on which it is placed.