Abstract: A signal processing arrangement for a cochlear implant system is described. A sensing microphone senses an acoustic signal to generate a corresponding electrical sound signal. An information detection circuit performs spectral analysis on the sound signal to identify the presence of speech information. A sound signal processing circuit generates an implant communications signal for the cochlear implant system based on the sound signal, and has an energy saving operational mode wherein the implant communications signal is generated only when the information detection circuit identifies that speech information is present in the sound signal.

Abstract: A low-power implant system. The system includes an implant for implantation into a person, such as a cochlear implant or a middle ear implant. The implant is capable of communicating with a device via transmission of ultra wideband pulses. The device may be adapted to be worn external to the person, or may be a second implant. So as to conserve battery power, the transmitted ultra wideband pulses may have a low duty cycle of approximately 1/1000 or less. Power savings may also be realized by using time-gating amplifiers in the implant and/or device receiver.

Abstract: A signal processing system is described for a cochlear implant. A pre-processor filter bank processes an acoustic audio signal to generate band pass signals which represent associated bands of audio frequencies. An information extraction module defines macro bands, each of which characterizes multiple band pass signals, and processes the macro bands in a sequence of sampling intervals. For each sampling interval the information extraction module processing includes: i. extracting timing and energy information from each band pass signal to form requested stimulation events, ii. decimating the requested stimulation events to select a maximum energy band pass signal within each macro band, and iii. decimating each selected band pass signal based on a pulse selection inhibition function and preserving temporal and spectral structures of the band pass signals so as to generate stimulation event signals.

Abstract: A novel electrode array is described for ear implant systems such as cochlear implants (CI) and vestibular implants (VI). The electrode array includes electrode wires for carrying electrical stimulation signals. At a terminal end of each electrode wire is an electrode stimulation contact for applying the electrical stimulation signals to adjacent neural tissue. An electrode carrier of resilient material encases the electrode wires and has an outer surface with a plurality of contact openings exposing the stimulation contacts. Multiple bend control elements are distributed along the length of the electrode array to control bending flexibility of the electrode array as a function of a bend radius threshold to be greater for bending less than the bend radius threshold and lesser for bending greater than the bend radius threshold.

Abstract: An implantable drug delivery accessory is described. A middle ear guide member has a hollow interior enclosed by a non-permeable outer surface. A proximal end of the middle ear guide member is fixed to the tympanic membrane of an implanted patient. A distal end of the middle ear guide member penetrates through a fluid-tight sealed opening into the inner ear. An inner ear holding member has a proximal end connected to the distal end of the middle ear guide member at the sealed opening and a closed distal end terminating the inner ear holding member some predetermined distance within the cochlea. A hollow interior of the inner ear holding member contains a replaceable drug delivery member which stores a therapeutic drug. A semi-permeable outer surface of the inner ear holding member is connected to a cochlear implant electrode and adapted to release therapeutic drug from the hollow interior into adjacent tissue.

Abstract: A cochlear implant system is described which includes an electrode array for implantation in the scala tympani of a cochlea. Electrodes on the outer surface of the electrode array apply electrode stimulation signals to nearby neural tissue. An implantable stimulator module develops the electrode stimulation signals. The electrode stimulation signals have different waveforms. A basal waveform for one or more electrodes at the basal end of the electrode array has the form of a sequence of conventional high-amplitude short-duration electrode stimulation signals. An apical waveform for one or more electrodes at the apical end of the electrode array has the form of a sequence of lower-amplitude longer-duration electrode stimulation signals. The apical waveform is adapted to selectively stimulate peripheral neural processes towards the apical end of the electrode array so as to provide a tonotopic place-pitch response to the electrode stimulation signals.

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 novel electrode array is described for ear implant systems such as cochlear implants (CI) and vestibular implants (VI). The electrode array includes electrode wires for carrying electrical stimulation signals. At a terminal end of each electrode wire is an electrode stimulation contact for applying the electrical stimulation signals to adjacent neural tissue. An electrode carrier of resilient material encases the electrode wires and has an outer surface with a plurality of contact openings exposing the stimulation contacts. A bend control element is helically wound along a portion of the electrode array to control bending flexibility of the electrode array as a function of a bend radius threshold.

Abstract: An implantable device includes an implantable housing having an outer surface and providing a hermetically sealed interior volume. A flexible electric lead is mechanically connected to the housing and electrically connected to circuitry within the interior volume. An impact protector overlies at least a portion of the outer surface of the housing and shields the underlying housing surface from the force of a mechanical impact. At least a portion of the impact protector may include an electrode electrically connected to the circuitry within the interior volume.

Abstract: A method of developing a weighting matrix for a cochlear implant patient is described. An electrode stimulus signal is derived from a first musical signal. A set of further stimulus signals is derived that have a defined musical relation to the first musical signal. A set of weighting values are selected for the stimulation electrodes for the electrode stimulus signal. Then the weighting values are set for the stimulation electrodes for each of the further stimulus signals. Each of the stimulus signals is consecutively presented to the patient and the weighting values individually adjusted for each of the further stimulus signals until the series of stimulus signals elicits an increasing pitch percept according to the defined musical relation. The adjusted weighting values are stored and assigned to a corresponding analysis channel.

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.

Abstract: A system and method are described for determining an estimated neural response in a hybrid acoustic-electrical audio prosthesis. Target nerve tissue such as remaining hair cells and cochlear nerve tissue receive synchronized electric and acoustic stimulation signals which are recorded and processed to determine an artifact canceled estimated neural response.

Abstract: An artifact monitoring stimulation system and corresponding method are described. An implantable electrode stimulator applies an electrical stimulation pulse to target tissue using implantable electrode contacts. An artifact monitor module monitors the electrode contacts during and after the stimulation pulse to observe an artifact signal resulting from the stimulation pulse to determine a operating characteristic associated with the stimulation system, the stimulated tissue and/or electrode-electrolyte interface properties.

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 system and method of signal processing for a hearing implant. The hearing implant includes at least one electrode, each electrode associated with a channel specific sampling sequence. An acoustic audio signal is processed to generate for each electrode a band pass signal representing an associated band of audio frequency. For each electrode, a sequence signal is determined as a function of the electrode's associated band pass signal and channel specific sampling sequence. An envelope of each band pass signal is determined. The envelope of each band pass signal is filtered to reduce modulations resulting from unresolved harmonics, creating for each electrode an associated filtered envelope signal. Each electrode's sequence signal is weighted based, at least in part, on the electrode's associated filtered envelope signal.

Abstract: A method of sensing vibrations in the middle ear is presented. The method includes implanting a transducer in the middle ear. The transducer measures vibration, within a predetermined frequency range, of at least one component of the middle ear. The transducer has a resonance frequency within the predetermined frequency range, and further has a limited frequency response in a portion of the frequency range. The implanting includes operatively coupling the implant to the at least one component of the middle ear such that the limited frequency response of the transducer is complimentary to, and compensated by, the frequency characteristics of the at least one component of the middle ear.

Abstract: A middle ear prosthesis device and corresponding implantation procedure are described. A sensing microphone converts an acoustic audio signal into a corresponding electrical audio signal. A sensing amplifier amplifies the electrical audio signal. An audio transducer converts the amplified electrical audio signal into a corresponding amplified acoustic audio signal. An acoustic waveguide conducts the amplified acoustic audio signal from the audio transducer to the middle ear and includes: i. a main tubular portion having an outer end for placement in the outer ear canal and an inner end for placement in the middle ear, and ii. an extension portion having an outer end coupleable to the audio transducer and an inner end coupleable to the outer end of the main tubular portion.

Abstract: A system and method of operating an implant system having an external portion and an implanted portion. The external portion includes a first magnet and a power signal transmission module for transmitting an electrical power signal across the skin of a user. The implanted portion including a second magnet, a receiver module for receiving the power signal across the skin of a user, a Hall Sensor, a switch, and a battery. The method includes externally orientating and/or positioning the first magnet in a first arrangement, such that the external portion is held in place on the user based substantially on a magnetic force between the first magnet and the second magnet, and such that the power signal transmission module is aligned with the receiver module and the receiver module receives the power signal. The first magnet is orientated and/or positioned in a second arrangement, such that the first magnet applies a magnetic field that is sensed by the Hall Sensor.

Abstract: A signal processing circuit is provided that includes a CMOS bridge rectifier circuit having a first input terminal and a second input terminal for receiving a rectangular wave form that includes a data sequence. A first output terminal and a second output terminal provides a rectified dc output voltage. A first data output terminal is connected to one of the first and the second input terminals, and a second data output terminal is connected to one of the first and the second output terminals, wherein the data output terminals provide an output signal representative of the data sequence. A substantially resistive load may be operatively coupled between the first and second voltage output terminals, the resistive load without a discrete parallel capacitor.

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.