HiLTS©: Human-in-the-Loop Therapeutic System: A Wireless-enabled Digital Neuromodulation Testbed for Brainwave Entrainment

Epileptic seizures arise from abnormally synchronized neural activity and remain a major global health challenge, affecting more than 50 million people worldwide. Despite advances in pharmacological interventions, a significant proportion of patients continue to experience uncontrolled seizures, underscoring the need for alternative neuromodulation strategies. Rhythmic neural entrainment has recently emerged as a promising mechanism for disrupting pathological synchrony, but most existing systems rely on complex analog electronics or high-power stimulation hardware. This study investigates a proof-of-concept digital custom-designed chip that generates a stable 6 Hz oscillation capable of imposing a stable rhythmic pattern onto digitized seizure-like EEG dynamics. Using a publicly available EEG seizure dataset, we extracted and averaged analog seizure waveforms, digitized them to emulate neural front-ends, and directly interfaced the digitized signals with digital output recordings acquired from the chip using a Saleae Logic analyser. The chip’s pulse train was resampled and low-pass-reconstructed to produce an analog 6 Hz waveform, allowing direct comparison between seizure morphology, its digitized representation, and the entrained output. Frequency-domain and time-domain analyses demonstrate that the chip imposes a narrow-band 6 Hz rhythm that overrides the broadband spectral profile of seizure activity. These results provide a proof-of-concept for low-power digital custom-designed entrainment as a potential pathway toward simplified, wearable neuromodulation device for future healthcare diagnostics.