Fabrication and Dose-Response Simulation of Soft Dual-Sided Deep Brain Stimulation Electrode.

A 16-channel dual-sided flexible electrode based on a polyimide substrate was designed and fabricated using micro-electromechanical system (MEMS) technology. The electrode exhibited an average impedance of 5.9 kΩ at 1 kHz and a charge storage capacity (CSC) of 10.63 mC/cm. Concurrently, a three-dimensional finite element model incorporating electrical stimulation and micromotion-induced damage was established. The simulation results demonstrated that the implantation trauma caused by the bilateral electrode was significantly lower compared with silicon-based and cylindrical electrodes, while also enabling directional stimulation. Furthermore, leveraging the design of experiments (DOE) methodology, a multivariate regression model was developed to investigate the influence of key stimulation parameters-namely, current amplitude, frequency, and pulse width-on the volume of tissue activated (VTA). The results indicated that the regression model provided accurate predictions of VTA (R = 0.912). Among the parameters, current amplitude and pulse width exerted a statistically significant influence on VTA size ( < 0.001), whereas the effect of frequency was comparatively minor ( = 0.387 > 0.05). This study presents the first successful fabrication and comprehensive dose-response analysis of a flexible bilateral DBS electrode. Its attributes of low implantation trauma, multi-channel capability, and directional stimulation offer a novel paradigm for precise neuromodulation. Additionally, the established stimulation parameter-VTA response model provides a robust theoretical foundation for optimizing therapeutic parameters in subsequent clinical applications.