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Neuralink Live Update - March 2024: technical breakdown, key moments and clinical context

Published on 20 March 2024 ('Neuralink Live Update - March 2024', 9:17), this historic broadcast marks the first public demonstration of a human participant using the N1 implant. Noland Arbaugh—paralyzed below the shoulders after a diving accident eight years earlier—moves a laptop cursor wirelessly across a chessboard while conversing with a Neuralink engineer, explaining how 'attempted movement' transitioned into effortless 'imagined movement' and allowed him to play Civilization VI for hours independently.

20 Mar 2024Published dateOfficial @neuralink Video · 9:17
ZzNHxC96rDEYouTube Video IDChannel UCLt4d8cACHzrVvAz9gtaARA · Embeddable (200 OK)
Tier 1Evidence classFirst-in-Human Clinical Milestone
Movement & computer controlPrimary topicPaired with /neuralink/telepathy-computer-control
Key points
  • Primary record: Official @neuralink video (ZzNHxC96rDE) published on 20 Mar 2024 (duration 9:17).
  • What it shows: First-in-human proof of concept that the wireless, skull-flush N1 implant can drive real-time computer control outside a percutaneous lab setup.
  • Technical pathway: Motor cortex → wireless N1 implant → MacBook cursor control → live online chess & Civilization VI.
  • Evidence boundary: 9:17 livestream recording of the first human PRIME participant (20 March 2024).

Watch the official video record

Poster illustration for Neuralink Live Update - March 2024
Official @neuralink Video 20 Mar 2024 · 9:17 Tier 1 · First-in-Human Clinical Milestone
Neuralink Live Update - March 2024

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Source: Neuralink (@neuralink) · Channel UCLt4d8cACHzrVvAz9gtaARA · Video ZzNHxC96rDE · Checked 30 Oct 2026 Direct YouTube link ↗

Official upload from @neuralink (20 Mar 2024, 9:17).

Read verbatim official @neuralink YouTube description & caption provenance

Caption & verification basis: English auto-generated captions (Official video playback, English caption track, official description, and primary Neuralink disclosures).

This live demo shares the experience of a participant enrolled in the PRIME Study. The PRIME Study - an investigational medical device trial for our fully implantable, wireless brain-computer interface (BCI) - aims to evaluate the safety of our implant and surgical robot, and assess the initial functionality of our BCI for enabling people with quadriplegia to control external devices with their thoughts. We do not guarantee any benefit by participating in the PRIME Study.

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Technical pathway and evidence classification

Video notes · 20 Mar 2024 · Video (9:17) March 2024 First Human Participant Livestream (Noland Arbaugh)
EVIDENCE CLASSIFICATION Tier 1 · First-in-Human Clinical Milestone Video ID: ZzNHxC96rDE Published: 20 Mar 2024 (9:17) PRIMARY SUBSYSTEM Movement & computer control (Telep Channel: @neuralink (verified) Embed: Embeddable (youtube-nocookie) INTERPRETATION BOUNDARY Investigational Context Not FDA marketing approval Verify against clinical registries
Technical pathway Signal & hardware chain

Motor cortex → wireless N1 implant → MacBook cursor control → live online chess & Civilization VI

Analytical scope What to keep in mind

9:17 livestream recording of the first human PRIME participant (20 March 2024).

Timestamped breakdown and key moments

Sequential moments in Neuralink Live Update - March 2024 (9:17)
TimestampSegment / eventWhat happens in the segment
00:00Introduction & spinal cord injury backgroundNoland introduces his C4/C5 spinal cord injury and life before joining the PRIME trial.
01:55Attempted vs. imagined movement calibrationExplains how the decoder initially mapped attempted hand movements and quickly became intuitive cursor thought.
03:40Live wireless chess & music controlDemonstrates smooth real-time cursor movement and clicking on a MacBook with no wires attached.
06:15Playing Civilization VI overnight vs. mouthstick fatigueCompares multi-hour wireless BCI use against the sores and exhaustion of mouthsticks.

What this video demonstrates—and what it does not establish

What this video demonstrates

  • First-in-human proof of concept that the wireless, skull-flush N1 implant can drive real-time computer control outside a percutaneous lab setup.

Scope limits & what it does not establish

  • Day-one/month-two single-participant milestone; partial thread retraction occurred in the weeks around this period and was addressed in the July 2024 update (`Ux5AiKmra-E`).

How this fits into Neuralink's broader clinical and hardware roadmap

This video sits inside the Movement & computer control (Telepathy) research track on StonkBuilder's independent Neuralink hub. All Neuralink hardware (the N1 implant and R1 surgical robot) and clinical programs (PRIME NCT06429735, CONVOY, and VOICE NCT07224256) remain investigational and have not received FDA commercial marketing authorization. Read our full companion guide at Movement & computer control (Telepathy) for cohort context.

Sources checked 30 Oct 2026

Sources and official records

  1. [1] Neuralink YouTube (2024-03-20): Neuralink Live Update - March 2024 · Verified 30 Oct 2026
  2. [2] Neuralink: Official YouTube Channel (@neuralink, UCLt4d8cACHzrVvAz9gtaARA) · Verified 30 Oct 2026
  3. [3] Neuralink: Official website and investigational device notice · Verified 30 Oct 2026
  4. [4] Neuralink: Clinical Trials and Patient Registry · Verified 30 Oct 2026
  5. [5] ClinicalTrials.gov: The PRIME Study (NCT06429735) · Verified 30 Oct 2026
  6. [6] Neuralink: Two Years of Telepathy (28 Jan 2026) · Verified 30 Oct 2026