Integrated Circuits and Systems

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Integrated Circuits and Systems Series Editor Anantha P. Chandrakasan Massachusetts Institute of Technology Cambridge, Massachusetts For further volumes, go to http://www.springer.com/series/7236

Hoi-Jun Yoo Chris van Hoof Editors Bio-Medical CMOS ICs 123

Editors Hoi-Jun Yoo Department of Electrical Engineering Korea Advanced Institute of Science and Technology Guseong-dong, Daejeon 305-701 Republic of Korea hjyoo@ee.kaist.ac.kr Chris van Hoof Katholieke Universiteit Leuven Interuniversity Microelectronics Center (IMEC) Kapeldreef 75, Leuven B-3001 Belgium chris.vanhoof@imec.be ISSN 1558-9412 ISBN 978-1-4419-6596-7 e-isbn 978-1-4419-6597-4 DOI 10.1007/978-1-4419-6597-4 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2010936189 Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Preface A major societal challenge for the decades to come will be the delivery of effective medical services while at the same time curbing the growing cost of healthcare. It is expected that new concepts-particularly electronically assisted healthcare will provide an answer. This will include new devices, new medical services as well as networking. On the device side, impressive innovation has been made possible by micro- and nanoelectronics or CMOS Integrated Circuits. Even higher accuracy and smaller form factor combined with reduced cost and increased convenience of use are enabled by incorporation of CMOS IC design in the realization of biomedical systems. The compact hearing aid devices and current pacemakers are good examples of how CMOS ICs bring about these new functionalities and services in the medical field. Apart from these existing applications, many researchers are trying to develop new bio-medical solutions such as Artificial Retina, Deep Brain Stimulation, and Wearable Healthcare Systems. These are possible by combining the recent advances of bio-medical technology with low power CMOS IC technology. CMOS IC design alone is a challenging discipline and needs a long-term education to master it. Bio-medical services also require long experience and deep knowledge about the physiology, pathology, as well as the psychology of the patients. Bio-medical CMOS IC is different from other CMOS ICs in that it will be used in very intimate contact with the body with the bio-medical services in mind. Biological effects and interactions related to the specific application should therefore be considered before the chip design and after the chip fabrication. Recently, electronic detection has contributed even to psychological monitoring by sensing stress and emotions through vital-sign monitoring, and this has been enabled by biomedical IC design. The obvious interdisciplinary nature of bio-medical IC design is very challenging. One of the editors has taught Bio-Medical IC Design course to graduate students in KAIST, and feels the necessity of a text book or a good reference book for students explaining the basic principles and current trends of such a wide range of topics in relatively simple and clear terms. The purpose of this book is therefore to provide the readers with a complete overview of how to design and apply CMOS ICs for bio-medical applications. Even though the importance of CMOS ICs is well-known, there is hardly any literature v

vi Preface devoted to this subject. Many journal papers and lectures at conferences have dealt with the bio-medical ICs, but they were not comprehensive and generally only one circuit or a specific application was covered. This bio-medical IC design book in contrast covers the basic circuits and systems of the current leading-edge researches and products. The editors and the authors have been involved in bio-medical IC design for many years, and have tried to write a book showing how to design bio-medical ICs specifically targeting those readers that have limited experience in CMOS IC design. The book is also suitable for experienced engineers who would like to be introduced to recent trends in bio-medical ICs. For this purpose, we start every chapter with a brief introduction of a basic principle behind the circuits and systems. Also, we tried to write the contents with simple and plain expressions. In addition, where appropriate, most chapters provide a summary of current trends and an overview of the future directions. This book would not have been possible without intensive help from many people. First of all, we would like thank all authors for their invaluable contributions. We would like to also thank Prof. Anantha Chandrakasan, the series editor, for his encouragement to write this book, and all members of the Springer team, especially Alex Greene and Ciara Vincent, for their support. Last but not least, we give our sincere thanks to graduate students of Semiconductor Systems Lab of KAIST, IMEC, and the Holst Centre for their help and support during the preparation of the book. Daejeon, Korea Leuven, Belgium Hoi-Jun Yoo Chris van Hoof

Contents 1 Introduction to Bio-Medical CMOS IC... 1 Hoi-Jun Yoo and Chris van Hoof Part I Vital Signal Sensing and Processing 2 Introduction to Bioelectricity... 13 Yong Jeong 3 Biomedical Electrodes For Biopotential Monitoring and Electrostimulation... 31 Eric McAdams 4 Readout Circuits... 125 R. Firat Yazicioglu 5 Low-Power ADCs for Bio-Medical Applications... 157 J. Craninckx and G. Van der Plas 6 Low Power Bio-Medical DSP... 191 Hyejung Kim and Hoi-Jun Yoo Part II Bio-Medical Wireless Communication 7 Short Distance Wireless Communications... 219 Robert Puers and Jef Thoné 8 Bio-Medical Application of WBAN: Trends and Examples... 279 Julien Penders, Chris van Hoof, and Bert Gyselinckx 9 Body Channel Communication for Energy-Efficient BAN... 303 Seong-Jun Song and Hoi-Jun Yoo Part III Examples of Bio-Medical ICs 10 Wearable Healthcare System... 339 Jerald Yoo and Hoi-Jun Yoo vii

viii Contents 11 Digital Hearing Aid and Cochlear Implant... 371 Sunyoung Kim and Hoi-Jun Yoo 12 Cardiac Rhythm Management IC s... 421 Erno Klaassen 13 Neurostimulation Design from an Energy and Information Transfer Perspective... 453 David A. Dinsmoor, Robert W. Hocken, Jr., Wesley A. Santa, Jalpa S. Shah, Larry Tyler, and Timothy J. Denison 14 Artificial Retina IC... 481 Jun Ohta Index... 515

Contributors J. Craninckx Interuniversity Microelectronics Center (IMEC), Leuven, Belgium, jan.craninckx@imec.be Timothy J. Denison Medtronic Neuromodulation Integrated Circuit Technology, Columbia Heights, MN 55421, USA, timothy.denison@medtronic.com David A. Dinsmoor Medtronic Neuromodulation Integrated Circuit Technology, Minneapolis, MN 55432, USA, david.a.dinsmoor@medtronic.com B. Gyselinckx Interuniversity Microelectronics Center (IMEC), Eindhoven, The Netherlands Robert W. Hocken, Jr. Medtronic Neuromodulation Integrated Circuit Technology, Minneapolis, MN 55432, USA Yong Jeong Department of Bio and Brain Engineering, Korea Advanced Institute of Science and Technology, Gwahangno, Yuseong-gu, Daejeon 305-701, Republic of Korea, yong@kaist.ac.kr Hyejung Kim Ultra Low Power and Extreme Electronics Group IMEC, Kapeldreef 75, B-3001 Leuven, Belgium, hyejung@imec.be Sunyoung Kim Interuniversity Microelectronics Center (IMEC), Leuven, Belgium, sunyoung@imec.be Erno Klaassen St. Jude Medical, Cardiac Rhythm Management Division, Sunnyvale, CA, USA, eklaassen@sjm.com Eric McAdams Biomedical Sensors Group, INSA (National Institute of Applied Science) of Lyon, Léonard de Vinci Building, 20 Avenue Albert Einstein, 69621 Villeurbanne Cedex, France, et.mcadams@ulster.ac.uk Jun Ohta Graduate School of Materials Science, Nara Institute of Science and Technology, Nara 630-0192, Japan, ohta@ms.naist.jp Julien Penders Holst Centre, IMEC, Eindhoven, The Netherlands, julien.penders@imec-nl.nl ix

x Contributors Robert Puers Katholieke Universiteit Leuven, Kasteelpark Arenberg 10, 3001 Leuven, Belgium, robert.puers@esat.kuleuven.be Wesley A. Santa Medtronic Neuromodulation Integrated Circuit Technology, Minneapolis, MN 55432, USA Jalpa S. Shah Medtronic Neuromodulation Integrated Circuit Technology, Minneapolis, MN 55432, USA Seong-Jun Song Samsung Electronics Co., LTD, Suwon 443-742, Republic of Korea, sj33.song@samsung.com Jef Thoné Katholieke Universiteit Leuven, Kasteelpark Arenberg 10, 3001 Leuven, Belgium, jef.thone@esat.kuleuven.be Larry Tyler Medtronic Neuromodulation Integrated Circuit Technology, Minneapolis, MN 55432, USA G. Van der Plas Interuniversity Microelectronics Center (IMEC), Leuven, Belgium, geert.vanderplas@imec.be Chris van Hoof Katholieke Universiteit Leuven, Interuniversity Microelectronics Center (IMEC), Kapeldreef 75, B-3001 Leuven, Belgium, chris.vanhoof@imec.be R. Firat Yazicioglu Interuniversity Microelectronics Center (IMEC), Leuven, Belgium, firat@imec.be Hoi-Jun Yoo Department of Electrical Engineering, Korea Advanced Institute of Science and Technology, Guseong-dong, Daejeon 305-701, Republic of Korea, hjyoo@ee.kaist.ac.kr Jerald Yoo Microsystems Engineering, Masdar Institute of Science and Technology (MIST), Abu Dhabi, United Arab Emirates, jyoo@masdar.ac.ae