TechnologyHow do neural interfaces work?
How we interface with the nervous system
Every neural interface trades access, resolution and invasiveness against each other. This explorer places 32 of them on one map, by what they do and how far they have come, so that an EEG cap, a deep brain stimulator and an intracortical array can be read on the same terms.
BCI is evolving from decoding the nervous system to interacting with it.
- Reading
- Writing
- Closed loop
- Biohybrid
32 interfaces
Read
Bidirectional
Write
Non-invasive
Around the head
On the skin
Minimally invasive
Vessel or skull window
Invasive
Nerve or sense organ
On the cortex
In the cortex
Deep brain
Biohybrid · Adjacent frontier
Living neural tissue outside the body. Not an interface with a person.
Colour · function
- Read
- Write
- Bidirectional
- Biohybrid
Fill · maturity as a clinical modality
- Established
- Human feasibility
- Early human
- Preclinical
- Research frontier
- Adjacent frontier
WriteInvasiveElectrical
Cochlear implants
An electrode array inside the cochlea stimulates the auditory nerve directly, bypassing damaged hair cells. It is the most widely used neural interface, and the clearest proof that one can become routine care.
Showing Cochlear implants: Write, Invasive.
- Where it acts
- Inside the cochlea
- Information flow
- Electrode array → auditory nerve
How far it has come
- As a clinical modality
- EstablishedRoutine care for severe hearing loss, for decades.
- As a BCI application
- EstablishedThe reference case for a neural interface in everyday use.
- Access
- Invasive. Ear surgery, outside the skull.
- Mechanism
- Electrical
- Target
- Cochlea
- Signal
- Electrical pulses along an array ordered by pitch
Characteristics · write interfaces
- Spatial precisionTens of channels, blurred by current spread
- Temporal precisionSub-millisecond pulses
- TargetabilityFrequency regions along the cochlea
- CoverageMost of the range used for speech
- InvasivenessEar surgery
- ReversibilityInsertion can cost remaining hearing
Each track runs from low to high. A wide bar means the characteristic varies across implementations.
Strengths
- Decades of evidence and routine clinical pathways
- Speech understanding for most recipients
Trade-offs
- Coarse pitch: music and speech in noise remain hard
- Outcomes vary widely between people
Common applications
- Severe to profound hearing loss
Human evidence
Extensive: routine care in children and adults, with long-term outcome data.
What needs to happen next
Finer pitch through more independent channels. Light-based stimulation is one route, and is preclinical.
- Use cases
- Hear
- Patent activity
- 220 patent families name this interface, most often on peripheral interfaces, neural decoding, signal processing. The patent landscape
Descriptions, ranges and maturity levels are editorial analysis, kept qualitative where the literature does not support exact comparison across technologies. Specific devices differ.
All 32 interfaces as a table
| Interface | Function | Access | Mechanism | Target | Clinical modality | BCI application |
|---|---|---|---|---|---|---|
| Read | Non-invasive | Electrical | Cortex | Established | Human feasibility | |
| Read | Non-invasive | Magnetic | Cortex | Established | Research frontier | |
| Read | Non-invasive | Optical | Cortex | Human feasibility | Research frontier | |
| Read | Non-invasive | Electrical | Muscle / neuromotor | Established | Established | |
| Read | Minimally invasive | Electrical | Cortex | Human feasibility | Human feasibility | |
| Read | Minimally invasive | Acoustic | Cortex, Deep brain | Early human | Preclinical | |
| Read | Invasive | Electrical | Peripheral nerve, Muscle / neuromotor | Early human | Early human | |
| Read | Invasive | Electrical | Cortex | Established | Human feasibility | |
| Read | Invasive | Electrical | Cortex | Human feasibility | Human feasibility | |
| Read | Invasive | Electrical | Deep brain, Cortex | Established | Early human | |
| Write | Non-invasive | Magnetic | Cortex | Established | Research frontier | |
| Write | Non-invasive | Electrical | Cortex | Human feasibility | Research frontier | |
| Write | Non-invasive | Acoustic | Cortex, Deep brain | Early human | Research frontier | |
| Write | Invasive | Electrical | Peripheral nerve | Established | Early human | |
| Write | Invasive | Electrical | Retina | Human feasibility | Human feasibility | |
| Write | Invasive | Electrical | Cochlea | Established | Established | |
| Write | Invasive | Electrical | Brainstem | Established | Established | |
| Write | Invasive | Electrical | Cortex | Established | Early human | |
| Write | Invasive | Electrical | Cortex | Early human | Early human | |
| Write | Invasive | Optical, Molecular | Cortex, Deep brain, Retina | Early human | Preclinical | |
| Write | Invasive | Electrical | Deep brain | Established | Early human | |
| Bidirectional | Invasive | Electrical | Peripheral nerve, Muscle / neuromotor | Early human | Early human | |
| Bidirectional | Invasive | Electrical | Cortex | Established | Early human | |
| Bidirectional | Invasive | Electrical | Cortex, Deep brain | Established | Human feasibility | |
| Bidirectional | Invasive | Electrical | Cortex, Spinal cord | Early human | Early human | |
| Bidirectional | Invasive | Electrical | Cortex | Early human | Early human | |
| Bidirectional | Invasive | Electrical | Deep brain, Cortex | Established | Early human | |
| Bidirectional | Invasive | Electrical | Deep brain | Established | Human feasibility | |
| Biohybrid | Ex vivo | Electrical, Biological | Cultured neural tissue | Adjacent frontier | Adjacent frontier | |
| Biohybrid | Ex vivo | Electrical, Optical, Biological | Cultured neural tissue | Adjacent frontier | Adjacent frontier | |
| Biohybrid | Ex vivo | Biological, Electrical | Cultured neural tissue | Adjacent frontier | Adjacent frontier | |
| Biohybrid | Ex vivo | Biological, Electrical | Cultured neural tissue | Adjacent frontier | Adjacent frontier |
Use-case explorer
Start from what people want to do
Nine human goals. Each one connects the technology, the companies, the research, the studies and the tools behind it, and says plainly what is available today.
Decoding attempted speech or writing into text and voice.
Can someone who cannot speak hold a conversation again?
Research participants with paralysis have used implanted BCIs to produce text and synthesised voice from attempted speech. All such systems remain in early feasibility studies.
Latest milestoneA single surface implant decoded speech and upper-body gestures at the same time in three participants.
- Companies
- NeuralinkSynchronPrecision NeuroscienceParadromicsBlackrock NeurotechBrainGateStairMedNeuroXessNeuCyber NeuroTechABILITY NeurotechJiMEDg.tec medical engineeringArayaCognixion
- Research
- Simultaneous speech and gesture decoding for multimodal communication in paralysisAn Accurate and Rapidly Calibrating Speech NeuroprosthesisAn instantaneous voice-synthesis neuroprosthesisA high-performance speech neuroprosthesisA high-performance neuroprosthesis for speech decoding and avatar control+10 more
- Clinical
- VOICEConnect-OneBrainGate2BRAVOUNPCortiCom+3 more
- On the calendar
- BCI Meeting 2027
Why do such different devices exist for the same goal? Each trades signal quality against surgical access. Read the dossier