Abstract: A diagnostic system may determine a minimum evoked response amplitude and a maximum evoked response amplitude for a recipient of a cochlear implant and determine a mapping between a plurality of audible pitches and a plurality of evoked response amplitudes included in a range defined by the minimum and maximum evoked response amplitudes. The diagnostic system may monitor, during an insertion procedure in which an electrode lead communicatively coupled to the cochlear implant is inserted into a cochlea of the recipient, an evoked response signal recorded during the insertion procedure by an electrode disposed on the electrode lead. As the evoked response signal is being monitored, the diagnostic system may detect an amplitude change in the evoked response signal and present, based on the mapping, acoustic feedback that audibly indicates the amplitude change.

Abstract: A cochlear implant system may include a cochlear implant configured to be implanted within a user and a sound processor configured to detect an amount of sound exposure to the user; gradually adjust a most comfortable level (“M level”) from an initial value towards a target value in accordance with an adaption time course and in accordance with the detected amount of sound exposure to the user by increasing the M level when the detected amount of sound exposure is above a first threshold and decreasing the M level when the detected amount of sound exposure is below a second threshold; and direct the cochlear implant to apply stimulation having the gradually adjusted M level to the user.

Abstract: An apparatus external to a patient and communicatively coupled to an implant within the patient is disclosed. The apparatus identifies a tentative stimulation parameter adjustment constraint and an absolute stimulation parameter adjustment constraint for a stimulation parameter associated with the implant. The apparatus also determines an impedance of an electrode implanted within the patient and coupled with the implant. Based on the impedance of the electrode, the apparatus automatically adjusts the stimulation parameter within a range between a present value and a first value defined by the tentative stimulation parameter adjustment constraint. Additionally, based on user input manually provided by the patient, the apparatus further adjusts the stimulation parameter within a range between the first value and a second value beyond the first value and defined by the absolute stimulation parameter adjustment constraint. Corresponding apparatuses, systems, and methods are also disclosed.

Abstract: An exemplary system includes a coil configured to be positioned over a wound on a body and held in place on the body by a magnet implanted within the body. The system further includes a controller communicatively coupled to the coil and configured to apply therapeutic electromagnetic pulses by way of the coil to the wound. Other systems and methods for providing therapeutic electromagnetic pulses to a recipient are also disclosed.

Abstract: An exemplary monitoring system 1) receives a user input command to begin monitoring evoked responses that occur in response to acoustic stimulation during an insertion procedure in which a lead that is communicatively coupled to a cochlear implant is inserted into a cochlea of a patient, the lead having an array of intracochlear electrodes and an extracochlear electrode, the extracochlear electrode physically and communicatively coupled to a probe that is also communicatively coupled to the monitoring system, 2) directs, in response to the user input command, the cochlear implant to short an intracochlear electrode with the extracochlear electrode, 3) presents the acoustic stimulation to the patient, and 4) records the evoked responses that occur in response to the acoustic stimulation by using the intracochlear electrode to detect signals representative of the evoked responses and receiving the detected signals by way of the extracochlear electrode and the probe.

Abstract: An exemplary cochlear implant system includes a cochlear implant configured to be implanted within a patient and a sound processor. The sound processor is configured to receive, from a fitting system during a fitting session, a command that sets an M level to an initial value and a target value for the M level; gradually adjust, subsequent to the fitting session, the M level from the initial value towards the target value in accordance with an adaption time course; and direct the cochlear implant to apply stimulation having the gradually adjusted M level to the patient. Other systems and methods are also disclosed.

Abstract: An apparatus associated with a cochlear implant system used by a patient directs a cochlear implant included within the cochlear implant system and implanted within the patient to generate electrical stimulation current at a predetermined current level. The apparatus further directs the cochlear implant to apply the electrical stimulation current to the patient by way of an electrode coupled with the cochlear implant, and to measure a voltage level associated with the electrode while the electrical stimulation current is applied to the patient by way of the electrode. Based on the predetermined current level and the measured voltage level, the apparatus determines an impedance of the electrode. Based on the determined electrode impedance and in accordance with a predetermined stimulation parameter adjustment constraint, the apparatus automatically adjusts a stimulation parameter associated with the cochlear implant system. Additional apparatuses and corresponding methods are also disclosed.

Abstract: An exemplary monitoring system 1) receives a user input command to begin monitoring evoked responses that occur in response to acoustic stimulation during an insertion procedure in which a lead that is communicatively coupled to a cochlear implant is inserted into a cochlea of a patient, the lead having an array of intracochlear electrodes and an extracochlear electrode, the extracochlear electrode physically and communicatively coupled to a probe that is also communicatively coupled to the monitoring system, 2) directs, in response to the user input command, the cochlear implant to short an intracochlear electrode with the extracochlear electrode, 3) presents the acoustic stimulation to the patient, and 4) records the evoked responses that occur in response to the acoustic stimulation by using the intracochlear electrode to detect signals representative of the evoked responses and receiving the detected signals by way of the extracochlear electrode and the probe.

Abstract: An exemplary sound processor within a cochlear implant system directs a cochlear implant to concurrently apply first and second pulses by way of first and second electrodes disposed on an electrode lead configured to be inserted into a cochlea of a patient. The first and second pulses have substantially equal magnitudes and opposite phases such that the application of the first and second pulses forms a dipole that generates a field. The sound processor further directs the cochlear implant to detect, by way of a third electrode disposed on the electrode lead, an energy magnitude of the field that reflects from cochlear tissue located within the field. Based on a difference between the detected energy magnitude of the field and a baseline energy magnitude of the field, the sound processor determines a proximity of the electrode lead to the cochlear tissue. Corresponding systems and methods are also disclosed.

Abstract: An exemplary method of inserting a peri-straight electrode array into a cochlea of a recipient includes positioning the peri-straight electrode array and an insertion tool within the recipient such that a distal end of the insertion tool is provided within the recipient at a location that is outside and not touching the cochlea of the recipient, and a straight distal portion of the peri-straight electrode array extends away from the distal end of the insertion tool and into the cochlea. The exemplary method further includes manually interacting with the insertion tool to advance the straight distal portion and at least some of a pre-curved proximal portion into the cochlea without allowing the insertion tool to enter or come in contact with the cochlea, and removing the insertion tool from the recipient such that the peri-straight electrode array remains within the cochlea after the insertion tool is removed from the recipient.

Abstract: An exemplary diagnostic system may be configured to direct an acoustic stimulation generator to apply acoustic stimulation to a recipient of a cochlear implant during an insertion procedure in which an electrode lead coupled to the cochlear implant is supposed to be inserted into a cochlea of the recipient, direct the cochlear implant to use an electrode on the electrode lead to record an evoked response signal that occurs within the recipient in response to the acoustic stimulation, detect an anomaly in the evoked response signal, and determine, based on the anomaly, that the electrode lead is being inserted into a vestibular canal instead of into the cochlea.

Abstract: A stapedius reflex threshold determination system directs a cochlear implant and a loudspeaker to apply a first electro-acoustic stimulation event to a patient, and determines that a first evoked response that occurs within the patient in response to the first electro-acoustic stimulation event has a level within a predetermined threshold amount of a baseline evoked response level. Based on that determination, the system detects that a stapedius reflex within the patient is not triggered. The system also directs the cochlear implant and the loudspeaker to apply a second electro-acoustic stimulation event to the patient, and determines that a second evoked response that occurs within the patient in response to the second electro-acoustic stimulation event has a level at least the predetermined threshold amount lower than the baseline evoked response level. Based on this determination, the system detects that the stapedius reflex within the patient is triggered.

Abstract: An exemplary diagnostic system is configured to execute a diagnostic application, communicatively couple to a cochlear implant, receive, while communicatively coupled to the cochlear implant, input representative of an activation code, validate the activation code, link, in response to the validation, the activation code to a unique implant identifier associated with the cochlear implant, and enable, in response to the linking, a feature of the diagnostic application for use with the cochlear implant.

Abstract: An exemplary scalar translocation detection system detects a first evoked response occurring in response to acoustic stimulation applied to a cochlear implant patient. The system detects the first evoked response by way of an electrode configuration disposed on an electrode lead while the electrode configuration is positioned at a first location along an insertion path of the electrode lead into a cochlea of the patient. The system further detects, by way of the electrode configuration while it is positioned at a second location along the insertion path, a second evoked response occurring in response to additional acoustic stimulation applied to the patient. The system further determines an amplitude change and/or a phase change between the first and second evoked responses, and then determines whether a scalar translocation of the electrode lead from one scala of the cochlea to another has occurred based on the amplitude change and/or the phase change.

Abstract: An exemplary sound processor 1) divides an audio signal into M analysis channels, 2) generates M fine structure signals corresponding to the M analysis channels, wherein each fine structure signal included in the M fine structure signals represents fine structure information for a different analysis channel included in the M analysis channels, and 3) selects, based on the M fine structure signals, only N analysis channels included in the M analysis channels for presentation to the patient during a stimulation frame, wherein N is less than M. Corresponding systems and methods are also disclosed.

Abstract: An exemplary electrode locating system performs an excitation spread measurement by directing a first electrode to generate an electrical pulse and, in response to the generation of the electrical pulse, detecting a voltage between a second electrode and a reference that are both distinct from the first electrode. The first and second electrodes are included in a plurality of electrodes disposed on an electrode lead included within a cochlear implant system and that comprises a proximal portion configured to be coupled with a cochlear implant and a distal portion configured to be inserted into a cochlea of a patient by way of an insertion procedure. Based on the excitation spread measurement, the electrode locating system determines whether at least one of the first electrode and the second electrode is located within the cochlea. Corresponding methods are also described.

Abstract: A stapedius reflex threshold determination system is communicatively coupled with a loudspeaker and a cochlear implant implanted within a patient. The system identifies a baseline evoked response level associated with a baseline acoustic stimulation level too low to trigger a stapedius reflex within the patient. The system directs an electro-acoustic stimulation event to be applied to the patient, including electrical stimulation applied by the cochlear implant at a particular electrical stimulation level and acoustic stimulation applied by the loudspeaker at the baseline acoustic stimulation level. The system determines an evoked response level associated with the applied acoustic stimulation and detects that the stapedius reflex is triggered by determining that the evoked response level is at least a predetermined threshold amount lower than the baseline evoked response level.

Abstract: An exemplary system includes an electro-acoustic stimulation (“EAS”) sound processor, a cochlear implant communicatively coupled to the EAS sound processor, an electrode array communicatively coupled to the cochlear implant, and a receiver communicatively coupled to the EAS sound processor and configured to be in communication with an ear of a patient. The EAS sound processor 1) directs, while in a self-fitting mode, the receiver to apply acoustic stimulation to the patient, 2) records, using at least one electrode included in the electrode array, an evoked response that occurs in response to the acoustic stimulation, 3) compares the evoked response to a baseline evoked response recorded by the EAS sound processor prior to recording the evoked response, and 4) performs a predetermined action based on the comparison between the evoked response and the baseline evoked response. Corresponding systems and methods are also disclosed.

Abstract: An exemplary behavioral audiogram generation system 1) determines a noise floor within the cochlea of a patient, 2) presents, by way of a loudspeaker, acoustic stimulation having a predetermined frequency and a predetermined amplitude to the patient, 3) detects an evoked response that occurs in response to the acoustic stimulation, 4) determines an amplitude of the evoked response that occurs in response to the acoustic stimulation, and 5) determines, based on the amplitude of the evoked response, on the predetermined amplitude of the acoustic stimulation, and on the noise floor, a behavioral audiogram value for the patient that corresponds to the predetermined frequency.

Abstract: An exemplary emulation system may acoustically isolate the recipient from the local listening environment by disabling a microphone included in the cochlear implant system, receive user input representative of a request to present a sound token to the recipient, generate a modified sound token, and present the modified sound token to the recipient while the microphone is disabled. The modified sound token may be generated by adding a system noise floor of the cochlear implant system to the sound token. Additionally or alternatively, the modified sound token may be generated by adding an environmental noise floor of the remote listening environment to the sound token. Additionally or alternatively, the modified sound token may be generated by filtering the sound token with an acoustic transfer function of the remote listening environment.