Abstract: A vestibular implant fitting system is described for fitting a vestibular implant to an implanted patient. An event processing module is configured for monitoring extra-clinical operation of the vestibular implant and collecting extra-clinical implant operation information. A signal processing fitting module is configured for determining a body response characteristic of the implanted patient to a vestibular implant stimulus signal during a response measurement period, and setting an operating characteristic of the vestibular implant based on the body response characteristic and the extra-clinical implant operation information.

Abstract: A vestibular stimulation electrode lead is described for conducting electrical stimulation signals generated by an implanted vestibular stimulation module. An extra-vestibular lead branch carries the stimulation signals from the stimulation module to a vestibular entry location. A stopper collar is bent away at a first discrete angle from a distal end of the extra-vestibular lead branch to penetrate into a vestibular structure at the entry location. An intra-vestibular electrode array is bent away at a second discrete angle from the stopper collar and has an outer surface with one or more electrode contacts for delivering the stimulation signals to vestibular neural tissue at a target location within the vestibular structure. The first and second discrete angles form a geometry of the stopper collar and intra-vestibular electrode array that limits insertion of the intra-vestibular electrode array beyond the target location within the vestibular structure.

Abstract: A method of activating at least two electrodes in a multichannel electrode array using channel specific sampling sequences is presented. A channel specific sampling sequence is defined for each electrode, the sequence having a particular duration, pulse amplitude distribution, and number of pulses. A weighting factor is applied to the channel specific sampling sequence. Each electrode in the multichannel electrode array is then simultaneously activated using sign-correlated pulses, the sign-correlated pulses based on parameters of spatial channel interaction reflecting geometric overlapping of electrical fields from each electrode, non-linear compression, and each electrode's weighted channel specific sampling sequence.

Abstract: A novel implantable electric lead arrangement is described for medical implant systems such as middle ear implants (MEI), cochlear implants (CI) and vestibular implants (VI). An electric lead contains parallel lead wires wound in an elongated helix about a central longitudinal axis. A lead core is fixed and enclosed within the wire helix for providing impact strain relief to the lead wires by resisting radial and/or axial deformation from external impact force.

Abstract: A method for stimulating facial nerves in a subject with synkinetic reinnervated muscles includes providing an electrode, having a plurality of contacts, in a parotic region of the subject's face, stimulating each of the contacts separately, identifying one or more contacts from the plurality of contacts that cause one or more nerve branches to activate a desired facial muscle, and selecting the identified contacts to stimulate the one or more nerve branches. The system includes an electrode having a plurality of contacts for placement in a parotic region of the subject's face and a processor in communication with the electrode. The processor has program code for stimulating each of the contacts separately, for identifying one or more contacts from the plurality of contacts that cause one or more nerve branches to activate a desired facial muscle, and for selecting the identified contacts to stimulate the one or more nerve branches.

Abstract: A minimally invasive method of introducing an electrode to electrically stimulate one or both vocal cords of a subject includes inserting a hollow needle from outside of the subject's body into a postcricoidal region lateral to a posterior cricoarytenoid muscle and forming an insertion path downwardly towards a cricothyroid joint of the subject. The method also includes introducing the electrode via the hollow needle and positioning the electrode relative to at least one vocal cord muscle of the subject based on the insertion path.

Abstract: A method of using an airway treatment system for treating a dorsal displacement disorder in a horse includes detecting an elevated activity level of the horse using one or more treatment sensors, generating a treatment signal based on the detected elevated activity level, using a pacemaker processor, to strengthen one or more muscles involved in displacing a laryngeal anatomical structure relative to an airway of the horse, and using one or more stimulation electrodes, configured to interface with tissue of the horse, to deliver the treatment signal to the tissue of the horse to maintain an unobstructed airway.

Abstract: A system and method of treating hyperactivity of an eyelid closing muscle in a subject after facial nerve paralysis includes providing a stimulation system and selectively stimulating eyelid opening muscle(s) or innervating nerves, eyelid opening reflexes, or eyelid opening reflexes in non-muscular tissue, using the stimulation system, without substantially activating the eyelid closing muscle. The system and method evokes eyelid movement in the subject.

Abstract: An electrode arrangement for sensing electrical activity in target tissue is described. A support electrode has an elongate electrode body with a base end and a penetrating end for insertion into the target tissue. A fixation electrode has an elongate electrode body with a base end and a penetrating end at an angle to the electrode body. The electrodes are joined together with their electrode bodies in parallel so that the penetrating end of the fixation electrode penetrates a fixed distance into the target tissue so that at least one of the electrodes senses electrical activity in the target tissue.

Abstract: A method of measuring electrically evoked auditory brainstem responses of a patient or animal body is provided. The method includes surgically implanting an auditory prosthesis having an electrode array, the electrode array positioned either intracochlear or substantially proximate a brainstem of the body. At least one electrode is stimulated in the electrode array. Electrically evoked auditory brainstem responses resulting from said stimulation are recorded using, at least in part, an electrode in the electrode array as a negative electrode, and a positive electrode positioned substantially proximate the vertex of the head of the body.

Abstract: An arrangement is described for fitting a hearing prosthesis system to a prosthesis patient. The PAMR measurement determines a post-auricular muscle reflex (PAMR) response of the patient to an auditory stimulus signal. For example, the PAMR response may include a PAMR amplitude growth function or a PAMR threshold stimulus level at which a PAMR is measured in the patient. Then a patient fitting module sets an operating characteristic of the hearing prosthesis system based on the PAMR response.

Abstract: A magnet positioning tool is described for use with an implantable device. The device has a pair of opposing positioning surfaces, at least one of which has a magnet cradle for mechanically engaging an implant magnet associated with a magnet position in the implantable device. The tool also includes a position engagement surface for engaging the implantable device when the magnet cradle is adjacent to the magnet position.

Abstract: A cochlear implant electrode includes an implantable electrode carrier having an outer surface with electrode contacts for electrically stimulating nerve tissue of the inner ear of a patient. A drug lumen is within the electrode carrier and adapted to receive a therapeutic fluid. The drug lumen contains delivery openings to the outer surface of the electrode carrier and a hydrogel matrix disposed between the drug lumen and the one or more delivery openings and adapted to swell in volume when exposed to the therapeutic fluid. The hydrogel matrix is adapted to control diffusion of the therapeutic fluid from the drug lumen through the delivery openings to the outer surface of the electrode carrier.

Abstract: A novel vestibular implant system is described. An implantable vestibular stimulator provides vestibular stimulation signals to stimulate target neural tissue for vestibular sensation by a patient. One or more motion sensors are controllably powered by the vestibular implant system and develop a motion signal reflecting head motion of an implant patient. The vestibular stimulator includes at least two different operating modes: i. a sensor controlled mode wherein the motion sensor is powered and the vestibular stimulation signal is developed as a dependent function of the motion signal, and ii. a sensor independent mode wherein the motion sensor is unpowered and the vestibular stimulation signals, if any, are developed independently of the motion signal.

Abstract: A stimulation system and method for providing training therapy to a human subject having a weakened voice includes an activating switch configured to generate a first signal, and a processor configured to receive the first signal from the sensing electrode and to generate at least one stimulation parameter based on the first signal. The system further includes a stimulating electrode configured to receive the stimulation parameter from the processor and to activate a recurrent laryngeal nerve or vagus nerve of the subject in response to the stimulation parameter.

Abstract: The invention relates to an electrode arrangement and a measuring device for measuring the action flow and/or the action potential of an electrically active tissue. The aim of the invention is to provide a simple and economically producible electrode for measuring action flows and/or action potentials in electrically active tissues (preferably the stapedius muscle tissue), ensuring that the electrode is fixed securely, but reversibly, in the muscle tissue and that the muscle tissue is disturbed as little as possible. The electrode arrangement according to the invention comprises a first electrode (2) and a fixing element (3), the first electrode (2) being connected to a first, long electrical line (4) and consisting of a long base body (6) comprising a first end (7) and a second end (8). The first electrical line (4) is connected to the base body (6) in the region of the second end (8) thereof, and means are provided for reversibly fixing the fixing element (3) to the first electrode (2).

Abstract: An implantable microphone for use in hearing systems includes a housing having a sidewall, a first membrane coupled to a top portion of the housing and configured to move in response to movement from an auditory ossicle, and a second membrane coupled to the sidewall such that an interior volume of the housing is divided into a first volume and a second volume. The second membrane has an opening that permits fluid to flow from the first volume to the second volume. The implantable microphone also includes a vibration sensor adjacent to the second membrane and configured to measure the movement of the second membrane and to convert the measurement into an electrical signal. The vibration sensor may include a piezoelectric sensor and/or a MEMS sensor.

Abstract: An audio-cochlear implant processor device for a hearing impaired listener is described. An input signal decoder decodes an audio input data signal into a corresponding multi-channel audio signal representing multiple audio objects. An audio processor adjusts the multi-channel audio output based on user-specific hearing impairment characteristics to produce a processed audio output to a cochlear implant audio processor with auditory scene analysis (ASA) cues for the hearing impaired listener.

Abstract: A cochlear implant device includes an electrode shell for insertion into a fixed position in cochlear tissue. The electrode shell includes an interior volume that partially encases an implant electrode so that its electrode contacts are exposed for delivering electrical stimulation signals to the cochlear tissue. The electrode shell allows insertion and removal of the implant electrode with minimal trauma to the cochlear tissue.

Abstract: An electrode arrangement is described for sensing electrical activity in target tissue. An inner electrode has an elongate electrode body formed as a cylindrical section with an inner penetrating end for insertion into the stapedius muscle target tissue. An outer electrode fits over the inner electrode and an outer penetrating end for insertion into the target tissue. The two electrodes are joined together with their electrode bodies in parallel so that the penetrating ends of the electrodes penetrate in the same direction into the target tissue to sense electrical activity in the target tissue.