Abstract: An apparatus for objectively detecting a cochlea dead region based on electrophysiology and an information provision method for detecting a cochlea dead region using the apparatus. A cochlea dead region detection apparatus including a control unit is also disclosed. The control unit includes a stimulus generation unit for generating stimuli and an Acoustic Change Complex (ACC) measurement unit for measuring ACCs depending on the stimuli.

Abstract: Sleep monitoring and stimulation comprises collecting actigraphy data from a user. The user's sleep phase is determined using the actigraphy data. At least one stimulation, determined at least in part on the sleep phase, is directed towards the user. Subsequent actigraphy data is collected from the user. The actigraphy data and subsequent actigraphy data is used to determine the user's subsequent sleep phase. The stimulation is modified, based at least in part upon the subsequent sleep phase.

Abstract: A portable diagnostic instrument for use by medical professionals. The portable diagnostic instrument can comprise a control unit that can maintain the frequency of sound or vibration produced by the device constant, even when battery power is reduced. The control unit can also comprise a warning unit to provide information about remaining battery life to the user. Furthermore, the portable diagnostic instrument can comprise a unit capable of producing vibration and a unit capable of producing sound at differing frequencies. The device can produce both the sound and vibration at the same time or each can be operated individually. Moreover, the device is capable of being attached to other medical equipment that is carried by a medical professional or can be easily kept in a pocket, so that it is readily available when needed.

Abstract: Objectively identifying an acoustic characteristic of tinnitus of a subject. The subject is exposed to a sound pattern having a background acoustic signal preceding an audible silence. The background acoustic signal has a selected acoustic characteristic. An electrical response of the subject's central nervous system to the exposure to the sound pattern is measured. The measured electrical response has a first portion representing the electrical response of the subject's central nervous system to the background acoustic signal, and a second portion representing the electrical response of the subject's central nervous system to the audible silence in the sound pattern. The first portion of the measured electrical response is compared to the second portion of the measured electrical response and a determination is made as to whether the subject has tinnitus with an acoustic characteristic similar to the selected acoustic characteristic based on the comparison.

Abstract: A hearing apparatus and method for measuring a distance between an eardrum and the hearing apparatus are provided. The hearing apparatus may include a signal output unit configured to output a first measurement signal, a signal identification unit configured to receive a second measurement signal, and a distance determination unit configured to determine the distance between the user's eardrum and the hearing apparatus.

Abstract: A method is provided of systematically evaluating and treating dynamic autonomic dysregulation in a subject. The method includes having the subject sequentially assume a plurality of distinct postures that may include, for example, walking, standing, sitting or supine. In each posture of the subject, the subject is subjected to sensory stimulation while measuring at least one autonomic physiological response of the subject. The autonomic physiological response may include, for example, oxygen saturation, heart rate, pupillary response, blood pressure, sweat production, pseudomotor activity or respiration. The physiological responses in each of the distinct postures are evaluated to identify a posture wherein the subject exhibits a least amount of dysfunction.

Abstract: Methods, articles of manufacture, and systems for evaluating tinnitus are disclosed herein. According to various embodiments, a tinnitus evaluation system may include a tinnitus evaluation module configured to perform one or more tinnitus evaluation tests. A tinnitus evaluation test may comprise generating a first single-frequency sound based at least in part on a sound of a patient's tinnitus, and generating a narrow-band sound centered at the frequency of the first single-frequency sound. Tests include a hearing threshold test, a loudness match test, a pitch match test, a bandwidth match test, a minimum masking level test, and a residual inhibition test.

Abstract: One variation of a method for testing a hearing ability of a user includes: outputting a first audible tone including a first frequency; recording a first volume adjustment for the first audible tone by the user; outputting a second audible tone including a second frequency; recording a second volume adjustment for the second audible tone by the user; selecting a particular hearing model from a set of hearing models based on a difference between the first volume adjustment and the second volume adjustment, each hearing model in the set of hearing models including a hearing test result corresponding to a previous patient; and generating a hearing profile for the user based on the particular hearing model result.

Abstract: A method (10) of obtaining acoustical measurements of an individual ear that are compensated for errors caused by ear canal resonances.

Abstract: The usefulness and sensitivity of a hearing-test method that can be performed over the Internet should be improved. To this end, it is proposed that meaningless syllables, so-called logatomes, are presented to a test person in fluctuating interference noise. Hence, the test can be offered internationally without change and there is no need to calibrate a computer used by the test person.

Abstract: The speech sound intelligibility assessment system includes: an output section for presenting a speech sound to a user; a biological signal measurement section for measuring an electroencephalogram signal of the user; a positive component determination section for determining presence/absence of a positive component of an event-related potential in the electroencephalogram signal in a zone from 600 ms to 800 ms from a starting point, which is a point in time at which the output section presents a speech sound; a negative component determination section for determining presence/absence of a negative component of an event-related potential in the electroencephalogram signal in a zone from 100 ms to 300 ms from the same starting point; and an assessment section for evaluating whether the user has clearly aurally comprehended the presented speech sound or not based on the results of determination of presence/absence of the positive and negative components, respectively.

Abstract: A test battery method and system for use in assessing auditory function (e.g., the screening or diagnosis of impairments, fitting of hearing aids, etc.) is provided which performs one or more auditory tests including, for example, an acoustic reflectance test. Such an acoustic reflectance test may be a reflectance tympanometry test that includes a feedback system to control static pressure in the ear canal. Such acoustic reflectance tests may be used alone or in combination with one or more other auditory tests. Further, for example, such a battery of tests may include middle-ear muscle reflex tests in combination with one or more other auditory or hearing tests.

Abstract: Generally, a method performed by one or more processing devices includes generating a graphical user interface that when rendered on a display of the one or more processing devices renders a visual representation of an environment and a visual representation of an object in the environment; retrieving an auditory stimulus with one or more auditory attributes indicative of a location of a virtual target in the environment; receiving information specifying movement of the object in the environment; determining, based on the movement of the object, a proximity of the object to the virtual target; adjusting, based on the proximity, one or more values of the one or more auditory attributes of the auditory stimulus; and causing the one or more processing devices to play the auditory stimulus using the adjusted one or more values.

Abstract: A method of treating tinnitus comprising measuring a patient's hearing, determining the patient's hearing loss and the patient's tinnitus frequency using the measurements of the patient's hearing, programming a clinical controller with the measurements of the patient's hearing, selecting a plurality of therapeutic tones, where the therapeutic tones are selected to be at least a half-octave above or below of the patient's tinnitus frequency, setting an appropriate volume for each of the plurality of tones, repetitively playing each of the plurality of therapeutic tones, and pairing a vagus nerve stimulation pulse train with each playing of a therapeutic tone, thereby reducing the patient's perception of tinnitus.

Abstract: Certain examples provide a method of collecting and analyzing complex auditory brainstem response. The example method includes presenting at least one complex auditory stimulus to a subject and acquiring the subject's complex auditory brainstem response. The example method includes averaging complex auditory brainstem responses from the subject in at least one of a time domain and a frequency domain to form a collected response. The example method includes analyzing the collected response using a signal processor to process the collected response to provide a processed output and to adapt the response for comparison to the at least one complex auditory stimulus. The example method includes performing statistical computations on the processed output to generate visual and data feedback for a user.

Abstract: A system and a method for a healthcare provider to easily, accurately and efficiently provide a hearing test and a pressure test, i.e., a hearing assessment, for their patients, in a way that accurately detects hearing loss and provides recommendations for seeking further assistance from qualified hearing health specialists is provided.

Abstract: A method for conducting a pure tone audiometry uses tones of different frequency and intensity utilizing an adaptive procedure. Tone signals with at least two different frequencies are independently changed by delivering to a test person a set of at least three different test stimuli selected from a group of no tone at all, one long tone with a first frequency, and a multitude of short tones of a second frequency. The second frequency is higher than the first frequency. The test person's response corresponds to one of the different test stimuli, and a next test stimulus is presented to the test person after a short delay. A device for conducting an automated pure tone audiometry screening includes a tone generator capable of delivering pure tones of different frequencies and intensities and is able to deliver tones either as a long tone or a set of shorter tones.

Abstract: A method and apparatus for utilizing the benefits of encoded signal transmission and reception to enhance the performance of medical testing devices (100) adapted to evoke and measure biological response signals such as auditory evoked potentials (AEP), and the auditory brainstem response (ABR) signals in particular. Auditory stimuli, such as clicks, are presented to the ear of a human patient, in a predetermined encoded sequence, resulting in the generation of auditory responses and bio-electric response signals in the human patient. These response signals from the patient are acquired and observed, and are processed according to the predetermined encoded sequence in which the auditory stimuli were presented to the patient's ear in order to extract the desired auditory evoked potential signals or ABR signals.

Abstract: An integrated headpiece for a cochlear implant system includes a microphone for outputting an audio signal; signal processing electronics for processing the audio signal; and a transmitter for transmitting a processed audio signal received from the electronics to an implanted receiver. All of the microphone, signal processing electronics, and transmitter are disposed in a common housing of the integrated headpiece. The headpiece may also be one of a set of headpieces that can be alternatively used as needed to suit power consumption requirements or environmental conditions.

Abstract: Method and System for characterizing an incident pressure wave in a hearing test. The method includes introducing a sound signal of a predetermined frequency and amplitude into an ear canal, measuring at least a sound pressure level (Pm) in the ear canal, processing information associated with the sound pressure level, obtaining at least an acoustic reflectance (R) based on information associated with the sound pressure level, and determining an incident wave pressure parameter (P+) in the car canal according to the following formula: P + = P m 1 + R .

Abstract: Methods and devices for treating tinnitus in human or animal subjects wherein the subject is caused to perceive a tinnitus suppressing sound which fully or partially suppresses the subject's tinnitus. In some embodiments of this method, the subject selects a sound that he or she perceives to be the same as the tinnitus and that sound (or a similar sound that is complementary to the subject's perceived tinnitus) is then used as the tinnitus suppressing sound. In other embodiments, the tinnitus suppressing may be a sound that has previously been determined to suppress tinnitus in a substantial number of subjects.

Abstract: The systems, methods and associated devices performing diagnostic hearing tests which use a computer network to allow interaction between a test administration site and one or a plurality of remote patient sites. The test can be administered by an audiologist or clinician at a site remote from the patient, in a manner, which can allow interaction between the user and the clinician during at least a portion of the administration of the test. The diagnostic hearing tests can be performed such that they meet standardized guidelines such as ANSI requirements or certification standards and can include distortion product emission level measurements or middle ear compliance measurements.

Abstract: A system for administering a hearing test to a remotely located user or subject using a user computing device connected to a communication network. The system provides for testing of ambient noise at the remote location and accuracy of sound reproduction by headphones engaged to the user computing device in a calibration of the loudspeakers of the headphones and the venue prior to communicating the test sounds. The calibration insures results determined by user input provide an accurate outcome.

Abstract: A system and method are provided for capturing hearing characteristics from self-administered hearing tests, including loudness tolerance levels at different sound frequencies, as an individualized shaped auditory profile for automatically enhancing audio to complement and address as closely as possible an individual's hearing deficits experienced via a particular signal pathway, the signal pathway including the audio device used to administer the test, the sound environment, and the user's hearing capabilities. The user may self-administer a hearing test on a convenient personal apparatus, such as a smartphone. The shaped auditory profile may then be used to produce enhanced sound subsequently transmitted to the individual via the same signal pathway. In certain of its aspects, the invention is useful for any individual seeking an enhanced hearing experience, whether having hearing within normal range or hearing that is impaired.

Abstract: Medical tests and examinations are performed with consumer computing devices. The medical tests and examinations are selected and customized in accordance with conditions present in the testing environment, as well as physical characteristics of a user taking the test. The tests can include visual acuity tests, colorblindness tests and other medical tests, such as hearing tests.

Abstract: A hearing test method and apparatus are provided for improving a measuring accuracy and a test speed in finding the auditory threshold that is the audibility limit of discriminating a sound. In the method, after outputting a test sound relevant to a selected test frequency and a selected test sound pressure, the apparatus determines whether a user hears the test sound, then the test sound pressure zone is divided into an auditory threshold presence region and an auditory threshold absence region according to the result of determination. Thereafter, the test sound pressure zone is redefined using the auditory threshold presence region and this process of hearing test is repeated using the redefined test sound pressure zone to finally determine an auditory threshold for the selected test frequency.

Abstract: Systems and methods may be used to modify a controllable stimulus generated by a digital audio device in communication with a human user. An input signal is provided to the digital audio device. In turn, the digital audio device sends a stimulus based on that input signal to the human user, who takes an action, usually in the form of an output signal, to characterize the stimulus that the user receives, based on the user's perception. An algorithm, lookup table, or other procedure then determines a difference between the input signal and the output signal, and a perceptual model is constructed based at least in part on the difference. Thereafter, a new value for the parameter of the digital audio device is suggested based at least in part on the perceptual model. This process continues iteratively until the user's optimal device parameters are determined.

Abstract: A method and apparatus for utilizing the benefits of encoded signal transmission and reception to enhance the performance of medical testing devices (100) adapted to evoke and measure biological response signals such as auditory evoked potentials (AEP), and the auditory brainstem response (ABR) signals in particular. Auditory stimuli, such as clicks, are presented to the ear of a human patient, in a predetermined encoded sequence, resulting in the generation of auditory responses and bio-electric response signals in the human patient. These response signals from the patient are acquired and observed, and are processed according to the predetermined encoded sequence in which the auditory stimuli were presented to the patient's ear in order to extract the desired auditory evoked potential signals or ABR signals.

Abstract: Employing outputted tones on a client device and/or headset is facilitated to identify hearing sensitivity of a user for both ears at various frequency bands and provide an indication of the users hearing sensitivity as compared to a normal hearing curve of a plurality of users on the same client device and/or headset or differing client devices and/or headsets.

Abstract: Methods and systems for fitting a bone conduction device are provided herein. These methods and systems comprise determining a gain to be used by the bone conduction device in providing signals at a particular frequency. In determining the gain, a fitting system may provide a test sound that is modulated between a first signal provided to a speaker and a second audible signal provided to a bone conduction device. The first and second audible signal may comprise properties such that when the two signals are added together they produce a constant amplitude output. In an embodiment, each of the first and second audible signals may comprise substantially identical frequency characteristics and signal amplitudes, such as, for example, equal amplitude sinusoids centered on the particular frequency for the measurement.

Abstract: An ear coupler includes: a member having a cavity for accommodating at least a part of an ear; and a structure extending from the member, the structure having an end with a port; wherein the port is configured for detachably coupling to a transducer.

Abstract: A method, system or computer usable program product for monitoring user interaction patterns to provide early warning of cognitive impairment including monitoring with an application running on a processor a first set of user interactions of a user with a data processing system to form a historical baseline for the user that is stored in memory, monitoring with the application running on the processor a second set of user interactions of the user with the data processing system to form a set of current results for the user, comparing with the processor the set of current results with the historical baseline, and responsive to identifying a change indicative of a cognitive degradation for the user, sending a notification indicating the change.

Abstract: A system and method of central auditory processing testing and evaluation provides for identifying clinically relevant neural synchrony in the auditory brainstem pathway. The system or method finds use as a tool to evaluate auditory processing disorders, and hence, potential auditory system and/or learning disabilities. The system or method may further find use in the selection and fitting of hearing corrective appliances such as hearing aid or cochlear implant devices and/or in the selection and implementation of auditory training regimens.

Abstract: A method to reduce DPOAE fine structure in the measurement of DPOAE acoustic signals generated in the cochlea in response to two primary tones.

Abstract: An exemplary cochlear implant system includes an external module configured to be positioned external to and worn by a patient, the external module having an external microphone configured to detect an input audio signal presented to the patient, and an external speaker configured to acoustically transmit an audio signal representative of the input audio signal. The exemplary cochlear implant system further includes an implantable module configured to be implanted within the patient, the implantable module having an internal microphone configured to detect the acoustically transmitted audio signal, an internal sound processor configured to generate one or more stimulation parameters based on the acoustically transmitted audio signal, and an internal cochlear stimulator configured to apply electrical stimulation representative of the input audio signal to one or more stimulation sites within the patient in accordance with the one or more stimulation parameters.

Abstract: A method is described for surgical implantation of a cochlear implant system. An intraoperative baseline value stapedial reflex response is determined for a cochlear implant patient. Then while performing a given step in a multi-step surgical process to implant a cochlear implant system in the patient, the stapedial reflex response is monitored, and if the stapedial reflex response changes from the baseline value response more than a safe change threshold value, the given step is stopped.

Abstract: The invention relates to a method for controlled modulation of physiological and pathological neuronal rhythmic activity in the brain by means of sensory stimulation, which is capable of diagnostically ascertaining functional disorders in the brain and of alleviating or eliminating the symptoms of a functional disruption. According to the invention, the method comprises generating a plurality of pulses at a plurality of excitation frequencies, respectively, to stimulate neuronal rhythmic activity in a patient's brain; measuring the neuronal rhythmic activity in response to the pulses; determining an excitation frequency in which the measured neuronal rhythmic activity has a maximum amplitude of pathological rhythm; generating an entraining periodic pulse sequence operating at the excitation frequency; and generating a desynchronization pulse following the entraining periodic pulse sequence to desynchronize the neuronal rhythmic activity, where the pulse are either visual or acoustic or tactile.

Abstract: Evaluating an implanted hearing prosthesis, including operating the implanted hearing prosthesis, capturing sound generated by a transducer of the prosthesis during said operation, and comparing the captured sound to a sound model.

Abstract: Systems and methods are taught for non-invasively monitoring brainstem function and intra-cranial pressure in a patient. Repeated auditory stimulation is applied to the patient in at least one ear to generate an auditory brainstem response. The response waveform is detected with an electrode at a location on the patient's head. The detected waveform data is compared with known waveform data and an alarm is initiated when a change in the auditory brainstem response is detected based on the comparison that is indicative of a corresponding change in intra-cranial pressure in the patient.

Abstract: An apparatus for acoustic or mechanical stimulation of a cochlea and measurement of acoustically or mechanically evoked electrophysiologic responses from the cochlea is provided. In one example, the apparatus includes an acoustic stimulator for generating an acoustic signal and an electrophysiologic response measuring device positioned proximal the cochlea or within the cochlea for measuring an acoustically evoked electrophysiologic response to the acoustic signal. Methods of utilizing the apparatus for diagnostic and therapeutic procedures related to hearing impairment are also provided.

Abstract: The present application discloses a hearing prosthesis comprising a stimulation assembly configured to be implanted into a cochlea. The stimulation assembly comprises a plurality of electrodes and one or more sensors. The one or more sensors may be configured to measure pressure within the cochlea. The pressure measurements may include (i) measurements of pressure corresponding to a physical contact of the one or more sensors with internal cochlear structures, (ii) measurements of perilymph fluid pressure, or (iii) measurements of pressure waves in the perilymph fluid corresponding to external sound waves. In one aspect, the sensor may be used by a system to help surgeons avoid damage to the cochlea during surgical implantation of the stimulation assembly. In another aspect, the sensor may be one component of an implantable microphone.

Abstract: Wearable apparatus for monitoring various physiological and environmental factors are provided. Real-time, noninvasive health and environmental monitors include a plurality of compact sensors integrated within small, low-profile devices, such as earpiece modules. Physiological and environmental data is collected and wirelessly transmitted into a wireless network, where the data is stored and/or processed.

Abstract: A compartmentalized fitting system that may be used by a recipient to determine device parameters, such as threshold and/or maximum comfort levels, for a stimulating medical device is provided. The compartmentalized fitting system segregates the fitting procedure into separate sessions. For example, in an embodiment, the fitting system provides a clinician driven setup session whereby a clinician may specify parameters that are to be used in fitting the medical device. After which, the fitting system may enter a recipient driven fitting session that is used to determine one or device parameters for the stimulating medical device. Once determined, the fitting system passes control to a clinician driven approval session whereby the clinician can approve the determined set of device parameters; and, if approved store the determined device parameters. This storage may comprise loading the determined device parameters onto the stimulating medical device for subsequent use by the device.

Abstract: An apparatus and method for obtaining one or more physiological measurements associated with a user using ear-located sensors is disclosed herein. One or more of different types of sensors are configured to engage a user's ear. In some cases, the sensors will be included in one or both of a pair of earphones to capture physiological parameters. A portable device is configured to be in communication with the earphones to receive physiological parameters from the sensor(s) therein, and potentially to provide control signals to the sensors or other components in the earphones. The portable device determines physiological measurements corresponding to the received physiological parameters. The portable device is also configured to provide a user interface to interact with the user regarding the physiological measurements.

Abstract: System and method for remotely obtaining audiometric measurements and adjusting hearing aids via the Internet, using telematic means such as video conferencing and e-mail to establish a remote connection between the patient who may be at home, in a medical center or in a pharmacy and a hearing aid specialist at an audiometry laboratory or clinic, whereby the specialist remotely provides the patient with instructions for carrying out an audiometry test and, depending on the results, subsequently transmits adjustment signals via the Internet to the patient's hearing aid which is connected to a computer to which the patient has access.

Abstract: Provided is a method of automatically fitting a hearing aid. The method includes entering the audiogram of a test subject, defining criterion gains and SSPLs based on installed criterion gains and SSPLs according to the test subject's audiogram, generating sounds from automatic fitting device, measuring the sounds using probe microphone inserted in external earcanal, adjusting the criterion gain and SSPLs of the hearing aids based on differences between output sound amplitude and measured sound amplitude, and saving the changed values to the hearing aids automatically, in a state in which the hearing aid is worn by a test subject.

Abstract: Hearing losses caused by deficiencies in a person's outer or middle ear may be compensated for by converting received sounds to vibrations and transmitting the vibrations to the skull bone (2). Bone-conduction hearing devices (27) may transmit such vibrations transcutaneously or percutaneously. In both cases, a precise determination of the magnitude of the vibrations applied to the skull bone (2) is needed for determining the person's bone-conduction hearing thresholds as well as for calibrating the hearing devices (27). The present invention provides a device (1, 27, 37) and a method, which allow determination of the applied vibrational force with better precision than prior art devices and methods. This is achieved by placing an accelerometer (21) on the countermass (11) of the vibrator (1) that generates the vibration signal.

Abstract: An intracranial pressure monitoring system and method. The system includes an auditory stimulation and recording unit, which includes a stimulation controller, a memory for storing waveforms, a device for comparing received waveforms with stored waveforms, and an alarm operable based upon that comparison. The system includes at least one cranial electrode attachable to a patient, and an auditory stimulation device, operable by the stimulation controller. The stimulation device is a pair of acoustic ear inserts, each of which is connected to and operated by an auditory stimulator activated by the stimulation controller. In the method, a patient is auditorially stimulated to evoke a received waveform indicative of intracranial pressure, a comparison is generated by comparing the received waveform with one of an established patient baseline waveform and an established normal waveform, and an alarm is generated responsive to that comparison.

Abstract: A method for measuring sound pressure at a tympanic membrane of a wearer's ear including a high frequency range with a hearing assistance device. The hearing assistance device comprises a processor connected to a sensor in the ear canal. The device provides a measure of the sound pressure level at the tympanic membrane of the wearer using a null frequency and a null Q measured at a distant position away from the tympanic membrane. The method does not require a precise knowledge of the ear canal, nor does it require an elaborate calibration step. In various embodiments, the present approach works at low and high frequencies.

Abstract: A digital headset system for use in audiometric testing. The headset system includes a stored calibration reference relating the exact frequency and volume response of each speaker to analog input signals. A microprocessor accesses the calibration reference to determine the required analog signal needed to produce the desired sound. An on-board digital to analog converter generates the required analog signal and transmits it to the speaker. The headset is used with software based audiometric test methods that allow the generation of an electronic user hearing profile. The user hearing profile may be used to re-program an audio emitting device to function in a customized manner. The user hearing profile may be overlaid on a partner hearing profile in order to emulate for the partner how sounds are perceived by the user. The test methods may be self-administered or administered by a healthcare professional.