Abstract: Provided are methods and devices for evaluating dynamic middle ear muscle activity in a subject. A probe is provided having a speaker and a microphone in sound-wave communication with an eardrum associated with the middle ear muscle of the subject. A sound wave is generated from the speaker and transmitted to the eardrum. The sound wave that is reflected is detected and a reflected sound wave property measured. The input sound wave may be comb input to fully extend ossicle movement in all available vibratory modes, thereby providing maximum information as to dynamic middle ear muscle activity.

Abstract: A method for predicting whether a patient is afflicted by a vestibular disorder includes assaying vestibular noise; identifying a characteristic of the vestibular noise; and at least in part on the basis of the characteristic of the vestibular noise, providing information for predicting that a patient has a vestibular disorder.

Abstract: A system and method for activating stimulation electrodes in cochlear implant electrode is described. A preprocessor filter bank processes an input acoustic audio signal to generate band pass signals that each represent an associated band of audio frequencies. An information extractor extracts stimulation signal information from the band pass signals based on assigning the band pass signals to corresponding electrode stimulation groups that each contain one or more stimulation electrodes, and generates a set of stimulation event signals for each electrode stimulation group that define electrode stimulation timings and amplitudes. A pulse selector selects a set of electrode stimulation signals from the stimulation event signals based on a pulse weighting function that uses channel-specific weighting factors favoring lower frequencies for activating the stimulation electrodes to stimulate neighboring audio nerve tissue.

Abstract: An aspect of the present invention is a method for determining whether a Luciferian can be rehabilitated. The method includes stimulating the Luciferian with a first stimulus and recording a first physiological response by the Luciferian to said first stimulus. The method includes determining, from the first physiological response, a first polarity of the Luciferian's response to the first stimulus. The method includes stimulating the Luciferian with a second stimulus and recording a second physiological response by the Luciferian to said second stimulus. Further, the method includes determining, from the second physiological response, a second polarity of the Luciferian's response to the second stimulus. The method includes comparing the first polarity to the second polarity to determine whether the second polarity has a greater value than the first polarity; and determining, from said comparing of first polarity and second polarity, whether the Luciferian can be rehabilitated.

Abstract: A measuring method for synchronizing bio-signals with stimulations is capable of enhancing utility by using wireless synchronization signal transmission instead of conventional wired synchronization signal transmission and by using a signal processing approach to compensate a delay time in the wireless transmission to obtain a synchronous result. Thereby a stimulus signal corresponds to a biological response signal precisely in order to correctly generate integrated synchronization data of a stimulus organism.

Abstract: Methods and systems for monitoring or testing the hearing of a user using a portable unit include presenting a plurality of test frequencies for selection by a user and storing data about those frequencies, and the user's response to stimuli presented at those frequencies, and comparing the stored data to previously acquired hearing data. Using mathematical prediction algorithms, changes in baseline hearing values can be used to identify potential hearing issues, especially hearing issues associated with ototoxicity.

Abstract: Bluetooth-enabled programmable digital hearing aids can be adjusted remotely and in real time. The hearing aid patient at home or a location convenient to the patient logs on to a hearing clinic web site to connect with a clinician, e.g. audiologist or hearing aid technician, at a central clinic location. The patient computer is provided with software for this and the patient is provided with a wireless hearing aid adjustment device. The clinician downloads the patient's hearing aid program and other data, and then makes adjustments and reprograms the hearing aids in real time.

Abstract: An apparatus for analyzing a sound signal is based on an ear model for deriving, for a number of inner hair cells, an estimate for a time-varying concentration of transmitter substance inside a cleft between an inner hair cell and an associated auditory nerve from the sound signal so that an estimated inner hair cell cleft contents map over time is obtained. This map is analyzed by means of a pitch analyzer to obtain a pitch line over time, the pitch line indicating a pitch of the sound signal for respective time instants. A rhythm analyzer is operative for analyzing envelopes of estimates for selected inner hair cells, the inner hair cells being selected in accordance with the pitch line, so that segmentation instants are obtained, wherein a segmentation instant indicates an end of the preceding note or a start of a succeeding note. Thus, a human-related and reliable sound signal analysis can be obtained.

Abstract: Method and System are disclosed for a computer-assisted diagnostic hearing test. The computer-assisted diagnostic hearing test includes an ambient noise monitoring module configured to monitor an ambient noise in a surrounding environment, a patient information module configured to receive patient information and hearing related tests selections, and a pure tone threshold module configured to facilitate manual testing of a pure tone threshold test. The computer-assisted diagnostic hearing test further includes a speech reception threshold module configured to facilitate manual testing of a speech reception threshold test, and a speech discrimination module configured to facilitate manual testing of a speech discrimination test.

Abstract: The invention regards a method for determining a gain setting of a bone-anchored hearing aid comprising a bone anchor, the proximal and the distal ears having respective first and second monaural bone-conduction hearing thresholds, the first monaural bone-conduction hearing threshold being higher than the second monaural bone-conduction hearing threshold. The method comprises: obtaining respective first and second measured monaural bone-conduction hearing thresholds for the proximal and the distal ear; and determining the gain setting in dependence on the first and the second measured monaural bone-conduction hearing thresholds. The execution of the method does not require obtaining other hearing thresholds than such that are typically determined or measured anyway during the diagnostic phase.

Abstract: A system and method are described for determining an estimated neural response in a hybrid acoustic-electrical audio prosthesis. Target nerve tissue such as remaining hair cells and cochlear nerve tissue receive synchronized electric and acoustic stimulation signals which are recorded and processed to determine an artifact canceled estimated neural response.

Abstract: A disposable dual ended ear curette incorporates specialized tip configurations and a depth measurement system. The ear curette may comprise a central handle portion; a first tip extending from one end of the handle portion and including an annular array of projections; and a second tip extending from an opposed end of the handle portion and including a blade member having a first lateral scraping edge on one edge of the blade member positioned adjacent a concave surface of the blade member, and a second lateral scraping edge on an opposed edge of the blade member. The ear curette may further include a sequence of spaced, visible measurement indicia on each tip, configured to provide an operator with a visual indication of the depth of operation of the associated tip in a patient's ear.

Abstract: An audio signal compensation device includes: a signal processor configured to perform filtering on an input audio signal; a filter coefficients storage module configured to store a plurality of filter coefficients; a user interface configured to provide options for a determination of filter coefficients to a user and to obtain a selection result from the user; and a filter coefficients determining module configured to determine a set of filter coefficients among the plurality of filter coefficients based on the selection result.

Abstract: The invention provides a method of electrical artefact compensation in measurement of a neural response. The neural response is evoked by a first stimulus, after which a compensatory stimulus is applied in order to counteract a stimulus artefact caused by the first stimulus. The invention also provides for short circuiting the stimulating electrode subsequent to the first stimulus. A system for implementing such steps is also provided. The invention may be of application in measurement of physiological responses, including neural responses and in particular a neural response of the auditory nerve.

Abstract: An embodiment of a hearing assistance apparatus for performing a Real Ear Measurement (REM), comprises a hearing assistance device housing, a microphone within the housing, an earhook connected to the housing, and a flexible tube. The house has a first opening for guiding sound into the housing to the microphone. The housing and the connected earhook form an interface, where the earhook has a shape to provide a slot near the interface of the housing and the earhook. The tube guides sound, and has a first end and a second end. The first end of the flexible tube and the slot of the earhook cooperate to retain the first end of the flexible tube in the slot of the earhook and flush with the housing to provide a sound-tight connection with the first opening.

Abstract: Methods, articles of manufacture, and systems for evaluating tinnitus are disclosed herein. According to various embodiments, a tinnitus evaluation system may include a tinnitus evaluation module configured to perform one or more tinnitus evaluation tests. A tinnitus evaluation test may comprise generating a first single-frequency sound based at least in part on a sound of a patient's tinnitus, and generating a narrow-band sound centered at the frequency of the first single-frequency sound. Tests include a hearing threshold test, a loudness match test, a pitch match test, a bandwidth match test, a minimum masking level test, and a residual inhibition test.

Abstract: Objectively identifying an acoustic characteristic of tinnitus of a subject. The subject is exposed to a sound pattern having a background acoustic signal preceding an audible silence. The background acoustic signal has a selected acoustic characteristic. An electrical response of the subject's central nervous system to the exposure to the sound pattern is measured. The measured electrical response has a first portion representing the electrical response of the subject's central nervous system to the background acoustic signal, and a second portion representing the electrical response of the subject's central nervous system to the audible silence in the sound pattern. The first portion of the measured electrical response is compared to the second portion of the measured electrical response and a determination is made as to whether the subject has tinnitus with an acoustic characteristic similar to the selected acoustic characteristic based on the comparison.

Abstract: Provided are a device, system, and method for treating a patient having posttraumatic stress disorder (PTSD) or other such psychiatric disorder. An event being recounted by the patient is recorded and a sensory environment of the patient is controlled so as to administer exposure therapy to the patient. Patient mental state may be monitored during administration of the exposure therapy to the patient, and the exposure therapy may be varied in correspondence to the monitored mental state of the patient. In one embodiment, hierarchy assembly means creates a treatment hierarchy based on input from the patient, and hierarchy navigation means navigates within the treatment hierarchy in response to the mental state of the patient.

Abstract: A digital headset system for use in audiometric testing. The headset system includes a stored calibration reference relating the exact frequency and volume response of each speaker to analog input signals. A microprocessor accesses the calibration reference to determine the required analog signal needed to produce the desired sound. An on-board digital to analog converter generates the required analog signal and transmits it to the speaker. The headset is used with software based audiometric test methods that allow the generation of an electronic user hearing profile. The user hearing profile may be used to re-program an audio emitting device to function in a customized manner. The user hearing profile may be overlaid on a partner hearing profile in order to emulate for the partner how sounds are perceived by the user. The test methods may be self-administered or administered by a healthcare professional.

Abstract: An apparatus to reduce the sensitivity of the vestibular system to stimulation. The apparatus comprises a plugging device configured to constrain the movement of endolymph fluid within a semicircular canal, and a control module coupled to the plugging device that causes the plugging device to maintain a set actuated position.

Abstract: The present application discloses systems, methods, and articles of manufacture for determining prescription rules for a hearing prosthesis. A method in accordance with the present disclosure includes identifying a threshold hearing level and an uncomfortable loudness level for a channel of a hearing prosthesis. In one example, the threshold hearing level and the uncomfortable loudness level are determined in response to a stimulation signal generated utilizing the hearing prosthesis in situ on a recipient. In the present example, the stimulation signal corresponds to the channel of the hearing prosthesis. The method further includes developing a prescription rule based on the threshold hearing level and the uncomfortable loudness level. Generally, the prescription rule includes at least one of a linear compression scheme and a wide dynamic range compression scheme.

Abstract: An acoustic immittance measurement system converts a measure of acoustic immittance (i.e. impedance and/or admittance) of a subject's middle ear to the frequency domain such that variations in magnitude and/or phase are diagnosed using either open-loop or closed-loop measurement techniques.

Abstract: A system for determining the hearing ability of an individual comprises a generator for generating a test stimulus signal, a hearing aid (2) having a digital signal processor for processing said test stimulus signal and converting it in order to output an acoustic stimulus signal, and a first synchronizing means. The system further comprises an electrophysiological instrument (1) having a second synchronizing means, and means (7) for establishing from said individual an evoked response to said acoustic signal. The first synchronizing means and said second synchronizing means exchange a synchronization signal in order to synchronize said evoked response to said acoustic stimulus signal. The invention also provides a hearing aid and a method for carrying out electrophysiological measurement of the hearing ability of an individual.

Abstract: An apparatus, system, and method for hearing tests are disclosed. In one embodiment, the method determines a set of candidate audiograms for a user. In one embodiment, the method includes estimating the slope of hearing level of a user. The method also includes estimating a pure tone average for the user based on the answers of the user to a questionnaire. The gender of the user is also determined. The gender, estimated slope, estimated pure pone average of the user are used to estimate the most possible audiograms from a set of predetermined candidate audiograms. A hearing aid is programmed based on the estimated audiograms for the user. The programmed hearing aid has several settings, each based on the estimated audiograms, for the user to choose from.

Abstract: An ear canal pressurization device optimized for aural acoustic immittance testing is disclosed. Changes in volume of a first flexible chamber, due to motor movement, produce changes in ear canal pressure based on Boyle's law. A vent may be opened to allow ear canal pressure to gently equalize to ambient air pressure or to generate ear canal pressure sweeps free of pressure baseline offset. The vent may be closed to set a static ear canal pressure or to generate ear canal pressure sweeps with an incidental baseline offset. The vent may be controlled to generate ear canal pressure sweeps with an intended baseline offset. The device produces ear canal pressure proportional to drive voltage, so any desired pressure versus time function can be generated by applying a coil driving voltage with the appropriate amplitude versus time function.

Abstract: Systems and methods may be used to modify a controllable stimulus generated by a digital audio device in communication with a human user. An input signal is provided to the digital audio device. In turn, the digital audio device sends a stimulus based on that input signal to the human user, who takes an action, usually in the form of an output signal, to characterize the stimulus that the user receives, based on the user's perception. An algorithm then determines a difference between the input signal and the output signal, and a perceptual model is constructed based at least in part on the difference. Thereafter, a new value for the parameter of the digital audio device is suggested based at least in part on the perceptual model. This process continues iteratively until the algorithm finds the user's optimal device parameters. While this process is highly complex and time consuming, the algorithm successfully reaches at least a near optimal settings, if not the optimal, in a short time.

Abstract: A method for hair cell stimulation includes determining a frequency band corresponding to damaged hair cell region in accordance with a preset algorithm, determining the frequency band corresponding to the damaged hair cell region as a target frequency band, and outputting an acoustic signal with given intensity to the target frequency band so as to stimulate the damaged hair cell region. The method treats hearing loss by acoustic signal.

Abstract: A medical implant component including a fiber Bragg grating sensor is described. The sensor may be located so as to be at a leading end of the implant when the implant is being inserted, allowing feedback to be provided to a surgeon of the force being applied to the leading end of the implant during implantation. An interrogator for a sensor fiber Bragg grating is also described. The interrogator includes a matched fiber Bragg grating to the sensor fiber Bragg grating, which passes a proportion of the return light signal from the sensor fiber Bragg grating, the intensity of which can be related to the strain/force applied to the sensor Bragg grating.

Abstract: A multimedia user interface for an automated diagnostic hearing test allows a patient to interact with the automated hearing test in order to conduct various hearing related tests. The patient is given instructions and guidance for every test, and can call the operator at any time for help. Warning messages and progress indicators are provided to help the patient gauge his progress. This allows the patient to test his own hearing with minimal or no assistance from an audiologist or other hearing health professional. The user interface also allows the operator to configure and customize the automated hearing test as needed. The results of the hearing related tests are summarized in a single report that is concise, convenient, and thorough. The report may include interpretive comments that point out possible inconsistencies, asymmetries, or areas of concern in the test results and, where appropriate, also recommend certain types of medical treatment.

Abstract: A computer-implemented method is provided for conducting a hearing assessment of a patient. The method includes: presenting a plurality of objects on a display of a computing device, where each object produces an audio output in response to a stimuli from the patient and the audio output by the objects varies in frequency and intensity amongst the plurality of objects; prompting a patient with a visual cue to classify objects producing sound; receiving an input from the patient for each object in the plurality of objects, where the input indicates whether the audio output by a given object was perceptible to the patient; and generating an audiogram for the patient using the input received from the patient.

Abstract: A disposable electrode array 100, 200 including a flexible member 106, 206 in which a plurality of electrodes 102, 202 are disposed, having a shape adapted to contact the forehead skin surface on a human patient. A pair of ear loops 104, 204 coupled to the disposable electrode array 100, 200 secure the disposable electrode array 100, 200 about the patient's ears, with the flexible member 106, 206 disposed across the patient's bow, retaining the electrodes 102, 202 against the skin surface. Additional electrodes 102, 202 are disposed in proximity to the ear loops 104, 204 and are configured to contact the skin surface behind the patient's ears. An auditory stimulus delivery element 116, 216 is coupled with each of the ear loops 104, 204, and positioned to seat in proximity to the patient's ear canal for the delivery of auditory stimulus.

Abstract: A personalized hearing profile is generated for an ear-level device comprising a memory, microphone, speaker and processor. Communication is established between the ear-level device and a companion device, having a user interface. A frame of reference in the user interface is provided, where positions in the frame of reference are associated with sound profile data. A position on the frame of reference is determined in response to user interaction with the user interface, and certain sound profile data associated with the position. Certain data is transmitted to the ear level device. Sound can be generated through the speaker based upon the audio stream data to provide real-time feedback to the user. The determining and transmitting steps are repeated until detection of an end event.

Abstract: Human ability to perceive higher audio frequencies diminishes with age. Functionality can be implemented to use a combination of audio tones with varying frequencies to identify an age range to which a user belongs and accordingly control access to age dependent access controlled information and services. The user's ability to perceive one or more audio tones in the combination of audio tones depends on the user's age. Thus, different users, depending on the users' age, may perceive the same combination of audio tones differently. Such an age verification system based on human perception of audio tones can minimize the need for identification cards and a reliance on the user providing accurate age information. This can prevent the user from misinterpreting his/her age to access the age dependent access controlled information and can ensure that only an authorized user gets access to the age dependent access controlled information.

Abstract: Systems and methods for monitoring a sound pressure level dose at an ear are provided. A system includes an audio transducer which outputs a sound signal is placed within an ear to receive sound at the ear. A sound level threshold detector determines whether a sound pressure level of the sound signal is at a minimum level and outputs a sound pressure level signal corresponding to the sound pressure level when the sound pressure level is not at the minimum level. A time period is calculated during which the sound pressure level is not at the minimum threshold level. A listening fatigue calculator determines whether a cumulative effect of exposure to the sound signal at the ear over the time period will cause harm to the ear. At least a portion of the system is disposed in situ at the ear.

Abstract: The present invention relates to a method and a system for improving sensitivity of a first sensory, reflex and/or motor mechanism of a subject by stimulating a second sensory, reflex and/or motor mechanism of the subject. For that purpose a noise is applied to the second sensory, reflex and/or motor mechanism to improve the sensitivity of the first sensory, reflex and/or motor mechanism due to cross-modal SR interactions.

Abstract: Method and system are disclosed for automated testing of a patient's hearing. The automated hearing test allows the patient to quickly and accurately test his own hearing. The patient is instructed and prompted for inputs and responses as needed. The patient and/or operator can select one or several tests to be performed, including air and bone conduction testing with masking, speech reception threshold, speech discrimination, tympanogram, acoustic reflex, and otoacoustic emissions testing. Stenger screening is automatically performed for some patients based on the difference in pure tone frequency air conduction thresholds. Multiple languages are supported. Data obtained from one test may be used for another test or another iteration of the same test to calculate masking levels. The automatic hearing test also detects and compensates for ambient noise in the test results. If a contingency occurs, the automated hearing test is configured to page the operator for assistance.

Abstract: A system of monitoring and recording signals generated by ear functions is disclosed. The system may comprise; an electrode having an active portion shaped to fit the concha; a support structure for the electrode for locating the active portion within the concha: and a processing system in electrical communication with the electrode. In a particular embodiment, the support structure comprises a clamp having a first arm and a second arm. in another embodiment, the electrode is on the first arm and a portion of the first arm adjacent the electrode is shaped to fit within the concha, and a second electrode on the second arm serves either as an active electrode combined with the electrode placed on the concha.

Abstract: An automated screener device screens hearing, schedules an appointment, and produces a physician order upon a patient failure of the screening. The screener includes a computer with a touch screen to facilitate responses to a short questionnaire and to auditory stimuli. A set of noise cancelling head phones are used by the patient during the hearing screening. The computer has an associated printer which prints test results. A failed screening test causes production of a printed report having signature line for physician referral. An appointment schedule appears on the touch screen immediately allowing the patient to schedule an appointment with an area audiologist. The method of operation is also disclosed.

Abstract: An insert structure is proposed for insertion into an orifice, a canal, a tube and the like of a human or animal creature such as an ear canal, an intestinal tract, a gullet, etc. The insert structure comprises at least one longitudinally extending insert member (3) and a plurality of at least nearly perpendicularly extending further members (5, 7, 9), placed longitudinally at a distance to each other along the insert member, the further members (5, 7, 9) being at least of a flexible and/or soft material.

Abstract: Methods and devices for treating tinnitus in human or animal subjects wherein the subject is caused to perceive a tinnitus suppressing sound which fully or partially suppresses the subject's tinnitus. In some embodiments of this method, the subject selects a sound that he or she perceives to be the same as the tinnitus and that sound (or a similar sound that is complementary to the subject's perceived tinnitus) is then used as the tinnitus suppressing sound. In other embodiments, the tinnitus suppressing may be a sound that has previously been determined to suppress tinnitus in a substantial number of subjects.

Abstract: Methods, articles of manufacture, and systems for evaluating tinnitus are disclosed herein. According to various embodiments, a tinnitus evaluation system may include a tinnitus evaluation module configured to perform one or more tinnitus evaluation tests. A tinnitus evaluation test may comprise generating a first single-frequency sound based at least in part on a sound of a patient's tinnitus, and generating a narrow-band sound centered at the frequency of the first single-frequency sound. Tests include a hearing threshold test, a loudness match test, a pitch match test, a bandwidth match test, a minimum masking level test, and a residual inhibition test.

Abstract: The systems, methods and associated devices performing diagnostic hearing tests which use a computer network to allow interaction between a test administration site and one or a plurality of remote patient sites. The test can be administered by an audiologist or clinician at a site remote from the patient, in a manner, which can allow interaction between the user and the clinician during at least a portion of the administration of the test. The diagnostic hearing tests can be performed such that they meet standardized guidelines such as ANSI requirements or certification standards and can include distortion product emission level measurements or middle ear compliance measurements.

Abstract: A method for providing motor control therapy for a user by altering a user's motional response is generally described. The method includes directing a user to perform a specified motion in accordance with a schedule. The method also includes detecting the user's motions and providing vestibular stimulation in an effort to teach a proper response.

Abstract: The method for reconstructing the three-dimensional shape of the surface (14) of at least a portion of an ear canal (18) and/or of a concha comprises—for each of a multitude of points (12) on said surface (14)—the step of using a chromatic coded distance measurement technique for determining a distance value (40) representative of a distance to said point (12); and further comprises the step of reconstructing said three-dimensional shape based on said multitude of distance values (40).

Abstract: A system is generally described for altering a user's motional response to sensory input and includes a current source and a first sensory input device configured to provide a first sensory input to a user. The system also includes a second sensory input device configured to provide a second sensory input to a user and a sensor device configured to detect motions associated with the user. Further, the system includes a control unit configured to receive signals from the sensor and receive sensory signals related to the first and second sensory inputs. The control unit generates control signals based on the signals and the sensory signals. Further still, the system includes electrical contacts configured to contact flesh of the user and deliver current from the current source to the vestibular system of the user in response to the control signals and the current is configured to cause the user to move in a predetermined manner if the user is not in the process of making the predetermined motion.

Abstract: A method and apparatus to a hearing ability and a hearing aid using the same are described. The hearing aid outputs a sound to test a hearing ability of a user, to detect an electrical signal generated in a body of the user as a result of the output sound, amplifies the electrical signal detected by an electrode unit, and to determine an amplification ratio of a surrounding sound detected by the hearing aid based on characteristics of peaks of waveforms of the amplified signal.

Abstract: A test battery method and system for use in assessing auditory function (e.g., the screening or diagnosis of impairments, fitting of hearing aids, etc.) is provided which performs one or more auditory tests including, for example, an acoustic reflectance test. Such an acoustic reflectance test may be a reflectance tympanometry test that includes a feedback system to control static pressure in the ear canal. Such acoustic reflectance tests may be used alone or in combination with one or more other auditory tests. Further, for example, such a battery of tests may include middle-ear muscle reflex tests in combination with one or more other auditory or hearing tests.

Abstract: A communication system is provided for a patient featuring a cushion with an opening for receiving the face of the patient. The cushion includes a microphone for receiving audible signals from the patient and one or more speakers for delivering audible signals to the patient. The microphone and speaker(s) are integrated with the cushion to avoid interfering with the comfort of the patient. In one embodiment, the audible signals are delivered to and from the patient via a communication port. In another embodiment, the system includes a display device, so the patient may view parts of the patient's body on the device and then communicate with system operators through the microphone and speaker(s).

Abstract: A method of conducting a hearing test, and a device to perform the method, the method including configuring multiple test sound sets including multiple sound sources at each included audio frequency, wherein the sound sources, when sequentially arranged according to volume, have a uniform volume difference and a same frequency band, the uniform volume difference indicating a volume difference between neighboring sound sources, outputting the sound sources included in one of the multiple test sound sets, and determining and outputting a following test sound set according to a subject's input sound sources' number one or more times, and determining an auditory threshold of the subject regarding the audio frequency of the output test sound sets based on a result of the subject's input.

Abstract: An apparatus, software, procedures and technology that, beginning with a simple manipulative auditory paradigm, moves up the auditory neural pathways, modifying the basic stimulus from a unilateral routine audiology tool to a dichotic central auditory processing diagnostic tool that defines hearing loss along the entire auditory chain from the middle ear to the cortex. From the resultant data comes information related to the reduction of tinnitus employing parathreshold central procedures rather than the traditional suprathreshold masking or phase-shifting techniques. The new application modifies and applies known technology in new ways for both the top-down and bottom-up differential diagnosis of auditory disorders and the tinnitus reduction.