Abstract: A CMTS may instruct one or more cable modems to transmit an upstream test signal with a particular preamble (and or any other type of signature) in the upstream transmission bandwidth. The preamble may be within a significant band of the upstream transmission bandwidth. A leakage detection device may be brought in the vicinity of the cable network to listen for various signals. The leakage detection device may filter received signals to retain the portions thereof within a desired limited band and further filter the band-limited signals to reduce noise, e.g., removing the payload following the preamble. A correlation filter in the leakage detection device may compare the pattern in the band-limited filtered signal with a stored preamble. If there is a match, the leakage detection device may generate an indication that leakage is detected in the upstream transmission.

Abstract: A method, including obtaining data indicative of respective perceived loudness levels for a plurality of hearing percepts respectively evoked at different current levels, and creating a map for the hearing prosthesis based on the obtained data by adjusting at least one of the respective current levels based on data of a respective perceived loudness for another current level.

Abstract: A hearing device for use with a cochlear implant system is disclosed. An input portion receives, as a stimulus, an acoustic signal, converts the acoustic signal into an electrical acoustic signal and provides the electrical acoustic signal. A processing portion processes the electrical acoustic signal and conducts an active grounding procedure. An implant portion being implantable at least partially in a cochlea of the user comprises a plurality of operation electrodes and a reference electrode, e.g. an external electrode being grounded and implantable outside of the cochlea of the user. The operation electrodes are driven by the processing portion on the basis of the electric acoustic signal. An electrode state setting section sets the plurality of operation electrodes into one of a high impedance state, a grounded state and a stimulating state in which a signal based on the electric acoustic signal is supplied to a stimulation electrode of the plurality of operation electrodes.

Abstract: Methods and systems are disclosed to facilitate creating the sensation of vibrotactile movement on the body of a user. Vibratory motors are used to generate a haptic language for music or other stimuli that is integrated into wearable technology. The disclosed system in certain embodiments enables the creation of a family of devices that allow people such as those with hearing impairments to experience sounds such as music or other input to the system. For example, a “sound vest” or other wearable array transforms musical input to haptic signals so that users can experience their favorite music in a unique way, and can also recognize auditory or other cues in the user's real or virtual reality environment and convey this information to the user using haptic signals.

Abstract: A group select matrix is added to an implantable stimulator device to allow current sources to be dedicated to particular groups of electrodes at a given time. The group select matrix can time multiplex the current sources to the different groups of electrodes to allow therapy pulses to be delivered at the various groups of electrodes in an interleaved fashion. Each of the groups of electrodes may be confined to a particular electrode array implantable at a particular non-overlapping location in a patient's body. A switch matrix can be used in conjunction with the group select matrix to provide further flexibility to couple the current sources to any of the electrodes.

Abstract: A haptic device comprises a signal generator that is configured to receive an input word that is a unit of a language. The signal generator converts the input word into one or more phonemes of the input word. The signal generator further converts the one or more phonemes into a sequence of actuator signals. The sequence of actuator signals is formed from a concatenation of sub-sequences of actuator signals. Each phoneme corresponding to a unique sub-sequence of actuator signals. The haptic device further comprises a two dimensional array of cutaneous actuators configured to receive the sequence of actuator signals from the signal generator, each of the actuator signals mapped to a cutaneous actuator of the two dimensional array of cutaneous actuators.

Abstract: Presented herein are dynamic current steering techniques in which a dynamic stimulation pulse is delivered to a recipient as current stimulation applied across a plurality of stimulation channels. The current stimulation is weighted and applied in a pattern that results in a time varying progressive change in the location of a locus of the current stimulation across the plurality of channels.

Abstract: An electric hearing prosthesis, wherein the electric hearing prosthesis includes an implantable portion configured to electrically stimulate a cochlea to evoke a hearing percept, and an external portion configured to be in wired communication with the implantable portion, wherein the electronic components of the implantable portion are all passive electronic components.

Abstract: A method, including obtaining data indicative of respective perceived loudness levels for a plurality of hearing percepts respectively evoked at different current levels, and creating a map for the hearing prosthesis based on the obtained data by adjusting at least one of the respective current levels based on data of a respective perceived loudness for another current level.

Abstract: One embodiment provides an implantable biomedical probe. The probe can include a substrate and one or more metallic coils positioned above the substrate. A respective metallic coil is configured to generate an electromagnetic field in response to an alternating current flowing through the metallic coil. The probe can further include a smart polymer layer positioned above the metallic coils. The smart polymer layer can include at least one photo-switching magnetic material that changes magnetic susceptibility in response to optical stimuli.

Abstract: A method is described for determining an optimal placement location for an auditory brainstem implant (ABI) electrode array. A cochlear implant (CI) electrode array is inserted into a patient cochlea, and the ABI electrode array is initially placed at an initial placement location on a patient brainstem. The optimal placement location for the ABI electrode array is then determined by, for multiple electrode contacts on the ABI electrode array: i. selecting a specific electrode contact, ii. delivering a stimulation signal to the selected electrode contact, iii. sensing an efferent nerve signal from the stimulation signal using the electrode contacts of the CI electrode array, and iv. determining a maximum response location in the patient cochlea where a largest efferent nerve signal is sensed. The ABI electrode array is then repositioned to the optimal placement location.

Abstract: A computer-implemented method for generating a test set for testing a subject using a computer system comprising logic-based processing circuitry is provided. The method includes the step of selecting one or more features from among a plurality of features, wherein a measurable effect on the subject of each feature selected is based on a predetermined threshold. The method also includes generating one or more classes of stimuli based on the selected features. The method further includes selecting stimuli from one or more of said classes for presenting to the subject.

Abstract: A method and system for fitting and adjusting the operation of an acoustic hearing prosthesis or a hybrid electric and acoustic hearing prosthesis. A graphic user interface allows for the acoustic and electric fitting parameters to be viewed and adjusted in a comparable way. The method further allows for the parameters for acoustic stimulation of the acoustic channels to be adjusted in response to behavioral or objective measurement of response to known stimuli, so as to achieve a desired response curve.

Abstract: An apparatus for processing an input sound signal, the apparatus including: gain circuitry configured to control a gain based on a plurality of respective sub-signals of the input sound signal; and an amplification apparatus configured to adjust the amplification of all the plurality of amplitudes based on the common gain.

Abstract: An arrangement is described for generating electrode stimulation signals to electrode contacts in an implanted cochlear implant electrode array. A signal processor processes an input sound signal to generate stimulation timing signals for signal channels associated with the electrode contacts. A pulse generator produces the electrode stimulation signals for each electrode contact based on the stimulation timing signals. A pulse adapter controls a signal format of the pulse generator in response to a somatic response input signal reflecting presence or absence of an undesired somatic response to the electrode stimulation signals. The signal format is an initial signal format based on biphasic stimulation pulses when the somatic response input signal reflects absence of the undesired somatic response, and an adapted signal form based on triphasic stimulation pulses when the somatic response input signal reflects presence of the undesired somatic response.

Abstract: An exemplary method includes generating, by an external control device selectively and communicatively coupled to an implantable stimulator, a calibration table indicating transmit power levels required to achieve a plurality of distinct combinations of compliance voltages and maximum stimulation current levels by the implantable stimulator, determining, by the external control device, a maximum stimulation current level to be delivered by the implantable stimulator via one or more electrodes to one or more stimulation sites within a patient during a stimulation frame, determining, by the external control device, an optimal compliance voltage that allows the implantable stimulator to deliver the determined maximum stimulation current level, and selecting, by the external control device in accordance with the calibration table, a transmit power level that results in the implantable stimulator operating at substantially the optimal compliance voltage during the stimulation frame.

Abstract: Systems and methods are disclosed to stimulate tissue to treat medical conditions involving tissues such as the bone, spine, stomach, nerves, brain and the cochlea. The disclosed invention uses electrical stimulation of the tissue, where vibrational (or acoustic) energy from a source is received by an implanted device and converted to electrical energy and the converted electrical energy is used by implanted electrodes to stimulate the pre-determined tissue sites. The vibrational energy is generated by a controller-transmitter, which could be either implanted or located externally. The vibrational energy is received by a receiver-stimulator, which could be located at or close to the stimulation site.

Abstract: Presented herein is diagnostic and adaptive circuitry for use in an implantable medical system (prosthesis) having at least two physically separate implantable modules (packages) that are electrically connected by a lead assembly (cable). The diagnostic and adaptive circuitry is configured to execute testing and adaptive (corrective) functions.

Abstract: The present invention relates to an implantable apparatus for obtaining urinary control and emptying of the urinary bladder. The apparatus operates with a powered member (100) operating from the outside of the urinary bladder assisted by a support structure to discharge urine from the urinary bladder. A control device (200) controls the operation of the powered member. The control device further comprises a source of energy for operating the powered member and other energy consuming parts of the apparatus and a control assembly.

Abstract: The present invention relates to a low-frequency stimulator using music, and a weight-loss assisting system having a low-frequency stimulator. The low-frequency stimulator according to an embodiment of the present invention includes: a beat extracting unit extracting a beat through a sound pressure magnitude comparison between one or more acoustic signals having different frequencies generated when music is played on a music player; a pulse generator generating a pulse having the same magnitude as that of the extracted beat; and a pair of electrode pads attached to a user's body and applying an electrical stimulus having an intensity corresponding to the magnitude of the generated pulse to the user's body.

Abstract: A hearing prosthesis for delivering stimuli to a hearing-impaired recipient is disclosed, the hearing prosthesis comprising: a sound transducer for converting received sound signals into electric audio signals; a sound processor for converting said electric audio signals into stimuli signals; a stimulator for delivering said stimuli to the recipient; a memory for storing data representative of sound signals; and a controller configured to cause selected sound data to be retrieved from said memory and processed by said sound processor.

Abstract: A system is described for generating electrode stimulation signals for stimulation electrodes in an implanted electrode array on a given side of a bilateral cochlear implant system. A pre-processor module processes an acoustic audio signal with a bank of filters to generate a set of band pass signals each corresponding to a band of audio frequencies associated with one of the filters. An automatic gain control (AGC) circuit performs a channel specific dynamic amplitude mapping of the band pass signals to generate a set of compressed band pass signals. The AGC circuit uses a bilateral multiplication matrix characterizing a lateral suppression network and having at least one non-zero coupling element from a contralateral side. A stimulation timing module extracts stimulation information from the compressed band pass signals to generate stimulation timing signals. A pulse shaper module develops the stimulation timing signals into electrode stimulation signals to the stimulation electrodes.

Abstract: An apparatus and method for determining stimulation channels for a stimulating device is provided. This method and apparatus may involve computing a set of weights for the plurality of stimulation channels of the stimulating hearing prosthesis. These weights may be determined by determining a transimpedance matrix for the stimulating hearing prosthesis where a diagonal of the transimpedance matrix is determined by extrapolation. A transadmittance matrix may then be computed for this transimpedance matrix. An error may then be computed base on positive off-diagonal terms of the transadmittance matrix. The apparatus and method may determine the weights for the stimulation channels by determining an adjustment to the diagonal of the transimpedance matrix that results in a computed error that does not exceed a specified criterion level.

Abstract: The present invention provides an apparatus that includes an infrared (IR) light source having two or more wavelengths (e.g., a relatively broad wavelength-profile light source and/or a light source with a plurality of relatively narrowband wavelengths), wherein the different wavelengths have different tissue-penetration depths. The IR light provides optical stimulation of nerves to generate nerve-action potentials (NAPs) in one or more individual nerve cells, and/or compound nerve-action potentials (CNAPs) in a nerve bundle. In some embodiments, the stimulation of NAPs and CNAPs is used to restore hearing. In some embodiments, the broad wavelength profile extends the physical volume of tissue that is stimulated, thus homogenizing the spatial light-absorption profile of the stimulation light used, e.g., for optical triggering of NAPs and CNAPs in the cochlea.

Abstract: Method and apparatus for optically stimulating neurons of a plurality of auditory nerve pathways of a person to provide auditory sensations for the person including generating a plurality of pulsed light signals having one or more successive pulses; delivering the plurality of pulsed light signals to one or more auditory nerve pathways of the cochlea of the person; selectively controlling the plurality of light signals to optically stimulate and trigger nerve action potentials (NAPs) in the one or more auditory nerve pathways. In some embodiments, the stimulation rate (i.e., pulse-repetition rate) is optimized for the patient based on comfort levels, speech-recognition scores, and temperature feedback from monitors in the cochlea. In some embodiments, the methods of the present invention find practical lower and upper limits to the rate of stimulation to increase the speech-recognition scores while implementing safety limits to preventing overheating.

Abstract: Assessment of neuron excitation is implemented by quantifying the interaction between focused and unfocused stimulation applied to a cochlear array. By applying focused and unfocused stimulation to the electrode array and comparing the difference in the responses to the two types of stimulation the interaction may be determined. The magnitude of the interaction may be related to neural excitation and using this data a neural excitation profile may be determined.

Abstract: A method of analyzing an audio signal is disclosed. A digital representation of an audio signal is received and a first output function is generated based on a response of a physiological model to the digital representation. At least one property of the first output function may be determined. One or more values are determined for use in analyzing the audio signal, based on the determined property of the first output function.

Abstract: Among other things, a stimulation strategy can be customized for a cochlear implant implanted in an individual by testing at least a pair of electrodes selected from an array of electrodes associated with the cochlear implant. Testing the at least a pair of electrodes includes applying a first stimulation to the at least a pair of electrodes using a first pair of pulse trains that are out of phase, and applying a second stimulation to the at least a pair of electrodes using a second pair of pulse trains that are out of phase. A determination is made on whether the at least a pair of electrodes stimulate the same neural population based on a sensitivity of the individual to detect a perceived difference between the two pairs of pulse trains. The one or more electrodes of the array of electrodes are selectively stimulated based on the determination.

Abstract: A cochlear implant system has an implantable portion that includes a stimulator module for producing for the auditory system of a user an electrical stimulation signal representative of an acoustic signal. The implantable portion further includes a battery for supplying power to the stimulator module, a receiver module for receiving an electrical power signal across the skin of a user, and a recharge module that uses the electrical power signal to recharge the battery. The recharge module recharges the battery at less than the maximum recharge rate.

Abstract: A BTE prosthetic device for use in a medical system or prosthesis comprises a connector configured to mechanically attach an auxiliary device of the system to the BTE prosthetic device. The connector is electrically connected to an transceiver of the BTE prosthetic device. The connector operates as an electromagnetic antenna for transmitting and/or receiving signals between the BTE prosthetic and other components of the medical system.

Abstract: Systems, methods and devices for paired training include timing controls so that training and neural stimulation can be provided simultaneously. Paired trainings may include therapies, rehabilitation and performance enhancement training. Stimulations of nerves such as the vagus nerve that affect subcortical regions such as the nucleus basalis, locus coeruleus or amygdala induce plasticity in the brain, enhancing the effects of a variety of therapies, such as those used to treat tinnitus, stroke, traumatic brain injury and post-traumatic stress disorder.

Abstract: Disclosed is hearing device that uses magnetostrictive materials to assist a user in hearing and comprehending sounds. Conductive coils are made with a magnetostrictive covering that can comprise a film or other coating. In addition, printed circuit boards can be used with traces that form a coil to generate a magnetic field that activates a magnetostrictive film disposed over the coil traces on the printed circuit board. Enhanced effects are achieved using these systems. Delays in the signal processing can also be introduced by varying the thickness of the magnetostrictive coverings.

Abstract: Methods, devices and systems are provided to efficiently identify, from among a plurality of possible neurostimulation parameter sets, one or more preferred neurostimulation parameter sets that treat a targeted pain of a patient. A plurality of different neurostimulation parameter sets are tested on the patient to thereby identify those tested neurostimulation parameter sets that treat the targeted pain. Each of the tested neurostimulation parameter sets defines an electrode configuration that differs from the other tested neurostimulation parameter sets.

Abstract: An exemplary system includes a sound processor configured to identify one or more spectral peaks of an audio signal presented to a cochlear implant patient and an implantable cochlear stimulator communicatively coupled to the sound processor and configured to apply electrical stimulation representative of the one or more spectral peaks to at least one stimulation site within the cochlear implant patient using a partial multipolar stimulation configuration and apply electrical stimulation representative of one or more other spectral components of the audio signal to at least one other stimulation site within the cochlear implant patient using a monopolar stimulation configuration. Corresponding systems 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.

Abstract: A system for cochlear implant surgery includes a reference device having at least a portion adapted to be arranged at a fixed position relative to a cochlea of a patient to provide a reference position, an image acquisition and processing system adapted to acquire an image of at least a portion of the cochlea relative to the reference position and to provide an implant plan based at least partially on the acquired image, and an implant system adapted for implanting a cochlear lead array using the reference position and the implant plan.

Abstract: A method for forming a cochlear electrode array with a plurality of electrodes which are spaced so as to stimulate sites within a cochlea includes shaping a sheet of electrically conductive material to form a support structure and a plurality of electrodes, in which the electrodes are tethered to the support structure at the spacing of the cochlear electrode array. A cochlear lead includes a flexible body that has frictional characteristics that vary about its circumference. A cochlear lead includes a flexible body with a first region and a second region with different surface textures. This generates differential sliding forces during insertion of the cochlear lead which influence a motion of the cochlear lead during insertion. The cochlear lead having an electrode array with varying stiffness along its length is also provided.

Abstract: A method of generating electrode stimulation signals for an implanted electrode array is described. An acoustic audio signal is processed to generate band pass signals which each represent an associated band of audio frequencies. For each band pass signal, fine time structure information is extracted to determine a sequence of phase event signals. For each sequence of phase event signals, when the number of phase event signals reaches a channel pitch rate factor, a signal limiting period without signals is introduced to produce a modified sequence of phase event signals. Each modified sequence of phase event signals is weighted with a channel amplitude value in order to generate a set of electrode stimulation signals for the implanted electrode array.

Abstract: Disclosed is a system having an implanted component and external component which are configured to provide a test of wireless communication in order to assess the success or failure of such communication and to store attributes related to such test in a memory log. To provide the communication test the implantable and external components can attempt wireless communication according to communication test parameters which relate to number of times to retry communication, duration of sending communication test signals, durations of waiting for communication test signals and the schedule of the communication tests. The schedule of tests may be periodic or may change over time in order to become more or less frequent according to a programmable schedule that may also decrease if the communication tests are successful and indicate patient compliance in keeping the external components close by.

Abstract: An implantable electrode array includes an elongated carrier (20) and a plurality of electrodes mounted within the carrier. A actuator adjusts the curvature of the carrier and can be controlled by varying an electric potential applied to the actuator. The actuator is based on an electrochemical cells and may be a conducting polymer based actuator.

Abstract: A method for determining a first set of one or more parameters for configuring a system, the method including evaluating a behavior of the system over a predetermined selection of parameter values for a second set of parameters, and deriving a first set of one or more parameters to configure the system based on the evaluated behavior of the system, wherein the number of parameters in the first set is less than the number of parameters in the second set.

Abstract: An external processor device is described for a hearing implant system. An external processor housing has a generally planar skin contacting surface and a central axis perpendicular to the skin contacting surface. A signal processor is located within the processor housing for developing an implant data signal. The processor housing also contains a transmitter coil for coupling the implant data signal across the skin to the implantable prosthetic system. A battery container forms an annular compartment around the central axis and contains a battery arrangement to provide electrical power to the signal processor and the transmitter coil.

Abstract: Apparatus and method for at least partially fitting a medical implant system to a patient is described. These apparatuses and methods comprise using a dynamic mutation rate. This genetic algorithm may comprise generating successive generations of child populations. In executing the genetic algorithm, children may undergo mutations based on a mutation rate. This mutation rate may be dynamic and be based on the characteristics of the children in the generation. Additionally, values may be frozen during execution of the genetic algorithm if the likelihood that the value has converged on a particular value exceeds a threshold.

Abstract: Information can be stored in a cochlear stimulation system by determining an item of patient specific information, transferring the item of patient specific information to an implantable portion of the cochlear stimulation system, and permanently storing the item of patient specific information in the implantable portion of the cochlear stimulation system. The item of patient specific information can comprise a parameter for use in generating a stimulation current. The implantable portion of the cochlear stimulation system also can be configured to permanently store one or more items of patient specific information in an alterable fashion. Further, an item of patient specific information can be retrieved from the implantable portion of the cochlear stimulation system. Additionally, an item of non-patient specific information for use in processing a received acoustic signal can be determined and permanently stored in an external portion of the cochlear stimulation system.

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: A method and neurostimulator for providing therapy to a patient is provided. In one technique, electrical background energy is conveyed to a first tissue region of the patient in accordance with stochastic parameter, thereby modulating the excitability of the first tissue region, and electrical stimulation energy is conveyed to the first tissue region when its excitability is modulated. In one example, the stimulation energy may be conveyed to a second tissue region of the patient, thereby therapeutically stimulating the second tissue region. In this case, the excitability of the first tissue region is decreased, thereby reducing any adverse effect that the conveyed stimulation energy has on the first tissue region. As another example, the conveyed stimulation energy stimulates the first tissue region, in which case, the excitability of the first tissue region may be increased, thereby enhancing the stimulation of the first tissue region by the conveyed stimulation energy.

Abstract: Fitting an auditory prosthesis to a recipient by automatically determining operational thresholds of the prosthesis based on changes in the activity of the recipient that occur in response to applied stimulation signals. Such changes in recipient activity are detected by an inertial measurement unit (IMU) permanently or temporarily secured to or implanted in the recipient as an integral part of the prosthesis or a separate device operationally coupled to the prosthesis.

Abstract: An electrode assembly including a carrier section, an electrode section(s), and joint section(s). Each electrode section including an electrode contact, and an electrode section body. Each joint section connecting the carrier section to at least one electrode section, and providing each connected electrode section with at least one of pitch, roll, and yaw about a point generally along an axis between the carrier section and the electrode section. The joint section made of material of durometer less the durometer of the carrier section. A fill section can substantially occupying the space between the carrier section and the electrode section that is not occupied by the joint section.

Abstract: An external component for a hearing implant is described. An external housing contains an attachment magnet configured to magnetically connect with an implant magnet of an implanted signal transducer. A pair of external electromagnetic drive coils within the external housing are adjacent to the attachment magnet for conducting electrical current to develop magnetic drive signals through the skin to the signal transducer to generate responsive vibrations of the signal transducer for perception by the patient as sound. The drive coils are configured such that their respective magnetic drive signals have opposing magnetic directions.

Abstract: An arrangement is described for fitting a hearing prosthesis system to a prosthesis patient. The PAMR measurement determines a post-auricular muscle reflex (PAMR) response of the patient to an auditory stimulus signal. For example, the PAMR response may include a PAMR amplitude growth function or a PAMR threshold stimulus level at which a PAMR is measured in the patient. Then a patient fitting module sets an operating characteristic of the hearing prosthesis system based on the PAMR response.