Actively Recruiting

Phase Not Applicable
Age: 22Years - 70Years
All Genders
ID01894802

A Sensorimotor Microelectrode Brain-Machine Interface for Individuals With Significant Upper Limb Impairment

Led by Michael Boninger · Updated on 2026-05-20

30

Participants Needed

2

Research Sites

121 weeks

Total Duration

On this page

Sponsors

M

Michael Boninger

Lead Sponsor

U

University of Chicago

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research focuses on individuals with severe paralysis who have intact brain function but cannot move due to injuries or diseases affecting the spinal cord, nerves, or muscles. The study aims to demonstrate the safety and effectiveness of using two CRS Arrays (microelectrodes) implanted in the brain to record motor cortex activity and provide sensory cortex microstimulation. This technology is known as a brain-machine interface (BMI), which interprets neural signals to control external devices and mimics sensory input through microstimulation. Participants will receive implantation of two Blackrock Microsystems CRS Arrays, one in the motor cortex and one in the sensory cortex. There is no control group; all participants will be implanted with these microelectrodes. The study involves long-term recording of neural activity and training participants to use the BMI technology for controlling devices. The intervention period includes implantation and follow-up monitoring. During the study, participants will undergo assessments including functional magnetic resonance imaging (fMRI) to evaluate cortical activation, neuropsychological and psychosocial evaluations, and safety monitoring for one year following array implantation. Researchers will measure both safety and the efficacy of the arrays in recording neural activity and enabling control of external devices. Participants are expected to stay near the research site for training and follow-up visits over the study period, which lasts at least 18 months.

CONDITIONS

Brief Title

Cortical Recording and Stimulating Array Brain-Machine Interface

Who Can Participate

Age: 22Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Limited or no use of one or both hands due to cervical spinal cord injury, brainstem stroke, brachial plexus injury, above-elbow amputation, or spinal stroke
  • Less than grade 2 strength in finger flexor and abduction on the side opposite to implantation if limbs are intact
  • Unable to perform functional activities with the hand opposite to implantation
  • More than 1 year post-injury with no neurological worsening in past 6 months
  • Aged 22 to 70 years at enrollment
  • Live within 2 hours of research site or willing to travel weekly for training
  • Willing to stay near research site for at least 18 months if living farther away
  • Able to communicate in English and follow simple instructions
  • Normal results on neuropsychological and psychosocial assessments
  • Ability to activate distinct brain areas during imagined or attempted movement, confirmed by fMRI
  • Stable psychosocial support and caregiving available for daily care
  • Life expectancy greater than 18 months
  • Provided informed consent or legal representative consent
  • For transhumeral amputation, evaluated and fitted with optimized prosthesis if appropriate
Not Eligible

You will not qualify if you...

  • Visual impairment preventing extended computer monitor use
  • Serious diseases affecting participation or surgical risk
  • Recent pressure sores worsened by bed rest
  • Metallic implants preventing fMRI
  • Implantable generators like pacemakers, stimulators, or defibrillators
  • Pregnant, lactating, or planning pregnancy within 25 months for women of childbearing age
  • Allergy to contrast agents or kidney failure affecting MRI
  • Chronic sedative use impairing coordination or cognition
  • Need for routine MRI, therapeutic ultrasound, or diathermy
  • Osteomyelitis or severe scalp skin disorders
  • History of serious cardiac events or arrhythmias
  • Implanted hydrocephalus shunt
  • Stroke caused by surgery
  • Active infections or unexplained fever
  • More than one alcoholic drink daily on average
  • Chronic steroid or immunosuppressive therapy
  • Active cancer in past year except some skin cancers
  • Uncontrolled insulin-dependent diabetes
  • Uncontrolled autonomic dysreflexia in past 3 months
  • Seizure disorders or family history of seizures
  • Suicide attempt within past 12 months
  • Immunosuppression or related conditions
  • Previous neurosurgery affecting motor or sensory brain areas
  • Active psychiatric disorders including major depression or PTSD
  • Substance abuse within past 6 months
  • Unsafe ambulation with frequent falls
  • Plans to participate in contact or helmeted sports

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Day of surgery plus immediate recovery period

Participants undergo implantation of two microelectrode arrays into the motor and sensory cortex of the brain.

1 visit (in-person) for surgery and immediate postoperative care

Post-operative Follow-up

Duration - Up to 1 year following implantation

Participants are monitored for safety and efficacy of the implanted arrays, including training to use the brain-machine interface to control external devices.

Regular visits for follow-up assessments and training sessions over 12 months

Trial Site Locations

Total: 2 locations

1

University of Chicago

Chicago, Illinois, United States, 60637

Actively Recruiting

2

University of Pittsburgh

Pittsburgh, Pennsylvania, United States, 15219

Actively Recruiting

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Research Team

O

Olivia L Campbell

D

Debbie Harrington

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

OTHER

Number of Arms

1

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Published Research Related To This Trial

Biomimetic stimulation patterns drive natural artificial touch percepts using intracortical microstimulation in humans.

Taylor G Hobbs, Charles M Greenspon, Ceci Verbaarschot...

https://pubmed.ncbi.nlm.nih.gov/40106898

Longevity and reliability of chronic unit recordings using the Utah, intracortical multi-electrode arrays.

Caleb Sponheim, Vasileios Papadourakis, Jennifer L Collinger...

https://pubmed.ncbi.nlm.nih.gov/34847547

The Motor Cortex Has Independent Representations for Ipsilateral and Contralateral Arm Movements But Correlated Representations for Grasping.

John E Downey, Kristin M Quick, Nathaniel Schwed...

https://pubmed.ncbi.nlm.nih.gov/32494819

Blending of brain-machine interface and vision-guided autonomous robotics improves neuroprosthetic arm performance during grasping.

John E Downey, Jeffrey M Weiss, Katharina Muelling...

https://pubmed.ncbi.nlm.nih.gov/26987662