WO2014141089A2 - Foveated retinal prosthesis - Google Patents

Foveated retinal prosthesis Download PDF

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Publication number
WO2014141089A2
WO2014141089A2 PCT/IB2014/059672 IB2014059672W WO2014141089A2 WO 2014141089 A2 WO2014141089 A2 WO 2014141089A2 IB 2014059672 W IB2014059672 W IB 2014059672W WO 2014141089 A2 WO2014141089 A2 WO 2014141089A2
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WO
WIPO (PCT)
Prior art keywords
photosensors
array
electrodes
spatial density
photosensor
Prior art date
Application number
PCT/IB2014/059672
Other languages
French (fr)
Other versions
WO2014141089A3 (en
Inventor
Ra'anan Gefen
Original Assignee
Nano-Retina, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nano-Retina, Inc. filed Critical Nano-Retina, Inc.
Priority to CN201480012642.1A priority Critical patent/CN105025982B/en
Priority to EP14716415.6A priority patent/EP2968934A2/en
Publication of WO2014141089A2 publication Critical patent/WO2014141089A2/en
Publication of WO2014141089A3 publication Critical patent/WO2014141089A3/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
    • A61F2/1624—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0526—Head electrodes
    • A61N1/0543—Retinal electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36046—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of the eye

Definitions

  • Applications of the present invention relate generally to implantable medical devices, and specifically to a retinal prosthesis .
  • Retinal malfunction due to degenerative retinal diseases, is a leading cause of blindness and visual impairment.
  • Implantation of a retinal prosthesis is a technology for restoring some useful vision in individuals suffering from retinal-related blindness.
  • the retina is a multi-layered light-sensitive structure that lines the posterior, inner part of the eye,
  • the retina contains photoreceptor cells, for example rods and cones, which capture light and convert light signals into neural signals transmitted through the optic nerve to the brain.
  • Rods are responsible for light sensitive, low resolution black and white vision, whereas cones are responsible for sharp, high resolution color vision.
  • Most cones lie in the fovea, which defines the center of the retina, and which allows for maximum acuity of vision.
  • the central portion of the fovea consists of a high concentration of cones that gradually decreases at the peripheral portions of the fovea,
  • a foveated retinal prosthesis comprising a space-variant photosensor imager.
  • the retinal prosthesis is typically configured to provide at least some sharp, central, foveal vision to a visually-impaired subject.
  • an intraocular device is provided which is configured to be implanted entirely in the subject's eye.
  • the intraocular device typically comprises a space-variant photosensor array which comprises a plurality of photosensors, each photosensor configured to detect ambient photons and generate a signal in response thereto.
  • the intraocular device additionally comprises a plurality of stimulating electrodes.
  • Driving circuitry is coupled to the photosensors and is configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signal from the photosensors.
  • the photosensor array is arranged such that a spatial density of the photosensors in a central portion of the array is greater than a spatial density of the photosensors in an outer portion of the array, resembling the structure of a native fovea of a retina.
  • an intermediate portion of the photosensor array is disposed between the central portion and the outer portion of the array.
  • a spatial density of the photosensors in the intermediate portion is between (a) the spatial density of the photosensors in the central portion, and (b) the spatial density of the photosensors in the outer portion.
  • the intermediate portion of the photosensor array comprises a plurality of intermediate portions, each having a different, respective spatial density of the photosensors.
  • a stepped decrease or a smooth decrease in photosensor spatial density may be provided in alternative configurations .
  • the photosensor array comprises an array of at least 10 clusters of two or more photosensors.
  • the clusters typically comprise 4 - 64 photosensors.
  • the spatial density of the photosensors in a cluster disposed in the central portion of the array is greater than the spatial density of the photosensors in a cluster disposed in the outer portion of the array.
  • the plurality of stimulating electrodes are arranged in an array in a manner in which a spatial density of the electrodes in the array is constant (optionally, excluding that portion of the array which is over the foveola) .
  • the spatial density of the electrodes in the central portion of the electrode array is greater than the spatial density of the electrodes in the outer portion of the electrode array, e.g., to reduce any perceived spatial distortion of the image, whereby the inner portion of the image would appear magnified due to the foveation of the photosensor array.
  • apparatus including an intraocular device configured to be implanted entirely in a subject's eye, the intraocular device including: a photosensor array including a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto, a spatial density of the photosensors in a central portion of the array being greater than a spatial density of the photosensors in an outer portion of the array;
  • driving circuitry coupled to the photosensors, and configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signals from the photosensors ,
  • a spatial density of the photosensors in an intermediate portion of the array disposed between the central portion and the outer portion is between (a) the spatial density of the photosensors in the central portion and (b) the spatial density of the photosensors in the outer portiotude
  • the intermediate portion of the array includes a plurality of intermediate portions, each having a different, respective spatial density of the photosensors, any given intermediate portion that is closer to the central portion having a spatial density higher than that of any intermediate portion that is farther than the given intermediate portion from the central portion.
  • the photosensor array includes at least two clusters of four or more photosensors, the photosensors in each cluster having a respective generally- uniform spatial density, the spatial density of the photosensors in one of the clusters that is disposed nearer the central portion of the array is greater than the spatial density of the photosensors in one of the clusters that is disposed nearer the outer portion of the array.
  • the at least two clusters of four or more photosensors include at least ten clusters of four or more photosensors .
  • the plurality of stimulating electrodes are arranged in an array, a spatial density of the electrodes being constant.
  • the plurality of stimulating electrodes are arranged in an. electrode array, a spatial density of the electrodes in a central portion of the electrode array being greater than a spatial density of the electrodes in an outer portion of the electrode array.
  • apparatus including an intraocular device configured to be implanted entirely in a subject' s eye, the intraocular device including:
  • a photosensor array including a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto,
  • an optical magnifying element coupled to the photosensor array and configured to provide a magnified image on some but less than all of the photosensors of the photosensor array;
  • driving circuitry coupled to the photosensors, and configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signals from, the photosensors ,
  • apparatus including an intraocular device configured to be implanted entirely in a subject's eye, the intraocular device including:
  • a photosensor array including a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto;
  • a spatial density of the electrodes in a central portion of the arrangement being lower than a spatial density of the electrodes in an outer portion of the arrangement, the arrangement being such that: (a) the outer portion surrounds the central portion, and (b) the central portion is large enough to contain therewithin a circle of diameter at least 100 um; and
  • driving circuitry coupled to the photosensors, and configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signals from the photosensors .
  • the spatial density of the electrodes in the central portion is zero, and the spatial density of the electrodes in the outer portion is at least 4 electrodes per m A 2.
  • the outer portion, of the arrangement includes at least first and second sub-portions, the second sub- portion surrounding the first sub-portion, a spatial density of the electrodes in the second sub-portion of the arrangement, being lower than a spatial density of the electrodes in the first sub-portion.
  • the central portion is large enough to contain therewithin a circle of diameter of 100 um,
  • apparatus including: an intraocular device configured to be implanted entirely in a subject's eye, the intraocular device including:
  • a photosensor array having a center thereof, and including a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto;
  • an array of stimulating electrodes having a center- thereof, and coupled to the photosensor array;
  • driving circuitry coupled to the photosensors, and configured to drive an electrode located at a first distance from the center of the electrode array to apply electrical pulses to a retina of the eye in response to a signal from, a photosensor located at a second distance from the center of the photosensor array, the first distance being greater than the second distance.
  • Fig. 1 is a schematic illustration of a photosensor array for use in an implantable intraocular device, in accordance with some applications of the present invention
  • FIGS. 2A-E are schematic illustration of alternative configurations of a photosensor array for use in the implantable intraocular device of Fig. 1, in accordance with respective applications of the present invention
  • FIGS. 3A-B are schematic illustration of an array of stimulating electrodes implanted in an eye of the subject, for use with any of the photosensor arrays shown in Figs. 1-2, in accordance with respective applications of the present invention
  • FIGS. 4A-B are schematic illustration of an array of stimulating electrodes implantable in an eye of the subject, for use with any of the photosensor arrays shown in Figs. 1-2, in accordance with respective applications of the present invention ;
  • Figs. 5A-B are schematic illustrations of a bottom view of an array of stimulating electrodes implantable in an eye of the subject, for use with any of the photosensor arrays shown in Figs. 1-2, in accordance with respective applications of the present invention.
  • FIG. 1 is a schematic illustration of a photosensor array 22 configured for use as part of an implantable intraocular device 20, in accordance with some applications of the present invention.
  • Photosensor array 22 comprises a plurality of photosensors 24, each photosensor 24 configured to detect ambient, photons and to generate a signal in response thereto.
  • Driving circuitry 32 coupled to photosensors 24, drives a plurality of stimulating electrodes 30 to apply electrical pulses to a retina of the eye in response to the signal from the photosensors.
  • photosensor array 22 is arranged such that a spatial density of photosensors 24 in a central portion 26 of array 22 is greater than a spatial density of photosensors 24 in an outer portion 28 of array 22.
  • a distance Dl between two photosensors 24 disposed in central portion 26 is smaller than a distance D4 between two photosensors 24 disposed in outer portion 28.
  • Dl is typically greater than 2 um and/or less than 100 urn., e.g., greater than 4 um. and/or less than 50 um.
  • D4 is typically greater than 40 um and/or less than 1000 um, e.g., greater than 100 um and/or less than 500 um (e.g., 300 um)
  • D4 divided by Dl is typically at least 2 (e.g., at least 4) and/or less than 200.
  • the spatial density of the photosensors in an intermediate portion 34 of the array disposed between central portion 26 and outer portion 28 is between (a) the spatial density of the photosensors in central portion 26 and (b) the spatial density of the photosensors in outer portion 28.
  • a distance D2 between photosensors in intermediate portion 34 is between Dl and D4.
  • Photosensor array 22 m.ay similarly be arranged to have a plurality of intermediate portions 34 and 36, each having a different, respective spatial density of photosensors 24. In such an arrangement, any given intermediate portion 34 that is closer to central portion 26 has a spatial density higher than that of any intermediate portion 36 that is farther than given intermediate portion. 34 from central portion 26.
  • Photosensor array 22 may be arranged to have 2, 3, 4-6, 7-10, or more intermediate portions. (Two intermediate portions 34 and 36 are shown in Fig , 1 , )
  • Fig. 2A is a schematic illustration of photosensor array 22, in which photosensors 24 are arranged in concentric rings, in accordance with some applications of the present invention.
  • the rings of photosensors are square rings, although the scope of the present invention includes the use of concentric, rectangular, circular, hexagonal, and elliptical rings, as well as concentric rings of other shapes. Examples of hexagonal and circular photosensor arrays are shown in Figs. 2D-E (respectively) .
  • Each ring of photosensors 24 shown in Fig, 2A has the photosensors thereof disposed with a given distance D13 separating adjacent photosensors in the same ring.
  • Photosensor array 22 as shown in Fig, 2A is characterized in that the distance D13 between photosensors in a ring closer to central portion 26 is smaller than the distance D14 between photosensors in a ring farther from central portion 26, In the application shown in Fig, 2A, successive rings going from central portion 26 toward outer portion 28 have gradually increasing, and typically monotonically increasing, distances between photosensors in each successive ring,
  • the distance between successive rings increases (typically monotonically) from a smaller distance Dll, nearer central portion 26, to a larger distance D12, farther from central portion 26.
  • the rings of photosensors 24 may surround a central core 54 of photosensors, which are not arranged as a ring.
  • Central core 54 typically comprises 4 - 100 photosensors 24.
  • the photosensors in central core 54 are spaced from each other by a distance D15 of 4 - 30 urn, and/or central core 54 itself has a length D16 of 16 - 300 urn as its longest dimension. For some applications, D16 is greater than
  • 300 urn (e.g., as shown in Fig, 2C) .
  • the number of photosensors 24 in each successive ring is constant, even though the perimeter of the ring increases.
  • the number of photosensors increases, but not as fast, as the perimeter of the ring.
  • the number of photosensors in each increases as fast as the perimeter of the ring (i.e., a ring having twice as many photosensors as a more central ring also has twice the perimeter of the more central ring) , however the space between successive rings increases (e.g., from. Dll to D1.2 as shown) .
  • the increase in ring spacing e.g., Dll to D12
  • the increase in intra-sensor spacing e.g., D13 to D14
  • arithmetic progression spacing produces gradual spatial distortion of the image, which generally allows for rapid, cognitive adjustment of the subject to a new implant.
  • Fig. 2B is a schematic illustration of photosensor array 22, in which photosensors 24 are arranged in concentric rings, having geometric or another progression spacing, in accordance with another application of the present invention.
  • array 22 is particularly space efficient. This is generally due to the high spatial density of photosensors 24 in the central portion of the array and. a rapid decrease in spatial density of photosensors 24 in the outer portion of the array.
  • the apparatus of Fig. 2B is generally similar to that of Fig. 2A, except for differences as noted herein.
  • Fig. 2C is a schematic illustration of photosensor array 22, in which photosensors 24 are arranged in clusters (e.g., 1, 1, 2, 2...), in accordance with, another application of the present invention.
  • photosensor array 22 comprises at least, two clusters of four or more photosensors 24.
  • the photosensors in each cluster typically have a respective generally-uniform spatial density, and the spatial density of the photosensors in a cluster 52 that is disposed nearer central portion 26 of the array is greater than the spatial density of the photosensors 24 in a cluster 50 that is disposed, nearer outer portion 28 of array 22.
  • the clusters of photosensors 24 as shown in Fig. 2C are two-dimensional, thus creating array 22 not just with concentric, rings of photosensors that have respective densities, but with two-dimensional regions of the array that have particular spatial densities.
  • arrangement of photosensors 24 in clusters creates an increased area with constant pixel spacing in central portion 26 of the array, resulting in reduced, spatial distortion of the image.
  • a size of photosensors 24 is varied across array 22.
  • the size of photosensors 24 in central portion. 26 of array 22 may be smaller than the size of photosensors 24 in outer portion 28 of array 22.
  • Variable-sized, photosensors may be used in combination with a space-variant array or, alternatively, with an array having constant spacing of photosensors.
  • the signals generated by multiple photosensors 24 in outer portion 28 of array 22 are used to regulate current delivered from a smaller number of electrodes, e.g., a single electrode (which may be useful in low-light conditions, for example ⁇ .
  • the array of photosensors is arranged, to provide first and second, portions, e.g., left and right portions, rather than central and outer- portions.
  • the photosensor array is arranged such that a spatial density of the photosensors in the first, portion of the array is greater than a spatial density of the photosensors in the second portion of the array (application not shown) .
  • FIGs. 3A and 3B are schematic cross-sectional illustrations of intraocular device 20, comprising photosensor array 22 (e.g., as described hereinabove with reference to any of the figures) and an. array 88 of stimulating electrodes 30 that are epiretinally implanted in the retina 72 of the subject, in accordance with some applications of the present invention.
  • Intraocular device 20 as shown in Figs. 3A and 3B comprises an arrangement of stimulating electrodes 30, in which a spatial density of the electrodes in a central portion 80 of the arrangement is lower than a spatial density of the electrodes in an outer portion 82 of the arrangement. In this arrangement, outer portion 82 surrounds central portion 80.
  • Central portion 80 typically has a length (e.g., a diameter) D9 of 50 - 1000 urn, e.g., 100 - 500 urn, so as to generally cover foveola 90.
  • central portion 80 is at least large enough to contain therewithin a circle of diameter D9 of 50 - 1000 urn, e.g., a circle of diameter 100 - 500 urn, e.g., a circle of diameter 100 - 300 urn.
  • Central portion 80 is typically placed over the foveola 90 of the patient's retina, such that typically no electrodes, or only a small number of electrodes are placed in the foveola (e.g., within but near the edge of the circle having diameter D9) .
  • the spatial density of electrodes in central portion 80 that are placed in the foveola is .lower than the spatial density of electrodes in outer portion 82 that are placed in retinal tissue outside of the fovea or parafovea outside of the fo eola.
  • the spatial density of electrodes in central portion 80 that are placed in the foveola may be zero if, as shown in Figs. 3A and 3B, central portion 80 has no electrodes.
  • the spatial density of the electrodes in the central portion is zero, and the spatial density of the elect odes in the outer portion is at. least 4 electrodes per mm 2 ⁇ for example, at least 10 electrodes per mm 2, and/or less than 400 or less than 100 electrodes per mm A 2) ,
  • central portion 80 comprises any number of electrodes (e.g., as shown in Figs. 4A-B) and implantable intraocular device 20 is configured such that driving circuitry 32 does not drive stimulating currents into the electrodes that are located in central portion 80.
  • electrodes 30 in central portion 80 may function to anchor device 20 to the retina and not to drive stimulating currents into the retina.
  • central portion 80 that is placed over foveola 90 does not comprise electrodes, but rather comprises an anchoring element, e.g., a metallic tack, configured to facilitate anchoring of device 20 to the retina of the subject.
  • an anchoring element e.g., a metallic tack
  • the retina includes a number of identified layers, each having its own properties. These layers include the nerve fiber layer (NFL) , ganglion cell layer (GCL) , inner plexiform layer (IPL) , inner nuclear layer (INL) , outer plexiform layer (OPL) , outer nuclear layer (ONL) , external limiting membrane (ELM) , photoreceptor inner segments (IS) and outer segments (OS) , cone photoreceptor outer segment tips (COST) , and retinal pigment epithelium / Bruch's membrane (RPE/BM) . Electrodes 30 typically have a length D18 of at least 50 um and/or less than 500 urn, in order to facilitation penetration of the retina.
  • Electrodes 30 typically have a length D18 of at least 50 um and/or less than 500 urn, in order to facilitation penetration of the retina.
  • electrodes 30 For some applications of the present invention it is intended for electrodes 30 to penetrate the retina and stimulate a layer that is largely not present in the foveola but which is relatively thick in the surrounding fovea and parafovea (e.g., the inner nuclear layer and/or the ganglion cell layer) .
  • electrodes 30 are typically arranged to provide central portion 80 as described, so as not to provide stimulation intended to generate perception of an linage on a part of the retina (the foveola.) that does not have significant ganglionic processing.
  • stimulating electrodes 30 are arranged in an array, a spatial density of electrodes in outer portion 82 being constant (e.g., 100 um) .
  • a distance D5 between adjacent electrodes is typically greater than 10 um and/or less than 500 um.
  • a longest row or column of the array typically has a length D10 greater than 1 mm and/or less than 6.0 mm, e.g., 2 - 4 mm, so as to generally cover the parafovea.
  • the electrodes e.g., concentric circles of electrodes as shown in the bottom view of electrode arrays in Figs. 5A-B
  • such values for D10 represent a furthest distance between two electrodes in the array (e.g., a diameter of the circle) .
  • an optical magnifying element 70 comprising a single lens (as shown) or a plurality of lenses (e.g., as a telescope, configuration not shown) is coupled to photosensor array 22 and provides a magnified image on some but less than all of photosensors 24 of photosensor array 22.
  • element 70 is disposed a distance D8 of at least 1 mm arid/or less than 30 mm (e.g. , less than 15 mm) from, photosensor- array 22. This arrangement provides magnification of the image being viewed, may be used in combination with, or in the absence of, a variation in spatial density of the photosensors as described hereinabove.
  • outer portion 82 of the arrangement comprises at least first and second sub-portions 84 and 86, the second sub-portion surrounding the first sub-portion.
  • the spatial density of the electrodes in second sub-portion 86 of the arrangement is lower than the spatial density of the electrodes in first sub-portion 84, e.g., in order to provide higher spatial stimulation resolution in portions of the retina having the ability to perform more ganglionic processing of incoming visual information.
  • electrodes 30 in sub-portion 84 may be separated by a distance D6 that is at least 10 urn and/or less than 100 urn, while electrodes 30 in sub-portion 86 may be separated by a distance D7 that is at least 300 urn and/or less than 500 urn.
  • Figs. 4A-B are schematic illustrations of array 88, in accordance with respective applications of the present invention.
  • array 88 does not comprise a portion 80 that does not have electrodes as described hereinabove with reference to Figs. 3A- B.
  • stimulating electrodes 30 are arranged in array 88 such that a spatial density of electrodes across the array is constant (e.g., with an interelectrode spacing of 100 urn) .
  • array 88 comprises a central portion 87 and an outer portion 89, and a spatial density of the electrodes in central portion 87 is greater than the spatial density of the electrodes in outer portion 89 of array 88,
  • FIGs. 5A-B are schematic illustration of bottom views of array 88 of stimulating electrodes 30 implantable in an eye of the subject, for use with any of the photosensor arrays shown in Figs. 1-2, in accordance with respective applications of the present invention.
  • arrays 88 comprises a central portion 80 which is typically at least large enough to contain therewithin a circle of diameter D9 of 50 - 1000 urn., e.g., a circle of diameter 100 - 500 um, e.g., a circle of diameter 100 - 300 um.
  • photosensor array 22 and array 88 of electrodes 30 have a similar spatial distribution such that the location of each photosensor 24 on array 22 corresponds to a location of a single electrode 30 (e.g., each photosensor is located above a corresponding electrode) .
  • perceived spatial distortion of the image is reduced.
  • photosensor array 22 and array 88 of electrodes 30 have a different spatial distribution, such that some or all photosensors 24 and electrodes 30 do not have a one- to-one spatial correspondence (e.g., each photosensor is not located above each corresponding electrode) .
  • photosensor array 22 maps a signal that is sensed at the center of array 22 to cause stimulation at a radially displaced site on electrode array 88 (i.e., an electrode that is located farther from the center of array 88) .
  • device 20 may be configured such that a signal received by photosensors 24 in central portion 26 of array 22 causes driving of an electrode located in outer portion 82 of array 88.
  • an electrode located at a first distance D74 from a center of electrode array 88 is configured to apply electrical pulses to the retina in response to a signal from a photosensor in array 22 located at a second distance 76 from a center of photosensor array 22. As shown, first distance D74 is greater than second distance D76.
  • electrodes 30 may be arranged in an array that is square, rectangular, circular, elliptical, or hexagonal, or in other shapes.

Abstract

Apparatus is provided having an intraocular device (20) for implantation entirely in a subject's eye, the intraocular device (20) including: a photosensor array (22) having a plurality of photosensors (24), each photosensor (24) detects ambient photons and generates a signal in response thereto. A spatial density of the photosensors (24) in a central portion (26) of the array (22) is greater than a spatial density of the photosensors (24) in an outer portion (28) of the array (22). The intraocular device (20) additionally includes a plurality of stimulating electrodes (30) and driving circuitry (32) coupled to the photosensors (24), and configured to drive the electrodes (30) to apply electrical pulses to a retina of the eye in response to the signals from the photosensors (24). Other applications are also described.

Description

FOVEATED RETINAL PROSTHESIS
The present, application claims the priority of US Patent Application 13/827,919 to Gefen, entitled, "FOVEATED RE INAL PROSTHESIS", filed March 14, 2013, which is incorporated herein by reference,
FIELD OF THE APPLICATION
Applications of the present invention relate generally to implantable medical devices, and specifically to a retinal prosthesis .
BACKGROraiD OF THE APPLICA ION?
Retinal malfunction, due to degenerative retinal diseases, is a leading cause of blindness and visual impairment. Implantation of a retinal prosthesis is a technology for restoring some useful vision in individuals suffering from retinal-related blindness.
The retina is a multi-layered light-sensitive structure that lines the posterior, inner part of the eye, The retina contains photoreceptor cells, for example rods and cones, which capture light and convert light signals into neural signals transmitted through the optic nerve to the brain. Rods are responsible for light sensitive, low resolution black and white vision, whereas cones are responsible for sharp, high resolution color vision. Most cones lie in the fovea, which defines the center of the retina, and which allows for maximum acuity of vision. The central portion of the fovea consists of a high concentration of cones that gradually decreases at the peripheral portions of the fovea,
SO¾SMiy?tY OiP APF!LXCATXOHS
For some applications, a foveated retinal prosthesis is provided comprising a space-variant photosensor imager. The retinal prosthesis is typically configured to provide at least some sharp, central, foveal vision to a visually-impaired subject. In accordance with some applications of the present invention, an intraocular device is provided which is configured to be implanted entirely in the subject's eye. The intraocular device typically comprises a space-variant photosensor array which comprises a plurality of photosensors, each photosensor configured to detect ambient photons and generate a signal in response thereto. The intraocular device additionally comprises a plurality of stimulating electrodes. Driving circuitry is coupled to the photosensors and is configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signal from the photosensors.
Typically, the photosensor array is arranged such that a spatial density of the photosensors in a central portion of the array is greater than a spatial density of the photosensors in an outer portion of the array, resembling the structure of a native fovea of a retina. Additionally, for some applications, an intermediate portion of the photosensor array is disposed between the central portion and the outer portion of the array. Typically, a spatial density of the photosensors in the intermediate portion is between (a) the spatial density of the photosensors in the central portion, and (b) the spatial density of the photosensors in the outer portion. For some applications, the intermediate portion of the photosensor array comprises a plurality of intermediate portions, each having a different, respective spatial density of the photosensors. Thus, a stepped decrease or a smooth decrease in photosensor spatial density may be provided in alternative configurations .
For some applications the photosensor array comprises an array of at least 10 clusters of two or more photosensors. The clusters typically comprise 4 - 64 photosensors. For such applications, the spatial density of the photosensors in a cluster disposed in the central portion of the array is greater than the spatial density of the photosensors in a cluster disposed in the outer portion of the array.
For some applications, the plurality of stimulating electrodes are arranged in an array in a manner in which a spatial density of the electrodes in the array is constant (optionally, excluding that portion of the array which is over the foveola) . For other applications, the spatial density of the electrodes in the central portion of the electrode array (optionally, excluding a portion that is over the foveola) is greater than the spatial density of the electrodes in the outer portion of the electrode array, e.g., to reduce any perceived spatial distortion of the image, whereby the inner portion of the image would appear magnified due to the foveation of the photosensor array.
There is therefore provided, in accordance with some applications of the present invention, apparatus, including an intraocular device configured to be implanted entirely in a subject's eye, the intraocular device including: a photosensor array including a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto, a spatial density of the photosensors in a central portion of the array being greater than a spatial density of the photosensors in an outer portion of the array;
a plurality of stimulating electrodes; and
driving circuitry, coupled to the photosensors, and configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signals from the photosensors ,
For some applications, a spatial density of the photosensors in an intermediate portion of the array disposed between the central portion and the outer portion is between (a) the spatial density of the photosensors in the central portion and (b) the spatial density of the photosensors in the outer portio „
For some applications, the intermediate portion of the array includes a plurality of intermediate portions, each having a different, respective spatial density of the photosensors, any given intermediate portion that is closer to the central portion having a spatial density higher than that of any intermediate portion that is farther than the given intermediate portion from the central portion.
For some applications, the photosensor array includes at least two clusters of four or more photosensors, the photosensors in each cluster having a respective generally- uniform spatial density, the spatial density of the photosensors in one of the clusters that is disposed nearer the central portion of the array is greater than the spatial density of the photosensors in one of the clusters that is disposed nearer the outer portion of the array.
For some applications, the at least two clusters of four or more photosensors include at least ten clusters of four or more photosensors .
For some applications, the plurality of stimulating electrodes are arranged in an array, a spatial density of the electrodes being constant.
For some applications, the plurality of stimulating electrodes are arranged in an. electrode array, a spatial density of the electrodes in a central portion of the electrode array being greater than a spatial density of the electrodes in an outer portion of the electrode array.
There is additionally provided, in accordance with some applications of the present invention, apparatus including an intraocular device configured to be implanted entirely in a subject' s eye, the intraocular device including:
a photosensor array including a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto,
an optical magnifying element coupled to the photosensor array and configured to provide a magnified image on some but less than all of the photosensors of the photosensor array;
a plurality of stimulating electrodes; and
driving circuitry, coupled to the photosensors, and configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signals from, the photosensors ,
There is further provided, in accordance with some applications of the present invention, apparatus including an intraocular device configured to be implanted entirely in a subject's eye, the intraocular device including:
a photosensor array including a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto;
an arrangement of stimulating electrodes, a spatial density of the electrodes in a central portion of the arrangement being lower than a spatial density of the electrodes in an outer portion of the arrangement, the arrangement being such that: (a) the outer portion surrounds the central portion, and (b) the central portion is large enough to contain therewithin a circle of diameter at least 100 um; and
driving circuitry, coupled to the photosensors, and configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signals from the photosensors .
For some applications, the spatial density of the electrodes in the central portion is zero, and the spatial density of the electrodes in the outer portion is at least 4 electrodes per mA2.
For some applications, the outer portion, of the arrangement includes at least first and second sub-portions, the second sub- portion surrounding the first sub-portion, a spatial density of the electrodes in the second sub-portion of the arrangement, being lower than a spatial density of the electrodes in the first sub-portion.
For some applications, the central portion is large enough to contain therewithin a circle of diameter of 100 um,
There is also provided, in accordance with some applications of the present invention, apparatus, including: an intraocular device configured to be implanted entirely in a subject's eye, the intraocular device including:
a photosensor array, having a center thereof, and including a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto;
an array of stimulating electrodes, having a center- thereof, and coupled to the photosensor array; and
driving circuitry, coupled to the photosensors, and configured to drive an electrode located at a first distance from the center of the electrode array to apply electrical pulses to a retina of the eye in response to a signal from, a photosensor located at a second distance from the center of the photosensor array, the first distance being greater than the second distance.
The present invention will be more fully understood from the following detailed description of embodiments thereof, taken together with the drawings, in which:
BRIEF DESCRIPTION OF THE DRAWINGS
Fig. 1 is a schematic illustration of a photosensor array for use in an implantable intraocular device, in accordance with some applications of the present invention;
Figs, 2A-E are schematic illustration of alternative configurations of a photosensor array for use in the implantable intraocular device of Fig. 1, in accordance with respective applications of the present invention;
Figs. 3A-B are schematic illustration of an array of stimulating electrodes implanted in an eye of the subject, for use with any of the photosensor arrays shown in Figs. 1-2, in accordance with respective applications of the present invention;
Figs . 4A-B are schematic illustration of an array of stimulating electrodes implantable in an eye of the subject, for use with any of the photosensor arrays shown in Figs. 1-2, in accordance with respective applications of the present invention ; and
Figs. 5A-B are schematic illustrations of a bottom view of an array of stimulating electrodes implantable in an eye of the subject, for use with any of the photosensor arrays shown in Figs. 1-2, in accordance with respective applications of the present invention.
DETAILED DESCRIPTION OF APPLICATIONS
Reference is made to Fig. 1, which is a schematic illustration of a photosensor array 22 configured for use as part of an implantable intraocular device 20, in accordance with some applications of the present invention. Photosensor array 22 comprises a plurality of photosensors 24, each photosensor 24 configured to detect ambient, photons and to generate a signal in response thereto. Driving circuitry 32, coupled to photosensors 24, drives a plurality of stimulating electrodes 30 to apply electrical pulses to a retina of the eye in response to the signal from the photosensors.
As shown schematically in Fig, 1, photosensor array 22 is arranged such that a spatial density of photosensors 24 in a central portion 26 of array 22 is greater than a spatial density of photosensors 24 in an outer portion 28 of array 22. As shown, a distance Dl between two photosensors 24 disposed in central portion 26 is smaller than a distance D4 between two photosensors 24 disposed in outer portion 28. For example, Dl is typically greater than 2 um and/or less than 100 urn., e.g., greater than 4 um. and/or less than 50 um. D4 is typically greater than 40 um and/or less than 1000 um, e.g., greater than 100 um and/or less than 500 um (e.g., 300 um) , D4 divided by Dl is typically at least 2 (e.g., at least 4) and/or less than 200.
For some applications, the spatial density of the photosensors in an intermediate portion 34 of the array disposed between central portion 26 and outer portion 28 is between (a) the spatial density of the photosensors in central portion 26 and (b) the spatial density of the photosensors in outer portion 28. For example, a distance D2 between photosensors in intermediate portion 34 is between Dl and D4.
Photosensor array 22 m.ay similarly be arranged to have a plurality of intermediate portions 34 and 36, each having a different, respective spatial density of photosensors 24. In such an arrangement, any given intermediate portion 34 that is closer to central portion 26 has a spatial density higher than that of any intermediate portion 36 that is farther than given intermediate portion. 34 from central portion 26. Photosensor array 22 may be arranged to have 2, 3, 4-6, 7-10, or more intermediate portions. (Two intermediate portions 34 and 36 are shown in Fig , 1 , )
Fig. 2A is a schematic illustration of photosensor array 22, in which photosensors 24 are arranged in concentric rings, in accordance with some applications of the present invention. As shown in the figures of the present patent application, the rings of photosensors are square rings, although the scope of the present invention includes the use of concentric, rectangular, circular, hexagonal, and elliptical rings, as well as concentric rings of other shapes. Examples of hexagonal and circular photosensor arrays are shown in Figs. 2D-E (respectively) .
Each ring of photosensors 24 shown in Fig, 2A has the photosensors thereof disposed with a given distance D13 separating adjacent photosensors in the same ring. Photosensor array 22 as shown in Fig, 2A is characterized in that the distance D13 between photosensors in a ring closer to central portion 26 is smaller than the distance D14 between photosensors in a ring farther from central portion 26, In the application shown in Fig, 2A, successive rings going from central portion 26 toward outer portion 28 have gradually increasing, and typically monotonically increasing, distances between photosensors in each successive ring,
Alternatively or additionally, the distance between successive rings increases (typically monotonically) from a smaller distance Dll, nearer central portion 26, to a larger distance D12, farther from central portion 26.
As shown in Fig. 2A and other figures, for some applications the rings of photosensors 24 may surround a central core 54 of photosensors, which are not arranged as a ring.
Central core 54 typically comprises 4 - 100 photosensors 24.
For some applications, the photosensors in central core 54 are spaced from each other by a distance D15 of 4 - 30 urn, and/or central core 54 itself has a length D16 of 16 - 300 urn as its longest dimension. For some applications, D16 is greater than
300 urn (e.g., as shown in Fig, 2C) .
For some applications, the number of photosensors 24 in each successive ring is constant, even though the perimeter of the ring increases. Alternatively, the number of photosensors increases,, but not as fast, as the perimeter of the ring. Still further alternatively, the number of photosensors in each increases as fast as the perimeter of the ring (i.e., a ring having twice as many photosensors as a more central ring also has twice the perimeter of the more central ring) , however the space between successive rings increases (e.g., from. Dll to D1.2 as shown) .
As appropriate based on the amount of photosensor foveation desired in a given design, the increase in ring spacing (e.g., Dll to D12) and/or the increase in intra-sensor spacing (e.g., D13 to D14) may follow, for example, an arithmetic, progression (k, 2k, 3k.. ,) or a geometric progression (1, k, kA2, kA3...) . Typically, arithmetic progression spacing produces gradual spatial distortion of the image, which generally allows for rapid, cognitive adjustment of the subject to a new implant.
Fig. 2B is a schematic illustration of photosensor array 22, in which photosensors 24 are arranged in concentric rings, having geometric or another progression spacing, in accordance with another application of the present invention. Typically, in applications in which photosensors 24 are arranged in concentric rings having geometric progression spacing, array 22 is particularly space efficient. This is generally due to the high spatial density of photosensors 24 in the central portion of the array and. a rapid decrease in spatial density of photosensors 24 in the outer portion of the array. The apparatus of Fig. 2B is generally similar to that of Fig. 2A, except for differences as noted herein.
Fig. 2C is a schematic illustration of photosensor array 22, in which photosensors 24 are arranged in clusters (e.g., 1, 1, 2, 2...), in accordance with, another application of the present invention. Typically, photosensor array 22 comprises at least, two clusters of four or more photosensors 24. The photosensors in each cluster typically have a respective generally-uniform spatial density, and the spatial density of the photosensors in a cluster 52 that is disposed nearer central portion 26 of the array is greater than the spatial density of the photosensors 24 in a cluster 50 that is disposed, nearer outer portion 28 of array 22.
The clusters of photosensors 24 as shown in Fig. 2C are two-dimensional, thus creating array 22 not just with concentric, rings of photosensors that have respective densities, but with two-dimensional regions of the array that have particular spatial densities.
Typically, arrangement of photosensors 24 in clusters creates an increased area with constant pixel spacing in central portion 26 of the array, resulting in reduced, spatial distortion of the image.
Reference is made to Figs. 1-2E. For some applications, a size of photosensors 24 is varied across array 22. For example, the size of photosensors 24 in central portion. 26 of array 22 may be smaller than the size of photosensors 24 in outer portion 28 of array 22. Variable-sized, photosensors may be used in combination with a space-variant array or, alternatively, with an array having constant spacing of photosensors. Alternatively or additionally, the signals generated by multiple photosensors 24 in outer portion 28 of array 22 are used to regulate current delivered from a smaller number of electrodes, e.g., a single electrode (which may be useful in low-light conditions, for example} .
Alternatively, for some applications, the array of photosensors is arranged, to provide first and second, portions, e.g., left and right portions, rather than central and outer- portions. For such applications, the photosensor array is arranged such that a spatial density of the photosensors in the first, portion of the array is greater than a spatial density of the photosensors in the second portion of the array (application not shown) .
Reference is made to Figs. 3A and 3B, which are schematic cross-sectional illustrations of intraocular device 20, comprising photosensor array 22 (e.g., as described hereinabove with reference to any of the figures) and an. array 88 of stimulating electrodes 30 that are epiretinally implanted in the retina 72 of the subject, in accordance with some applications of the present invention.
Intraocular device 20 as shown in Figs. 3A and 3B comprises an arrangement of stimulating electrodes 30, in which a spatial density of the electrodes in a central portion 80 of the arrangement is lower than a spatial density of the electrodes in an outer portion 82 of the arrangement. In this arrangement, outer portion 82 surrounds central portion 80.
Central portion 80 typically has a length (e.g., a diameter) D9 of 50 - 1000 urn, e.g., 100 - 500 urn, so as to generally cover foveola 90. In any case, central portion 80 is at least large enough to contain therewithin a circle of diameter D9 of 50 - 1000 urn, e.g., a circle of diameter 100 - 500 urn, e.g., a circle of diameter 100 - 300 urn.
Central portion 80 is typically placed over the foveola 90 of the patient's retina, such that typically no electrodes, or only a small number of electrodes are placed in the foveola (e.g., within but near the edge of the circle having diameter D9) . In any case, the spatial density of electrodes in central portion 80 that are placed in the foveola is .lower than the spatial density of electrodes in outer portion 82 that are placed in retinal tissue outside of the fovea or parafovea outside of the fo eola. For example, the spatial density of electrodes in central portion 80 that are placed in the foveola may be zero if, as shown in Figs. 3A and 3B, central portion 80 has no electrodes. For some applications,, the spatial density of the electrodes in the central portion is zero, and the spatial density of the elect odes in the outer portion is at. least 4 electrodes per mm 2 {for example, at least 10 electrodes per mm 2, and/or less than 400 or less than 100 electrodes per mmA2) ,
Alternatively, central portion 80 comprises any number of electrodes (e.g., as shown in Figs. 4A-B) and implantable intraocular device 20 is configured such that driving circuitry 32 does not drive stimulating currents into the electrodes that are located in central portion 80. For such applications, electrodes 30 in central portion 80 may function to anchor device 20 to the retina and not to drive stimulating currents into the retina.
Further alternatively, central portion 80 that is placed over foveola 90 does not comprise electrodes, but rather comprises an anchoring element, e.g., a metallic tack, configured to facilitate anchoring of device 20 to the retina of the subject.
The retina includes a number of identified layers, each having its own properties. These layers include the nerve fiber layer (NFL) , ganglion cell layer (GCL) , inner plexiform layer (IPL) , inner nuclear layer (INL) , outer plexiform layer (OPL) , outer nuclear layer (ONL) , external limiting membrane (ELM) , photoreceptor inner segments (IS) and outer segments (OS) , cone photoreceptor outer segment tips (COST) , and retinal pigment epithelium / Bruch's membrane (RPE/BM) . Electrodes 30 typically have a length D18 of at least 50 um and/or less than 500 urn, in order to facilitation penetration of the retina. For some applications of the present invention it is intended for electrodes 30 to penetrate the retina and stimulate a layer that is largely not present in the foveola but which is relatively thick in the surrounding fovea and parafovea (e.g., the inner nuclear layer and/or the ganglion cell layer) . For these applications,, electrodes 30 are typically arranged to provide central portion 80 as described, so as not to provide stimulation intended to generate perception of an linage on a part of the retina (the foveola.) that does not have significant ganglionic processing.
Typically, as shown in Fig. 3A, stimulating electrodes 30 are arranged in an array, a spatial density of electrodes in outer portion 82 being constant (e.g., 100 um) . For example, a distance D5 between adjacent electrodes is typically greater than 10 um and/or less than 500 um. For applications in which the array of electrodes 30 is arranged as a square or a rectangular array, a longest row or column of the array typically has a length D10 greater than 1 mm and/or less than 6.0 mm, e.g., 2 - 4 mm, so as to generally cover the parafovea. For other arrangements of the electrodes (e.g., concentric circles of electrodes as shown in the bottom view of electrode arrays in Figs. 5A-B) , such values for D10 represent a furthest distance between two electrodes in the array (e.g., a diameter of the circle) .
For some applications, an optical magnifying element 70 comprising a single lens (as shown) or a plurality of lenses (e.g., as a telescope, configuration not shown) is coupled to photosensor array 22 and provides a magnified image on some but less than all of photosensors 24 of photosensor array 22. Typically, element 70 is disposed a distance D8 of at least 1 mm arid/or less than 30 mm (e.g. , less than 15 mm) from, photosensor- array 22. This arrangement provides magnification of the image being viewed, may be used in combination with, or in the absence of, a variation in spatial density of the photosensors as described hereinabove.
Reference is made to Fig. 3B. For some applications, outer portion 82 of the arrangement comprises at least first and second sub-portions 84 and 86, the second sub-portion surrounding the first sub-portion. The spatial density of the electrodes in second sub-portion 86 of the arrangement is lower than the spatial density of the electrodes in first sub-portion 84, e.g., in order to provide higher spatial stimulation resolution in portions of the retina having the ability to perform more ganglionic processing of incoming visual information. For example, electrodes 30 in sub-portion 84 may be separated by a distance D6 that is at least 10 urn and/or less than 100 urn, while electrodes 30 in sub-portion 86 may be separated by a distance D7 that is at least 300 urn and/or less than 500 urn.
Reference is made to Figs. 4A-B, which are schematic illustrations of array 88, in accordance with respective applications of the present invention. For some applications, array 88 does not comprise a portion 80 that does not have electrodes as described hereinabove with reference to Figs. 3A- B. As shown in Fig. 4A, stimulating electrodes 30 are arranged in array 88 such that a spatial density of electrodes across the array is constant (e.g., with an interelectrode spacing of 100 urn) . Alternatively, as shown in Fig. 4B, array 88 comprises a central portion 87 and an outer portion 89, and a spatial density of the electrodes in central portion 87 is greater than the spatial density of the electrodes in outer portion 89 of array 88,
Reference is made to Figs. 5A-B, which are schematic illustration of bottom views of array 88 of stimulating electrodes 30 implantable in an eye of the subject, for use with any of the photosensor arrays shown in Figs. 1-2, in accordance with respective applications of the present invention. As shown in Figs. 5A-B, for some applications, arrays 88 comprises a central portion 80 which is typically at least large enough to contain therewithin a circle of diameter D9 of 50 - 1000 urn., e.g., a circle of diameter 100 - 500 um, e.g., a circle of diameter 100 - 300 um.
Reference is made to Figs. 1-5B. For some applications, photosensor array 22 and array 88 of electrodes 30 have a similar spatial distribution such that the location of each photosensor 24 on array 22 corresponds to a location of a single electrode 30 (e.g., each photosensor is located above a corresponding electrode) . Typically in such applications, perceived spatial distortion of the image is reduced.
Alternatively, photosensor array 22 and array 88 of electrodes 30 have a different spatial distribution, such that some or all photosensors 24 and electrodes 30 do not have a one- to-one spatial correspondence (e.g., each photosensor is not located above each corresponding electrode) . For some such applications, photosensor array 22 maps a signal that is sensed at the center of array 22 to cause stimulation at a radially displaced site on electrode array 88 (i.e., an electrode that is located farther from the center of array 88) . For example, device 20 may be configured such that a signal received by photosensors 24 in central portion 26 of array 22 causes driving of an electrode located in outer portion 82 of array 88. Thereby, current is generally not applied to central portion 80 of array 88 {e.g., current is largely not applied to foveola 90) . As additionally shown by way of example in Fig. 4A, an electrode located at a first distance D74 from a center of electrode array 88 is configured to apply electrical pulses to the retina in response to a signal from a photosensor in array 22 located at a second distance 76 from a center of photosensor array 22. As shown, first distance D74 is greater than second distance D76.
It is noted that electrodes 30 may be arranged in an array that is square, rectangular, circular, elliptical, or hexagonal, or in other shapes.
It will be appreciated by persons skilled in the art that the present invention is not limited to what has been particularly shown and described hereinabove. Rather, the scope of the present invention includes both combinations and subcombinations of the various features described hereinabove, as well as variations and modifications thereof that are not in the prior art, which would occur to persons skilled in the art. upon reading the foregoing description.

Claims

1. Apparatus comprising an intraocular device configured to be implanted entirely in a subject's eye, the intraocular device comprising :
a photosensor array comprising a plurality of photosensors , each photosensor configured to detect ambient photons and to generate a signal in response thereto, a spatial density of the photosensors in a central portion of the array being greater than a spatial density of the photosensors in an outer portion of the array;
a plurality of stimulating electrodes; and
driving circuitry, coupled to the photosensors, and configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signals from the photosensors ,
2. The apparatus according to claim 1, wherein a spatial density of the photosensors in an intermediate portion of the array disposed between the central portion and the outer portion is between (a) the spatial density of the photosensors in the central portion and (b) the spatial density of the photosensors in the outer portion,
3. The apparatus according to claim. 2, wherein the intermediate portion of the array comprises a plurality of intermediate portions, each having a different, respective spatial density of the photosensors, any given intermediate portion that is closer to the central portion having a spatial density higher than that of any intermediate portion that is farther than the given intermediate portion from the central portion .
4. The apparatus according to any one of claims 1-3, wherein the photosensor array comprises at least two clusters of four or more photosensors,, the photosensors in each cluster having a respective generally-uniform spatial density, wherein the spatial density of the photosensors in one of the clusters that is disposed nearer the central portion of the array is greater than the spatial density of the photosensors in one of the clusters that is disposed nearer the outer portion of the array.
5. The apparatus according to claim 4, wherein the at least two clusters of four or more photosensors comprise at least ten clusters of four or more photosensors.
6. The apparatus according to any one of claims 1-3, wherein, the plurality of stimulating electrodes are arranged in an array, a spatial density of the electrodes being constant.
7. The apparatus according to any one of claims 1-3, wherein, the plurality of stimulating electrodes are arranged in an electrode array, a spatial density of the electrodes in a central portion of the electrode array being greater than a spatial density of the electrodes in an outer portion of the electrode array.
8. Apparatus comprising an intraocular device configured to be implanted entirely in a subject's eye, the intraocular device comprising :
a. photosensor array comprising a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto,
an optical magnifying element coupled, to the photosensor- array and configured to provide a magnified image on some but less than all of the photosensors of the photosensor array;
a. plurality of stimulating electrodes; and
driving circuitry, coupled to the photosensors, and configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signals from the photosensors .
9. Apparatus comprising an intraocular device configured to be implanted entirely in a subject's eye, the intraocular device comprising :
a photosensor array comprising a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto;
an arrangement of stimulating electrodes, a spatial density of the electrodes in a central portion of the arrangement being lower than a spatial density of the electrodes in an outer portion of the arrangement, the arrangement being such that: (a) the outer portion surrounds the central portion, and (b) the central portion is large enough to contain therewithin a circle of diameter at least 100 urn; and
driving circuitry, coupled to the photosensors, and configured to drive the electrodes to apply electrical pulses to a retina of the eye in response to the signals from the photosensors ,
10. The apparatus according to claim 9, wherein the spatial density of the electrodes in the central portion is zero, and wherein the spatial density of the electrodes in the outer- portion is at least 4 electrodes per mmA2.
11. The apparatus according to claim 9, wherein the outer portion of the arrangement comprises at least first and second sub-portions, the second sub-portion surrounding the first sub- portion, a spatial density of the electrodes in the second sub- portion of the arrangement being lower than a spatial density of the electrodes in the first sub-portion.
12. The apparatus according to any one of claims 9-11, wherein, the central portion is large enough to contain therewithin a circle of diameter of 100 urn..
13. Apparatus comprising an intraocular device configured to be implanted entirely in a subject's eye, the intraocular device comprising :
a photosensor array, having a center thereof, and comprising a plurality of photosensors, each photosensor configured to detect ambient photons and to generate a signal in response thereto;
an array of stimulating electrodes, having a center thereof, and coupled to the photosensor array; and
driving circuitry, coupled to the photosensors, and configured to drive an electrode located at a first distance from the center of the electrode array to apply electrical pulses to a retina of the eye in response to a signal from a photosensor located at a second distance from the center of the photosensor array, the first, distance being greater than the second distance.
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US20140277435A1 (en) 2014-09-18
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