A Curvable Silicon Retinal Implant 1 2 3 2,3 1 Rostam Dinyari , Jim D. Loudin , Phil Huie , Daniel Palanker , Peter Peumans Electrical Engineering Department, Stanford University, Stanford, California 94305, USA 2 Applied Physics Department, Stanford University, Stanford, California 94305, Stanford, California 94305, USA 3 Ophthalmology Department, Stanford University, Stanford, California 94305, USA 1 Abstract We have developed a curvable photovoltaic monolithic retinal implant that requires no electrical power or data connection. The implant consists of a two-dimensional network of miniature silicon solar cells that directly stimulate the retina when illuminated by a goggle system. A MEMS process isolates adjacent pixels and makes the arrays curvable allowing them to conform to the shape of the retina. Motivation and Approach In age-related macular degeneration (AMD) and retinitis pigmentosa (RP), two leading causes of blindness, the photoreceptor layer of the retina malfunctions while the other layers (inner nuclear layer and ganglion cells) remain fully functional [1]. To restore vision in such cases, we have developed a thin (30μm thick) photovoltaic silicon implant that, when combined with a goggle-mounted optical recorder/projector system, can restore vision. Fig. 1 shows a schematic of the system [2]. A miniature camera captures video that is processed by a pocket computer before being projected into the eye at a near-infrared wavelength (λ = 900 nm) onto the silicon implant located in the subretinal space in front of the retinal pigment epithelium (RPE). The implant consists of a two-dimensional (2D) array of photovoltaic pixels. The projected image is provided in pulsed fashion and each pixel element consists of up to three series-connected photovoltaic cells such that the pixels deliver current pulses that are sufficiently strong to stimulate the remaining functional neural cells. The current pulses are interpreted as vision by the visual cortex. Placing the implant in the subretinal space (as compared to epiretinal) allows for utilization of the existing image-processing and data-compression functions of the inner nuclear layer [3]. Working at λ = 900 nm prevents confusion by preventing stimulation of the remaining functional photoreceptor cells. Figure 1. System design. The implant is surgically inserted between the retina and retinal pigment epithelium (RPE) and does nor require a power or data connection. Vision is achieved by projecting an image recorded by the google-counted camera into the eye at a near-infared wavelength in pulsed fashion [2]. The pulses are interpreted as vision by the visual cortex. Scanning electron micrographs (SEMs) of the implants are The novelty of the work reported here is the integration of photovoltaic devices in a MEMS process that allows the implant to conform to the natural curvature of the eye [4], while also providing isolation between the bodies of the three series-connected subpixels that make up each pixel. (a) (b) (c) (d) (e) (f) Figure 2. (a) and (b) SEM images of curvable silicon arrays conforming to the shape of the retinal pigment epithelium (RPE) of a pig. (c) SEM of a single diode (1D) and (d) three-diode (3D) pixel. The silicon flexures between pixels are 300 nm wide. The silicon bridges between subpixels in (d) are 200 nm wide. The pixels are 230 μm x 230 μm. SEMs of fully functional 1.775 mm x 1.775 mm arrays of 230 μm x 230 μm (e) 1D and (f) 3D pixels. 97-4244-5640-6/09/$26.00 ©2009 IEEE 26.2.1 IEDM09-595 shown in Fig 2. Usage of three series-connected subpixels per pixel (Fig. 2d) improves the impedance matching to the surrounding tissue and enhances the injected current per pixel allowing for higher resolution implants. Curving the implant (Fig. 1a and b) is advantageous since the complete implant is in focus, resulting in optimum quality of vision perceived.Curved implants can also be substantially larger than planar implants and can hence cover a larger part of the field of view. A further advantage is that in the case of flat implants, retinal cells migrate to fill the empty space between the implant and RPE which leads to a reorganization of multiple layers of retinal cells. A curvable implant stays in close proximity to the RPE, as shown in the optical coherence tomography in Fig. 3. spray-coated resist (Fig. 4f). A conformal SiO2-coat / anisotropic dry etch sequence is then used to protect the pixel and flexure sidewalls, provide an antireflective (AR) coating, cover the metal interconnects, expose the electrodes regions, and expose the handle wafer at the bottom of the trenches (Fig. 4g and h). A forming gas anneal is performed. A sputtered Iridium oxide film (SIROF) is deposited and patterened using a second lift-off with spray-coated resist to cover the electrode areas (Fig. 4i). The IrOx coating is biocompatible and know to have a high charge-injection capacity into saline [5]. A XeF2 silicon etch releases the arrays from the wafer (Fig. 4j). (a) (f) (b) (g) (c) (h) (d) (i) (e) (j) Figure 3. Optical Coherence Tomography (OCT) image of a curvable silicon array embedded in the subretinal space of a pig eye. Fabrication The implant fabrication flow is shown in Fig. 4. Retinal implants with 230 μm, 115 μm and 57.5 μm pixels containing 80, 40, and 20 μm diameter stimulation electrodes in a 2 mm x 2 mm array were fabricated on FZ (resistivity > 2 kΩ.cm) <100> SOI substrates with 30 μm-thick device layer (Fig. 4a). BBr3 and POCl gas diffusion was used to define the p+ and n+ contact regions (Fig. 4b and c). An SiO2 anti-reflection coating is grown which also functions as surface passivation. It is opened over the contact regions (Fig. 4d). The pixels are subsequently isolated from each other using a deep reactive ion etch (DRIE) step to the buried oxide that leaves the individual pixels connected in a two-dimensional array using ~300nm-thick silicon flexures (Fig. 4e `and Fig. 2c). The same DRIE step also electrically isolates the three subpixels from each other while they are mechanically connected via resistive silicon bridges (Rbridge> 10MΩ, see Fig. 2d) resulting in a series connection via the patterned metal layer. The silicon flexures allow the pixels to move and rotate such that the array conforms to spherical surfaces with a radius of curvature as small as 5mm (Fig. 2a and b). The flexure resistance (Rflexure>100MΩ) electrically isolates the pixels to prevent pixel cross-talk. The buried oxide is then opened. A Ti (20nm) / Pt (100nm) metal layer is deposited and patterned using lift-off with IEDM09-596 Figure 4. The fabrication process. (a) FZ SOI wafer with 30 um device layer. (b) p+ diffusion. (c) n+ diffusion. (d) Antireflection coating and contact openings. (e) DRIE. (f) Ti/Pt deposition and lift-off. (g) LTO oxide deposition. (h) Removal of oxide from bottom of the trenches and over the electrodes followed by forming gas anneal. (i) Injection electrode deposition and lift-off. (j) XeF2 release. Results SEMs of fabricated arrays are shown in Figs. 2 and 5. Detailed views of pixels are shown in Fig. 2c, 2d, 5b, and 5d. Opto-electrical measurements of a single-diode (1D) and three-diode (3D) pixel under illumination are shown in Figs. 6 and 7. The responsivity of the 1D pixels is R1D = 0.30 A/W in air and R1D = 0.35 A/W in DI water for λ=904nm laser illumination, corresponding to an internal quantum yield (IQE) > 96% despite the large surface area represented by the vertical sidewalls. In the current design, 43% of the incident radiation at 904nm is absorbed limited by the not-optimal SiO2 AR coating thickness. The responsivity of the 3D subpixels is identical to that of 1D pixels. When 26.2.2 2 measured in saline, the 3D pixels inject 1.4 mC/cm 2 compared to 0.3 mC/cm for 1D pixels (for a 0.5 ms pulse 2 duration, 1 mW/mm average irradiance at λ = 900 nm) due to the higher voltage generated. This corresponds to 70, 17.5, and 4.4 nC per optical pulse for different sizes of 3D pixels which is sufficient for retinal stimulation [5]. The open circuit voltage (VOC) generated by the 1D diodes is 0.57 V (64 μW) vs. 0.53 V for the 3D diodes (57 μW). This is attributed to the additional surface area of the isolation trenches between subpixels that provide additional electron-hole pair recombination sites. Their effect is most noticeable at high electron and hole concentrations, resulting in a decreased VOC but largely unaffected IQE. Current (μA) 200 0 μW 13 μW 44 μW 64 μW (a) 100 0 -1.5 -1.0 -0.5 (a) 0.0 0.5 1.0 Voltage (V) (b) Short Circuit Current (μA) 20 15 10 Measurement Data Responsivity = 0.30 A/W 5 0 (b) 0 20 40 60 Beam Power (μW) Figure 5. (a) Current vs voltage as a function of light intensity and (b) short-circuit current vs light intensity measurements for 1D pixels in air. The responsivity is 0.30 A/W. Our future work will focus on in vitro and eventually in vivo experiments. This requires a final encapsulation in a conformal bio-compatible coating such as parylene. (c) (d) Figure 6. SEMs of fully functional 2 mm x 2 mm arrays of 115 μm x 115 μm (a) 1D and (b) 3D pixels. The flexures are 300 nm wide. (c) and (d) show detailed view of the pixels and subpixels. 26.2.3 IEDM09-597 Current (μA) 600 1 diode 2 diodes 3 diodes (a) Conclusions By structuring an array of miniature solar cells into separate pixels connected by silicon flexures, curvable silicon photovoltaic retinal implants were fabricated. Each pixel contains up to three subpixels that are connected in series. The pixel bodies were isolated using DRIE-defined deep trenches. Despite the deep-etched trenching to define the silicon flexures and isolate the subpixels, the photovoltaic diodes exhibit an internal quantum efficiency of 96%. The sub-optimal SiO2 AR coating limits the responsivity to ~0.30 A/W. Measurements in saline indicate that the charge injected per optical pulse at safe optical intensities is sufficient to stimulate the retina. The implants do not require an electrical power or data-connection and may be able to restore high-acuity vision to patients suffering from AMD or RP. The achievable spatial resolution, field-of-view and absence of scarring make this approach a good alternative to existing approaches. 400 200 0 -3 -2 -1 0 1 2 3 Voltage (V) 150 0 μW 14 μW 33 μW 57 μW (b) Current (μA) 100 References [1] E. Zrenner, Science, 295, 1022-1025 (2002). 50 [2] J. D. Loudin, D. M. Simanovskii, K. Vijayraghavan, C. K. Sramek, A. F. Butterwick, P. Huie, G. Y. McLean, and D. V. Palanker, Journal of Neural Engineering, 4, S72-S84 (2007). 0 -1.0 -0.5 0.0 0.5 [3] J. Dowling, Eye, 22, 1-7 (2008) 1.0 [4] R. Dinyari, S. Rim, K. Huang, P. B. Catrysse, and P. Peumans, Applied Physics Letters, 92, 091114 (2008). Voltage (V) Short Circuit Current (μA) 20 [5] S. Cogan, Annual Review of Biomedical Engineering, 10, 275-309 (2008). (c) 15 10 Measurement Data Responsivity = 0.30 A/W 5 0 0 20 40 60 Beam Power (μW) Figure 7. (a) Current vs voltage of 1, 2, and 3 diodes connected in series of the same 3D pixel. The deep trenches and high resistance bridges effectively isolate the three subpixels. (b) Current vs. voltage as a function of light intensity measured on one subpixel of a 3D pixel. All subpixels have identical performance. (c) Short-circuit urrent vs light intensity measurements on a subpixel of a 3D pixel, showing a responsivity of 0.31 A/W in air. IEDM09-598 26.2.4