Poor stimulus-response correlation, caused by acoustic reflections from conventional culture substrates, poses a significant challenge in cellular mechanistic studies of ultrasound neuromodulation. Existing specialized setups that mitigate this interference have limited recording capabilities. In this study, we propose an anti-reflective microengineered substrate (ARMS) that can be incorporated into a standard in vitro platform. The substrate's dimensions and material composition were optimized in simulation. The optimized simulated platform exhibited an 86.3% reduction in reflection amplitude on the substrate surface compared to the conventional glass substrate. Furthermore, the ARMS reduced stimulation signal distortion to a 19.2% deviation from the expected amplitude, a substantial improvement compared to the 76.4% deviation observed with glass.

In the emerging research field of bioelectronic medicine, it has been indicated that neuromodulation of the vagus nerve (VN) has the potential to treat various conditions such as epilepsy, depression, and autoimmune diseases. In order to reduce side effects, as well as to increase the effectiveness of the delivered therapy, sub-fascicle stimulation specificity is required. In the electrical domain, increasing spatial selectivity can only be achieved using invasive and potentially damaging approaches like compressive forces or nerve penetration. To avoid these invasive methods while obtaining a high spatial selectivity, a 2-mm diameter extraneural cuff-shaped proof-of-concept design with integrated lead zirconate titanate (PZT) based ultrasound (US) transducers is proposed in this article. For the development of the proposed concept, wafer-level microfabrication techniques are employed. Moreover, acoustic measurements are performed on the device, in order to characterize the ultrasonic beam profiles of the integrated PZT-based US transducers. A focal spot size of around 200× 200 μ m is measured for the proposed cuff. Moreover, the curvature of the device leads to constructive interference of the US waves originating from multiple PZT-based US transducers, which in turn leads to an increase of 45% in focal pressure compared to the focal pressure of a single PZT-based US transducer. Integrating PZT-based US transducers in an extraneural cuff-shaped design has the potential to achieve high-precision US neuromodulation of the VN without requiring intraneural implantation.

2D phased array ultrasonic transducers realized through the combination of bulk piezoelectric ceramics and complementary metal-oxide-semiconductor (CMOS) integrated circuits (IC) are enabling a new range of wearable ultrasound therapeutic applications. Traditional therapeutic ultrasound transducers have an air backing layer to maximize transmitted acoustic intensity. Yet, the pairing of piezoelectric transducers and silicon substrates commonly used in CMOS is still poorly understood. We integrated lead zirconate titanate (PZT) film on silicon membranes of various thicknesses to understand the im-pact of the silicon backing on the performance of bulk piezoe-lectric ultrasound transducers. The transducers with thinner sil-icon membranes exhibited higher acoustic intensity (up to 1.95 times while taking into account frequency shift), which is con-sistent with the simulation in finite element modeling. Transduc-ers with silicon substrate also demonstrated a consistent shift to a higher resonance frequency.