What It’s Like to Have a Brain Implant for 5 Years

Initially, Gorham used his brain-computer interface for single clicks, Oxley says. Then he moved on to multi-clicks and eventually sliding control, which is akin to turning up a volume knob. Now he can move a computer cursor, an example of 2D control—in horizontal and vertical movements within a two-dimensional plane.

Over the years, Gorham has gotten to try out different devices using his implant. Zafar Faraz, a field clinical engineer for Synchron, says Gorham directly contributed to the development of Switch Control, a new accessibility feature Apple announced last year that allows brain-computer interface users the ability to control iPhones, iPads, and the Vision Pro with their thoughts.

In a video shown at an Nvidia conference last year in San Jose, California, Gorham demonstrates using his implant to play music from a smart speaker, turn on a fan, adjust his lights, activate an automatic pet feeder, and run a robotic vacuum in his home in Melbourne, Australia.

“Rodney has been pushing the boundaries of what is possible,” Faraz says.

As a field clinical engineer, Faraz visits Gorham in his home twice a week to lead sessions on his brain-computer interface. It’s Faraz’s job to monitor the performance of the device, troubleshoot problems, and also learn the range of things that Gorham can and can’t do with it. Synchron relies on this data to improve the reliability and user-friendliness of its system.

In the years he’s been working with Gorham, the two have done a lot of experimenting to see what’s possible with the implant. Once, Faraz says, he had Gorham using two iPads side by side, switching between playing a game on one and listening to music on the other. Another time, Gorham played a computer game in which he had to grab blocks on a shelf. The game was tied to an actual robotic arm at the University of Melbourne, about six miles from Gorham’s home, that remotely moved real blocks in a lab.

Gorham, who was an IBM software salesman before he was diagnosed with ALS in 2016, has relished being such a key part of the development of the technology, his wife Caroline says.

“It fits Rodney’s set of life skills,” she says. “He spent 30 years in IT, talking to customers, finding out what they needed from their software, and then going back to the techos to actually develop what the customer needed. Now it’s sort of flipped around the other way.” After a session with Faraz, Gorham will often be smiling ear to ear.

Through field visits, the Synchron team realized it needed to change the setup of its system. Currently, a wire cable with a paddle on one end needs to sit on top of the user’s chest. The paddle collects the brain signals that are beamed through the chest and transmits them via the wire to an external unit that translates those signals into commands. In its second-generation system, Synchron is removing that wire.

“If you have a wearable component where there’s a delicate communication layer, we learned that that’s a problem,” Oxley says. “With a paralyzed population, you have to depend on someone to come and modify the wearable components and make sure the link is working. That was a huge learning piece for us.”