Electrode array for spatially random electrical stimulation
An electrical stimulation system for delivering spatially random electrical stimulation to a patient through an electrode array according to one embodiment includes an electrode array comprising a plurality of electrodes spaced apart from one another, a signal generator electrically coupled to the electrode array and configured to deliver an electrical stimulation signal, and a controller comprising a processor and a memory having a plurality of instructions stored thereon that, in response to execution by the processor, causes the controller to randomly select an electrical configuration from the plurality of electrodes of the electrode array by randomly selecting a first set of electrodes of the plurality of electrodes to function as electrical sources and a second set of electrodes of the plurality of electrodes to function as electrical sinks, and to instruct the signal generator to deliver the electrical stimulation signal to the patient via the randomly selected electrical configuration.
1 . A method of delivering spatially random electrical stimulation to a patient through an electrical lead that includes an electrode array, wherein the electrode array includes a plurality of electrodes, the method comprising:
partitioning, by an electrical stimulation system, the frequency range of an electrical stimulation signal into discrete frequency bands, each of the discrete frequency bands having a corresponding bandwidth;
adjusting, by the electrical stimulation system, an amplitude of one or more of a voltage or a current of the electrical stimulation signal within a selected frequency band of the discrete frequency bands to generate an adjusted electrical signal based on feedback received from the patient;
randomly selecting, by the electrical stimulation system, an electrical configuration from the plurality of electrodes of the electrode array, wherein randomly selecting the electrical configuration comprises randomly selecting a first set of electrodes of the plurality of electrodes to function as electrical sources and a second set of electrodes of the plurality of electrodes, different from the first set of electrodes, to function as electrical sinks;
assigning a subset of discrete frequency bands of a frequency range of the electrical stimulation signal to a corresponding section of the electrode array, wherein the section of the electrode array is associated with a corresponding anatomical region of the patient; and
delivering the adjusted electrical signal to the patient via the randomly selected electrical configuration and based on the assignment of the subset of the discrete frequency bands.
2 . The method of claim 1 , wherein the feedback comprises feedback received from the patient as patient self-report regarding the therapy delivered to the patient.
3 . The method of claim 1 , wherein the feedback comprises feedback based on data generated by one or more sensors of the electrical stimulation system, wherein the one or more sensors measure one or more physiological outcomes of the patient.
4 . The method of claim 1 , wherein the feedback comprises feedback data received from a machine learning system.
5 . The method of claim 1 , wherein the feedback comprises a tissue impedance of the patient.
6 . The method of claim 2 , further comprising randomly selecting, by the electrical stimulation system, a new electrical configuration from the plurality of electrodes of the electrode array in response to a determination that a threshold has been met.
7 . The method of claim 6 , wherein the threshold is defined as a predefined period of time elapsed since randomly selecting the electrical configuration.
8 . The method of claim 6 , wherein the threshold is associated with one or more characteristics of the spatially random electrical stimulation being delivered to the patient.
9 . The method of claim 1 , wherein delivering the electrical stimulation signal to the patient via the randomly selected electrical configuration comprises directing a set of frequency components of the electrical stimulation signal to pass through a subset of the first set of electrodes and a subset of the second set of electrodes.
10 . The method of claim 1 , wherein the electrical stimulation signal comprises a pulse waveform.
11 . The method of claim 1 , wherein the electrical stimulation signal comprises a periodic waveform.
12 . The method of claim 1 , wherein each electrode of the plurality of electrodes is spatially separated from each other electrode of the plurality of electrodes down a length of the electrical lead.
13 . The method of claim 1 , wherein the first set of electrodes comprises a first number of electrodes and the second set of electrodes comprises a second number of electrodes different from the first number.
14 . The method of claim 1 , wherein the electrode array comprises a distal section and a proximal section; and
wherein delivering the electrical stimulation signal to the patient via the randomly selected electrical configuration comprises delivering high-frequency signal components of the electrical stimulation signal through only the distal section of the electrode array.
15 . The method of claim 1 , wherein the electrode array comprises a distal section and a proximal section; and
wherein delivering the electrical stimulation signal to the patient via the randomly selected electrical configuration comprises amplifying signals transmitted through the distal section at a different weight from signals transmitted through the proximal section.
16 . The method of claim 1 , wherein randomly selecting the first set of electrodes comprises randomly selecting a number of electrodes in the first set of electrodes; and
wherein randomly selecting the second set of electrodes comprises randomly selecting a number of electrodes in the second set of electrodes.
17 . The method of claim 1 , wherein the frequency range of the electrical stimulation signal is 0.05 Hz to 2 kHz to block an action potential from firing.
18 . The method of claim 1 , further comprising:
changing a variable of the electrical stimulation signal as a function of a determined migration of the electrical lead in the patient; and
delivering, by the electrical stimulation system, the electrical stimulation signal to the patient based on the changed variable.