Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, May 27, 2019

Syringe injectable electronics

With ANY BRAINS AT ALL in stroke leadership, this would have immediately started research using this to listen in on neuron signalling in neuroplasticity. We need to know why and how a neighboring neuron gives up its current task and takes on a neighboring task. Without that knowledge neuroplasticity will never be made repeatable and made into a stroke protocol.  Hell, this has been out since July 2015 so more proof that the stroke medical world is completely incompetent.

Syringe injectable electronics

Associated Data

Supplementary Materials

Abstract

Seamless and minimally-invasive three-dimensional (3D) interpenetration of electronics within artificial or natural structures could allow for continuous monitoring and manipulation of their properties. Flexible electronics provide a means for conforming electronics to non-planar surfaces, yet targeted delivery of flexible electronics to internal regions remains difficult. Here, we overcome this challenge by demonstrating syringe injection and subsequent unfolding of submicrometer-thick, centimeter-scale macroporous mesh electronics through needles with a diameter as small as 100 micrometers. Our results show that electronic components can be injected into man-made and biological cavities, as well as dense gels and tissue, with > 90% device yield. We demonstrate several applications of syringe injectable electronics as a general approach for interpenetrating flexible electronics with 3D structures, including (i) monitoring of internal mechanical strains in polymer cavities, (ii) tight integration and low chronic immunoreactivity with several distinct regions of the brain, and (iii) in vivo multiplexed neural recording. Moreover, syringe injection enables delivery of flexible electronics through a rigid shell, delivery of large volume flexible electronics that can fill internal cavities and co-injection of electronics with other materials into host structures, opening up unique applications for flexible electronics.
The emergence of flexible electronics has significantly extended the applications of electronics by allowing intimate interfaces between electronic units and non-planar surfaces for better monitoring and manipulation of their properties-. A variety of electronic devices- has been integrated on flexible and stretchable substrates to enable applications from foldable display to electronic skin-. 3D interpenetration of flexible electronics within existing structures could further broaden and open up new applications by directly interfacing devices with the internal structures of man-made and biological materials.
Recent work has shown that flexible electronics can be placed into 3D structures through surgical processes- or by being attached to and subsequently released from a rigid delivery substrates- for biological and biomedical applications. However, direct 3D interpenetration of electronics within these structures is limited by the intrinsic thin-film supporting substrates. We have introduced a macroporous mesh paradigm that allow electronics to be combined, for example, with polymer precursors and cells to yield 3D interpenetration, , although controlled delivery and/or non-surgical placement of these ultraflexible open electronic networks into structures with seamless 3D integration and interpenetration has not been possible.
Here, we describe the design and demonstration of macroporous flexible mesh electronics that allow electronics to be precisely delivered into 3D structures by syringe injection and subsequently relax and interpenetrate within the internal space of man-made and biological materials. Distinct from previous reports, , , syringe injection requires complete release of the mesh electronics from a substrate so that the electronics can be driven by solution through a needle. The syringe injectable electronics concept involves (i) loading the mesh electronics into a syringe and needle, (ii) insertion of the needle into the material or internal cavity and initiation of mesh injection (Fig. 1a), (iii) simultaneous mesh injection and needle withdrawal to place the electronics through the targeted region (Fig. 1b), and (iv) delivery of the input/output (I/O) region of the mesh outside of the material (Fig. 1c) for subsequent bonding and measurements.
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Syringe injectable electronics
a to c, Schematics of injectable electronics. The red-orange lines highlight the overall mesh structure and indicate the regions of supporting and passivating polymer mesh layers; the yellow lines indicate metal interconnects between I/O pads (green filled circles) and recording devices (blue filled circles). d, Schematic of the mesh electronics design (upper image), where the orange and red lines represent polymer encapsulated metal interconnects and supporting polymer elements, respectively, and W is the total width of the mesh. The dashed black box (lower image) highlights the structure of one unit cell (white dashed lines), where α is the angle deviation from rectangular. e, Longitudinal mesh bending stiffness, DL, and transverse mesh bending stiffness, DT, as a function of α defined in d. f and g, Images of mesh electronics injection through a glass needle, ID = 95 μm, into 1x PBS solution. Bright-field microscopy image f of the mesh electronics immediately prior to injection into solution; the red arrow indicates the end of the mesh inside the glass needle. 3D reconstructed confocal fluorescence image g recorded following injection of ca. 0.5 cm mesh electronics into 1x PBS solution. The blue and white dashed boxes correspond to regions shown in Supplementary Fig. 3a and b. h, Optical image of an injectable mesh electronics structure unfolded on a glass substrate. W is the total width of the mesh electronics. The red dashed polygon highlights the position of electrochemical devices or FET devices. Green and black dashed boxes highlighted metal interconnect lines and metal I/O pads, respectively. i and j, Yields and change with ±1 standard deviation (±1SD) in properties post-injection for single-terminal electrochemical and two-terminal field-effect transistor (FET) devices. i, Yield (blue) and impedance change (red) of the metal electrodes from the mesh electronics injected through 32, 26 and 22 gauge metal needles. Inset: bright field image of a representative metal electrode on mesh electronics, where the sensing electrode is highlighted by a red arrow. Scale Bar: 20 μm. j, Yield (blue) and conductance change (red) of silicon nanowire FETs following injection through 32, 26, 24, 22 and 20 gauge needles. Inset: scanning electron microscopy (SEM) image of a representative nanowire FET device in the mesh electronics; the nanowire is highlighted by the red arrow. Scale bar: 2 μm.

Design and implementation of electronics for syringe injection

The mechanical properties of the free-standing mesh electronics are important to the injection process. The basic mesh structure (Fig. 1d and Supplementary Fig. 1, a and b) consists of longitudinal polymer/metal/polymer elements, which function as interconnects between exposed electronic devices and I/O pads, and transverse polymer elements. The mesh longitudinal and transverse bending stiffness, DL and DT, are determined by the mesh unit cell and corresponding widths and thickness of the longitudinal and transverse elements, and the angle, α, , . Simulations of DT and DL versus α(Fig. 1e) show that DT (DL) decreases (increases) for increasing α. Hence, increasing α facilitates bending along the transverse direction (reduced DT) and should allow for rolling-up of the mesh electronics within a needle constriction, while at the same time increasing DL, which should reduce bending and potential buckling along the injection direction.
The mesh electronics were fabricated, fully-released from substrates using reported methods, and loaded into glass needles connected to a microinjector (details see, Supplementary Information Sections 2 and 3 and Supplementary Figs. 2 and 3). Images of injection of a 2 mm wide sample through a 95 μm inner diameter (ID) glass needle show the compressed mesh ca. 250 μm from the needle opening (Fig. 1f), and then injected ca. 0.5 cm into 1x phosphate-buffered saline (PBS) solution (Fig. 1g), where the 3D image highlights the unfolding of the mesh structure from the point of the needle constriction (blue dashed box). Higher resolution images (Supplementary Fig. 4, a and b) show that the mesh structure is continuous as it unfolds. Similar results were obtained for injection of a 1.5 cm width sample through a 20 gauge (600 μm ID) metal needle (Supplementary Fig. 4c) demonstrating the generality of this injection through common glass and metal syringe needles.
To test further electrical continuity and functionality of the mesh electronics post-injection, we used anisotropic conductive film (ACF) to connect the I/O pads of theelectronics post-injection to flexible cables that are interfaced to measurement electronics (Supplementary Fig. 5, a-d). Studies of the electrical performance and yield of devices following injection into 1x PBS solution through 100-600 μm ID needles (Fig. 1, i and j) highlight several points. First, metal electrochemical devices had an average device >94% and an average device impedance change, which represents an important characteristic for voltage sensing applications, , of <7% post injection (Fig. 1i). Second, silicon nanowire field-effect transistor (FET) devices had a yield > 90% for needle IDs from 260 to 600 μm, only dropped to 83% for the smallest 100 μm ID needles, and exhibited < 12% conductance change on average post injection (Fig. 1j). Together these results demonstrate the robustness of our mesh electronics design and the capability of maintaining good device performance following injection through a wide-range of needle IDs.
We have characterized the structures of different mesh electronics within glass needle-like constrictions to understand design parameters for successful injection (Fig. 2, a and b). Bright field microscopy images of mesh electronics with different structural parameters recorded from the central region of different ID glass channels (Fig. 2c) highlight two important features. First, mesh electronics with α = 45° and widths substantially larger than the constriction ID can be smoothly injected. Relatively straight longitudinal elements are seen in Fig. 2c, I and II, where the 5 mm 2D mesh widths are 11- and 20-times larger than the respective 450 and 250 μm ID needle constrictions. Second, even 1.5 cm width mesh electronics (Fig. 2c, III) can be injected smoothly through a 33-times smaller ID (450 μm) constriction.

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