fluent

Publications

Our technology is built on over a decade of peer-reviewed research. Explore the foundational papers behind subscalp EEG, high-bandwidth BCI, and clinical translation.

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BCI & Decoding 2025

Sub-scalp EEG for sensorimotor brain-computer interface

T.B. Mahoney, D.B. Grayden, S.E. John

Journal of Neural Engineering (2025)

This foundational study demonstrates that sub-scalp EEG contains the high-fidelity sensorimotor signals required for speech decoding. It validates the core premise of Fluent: that high-bandwidth data is observable without penetrating the skull.

Clinical Validation 2025

The UMPIRE study: A first‐in‐human multicenter trial of bilateral subscalp monitoring

A.J. Halliday, M.J. Cook, A. Morokoff, et al.

Epilepsia (2025)

The definitive safety trial for the bilateral subscalp implant. This study confirmed that the hardware platform is safe for long-term use (over 12 months) and provides signal clarity comparable to scalp EEG.

Clinical Validation 2025

Real-world epilepsy monitoring with ultra-long-term subcutaneous electroencephalography

P.F. Viana, J. Duun-Henriksen, A. Biondi, J.S. Winston, D.R. Freestone, et al.

Epilepsia (2025)

A 15-month prospective study confirming the reliability and signal stability of sub-scalp EEG in humans during everyday life. Provides critical evidence for the device's "set-and-forget" capability.

Hardware 2024

Sub-Scalp Brain-Computer Interface Device Design and Fabrication

T.B. Mahoney, D.B. Grayden, S.E. John

arXiv Preprint

Detailed engineering specifications for the 'Set-And-Forget EEG (SAFE)' system. This paper outlines the custom amplifier and wireless transmission architecture optimized for chronic BCI applications.

BCI & Decoding 2023

Comparison of Sub-Scalp EEG and Endovascular Stent-Electrode Array

T.B. Mahoney, P.C. Liu, D.B. Grayden, S.E. John

IEEE EMBC (2023)

A direct head-to-head comparison demonstrating that sub-scalp electrodes achieve signal bandwidth and signal-to-noise ratios comparable to invasive endovascular sensors (Stentrode), validating the "Goldilocks" approach.

BCI & Decoding 2022

Evidence of Onset and Sustained Neural Responses to Isolated Phonemes

K. Meng, S.H. Lee, F. Goodarzy, S. Vogrin, M.J. Cook, D.B. Grayden

Frontiers in Neuroscience

Investigates the neural signatures of phonemes (the building blocks of speech) using intracranial data, providing the algorithmic groundwork for Fluent's speech decoding pipeline.

Clinical Validation 2021

Motor neuroprosthesis implanted with neurointerventional surgery improves capacity for daily living tasks

T.J. Oxley, A. Morokoff, S.E. John, D.B. Grayden, et al.

Journal of NeuroInterventional Surgery

The first-in-human clinical trial of the Stentrode (Synchron). Our team members (Morokoff, John, Grayden) were instrumental in demonstrating that a minimally invasive BCI could safely restore digital freedom to paralyzed patients.

BCI & Decoding 2021

Seizure Forecasting Using a Novel Sub-Scalp Ultra-Long Term EEG System

R.E. Stirling, M.I. Maturana, P.J. Karoly, E.S. Nurse, D.B. Grayden, D.R. Freestone, M.J. Cook

Frontiers in Neurology

Demonstrates the power of continuous sub-scalp data for predictive algorithms. While focused on seizures, this establishes the device's capability to feed real-time, AI-driven forecasting models.

BCI & Decoding 2021

Ambulatory seizure forecasting with a wrist-worn device using LSTM deep learning

M. Nasseri, T. Pal Attia, E.S. Nurse, P.F. Viana, et al.

Scientific Reports

Validates the use of LSTM (Long Short-Term Memory) networks for real-time biological signal forecasting, a core component of Fluent's AI Scaffold architecture.

Hardware 2020

A new era in electroencephalographic monitoring? Subscalp devices for ultra-long-term recordings

J. Duun-Henriksen, M. Baud, M.P. Richardson, M. Cook, et al.

Epilepsia

A defining review of the sub-scalp EEG landscape, outlining the clinical necessity and technological convergence that drives the shift from acute hospital monitoring to chronic, invisible home monitoring.

BCI & Decoding 2020

A Convolutional Neural Network Model for Decoding EEG signals in a Hand-Squeeze Task

A. Partovi, F. Goodarzy, E.S. Nurse, P. Karoly, D. Freestone, M. Cook, D. Grayden

IEEE EMBC

Proves that Deep Learning (CNNs) can decode motor intent (hand squeezing) from EEG signals, a critical step toward the complex motor decoding required for speech interfaces.

Clinical Validation 2020

Critical slowing down as a biomarker for seizure susceptibility

M.I. Maturana, C. Meisel, K. Dell, P.J. Karoly, D.B. Grayden, et al.

Nature Communications

Identifies 'critical slowing down' as a universal warning signal in brain dynamics, providing a powerful biomarker for predicting state transitions (like seizures or intention) in chronic recordings.

Clinical Validation 2018

Circadian and circaseptan rhythms in human epilepsy: a retrospective cohort study

P.J. Karoly, D.M. Goldenholz, D.R. Freestone, D.B. Grayden, et al.

The Lancet Neurology

A high-impact study analyzing long-term cycles in brain activity. This work demonstrated the team's capability to handle and analyze massive longitudinal neural datasets.

Hardware 2017

Ring and peg electrodes for minimally-invasive and long-term sub-scalp EEG recordings

Y.B. Benovitski, A. Lai, D.B. Grayden, M.J. Cook, C.E. Williams

Epilepsy Research

The foundational engineering study that established the "peg" electrode design. It proved that this specific form factor offers superior signal quality and mechanical stability compared to standard disk electrodes.

Hardware 2016

Minimally invasive endovascular stent-electrode array for high-fidelity, chronic recordings

T.J. Oxley, N.L. Opie, S.E. John, D.B. Grayden, et al.

Nature Biotechnology

The groundbreaking paper that introduced the Stentrode. Our co-founders (Grayden, John) were key authors, proving the viability of recording brain signals from inside a blood vessel—a major leap in minimally invasive BCI.

AI & NLP 2016

Hierarchical Attention Networks for Document Classification

Z. Yang, D. Yang, C. Dyer, X. He, A. Smola, E. Hovy

NAACL HLT

A seminal paper on Attention Mechanisms in NLP. The hierarchical approach described here informs how Fluent's AI Scaffold prioritizes phonemes, words, and sentences during decoding.

Hardware 2014

10 of the Best Research Projects 2014

National Health and Medical Research Council (NHMRC)

NHMRC Annual Report

Recognition of the original development grant led by Prof. Mark Cook (with Prof. Grayden and Dr. Freestone) as one of the top 10 translational research projects in Australia, launching the subscalp EEG platform.

Clinical Validation 2013

Prediction of seizure likelihood with a long-term, implanted seizure advisory system

M.J. Cook, T.J. O'Brien, S.F. Berkovic, A. Morokoff, et al.

The Lancet Neurology

The historic "First-in-Man" study for intracranial seizure forecasting. It set the benchmark for all future long-term BCI trials and established the team's capability to run complex implantable device trials.

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