The bridge between mind and machine is real, and people are crossing it in trials, though only a handful so far. A systematic review published in July 2025 counted 80 people worldwide with an implant for paralysis or lost speech, and Neuralink reported 21 trial participants in January 2026. Listening is the stronger half of the craft. Speech decoders have reached 97.5% word accuracy and can give a voice back with about a fortieth of a second of delay, and people steer cursors, tablets and games by intention alone. Speaking back into the brain is far cruder. Retinal and cortical implants return low-resolution sight in trials, and stimulating the touch cortex can let a paralysed hand feel again, but nothing yet approaches the senses we were born with. No implanted BCI has passed the FDA's full premarket approval; Synchron's planned pivotal trial is aimed at the first such filing.
- Jan 2024Neuralink's first human implant
Neuralink implanted its first device in a man paralysed by a spinal cord injury, who went on to use it to play video games and chess.
1 participantEuronews - Aug 2024Speech BCI reaches 97.5% accuracy
UC Davis researchers decoded the attempted speech of a man with ALS from a 125,000-word vocabulary and read it aloud in a voice built from his pre-ALS recordings.
97.5% word accuracyUC Davis Health - Sep 2024Synchron's six-patient safety trial succeeds
In the first US trial of a chronically implanted BCI, all six patients met the 12-month safety goal with no serious adverse events involving the brain or blood vessels.
6 of 6 patientsThe Robotics Media - Jun 2025Real-time voice from brain signals
A UC Davis system turned a man's attempted speech into synthesised voice with about a fortieth of a second of delay, letting him change intonation and sing simple melodies.
~60% of words understoodUC Davis Health - Aug 2025Inner speech decoded, with a mental password
A Stanford-led team decoded imagined speech in four people with paralysis and showed that a password phrase can keep private inner speech locked.
4 participantsStanford Medicine - Oct 2025Retinal implant restores reading vision
In a 38-patient trial reported in NEJM, 80% of people blinded by geographic atrophy gained meaningful visual acuity from a tiny light-powered implant, and most could read letters and words.
80% meaningful improvementScience Corporation - Jan 2026Neuralink reaches 21 trial participants
Two years after its first human implant, Neuralink said 21 people were enrolled in its trials worldwide, up from 12 using implants in September 2025.
21 participantsReuters (via Yahoo News) - Jun 2026Paradromics begins its speech trial
Surgeons at University of Michigan Health implanted the first participant in Paradromics' FDA-approved Connect-One study of a wireless implant meant to restore communication.
421 electrodesMichigan Medicine
- Next on the road
- Synchron plans the first US pivotal trial of a permanently implanted BCI in 2026, and Neuralink says it is ready for its first human Blindsight vision implant once regulators allow it.
- The far shore
- A safe, fully implanted, wireless link that lasts for decades and carries the world both ways, at the full bandwidth of our senses and muscles.









