Abstract: An exemplary method includes 1) applying a main current to a first electrode disposed within a patient and associated with a first pitch, 2) concurrently applying a compensation current to a second electrode disposed within the patient 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 3) 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: An exemplary method of minimizing an effect of channel interaction among a plurality of channels in a multi-channel cochlear implant system includes empirically generating an electrical spread matrix that is specific to a patient and representative of a channel interaction among a plurality of channels defined by a plurality patient of electrodes of a multi-channel cochlear implant system associated with the patient, generating a model electrical spread matrix that approximates the empirically generated electrical spread matrix and that has a band inverse matrix, and using the band inverse matrix to determine a set of stimulation current levels to be applied by way of a corresponding set of electrodes included in the plurality of electrodes in order to produce desired stimulation current levels at a plurality of stimulation sites within the cochlea in the presence of the channel interaction. Corresponding methods and systems are also disclosed.

Abstract: An exemplary system for loading a pre-curved electrode array onto a straightening member includes a loading tool and a straightening member. An exemplary loading tool may include a body and first and second flexible arms each having a fixed end connected to the body and a free end opposite the fixed end. The first and second flexible arms may define a straightening channel configured to constrain a pre-curved electrode array in a straightened configuration. The first and second flexible arms may be further configured to flex away from each other to receive the pre-curved electrode array into the straightening channel. The straightening member is configured to be inserted into the pre-curved electrode array while the pre-curved electrode array is in the straightened configuration and retain the pre-curved electrode array in the straightened configuration after the pre-curved electrode array is removed from the loading tool. Corresponding methods are also described.

Abstract: A method and system for implementing an acoustical front end customization are disclosed. The customization is implemented to optimize the sound level for each individual cochlear implant user. A known audio signal is generated using a sound source and captured by a microphone system. The captured sound signal is sampled at one or more locations along the signal processing pathway, and a spectrum is determined for the sampled signal and the known signal. A ratio of the two spectrums is related to the undesired transformation of the sampled signal, and a digital filter is designed based on the ratio to filter out the undesired transformation.

Abstract: An exemplary system includes a sound processor configured to 1) divide an audio signal into a plurality of analysis channels and 2) generate one or more tonality indices each representing a tonality of one of the analysis channels, and an implantable cochlear stimulator communicatively coupled to the sound processor and configured to 1) generate one or more stimulation pulses configured to represent the audio signal in accordance with one or more stimulation parameters, and 2) adjust the one or more stimulation parameters based on at least one of the tonality indices.

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: An at least partially implantable hearing assistance system, having an audio signal source, an audio signal processing unit for processing audio signals from the audio signal source, an implantable output transducer for stimulating a user's hearing according to the processed audio signals, a hermetically sealed gas-filled chamber forming part of said output transducer or forming part of an microphone as said audio signal source, a barometric pressure sensor for sensing the presently prevailing atmospheric pressure, and a correction signal unit for generating a correction signal as a predetermined function of the sensed atmospheric pressure, wherein said correction signal is adapted to be used by a pressure compensation element of the system for adjusting the system gain in a manner so as to compensate for the impact of deviations of the atmospheric pressure from a reference value on the compliance of said gas-filled chamber.

Abstract: A system has an implantable unit and an external unit. The external unit is fixable at the patient's head and has an audio signal source, an audio signal processing unit for processing audio signals from the audio signal source, a rechargeable power source, a transmitter for transmitting processed audio signals via a transcutaneous audio link to the implantable unit and a power transmission coil for transmitting power via a transcutaneous power link to the implantable unit. The implantable unit has a stimulator for a patient's middle ear or inner ear component according to the processed audio signals. The external unit is coupleable to the inductive charging device for inducing an AC voltage in the power transmission coil. The external unit has a recharging circuitry for transforming the AC voltage induced in the power transmission coil by the charging device into a charging current for recharging the rechargeable power source.

Abstract: An at least partially implantable hearing aid, having: a microphone arrangement (74) for capturing audio signals from ambient sound; an audio signal processing unit (66) for processing the audio signals captured by the microphone arrangement; an implantable actuator unit (54) for stimulating the patient's hearing according to the processed audio signals; a tube (24) for being implanted into the patient's temporal bone (26), the tube having an engagement structure (46) at the outer surface for engagement into a fixation structure (44) milled into the patient's temporal bone, wherein the tube comprises means (36) for receiving the actuator unit in an implanted condition of the tube from the proximal end of the tube and means for fixing the actuator unit in a final position relative to the tube, in which final position the actuator unit extends beyond the distal end of the tube.

Abstract: A partially implantable hearing assistance system, having: an external unit (10) to be worn at least in part in a user's ear canal (12), a device (14) for capturing audio signals from ambient sound, an audio signal processing unit (16, 18) for generating first intermediate signals from said audio signals, and at least one electroacoustic output transducer (20, 20A) in order to make the user's eardrum (46) vibrate according to the first intermediate signals; and an implantable unit (22, 122) having an input transducer (42) located in the user's middle ear for capturing second intermediate signals from the vibration of the eardrum (46), an actuator (26, 60) for stimulating the user's hearing, and a driver unit (48, 148) for transforming the second intermediate signals into an input signal to the actuator (26, 60).

Abstract: A cochlear implant system includes a cochlear electrode array which has a flexible body with a distal end, a plurality of electrodes supported along a length of the flexible body, and a lumen formed in the flexible body. The cochlear implant system also includes a stiffening stylet which is fully inserted into the lumen prior to insertion of the electrode array into the cochlea. The stiffening stylet is configured such the stylet does not extend to the distal end of the flexible body and remains stationary within the lumen to prevent buckling of the electrode array during insertion of the electrode array through a cochleostomy and into the cochlea. The stiffening stylet is configured to be withdrawn from the lumen after the electrode array is positioned within the cochlea. A method for implanting an electrode array into a cochlea is also provided.

Abstract: An exemplary method of representing different spectral components of an audio signal presented to a cochlear implant patient includes identifying one or more spectral peaks of an audio signal presented to a cochlear implant patient, applying electrical stimulation representative of the one or more spectral peaks to at least one stimulation site within the cochlear implant patient using a partial multipolar stimulation configuration, and applying electrical stimulation representative of one or more other spectral components of the audio signal to at least one other stimulation site within the cochlear implant patient using a monopolar stimulation configuration. Corresponding methods and systems are also disclosed.

Abstract: An exemplary insertion tool configured to facilitate insertion of a lead into a bodily orifice includes a handle assembly configured to facilitate handling of the insertion tool, an insertion assembly coupled to the handle assembly and comprising a rigid holding tube configured to removably couple to a portion of the lead, and a release assembly disposed at least partially within the handle assembly and comprising a release button. The release assembly is configured to release the lead from the holding tube in response to user actuation of the release button. Corresponding insertion tools, systems, and methods are also described.

Abstract: A cochlear implant processing strategy increases speech clarity and higher temporal performance. The strategy determines the power spectral component within each channel, and dynamically selects or de-selects the channels through which a stimulation pulse is provided as a function of whether the spectral power of the channel is high or low. “High” and “low” are estimated relative to a selected spectral power, for example. The selected spectral power can be estimated by signal average or mean, or by other criteria. Once a selection of the channels to stimulate has been made, the system can decide that only those channels are stimulated, and stimulation is removed from the other channels. The selected channels are the ones on which the spectral power is above the mean of all the available channels. Fewer channels are stimulated at any time and the contrast of the stimulation is enhanced. Also, the temporal resolution increases as the number of channels that must be stimulated on a given frame decreases.

Abstract: A cochlear implant system includes: an electrode array implanted within a cochlea; an internal processor in communication with the electrode array; an implanted antenna which is electrically coupled to the internal processor; and a modular external headpiece which is removably positioned over the implanted antenna, the modular external headpiece including a core containing a sound processor for processing sound and providing a corresponding signal to the implanted antenna; and a modular component configured to releasably engage the core and supply electrical power to the core.

Abstract: A hearing assistance system includes a hearing assistance unit, with an interface for receiving a removable module, and a removable module configured to be retained in the interface.

Abstract: A hearing prosthesis includes both a hearing aid adapted to sense and amplify low frequency acoustic sound signals and a cochlear implant system adapted to sense high frequency acoustic sound signals. The hearing aid has a first microphone adapted to sense the low frequency acoustic sound signals, amplify these sensed low frequency acoustic sound signals, and present the resulting amplified low frequency acoustic sound signals in the ear canal of a user, thereby enabling the user to better hear these amplified sounds using his or her normal hearing processes. The cochlear implant system includes a second microphone adapted to sense the high frequency acoustic sound signals and selectively stimulate the inner ear with electrical stimulation that will be perceived as high frequency acoustic sound signals. Both the cochlear implant system and the hearing aid system are coupled to operate on the same ear of the user.

Abstract: An exemplary method includes a sound processing subsystem 1) dividing an audio signal presented to an auditory prosthesis patient into a plurality of signals each representative of a distinct frequency portion of the audio signal and each contained within a distinct analysis channel included in a plurality of analysis channels, 2) determining a sound level of each signal included in the plurality of signals, and 3) setting an amount of noise reduction applied to each signal included in the plurality of signals in accordance with the determined sound level of each signal included in the plurality of signals. Corresponding methods and systems are also disclosed.