Evidence map›Paper›PMID 41366704›Full record

ArticleBioelectronic medicine2025

Using a single penetrating interfascicular electrode to improve spatial selectivity of an extraneural polymeric cuff array.

Imane Ben M'Rad, Zachary K Bailey, Estelle A Cuttaz, Rylie A Green

Abstract read
In one paragraph

Article in Bioelectronic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Neural Interfaces for Bioelectronic Medicine.Bioelectronic medicine · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Imane Ben M'RadBioengineering, Imperial College London, London, SW7 2AZ, UK.ORCID http://orcid.org/0009-0006-2224-8586
Zachary K BaileyBioengineering, Imperial College London, London, SW7 2AZ, UK.ORCID http://orcid.org/0000-0002-2274-5914
Estelle A CuttazBioengineering, Imperial College London, London, SW7 2AZ, UK.ORCID http://orcid.org/0000-0002-7957-2348
Rylie A GreenBioengineering, Imperial College London, London, SW7 2AZ, UK. rylie.green@imperial.ac.uk.ORCID http://orcid.org/0000-0003-1569-7288

Funding

Engineering and Physical Sciences Research Council EP/R004498/1
6 · The paper itself

Abstract

backgroundDamage to the peripheral nervous system severely disrupts motor control, sensory perception, and organ function, often resulting in long-term disability. To restore such impairments, peripheral nerve interfaces (PNIs) aim to achieve precise stimulation selectivity, yet current approaches face several limitations. Most PNIs rely on metal-based electrodes, which introduce a mechanical mismatch with soft neural tissue and are limited by low charge-injection capacity. The device design of these PNIs also suffers from a fundamental trade-off: highly invasive approaches enable high selectivity but provoke strong foreign-body responses, while less invasive designs minimize tissue damage but fail to provide sufficient selectivity. Although current-steering strategies have been explored to enhance selectivity, their performance remains inadequate for clinical application. Significant advances in PNIs are required to safely achieve higher selectivity.

methodsIn this work, a novel array consisting of a single penetrating interfascicular electrode (SPIF) added to an extraneural cuff (EC) array, termed SPIFEC, was developed using laser-based fabrication and polymeric materials. Electrochemical properties were characterized, and ex vivo experiments using whole rat sciatic nerve were conducted to assess fascicular selectivity. The implantation was assessed through computed tomography (CT) imaging.

resultsThe SPIFEC design includes seven extraneural electrodes and one double-sided interfascicular penetrating electrode. Electrochemical analysis revealed the polymeric electrodes had low impedance, high charge storage capacity and high charge-injection limit, when compared to previous reports on traditional metallic devices. Ex vivo studies demonstrated that the device achieved high fascicular selectivity, particularly in nerves with well-defined fascicles, outperforming a comparable non-penetrating cuff. CT imaging confirmed the interfascicular positioning of the penetrating electrode.

conclusionThese results demonstrate the potential of this novel SPIFEC array in enhancing spatial selectivity for peripheral nerve applications. Further studies, including chronic in vivo testing, are required to fully evaluate long-term performance and clinical potential in neuroprosthetic systems.

Indexed as

Conductive elastomersNerve cuff electrode arraysPenetrating electrodeSPIFECStimulation selectivity

Identifiers

PMID41366704
PMCPMC12690793

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.