Abstract: A bone conduction hearing aid system includes a hearing aid housing with a hearing aid vibrator. A skin interface has an interface connector offset on an outer interface surface and detachably connected to a housing connector. A skin adhesive connects to the skin of a patient user to transmit the sound vibrations through the skin to underlying skull bone for transmission by bone conduction to a hearing organ of the user. When the skin adhesive is pressed against the skin of the user, the skin is initially engaged during an initial engagement period with an initial adhesive force that promotes removal and relocation of the skin interface, and the skin is fully engaged after the initial engagement period with a full adhesive force greater than the initial adhesive force that promotes a fixed secure connection that resists removal of the skin interface.

Abstract: A fluid delivery system for delivering fluid to an inner ear of a subject includes a septum configured to be embedded in the inner ear or on a promontory bone of the subject, a spear connector having a needle for insertion into the septum, a catheter in fluid communication with the spear connector, a fixation device configured to secure the septum to the inner ear or the promontory bone.

Abstract: A method and apparatus for using low levels of electrical stimulation to treat focal dystonia by stimulating the afferent nervous system and/or altering the function of the gamma motor neurons innervating muscles which experience symptomatic spasms.

Abstract: A loading spring has an inner end that engages the outer end of a middle ear transducer, an outer end that engages a fixed anatomical structure within the middle ear of the recipient patient, and a center of mass located on a common line between the inner end and the outer end. The loading spring also has an s-shape with a central spring axis along the common line. And the loading spring is configured for displacement of the inner end and the outer end along the central spring axis to fit the loading spring between the transducer and the fixed anatomical structure with a loading force that is within a defined range and entirely along a center axis of the middle ear transducer and the central spring axis.

Abstract: A coupling device for a middle ear implant includes a transducer end configured to engage an implantable electromechanical transducer, a bone engagement end configured to engage a temporal bone surface of a recipient patient, a planar loading spring located between the transducer end and the bone engagement end and configured for compression by displacement of the transducer end and the bone engagement end in towards each other, and compression indicators configured to provide visual indication of a pre-load force created on the temporal bone surface by the compression of the loading spring.

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: A cochlear implant electrode arrangement is described that prevents post-surgical retraction of the electrode array from the cochlea. The arrangement includes an electrode lead that carries cochlear stimulation signals from an implanted signal processor, through an oval shaped posterior tympanotomy opening in the facial recess of a patient, to an electrode array implanted in a cochlea of the patient. A retraction limiter slides over the electrode lead through the posterior tympanotomy with projection arms aligned along the long diameter of the posterior tympanotomy, then is rotated to align the projection arms along the short diameter of the posterior tympanotomy, and secured to the electrode lead so that the projection arms prevent post-surgical retraction of the electrode lead back through the posterior tympanotomy.

Abstract: A system and method for the evaluation of hearing implant signal processing is described. A cochlear implant signal processor converts a speech signal input into multi-channel stimulation pulse sequences for a cochlear implant electrode array. A temporal feature processing module extracts temporal feature information from the stimulation pulse sequences. A speech recognition engine evaluates the temporal information using automatic speech recognition to produce speech recognition outputs corresponding to the speech signal input.

Abstract: A signal processing arrangement generates electrode stimulation signals to stimulation contacts in a cochlear implant electrode array. A signal filter bank transforms an input sound signal into band pass signals, which each represent an associated frequency band of audio frequencies. A signal processing module processes the band pass signals in a sequence of sampling time frames, wherein for each time frame, the processing includes performing a spectral feature analysis of the band pass signals, and dynamically assigning a stimulation focus pattern to one or more of the band pass signals based on the spectral feature analysis. A stimulation coding module is configured to code the processed band pass signals for each time frame to produce the electrode stimulation signals for delivery by the stimulation contacts to a region of adjacent auditory neural tissues.

Abstract: An implantable hearing aid system is disclosed. The system has an external transmitter device and an implantable receiver device, and includes a skin interface to connect the external transmitter device to the head of a user. There is a transmitter connector on the external transmitter device and an interface connector on the skin interface to form a coupling between the skin interface and the external transmitter device to enable connection and disconnection of the external transmitter device to and from the skin interface. The skin interface has an adhesive surface facing the skin so that it can be adhered to the skin on the head of the user. The implantable receiver device has an implant stimulator to stimulate a hearing organ. Sound information is transmitted from the external transmitter device to the implantable receiver device that stimulates the hearing organ of the user.

Abstract: A bone conduction hearing aid system includes a hearing aid housing with a hearing aid vibrator. A skin interface has an interface connector offset on an outer interface surface and detachably connected to a housing connector. A skin adhesive connects to the skin of a patient user to transmit the sound vibrations through the skin to underlying skull bone for transmission by bone conduction to a hearing organ of the user. When the skin adhesive is pressed against the skin of the user, the skin is initially engaged during an initial engagement period with an initial adhesive force that promotes removal and relocation of the skin interface, and the skin is fully engaged after the initial engagement period with a full adhesive force greater than the initial adhesive force that promotes a fixed secure connection that resists removal of the skin interface.

Abstract: A sound processing arrangement is described for a patient with a bilateral cochlear implant system having implanted electrode arrays in each ear. There is a left-side sensing microphone and a right-side sensing microphone, each configured for sensing the sound environment surrounding the patient and generating corresponding microphone signals. A sound object identification module is configured for analyzing the microphone signals to identify one or more sound objects within the sound environment. A sound object selection module is configured for processing the microphone signals to generate a sound object signal for each of the one or more sound objects. A stimulation side selector module is configured for selecting on which side or sides of the bilateral cochlear implant arrangement to process each sound object signal. One or more sound processors processes the sound object signals to generate stimulation signals to the implanted electrode arrays on the selected side or sides.

Abstract: An electrode guide bridge is used for inserting a cochlear implant electrode into a cochlea scala of a patient cochlea. An electrode holder encloses at least a portion of a cochlear implant electrode while allowing the electrode to slide freely without friction. A pointed distal tip of the electrode holder is sized to fit within a posterior tympanotomy during electrode insertion surgery and into an electrode opening in an outer surface of the patient cochlea without entering the cochlea scala to prevent an apical tip of the enclosed electrode from contacting tissues around the electrode opening during the insertion surgery.

Abstract: An insertion system for inserting an implantable electrode carrier includes an insertion instrument having a housing with a proximal end and a distal end, and a vibration generator coupled adjacent to the housing. The proximal end is configured to hold the implantable electrode carrier. The vibration generator is configured to generate vibrations in at least a portion of the electrode carrier.

Abstract: Arrangements are described for assessing potential fitting processes for a cochlear implant patient. A test stimulation sequence at a given test frequency is delivered to the cochlear implant patient. The test stimulation sequence includes jittered stimulation periods when the test frequency varies due to a jitter variation component, and unjittered stimulation periods when the test frequency is constant without a jitter variation component. At least two different responses of the cochlear implant to the test stimulation sequence are measured in parallel. The different responses include an objective electrophysiological response, and a subjective psychophysical response. A correlation between the different responses is evaluated to determine an appropriate fitting process for the cochlear implant patient.

Abstract: An implantable transducer converts an electrical stimulation signal into a corresponding mechanical stimulation signal. The transducer has an elongated shape with a transducer end face having a transducer drive surface adapted to produce the mechanical stimulation signal, and a transducer adhesive feature adapted to intra-operatively receive adhesive material. A separate coupling cap has a coupling end face with a coupling adhesive feature adapted to engage the transducer adhesive feature with the adhesive material and a coupling drive surface adapted for distortion-free coupling of the mechanical stimulation signal from the transducer drive surface to the coupling cap. A signal delivery surface of the coupling cap delivers the mechanical stimulation signal to an adjacent cochlear surface for sensation as sound.

Abstract: A method of determining insertion status of a cochlear implant electrode array into a cochlea of a patient is provided. The method includes measuring conductivity associated with an electrode in the electrode array. Insertion status of the electrode is determined based, at least in part, on the measured conductivity.

Abstract: An external component for a bone conduction hearing implant is described. An external housing contains an electromagnetic drive coil, a coil core, and at least one spacer container located adjacent to one of the longitudinal ends of the coil core and configured to hold an optional removable spacer piece. The coil core and any pole pieces and side pieces are configured to magnetically interact with an implant magnet in the bone conduction transducer in the absence of electrical current in the drive coil to hold the external housing in the fixed attachment on the skin of the hearing implant patient over the bone conduction transducer. And electrical current in the drive coil magnetically interacts with the coil core and any pole pieces and side pieces to generate the implant communication signals to the implant magnet to create a mechanical vibration signal in the bone conduction transducer for perception by the patient as sound.

Abstract: A hearing aid attachment system includes a positioning tool and an interconnection unit. An upper surface of the interconnection unit has a second shape that matches a corresponding first shape of a cavity in the lower surface of the positioning tool so that the upper surface fits into the cavity with a second front surface of the positioning tool against and radially outside the front side of the interconnection unit, with the connection portion of the positioning tool connected to the connecting portion of the interconnection unit. The positioning tool is further configured to be removable from the interconnection unit without removing the interconnection unit from the skin.

Abstract: A method is described for delivering stimulation signals in an implantable multichannel neuro-stimulating device such as a cochlear implant. A stimulation channel is selected for delivering a data stimulation signal. One or more desensitization channels spatially adjacent to the stimulation channel are also selected. One or more non-data desensitization signals are delivered on the desensitization channels during a desensitization period before delivery of the data stimulation signal, and then the data stimulation signal is delivered on the stimulation channel. The stimulation channel may be blanked to prevent stimulation signals during a sensitization period before delivering the data stimulation signal.