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I will give a short introduction to neural recordings and brain computer interfaces. Following this introduction, I can discuss current work at Paradromics, which has pivoted from extremely high channel count acute recording systems toward building a fully implantable brain computer interface for clinical use. I will highlight some unique design considerations to neural interfaces and implantable medical devices, and discuss some techniques that have been developed at Paradromics for analog compressive sensing. I will also share some personal perspective on working in this very unique field.