Devices

Investigational 60-electrode cortical surface visual prosthesis from Cortigent, tested in a six-subject early feasibility study. Not FDA approved. Separate from the discontinued Argus II retinal implant.

Catalog specification sheet - Cortical surface

Cortigent Orion visual cortical prosthesis

Record ID
BTSD-FDA-0017
Reviewed
2026-10-08
Interface
ecog
Evidence stage
human

Independent, source-linked catalog sheet. Not a manufacturer-issued datasheet, regulatory decision or instructions for clinical use. Human evidence does not establish approval. Source-specific restrictions, conflicts and missing specifications are retained below.

Cortigent Orion visual cortical prosthesis

Orion is an investigational visual cortical prosthesis: a 60-electrode array on the medial occipital lobe driven by a wirelessly powered implant and camera glasses. It is not FDA approved. This sheet comes from the ClinicalTrials.gov record and company releases, so results are company-reported and electrode geometry is Unreported.

Identity

FieldValue and source scope
DeviceCortigent Orion Visual Cortical Prosthesis System: wirelessly powered and controlled implantable pulse generator connected to an array of 60 micro-electrodes, a belt-worn processing unit, and camera glasses [1][2]
ManufacturerCortigent, Inc., a wholly owned subsidiary of Vivani Medical; predecessor Second Sight Medical Products [1][2]
Interface classCortical surface electrode array on the medial occipital lobe [1][3]
OriginInvestigational device; not FDA approved [1][4]
First demonstratedEarly feasibility study started 2017 (ClinicalTrials.gov start date 2017-11-20); six subjects implanted between January 2018 and January 2019 [1][2][3]
First human implantUnreported
Species studiedHuman [2][3]
Regulatory statusInvestigational; Cortigent says Orion is an investigative device not approved by FDA and plans a larger pivotal trial [2][4]
FunctionStimulates the surface of the visual cortex to induce visual perception in blind individuals; the processing unit converts a camera video stream into wireless stimulation commands [1][2]
Target tissueMedial surface of the occipital lobe (visual cortex) [3]

Geometry and architecture

FieldValue and source scope
Interface typeArray of micro-electrodes designed for implantation on the brain surface of the visual cortex [1]
Array layoutUnreported
Electrode count60 micro-electrodes (Vivani/Cortigent description); fewer than 4% of electrodes lost functionality over the study [1]
PitchUnreported
Electrode lengthsUnreported
Shank width and thicknessUnreported
Tip and exposed site geometryUnreported
Contact coatingUnreported
InsulationUnreported
Insertion methodUnreported
Anchoring and fixationUnreported

Electrode and channel physics

FieldValue and source scope
Exposed site areaUnreported
Electrode materialUnreported
Impedance (with measurement frequency)Unreported
Noise floor or SNRUnreported
Recording modalityUnreported
Sampling rateUnreported
Stimulation capabilityUnreported
Charge injection limitUnreported
Reference and groundUnreported

Tissue interface and bioresponse

FieldValue and source scope
Target tissueUnreported
Insertion trauma and BBB disruptionUnreported
Vascular disruption riskUnreported
Micromotion sensitivityUnreported
Gliosis and encapsulationUnreported
Neuron loss near sitesUnreported
Foreign-body response mitigationUnreported
Typical failure modesUnreported

System architecture

FieldValue and source scope
Onboard electronicsImplantable pulse generator connected to the electrode array [1]
Data pathWireless; belt-worn processing unit sends commands based on real-time video from camera glasses [1]
Telemetry bandwidthUnreported
Sampling rateUnreported
PowerWirelessly powered implant per the company description [1]
Thermal managementUnreported
Packaging and hermeticityUnreported
MRI compatibilityUnreported
Surgical complexityUnreported
Output connectorsUnreported

Performance envelope

FieldValue and source scope
Acute yieldUnreported
Chronic yieldUnreported
Stability over timeUnreported
LongevityUnreported
Revision and explant experienceUnreported
Adverse eventsOne serious adverse event, a seizure, early in the study; none further after stimulation patterns were adjusted [1]
Notable demonstrationsUnreported

Clinical and preclinical evidence

FieldValue and source scope
Human subjectsSix subjects with bare light or no light perception in both eyes, at two sites per Cortigent (UCLA and Baylor); the PI at the 2026 presentation was at UT Southwestern [2][3]
Preclinical cohortUnreported
Follow-up durationStudy concluded March 2025; three devices explanted after 3-year visits and one at study end [1]
IndicationsUnreported
Trials and registriesNCT03344848, Early Feasibility Study of the Orion Visual Cortical Prosthesis System. The registry lists ACTIVE_NOT_RECRUITING while the 2026 press release says the study concluded in March 2025 [1][3]
Primary outcomesCompany-reported: all subjects improved with the system on versus off in square localization and motion detection, and all had positive or mild positive final FLORA scores. No numeric scores given [1]
Key limitationsSix subjects; company-reported results; no electrode geometry, stimulation parameters or implant dimensions in the sources read. MRI, diathermy, ECT and TMS are contraindicated while implanted per the registry [1][3]

Engineering tradeoffs

FieldValue and source scope
StrengthsUnreported
LimitationsUnreported
Scaling constraintsUnreported

Version boundary

One early feasibility configuration is described. A larger pivotal trial is planned but not started in the sources read.

References

  1. Vivani press release, January 29, 2026.
  2. Cortigent, Orion clinical trial.
  3. ClinicalTrials.gov NCT03344848.
  4. Cortigent, Orion.