Abstract: An exemplary electro-acoustic stimulation (EAS) device includes 1) a detection facility configured to detect audio content presented to a patient and included in an acoustic stimulation frequency range, 2) an acoustic stimulation management facility configured to direct a loud-speaker to apply acoustic stimulation representative of the audio content included in the acoustic stimulation frequency range to the patient, and 3) an electrical stimulation management facility configured to direct a cochlear implant implanted within the patient to apply sub-threshold electrical stimulation to the patient by way of one or more electrodes disposed within an apical region of a cochlea of the patient together with the application of the acoustic stimulation. Corresponding systems and methods are also disclosed.

Abstract: An exemplary method of enhancing pitch of an audio signal presented to a cochlear implant patient includes 1) determining a frequency spectrum of an audio signal presented to a cochlear implant patient, the frequency spectrum comprising a plurality of frequency bins that each contain spectral energy, 2) generating a modified spectral envelope of the frequency spectrum of the audio signal, 3) identifying each frequency bin included in the plurality of frequency bins that contains spectral energy above the modified spectral envelope and each frequency bin included in the plurality of frequency bins that contains spectral energy below the modified spectral envelope, 4) enhancing the spectral energy contained in each frequency bin identified as containing spectral energy above the modified spectral envelope, and 5) compressing the spectral energy contained in each frequency bin identified as containing spectral energy below the modified spectral envelope. Corresponding methods and systems are also disclosed.

Abstract: An at least partially implantable hearing aid has an input transducer (26) for capturing audio signals from ambient sound, an audio signal processing unit (32) for processing the captured audio signals, an actuator (20) for stimulating a patient's hearing, and a driver unit (44) for driving the actuator. The actuator has a rigid housing (64) closed on at least one side by a vibration diaphragm (66) that is driven by a piezoelectric transducer (68, 88). The housing is designed to float in the cochlea in direct contact with the cochlear liquids in order to couple vibration energy from the diaphragm directly into the cochlear liquids.

Abstract: A stylet for inserting an electrode array into a cochlea includes a first sensor insertable within a lumen of the electrode array and sensitive to force applied by a lumen wall to the first sensor and a first actuator adapted to move the electrode array in response to the force sensed by the first sensor.

Abstract: An exemplary stapedius reflex measurement safety system includes a stimulation management facility configured to direct a cochlear implant system to apply an electrical stimulus to an auditory pathway of a patient and a detection facility configured to determine that a change in acoustic immittance that occurs as the electrical stimulus is being applied by the cochlear implant system is likely representative of a rise time phase associated with an occurrence of a stapedius reflex within the patient. The stimulation management facility is further configured to direct, in response to the determination, the cochlear implant system to cease applying the electrical stimulus.

Abstract: An exemplary intraneural stimulation system may include an auditory prosthesis configured to be implanted within a patient, an intracochlear electrode array communicatively coupled to the auditory prosthesis and configured to be inserted into a cochlea of the patient, and an intraneural electrode array communicatively coupled to the auditory prosthesis and configured to be inserted into an auditory nerve of the patient. In this configuration, the auditory prosthesis may stimulate the auditory nerve by applying electrical stimulation by way of the intracochlear electrode array and/or the intraneural electrode array.

Abstract: A bone conduction hearing aid system with right and left ear microphone arrangements; right and left ear ambient sound signal processing units, right and left ear bone conduction output transducers for stimulating the user's right and left ear cochlea, respectively; a right and left ear cross-talk compensation filter units for generating right and left ear crosstalk compensation signals, respectively, from the processed audio signals of the respective signal processing unit according to an estimated transcranial transfer function; and means for subtracting the left ear cross-talk compensation signal from the processed audio signals of the right ear signal processing unit to generate the right ear output audio signals, and means for subtracting the right ear cross-talk compensation signal from the processed audio signals of the left ear signal processing unit to generate the left ear output audio signals.

Abstract: A thin profile impact resistant cochlear implant includes a single piece machined case having a bottom surface, wherein at least a portion of the bottom surface is concave and a single piece machined cover configured to be joined to the case, the cover comprising a convex upper surface. A method for forming thin profile cochlear implant is also provided.

Abstract: Sound processors and systems including sound processors are disclosed.

Abstract: A feedthrough includes a ceramic body mechanically joined about a perimeter to a hermetic case. The ceramic body includes a ceramic matrix and a ductile phase distributed through at least a portion of the ceramic matrix. The ductile phase increases the resistance of the ceramic matrix to crack propagation. A plurality of electrical conductors passes through the ceramic body.

Abstract: Among other things, enhancing spectral contrast for a cochlear implant listener includes detecting a time domain signal. A first transformation is applied to the detected time domain signal to convert the time domain signal to a frequency domain signal. A second transformation is applied to the frequency domain signal to express the frequency domain signal as a sum of two or more components. A sensitivity of the cochlear implant listener to detect modulation of each component is obtained.

Abstract: A hearing aid including a permanent magnet to be fixed at a patient's incus (26), an audio signal source (14), an audio signal processing unit (16) for processing audio signals from the audio signal source, a driver unit (18) including a coil (22) for generating a magnetic field (25) that vibrates the permanent magnet according to the processed audio signals in order to stimulate the patient's hearing, and a measurement arrangement (56, 58, 60) for measuring the magnetic coupling between the coil and the permanent magnet in order to adjust the position of the coil or the input signals to the coil provided by the driver unit.

Abstract: An exemplary system includes 1) a sound detector configured to detect an audio signal, 2) an implantable stimulator configured to be implanted within a user, and 3) a sound processor communicatively coupled to the implantable cochlear stimulator and the sound detector. The sound processor is configured to determine that a level of the audio signal exceeds a predetermined threshold and direct, in response to the determination that the level of the audio signal exceeds the predetermined threshold, the implantable stimulator to elicit a stapedial reflex within the user by applying electrical stimulation to one or more stimulation sites within the user. Corresponding systems and methods are also disclosed.

Abstract: A method for forming a wire construct includes forming a groove in a polymer having a mouth that is narrower than a width of a deeper portion of the groove and placing a substantial length of wire in the groove, the wire having a larger cross-sectional dimension than the mouth of the groove. Encapsulant is placed over the polymer. The wire construct is to be used for implantable stimulation leads, such as a cochlear stimulation lead or a neurostimulation lead. Two wire constructs can be assembled to form a multilayer wire construct.

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: A customized drilling jig for implantation of a hearing aid involves a molded imprint (14) of a patient's upper teeth (12) made of a solidified elastic material connected to a jig (16) having a lateral beam (20) and navigation benchmarks (22) and with which a three-dimensional image of the patient's head can be captured for determining a minimal invasive drilling axis (28) for hearing aid implantation based on the three-dimensional image. The customized jig has a drilling guide opening in a lateral beam of the jig for guiding a drilling tool (26). The position and orientation of the drilling guide opening are selected to guide the drilling tool along the determined minimal invasive drilling axis when the jig is positioned on the patient's head by using the imprint (14).

Abstract: An exemplary sound processor apparatus included in an auditory prosthesis system includes 1) an interface assembly that includes at least a first contact, 2) a first switchable current source having an output coupled to the first contact of the interface assembly by way of a first data line, 3) a differential transmitter having an output coupled to the first contact of the interface assembly by way of the first data line, 4) a differential receiver having an input coupled to the first contact of the interface assembly by way of the first data line, and 5) a control module communicatively coupled to the first switchable current source, the differential transmitter, and the differential receiver and configured to selectively operate in a component type detection mode and in a programming mode. Corresponding sound processor apparatuses, systems, and methods are also described.

Abstract: An exemplary system for synchronizing an operation of a middle ear analyzer and a cochlear implant system includes 1) a mapping facility configured to maintain mapping data representative of an association between a plurality of sound levels and a plurality of current levels and between a plurality of frequencies and a plurality of electrodes, 2) a detection facility configured to receive an acoustic signal transmitted by the middle ear analyzer and detect a sound level and a frequency of the acoustic signal, and 3) a processing facility configured to identify, based on the mapping data, a current level associated with the detected sound level and one or more electrodes associated with the detected frequency and direct the cochlear implant system to apply electrical stimulation having the identified current level to one or more stimulation sites within a patient by way of the identified one or more electrodes.

Abstract: An exemplary auditory prosthesis system includes a sound processor module configured to process an audio signal and operate in accordance with a plurality of control parameters and an accessory header module configured to be selectively coupled to the sound processor module and facilitate external adjustment of one or more control parameters included in the plurality of control parameters while coupled to the sound processor module. Corresponding systems and methods are also described.

Abstract: A system includes a sound processor included in an electro-acoustic stimulation (“EAS”) device and that directs a cochlear implant to apply electrical stimulation to a patient and a receiver to apply acoustic stimulation to the patient. The system further includes a volume control facility and a selection facility that selectively associates the volume control facility with the electrical stimulation in response to a first user input, selectively associates the volume control facility with the acoustic stimulation in response to a second user input, and selectively associates the volume control facility with both the electrical stimulation and the acoustic stimulation in response to a third user input.