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Workshop on Smart Systems for Healthcare and Wellness Brusselles 4.2.2014 Hosted by the CATRENE Scientific Committee Integration and Packaging Erik Jung, Harald Pötter

Medical Innovations.. and requirements Medical technology uses micro devices already as components (ASICs, power ICs, accelerometers, pressure sensors) Typically well known and understood technologies and components (risk minimization) are used Innovative components and technologies need to prove both function and robustness prior integration into a system which again needs to prove funtion and robustness as a whole Mechanical design more difficult under DfM constraints than pure electronic design Medical devices operate under conditions, which cannot be controlled by the manufacturer -> can result in very individual requirements (surgeon s skill, patient behaviour) -> sluggish adoption of novel integration and packaging technogies into the medical market

Technologies from MST which lend themselves for the medical arena Component Development Low Power ASICs Sensor devices Power supply Component enhancement Functionalization Rewiring, TSV Heterointegration @ Level Zero Advanced Substrate Technology 3D Flex MID/MDD, Textiles Surface Modifications Micro Assembly and Encapsulation Heterointegration in 3D Ultrasmall form factor assembly Mechanical Protective Layer Silicone biocompatibility layer Barrier Layer Deposition Parylene conformal coating DLC deposition ALD of Al2O3 Functional Layer Deposition PEG, DEL, HAD 3D Free Form Generation Rapid prototyping/manufacturing Embedded electronic funtionality

Technologies from MST which lend themselves for the medical arena Component Development Low Power ASICs Sensor devices Power supply Component enhancement Functionalization Rewiring, TSV Heterointegration @ Level Zero Advanced Substrate Technology 3D Flex MID/MDD, Textiles Surface Modifications Micro Assembly and Encapsulation Heterointegration in 3D Ultrasmall form factor assembly Mechanical Protective Layer Component enhancement Functionalization Rewiring, TSV Silicone biocompatibility layer Barrier Layer Deposition Parylene conformal coating DLC deposition ALD of Al2O3 Heterointegration @ Level Zero Functional Layer Deposition PEG, DEL, HAD 3D Free Form Generation Rapid prototyping/manufacturing Embedded electronic funtionality

www.wiserban.eu

SiP modules with embedded SAW filters CSSP Cu frame 1.4x1.1x0.4mm 5 contacts Ni/Au DSSP 0.95mmx0.6mmx0.21mm 6 contacts lead-free bumps Assembly DSSP&CSSP Cross section of module 4mmx4mmx0.91mm Embedding feasible( ) EPCOS testing ( )

3D-SiP Design / Layout LETI - antenna VTT - antenna Antenna - footprint Piezo - Module module to module - footprint (14 pins) M2 assembly-layer SoC - module SiP footprint (31 pins) M1 assembly-layer

3D-SiP Stacking Concept optimized for the interconnections between SoC and Device PCB shortest possible way for antenna path copper thickness on surface: 20µm Antenna Module thickness: 600µm gap between soldermasks: <30µm Solder Mask (20µm) Antenna Path Copper thickness in via: 15-20µm SoC - Module <1,13mm Interconnection to PCB Device PCB

Technologies from MST which lend themselves for the medical arena Component Development Low Power ASICs Sensor devices Power supply Component enhancement Functionalization Rewiring, TSV Heterointegration @ Level Zero Advanced Substrate Technology 3D Flex MID/MDD Surface Modifications Micro Assembly and Encapsulation Heterointegration Ultrasmall form factor assembly Micro Assembly and Encapsulation Heterointegration in 3D Mechanical Protective Layer Silicone biocompatibility layer Barrier Layer Deposition Ultrasmall form factor assembly Parylene conformal coating Mechanical Protective Layer DLC deposition ALD of Al2O3 Silicone biocompatibility layer Functional Layer Deposition PEG, DEL, HAD 3D Free Form Generation Rapid prototyping/manufacturing Embedded electronic funtionality

Cooperation with AWAIBA and SUSS resulted in world record in integrated camera system Assembly on 1,5m long miniature flex substrate strip (roll-roll fabrication)

Novel diagnostic applications using miniature electronic optics and flex integration Endoscope camera, ultrasmall Combining microelectronic CMOS imaging chip with microoptical lenses MEMS bonding technologies Microbumps for attachment to flex

Cooperation with AWAIBA and SUSS resulted in world record in integrated camera system.and going stereo by just adjusting the dicing pattern!

Chip-on-Board Stacking Technology signal processing ASIC photo diodes courtesy of Swissbit Germany PCB controller EMC shielding Stacked devices assembled in COB technology Wire bonding at different device levels (1mil AlSi1) S. Schmitz

Flip Chip Technologies Thermode Bonding Thermocompression Thermosonic Reflow soldering Adhesive Joining ICA - Isotropic Conductive Adhesive NCA - Non Conductive Adhesive ACA - Anisotropic Conductive Adhesive SnAg Au stud

Ultra Thin Flip Chip Interconnects B. Pahl, C. Kallmayer

Thin Chip integration: Reliable System Level Integration of Stacked Chips on MEMS FC embedded chip RDL wafer cross section of a three chip stack using chip embedding: thin chip embedded on wafer, formation of a RDL, FC-Bonding Top view Bumped TCI on wafer level Chip scale package integration of different microsystem technologies by thin die stacking, polymer embedding and redistribution/bumping

Combining TSV, µassembly and thin film routing for next generation medical devices Substrate with thin film wiring and through silicon/glass vias Medtronic s vision of chip scale pacemaker µassembly of MEMS and thinned components by die-stacking Wafer level hermetic sealing

Technologies from MST which lend themselves for the medical arena Component Development Ultrasmall form factor assembly Low Power ASICs Sensor devices Power supply Component enhancement Functionalization Rewiring, TSV Heterointegration @ Level Zero Advanced Substrate Technology Micro Assembly and Encapsulation Heterointegration Mechanical Protective Layer Advanced Substrate Technology 3D Flex MID/MDD Textiles Surface Modifications Silicone biocompatibility layer Barrier Layer Deposition Parylene conformal coating DLC deposition ALD of Al2O3 Functional Layer Deposition PEG, DEL, HAD 3D Flex 3D Free Form Generation MID/MDD Rapid prototyping/manufacturing Surface Modifications Embedded electronic funtionality

From rigid to flexible systems MIT Novanex/Sonago stretchable flexible rigid

Motivation Enabling potential of thermoplastic substrates Polycarbonate: high reliability flexible high threshold for plastic deformation Chemical sensitivity Polyurethane: flexible & stretchable Good adhesion to many surfaces Low melting temperature

Flexible and Stretchable Substrates Properties PI LCP PET PC TPU Tensile Strength [MPa] ~100 30 25 70 55 Modulus [MPa] 4500 2300 2000-4000 2300 32 Dielectric constant 2-2.3 3 3.5 3 >3 T g [ C] 230 T melt : 300-350 80-100 T melt :220-230 T mel : 155-170 CTE [ppm] < T g 13-20 18 45 40 (with filler) 70 (unfilled) ~200 Moisture uptake [%] 2.5-3.5 <0.1 0.08 0.35 Breakthrough voltage [kv/mm] 250-300 240 100 60 Via size [µm] 200 µvia: 75 200 µvia: 75-100 100 Min. Line/Space* 25 25 150 25 40 Maturity of technology standard low volume Standard R&D R&D, transferred to few manufacturers

Structuring of Thermoplastic Substrates Via in Polycarbonate foil Via in thermoplastic polyurethane foil

Stretchable Circuit Board Cu track patterning Cyclic stretching: reliability

Stretchable Circuit Board Rigid stretch transition meanders for Stretchablility local Cu Stiffeners bondpads for components 1. 2. 3. 0

Ultrathin Chips for flexible Electronics Necessity of ultrathin chips: mechanical flexibility thin modules 3D-integration Reasons for component integration in substrate: fine pitch high density, short paths thin modules with flat surface Prerequisites: commercial availability of thin chips qualified assembly processes with ultrathin contacs

Integration Technologies: Thermode Bonding Application of adhesive or noflow underfill Curing / soldering under temperature and presure 450 µm Chip 20 µm Chip 450 µm Chip 20 µm Chip X-Ray of SMX after ACA bonding

Application Example: Diagnostic Band Aid Stretchable substrate + encapsulation for the electronic compontes control LED photodetector read out electronic Skin tissue color markers opt. excitation flourescence

Application Example: T-Shirt for Muscle Stimulation Therapy System design: Uni Boras* Functionality: Muscle stimulation therapy for patients with muscle spasticity SCB for interconnection between dry electrodes distributed over the shirt Interconnection to electrodes with push buttons F. Seoane, STRETCHABLE CIRCUIT BOARD TECHNOLOGY ENABLING SEAMLESS TEXTILE-ELECTRONIC INTEGRATION FOR ELECTRICAL MUSCLE STIMULATION THERAPY, Printed Electronics USA, 2012

Application Example: Implantable Electrodes for Neural Interconnection e-nerve Process flow with Au metallization Nanostructured Au surface Improved cell adhesion Increased surface

Synopsis Micro electronics and micro system technology offer new opportunities to use innovative techniques and convert them into novel products. New and improved diagnostic and therapeutic concepts can be realized by leveraging these technologies The synergy between the medical sector, micro electronics, microintegration and IT will offer improved quality of life now and in the future at acceptable cost due to the economy of scale and high degrees of autonomy enabled by these advancements Nano scale sensors will allow to increase functionality of diagnostic methods significantly micro-packaging will play a strong role here for final integration into a product

For further information please contact Erik Jung erik.jung@izm.fraunhofer.de