Neural stimulation is a powerful technique for modulating physiological functions and for writing information into the nervous system as part of brain-machine interfaces. Current clinically approved neural stimulators require batteries and are many cubic centimetres in size -- typically much larger than their intended targets. We present a complete wireless neural stimulation system consisting of a 1.7 mm3 wireless, batteryless, leadless implantable stimulator (the mote), an ultrasonic wireless link for power and bi-directional communication, and a hand-held external transceiver. The mote consists of a piezoceramic transducer, an energy storage capacitor, and a stimulator integrated circuit (IC). The IC harvests ultrasonic power with high efficiency, decodes stimulation parameter downlink data, and generates current-controlled stimulation pulses. Stimulation parameters are time-encoded on the fly through the wireless link rather than being programmed and stored on the mote, reducing power consumption and on-chip memory requirements and enabling complex stimulation protocols with high-temporal resolution and low-latency feedback for use in closed-loop stimulation. Uplink data indicates whether the mote is currently stimulating; it is encoded by the mote via backscatter modulation and is demodulated at the external transceiver. We show that the mote operates at an acoustic intensity that is 7.8% of the FDA limit for diagnostic ultrasound and characterize the acoustic wireless links robustness to expected real-world misalignment. We demonstrate the in vivo performance of the system with motes acutely implanted with a cuff on the sciatic nerve of anesthetized rats and show highly repeatable stimulation across a wide range of physiological responses.
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