Abstract: An external transmitter circuit drives an implantable neural stimulator having an implanted coil from a primary coil driven by a power amplifier. For efficient power consumption, the transmitter output circuit (which includes the primary coil driven by the power amplifier inductively coupled with the implanted coil) operates as a tuned resonant circuit. When operating as a tuned resonant circuit, it is difficult to modulate the carrier signal with data having sharp rise and fall times without using a high power modulation amplifier. Sharp rise and fall times are needed in order to ensure reliable data transmission. To overcome this difficulty, the present invention includes an output switch that selectively inserts a resistor in the transmitter output coil circuit in order to de-tune the resonant circuit only during those times when data modulation is needed. Such de-tuning allows sharp rise and fall times in the data modulation without the need for using a high power modulation amplifier.

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: A device for brain stimulation includes a lead having a longitudinal surface; at least one stimulation electrode disposed along the longitudinal surface of the lead; at least one recording electrode, separate from the at least one stimulation electrode, disposed on the lead; and an implantable pulse generator coupled to the at least one stimulation electrode. In some instances, the implantable pulse generator can be implanted into a burr hole in the skull made for insertion of the lead into the brain.

Abstract: A device for brain stimulation that includes a lead having a longitudinal surface; at least one stimulation electrode disposed along the longitudinal surface of the lead; and at least one recording electrode, separate from the at least one stimulation electrode, disposed along the longitudinal surface of the lead.

Abstract: An implantable system includes a plurality of implantable devices that are detachably coupled to each other. Each implantable device of the system includes: (1) an hermetically-sealed case housing electronic components; (2) feedthru terminals mounted to a wall of the hermetically-sealed case adapted to allow electrical contact from a location outside the hermetically-sealed case with the electronic components housed inside the hermetically-sealed case; (3) a coil external to the hermetically-sealed case attached to the feedthru terminals; (4) a flexible molding bonded to the hermetically-sealed case, and wherein the coil is embedded within or otherwise attached to the flexible molding; and (5) engagement means for engaging the flexible molding with a flexible molding of another implantable device of the implantable system. Such engagement means also aligns the coils of the implantable devices that are thus engaged with the engaging means to allow electromagnetic coupling to occur between the aligned coils.

Abstract: A fixation device fixes the position of an implantable microminiature device residing proximally to a target site such as a nerve or a muscle. In one embodiment, the device comprises a sheath and a means for attaching the device to adjacent tissue. The means for attaching may be any one of several embodiments including one or more grasping members, a combination of grasping members and one or more helices, or an extension adapted to accept a suture. In another embodiment, the fixation device comprises an assembly residing in the implantation pathway, behind the stimulation device, thus preventing retreat of the stimulation device in the pathway. In a preferred use, the fixation device fixes the position of a microstimulator component of a Peripheral Nerve Stimulation (PNS) system.

Abstract: A novel fluid pump includes a stator body defining a pumping chamber and an impeller operationally disposed within the chamber. The impeller has opposed ends with a central axis defining an axis of rotation. Passive magnetic bearing sets are positioned along the impeller body with each bearing set being similarly polarized so as to be in mutually attracting or mutually repelling relationship. A third passive magnetic bearing set is positioned along the impeller axis between the opposed ends with the third bearing set being magnetically coupled similarly to the first and second bearing sets, with the passive magnetic bearings creating an unstable negative force in a plane perpendicular to the axis of rotation of the impeller with the negative stiffness being overcome upon rotation of the impeller creating a centrifugal force of a magnitude greater than that of the unstable negative force.

Abstract: An implantable stimulator(s), small enough to be located near or adjacent to an autonomic nerve(s) innervating urinary and/or gastrointestinal structures, uses a power source/storage device, such as a rechargeable battery. Periodic recharging of such a power source/storage device is accomplished, for example, by inductive coupling with an external appliance. The small stimulator provides a means of stimulating a nerve(s) or other tissue when desired, without the need for external appliances during the stimulation session. When necessary, external appliances are used for the transmission of data to and/or from the stimulator(s) and for the transmission of power, if necessary. In a preferred embodiment, the system is capable of open- and closed-loop operation. In closed-loop operation, at least one implant includes at least one sensor, and the sensed condition is used to adjust stimulation parameters.

Abstract: An insertion tool uses a stylet wire to help guide an electrode system into a cochlea. The insertion tool includes three main elements or parts: a handle, a guide and a slider. The handle is made from light stainless steel tube flattened in front with a machined slot. The guide consists of a plurality of metal tubes, fixed to each other within a holding bracket. In one embodiment, the slider includes a stabilizer wire, a long stylet wire, and a short stylet wire. During the assembly process, the stabilizer and stylet wires are inserted into respective tubes of the guide and the end of the stabilizer wire is bent to form an offset. The electrode system is loaded onto the tool by inserting the short stylet wire into a holder that supports the electrode lead.

Abstract: A multicontact electrode array suitable for implantation in living tissue includes a distal end having multiple spaced-apart ring or band electrode contacts carried on a flexible tube carrier. Each ring electrode contact is laser welded to a respective wire tip that has a multi-helix orientation on the inside of a separation tube. The center of the multi-helix wire defines a lumen wherein a positioning stylet, or other suitable positioning tool, may be removably inserted when the electrode array is implanted. The method of making the multicontact electrode array includes, as an initial step, winding lead wires around a suitable mandrel so as to form a multi-helix configuration. (Alternatively, the wire may be purchased in a multiwire pre-wound configuration that defines a lumen, in which case the mandrel is slipped inside the lumen.) Then, at a distal end of the electrode, each wire within the multi-helix winding is unwound so as to protrude out from the winding.

Abstract: Methods are taught to simplify the cochlear implant fitting process for various cochlear prostheses and stimulation strategies, including high rate stimulation strategies. For instance, patient self-programming is made possible. In addition, auto-fitting is made possible (particularly useful for very young patients and other patients for whom it is challenging to obtain feedback) using iso-neural response contours which can be linearly transposed to arrive at iso-loudness contours. Furthermore, M iso-loudness contours (or iso-neural contours) can be linearly transposed to determine T iso-loudness contours. In addition, wider pulse widths can be used to generate an iso-loudness contour whose shape can be used (via linear transposition) to program high-rate, narrow pulse width stimulation.

Abstract: A method of controlling an implantable neural stimulation system, such as an auditory Fully Implantable System (FIS), uses a first signal path to send signals to the implant device, and a second signal path to receive signals from the implant device. The combination of these two signal paths provides a full-duplex channel between the remote control unit and the implant device through which appropriate control and status signals may be sent and received. In one embodiment, the first signal path comprises an audio signal path through which audio control signals, e.g., a tone sequence or a 32-bit word FSK modulated between 300 and 1200 Hz, are sent; and the second signal path comprises a RF signal path through which a BPSK, QPSK or FM modulated RF signal is received. The full-duplex channel allows operation of the remote control unit, i.e., allows signals to be successfully sent to and received from the implant device, from as far away as 45–60 cm from the implant device.

Abstract: A cochlear implant system, or other neural stimulation system, has the capability to stimulate fast enough to induce stochastic neural firing so as to restore “spontaneous” neural activity. The stimulation rate applied to the more distally-located electrodes of an electrode array connected to the implant system is reduced from the stimulation rate applied to the more proximally-located electrodes. Thus, in the case of a cochlear implant system, the apically-located regions within the cochlea are stimulated at a reduced rate in order to conserve power. Pulse widths of the reduced-rate pulses may further be increased, and amplitudes reduced, to further conserve power. As needed, a low-level random conditioner stimulation signal may be applied to the apical regions of the cochlea in order to ensure the occurrence of random neural firings.

Abstract: Leads and introduction tools are proposed for deep brain stimulation and other applications. Some embodiments of the present invention provide lead designs with which may be placed with a stylet, while others do not require a stylet. Some lead embodiments use standard wire conductors, while others use cable conductors. Several embodiments incorporate microelectrodes and/or microelectrode assemblies. Certain embodiments of the present invention provide introduction tools, such as cannula and/or cannula systems, which ensure proper placement of, e.g., leads.

Abstract: A connector system for Behind-The-Ear (BTE) hearing devices provides a means to detachably connect a plurality of earhooks, which earhooks include special earhooks providing auxiliary functions. The connector system includes a coaxial connector mounted on the BTE device, which coaxial connector provides both an earhook mounting fixture, and an electrical connector for auxiliary functions. The auxiliary functions include a telecoil, an auxiliary microphone positioned proximal to an ear canal, an FM receiver, and an input jack for miscellaneous devices. The earhook mounting fixture also accepts standard off-the-shelf earhooks. A friction fit is provided between the earhook and the BTE device so that the angular position of the earhook may be adjusted for a comfortable fit.

Abstract: A push-pull amplifier efficiency provides a 4:1 (12 dB) course adjustment of power output by using a single digital control input. The amplifier is provided with an input voltage (VDD) having sixteen steps ranging from 1.25 volts to 3.00 volts. Based on the digital control, an integrated circuit switches between a high power mode and a low power mode. In the low power mode, the output voltage is equivalent to the input voltage. In the high power mode, the amplifier provides an output of twice the input voltage (or four times the power).

Abstract: Systems and methods for introducing one or more stimulating drugs and/or applying electrical stimulation to the brain to alleviate pain use at least one implantable system control unit (SCU), producing electrical pulses delivered via electrodes implanted in the brain and/or producing drug infusion pulses, wherein the stimulation is delivered to targeted areas in the brain. In some embodiments, one or more sensed conditions are used to adjust stimulation parameters.

Abstract: An improved multi-voltage power supply charges individual small capacitors to different voltages. Each small capacitor is assigned to a circuit, and is charged to a voltage level sufficient for the circuit. In one embodiment, an improved switching regulator includes a multiplicity of small capacitors. The small capacitors are assigned to stimulation channels of a stimulation system. Each channel has a unique compliance voltage which the assigned small capacitors are charged to. By charging the small capacitors to the corresponding compliance voltages, versus charging a single large capacitor to the maximum compliance voltage, unnecessary power dissipation is avoided. In another embodiment, a switched capacitor power supply benefits from the present invention in the same manner as the switching regulator power supply. Further, any system requiring a plurality of different voltages may benefit from the present invention.

Abstract: Various embodiments of a burr hole plug assembly offer significant improvements for allowing lead and/or cannula access through a burr hole drilled through a patient's skull in connection with a Deep Brain Stimulation system, and subsequent sealing of such burr hole.

Abstract: A curved paddle electrode allows the electrode to be placed over a relatively flat or oval shaped nerve bundle attached to fascia tissue without having to separate the nerve bundle from the fascia tissue. The electrode includes at least one suture hole that allows the electrode to be held in place over the nerve bundle through a clip-on stitch, or equivalent. In one embodiment, the curved paddle electrode provides a tripolar electrode configuration that allows three spaced-apart parallel electrode contacts to be positioned transverse to a target nerve bundle. Such electrode configuration allows bipolar or tripolar stimulation to occur. Other embodiments employ less or more than three electrode contacts. A preferred application of the curved paddle electrode is for the treatment of erectile dysfunction (ED), where the electrode is placed over the neurovascular bundle attached to the rectal fascia tissue near the rectum.