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BobbyB
10-12-2006, 09:19 AM
Analysis: Sci-Fi 'brain' restores motion
By ED SUSMAN
CHICAGO, Oct. 11 (UPI) --

Researchers have pulled a page out of science fiction books, creating brain interfaces that have the potential to give sight to the blind, voice to the speechless and motion to the paralyzed.
http://www.cyberkineticsinc.com/images/medicalproducts/pic_braingatepipeline1.jpg
In a presentation at Wednesday's closing session of the 131st annual meeting of the American Neurological Association in Chicago, John Donoghue, director of the Brain Science Department at Brown University, Providence, R.I., said four people have been surgically implanted with electrodes in the brain.

"We are on a path that will allow patients to participate in their own rehabilitation and perhaps learn to operate an exo-skeleton that is neurally controlled," said Donoghue, founder of Cyperkinetics Inc., developers of the BrainGate device he demonstrated Wednesday.

Presently, the patients -- all of whom have no mobility in their arms or legs -- to perform a variety of tasks.

-- One man was able to use his brain interface to command a prosthetic arm to pick up a piece of candy and hand it to a researcher.

-- A woman suffering from amyotrophic lateral sclerosis, sometimes called Lou Gehrig's disease, and unable to speak, use any of her limbs or even move her head, employed the a brain-computer interface to write sentences which were then spoken by the computer.

-- Patients were able to play a video game -- albeit much slower than a normal individual -- controlling the game curser through the brain implantation.

"This is like disciplined science fiction," Wallace Tourtellotte, professor of neurology at the University of California, Los Angeles, told United Press International. "This is really amazing that you can collect neurons from the brain and make then move objects."

"These are really early days, however," said Daniel Drachman, professor of neurology at the Johns Hopkins School of Medicine, Baltimore. "We are many years away from seeing a practical use of these devices.

"I think it will be best suited for those patients who become quadriplegic due to a high spinal cord injury. If we can find a way of getting signals from the brain to the rest of the body, that will be a major accomplishment."

In fact, Donoghue said that if his work will allow one of his patients to control a prosthetic arm so that the patient can feed himself - and "we can do this in the next five years, then we will have accomplished something."

The current system requires the patient to be hooked up to a medicine cart full of computers and wires and requires a technician to stand by to make sure all the devices are working.

The interface device, developed by Richard Normann, professor of bioengineering and ophthalmology at the University of Utah, Salt Lake City, consists of an electrode array about 1/4-inch square. The chip holds 100 tiny needles so small and so sharp they don't cut tissue but actually displace it.

The tiny chip is tapped into place in the brain in the area of hand motor control by a special device created by Normann.

The incision in the skull is closed and the wires connecting the devices to the computer and threaded through a device that sits on the surface of the skull. Donoghue said the goal is to create a wireless interface so the small cap on the skull will not be necessary.

Normann, in another report to the neurologists, said the array may be able to be placed next to the optic nerve to help the blind see and specially-devised arrays may be able to allow for smooth muscle operation to allow a person confined to wheelchair to stand. He demonstrated its use in animals.

While the practical devices could be years from fruition, Drachman told UPI that the science has surpassed fiction. "We have implanted cochlear devices that help profoundly deaf people hear. What we are talking about here is not really that far away from those implants. It really is not just science fiction anymore."
http://www.upi.com/HealthBusiness/view.php?StoryID=20061011-045235-5125r

mkwong
10-16-2006, 01:57 PM
http://www.timesonline.co.uk/article/0,,2-2405400,00.html

The Times October 16, 2006

Braingate
How paralysed patients could feed themselves by the power of thought
BY MARK HENDERSON
Brain implants could allow quadriplegics enough control over their limbs to be able to feed themselves using their own hands, an expert in the technology has said.

PATIENTS paralysed from the neck down will be able to feed themselves within the next five years using their own hands and arms, an expert has predicted.
John Donoghue, of Brown University in Rhode Island, is pioneering the technology necessary to make this possible.
Brain implants that have allowed quadriplegics to move computer cursors with the power of thought will soon be capable of stimulating patients’ own muscles, giving them enough control over their limbs to grasp and manipulate a spoon, he said.
The range of movement will be limited initially, but the technology has the potential to transform the lives of people with spinal cord injuries who are reliant on others to feed, wash and dress them. “They are not going to be writing or piano-playing, but it is a first step to proving a physical connection can be remade from the brain to the muscles,” Professor Donoghue told The Times.
“I’m quite optimistic it will be done within five years.”
The ambitious goal of bypassing spinal damage that causes paralysis has emerged from his team’s astounding success with a device called BrainGate, an aspirin-sized implant that records electrical signals from the part of the brain that processes movement in the limbs.
In July, the work received world acclaim when details of the first two patients to be fitted with the device were published in the journal Nature.
One, Matt Nagle, 25, from Massachusetts, learnt in just nine months to use it to move a cursor, open e-mails, play computer games and even operate a simple robotic arm. The other, an unnamed 55-year-old man from Chicago, also had some success at controlling a cursor before signals from the device were lost.
Further evidence for BrainGate’s potential has now come from results with two more patients, whose cases Professor Donoghue reported yesterday at the Society for Neuroscience conference in Atlanta.
The first was a 53-year-old woman who developed “locked-in” syndrome after a stroke in her brain stem left her unable to move any part of her body other than her neck and eyes: she is quadriplegic and cannot speak. The implant has allowed her to communicate more freely, by moving a cursor over a virtual keyboard. Previously, her only option was to use an “eyeboard”: she would stare at a letter until a helper worked out which one it was.
The second patient was a man with amyotrophic lateral sclerosis (ALS), the form of motor neuron disease that affects Steven Hawking, who also learnt to control a cursor. This has surprised many scientists, who had assumed that the brain damage involved in the disease might make this impossible.
Professor Donoghue is now researching ways of refining BrainGate’s software to give patients finer control, and of linking it to an existing technology, functional electrical stimulation (FES), that can move paralysed muscles.
FES uses electricity to prompt muscles to tense and relax artificially, and has already been used in about 300 patients with more limited paralysis. One patient who is paralysed from the waist down, for example, has an FES device that allows her to stand up. The principle is similar to abdominal stimulators used to improve muscle tone.
Professor Donoghue is now working with FES specialists at Case Western Reserve University in Cleveland to use BrainGate signals to switch FES devices on and off in a patient’s arm, so that it can be moved independently.
“Our plan is to hook BrainGate up to an FES system, and we envision it will take five years,” he said. “Our plan is to have a tetraplegic patient with an arm supported by an orthotic, with the elbow and hand controlled by the brain via an FES system. Our goal is for a patient to grasp a spoon and feed themselves. Given what we have seen with BrainGate, we think this should be possible. It is still early, but we just need to hook the two together to achieve a modest kind of movement.”
Even though this would only allow very stilted movement, it would greatly improve the quality of life of people paralysed from the neck down, he said. Using a patient’s own arm would also be superior to using a robotic prosthesis.
“If you ask tetraplegics what they most want to be able to do, and offer them an inelegant way of feeding themselves or a robot that will feed them, they would rather have the independence,” he said. “One guy said to me, ‘I just want to scratch my nose.’ The simple things they want most may not require extraordinarily sophisticated technology. For people who are unable to communicate verbally because of stroke or ALS, it allows them to type a message. If they can electronically type it is much more efficient. It can also use predictive software. We can have people write out a description of all their medical problems and symptoms for a physician.”
In the longer term, BrainGate could potentially be used to establish more sophisticated muscle control, and it might also be used in diagnosis and even treatment of other neurological disorders. As the device effectively takes recordings from particular areas of the brain, it could also be used to monitor epilepsy patients for warning signs of a seizure.
“BrainGate could detect a pattern developing to predict a seizure,” Professor Donoghue said. “You might be driving, and it would predict a seizure in one hour, so you could pull off the road and make sure you don’t engage in any dangerous behaviour.”
HOW TO BYPASS THE SPINAL-CORD
• BrainGate uses a 4mm-square sensor, from which 100 hair-thin electrodes protrude into the brain. These pick up electrical signals from the neurons
• The sensor is attached to the part of the brain’s motor cortex that would control the patient’s arm if he still had the ability to move his limbs
• The signals are then fed into a computer, which processes the spikes of activity to decode the patient’s intentions. By “thinking left” or “thinking right” the patient can thus move a computer cursor
• Control is not as precise as it would be with a hand-operated mouse, but researchers are working to refine the decoding software
• In the first trials, patients have used this to open emails, play computer games and even operate a simple robotic arm, all while holding a conversation, showing that complete concentration is unnecessary
• Functional Electrical Stimulation (FES) devices can manipulate muscles artificially using electrical signals
• The next step will be to devise a way of allowing the BrainGate chip to “talk” to an FES device attached to a patient’s own arm, so he or she can control it
• Electrical signals generated by the brain would use BrainGate to bypass the patient’s damaged spinal cord







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BobbyB
10-17-2006, 01:05 PM
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ALS Implant Allows Brain Computer Control

10/16/2006


Stephen Heywood, bother of ALS TDF Founder Jamie Heywood has enrolled in a clinical trial by Cyberkinetics to test the safety and capability of a neural implant to allow communication and computer control by recording directly from the motor cortex.

Stephen, who has had ALS for nearly eight years, is the first ALS patient to use the system. Developed by Cyberkinetics Neurotechnology Systems, Inc., BrainGate’s Neural Interface System consists of a tiny sensor (the size of a baby aspirin) implanted on the surface of the motor cortex. This implant directly records the spikes and signals from the surrounding neurons. Stephen is literally plugged in through a pedestal with 96 channels mounted on his head. The system then converts the electrical signals first to spikes, the language of neurons, and then through a decoding algorithm into motion and actions.

The chip is mounted in the part of the brain that controls his right arm. Stephen trains the system by imagining movements as if he were moving his hand and arm. The system learns which neurons are involved in each imagined motion and translates his imagined actions into movements of a computer cursor. This has even allowed him to play simple games.



http://www.als.net/images/Stephen%20Heywood%20-%20Implant.JPGhttp://www.als.net/images/Array%20and%20Penny%20180.JPG


Left: Stephen Heywood and the Implant Pedestal

Above: The implant shown for size next to a penny

http://www.patientslikeme.com/forum/...view=last#2138




"BrainGate is truly magical technology. It has the potential for perfect Bionic limbs, direct communication from the brain. Right now I could easily control my wheelchair, a robot arm, any RC toy. I would give anything to play video games with my son."
-Stephen Heywood


Though this is a very early trial and there is significant development work to be done on all parts of the system before it could be considered a product, it is showing sufficient promise that development of practical applications is starting. Stephen Heywood and his brother Jamie, along with Øystein Johnsen, founder of RollTalk of Norway that makes integrated control systems for the disabled, rebuilt the control system of Stephen’s wheelchair so that it can be operated by computer. If the trial allows it Stephen is looking forward to moving his chair simply by using his thoughts.


More Information:

Video showing how the Braingate system works: Cyberkinetics Inc

Rolltalk - Hardware and software automation for the disabled