Abstract: A method for treating a human subject having unilateral vocal cord paralysis includes providing a stimulating electrode configured to directly contact a recurrent laryngeal nerve or vagus nerve of the subjects, sensing electrical activity of a synkinetically reinnervated dysfunctional muscle of the subject, generating at least one stimulation parameter, using a processor, based on the sensed electrical activity, and stimulating the recurrent laryngeal nerve or vagus nerve, using the stimulating electrode, based on the at least one stimulation parameter. A system is also provided.

Abstract: A method is described to implant a cochlear implant electrode into a cochlea having a single internal cavity defined by an outer cavity wall. An implantable electrode array is made of a resilient electrode carrier material and has an outer surface with one or more stimulation contacts for delivering the electrical stimulation signals to adjacent neural tissue. A distal end of the electrode array is attached to an insertion line made of a line material different from the electrode carrier material. The distal end of the electrode array is inserted through a single cochleostomy opening into the cochlea while an extra-cochlear end of the insertion line is held outside the cochleostomy opening. The remainder of the electrode array is inserted through the cochleostomy opening into the cochlea while continuing to hold the extra-cochlear end outside the cochlea to maneuver all of the stimulation contacts against the outer cavity wall.

Abstract: An implantable fluid delivery system for use in hearing systems includes an implantable fluid pump having a fluid chamber having at least one wall with a membrane, an inlet and an outlet in fluid communication with the fluid chamber, and a floating mass transducer coupled to the membrane. The membrane is configured to move in a first direction increasing a volume of the fluid chamber and to move in a second direction decreasing the volume of the fluid chamber, and the floating mass transducer is configured to cause the membrane to move in the first and second directions. The system further includes an implantable hearing device having one or more fluid channels in fluid communication with the fluid pump.

Abstract: A cochlear implant arrangement is described for creating sound perception in an implanted patient. An implant electrode contains electrode wires for carrying stimulation signals to corresponding electrode contacts distributed along a length of an outer surface of an apical electrode array section of the implant electrode. An apical portion of the electrode array is characterized by a tendency to fold back against a more basal section of the electrode array when inserted into a cochlea of the patient. An implantable stimulation processor produces the stimulation signals such that each electrode contact, including any in a folded back portion, delivers stimulation signals for a frequency band defined based on a function of spatial spread of stimulation voltage and correctly associated with tonotopic frequency response of the adjacent neural tissue.

Abstract: Approaches are described for fitting an implanted cochlear implant electrode array having stimulation electrodes to the implanted patient. A first unfit stimulation electrode is fit to the patient by determining a most comfortable loudness (MCL) value. Then an MCL value is determined for each remaining unfit stimulation electrode starting from an initial fitting current based on current spread characteristics of at least one already fit stimulation electrode.

Abstract: An implantable stimulation device is described which includes a flexible carrier member for implantation adjacent to target neural tissue. Carrier wires are embedded within the carrier member for conducting electrical signals. At least one active interface device also is within the carrier member and includes a hermetically sealed device housing without penetration by any electrical conductor, an active interface element within the device housing, an inductive link arrangement providing an electrical connection between the active interface element and a terminal end of one of the carrier wires, and an outer interface surface adjacent to the target neural tissue that provides a communication link between the adjacent target neural tissue and the active interface element.

Abstract: An implantable electrode arrangement for a cochlear implant system is described that prevents post-surgical retraction of the electrode. The arrangement includes at least one retraction limiter having an extracochlear portion located at a distal end of the extracochlear electrode lead and an intracochlear portion located at a proximal end of the intracochlear electrode array and made at least in part of a swellable material that expands in response to fluid contact. The intracochlear portion of the retraction limiter is adapted for deformation away from an outer surface of the array proximal end in response to exposure of the swellable material to perilymph fluid within the cochlea after surgical insertion of the electrode array into the implanted cochlea so as to form an anti-retraction projection preventing post-surgical retraction of the array proximal end back through the electrode opening in the outer surface of the implanted cochlea.

Abstract: A cochlear implant arrangement includes an implant electrode having electrode contacts for delivering to adjacent neural tissue electrode stimulation signals for a defined frequency band reflecting tonotopic organization of the cochlea. An implantable stimulation processor is coupled to the implant electrode for producing the electrode stimulation signals. At least one of the electrode contacts is deactivated based on current spread overlap and an electrode masking function of long term average spectra data to avoid delivering electrode stimulation signals to an electrode contact masked by an adjacent electrode contact.

Abstract: A coil arrangement is described for an implantable medical system. A coil winding has a planar ring shape winding that encloses a coil interior area. The coil winding is adapted for placement parallel to a corresponding partner coil for communication of an implant link signal having an associated magnetic field component characterized by a coupling factor k representing fractional amount of magnetic field coupling between the coils. A coil coupling lens of magnetic conductive material has multiple lens surfaces and is adapted to shape the magnetic field component to increase the coupling factor and minimize self-heating of adjacent tissues due to the magnetic field component. The lens surfaces include: i. an inner lens surface lying substantially parallel to the plane of the ring shape winding and having an inner lens surface perimeter enclosed within the coil interior area, ii.

Abstract: An electro-magnetic transducer assembly includes a first component. The first component includes at least one magnet, and optionally a first attachment mechanism for attaching the first component to a vibrating structure. A coil assembly includes a second attachment mechanism for removably attaching the coil assembly to the first component. The coil assembly further includes at least one coil that produces a signal representative of the vibration of the at least one magnet. An output port provides the signal.

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 cochlear implant electrode includes an implantable array carrier made of flexible material with electrode contacts distributed on its outer surface along a longitudinal axis. Electrode wires are embedded within the array carrier, each electrode wire having a terminal end electrically connected to a corresponding electrode contact for applying electrical stimulation signals carried by the electrode wires to adjacent neural tissue within the cochlea. Each electrode wire has an inner non-crystal conductive material surrounded by a flexible outer seal. The flexible material of the array carrier is configured to be reactive with the non-crystal conductive material of the electrode wires so that if a break occurs in the outer seal of an electrode wire that allows contact between the flexible material and the non-crystal conductive material, then a local leakage seal will form at the break that resists migration of the non-crystal conductive material to the outer surface of the array carrier.

Abstract: A system and method is provided for activating electrodes in a multi-channel electrode array having electrodes that are spatially divided. At least one pulse for stimulating a single electrode of the electrode array is determined. Each of the pulses is converted into a plurality of pulses for stimulating a plurality of electrodes in the electrode array.

Abstract: An arrangement for operating a cochlear implant system is described. Stimulation signals are applied to stimulation electrodes in a cochlear implant electrode with an initial signal format using biphasic electrical stimulation pulses. One or more undesired somatic responses to the stimulation pulses are identified. The one or more undesired somatic responses are reduced by selecting an adapted signal format using charge-balanced triphasic electrical stimulation pulses to apply stimulation signals to one or more of the stimulation electrodes.

Abstract: A system and method of treating hyperactivity of an eyelid closing muscle in a subject includes providing a stimulation system in the subject with the hyperactivity of the eyelid closing muscle, sensing an activity of the eyelid closing muscle, 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 external processor device is described for a hearing implant system. An external processor housing has a generally planar skin contacting surface and a central axis perpendicular to the skin contacting surface. A signal processor is located within the processor housing for developing an implant data signal. The processor housing also contains a transmitter coil for coupling the implant data signal across the skin to the implantable prosthetic system. A battery container forms an annular compartment around the central axis and contains a battery arrangement to provide electrical power to the signal processor and the transmitter coil.

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: Electrode stimulation signals are generated for an implanted electrode array. An acoustic audio signal is processed with a bank of filters that are each associated with a band of audio frequencies, and a set of band pass signals is generated with each band pass signal corresponding to the band of frequencies associated with one of the filters. Stimulation information is extracted from the band pass signals to generate a set of stimulation event signals defining electrode stimulation signals. Then the stimulation event signals are weighted with a weighted matrix of stimulation amplitudes reflecting patient-specific perceptual characteristics to produce a set of electrode stimulation signals for electrodes in the implanted electrode array.

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 includes providing an electrode having a plurality of contacts, stimulating a central part of a facial nerve with the plurality of contacts in order to improve at least some muscle volume and/or strength in a facial region, and stimulating one or more of the plurality of contacts in order to maintain the muscle volume and/or strength in a desired facial muscle. Another method for stimulating facial nerves in a subject includes providing an electrode having a plurality of contacts in an ear of the subject, stimulating one or more of the plurality of contacts separately in order to determine which contacts activate which facial muscles, 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.