Abstract: A magnet arrangement for a hearing implant device is described. A magnet case is contained within an implantable device and has a central case axis of symmetry that is perpendicular to the outermost surface of the implantable device. The magnet case is configured to be freely rotatable within the implantable device about the case axis of symmetry. An implant magnet is contained within the magnet case and consists of a single cylindrical magnet having a central magnet axis of symmetry perpendicular to the case axis of symmetry. The implant magnet is configured to be freely rotatable within the magnet case about the magnet axis of symmetry.

Abstract: A surgical guide tool and methodology includes a non patient-specific platform including one or more supports for attaching to a body part of a subject. A non patient-specific block has a top planar surface and a bottom planar surface, and includes a guide aperture extending from the top planar surface to the bottom planar surface for guiding a surgical instrument in making at least one of a cut and a drill hole. An intermediate module is removably positioned between the platform and the block. The intermediate module has patient-specific dimensions such that the guide aperture has a desired alignment relative to the body part when the surgical guide tool is attached to the body part of the patient and the intermediate module is positioned between the platform and the block.

Abstract: A magnetic system for a medical implant system is described. A planar implant receiver coil is configured to lie underneath and parallel to overlying skin of an implanted patient for transcutaneous communication of an implant communications signal. A planar ring-shaped attachment magnet also is configured to lie underneath and parallel to the overlying skin and radially surrounds the receiver coil. The attachment magnet is characterized by a magnetic field configured to avoid creating torque on the attachment magnet in the presence of an external magnetic field.

Abstract: An implantable electrode arrangement for a cochlear implant system includes an elongated electrode array for insertion into a patient cochlea. A fluid delivery channel is located within the electrode array parallel to a central longitudinal axis with at least one fluid delivery port for delivering lubricant fluid from the fluid delivery channel to the outer surface of the electrode array. The fluid delivery port and the lubricant fluid are configured to produce a lubrication region close to the outer surface of the electrode array proximal to the fluid delivery port during insertion of the electrode array into the patient cochlea so as to reduce insertion resistance at an adjacent section of lateral wall of the patient cochlea.

Abstract: A bilateral hearing implant system has a left side and a right side. Left and right side filter bank pre-processors preprocess left and right microphone signals to generate band pass signals for each side. A bilateral signal processing arrangement processes the band pass signals in a time sequence of stimulation frames. The signal processing module includes a bilateral channel selection module synchronously selects for each stimulation frame a set of stimulation channels for each side based on spectral content of the band pass signals. Left and right side signal processing submodules process for each stimulation frame a limited subset of each side band pass signals corresponding to the selected stimulation channels to generate electrical stimulation signals.

Abstract: An implantable medical device includes an implantable coil case that contains a communications coil. A magnet receptacle is located within the coil case at the radial center and has a magnet opening in one of the lateral surface or the medial surface of the coil case. A magnet fitting groove is recessed into one of the lateral or medial surface of the coil case and extends from the magnet opening to the outer circumference of the coil case. A u-shaped implant magnet clip has parallel clip legs that are connected at a closed end of the u-shape, and an implant magnet is attached to one of the clip legs. The coil case and the magnet clip are configured to cooperate for a portion of the coil case to fit between the clip legs and the implant magnet to slide through the magnet fitting groove and fit through the magnet opening into the magnet receptacle.

Abstract: A middle ear implant system includes a bone conduction transducer configured for fixed attachment to skull bone of a patient beneath the skin behind the ear, and for generating sound vibrations from an external communications signal received through the skin for coupling to the skull bone for bone conduction sound perception by the patient. A malleable ossicle connector is connected to the bone conduction transducer and a middle ear hearing structure of the patient. And one or more isolation springs are configured for placement at the fixed attachment of the bone conduction transducer to the skull bone to acoustically decouple the bone conduction transducer from the skull bone to avoid bone conduction sound perception so that sound perception from the external communications signal is solely via the middle ear sound perception from vibrations coupled to the middle ear hearing structure by the ossicle connector.

Abstract: A respiration sensor is described of a respiration implant system for an implanted patient with impaired breathing. A sensor body is made of electrically insulating material and is configured to fit between two adjacent ribs and between the pectoralis muscle and the parasternal muscle of the implanted patient, with the bottom surface adjacent to an superficial surface of the parasternal muscle and the top surface adjacent to a profound surface of the pectoralis muscle. At least one parasternal sensor electrode is located on the bottom surface of the sensor body and is configured to cooperate with the electrically insulating material of the sensor body to sense a parasternal electromyography (EMG) signal representing electrical activity of the adjacent parasternal muscle with minimal influence by electrical activity of the nearby pectoralis muscle.

Abstract: A method of enhancing distorted signal having a speech and noise component, with a processing device having memory with stored training information T, comprising a step of removing noise in spectrum domain according to a noise and speech model to obtain a clear signal spectrum, wherein the training information T comprises dictionaries of compact spectra prototypes of speech and noise, speech gains and noise gains forming together composite states and it comprises probabilities of state history. Dictionaries of compact spectra prototypes comprise compact spectra prototypes of a first dimension P1 and of a second dimension P2 where second dimension P2 is higher or equal to the first dimension P1.

Abstract: A method is described for estimating skin thickness over an implanted magnet. A plane is defined that is perpendicular to the skin of a patient over an implanted magnet and characterized by x- and y-axis coordinates. The magnetic field strength of the implanted magnet is measured using an array of magnetic sensors on the skin of the patient. From the measured magnetic field strength, at least one x-axis coordinate in the plane is determined for at least one y-axis zero position on the array where a y-axis component of the measured magnetic field strength is zero. From that, a y-axis coordinate of the at least one y-axis zero is calculated as a function of the at least one x-axis coordinate, such that the y-axis coordinate represents thickness of the skin over the implanted magnet.

Abstract: Arrangements are described for generating electrode stimulation signals to electrode contacts in an implanted cochlear implant electrode array. Electrode stimulation signals are a sequence of monophasic stimulation pulses varying in polarity between positive polarity and negative polarity with successive pulses separated in time by an interpulse interval sufficient for neural response. Accumulated charge imbalance and charge imbalance polarity are calculated for each electrode contact after each stimulation pulse. For each electrode contact a stimulation pulse has the same polarity as an immediately preceding stimulation pulse for that electrode contact only when the charge imbalance polarity has opposite polarity from the immediately preceding stimulation pulse for that electrode contact, and the accumulated charge imbalance exceeds a defined charge imbalance threshold value. Otherwise, each stimulation pulse has the opposite polarity as the immediately preceding stimulation pulse for that electrode contact.

Abstract: A dual microphone signal processing arrangement for reducing reverberation is described. Time domain microphone signals are developed from a pair of sensing microphones. These are converted to the time-frequency domain to produce complex value spectra signals. A binary gain function applies frequency-specific energy ratios between the spectra signals to produce transformed spectra signals. A sigmoid gain function based on an inter-microphone coherence value between the transformed spectra signals is applied to the transformed spectra signals to produce coherence adapted spectra signals. And an inverse time-frequency transformation is applied to the coherence adjusted spectra signals to produce time-domain reverberation-compensated microphone signals with reduced reverberation components.

Abstract: A portion of a vestibular prosthesis system is described which includes an external coil housing and an external holding magnet that allow rotation of the external coil housing around a rotation axis that passes through the external holding magnet orthogonal to a skin interface surface. An external communications coil arrangement within the housing includes three or more external coil segments rotationally adjacent to each other around the rotation axis, each external coil segment being independently operable by an external signal processor for coupling an implant communication signal. And the external signal processor is configured to periodically operate the external coil segments to quantify rotation of the external coil housing and adjust the signal component of the implant communication signal to offset quantified rotation of the housing.

Abstract: Optogenetic signal processing is described for an auditory prosthesis with an intracochlear array of optical stimulation sources implanted in a patient having auditory neurons genetically modified with light sensitive ion channels. Stimulation timing signals are generated for the corresponding auditory neurons for each band pass signal based on characteristic temporal fine structure features of the band pass signals. The stimulation timing signals include: i. one or more channel opening signals adapted to open the ion channels of the corresponding auditory neurons, and ii. one or more channel closing signals adapted to close the ion channels of the corresponding ion channels. Optical stimulation signals are then produced for the optical stimulation sources based on the stimulation timing signals.

Abstract: A system and method detect neuronal action potential signals from tissue responding to electrical stimulation signals. A sparse signal space model for a set of tissue response recordings has a signal space separable into a plurality of disjoint component manifolds including a neural action potential (NAP) component manifold corresponding to tissue response to electrical stimulation signals. A response measurement module is configured to: i. map a tissue response measurement signal into the sparse signal model space to obtain a corresponding sparse signal representation, ii. project the sparse signal representation onto the NAP component manifold to obtain a sparse NAP component representation, iii. when the sparse NAP component representation is greater than a minimum threshold value, report and recover a detected NAP signal in the tissue response measurement signal.

Abstract: A noise cancelling system is described for a in a patient implantable hearing implant system. An implantable microphone senses a sound signal present at the microphone that includes a sound source component from a sound source external to the patient, and a noise component from internal bone conduction. At least one implantable noise sensing element is located near the microphone to sense the noise component. A filter is controlled by an adaptive algorithm responsive to transform the noise component and outputs a transducer control signal. A bone conduction transducer receives the transducer control signal and generates a corresponding mechanical vibration signal to the skull bone. The adaptive algorithm controls the filter so that the mechanical vibration signal of the bone conduction transducer offsets the noise component sensed by the at least one noise sensing element so as to minimize the noise component sensed by the implantable microphone.

Abstract: A signal processing arrangement generates optical stimulation signals to optical stimulation contacts in an implanted cochlear implant array. An input sound signal is transformed into band pass signals that each represent an associated band of audio frequencies, with each band pass signal includes an envelope component characterizing loudness of the band pass signal, and a fine structure component characterizing temporal details of the band pass signal. One or more of the signal components of each band pass signal is half wave rectified to remove negative phase signals. Signal slope is determined that corresponds to rate of change of the rectified one or more signal components. Then constant-rate optical stimulation pulses are generated for one or more given band signals only when the rectified one or more signal components has a positive signal slope.

Abstract: The invention relates to a device (10) and to a method for electric stimulation. Said device comprises a stimulator (12) which comprises a multi-channel electrode arrangement with several stimulation electrodes (E1-E12). Said device also comprises a processor (18) which determines the pulse rate and the pulse amplitude for each stimulation electrode (E1-E12), and which controls the electrode arrangement for releasing stimulation impulses of the determined pulse rate and pulse amplitude. Said processor (18) determines the pulse rate for each stimulation electrode (E1-E12) dependent on the position in the cochlea. The invention also relates to a computer program product by means of which a data processing system determines the pulse rate for each stimulation electrode (E1-E12) dependent on the actual position thereof.

Abstract: An electrical feedthrough assembly for an implantable medical device includes an outer ferrule of metallic material having an outer surface hermetically sealed to an implantable device housing. There is an inner feedthrough assembly which is hermetically sealed within the ferrule and which has a structure of sintered layers that include: i. an electrical insulator of ceramic insulator material, ii. one or more electrically conductive vias of metallized conductive material embedded within and extending through the electrical insulator, and iii. a transition interface region around each of the conductive vias comprising a gradient mixture of the ceramic insulator material and the metallized conductive material forming a gradual transition and a mechanical bond between the electrical insulator and the conductive via.

Abstract: A fitting system is described for fitting electrode contacts of cochlear implant electrode array implanted in a cochlea of an implanted patient. A test stimulation generator delivers to at least one of the electrode contacts a test stimulation sequence at a variable charge level and a variable stimulation rate over time, wherein the charge level and stimulation rate are inversely related as a function of a defined loudness percept by the implanted patient to the test stimulation sequence. A response measurement module obtains objective response measurements of auditory neural tissues of the implanted patient that are affected by the test stimulation sequence. A fit mapping module defines a patient-specific fit map for the electrode contacts of cochlear implant electrode array based on the objective response measurements.