Abstract: A paddle-type electrode or electrode array is implantable like a percutaneously inserted lead, i.e., without requiring major surgery. Once implanted, the electrode array provides a platform for many electrode configurations. In a preferred embodiment, the electrode array is provided on a flexible, foldable or compressible, subcarrier or substrate. Such subcarrier or substrate folds or compresses during implantation, thereby facilitating its insertion using an insertion needle. Once implanted, such subcarrier or substrate expands, thereby placing the electrodes in a desired spaced-apart positional relationship, and thus achieving a desired electrode array configuration. The insertion needle has a lumen with a non-circular cross-sectional shape, e.g., having a width greater than its height, to facilitate sliding the folded or compressed paddle-type electrode array therein.

Abstract: An implantable medical device is made from an electronic subassembly hermetically sealed in a ceramic case filled with a potting material. Use of the potting material enhances the capacity of the device to withstand mechanical shock without failure. The device includes a hollow ceramic or other case having an open end to which a metal ring is hermetically bonded. The inside surface of the ceramic case is treated (cleansed and activated) to assure the potting material adheres to it. The potting material, while in a non-cured fluid or quasi-fluid state, is inserted inside of the ceramic case. The electronic circuitry is next inserted into the open end of the ceramic case while the potting material is still in a non-cured, soft or fluid state. The electronic circuitry displaces some of the potting material and the potting material fills the voids between the electronic circuitry and the ceramic case.

Abstract: An electrode system includes (1) an electrode array, made in a straight or curved shape, but made on a flexible carrier so that it can easily bend within a curved body cavity, such as the cochlea; and (2) a flexible positioner, molded in a curved or straight shape from a silicone polymer so as to make it easy to slide into the body cavity. Some embodiments may further include an electrode and/or a positioner guiding insert. One embodiment of the positioner includes keeper tabs at its distal end, and side walls at its proximal end, to help maintain the positioner in a desired position along the back side of the electrode array during and after the insertion process.

Abstract: A programming system and method for use with an implantable tissue stimulator allows a clinician or patient to quickly determine a desired electrode stimulation pattern, including which electrodes of a multiplicity of electrodes in an electrode array should receive a stimulation current, including the amplitude, width and pulse repetition rate of such current. Movement of the selected group of electrodes is facilitated through the use of a directional pointing device, such as a joystick. As movement of the selected group of electrodes occurs, current redistribution amongst the various electrode contacts takes place. The redistribution of stimulus amplitudes utilizes re-normalization of amplitudes so that the perceptual level remains fairly constant. This prevents the resulting paresthesia from falling below the perceptual threshold or above the comfort threshold.

Abstract: Electrodes are implanted at strategic locations within a patient and are then controlled in a manner so as to stimulate muscle and nerve tissue in a constructive manner which helps open blocked airways. In a preferred method, at least one microstimulator treats sleep apnea in an open loop fashion by providing electrical stimulation pulses in a rhythm or cycle having a period corresponding approximately to the natural respiratory rhythm of the patient. Such open loop stimulation entrains the patient's respiratory rate to follow the pattern set by the microstimulator so that stimulation is applied to open the airway during a period of inspiration by the patient.

Abstract: A dual directional coupler is placed in the forward power-delivery path of an external transmitter adapted to transmit power to a receiver of an implantable medical device. The dual directional coupler monitors both the forward and reflected (or reverse) power being sent to, and being reflected from, the implantable device. When a valid power link is established between the external transmitter and the implantable medical device, the reflected power falls below a prescribed threshold. When a valid power link does not exist, or when a previously-established power link is broken, then the reflected power rises above the prescribed threshold. The presence of a valid power link is established by monitoring whether the reflected power is above or below the prescribed threshold.

Abstract: An electrode system adapted for insertion into a human cochlea as part of a cochlear stimulation system includes (1) an electrode array, made in a straight or curved shape, but made on a flexible carrier so that it can easily bend within a curved body cavity, such as the cochlea; and (2) a flexible positioner, molded in a curved or straight shape from a silicone polymer so as to make it easy to slide into the body cavity. A distal tip of the positioner is attached to the electrode array at a location that is proximal from the distal end of the electrode array about 3-5 mm. An insertion tube facilitates insertion of the electrode system into a human cochlea in one operation with the aid of a movable stylet wire. One embodiment of the positioner includes keeper tabs at its distal end, and side walls at its proximal end, to help maintain the positioner in a desired position along the back side of the electrode array during and after the insertion process.

Abstract: An implantable connector electrically connects a multi-conductor lead (22) with a small-dimensioned implantable housing (102) of an implantable medical device, such as a cochlear stimulator. The implantable housing has electronic circuitry hermetically sealed therein. The implantable connector includes a header (10) formed along an edge of the implantable housing. The header has a cavity (11) formed therein with a first array of electrical contacts (12) embedded within a bottom surface of the cavity. The electrical contacts are electrically connected with the electronic circuitry through hermetic feedthrough terminals. The header further has a niche (15) and a channel (14) formed therein. A connector pad (20) is dimensioned to fit snugly within the cavity. A bottom surface of the connector pad has a second array of electrical contacts (21) formed therein. The second array of electrical contacts aligns with the first array of electrical contacts in the cavity when the pad is placed inside of the cavity.

Abstract: An electrode array suitable for insertion into the cochlea has a drug delivery channel therein. In a preferred embodiment, electrical stimuli may be applied near the modiolar wall of the cochlea via spaced-apart electrode contacts embedded along a front edge of a flexible carrier, which flexible carrier comprises the body of the electrode array. The front edge, and hence the electrode contacts, may be held against the modiolar wall by a flexible positioner placed on the back side of the flexible carrier. Drugs may be delivered deep into the cochlea through the drug delivery channel that passes longitudinally through the center of the flexible carrier. In an alternative embodiment, the drug delivery channel may be included within the positioner.

Abstract: A fully implantable cochlear implant system (170) and method includes an implantable cochlear stimulator (ICS) unit (212) that is connected to an implantable speech processor (ISP) unit (210). Both the ISP unit and the ICS unit reside in separate, hermetically-sealed, cases. The ICS unit has a coil (220) permanently connected thereto through which magnetic or inductive coupling may occur with a similar coil located externally during recharging, programming, or externally-controlled modes of operation. The ICS unit further has a cochlear electrode array (114) permanently connected thereto via a first multi-conductor cable (116). The ICS unit 212 also has a second multi-conductor cable (222) attached thereto, which second cable contains no more than five conductors. The second cable is detachably connected to the ISP unit via a connector (224) located on the case of the ISP unit.

Abstract: An implantable electrode array, adapted for insertion into a cochlea, provides a multiplicity of exposed electrode contacts, each having a shape, geometry, or makeup that aids in controlling the current flow and current density associated with the electrode contact as a function of position on the electrode contact. In one embodiment, the shape or geometry of the exposed electrode contact controls the contact surface of the electrode contact in a way that varies the current flow and current density as a function of surface area position on the electrode, thereby focusing most of the current to flow through the center of the electrode contact. In another embodiment, the electrode contact is coated with a dielectric or other material that controls the surface contact impedance as a function of distance from the center of the electrode, again focusing most of the current flow through the center of the electrode contact.

Abstract: A universal strategy selector (USS) for use with a multichannel cochlear prosthesis includes: (a) a processor, or equivalent; (b) a selector; and (c) a display. The multichannel cochlear prosthesis is characterized by multiple stimulation channels through which a specific pattern of electrical stimulation, modulated by acoustic signals, and in accordance with a selected speech processing strategy, may be spatiotemporal applied to a patients cochlea in order to yield speech intelligibility. The processor of the USS includes appropriate processing means coupled to the multichannel cochlear prosthesis for defining one of a plurality of speech processing strategies for use by the multichannel cochlear prosthesis. In one embodiment, the processing means is realized using a personal computer (PC) programmed with appropriate software. The speech processing strategy that may be selected by the USS may be selected from a multiplicity of speech processing strategies.

Abstract: A hair clip for use with a cochlear implant system retains a headpiece assembly, including a transmitting coil, in an aligned position relative to an implanted stimulator. In one embodiment, the hair clip provides a retention system that uses a magnet which forms part of the transmitting coil. A comb or plurality of prongs forms part of the retention system. In another embodiment, the comb has central teeth that are made from ferromagnetic material, and typically also has a non-central teeth that are made from non-ferromagnetic material. The comb is placed and secured in the patient's hair over the area where a cochlear implant is implanted. The transmitting coil is then placed next to the comb, and the magnet within the transmitting coil attaches to the ferromagnetic teeth of the comb.

Abstract: A transcutaneous transmission pouch provides a pocket on a flexible substrate adherable to a user's skin. The flexible substrate is adhered to the user's skin closest to the location where an implantable device is implanted. An antenna coil, including associated electrical circuitry needed to transmit power and data signals to the implantable device from an external power/control source, are removably inserted into the pocket of the flexible substrate in order to hold the antenna coil in an aligned position with the implantable device during a power or data signal transfer.

Abstract: The present invention provides a fully implantable cochlear implant system (FICIS) that allows various configurations of different modules to be combined so as to meet the needs of a particular patient, including very young patients. At least three main modules are used in the FICIS, including (1) a small implantable cochlear stimulator (ICS) module, with permanently attached cochlear electrode array; (2) an implantable speech processor (ISP) module, with integrated microphone and rechargeable battery; and (3) an external module. In one embodiment, the external module may comprise an external speech processor (ESP) module. In another embodiment, the external module may comprise an external battery charger (EBC) module. The ICS and ISP modules are configured to facilitate long time reliable use of the ICS module, e.g., for the lifetime of the patient, and low-risk, relatively easy replacement of the ISP module.

Abstract: An inflatable cochlear electrode array adapted for insertion into a human cochlear includes a flexible carrier on which a multiplicity of spaced-apart electrode contacts are carried, preferably along one side, e.g., a medial side, of the carrier. The flexible carrier also includes an inflatable compartment or section. In one embodiment, the inflatable section is located at the distal tip of the electrode array on a side of the flexible carrier that is opposite the electrode contacts. In another embodiment, the inflatable compartment or section is located along at least one half of the full length of the flexible carrier, forming a spine. In either embodiment, the electrode is readily inserted into the cochlea to a desired depth while the inflatable compartment or section remains in a deflated state. Thereafter, a desired modiolus-hugging position is achieved by inflating the inflatable compartment or section by injecting therein a suitable biocompatible fluid.

Abstract: A hearing aid system provides acoustic modulation of the fluid within the cochlea of the inner ear corresponding to a first frequency range of sensed acoustic signals, e.g., lower-to-middle frequencies of the audible range, and electrical stimulation of the cochlea corresponding to a second frequency range, e.g., high frequencies of the audible range. In a preferred implementation, a short electrode/transducer array is provided for use with the hearing system. Such array is adapted to be inserted into the basal region of the scala tympani of the cochlea. The electrode/transducer array includes a plurality of spaced-apart electrode contacts through which electrical stimulation is provided to stimulate ganglion cells located in the basal region of the cochlea, which cells are responsible for perceiving the higher frequencies of the acoustic energy.

Abstract: A cochlear stimulation system includes a speech processing strategy that applies non-auditory-informative stimuli as well as auditory-informative stimuli to the same or neighboring sets of electrodes. The non-auditory-informative stimuli are applied to the auditory neural system for the purpose of influencing the properties and response characteristics of the auditory system so that when the auditory-informative stimuli are applied, such stimuli are more effective at evoking a desired auditory response, i.e., are more effective at allowing the patient to perceive sound. The information-carrying stimuli may be applied to the auditory neural system at the same time as is the non-auditory-informative stimuli, or may be applied during time slots between application of the non-auditory-informative stimuli.

Abstract: One or more implantable microminiature electronic devices, termed “microstimulators”, are used to treat sleep apnea. The microstimulators are implanted at strategic locations within the patient and are then controlled in a manner so as to stimulate muscle and nerve tissue in a constructive manner which helps open blocked airways. In one embodiment, the microstimulators sense blockage of a patient's airway and provide electrical stimuli in a closed loop fashion to open the airway. In another embodiment, at least one microstimulator treats sleep apnea in an open loop fashion by providing electrical stimulation pulses in a rhythm or cycle having a period corresponding approximately to the natural respiratory rhythm of the patient. Such open loop stimulation entrains the patient's respiratory rate to follow the pattern set by the microstimulator so that stimulation is applied to open the airway during a period of inspiration by the patient.

Abstract: A cochlear implant system includes an implant portion and an external portion. The external portion performs at least the function of sensing acoustic signals and converting such sensed signals to electrical signals. The implant portion performs at least the function of generating electrical stimuli, modulated and classified in response to the sensed acoustic signals, and intended for direct electrical stimulation of the auditory nerve in accordance with a selected speech processing strategy. Control data defines the selected speech processing strategy, i.e., the pulsatile stimulation pattern to be used by implantable portion. Such control data is transmitted to and stored within the implantable portion of the system only once, when a particular speech processing strategy is selected, thereby eliminating the need to continually resend such speech-processing-defining data over a bandwidth-limited link between the implantable and external portions of the system.