Abstract: An exemplary cochlear stimulation method includes applying a main current to a first electrode associated with a first pitch and disposed within a cochlea of a patient, concurrently applying a compensation current to a second electrode disposed within the cochlea and associated with a second pitch during the application of the main current, the compensation current being out-of-phase with the main current, and optimizing an amount of the compensation current to result in a target pitch being presented to the patient that is distanced from the first pitch in a pitch direction opposite a pitch direction of the second pitch in relation to the first pitch. Corresponding methods and systems are also disclosed.

Abstract: Psychophysical tests are administered to cochlear implant (CI) users to determine a spectral modulation transfer function (SMTF), the smallest detectable spectral contrast as a function of spectral modulation frequency, for each individual CI user. The determined SMTF for individual CI user is compared against a SMTF of a normal hearing person to determine the specific enhancements needed. A spectral contrast enhancement that best fits the needed enhancements for the individual CI user is selected, and a sound processing strategy is adjusted to provide customized spectral contrast enhancement for the individual CI user. The sound processing strategy implemented includes an outer hair cell model.

Abstract: Detachable shells on hearing system components are used to provide protection to the hearing system components, to be visually pleasing, to provide visibility and to increase system attachment stability, among other functions. The detachable shells allow the overall shape and appearance of the components to be changed, thereby complementing a variety of activities that constitute a hearing system user's unique lifestyle.

Abstract: Errors in pitch allocation within a cochlear implant are corrected in order to provide a significant and profound improvement in the quality of sound perceived by the cochlear implant user. The disclosure provides a tool for determining the implant fitting curve for cochlear implant system to correct pitch warping. The method presents familiar musical tunes to determine the implant fitting slope (relative alignment). In addition, in one embodiment, speech sounds may be used to determine the offset of the fitting line (absolute alignment). The use of music and speech to determine the implant fitting curve (line) and the slope is facilitated by using techniques to implement virtual electrodes to more precisely direct stimuli to the location or “place” on the cochlea.

Abstract: A system for mechanically assisted insertion of an electrode includes: an insertion tool configured to insert the electrode into biological tissues; and a controller configured to control the insertion tool, in which the controller is further configured to select operating parameters comprising a maximum allowable force profile from a library of operating parameters, in which the maximum allowable force profile is generated from data recorded during a number of previous successful operations. Also, a method for insertion of a cochlear lead, includes: selecting operating parameters comprising a maximum allowable force profile from a library of operating parameters; inserting the cochlear lead while sensing real time force and position; and continuing the insertion while the real time force is below the maximum allowable force profile, in which the maximum allowable force profile is generated from data recorded during a number of previous successful operations.

Abstract: Errors in pitch allocation within a cochlear implant are corrected in order to provide a significant and profound improvement in the quality of sound perceived by the cochlear implant user. The disclosure provides a tool for determining the implant fitting curve for cochlear implant system to correct pitch warping. The method presents familiar musical tunes to determine the implant fitting slope (relative alignment). In addition, in one embodiment, speech sounds may be used to determine the offset of the fitting line (absolute alignment). The use of music and speech to determine the implant fitting curve (line) and the slope is facilitated by using techniques to implement virtual electrodes to more precisely direct stimuli to the location or “place” on the cochlea.

Abstract: Implantable neural stimulation systems include an array of electrodes configured to apply one or more stimulation signals to a patient via one or more channels out of a multiplicity of channels during a stimulation frame and a signal processor configured to select the one or more channels for stimulation. The selection of the one or more channels is based on a probability associated with each channel within the multiplicity of channels.

Abstract: An exemplary method of conveying fine structure information to a cochlear implant patient includes dividing an audio signal into a plurality of analysis channels, generating electrical stimulation in accordance with the information contained within each of the analysis channels, applying the electrical stimulation to at least one stimulation site within a patient via a plurality of stimulation channels, and at least partially isolating one of the stimulation channels from a rest of the stimulation channels, wherein fine structure information is conveyed to the patient via the isolated stimulation channel. Corresponding methods and systems are also disclosed.

Abstract: Methods and systems of spectral tilt optimization for a cochlear implant patient include applying electrical stimulation representative of an audio signal to a patient in accordance with a spectral tilt value and optimizing the spectral tilt value in response to a measured ability of the patient to recognize at least one attribute of the audio signal.

Abstract: A system for treating patients affected both by hearing loss and by balance disorders related to vestibular hypofunction and/or malfunction, which includes sensors of sound and head movement, processing circuitry, a power source, and an implantable electrical stimulator capable of stimulating areas of the cochlea and areas of the vestibular system.

Abstract: An implantable neural stimulation system, such as a cochlear implant system, utilizes a Distributed Compression Amplitude Mapping (DCAM) system to distribute signal compression between a pre-bandpass linear mapping function, and a post-bandpass compressive mapping function. The pre-bandpass linear mapping function is implemented, in one exemplary embodiment, as a traditional audio compressor to prevent distortion that might result from a non-linear mapping function. The post-bandpass compressive mapping function is implemented, in another exemplary embodiment, as a logarithmic transform to reflect natural hearing. As a result of the DCAM processing, the differences in amplitudes of components of the acoustic spectrum are maintained. By maintaining these differences, spectral smearing between channels is reduced and speech clues are preserved.

Abstract: An implantable neural stimulation system, such as a cochlear implant system, utilizes a Distributed Compression Amplitude Mapping (DCAM) system to distribute signal compression between a pre-bandpass linear mapping function, and a post-bandpass compressive mapping function. The pre-bandpass linear mapping function is implemented, in one exemplary embodiment, as a traditional audio compressor to prevent distortion that might result from a non-linear mapping function. The post-bandpass compressive mapping function is implemented, in another exemplary embodiment, as a logarithmic transform to reflect natural hearing. As a result of the DCAM processing, the differences in amplitudes of components of the acoustic spectrum are maintained. By maintaining these differences, spectral smearing between channels is reduced and speech clues are preserved.

Abstract: A bionic ear cochlear stimulation system has the capability to stimulate fast enough to induce stochastic neural firing, thereby acting to restore “spontaneous” neural activity. Such neurostimulation involves the use of a high rate pulsitile stimulation signal that is amplitude modulated with sound information. Advantageously, by using such neurostimulation, a fitting system may be utilized that does not normally require T-level threshold measurements. T-level threshold measurements are not required in most instances because the high-rate pulsitile stimulation, even though at levels that would normally be a sub-threshold electrical stimulus, is able to modulate neural firing patterns in a perceptible way.

Abstract: Apparatus and methods for converting one type of speech processor unit into another type of speech processor unit. A behind the ear (BTE) speech processor is converted to a body-worn device by means of a container that encloses the BTE and allows for device operations and charging. The body-worn device is worn in one embodiment on a belt of a patient.

Abstract: A system for delivering therapeutic agents to biological tissue includes a surgically implantable lead configured to be inserted into the biological tissue, the surgically implantable lead including a preformed cavity; and a modular capsule containing a therapeutic agent which includes dexamethasone base; the modular capsule being secured within the preformed cavity; the modular capsule releasing the therapeutic agent into the biological tissue. A method of delivering therapeutic agents to biological tissue includes obtaining a surgically implantable lead with a preformed cavity; obtaining a modular capsule containing a therapeutic agent comprising dexamethasone base and securing it within the preformed cavity; and inserting the surgically implantable lead into the biological tissue.

Abstract: A detection circuit for sensing signals in an implantable cochlear stimulator is provided. The detection circuit has a primary coil winding which is part of the detected circuit. The primary coil is placed adjacent to and coupled electromagnetically to a secondary coil winding which is connected to an isolated circuit. The isolated circuit has circuit means for processing the induced current in the isolated current. Because a transformer is employed, the detection circuit draws only minimal power from the detected circuit, and the sensed output voltage can be flexibly scaled.

Abstract: Systems and techniques for processing signals representative of sound for conveyance to the auditory system of a subject based on the identity of an input device. In one implementation, a method includes identifying an input element to an audiological system that conveys sound information directly to a subject's auditory system, automatically setting parameters for processing the signal based on the identity of the input element, and processing the signal in accordance with the processing parameters. The input element is configured to generate a signal representative of sound.

Abstract: A multichannel cochlear implant system spatially spreads the excitation pattern in the target neural tissue by either: (1) rapid sequential stimulation of a small group of electrodes, or (2) simultaneously stimulating a small group of electrodes. Such multi-electrode stimulation stimulates a greater number of neurons in a synchronous manner, thereby increasing the amplitude of the extra-cellular voltage fluctuation and facilitating its recording. The electrical stimuli are applied simultaneously (or sequentially at a rapid rate) on selected small groups of electrodes while monitoring the evoked compound action potential (ECAP) on a nearby electrode. The presence of an observable ECAP not only validates operation of the implant device at a time when the patient may be unconscious or otherwise unable to provide subjective feedback, but also provides a way for the magnitude of the observed ECAP to be recorded as a function of the amplitude of the applied stimulus.