Abstract: An exemplary method of lowering a pitch sensation as perceived by a cochlear implant patient includes 1) identifying a most apical electrode included in a plurality of electrodes disposed within a cochlea of the patient, 2) directing a cochlear implant communicatively coupled to the plurality of electrodes to apply one or more anodecathode biphasic stimulation pulses to the most apical electrode during a stimulation period, and 3) directing the cochlear implant to apply one or more cathode-anode biphasic stimulation pulses to one or more other electrodes included in the plurality of electrodes during the stimulation period. Corresponding methods and systems are also disclosed.

Abstract: An exemplary system for synchronizing an operation of a middle ear analyzer and a cochlear implant system includes 1) a mapping facility configured to maintain mapping data representative of an association between a plurality of sound levels and a plurality of current levels and between a plurality of frequencies and a plurality of electrodes, 2) a detection facility configured to receive an acoustic signal transmitted by the middle ear analyzer and detect a sound level and a frequency of the acoustic signal, and 3) a processing facility configured to identify, based on the mapping data, a current level associated with the detected sound level and one or more electrodes associated with the detected frequency and direct the cochlear implant system to apply electrical stimulation having the identified current level to one or more stimulation sites within a patient by way of the identified one or more electrodes.

Abstract: An exemplary sound processor (104) may 1) identify a stimulation site within a cochlea of a patient that is to be stimulated in order to represent an audio signal presented to the patient, 2) dynamically designate, based on the identified stimulation site, a first group of one or more electrodes as a group of one or more main electrodes and a second group of one or more electrodes as a group of one or more compensating electrodes and 3) dynamically determine, based on the identified stimulation site, an amount of main current to be applied to each electrode included in the first group of one or more electrodes in order to represent the audio signal and an amount of compensating current to be applied to each electrode included in the second group of one or more electrodes to focus an excitation field created by the main current.

Abstract: An exemplary sound processor (104) 1) identifies a stimulation site within a cochlea of a patient that is to be stimulated in order to represent acoustic content presented to the patient, the stimulation site included within a plurality of stimulation sites associated with a stimulation channel corresponding to a plurality of electrodes, 2) determines a target excitation field width associated with the stimulation channel and 3) dynamically sets, based on the identified stimulation site, an amplitude and a polarity of current to be applied to each electrode included in the plurality of electrodes in order to represent the acoustic content so that an excitation field created by the current has a width that roughly matches the target excitation field width. A system and a corresponding method are also disclosed.

Abstract: An exemplary sound processor 1) sets a current steering range for a stimulation channel defined by first and second physical electrodes communicatively coupled to an auditory prosthesis to be less than an entire physical range of the stimulation channel, 2) maps each frequency included in a frequency band associated with the stimulation channel to a virtual electrode included in a plurality of virtual electrodes included in the current steering range of the stimulation channel, 3) identifies a feature of an audio signal, 4) identifies a virtual electrode included in the plurality of virtual electrodes and that is associated with the identified feature, and 5) directs the auditory prosthesis to apply electrical stimulation representative of the identified feature to a stimulation site associated with the identified virtual electrode by concurrently stimulating the first physical electrode with a first current level and the second physical electrode with a second current level.

Abstract: An exemplary system includes a detection facility configured to 1) receive an acoustic signal transmitted by a middle ear analyzer and 2) detect a sound level of the acoustic signal, and a processing facility configured to 1) use the sound level of the acoustic signal to control a current level of electrical stimulation applied by a cochlear implant system by way of a first set of one or more electrodes implanted within a patient, 2) synchronize the middle ear analyzer with the cochlear implant system in accordance with a first mapping data set during a first stapedius reflex measurement session, 3) identify a current level of the electrical stimulation at which the stapedius reflex occurs, and 4) automatically generate a second mapping data set based on the identified current level for use during a second stapedius reflex measurement session subsequent to the first stapedius reflex measurement session.

Abstract: An exemplary system includes a sound processor that 1) determines a relative importance of performance versus power conservation for an auditory prosthesis, 2) determines, in accordance with the determined relative importance of performance versus power conservation, a current steering range for a stimulation channel defined by first and second physical electrodes communicatively coupled to the auditory prosthesis, the current steering range centered about a midpoint of the stimulation channel; and 3) directs the auditory prosthesis to apply electrical stimulation representative of audio content having a frequency included in a frequency band associated with the stimulation channel in accordance with the determined current steering range.

Abstract: An exemplary method includes a sound processor 1) mapping an analysis channel associated with a frequency band to a stimulation channel that comprises at least three electrodes communicatively coupled to an auditory prosthesis associated with a patient, 2) identifying a spectral peak included in an audio signal presented to the patient, the spectral peak having a peak frequency included in the frequency band, and 3) directing the auditory prosthesis to apply electrical stimulation representative of the spectral peak to a stimulation site associated with the peak frequency by simultaneously stimulating at least two of the at least three electrodes at substantially fifty percent or less of their respective most comfortable current levels (M levels) in accordance with a multi-monopolar current steering strategy. Corresponding methods and systems are also disclosed.

Abstract: Among other things, enhancing spectral contrast for a cochlear implant listener includes detecting a time domain signal. A first transformation is applied to the detected time domain signal to convert the time domain signal to a frequency domain signal. A second transformation is applied to the frequency domain signal to express the frequency domain signal as a sum of two or more components. A sensitivity of the cochlear implant listener to detect modulation of each component is obtained.

Abstract: An exemplary system includes an implantable cochlear stimulator implanted within a patient, a short electrode array coupled to the implantable cochlear stimulator and having a plurality of electrodes disposed thereon, and a sound processor communicatively coupled to the implantable cochlear stimulator. The sound processor may direct the implantable cochlear stimulator to apply a main current to a first electrode included in the plurality of electrodes and associated with a first pitch, direct the implantable cochlear stimulator to concurrently apply, during the application of the main current, a compensation current to a second electrode included in the plurality of electrodes and associated with a second pitch, and optimize an amount of the compensation current to result in a target pitch being presented to the patient that is distanced from the first pitch in a pitch direction opposite a pitch direction of the second pitch in relation to the first pitch.

Abstract: An exemplary system includes a sound processor configured to process one or more audio signals and an implantable cochlear stimulator configured to apply stimulation representative of the one or more audio signals to a patient via a plurality of electrodes. In some embodiments, the sound processor directs the implantable cochlear stimulator to 1) apply a main current to a first electrode included in the plurality of electrodes and associated with a first pitch, 2) concurrently apply, during the application of the main current, a compensation current to a second electrode included in the plurality of electrodes and associated with a second pitch that is lower than the first pitch, and 3) adjust the compensation current to result in a target pitch being presented to the patient, the target pitch being higher than the first pitch.

Abstract: Among other things, enhancing spectral contrast for a cochlear implant listener includes detecting a time domain signal. A first transformation is applied to the detected time domain signal to convert the time domain signal to a frequency domain signal. A second transformation is applied to the frequency domain signal to express the frequency domain signal as a sum of two or more components. A sensitivity of the cochlear implant listener to detect modulation of each component is obtained.

Abstract: Exemplary systems and methods for optimizing a compliance voltage of an auditory prosthesis are disclosed. Each stimulation channel formed by electrodes that are coupled to an auditory prosthesis may have an adjustable current steering range associated therewith. Each adjustable current steering range is centered about the midpoint of its respective stimulation channel and defines a range of current steering that may be used within its respective stimulation channel. A compliance voltage of an auditory prosthesis may be optimized by setting a current steering range for one or more stimulation channels to a value that results in an optimum balance between power conservation and performance of the auditory prosthesis.

Abstract: An exemplary EMG response detection system may be configured to 1) direct an implantable stimulator to sequentially present a plurality of substantially identical stimulation events to a patient, 2) record a plurality of EMG signals generated by a muscle in the patient and each corresponding to a presentation of a particular stimulation event included in the plurality of substantially identical stimulation events, 3) determine an asynchronous component of each of the recorded EMG signals, and 4) utilize the asynchronous components of the recorded EMG signals to determine whether an EMG response is evoked by the stimulation events.

Abstract: An exemplary system includes 1) an electro-acoustic stimulation (“EAS”) sound processor configured to be located external to a patient, 2) a cochlear implant communicatively coupled to the EAS sound processor and configured to be implanted within the patient, 3) an electrode array communicatively coupled to the cochlear implant and configured to be located within a cochlea of the patient, and 4) a receiver communicatively coupled to the EAS sound processor and configured to be in communication with an ear of the patient. The EAS sound processor directs at least one of the cochlear implant and the receiver to apply stimulation to the patient, records an evoked response that occurs in response to the stimulation, and performs a predetermined action in accordance with the evoked response. Corresponding systems and methods are also disclosed.

Abstract: An exemplary method of enhancing pitch of an audio signal presented to a cochlear implant patient includes 1) determining a frequency spectrum of an audio signal presented to a cochlear implant patient, the frequency spectrum comprising a plurality of frequency bins that each contain spectral energy, 2) generating a modified spectral envelope of the frequency spectrum of the audio signal, 3) identifying each frequency bin included in the plurality of frequency bins that contains spectral energy above the modified spectral envelope and each frequency bin included in the plurality of frequency bins that contains spectral energy below the modified spectral envelope, 4) enhancing the spectral energy contained in each frequency bin identified as containing spectral energy above the modified spectral envelope, and 5) compressing the spectral energy contained in each frequency bin identified as containing spectral energy below the modified spectral envelope. Corresponding methods and systems are also disclosed.

Abstract: An exemplary system includes 1) a programming device configured to be located external to a cochlear implant patient and communicatively coupled to a cochlear implant system associated with the patient, 2) a programming interface device communicatively coupled to the programming device and configured to be located external to the patient, and 3) a receiver communicatively coupled directly to the programming interface device. The programming device directs at least one of the cochlear implant system and the receiver to apply stimulation to the patient, records an evoked response that occurs in response to the stimulation, and performs a predetermined action in accordance with the evoked response. Corresponding systems and methods are also disclosed.

Abstract: An exemplary system includes 1) a stimulation management facility configured to direct an electro-acoustic stimulation (“EAS”) system to concurrently apply acoustic stimulation to a patient by way of a loudspeaker and electrical stimulation to the patient by way of an electrode located within a cochlea of the patient during a fitting session, and 2) a fitting facility communicatively coupled to the stimulation management facility and configured to detect, during the fitting session, an interaction between the acoustic stimulation and the electrical stimulation, and set, during the fitting session, one or more control parameters governing an operation of the EAS system based on the detected interaction. Corresponding systems and methods are also disclosed.

Abstract: An exemplary electro-acoustic stimulation (EAS) device includes 1) a detection facility configured to detect audio content presented to a patient and included in an acoustic stimulation frequency range, 2) an acoustic stimulation management facility configured to direct a loud-speaker to apply acoustic stimulation representative of the audio content included in the acoustic stimulation frequency range to the patient, and 3) an electrical stimulation management facility configured to direct a cochlear implant implanted within the patient to apply sub-threshold electrical stimulation to the patient by way of one or more electrodes disposed within an apical region of a cochlea of the patient together with the application of the acoustic stimulation. Corresponding systems and methods are also disclosed.

Abstract: An exemplary system includes a sound processor configured to 1) divide an audio signal into a plurality of analysis channels and 2) generate one or more tonality indices each representing a tonality of one of the analysis channels, and an implantable cochlear stimulator communicatively coupled to the sound processor and configured to 1) generate one or more stimulation pulses configured to represent the audio signal in accordance with one or more stimulation parameters, and 2) adjust the one or more stimulation parameters based on at least one of the tonality indices.