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Noninvasive Stimulation of Peripheral Nerves using Temporally-Interfering Electrical Fields

B. Botzanowski, MJ. Donahue, MS. Ejneby, AL. Gallina, I. Ngom, F. Missey, E. Acerbo, D. Byun, R. Carron, AM. Cassarà, E. Neufeld, V. Jirsa, PS. Olofsson, ED. Głowacki, A. Williamson

. 2022 ; 11 (17) : e2200075. [pub] 20220707

Language English Country Germany

Document type Journal Article

Grant support
716867 European Union's Horizon 2020 research and innovation program
949191 European Union's Horizon 2020 research and innovation program
city council of Brno
Czech Republic
MedTechLabs
Swedish Research Council
European Research Council - International
European Research Council - International

Electrical stimulation of peripheral nerves is a cornerstone of bioelectronic medicine. Effective ways to accomplish peripheral nerve stimulation (PNS) noninvasively without surgically implanted devices are enabling for fundamental research and clinical translation. Here, it is demonstrated how relatively high-frequency sine-wave carriers (3 kHz) emitted by two pairs of cutaneous electrodes can temporally interfere at deep peripheral nerve targets. The effective stimulation frequency is equal to the offset frequency (0.5 - 4 Hz) between the two carriers. This principle of temporal interference nerve stimulation (TINS) in vivo using the murine sciatic nerve model is validated. Effective actuation is delivered at significantly lower current amplitudes than standard transcutaneous electrical stimulation. Further, how flexible and conformable on-skin multielectrode arrays can facilitate precise alignment of TINS onto a nerve is demonstrated. This method is simple, relying on the repurposing of existing clinically-approved hardware. TINS opens the possibility of precise noninvasive stimulation with depth and efficiency previously impossible with transcutaneous techniques.

References provided by Crossref.org

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