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From Fiction to Fact – Ultra Low-Power Design for Medical Devices

By Sahil Bansal, Zarlink Semiconductor



One of the recent announcements from network executives introducing new fall television viewing was the return of The Bionic Woman. For readers old enough to remember, the original Bionic Woman was “classic” 1970s television. Injured in a freak skydiving accident, Jaime Sommers is rebuilt with bionic legs and arm, exceptional hearing and more to give her superhuman capabilities.

Jaime dies and is brought back to life, becomes a secretive operative and fembot-fighting tennis pro. Along the way she becomes a possible dream date for a future engineer, though a few years later the Dukes of Hazzard appear with a cool red car and Daisy Duke in tow.

When this TV show first aired, a lot of these “bionic” capabilities were for the most part the work of creative, possibly very forward-thinking, television writers. Today, however, with The Bionic Woman set to return to the small screen, many of these once fictional technologies are a reality.

A stroke patient can use a network of on-body sensors and in-body implants to stimulate nerves to promote limb movement. Noise reduction and signal processing techniques have dramatically improved hearing aid performance, and devices can be tuned to improve a particular hearing weakness. A pacemaker using a high-speed, wireless link transmits patient health and device performance data to an external monitoring device. Devices implanted into the brain can be used for a range of therapies – from helping to manage tremor for a Parkison’s patient, to possibly controlling addiction.

In particular, the combination of wireless technology and medical devices is set to change healthcare by supporting new levels of programmability and flexibility for each patient. Key to these new implanted devices and therapies is ultra low-power RF IC and MAC (media access controller) technology.

Despite the performance afforded by modern IC technology, electronic systems associated with implanted medical applications present formidable low-power design challenges. For example, most implanted pacemakers have lifetime requirements of greater than seven years with maximum current drains in the order of 10-20 uA. The communication systems are budgeted at total currents averaged over the device lifetime of no more than about 15% of the total power budget or 2-3 microA due to the current consumption demands of supporting pacing therapy.


To conserve power, receivers in implanted medical systems must operate in a very low power “sleep mode” and periodically “sniff” or monitor for an external communication device. To save power, the time between sniffs should be as long as possible, but this is typically limited to 1-10 seconds due to application considerations such as the need for delivering therapy.

Ultra low-power IC design is key – as you add incorporate wireless capability into an implanted medical device, it’s imperative that there’s minimal impact on the battery operating life. There are some unique challenges in designing such a device:


• Low power during communications is required. Implant battery power is limited and the impedance of implant batteries is relatively high. This limits peak currents that may be drained from the supply. During communication sessions, current should be limited to less than 6 mA for most implantable devices;


• Low power when asleep and periodically “sniffing” or looking for a wake-up signal;


•Minimum external component count and minimum physical size. An RF module for a pacemaker should not be more than 3x5x10 mm3 in order to fit within typical pacemaker cans. Furthermore, implant-grade components are expensive and high levels of integration may reduce costs;


• Reasonable data rates are demanded. Pacemaker applications are currently demanding >20 kbps with much higher data rates projected for the future;


•Typically greater than two-meter range since wireless implant telemetry bands (such as the MICS band) are designed to improve upon the very short-range inductive link. Longer ranges imply good sensitivity is needed since small antennas and body loss affect link budget and allowable range.


Low-power IC design was likely not part of the creative process as a backroom of Hollywood writers “designed” the Bionic Woman. It will be interesting to see what technologies today’s writers envision, and consider the possibility that what is fiction today could become a medical reality in 20 years.

Sahil Bansal is the product line marketing manager with Zarlink Semiconductor’s ultra low-power communications group. Zarlink recently introduced the ZL70101 MICS transceiver for medical telemetry applications. Learn more at: http://ulp.zarlink.com/.





Comments

From Marc Goldstone on Jun 18, 2007
Dear Sahil, Let me ask a silly question: Why does the implanted device have to expend energy to communicate? Wouldn't it make much more sense to have an external transmitter and a simple modulated loop -- effectively a short circuit -- in the implanted device? The transmitter would merely detect the high frequency reflected energy modulation converting it into high bit rate data. The only power consumed by the implantable device would be that needed to switch the gate of a FET.

From Lynette on Jul 24, 2007
Hello Sahil, nice article. Humans have such a gift for innovation. I believe we can tap on our own energy and perhaps create a device that could help us to help ourselves. I'm not sure how to work out the technical details but it is definitely true that we are what we think. Every invention starts from a thought, inspired by nature/people. Imagine if we could not only have devices to help the weak/ill, but ones that could improve overall quality of living. I have a suggestion: a device which is timed to help us sleep sufficiently & wake up on time, programmed to age/sex/diet/heart rate etc. Something that runs on our own body's resources so we can burn off some calories at the same time. The functions could also include regulating breathing rates (for ppl who might have a snoring problem or difficulty getting deep sleep). I'd definitely buy it once it hits the shelves & I know many others who would. Essentially, we're in a "BIONIC" generation. It only gets better. We don't actually need extra-special powers because we all have our own special powers which we simply have to develop/use/stretch. :)

From Sahil Bansal on Jul 26, 2007
Response from the blogger: Hi Marc, While it's true that there may be other techniques such as having an external transmitter and a simple modulated loop in order to conserve additional power, there are other potential use case scenarios and reasons why having the RF transmitter within the implant makes sense. For example, the data rates and reliability you could achieve in a powered (and implanted) transmitter would be higher than via a simple modulated or inductive-type loop. Specifically, data rates of up to 800kbps could be achieved in the implanted RF transmitter scenario using the MICS band and a Zarlink MICS transceiver solution. Existing inductive loop techniques offer data rates of no better than about 1-30kbps. Another reason is ease-of-use and size. Having an external RF transmitter in addition to the implanted modulated loop potentially adds size and complexity to the overall system. This is avoided by using an internally placed RF transmitter. Another potential area of power consumption is on the receive side of the implant. Since there is a two-way communication link to/from the implanted device, the implant also needs to have an internal RF receiver that will consume some additional power. Again, it's possible to use a simple modulated loop approach for data into the implant to potentially save additional power, but the data rates, size, and complexity issues mentioned above would again be a factor.

From Sahil Bansal on Jul 26, 2007
Response from the blogger: Hi Lynette, That is an interesting product concept. There are countless companies developing new medical devices, including established manufacturers as well as start-ups. In addition, there is a wealth of work being done in universities, as well as collaborative partnerships between manufacturers, suppliers and R&D institutes. One thing we have found is our low-powered wireless transceiver chips are truly an enabling technology for a range of existing and envisioned end-uses. Your comment does touch on one very interesting concept – the ability to power a device using human body energy. There are a number of different projects underway looking at ways to harness human body energy to power implanted devices. The key driver here is to reduce battery size, or potentially eliminate batteries, and use space-savings for microelectronics to support increased functionality. Some of these technologies are looking at ways to capture the energy created by the circulation system or limb movement. In the future, you may be able to power your own implanted medical devices.


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