Abstract: Audio streaming is made available throughout the signal processing path of the speech processor of a cochlear implant or other audio signal processor. Audio streaming comprises the digitally phase locked playback of a real time n-bit digital audio stream, where n may be a large number, e.g., 8, 12, 16, 24 or 32, that emanates (unsolicited) from an operating speech processor. A number of sample points are made available long the processing chain of a digital signal processor (DSP) used within the speech processor of the cochlear implant. Audio streaming may occur at any sample point. The signal at a selected sample point may be selectively monitored in order to allow appropriate diagnostics to be performed. Audio streaming utilizes an auto-referencing mixed-mode phase locked loop. Such phase locked loop processes an asynchronous stream of digital audio samples that arrive at a designated location, e.g., a selected sample point, at a consistent, but unknown, average rate.

Abstract: Implantable electrode leads, e.g. cochlear, spinal cord stimulation, or any type of neurostimulation leads, used in a patient's body to stimulate muscle or nerve tissue, provide enhanced stimulation for treating, e.g., hearing loss or chronic pain. One such lead includes, an implantable electrode array, adapted for insertion into a cochlea, which lead provides improved stability of electrode contact direction. In-line electrodes are spaced-apart along one side of a flexible carrier having non-conductive bumps coated with a bioresorbable material spaced apart between each electrode contact. Over time the bioresorbable material is absorbed thereby reducing chronic placement pressure caused during the insertion of the electrode array into the cochlea. The bioresorbable material may also serve as a carrier for drugs or other materials that would improve performance of the electrode for any type of lead.

Abstract: A special accessory adapter for use with a BTE device of a cochlear implant (CI) system provides two inputs: a T-Mic input and an auxiliary audio input. Both inputs (the T-Mic input and the auxiliary audio input) are connected to a special mixer circuit integrated into a body of the accessory adapter. The body of the accessory adapter connects to the BTE using the same earhook attachment mechanism used by other accessories used by the CI system. The special mixer circuit prevents signals from either the T-Mic input or the auxiliary audio input from interfering with each other. Both signals, however, can still be processed by the processing circuits of the BTE and combined in such a way that user is able to perceive both signals at the same time.

Abstract: A cochlear stimulation lead and method of making a curved electrode array are provided. In one embodiment of the lead, while the curved section of the lead is curled further beyond its originally molded curvature and held in this position, a filling channel is filled with a filling material that is hardened or cured in this held position. The resulting lead has a tip curvature that is more curved than the originally molded curvature.

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 cochlear system includes a sound processing unit configured to process an audio signal, an implantable cochlear stimulator communicatively coupled to the sound processing unit and configured to apply stimulation representative of the audio signal to a patient via one or more electrodes in accordance with the processing of the audio signal, and a user input facility communicatively coupled to the sound processing unit. The sound processing unit and the implantable cochlear stimulator are configured to operate in accordance with a plurality of control parameters, which may be selectively associated and disassociated with the user input facility in order to facilitate manual adjustment of one or more of the control parameters. Corresponding systems and methods are also disclosed.

Abstract: An envelope based amplitude mapping achieves the signal compression required to provide a natural sound level without the high processor loading or waveform alteration. In one embodiment, the output of a family of parallel bandpass filters is processed by an envelope detector, followed by decimation. The resulting reduced data rate envelope is log mapped to produce a scaling factor for the original high data rate bandpass filter output sequence. The resulting scaled signal determines the current level for stimulation of the cochlea for each frequency band, which stimulation achieves a log mapping of the sound amplitude effect similar to natural hearing, while reducing processor load, and preserving waveform shape.

Abstract: An exemplary auditory prosthesis system includes an auditory prosthesis configured to be implanted within a head of a patient and to apply electrical stimulation representative of an audio signal to one or more stimulation sites within the patient in accordance with one or more stimulation parameters, a behind-the-ear sound processing unit configured to be secured to an ear of the patient and to transmit the one or more stimulation parameters to the auditory prosthesis, and a remote audio processor module separate from the behind-the-ear sound processing unit and communicatively coupled to the behind-the-ear sound processing unit via a communication link, the remote audio processor module configured to perform at least a portion of a signal processing heuristic on the audio signal in order to facilitate generation of the one or more stimulation parameters. Corresponding systems and methods are also disclosed.

Abstract: An exemplary cochlear implant system includes an external module configured to be positioned external to and worn by a patient, the external module having an external microphone configured to detect an input audio signal presented to the patient, and an external speaker configured to acoustically transmit an audio signal representative of the input audio signal. The exemplary cochlear implant system further includes an implantable module configured to be implanted within the patient, the implantable module having an internal microphone configured to detect the acoustically transmitted audio signal, an internal sound processor configured to generate one or more stimulation parameters based on the acoustically transmitted audio signal, and an internal cochlear stimulator configured to apply electrical stimulation representative of the input audio signal to one or more stimulation sites within the patient in accordance with the one or more stimulation parameters.

Abstract: Alternative stimuli, i.e., stimuli other than the constant amplitude stimuli used in prior fitting schemes, are used to set the parameters of a cochlear implant system. The use of such alternative stimuli allows the entire fitting process to be completed in a very short time period, and generally eliminates the need for secondary adjustments. In one preferred embodiment, the alternative stimuli comprise white noise that is internally generated within the speech processor.

Abstract: A hearing aid system (10) including an implantable device (60), and a surgical instrument (134) for enabling a physician to install the implant (60) in a patient's body in a simple office procedure using only local anesthesia.

Abstract: Methods of detecting an error associated with an implantable device include powering up the implantable device with an external device, disabling a back-telemetry transmitter within the implanted device after the implanted device is powered up, detecting an error with the implanted device, generating a fault signal corresponding to the error with the implanted device, turning on the back-telemetry transmitter after the fault signal has been generated, and transmitting the fault signal to the external device with the back-telemetry transmitter.

Abstract: Exemplary cochlear implant systems include an implantable cochlear stimulator configured to be implanted within a patient and generate a stimulation current having an adjustable current level, one or more electrodes communicatively coupled to the stimulator and configured to apply the stimulation current to one or more locations within an ear of the patient, and a sound processor configured to derive an acoustic reflectance of the patient's ear. The implantable cochlear stimulator is configured to adjust the current level of the stimulation current until the sound processor detects a change in the acoustic reflectance above a threshold.

Abstract: A flap thickness measurement system includes a reference cochlear stimulation system. The reference cochlear stimulation system includes a sound processor, a transmitter that transmits a telemetric signal, and a cochlear stimulator having a receiver that receives the telemetric signal and transmits a signal back to the transmitter. The system further includes one or more flap simulators having one or more known thicknesses that is positioned between the transmitter and receiver. Also included is a microprocessor that receives and processes data representative of tank voltage from the reference cochlear stimulation system.

Abstract: Errors in pitch (frequency) 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. In one embodiment, the user is stimulated with a reference signal, e.g., the tone “A” (440 Hz) and then the user is stimulated with a probe signal, separated from the reference signal by an octave, e.g., high “A” (880 Hz). The user adjusts the location where the probe signal is applied, using current steering, until the pitch of the probe signal, as perceived by the user, matches the pitch of the reference signal, as perceived by the user. In this manner, the user maps frequencies to stimulation locations in order to tune his or her implant system to his or her unique cochlea.

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 method includes displaying a graphical user interface configured to include a patient list displayed therein, receiving user input representative of a search term comprising one or more characters selected to identify a particular patient included within a plurality of patients, dynamically updating the patient list in response to the received user input to only include a plurality of entries that contain the search term, each of the entries comprising patient information associated with a distinct one of the patients, and preventing one or more non-search term characters contained within each of the entries of the patient list from being displayed within the graphical user interface. Corresponding methods and systems are also disclosed.

Abstract: Audio streaming is made available throughout the signal processing path of a speech (or audio) processor of a cochlear implant system. Audio streaming allows one to “listen in” to what a cochlear implant patient may be hearing. As an audio signal stream is received and digitally processed, it may be sampled at any of a number of sample points. The signal at a selected sample point allows appropriate diagnostics to be performed. An auto-referencing mixed-mode phase locked loop processes an asynchronous stream of digital audio samples that arrive at a consistent, but unknown, average rate. Once received, the average sample rate is extracted, and a local clock is generated at the average frequency. The incoming audio streaming samples are then re-synchronized with the local clock in order to allow digitally phase locked playback of the audio stream.

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: Methods and systems of presenting an audio signal to a cochlear implant patient include dividing the audio signal into a plurality of analysis channels, detecting an energy level within each of the analysis channels, selecting one or more of the analysis channels for presentation to the patient, synthesizing the selected analysis channels, and mapping the synthesized analysis channels to one or more stimulation channels.