摘要:
An exemplary cochlear implant may include 1) a current source tied to a voltage supply and having an output that is electrically coupled to an electrode included in a plurality of electrodes, 2) a mirrored current source associated with the current source and that is commanded to output a commanded current, 3) a reference load coupled to an output of the mirrored current source and that forces the mirrored current source into an out-of-compliance state in which the mirrored current source outputs a reference current that is a predetermined percentage lower than the commanded current, the reference current resulting in a dynamic reference voltage at the output of the mirrored current source, and 4) a comparator that compares a voltage at the output of the current source with the dynamic reference voltage, and outputs a signal based on the comparison. Corresponding systems and methods are also described.
摘要:
A system, method, and computer product for adjusting dynamic range of electrical stimulation associated with a cochlear prosthesis system is provided. The cochlear prosthesis system includes an electrode array for stimulating the acoustic nerve. Present electrode impedance values are determined for an electrode in the array. At least one stimulation parameter for the electrode is adjusted based, at least in part, on the present electrode impedance values, such that hearing sensation is not influenced due to a change between the present electrode impedance values and previous electrode impedance values.
摘要:
The present invention relates to a cochlear implant apparatus, and more particularly, to a cochlear implant apparatus capable of controlling the sensitivity or selectivity of sound through actuators. In accordance with an exemplary embodiment of the present invention, a cochlear implant apparatus for active feedback control which is inserted into the human body and configured to detect a sound in each frequency band includes a sensor unit configured to detect vibration according to a sound and generate an electrical signal corresponding to a magnitude of the vibration and actuators disposed in the sensor unit and each configured to react to the electrical signal and to control sensitivity according to the magnitude of the sound or the selectivity of a sound detected in each frequency band.
摘要:
A method for adjusting parameters of a hearing prosthesis system includes adjusting a control to shift an audiogram associated with a first stimulator, applying a prescription rule using the shifted audiogram to adjust a cross-over frequency that defines a first frequency range and a second frequency range. The first stimulator is configured to apply stimulation signals in the first frequency range and a second stimulator is configured to apply stimulation signals in the second frequency range. The method also includes applying the prescription rule using the shifted audiogram to determine gain and maximum power output (MPO) levels for the first frequency range associated with the first stimulator.
摘要:
The invention is related to a totally implantable cochlear implant having a transducer which is a piezoelectric vibration energy harvester to be mounted on the ossicular chain or the tympanic membrane to detect the frequency of oscillations and generate the required voltage to stimulate the relevant auditory nerves. The invention enables patients' continuous access to sound, since it eliminates the outside components of conventional cochlear implants. The invention also eliminates the problem of battery need, since the transducer generates voltage required to stimulate auditory nerves from the vibrations of ossicular chain. The transducer is fabricated using Microelectromechanical Systems (MEMS) fabrication techniques. The invention incorporates of two main parts, a transducer acting both as a frequency detector and an energy harvester, and electrodes to stimulate the auditory nerve inside the cochlea.
摘要:
Presented herein are intra-operative techniques for setting the angular insertion depth of a stimulating assembly during implantation into a recipient's cochlea. In certain embodiments, the angular insertion depth is monitored in real-time and advancement of the stimulating assembly is terminated when a selected angular insertion depth is achieved. In further embodiments, a linear insertion depth that corresponds to a selected angular insertion depth is intra-operatively calculated and advancement of the stimulating assembly is terminated when the calculated linear insertion depth is achieved.
摘要:
An exemplary sound processor (104) 1) identifies a stimulation site within a cochlea of a patient that is to be stimulated in order to represent acoustic content presented to the patient, the stimulation site included within a plurality of stimulation sites associated with a stimulation channel corresponding to a plurality of electrodes, 2) determines a target excitation field width associated with the stimulation channel and 3) dynamically sets, based on the identified stimulation site, an amplitude and a polarity of current to be applied to each electrode included in the plurality of electrodes in order to represent the acoustic content so that an excitation field created by the current has a width that roughly matches the target excitation field width. A system and a corresponding method are also disclosed.
摘要:
A method is described for adjusting hearing implant operating parameters for electrode contacts in an implantable electrode array to minimize tinnitus in an implanted patient. A channel tinnitus masking stimulation level is measured for each electrode contact at which maximum tinnitus masking occurs, Ytin,n. A channel threshold stimulation level also is measured for each electrode contact that represents a lowest detectable stimulation level, Tmeas,n. And a channel maximum stimulation level is measured for each electrode contact that represents a maximum comfortable stimulation level, MCLmeas,n. Channel threshold stimulation level Tn and channel maximum stimulation level MCLn are then adjusted for each electrode contact as a function of the channel tinnitus masking stimulation level Ytin,n and tinnitus masking stimulation levels for adjacent electrode contacts, Ytin,adj.
摘要:
An exemplary system includes a processing facility configured to process an audio signal presented to a cochlear implant patient and a control facility configured to direct a cochlear implant to apply electrical stimulation representative of the audio signal to the cochlear implant patient by 1) directing the cochlear implant to concurrently apply a first biphasic stimulation pulse by way of a first electrode and a second biphasic stimulation pulse by way of a second electrode during a first time slot, and 2) directing the cochlear implant to concurrently apply a third biphasic stimulation pulse by way of the second electrode and a fourth biphasic stimulation pulse by way of a third electrode during a second time slot that immediately follows the first time slot. The third and fourth biphasic stimulation pulses are flipped in phase compared to the first and second biphasic stimulation pulses.
摘要:
A surgical tool lifts an overlying layer of skin away from underlying bone to prepare the bone to accommodate a convex element of an implantable device. The tool includes a lifting shell for insertion between the skin and the bone so as to lift the skin away from bone. A tool base supports the lifting shell and is supported by the bone. A drill template opening in the tool base provides access for preparing the bone to accommodate the convex element.