Innovation

Chip in brain to control robotic hand: breakthrough comes from China

A device developed in Shanghai allows people with paralysis to move their hands through brain signals. It is the first brain-computer interface authorised for use outside clinical trials

by Francesca Cerati

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

China has authorised the first brain implant for people with severe paralysis, marking an important milestone in the development of brain-computer interfaces. The device, called Neo, was developed by Shanghai-based Neuracle Medical Technology and received approval from the National Medical Products Administration, China's regulatory body for medical devices.

The implant can be used in patients aged between 18 and 60 years with limb paralysis due to spinal cord injury in the cervical region. The aim is to restore at least part of the ability to move hands through direct translation of brain signals.

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The system consists of a coin-sized chip inserted into the skull, connected to eight electrodes placed on the surface of the brain. The electrodes record the electrical activity that is generated when the patient imagines moving his or her hand. The signals are sent to a computer that decodes them and turns them into commands for a soft robotic glove, capable of grasping objects and making basic hand movements.

According to the researchers involved in the clinical trials, 32 people have received the device so far. All of them have been able to perform the grasping movement with the help of the robotic glove, an action they could no longer perform before the implantation. In one of the cases described in a scientific preprint, a patient who had been using the system for nine months was able to regain the ability to grasp and manipulate objects, and was able to eat and drink independently.

The Chinese device is also distinguished by its relatively low level of invasiveness. Unlike other experimental systems, the electrodes do not penetrate deep into the brain tissue but are placed on the surface of the brain, a choice that may have facilitated the regulatory approval process. The approval represents a milestone for the field of brain-computer interfaces, technologies that directly connect the nervous system to electronic devices to transform brain signals into concrete actions.

International competition in the field is increasingly intense. In the US, the company Neuralink, founded by Elon Musk, is testing brain implants on patients with severe motor disabilities, while other companies are developing systems to restore speech to people who have lost it due to neurological diseases.

In the Chinese case, the approval comes in a precise political context. In its five-year plan 2026-2030, the government has identified brain-computer interfaces as one of the 'industries of the future', set to receive investment and funding to accelerate research.

However, experts urge caution: the available data still concern a limited number of patients and larger studies will be needed to assess efficacy and safety in the long term. But the direction is clear: the possibility of directly connecting the brain to machines, for years confined to science fiction, is increasingly entering real medicine.

According to several researchers, the next step will be to improve the accuracy with which neural signals are interpreted. Integration with artificial intelligence algorithms could allow systems to progressively learn how each patient generates his or her own brain signals, making control of the devices increasingly natural. In the future, technologies of this kind could be used not only to move prostheses or robotic instruments, but also to recover motor functions after strokes or neurological trauma. For now, however, the priority remains demonstrating safety and clinical benefits on a large scale, an essential step before these systems can become part of everyday medical practice. This is now a strategic sector for many of the world's technological powers.

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