Abstract: A mechanism for attaching a component, such as a speech processor unit of a cochlear implant, to the clothing of a user of that component. The attaching mechanism is operable by an unlocking device, such as a magnet that can be held in the possession of a person other than the person wearing the clothing to which the component is mounted. The attachment device can comprise an elongate pin member that is adapted to pass through at least a portion of an item of clothing and be received in a chamber and held by frictional engagement therein.

Abstract: Methods and systems of presenting an audio signal to a cochlear implant patient include dividing the audio signal into a plurality of analysis channels, detecting an energy level within each of the analysis channels, selecting one or more of the analysis channels for presentation to the patient, synthesizing the selected analysis channels, and mapping the synthesized analysis channels to one or more stimulation channels.

Abstract: A power supply arrangement for an implantable electronic system is described. An MRI power supply arrangement cooperates with an implantable power supply circuit to provide a high output impedance for implanted circuitry during magnetic resonance imaging (MRI).

Abstract: An at least partially implantable hearing prosthesis. The hearing prosthesis comprises an implantable internal energy transfer assembly configured to receive power from an external device and having an implantable microphone system removably positioned therein configured to receive a sound signal and to generate electrical signals representing the received sound signal; a main implantable component having a sound processing unit configured to convert the electrical signals into data signals; and an output stimulator configured to stimulate the recipient's ear based on the data signals.

Abstract: According to one aspect, an electrical stimulation system for treating tinnitus is provided. The system includes an electrical stimulation lead adapted for implantation into the person's skull for electrical stimulation of target brain tissue located in the person's temporal lobe. The lead includes one or more electrodes adapted to be positioned near the target brain tissue and to deliver electrical stimulation energy to the target brain tissue. The system also includes a stimulation source operable to generate signals for transmission to the electrodes of the lead to cause the electrodes to deliver electrical stimulation energy to the target brain tissue located in the person's temporal lobe to reduce tinnitus effects.

Abstract: Apparatus for the non-invasive and specific activation of the vestibular system in a patient. Preferred embodiments of the present invention allow for the placement of a stimulating electrode in the ear canal while providing a firm and comfortable coupling with the patient. The stimulating electrode is a deformable material that contacts the skin in the ear canal. A stimulating device operates in cooperation with the stimulating electrode to generate a stimulation waveform for the stimulation of the vestibular system.

Abstract: An implantable microstimulator arrangement includes at least one implantable microstimulator unit; an implantable battery unit separate from the implantable microstimulator unit(s); and at least one lead coupling the microstimulator unit(s) to the battery unit. The microstimulator unit(s) are operated to treat body tissue.

Abstract: Apparatus and method for optical- or optical-and-electrical stimulation of midbrain and/or brainstem tissue (e.g., auditory nerve pathways). Peripheral neural stimulation using infrared lasers has been demonstrated in several systems; however, optical stimulation of the central nervous system (CNS) has not been previously described. In some embodiments of the present invention, radiant energy exposure of the cochlear nucleus using a mid-wavelength infrared laser generates optically-evoked auditory brainstem responses (oABRs). In an experiment, the cochlear nuclei of adult male Sprague-Dawley rats were exposed using a suboccipital craniotomy approach. In one embodiment, different regions of left cochlear nucleus were acutely stimulated with a 200- or 400-micron-diameter optical fiber placed on the surface of the brainstem, using 50- to 750-microsecond pulses of 1849-nm to 1865-nm-wavelength radiation at a rate of 10 to 40 Hz and power levels ranging from 10% to 80% of 5 watts.

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: The present invention is intended as a method for producing an electromagnetic transducer of variable reluctance type, where the transducer's seismic mass side and load side are mounted together in a first step while the inner and/or outer air gaps are supplied with shims in order to create balanced air gaps in an axial direction between the bobbin core's arms and the inner and outer yokes, whereupon in a second step the bobbin core is fixed through the side piece to an adapter already attached in a corresponding free moving end of a spring suspension, with compliant properties working in an axial direction and arranged between the seismic mass side and the load side in resting state in order to maintain balanced air gaps when finally, in a third step, the shims are removed and the air gaps are released.

Abstract: A hand-held remote unit functions as both a remote status device and a control device for a cochlear implant system. When placed near the headpiece of a cochlear implant system, the remote unit monitors the forward telemetry signals transmitted between an external sound processor, e.g., a behind-the-ear (BTE) sound processor, and an implanted unit, thereby providing the remote unit with the ability to output status information regarding the implant system. The remote unit may also generate a back telemetry signal that when properly received by the sound processor causes a forward telemetry signal to be generated that controls the implant unit.

Abstract: A method and device for measuring an evoked neural response comprising a sensor (25) for obtaining a sensed signal representing the evoked neural response, a high gain amplifier (30) having a signal input (31) for receiving the sensed signal and having a reference input (32), and means for altering or setting a reference voltage at the reference input (32) to prevent the amplifier (30) saturating with variations of the sensed signal.

Abstract: An implantable tissue-stimulating device comprising an elongate electrode carrier member (11) having a plurality of electrodes thereon. The electrodes are preferably disposed in a linear array on the carrier member (11) and are adapted to apply a preselected tissue stimulation to the cochlea. The carrier member (11) is preformed from a resiliently flexible biocompatible silicone and extends from a distal end (12) to a stop member (13). The carrier member (11) is adapted for intracochlear but extraluminar insertion within the cochlea of an implantee. In particular, the carrier member (11) is adapted to be implanted in the crevice (21) between the spiral ligament (22) and the endosteum (23) of the lateral wall of the cochlea (20). This is a quite different location to the normal placement of the cochlear implant electrode array in the scala tympani (24) of the cochlea (20).

Abstract: The apparatus for transcutaneous stimulation or transcutaneous measurement of a parameter is a device which fits wholly within the pinna (external ear) of the vertebrate. In order to fit completely within the pinna, the housing is C-shaped and from each end of the housing is a curved section which has a spring action that holds the apparatus inside the ear. This apparatus has a compact design which allows for nerve stimulation in a particularly efficient, ergonomically favorable and easy manipulation for the patient.

Abstract: An implant includes a housing and at least one electronic component. The housing is made of a first material and has an outer surface and an inner surface. The shield is positioned within the housing proximate the inner surface, the shield made of a second material. The second material has an atomic number greater than the atomic number of the first material.

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: An external component of a cochlear implant hearing system. The external component includes a speech processor module operable in a stand-alone mode of operation and a body-worn mode of operation, a protective case configured to have said speech processor module removably mounted therein; and an operational mode controller configured to determine when said speech processor module is mounted in said case and to place said speech processor module in said body-worn mode of operation when said module is mounted in said case.

Abstract: An implantable device is described. An implantable transducer converts between electrical energy and acoustic energy. An implantable electronics module is in communication with the transducer and processes electronic data signals associated with the transducer. A fluid filled catheter has a proximal end coupled to the transducer, and a distal end having a distal opening to cerebrospinal fluid in an implanted patient.

Abstract: An implantable device and corresponding method for suppression of tinnitus are described. An implantable signal processing module develops a stimulation signal for application to audio sensing tissue of the user. The signal processing module includes a tinnitus suppression mode in which the stimulation signal is unrelated to environmental sound near the user.

Abstract: A transmission circuit for an RF inductive link, particularly for an implanted device such as a cochlear implant. In a preferred form, the transmission circuit 1 includes a transmitter coil 24 and a damping device, including an auxiliary coil 4 and switch 6. The switch is operated to close the coil circuit when data zeros are transmitted. This has the advantage of improving modulation depth without placing stress on the RF driver output switches.

Abstract: An improved ear tip for earphones and hearing protection is provided where comfort and occlusion of the ear are of most importance. The ear tip comprises an elastomer polymer resin material molded to form the material to the shape of the ear canal. A chamber is defined having a proximal and distal end, the distal end engages the acoustic exit of the transducer, sound source or sound attenuator and the proximal end of the bore is adapted to be disposed adjacent an eardrum. The inner body attaches to a nozzle, or audio playback orifice to naturally transition the acoustics from the transducer or sound attenuator to the eardrum via the ear canal. The ear tip can have a plurality of flexible annular flanges disposed at spaced intervals of the body with decreasing circumference as the flanges transition to the proximal end. Each flange tapers in a radius or curvilinear geometry as it progresses to the end of the object.

Abstract: A method is described for processing a waveform signal containing a stimulus artifact and one or more neuronal action potentials. An electrical stimulation signal is derived based on satisfying a cost function comparison with a plurality of known neuronal action potential waveforms.

Abstract: A system and/or method treating for a neurological disorder by brain region stimulation. The system and/or method comprises a probe and a device to provide stimulation. The probe has a stimulation portion implanted in communication with a predetermined brain region site. The stimulation portion of the probe may be implanted in contact with a predetermined brain region.

Abstract: A low-power implant system. The system includes an implant for implantation into a person, such as a cochlear implant or a middle ear implant. The implant is capable of communicating with a device via transmission of ultra wideband pulses. The device may be adapted to be worn external to the person, or may be a second implant. So as to conserve battery power, the transmitted ultra wideband pulses may have a low duty cycle of approximately 1/1000 or less. Power savings may also be realized by using time-gating amplifiers in the implant and/or device receiver.

Abstract: An implantable neural stimulation system, such as a cochlear implant system, utilizes a Distributed Compression Amplitude Mapping (DCAM) system to distribute signal compression between a pre-bandpass linear mapping function, and a post-bandpass compressive mapping function. The pre-bandpass linear mapping function is implemented, in one exemplary embodiment, as a traditional audio compressor to prevent distortion that might result from a non-linear mapping function. The post-bandpass compressive mapping function is implemented, in another exemplary embodiment, as a logarithmic transform to reflect natural hearing. As a result of the DCAM processing, the differences in amplitudes of components of the acoustic spectrum are maintained. By maintaining these differences, spectral smearing between channels is reduced and speech clues are preserved.

Abstract: A system for treating patients affected both by hearing loss and by balance disorders related to vestibular hypofunction and/or malfunction, which includes sensors of sound and head movement, processing circuitry, a power source, and an implantable electrical stimulator capable of stimulating areas of the cochlea and areas of the vestibular system.

Abstract: An implantable neural stimulation system, such as a cochlear implant system, utilizes a Distributed Compression Amplitude Mapping (DCAM) system to distribute signal compression between a pre-bandpass linear mapping function, and a post-bandpass compressive mapping function. The pre-bandpass linear mapping function is implemented, in one exemplary embodiment, as a traditional audio compressor to prevent distortion that might result from a non-linear mapping function. The post-bandpass compressive mapping function is implemented, in another exemplary embodiment, as a logarithmic transform to reflect natural hearing. As a result of the DCAM processing, the differences in amplitudes of components of the acoustic spectrum are maintained. By maintaining these differences, spectral smearing between channels is reduced and speech clues are preserved.

Abstract: An electro-magnetic driver transducer free of torque in the presence of an external magnetic field, of any direction and orientation (such as in a Magnetic Resonance Imaging environment). The transducer includes a housing. At least one coil is associated with the housing. A plurality of magnets within the housing are aligned along an axis in an anti-parallel orientation. The magnets are free to move along an axis, wherein vibration of the magnets causes vibration of the housing. The transducer may be, for example, fixed to an ossicle.

Abstract: An apparatus for stimulating a brain (3B) of a person (2) comprising a detector (10) for detecting an induced or a spontaneous physiological signal generated by the brain (3B), a control unit (12) being connected to said detector (10) for comparing the detected physiological signal with a criterion to determine an optimal setting of a variable signal parameter, a first signal generator (8) for applying an electrical stimulation signal (EES) to said person (2) and/or at least one second signal generator (9) for applying a sensory stimulation signal (SSS) to a sensory organ (3A) of said person (2), wherein a signal parameter of the stimulation signals (ESS, SSS) are adjusted to the determined optimal setting of said signal parameter.

Abstract: Apparatus and methods for converting one type of speech processor unit into another type of speech processor unit. A behind the ear (BTE) speech processor is converted to a body-worn device by means of a container that encloses the BTE and allows for device operations and charging. The body-worn device is worn in one embodiment on a belt of a patient.

Abstract: A system and/or method for treating auditory dysfunction by somatosensory system stimulation. The system and/or method comprises a probe and a device to stimulate the probe. The probe has a stimulation portion implanted in communication with a predetermined peripheral nerve site. The stimulation portion of the probe may be implanted in contact with a peripheral nerve dorsal root ganglia, cranial nerve or dermatome area, for example C2 dermatome area or a trigeminal dermatome area. The stimulation portion may be a laminotomy, paddle, surgical, or multiple electrode lead. The device to stimulate the probe may be implanted subcutaneously or transcutaneously.

Abstract: A system and method for treating auditory dysfunction by somatosensory system stimulation. The system and/or method comprises a probe and a device to stimulate the probe. The probe has a stimulation portion subcutaneously implanted in communication with a predetermined spinal cord site. The stimulation portion of the probe may be implanted externally to the spinal cord, or may be implanted epidurally. The stimulation portion may be a laminotomy, paddle, surgical, or multiple electrode lead. The device to stimulate the probe may also be implanted subcutaneously.

Abstract: A system and/or method treating for a neurological disorder by brain region stimulation. The system and/or method comprises a probe and a device to provide stimulation. The probe has a stimulation portion implanted in communication with a predetermined brain region site. The stimulation portion of the probe may be implanted in contact with a predetermined brain region.

Abstract: A signal line for an implantable electromedical configuration, having an electric line segment or line end and a mechanoelectric converter for converting an electric AC voltage signal into a mechanical oscillation. The oscillation can in turn be converted back into an electrical signal for delivery to a part of a human or mammal body, e.g., a heart.

Abstract: A bone conduction device, comprising: a sound input element configured to receive an acoustic sound signal; an electronics module configured generate an electrical signal representing said acoustic sound signal; and a transducer configured to generate motion of a mass component based on said electrical signal so as to generate one or more mechanical forces resulting in one or more of motion and vibration of a recipient's skull thereby causing sound perception, wherein one or more of the size and shape of said mass component is selectable at least partially based on a desired mechanical force to be generated by said transducer.

Abstract: An acoustic sensor, suitable for use in a totally implanted hearing prosthesis, uses an elongate member and piezoelectric sensor to detect acoustic signals when the sensor is implanted so as to be in fluid communication with the perilymph. The sensor may be applied in systems which are not totally implanted.

Abstract: An implantable tissue-stimulating device for an implantee comprising: an elongate member, and at least one electrode disposed on the elongate member, wherein at least a portion of the device is coated, prior to implantation in the implantee, with a coating configured to at least partially inhibit adhesion of body tissue to the device following implantation, and wherein the coating is removable, after implantation, by an electrochemical cleaning process during which potential of one or more of the at least one electrode is increased and then decreased.

Abstract: A cochlear implant system in which information about the periodicity of a received audio signal in each filter channel is used as a factor in determining the rate of stimulation applied to a tonotopically placed electrode corresponding to the relevant filter channel. As such, the stimulation rate for each electrode is related to the periodicity of the signal in the filter channel corresponding to that electrode. This may allow for improved perception of pitch by the implant recipient.

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 implantable magnet that can freely turn in response to an external magnetic field, thus avoiding torque and demagnetization on the implantable magnet. The implantable magnet can be combined with an electric switching function depending on the orientation of an external magnetic field, thus protecting an implanted coil and/or implant electronics against induction of over-voltage or performing an electric switching function for other various purposes. The magnetic switch may further include, for example, a first switching contact and a second switching contact. A magnetically soft body that includes an electrically conductive surface is shiftable between a first position where the body is in simultaneous contact with the first and second switching contacts, and a second position where the body is out of contact with at least one of the first and second switching contacts.

Abstract: The present invention is a system for mapping a high resolution image to a lower resolution electrode array and, by applying varying stimulus to neighboring electrodes, creating a perceived image greater in resolution than the electrode array. The invention is applicable to a wide range of neural stimulation devices including artificial vision and artificial hearing. By applying a sub-threshold stimulus to two neighboring electrodes where the sum of the stimuli is above the threshold of perception, a perception is created in neural tissue between the two electrodes. By adjusting the stimulus on neighboring electrodes, the location of stimulation can be altered. Further, noise can be applied to the stimulating electrode or its neighboring electrodes to reduce the threshold of stimulation.

Abstract: Systems and methods for neural stimulation may include a stimulus unit; a first electrode assembly having a first set of contacts; and a second set of contacts. The stimulus unit can be an implantable pulse generator including a first terminal that can be biased at a first signal polarity and a second terminal that can be biased at a second signal polarity. The first electrode assembly includes a support member configured to be placed at the stimulation site, the first set of contacts carried by the support member, and a first lead configured to be attached to the first terminal of the implantable pulse generator for biasing the surface contacts at the first polarity. The second set of contacts is detached from the surface electrode assembly. The second set of contacts can be one or more conductive elements fixed to or forming portions of the implantable pulse generator, or a separate electrode array.

Abstract: Methods and systems for modifying the parameters of at least one hearing device for a patient with residual hearing provide needed orchestration of acoustic and electric stimulation of patients wearing such devices.

Abstract: A method for hair cell stimulation includes determining a frequency band corresponding to damaged hair cell region in accordance with a preset algorithm, determining the frequency band corresponding to the damaged hair cell region as a target frequency band, and outputting an acoustic signal with given intensity to the target frequency band so as to stimulate the damaged hair cell region. The method treats hearing loss by acoustic signal.

Abstract: The invention regards a method for programming a hearing aid wherein the hearing aid user is initially tested by subjecting the user to air borne sound and/or to bone transmitted vibrations, and based on the test results a bone conducting hearing threshold of a bone integrated bone conducting hearing aid is calculated, and further a bone conducting hearing aid is chosen and applied to a skin penetrating abutment which is firmly attached to a bone integrated fixture in the skull bone of the hearing aid user. According to the invention the vibrator in the chosen hearing aid is caused to vibrate at different frequencies and vibration levels and feed-back from the hearing aid user is obtained in order to obtain knowledge of the hearing aid users experienced hearing threshold with the attached hearing aid and finally the experienced hearing threshold is used to fine tune this same hearing aid for future wearing by the user.

Abstract: An artifact monitoring stimulation system and corresponding method are described. An implantable electrode stimulator applies an electrical stimulation pulse to target tissue using implantable electrode contacts. An artifact monitor module monitors the electrode contacts during and after the stimulation pulse to observe an artifact signal resulting from the stimulation pulse to determine a operating characteristic associated with the stimulation system, the stimulated tissue and/or electrode-electrolyte interface properties.

Abstract: A device and method for generating electrical stimulation. The implantable device includes a programmable switching device or array that receives at least one pulse generator output coupled through at least one coupling capacitor. The switching device selectively connects at least one pulse generator output to a plurality of electrode terminals via at least one coupling capacitor. Electrical stimulation signals may be applied directly from the electrode terminals, or are applied through a lead or lead extension having corresponding electrodes electrically connected to the electrode terminals.

Abstract: The invention provides an amplifier for providing adaptive operation of an auditory prosthesis. The amplifier receives an input signal and produces an output signal, and comprises a gain control. Estimates of the current noise floor value of the input signal are obtained, and in response to a change in the current estimated noise floor value, the gain control alters the amount of gain applied to the input signal. Further, in response to the change in the current estimated noise floor value, the gain control alters a gain compression ratio of the amplifier across the dynamic range of the amplifier. The present invention allows for adaptive operation of the amplifier responsive to varying noise floor levels, while maintaining desired gain characteristics of the amplifier across a range of input signal levels.

Abstract: A number of ear-worn hearing system devices are provided that each include a pair of electrodes to transmit time varying electrical signals therebetween when in contact with skin of a user's body. The devices each include a housing, a sound sensor, and processing circuitry included within the housing. The electrodes are coupled to the circuitry and are spaced apart from one another a distance sufficient to provide capacitance between the electrodes below a desired threshold. The electrodes are disposed along the housing for placement on locations of the user's body where skin contact is not likely to be disrupted by nominal body movements.