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We report a case study where a user provided with a fully implantable Brain-Computer Interface (BCI) has been using the BCI at home for almost three years for communication. At the start of participation ECoG electrodes were placed subdurally over motor cortex and signals are amplified and transmitted to a tablet with BCI software. This software processes and translates the brain signal to control AAC software. To select letters on the tablet, the user generates clicks by attempting hand movement. Since the start of home use, the participant used the BCI on average during 11 sessions per month with an average duration of 21.2 hours per month. Use of the BCI correlates with situations in which other means of communication are more difficult. An auditory spelling paradigm was investigated for future use. Auditory spelling was reliable, but speed was lower than vision-based spelling. This report emphasizes that a BCI has an added value to a user.

Long-Term Home Use of a Fully implanted BCI for Communication - Visual and auditory Spelling.