Abstract: A universal strategy selector (USS) for use with a multichannel cochlear prosthesis includes: (a) a processor, or equivalent; (b) a selector; and (c) a display. The multichannel cochlear prosthesis is characterized by multiple stimulation channels through which a specific pattern of electrical stimulation, modulated by acoustic signals, and in accordance with a selected speech processing strategy, may be spatiotemporal applied to a patients cochlea in order to yield speech intelligibility. The processor of the USS includes appropriate processing means coupled to the multichannel cochlear prosthesis for defining one of a plurality of speech processing strategies for use by the multichannel cochlear prosthesis. In one embodiment, the processing means is realized using a personal computer (PC) programmed with appropriate software. The speech processing strategy that may be selected by the USS may be selected from a multiplicity of speech processing strategies.

Abstract: The present invention provides a fully implantable cochlear implant system (FICIS) that allows various configurations of different modules to be combined so as to meet the needs of a particular patient, including very young patients. At least three main modules are used in the FICIS, including (1) a small implantable cochlear stimulator (ICS) module, with permanently attached cochlear electrode array; (2) an implantable speech processor (ISP) module, with integrated microphone and rechargeable battery; and (3) an external module. In one embodiment, the external module may comprise an external speech processor (ESP) module. In another embodiment, the external module may comprise an external battery charger (EBC) module. The ICS and ISP modules are configured to facilitate long time reliable use of the ICS module, e.g., for the lifetime of the patient, and low-risk, relatively easy replacement of the ISP module.

Abstract: A bulk packaging container is constructed of all polymeric materials. The container is in the form of a rigid plastic intermediate bulk container or portable tank. The container comprises a base of an injection molded polymeric material having a bottom adapted to be supported from beneath and an opposite top surface to define a height of approximately six inches and including plural entry slots for forklift or pallet jack entry. A bottle of a rotationally molded polymeric material has an outer wall defining an interior storage space. The outer wall comprises a bottom wall received on the base top and a top wall including means for supporting a base of another bulk packaging container. The bottle is adapted to support weight of the other bulk packaging container.

Abstract: A cochlear implant system includes an implant portion and an external portion. The external portion performs at least the function of sensing acoustic signals and converting such sensed signals to electrical signals. The implant portion performs at least the function of generating electrical stimuli, modulated and classified in response to the sensed acoustic signals, and intended for direct electrical stimulation of the auditory nerve in accordance with a selected speech processing strategy. Control data defines the selected speech processing strategy, i.e., the pulsatile stimulation pattern to be used by implantable portion. Such control data is transmitted to and stored within the implantable portion of the system only once, when a particular speech processing strategy is selected, thereby eliminating the need to continually resend such speech-processing-defining data over a bandwidth-limited link between the implantable and external portions of the system.

Abstract: A self-adjusting implantable cochlear implant system (46) includes an implant portion (50) and an external portion (53). The system provides a device and a way to objectively determine selected psychophysical parameters, such as stimulation threshold, comfort level and loudness resolution, used by the implant portion, which includes an implantable cochlear stimulator (ICS), as it carries out its stimulation function. The input to the system is an electrical stimulation. The outputs of the system include a middle ear reflex (MER) and evoked potentials, such as a compound action potential (CAP) along the auditory/cerebral pathways, both of which are sensed using objective measurement techniques and tools. In accordance with one embodiment, the adjustment process uses the MER for determining a coarse threshold value, and then (using such coarse threshold value as a starting point) uses evoked potentials to determine a more precise o fine threshold value, thereby zeroing in on a desired threshold.

Abstract: An implantable system, such as a neural stimulator or a cochlear implant system, includes a rechargeable battery configuration having improved recharging and lifetime characteristics. The battery is housed within the implant's case and has first and second electrode plates. Each electrode plate has a plurality of slits that extend across a substantial portion of the plate's surface area. The slits in the electrode plates reduce the magnitude of eddy currents induced in the plates by external ac magnetic fields allowing faster battery recharging times. Alternatively, the electrode plates are wrapped in a spiral configuration such that, in the plane of the spiral, the electrode plates have a small cross-sectional area and no closed current loops. Additionally, the implant device may be housed in a case formed of a high-resistivity material and a circuit included in the implant device is configured to avoid large current loops that would result in eddy current heating.

Abstract: A method and system provides a wide range of temporospatial patterns of electrical stimulation waveforms to be readily specified for respective channels of a multichannel cochlear prosthesis. The cochlear prosthesis includes a speech processor system and a cochlear stimulator. The speech processor system typically includes an external headpiece, including a microphone, coupled to a speech processor. The speech processor includes electronic circuitry, typically including a microprocessor, that converts acoustical signals sensed through the microphone to electrical signals, and processes the electrical signals in accordance with a desired speech processing strategy. The definition of simple or complex stimulation waveforms to be used as part of the selected speech processing strategy is facilitated, in a preferred embodiment, through the use of a template table stored in the speech processor. The rows and columns of the template table define time intervals and stimulation channels (and hence stimulation sites).

Abstract: A power control loop is established between an external control device and an implantable device so that only the amount of power needed by the implant device to sustain its present operating conditions is transmitted across a transcutaneous transmission link, thereby reducing the amount of power expended by the external control device. In one embodiment, the power control loop is used with a cochlea stimulating system that includes an externally wearable signal receiver and processor (WP) and an implanted cochlear stimulator (ICS). The power control loop is provided between the ICS and the WP such that power delivered to the ICS is precisely controlled in a closed loop manner, with a variable amount of RF energy (power) being transmitted across the transcutaneous link between the WP and ICS. The transmitted RF energy is received by the ICS and is converted to a voltage that is used as a power source within the ICS for stimulating electrode contacts of the ICS.

Abstract: A method and apparatus for fitting an auditory stimulation system involve, in one embodiment, coupling a programmer unit to an implanted unit implanted in the patient; prompting and/or assisting the operator to make and enter an objective or other measurement; receiving the objective measurements into the programmer unit; and determining an estimated threshold stimulation current for an electrode channel of the implanted unit as a function of the objective measurement. In another embodiment, the method and apparatus involve coupling a programmer unit to an implanted unit implanted in the patient; stimulating the patient with a speech signal; and displaying, in real time, a graphical representation of the speech signal using the programmer unit.

Abstract: A method and system of readily specifying a wide range of temporospatial patterns of electrical stimulation waveforms that can be used by an implantable cochlear prosthesis. Such stimulation patterns and waveforms can thus be readily tested by an audiologist in the process of fitting the cochlear prosthesis, allowing desirable patterns of pulsatile stimuli of almost arbitrary complexity to be modulated in real-time by the acoustic signal to produce useful perceptions of sound in otherwise deaf patients. The cochlear prosthesis includes two main components: (1) an external system, and (2) an implantable system. The external system includes electronic circuitry, typically including a microprocessor, that converts sensed acoustical signals to electrical signals and processes the electrical signals in accordance with a desired speech processing strategy. The present invention facilitates the definition of complex stimulation waveforms to be used as part of the selected speech processing strategy.

Abstract: The measurement device includes a frame with a support and mounting member, a longitudinal bar, a lateral bar pivotally and slidably attached to the longitudinal bar with a pair of stirrups or heel cups attached symmetrically on either side of the longitudinal bar at a known distance from the longitudinal bar. A plurality of potentiometers or other resistive measurement devices are attached to the two bars to provide analog measurements of lengthwise and angular displacement. A microprocessor controller calculates actual leg length and offset by combining the measurements obtained from the first two resistive elements using a simple trigonometric function. An output means in the form of an LED and/or LCD display provides a visual display of the calculated actual and offset values.