Brain implants could restore paralyzed patients’ arm movements

This April 12, 2020, image courtesy of ONWARD Medical shows the insertion of the lead electrodes into the Neurostimulator (IPG). Photo by Marc AMIGUET / ONWARD Medical / AFP
A paralyzed Swiss man has become the first person to test a new technology that reads his thoughts using AI and then transmits signals through his own nervous system to his arms, hands and fingers in order to restore movement.
The treatment, a combination of a brain-computer interface and a spinal implant, had previously allow a paraplegic patient to walk again, a breakthrough that was published in the scientific journal Nature in May.
But this is the first time it's being used for "upper extremity function," Onward, the Dutch company behind it, said Wednesday.
"The mobility of the arm is more complex," surgeon Jocelyne Bloch, who carried out the implantation procedures, told AFP.
Though walking comes with its own challenges — notably balance — "the musculature of the hand is quite fine, with many different small muscles activated at the same time for certain movements," she said.
The patient, who wishes to remain anonymous, is a 46-year-old who lost the use of his arms after a fall. Two operations were carried out last month at the Lausanne University Hospital in Switzerland.
The first involved removing a small piece of cranial bone and inserting in its place the brain implant, which was developed by the French group CEA-Clinatec and measures a few centimeters in diameter.
In the second, surgeons placed a stimulator roughly the size of a credit card developed by Onward inside the patient's abdomen, and connected it through electrodes to the top of his spinal column.
The brain-computer interface (BCI) records brain signals and decodes them using artificial intelligence to make sense of the patient's intentions, acting as a "digital bridge" to send these instructions on to the spinal cord stimulator.
"It's going well so far," said Bloch, who co-founded Onward and is a consultant for the company. "We are able to record brain activity, and we know that the stimulation works," she said.
"But it is too early to talk about what progress he has made. "
