Advanced electrochemical potential monitoring for improved understanding of electrical neurostimulation protocols

Objective. Current-controlled neurostimulation is increasingly used in the clinical treatment of neurological disorders and widely applied in neural prostheses such as cochlear implants. Despite its importance, time-dependent potential traces of electrodes during microsecond-scale current pulses, especially with respect to a reference electrode (RE), are not precisely understood. However, this knowledge is critical to predict contributions of chemical reactions at the electrodes, and ultimately electrode stability, biocompatibility, and stimulation safety and efficacy. Approach. We assessed the electrochemistry of neurostimulation protocols in vitro with Pt microelectrodes from millisecond (classical electroanalysis) to microsecond (neurostimulation) timescales. We developed a dual-channel instrumentation amplifier to include a RE in neurostimulation setups. Uniquely, we combined potential measurements with potentiostatic prepolarization to control and investigate the surface status, which is not possible in typical stimulation setups. Main results. We thoroughly validated the instrumentation and highlighted the importance of monitoring individual electrochemical electrode potentials in different configurations of neurostimulation. We investigated electrode processes such as oxide formation and oxygen reduction by chronopotentiometry, bridging the gap between milli- and microsecond timescales. Our results demonstrate how much impact on potential traces the electrode's initial surface state and electrochemical surface processes have, even on a microsecond scale. Significance. Our unique use of preconditioning in combination with stimulation reveals that interpreting potential traces with respect to electrode processes is misleading without rigorous control of the electrode's surface state. Especially in vivo, where the microenvironment is unknown, simply measuring the voltage between two electrodes cannot accurately reflect the electrode's state and processes. Potential boundaries determine charge transfer, corrosion, and alterations of the electrode/tissue interface such as pH and oxygenation, particularly in long-term in vivo use. Our findings are relevant for all use-cases of constant-current stimulation, strongly advocating for electrochemical in situ investigations in many applications like the development of new electrode materials and stimulation methods.

Automated summary

This study investigates the electrochemical characteristics of electrodes during current-controlled neurostimulation, revealing the influence of surface status and electrochemical processes on potential traces. The findings emphasize the importance of understanding electrode state and processes to ensure safe and effective stimulation.