Abstract: A system having a device for neural stimulation of a patient's cochlea, an in-situ device for measuring a patient's response to the neural stimulation of the cochlea, and a programming unit for adjusting the stimulation device; the stimulation device having a stimulation signal unit for generating a stimulation signal formed of pulses having a shape determined by a shape parameter set including at least one shape parameter; a cochlear implant stimulation arrangement with a plurality of stimulation channels for stimulating the cochlea based on the stimulation signal; the measuring device providing patient-specific response data concerning the stimulation response to a programming unit that controls the stimulation signal unit by subsequently supplying a plurality of different test shape parameter sets to the stimulation signal unit for causing the stimulation signal unit to generate corresponding test pulses, the programming unit evaluating each test shape parameter set based on stimulation response data.

Abstract: An implant system includes an implantable body (102), a lead (190) connected to the implantable body comprising at least one electrode, and engagement wings (400) mechanically joined to the implantable body to engage an undercut bone structure (405) to prevent motion of the implantable body toward the electrode after implantation.

Abstract: An exemplary sound processor may include a stimulation management facility that 1) receives an audio signal presented to the patient during a normal operation of the cochlear implant system, and 2) directs a cochlear implant of the cochlear implant system to generate and apply an electrical stimulation pulse representative of the audio signal by way of an electrode included in a plurality of electrodes coupled to the cochlear implant. The sound processor may further include an impedance management facility that determines an impedance of the electrode by directing the cochlear implant to measure a voltage level associated with the electrode while the electrical stimulation pulse is being applied by way of the electrode. Corresponding systems and methods are also described.

Abstract: An exemplary system includes 1) an electro-acoustic stimulation (“EAS”) sound processor located external to a patient, 2) a cochlear implant communicatively coupled to the EAS sound processor and implanted within the patient, 3) an electrode array communicatively coupled to the cochlear implant and located within a cochlea of the patient, and 4) a receiver communicatively coupled to the EAS sound processor and configured to be in communication with an ear of the patient. The EAS sound processor operates in accordance with an acoustic-only mode during a post-implant time period and detects audio content presented to the patient, directs the receiver to apply acoustic stimulation, and prevents the cochlear implant from applying electrical stimulation representative of audio content presented to the patient during the post-implant time period. Corresponding systems and methods are also disclosed.

Abstract: In one example, a cochlear lead includes a flexible body, an array of electrodes in the flexible body, and a plurality of wires passing along the array of electrodes. The plurality of wires includes a flexural geometry between each pair of adjacent electrodes and a substantially straight geometry over the electrodes. A method for forming an electrode array with a reduced apical cross section is also provided.

Abstract: An exemplary headpiece module includes 1) a housing configured to be affixed to a head of a patient, 2) communication circuitry disposed within the housing and that facilitates communication of an off-the-ear sound processor module with a cochlear implant implanted within the patient, and 3) a loudspeaker at least partially disposed within the housing of the headpiece module and that applies acoustic stimulation to the patient as directed by the off-the-ear sound processor module.

Abstract: A microcircuit integrated cochlear electrode array and a process for the manufacture thereof, the electrode array comprising a multiconductor tail portion with longitudinally spaced outwardly exposed electrode receiving pads and a flat multiconductor head portion connected to the tail portion and having spaced outwardly exposed circuit attachment pads, the tail and head portions being laminated between a nonconductive film substrate and an insulating cover and the tail portion being helically wrapped into a helix with the electrode receiving circuit attachment pads exposed and carrying ring electrodes overmolded with a suitable polymeric material.

Abstract: An exemplary method of fitting a sound processor to a cochlear implant patient includes pre-loading program data representative of a plurality of sound processing programs onto a sound processor during a data transfer session and selectively using, after completion of the data transfer session, one or more of the pre-loaded sound processing programs to fit the sound processor to the patient. Corresponding methods and systems are also described.

Abstract: An exemplary sound processor 1) sets a current steering range for a stimulation channel defined by first and second physical electrodes communicatively coupled to an auditory prosthesis to be less than an entire physical range of the stimulation channel, 2) maps each frequency included in a frequency band associated with the stimulation channel to a virtual electrode included in a plurality of virtual electrodes included in the current steering range of the stimulation channel, 3) identifies a feature of an audio signal, 4) identifies a virtual electrode included in the plurality of virtual electrodes and that is associated with the identified feature, and 5) directs the auditory prosthesis to apply electrical stimulation representative of the identified feature to a stimulation site associated with the identified virtual electrode by concurrently stimulating the first physical electrode with a first current level and the second physical electrode with a second current level.

Abstract: The stimulation provided in the electrically stimulated cochlea is modulated in accordance with the amplitude of a received acoustic signal and the onset of a sound in a received acoustic signal to provide increased sound perception. An onset time that corresponds to the onset of a sound is detected in an acoustic signal associated with a frequency band. A forcing voltage and a transmitting factor are determined, wherein the forcing voltage and the transmitting factor are associated with the frequency band at the detected onset time. The acoustic signal is modulated as a function of the forcing voltage and the transmitting factor to generate an output signal. The generated output signal can be used to stimulate the cochlea. The modulation strategy can be used in conjunction with sound processing strategies that employ frequency modulation, amplitude modulation, or a combination of frequency and amplitude modulation.

Abstract: An implantable antenna assembly includes a multilayer flexible printed circuit board comprising a first flexible substrate, second flexible substrate, and third flexible substrate. An inductor coil is formed by electrically conductive traces disposed on the first flexible substrate. A shield is formed by electrically conductive traces disposed on the second flexible substrate and third flexible substrate, the shield surrounding the inductor coil. A method for forming an implantable antenna assembly is also provided.

Abstract: In one example, an implantable lead includes a substrate and an electrically conductive material disposed on the substrate to form a flexible circuit. The flexible circuit includes a proximal end adapted to electrically connect to an implantable processor, a distal portion adapted to stimulate a cochlear nerve, and a lead body extending from the proximal end to the distal portion, the lead body having a longitudinal axis and comprising a plurality of electrical traces adapted to carry electrical signals from the proximal end to the distal portion. A flag extension is formed in the substrate and extends laterally outward from the lead body longitudinal axis. A method for forming a cochlear lead with a flag extension is also provided.

Abstract: An integrated headpiece for a cochlear implant system includes a microphone for outputting an audio signal; signal processing electronics for processing the audio signal; and a transmitter for transmitting a processed audio signal received from the electronics to an implanted receiver. All of the microphone, signal processing electronics, and transmitter are disposed in a common housing of the integrated headpiece. The headpiece may also be one of a set of headpieces that can be alternatively used as needed to suit power consumption requirements or environmental conditions. Cochlear implant systems include a circuit board having electronic circuitry configured to generate one or more signals configured to direct electrical stimulation of one or more stimulation sites within a patient, an induction coil configured to transmit a telemetry signal by generating a telemetry magnetic field, and a telemetry flux guide positioned between the induction coil and the circuit board.

Abstract: A cochlear lead includes a thermoformed circuit with a substrate with electrodes formed on the substrate and shaped to curve around a longitudinal axis of the cochlear lead. Traces are also formed on the substrate and connected to the electrodes. Intermediate sections between the electrodes may be curved about an axis that is orthogonal to the longitudinal axis.

Abstract: Sound processor housings, sound processors and systems including sound processors are disclosed.

Abstract: A method for forming an implantable electrode (100) includes exposing a conductive surface of the electrode (100) with a first application of an excimer laser (215) and creating a first surface texture on a conductive surface with a second application of the excimer laser. In one example, a low impedance implantable electrode includes a conductive surface and a coating disposed over the conductive surface. The coating may have a lower contact impedance with biological tissue than the conductive surface. At least a portion of the coating has an excimer laser textured surface.

Abstract: Sound processors with light transmissive seals and systems including such sound processors are disclosed.

Abstract: An exemplary system includes 1) a headpiece module configured to be affixed to a head of a patient and comprising a primary sound processor configured to generate stimulation parameters used to direct an auditory prosthesis implanted within the patient to apply electrical stimulation representative of one or more audio signals to the patient and 2) a sound processor module separate from the headpiece module and configured to be selectively and communicatively coupled to the headpiece module. The sound processor module includes a secondary sound processor configured to detect a communicative coupling of the sound processor module to the headpiece module and contribute to the generation of one or more of the stimulation parameters while the sound processor module is communicatively coupled to the headpiece module. Corresponding systems and methods are also disclosed.

Abstract: A system for retaining a magnet in a cochlear implant, comprising a retainer embedded within an encapsulant of the cochlear implant, and a magnet case engaged with the retainer. A retainer for retaining a magnet within a cochlear implant comprising a number of first fasteners that couple with a number of corresponding second fasteners of a magnet case hermetically sealing the magnet, and a number of supports embedded within an encapsulant of the cochlear implant.

Abstract: A system for stimulation of a patient's ipsilateral cochlea, having at least two spaced apart patient-worn microphones for providing first and second audio signals from ambient sound; a sound processor for generating an ipsilateral auditory nerve stimulation signal in a plurality of output channels from at least one of the input audio signals; and a stimulation assembly for being implanted within the ipsilateral cochlea and having a plurality of stimulation channels for ipsilateral stimulation of the patient's hearing according to the ipsilateral auditory nerve stimulation signal. The sound processor comprising a DOA unit for determining periodically a main direction of incidence of ambient sound from a sound source by analyzing the first and second audio signals, and a directional information coding unit for coding information concerning the determined main direction of incidence in the ipsilateral auditory nerve stimulation signal in manner to enable the patient to localize the sound source.