Abstract: Methods of optimizing stimulation current applied to a cochlear implant patient include determining a plurality of narrowband spectral modulation detection thresholds for the patient and adjusting a stimulation current applied to the patient in accordance with the narrowband spectral modulation detection thresholds. Systems for optimizing stimulation current applied to a cochlear implant patient include an electrode array having a plurality of electrodes disposed thereon, an implantable cochlear stimulator coupled to the electrode array and configured to apply a stimulation current to one or more locations along a cochlea of a patient via one or more of the electrodes, and a fitting station communicatively coupled to the implantable cochlear stimulator. The fitting station is configured determine a plurality of narrowband spectral modulation detection thresholds and adjust the stimulation current in accordance with the narrowband spectral modulation detection thresholds.

Abstract: Systems for fitting an implantable cochlear stimulator to a patient include an interface unit configured to display a graphical representation of an implant fitting line as part of a graphical user interface. The implant fitting line has a slope and a horizontal position and represents a mapping relationship between a plurality of audio frequencies and a plurality of stimulation sites within a cochlea of the patient. The interface unit is further configured to facilitate adjustment of the slope and/or horizontal position of the fitting line.

Abstract: Sound processing strategies for use with cochlear implant systems utilizing simultaneous stimulation of electrodes are provided. The strategies include computing a frequency spectrum of a signal representative of sound, arranging the spectrum into channels and assigning a subset of electrodes to each channel. Each subset is stimulated so as to stimulate a virtual electrode positioned at a location on the cochlea that corresponds to the frequency at which a spectral peak is located within an assigned channel. The strategies also derive a carrier for a channel having a frequency that may relate to the stimulation frequency so that temporal information is presented. In order to fit these strategies, a group of electrodes is selected and the portion of the current that would otherwise be applied to electrode(s) having a partner electrode in the group is applied to the partner electrode.

Abstract: An exemplary auditory prosthesis system includes an auditory prosthesis configured to be implanted within a head of a patient and to apply electrical stimulation representative of an audio signal to one or more stimulation sites within the patient in accordance with one or more stimulation parameters, a behind-the-ear sound processing unit configured to be secured to an ear of the patient and to transmit the one or more stimulation parameters to the auditory prosthesis, and a remote audio processor module separate from the behind-the-ear sound processing unit and communicatively coupled to the behind-the-ear sound processing unit via a communication link, the remote audio processor module configured to perform at least a portion of a signal processing heuristic on the audio signal in order to facilitate generation of the one or more stimulation parameters. Corresponding systems and methods are also disclosed.

Abstract: Errors in pitch (frequency) allocation within a cochlear implant are corrected in order to provide a significant and profound improvement in the quality of sound perceived by the cochlear implant user. In one embodiment, the user is stimulated with a reference signal, e.g., the tone “A” (440 Hz) and then the user is stimulated with a probe signal, separated from the reference signal by an octave, e.g., high “A” (880 Hz). The user adjusts the location where the probe signal is applied, using current steering, until the pitch of the probe signal, as perceived by the user, matches the pitch of the reference signal, as perceived by the user. In this manner, the user maps frequencies to stimulation locations in order to tune his or her implant system to his or her unique cochlea.

Abstract: An exemplary method of representing different spectral components of an audio signal presented to a cochlear implant patient includes identifying one or more spectral peaks of an audio signal presented to a cochlear implant patient, applying electrical stimulation representative of the one or more spectral peaks to at least one stimulation site within the cochlear implant patient using a partial multipolar stimulation configuration, and applying electrical stimulation representative of one or more other spectral components of the audio signal to at least one other stimulation site within the cochlear implant patient using a monopolar stimulation configuration. Corresponding methods and systems are also disclosed.

Abstract: An exemplary method of reducing an effect of ambient noise within an auditory prosthesis system includes dividing an audio signal presented to an auditory prosthesis patient into a plurality of analysis channels each containing a frequency domain signal representative of a distinct frequency portion of the audio signal, determining a signal-to-noise ratio and a noise reduction gain parameter based on the signal-to-noise ratio for each of the frequency domain signals, applying noise reduction to the frequency domain signals in accordance with the determined noise reduction gain parameters to generate a noise reduced frequency domain signal corresponding to each of the analysis channels, and generating one or more stimulation parameters based on the noise reduced frequency domain signals and in accordance with at least one of a current steering stimulation strategy and an N-of-M stimulation strategy. Corresponding methods and systems are also disclosed.

Abstract: An exemplary method of dynamically adjusting an amount of noise reduction applied in an auditory prosthesis system includes dividing an audio signal presented to a patient into a plurality of analysis channels each containing a signal representative of a distinct frequency portion of the audio signal, determining an overall noise level of the signals within the analysis channels, and dynamically adjusting an amount of noise reduction applied to the signals within the analysis channels in accordance with the determined overall noise level. The dynamic adjustment of noise reduction is configured to minimize the amount of noise reduction applied to the signals within the analysis channels if the overall noise level is less than a predetermined minimum threshold. Corresponding methods and systems are also disclosed.

Abstract: An exemplary method includes an implantable stimulator simultaneously applying stimulation current to a stimulation site within a patient via at least one stimulating electrode and compensating current via one or more additional electrodes of opposite polarity as the at least one stimulating electrode and dynamically adjusting the simultaneously applied compensating current as a function of a stimulation level of the stimulation current by increasing a stimulation level of the compensating current if the stimulation level of the stimulation current decreases and decreasing the stimulation level of the compensating current if the stimulation level of the stimulation current increases. Corresponding methods and systems are also disclosed.

Abstract: Errors in pitch (frequency) allocation within a cochlear implant are corrected in order to provide a significant and profound improvement in the quality of sound perceived by the cochlear implant user. In one embodiment, the user is stimulated with a reference signal, e.g., the tone “A” (440 Hz) and then the user is stimulated with a probe signal, separated from the reference signal by an octave, e.g., high “A” (880 Hz). The user adjusts the location where the probe signal is applied, using current steering, until the pitch of the probe signal, as perceived by the user, matches the pitch of the reference signal, as perceived by the user. In this manner, the user maps frequencies to stimulation locations in order to tune his or her implant system to his or her unique cochlea.

Abstract: An adaptive place-pitch ranking procedure for use with a cochlear implant or other neural stimulation system provides a systematic method for quantifying the magnitude and direction of errors along the place-pitch continuum. The method may be conducted and completed in a relatively short period of time. In use, the implant user or listener is asked to rank the percepts obtained after a sequential presentation of monopolar stimulation pulses are applied to a selected spatially-defined electrode pair. The spatially-defined electrode pair may be a physical electrode pair or a virtual electrode pair. A virtual electrode pair includes at least one virtual electrode contact. Should the patient's judgment of pitch order be correct for all applied interrogations, then no further testing involving the tested electrode pair (two electrode contacts) is undertaken.

Abstract: An adaptive place-pitch ranking procedure for use with a cochlear implant or other neural stimulation system provides a systematic method for quantifying the magnitude and direction of errors along the place-pitch continuum. The method may be conducted and completed in a relatively short period of time. In use, the implant user or listener is asked to rank the percepts obtained after a sequential presentation of monopolar stimulation pulses are applied to a selected spatially-defined electrode pair. The spatially-defined electrode pair may be a physical electrode pair or a virtual electrode pair. A virtual electrode pair includes at least one virtual electrode contact. Should the patient's judgment of pitch order be correct for all applied interrogations, then no further testing involving the tested electrode pair (two electrode contacts) is undertaken.

Abstract: Methods of automatically identifying whether a neural recording signal includes a neural response signal include fitting an artifact model to a neural recording signal to produce a fitted artifact model signal, determining a strength-of-response metric that describes a distance of the neural recording signal from the fitted artifact model signal, and identifying the neural recording signal as including a neural response signal if the strength-of-response metric is above a pre-determined threshold. Corresponding systems are also described.

Abstract: Errors in pitch (frequency) allocation within a cochlear implant are corrected in order to provide a significant and profound improvement in the quality of sound perceived by the cochlear implant user. In one embodiment, the user is stimulated with a reference signal, e.g., the tone “A” (440 Hz) and then the user is stimulated with a probe signal, separated from the reference signal by an octave, e.g., high “A” (880 Hz). The user adjusts the location where the probe signal is applied, using current steering, until the pitch of the probe signal, as perceived by the user, matches the pitch of the reference signal, as perceived by the user. In this manner, the user maps frequencies to stimulation locations in order to tune his or her implant system to his or her unique cochlea.

Abstract: Psychophysical tests are administered to cochlear implant (CI) users to determine a spectral modulation transfer function (SMTF), smallest detectable spectral contrast as a function of spectral modulation frequency, for each individual CI user. The determined SMTF for individual CI user is compared against a SMTF of a normal hearing person to determine the specific enhancements needed. A profile of spectral enhancement achievable with variation of filter parameters, sigma and maximum that best fits the needed enhancements for the individual CI user is selected. Based on the corresponding sigma and maximum selected, a sound processing strategy is adjusted to provide customized spectral contrast enhancement for the individual CI user. The sound processing strategy implemented includes an outer hair cell model.

Abstract: Systems for fitting an implantable cochlear stimulator to a patient include an interface unit configured to display a graphical representation of an implant fitting line as part of a graphical user interface. The implant fitting line has a slope and a horizontal position and represents a mapping relationship between a plurality of audio frequencies and a plurality of stimulation sites within a cochlea of the patient. The interface unit is further configured to facilitate adjustment of the slope and/or horizontal position of the fitting line.

Abstract: Exemplary cochlear implant systems include an implantable head module configured to be implanted within a head of a patient. The implantable head module includes a cochlear stimulator configured to be coupled to an electrode lead, the electrode lead including one or more electrodes configured to be in communication with one or more stimulation sites within the patient. The implantable head module also includes a signal receiver configured to receive a telemetry signal representative of an audio signal from a signal transmitter located external to the patient, a sound processor configured to process the telemetry signal and direct the cochlear stimulator to generate and apply electrical stimulation representative of the audio signal to the one or more stimulation sites via the electrode lead, and a power receiver configured to receive power for operating the implantable head module from a power transmitter located external to the patient.

Abstract: Methods of applying stimulation to a stimulation site within a patient include applying stimulation current to the stimulation site via at least one stimulating electrode, applying compensating current configured to affect at least one excitation field caused by the stimulation current via one or more additional electrodes, and dynamically adjusting the compensating current as a function of an amplitude of the stimulation current. Systems for applying stimulation to a stimulation site within a patient include an implantable stimulator, at least one stimulating electrode electrically coupled to the implantable stimulator, and one or more additional electrodes electrically coupled to the implantable stimulator.

Abstract: Contrast between various frequency components of sound is enhanced through a lateral suppression strategy to provide increased speech perception in the electrically stimulated cochlea. A received audio signal is divided into a plurality of input signals, wherein each input signal is associated with a frequency band. A plurality of envelope signals are generated by determining the envelope of each of a plurality of the input signals. At least one of the envelope signals is scaled in accordance with a scaling factor to generate at least one scaled envelope signal. An output signal is generated by combining at least one envelope signal with at least one scaled envelope signal, and the cochlea is stimulated based on the generated output signal. The lateral suppression strategy can be applied to one or more frequency bands using scaled amplitude signals associated with one or more neighboring frequency bands.

Abstract: Systems for fitting an implantable cochlear stimulator to a patient include an interface unit configured to display a graphical representation of an implant fitting line as part of a graphical user interface. The implant fitting line has a slope and a horizontal position and represents a mapping relationship between a plurality of audio frequencies and a plurality of stimulation sites within a cochlea of the patient. The interface unit is further configured to facilitate adjustment of the slope and/or horizontal position of the fitting line.