Systems and methods for intra-surgical monitoring of evoked responses that occur during an electrode lead insertion procedure

    公开(公告)号:US11090485B2

    公开(公告)日:2021-08-17

    申请号:US15768492

    申请日:2015-11-03

    IPC分类号: A61N1/05 A61N1/36 A61B5/38

    摘要: An exemplary monitoring system 1) receives a user input command to begin monitoring evoked responses that occur in response to acoustic stimulation during an insertion procedure in which a lead that is communicatively coupled to a cochlear implant is inserted into a cochlea of a patient, the lead having an array of intracochlear electrodes and an extracochlear electrode, the extracochlear electrode physically and communicatively coupled to a probe that is also communicatively coupled to the monitoring system, 2) directs, in response to the user input command, the cochlear implant to short an intracochlear electrode with the extracochlear electrode, 3) presents the acoustic stimulation to the patient, and 4) records the evoked responses that occur in response to the acoustic stimulation by using the intracochlear electrode to detect signals representative of the evoked responses and receiving the detected signals by way of the extracochlear electrode and the probe.

    SYSTEMS AND METHODS FOR INTRA-SURGICAL MONITORING OF EVOKED RESPONSES THAT OCCUR DURING AN ELECTRODE LEAD INSERTION PROCEDURE

    公开(公告)号:US20180304069A1

    公开(公告)日:2018-10-25

    申请号:US15768492

    申请日:2015-11-03

    IPC分类号: A61N1/05 A61N1/36

    摘要: An exemplary monitoring system 1) receives a user input command to begin monitoring evoked responses that occur in response to acoustic stimulation during an insertion procedure in which a lead that is communicatively coupled to a cochlear implant is inserted into a cochlea of a patient, the lead having an array of intracochlear electrodes and an extracochlear electrode, the extracochlear electrode physically and communicatively coupled to a probe that is also communicatively coupled to the monitoring system, 2) directs, in response to the user input command, the cochlear implant to short an intracochlear electrode with the extracochlear electrode, 3) presents the acoustic stimulation to the patient, and 4) records the evoked responses that occur in response to the acoustic stimulation by using the intracochlear electrode to detect signals representative of the evoked responses and receiving the detected signals by way of the extracochlear electrode and the probe.

    SYSTEMS AND METHODS FOR FACILITATING INTERAURAL LEVEL DIFFERENCE PERCEPTION BY ENHANCING THE INTERAURAL LEVEL DIFFERENCE

    公开(公告)号:US20190246220A1

    公开(公告)日:2019-08-08

    申请号:US16327823

    申请日:2017-07-14

    IPC分类号: H04R25/00

    摘要: A binaural hearing system (“system”) enhances and/or preserves interaural level differences between first and second signals. The system includes first and second audio detectors associated with first and second ears of a user, respectively. The audio detectors detect an audio signal presented to the user and generate the first and second signals to represent the audio signal as detected at the first and second ears, respectively. The system also includes a first sound processor that receives the first signal from the first audio detector and the second signal from a second sound processor via a communication link with the second sound processor. The first sound processor generates a directional signal representative of a spatial filtering of the audio signal detected at the first ear according to an end-fire directional polar pattern and presents an output signal representative of the directional signal to the user at the first ear.

    Systems and methods for facilitating interaural time difference perception by a binaural cochlear implant patient

    公开(公告)号:US10342976B2

    公开(公告)日:2019-07-09

    申请号:US15741217

    申请日:2016-06-30

    IPC分类号: H04R25/00 A61N1/36

    摘要: A binaural cochlear implant system (system) includes first and second microphones associated with first and second ears of a patient, respectively. The microphones detect an audio signal presented to the patient and output first and second signals representative of the audio signal as detected at the first and second ears, respectively. The system also includes a first sound processor that receives the first signal from the first microphone and the second signal from a second sound processor by way of a communiation link with the second sound processors. The first sound processor generates first and second fine structure signals representative of fine structure information of the first and second fine structure signals, respectively, and generates a timing pulse signal based on the first and second fine structure signals. The first sound processor uses the timing pulse signal to represent to the patient an interaural time difference between the first and second signals.

    Systems and methods for facilitating apical electrode stimulation by an electro-acoustic stimulation system
    6.
    发明授权
    Systems and methods for facilitating apical electrode stimulation by an electro-acoustic stimulation system 有权
    通过电声刺激系统促进顶端电极刺激的系统和方法

    公开(公告)号:US09320898B2

    公开(公告)日:2016-04-26

    申请号:US14375123

    申请日:2012-01-31

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

    摘要翻译: 示例性电声刺激(EAS)装置包括:1)检测设备,被配置为检测呈现给患者并包括在声刺激频率范围内的音频内容; 2)声音刺激管理设备,被配置为引导扬声器应用 声学刺激代表包括在患者的声学刺激频率范围内的音频内容,以及3)电刺激管理设备,其被配置为引导植入在患者体内的人工耳蜗植入物以通过一个方式向患者施加亚阈值电刺激 或多个设置在患者的耳蜗的顶端区域内的电极以及声刺激的应用。 还公开了相应的系统和方法。

    Methods and systems for multi-monopolar current steering in an auditory prosthesis system
    7.
    发明授权
    Methods and systems for multi-monopolar current steering in an auditory prosthesis system 有权
    用于听觉假体系统中多单极电流转向的方法和系统

    公开(公告)号:US09119711B2

    公开(公告)日:2015-09-01

    申请号:US13882616

    申请日:2011-10-28

    IPC分类号: A61F2/18 A61N1/18 A61N1/36

    CPC分类号: A61F2/18 A61N1/36036

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

    摘要翻译: 示例性方法包括声音处理器1)将与频带相关联的分析频道映射到包括通信地耦合到与患者相关联的听觉假体的至少三个电极的刺激通道,2)识别包括在音频信号中的频谱峰 呈现给患者,具有包括在频带中的峰值频率的频谱峰值,以及3)引导听觉假体通过同时刺激峰值频率中的至少两个来将代表频谱峰值的电刺激应用于与峰值频率相关联的刺激位点 所述至少三个电极基于多单极电流转向策略,大致为其相应最舒适的电流水平(M电平)的百分之五十或更小。 还公开了相应的方法和系统。

    ELECTROMYOGRAPHY RESPONSE DETECTION SYSTEMS AND METHODS
    8.
    发明申请
    ELECTROMYOGRAPHY RESPONSE DETECTION SYSTEMS AND METHODS 有权
    电磁响应检测系统及方法

    公开(公告)号:US20150088025A1

    公开(公告)日:2015-03-26

    申请号:US14397461

    申请日:2012-05-01

    IPC分类号: A61B5/04 A61B5/0488

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

    摘要翻译: 示例性EMG响应检测系统可以被配置为:1)引导可植入刺激器以向患者顺序呈现多个基本上相同的刺激事件,2)记录由患者中的肌肉产生的多个EMG信号,并且每个对应于 呈现包括在多个基本相同的刺激事件中的特定刺激事件,3)确定每个记录的EMG信号的异步分量,以及4)利用所记录的EMG信号的异步分量来确定是否诱发EMG响应 受到刺激事件的影响。

    Methods and systems of compensating for a disabled electrode
    9.
    发明授权
    Methods and systems of compensating for a disabled electrode 有权
    补偿残留电极的方法和系统

    公开(公告)号:US08768476B2

    公开(公告)日:2014-07-01

    申请号:US13425741

    申请日:2012-03-21

    IPC分类号: A61N1/00 A61N1/05

    摘要: An exemplary method includes 1) identifying, by a cochlear implant system, an electrode included within an array of electrodes as being a disabled electrode, 2) selecting, by the cochlear implant system, at least two non-adjacent electrodes surrounding the disabled electrode, and 3) simultaneously applying, by the cochlear implant system, stimulation current to the at least two non-adjacent electrodes to compensate for a loss of stimulation resulting from the disabled electrode. Corresponding methods and systems are also disclosed.

    摘要翻译: 一种示例性方法包括:1)通过耳蜗植入系统识别包括在电极阵列内的电极作为禁用电极; 2)通过所述耳蜗植入系统选择围绕所述残留电极的至少两个不相邻的电极, 以及3)通过所述人工耳蜗植入系统同时施加刺激电流至所述至少两个不相邻电极以补偿由所述残留电极产生的刺激的损失。 还公开了相应的方法和系统。

    Optimizing pitch allocation in a cochlear implant
    10.
    发明授权
    Optimizing pitch allocation in a cochlear implant 有权
    优化耳蜗植入物中的间距分配

    公开(公告)号:US08620445B2

    公开(公告)日:2013-12-31

    申请号:US13444655

    申请日:2012-04-11

    IPC分类号: A61N1/36

    摘要: Errors in pitch allocation within a cochlear implant are corrected in order to provide a significant and profound improvement in the quality of sound perceived by the cochlear implant user. The disclosure provides a tool for determining the implant fitting curve for cochlear implant system to correct pitch warping. The method presents familiar musical tunes to determine the implant fitting slope (relative alignment). In addition, in one embodiment, speech sounds may be used to determine the offset of the fitting line (absolute alignment). The use of music and speech to determine the implant fitting curve (line) and the slope is facilitated by using techniques to implement virtual electrodes to more precisely direct stimuli to the location or “place” on the cochlea.

    摘要翻译: 修正耳蜗植入物内音调分配的错误,以便对耳蜗植入物使用者感知到的声音质量进行显着和深刻的改进。 本公开提供了一种用于确定用于人工耳蜗植入系统的植入物拟合曲线以校正间距翘曲的工具。 该方法呈现熟悉的音乐曲调以确定植入物拟合斜率(相对对准)。 此外,在一个实施例中,可以使用语音来确定拟合线的偏移(绝对对准)。 通过使用技术来实现虚拟电极以更精确地将刺激直接引导到耳蜗上的位置或“位置”来促进使用音乐和言语来确定植入物拟合曲线(线)和斜率。