A cochlear implant alignment system includes a sound processor configured to generate, based on a signal strength of a wireless back telemetry signal generated by a cochlear implant implanted within a recipient, a Received Signal Strength Indicator (RSSI) signal and at least one physical computing device configured to: receive the RSSI signal from the sound processor, and present, based on the RSSI signal received from the sound processor, an alignment indication to assist a user in aligning a headpiece with the cochlear implant, the alignment indication visually or audibly indicating a threshold degree of alignment and a plurality of additional degrees of alignment of the headpiece with the cochlear implant, wherein the threshold degree of alignment is sufficient to achieve a communication lock between the headpiece and the cochlear implant and wherein the plurality of additional degrees of alignment are each too poor to achieve the communication lock.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
A61N 1/372 - Arrangements in connection with the implantation of stimulators
H02J 50/10 - Circuit arrangements or systems for wireless supply or distribution of electric power using inductive coupling
H02J 50/80 - Circuit arrangements or systems for wireless supply or distribution of electric power involving the exchange of data, concerning supply or distribution of electric power, between transmitting devices and receiving devices
H02J 50/90 - Circuit arrangements or systems for wireless supply or distribution of electric power involving detection or optimisation of position, e.g. alignment
2.
COCHLEAR IMPLANTS HAVING MRI-COMPATIBLE MAGNET APPARATUS
A magnet apparatus including a case defining a central axis, a frame, defining a receptacle, within the case and rotatable about the central axis of the case, a magnet holder within the receptacle and including a plurality of tubes that together define an integral structure, and a plurality of elongate diametrically magnetized magnets that are respectively located in the plurality of tubes, the magnets defining a longitudinal axis and a N-S direction and being rotatable about the longitudinal axis relative to the tubes.
An illustrative electroacoustic hearing system includes a loudspeaker and a processor configured to: direct the loudspeaker to present a sound to a recipient by way of a length of tubing extending from the loudspeaker to an ear tip disposed at an ear canal of the recipient, the directing configured to cause the sound to have a target sound pressure level at the ear canal; obtain a detected sound pressure level of the sound as the sound is presented at the ear canal, the detected sound pressure level obtained from a probe microphone disposed within the ear tip; identify a discrepancy between the detected and target sound pressure levels of the sound as the sound is presented at the ear canal; and direct, based on the identified discrepancy, a remedial action to be performed to compensate for the discrepancy.
A method of forming a cochlear implant electrode array includes positioning a contact array assembly, which includes at least one carrier and a plurality of contacts on the at least one carrier, in a mold, removing at least a portion of the at least one carrier from the mold without removing the plurality of contacts from the mold, and introducing resilient material into the mold after the at least a portion of the at least one carrier has been removed to form a flexible body.
An illustrative system includes a computing module comprising: a display screen, and a processor configured to execute an application and direct the display screen to display a graphical user interface associated with the application; and a base module configured to attach to the computing module, the base module housing an interface unit configured to be communicatively coupled to the processor and to a cochlear implant while the base module is attached to the computing module, the base module comprising an audio output port; wherein the interface unit is further configured to generate acoustic stimulation and deliver the acoustic stimulation to a recipient of the cochlear implant by way of the audio output port and a sound delivery apparatus that has a distal portion configured to be placed in or near an entrance to an ear canal of the recipient.
An exemplary system includes a sensor configured to output sensor data and a hearing device comprising a processor. The processor of the hearing device may be configured to detect, based on the sensor data, a triggering event that occurs during use of the hearing device by a recipient of the hearing device. The triggering event may be indicative of possible damage to at least one of the hearing device or the recipient. The processor may further, apply, in response to the detecting of the triggering event, stimulation to the recipient, detect a signal that occurs in response to the stimulation and that is recorded by an electrode associated with the hearing device, compare the signal to a baseline signal recorded by the electrode prior to the triggering event, and determine, based on the comparing of the signal to the baseline signal, an operational effectiveness state of the hearing device.
An illustrative timing-based power control apparatus includes a signal generation circuit and a power control circuit. The signal generation circuit is configured to generate a carrier signal for wireless transmission of output power and output data, the carrier signal associated with a first fundamental component having a particular frequency, a particular phase, and a first amplitude. The power control circuit is configured to generate a time-adjusted version of the carrier signal that maintains an amplitude of the carrier signal and adjusts a timing profile of the carrier signal such that a second fundamental component associated with the time-adjusted version of the carrier signal has the particular frequency, the particular phase, and a second amplitude lower than the first amplitude. The second amplitude may be associated with a target power level for the output power of the wireless transmission. Corresponding systems and methods are also disclosed.
There is provided a hearing prosthesis system comprising a hearing implant implantable within a patient and including an implant transceiver coil and an implant attachment magnet device; an external component including an external transceiver coil and an external attachment magnet device, wherein the external component comprises or is connected to a measurement unit for measuring coil coupling strength values indicative of the received coil telemetry coupling strength (“MTEL-RSSI”) when the external transceiver coil and the implant transceiver coil are inductively coupled; and an analyzing unit configured to control the measurement unit, to receive coil coupling strength values measured by the measurement unit and to analyze the received coil coupling strength values.
An illustrative system includes a sound processor configured to be worn by a patient and to direct a cochlear implant implanted within the patient to apply electrical stimulation to the patient; and a conductive contact configured to detect a signal representative of an evoked response generated by a brain of the patient, the conductive contact integrated with the sound processor so as to be located between the sound processor and an external surface of a head of the patient while the sound processor is worn by the patient.
An exemplary sound processor is configured to direct a cochlear implant to apply standard electrical stimulation representative of frequencies in an audio signal that are within an upper region to a cochlea of a first ear of a recipient by way of a plurality of electrodes in accordance with a frequency allocation table that maps frequencies in the upper region of the audible frequency range of the recipient to the plurality of electrodes, the upper region of the audible frequency range comprising frequencies above and including a cutoff frequency, and direct the cochlear implant to apply electrical stimulation representative of frequencies in the audio signal that are within a lower region of the audible frequency range to the cochlea of the first ear by way of a most apical electrode and one or more compensating electrodes included in the plurality of electrodes in accordance with an electrode stimulation configuration.
An exemplary method includes a hearing performance prediction system aggregating a plurality of training examples, a training example in the plurality of training examples including a hearing aid dataset and a cochlear implant dataset associated with a user; and training a machine learning model using the plurality of training examples. The training may include computing, using the machine learning model, a predicted hearing performance for the user based on the hearing aid dataset of the user in the training example; computing a feedback value based on the predicted hearing performance of the user and the cochlear implant dataset of the user in the training example; and adjusting one or more model parameters of the machine learning model based on the feedback value.
An exemplary electrode lead includes a flexible body formed of a flexible insulating material and that comprises a fantail region that connects to a cochlear implant configured to be implanted within a recipient and that extends to a ground electrode located toward a proximal end of the electrode lead, an electrode contact disposed on a side of the flexible body, a coiled electrode wire provided within the flexible body so as to extend along a length of the flexible body and electrically connect the electrode contact to a signal source, and a coiled reinforcing element provided within the flexible body so as to extend together with the coiled electrode wire along the length of the flexible body. The coiled reinforcing element may only be provided within a proximal portion of the electrode lead. Corresponding methods of manufacturing an electrode lead are also described.
An illustrative scalar translocation detection system directs a loudspeaker to apply acoustic stimulation to a cochlear implant patient while an electrode lead is inserted into a cochlea of the cochlear implant patient. The system detects a first evoked response to the acoustic stimulation while an electrode is positioned at a first location in the cochlea and detects a second evoked response to the acoustic stimulation while the electrode is positioned at a second location in the cochlea. Then, based on at least one of an amplitude change or a phase change between the first and second evoked responses, the system determines that a scalar translocation of the electrode lead from one scala of the cochlea to another scala of the cochlea has occurred. Based on this determination, the system also notifies a user that the scalar translocation has occurred. Corresponding methods and systems are also disclosed.
An exemplary system includes an implantable stimulator configured to be implanted within a recipient and apply electrical stimulation configured to treat tinnitus within the recipient. The system further includes an implantable sensor configured to be implanted within the recipient and output first sensor data representative of a first property associated with the recipient. The system further includes an external sensor configured to be external to the recipient and output second sensor data representative of a second property associated with the recipient. The system further includes a controller communicatively coupled to the implant, the implantable sensor, and the external sensor. The controller is configured to receive the first and second sensor data, and control, based on the first and second sensor data, the electrical stimulation.
An illustrative radio frequency (RF) power control system includes an RF transmitter configured to operate external to a recipient, a cochlear implant configured to operate internal to the recipient based on RF power received from the RF transmitter, and a processor that, while operating in a power adaptation mode during which the cochlear implant applies stimulation to the recipient: 1) receives an audio signal, 2) directs the RF transmitter to provide the RF power to the cochlear implant at a power level determined based on the audio signal and based on a power level mapping function, 3) determines an error value representing a difference between a target metric and a measured metric associated with receipt of the RF power at the cochlear implant, and 4) updates the power level mapping function based on the error value. Corresponding systems and methods are also disclosed.
A system including a cochlear implant with a cochlear lead including a plurality of electrodes, an antenna, a stimulation processor operably connected to the antenna and to the cochlear lead, and a magnet apparatus, adjacent to the antenna, including a case defining a central axis, a frame within the case and rotatable relative to the case about the central axis of the case, and only two elongate diametrically magnetized magnets that are located in the frame, that are separated from one another by a fixed non-zero distance, that each define a longitudinal axis and a N-S direction, and that are rotatable about the longitudinal axis relative to the frame, and an external device including an axially magnetized disk-shaped positioning magnet and an antenna adjacent to the axially magnetized disk-shaped positioning magnet.
An exemplary system includes a cochlear implant configured to be implanted within a recipient, the cochlear implant coupled to a lead having a plurality of electrodes, and a controller communicatively coupled to the cochlear implant. The controller is configured to direct the cochlear implant to apply stimulation current to a first electrode set of the plurality of electrodes to represent the audio signal to the recipient. The controller is further configured to direct the cochlear implant to apply treatment current to a second electrode set of the plurality of electrodes to treat tinnitus within the recipient, the second electrode set including electrodes different from the first electrode set.
A magnet apparatus including a case defining a central axis, a frame, defining a receptacle, within the case and rotatable about the central axis of the case, a magnet holder within the receptacle and including a plurality of tubes that together define an integral structure, and a plurality of elongate diametrically magnetized magnets that are respectively located in the plurality of tubes, the magnets defining a longitudinal axis and a N-S direction and being rotatable about the longitudinal axis relative to the tubes.
A system including a cochlear implant with a cochlear lead including a plurality of electrodes, an antenna, a stimulation processor operably connected to the antenna and to the cochlear lead, and a magnet apparatus, adjacent to the antenna, including a case defining a central axis, a frame within the case and rotatable relative to the case about the central axis of the case, and only two elongate diametrically magnetized magnets that are located in the frame, that are separated from one another by a fixed non-zero distance, that each define a longitudinal axis and a N-S direction, and that are rotatable about the longitudinal axis relative to the frame, and an external device including an axially magnetized disk-shaped positioning magnet and an antenna adjacent to the axially magnetized disk-shaped positioning magnet.
An illustrative system includes a coil configured to be positioned over a wound on a body and held in place on the body by a magnet implanted within the body; and a controller communicatively coupled to the coil, the controller configured to apply therapeutic electromagnetic pulses by way of the coil to the wound. Other systems and methods for providing therapeutic electromagnetic pulses to a recipient are also disclosed.
An exemplary headpiece includes a headpiece coil comprising a plurality of windings configured to produce a combined output signal that is transcutaneously transmitted to an implant coil of a cochlear implant, the combined output signal configured to control an operation of the cochlear implant. The headpiece further includes a plurality of drivers, each driver of the plurality of drivers coupled to a respective winding of the plurality of windings and configured to drive the respective winding to generate the combined output signal.
A cochlear implant including a stimulation assembly including an antenna and a stimulation processor and a cochlear lead, operably connected to the stimulation processor, including an electrode array with a flexible body, a plurality of electrically conductive contacts on the flexible body, and a high contrast orientation indicator on a portion of the cochlear lead proximal of the electrode array.
A cochlear implant including a cochlear lead, an antenna, a stimulation processor, and a magnet apparatus, associated with the antenna, including a case defining a central axis, a magnet frame within the case and rotatable about the central axis of the case, and a plurality of elongate diametrically magnetized magnets that are located in the magnet frame, the magnets defining a longitudinal axis and a N-S direction and being freely rotatable about the longitudinal axis relative to the magnet frame.
A cochlear implant includes a cochlear lead, a housing, an antenna, a stimulation processor operably connected to the antenna and to the cochlear lead, a first fixation element, a second fixation element with a different configuration than the first fixation element, and a connector configured to simultaneously connect the first and second fixation elements to the housing in such a manner that the first and second fixation elements are independently detachable from the housing.
A system may include a unit for capturing signals induced at electrodes of an electrode array in response to stimulation of a cochlea by applying auditory nerve stimulation signals to the electrodes; a memory unit for storing the captured signals and/or data derived from the captured signals; and an electrode migration detection unit for detecting electrode migration relative to the cochlea by comparing presently captured signals and/or data derived from such presently captured signals to stored previously captured signals and/or data derived from such previously captured signals.
A hearing prosthesis system may include a cochlear implant coupled to an electrode array and configured to be implanted within a patient; and a processing unit communicatively coupled to the cochlear implant which is configured to direct the cochlear implant to apply stimulation to a cochlea of the patient via the electrode array and to detect, via the electrode array, a neural response of the patient to hearing stimulation. The processing unit is further configured to generate a user interaction audio signal indicative of an interaction of the patient with the hearing prosthesis system and apply perceivable hearing stimulation to the patient according to the user interaction audio signal, and to record, via the electrode array and the cochlear implant, the neural response to said hearing stimulation according to the user interaction audio signal, thereby utilizing the user interaction audio signal as a test audio signal.
An illustrative timing-based power control apparatus includes a signal generation circuit and a power control circuit. The signal generation circuit is configured to generate a carrier signal for wireless transmission of output power and output data, the carrier signal associated with a first fundamental component having a particular frequency, a particular phase, and a first amplitude. The power control circuit is configured to generate a time-adjusted version of the carrier signal that maintains an amplitude of the carrier signal and adjusts a timing profile of the carrier signal such that a second fundamental component associated with the time-adjusted version of the carrier signal has the particular frequency, the particular phase, and a second amplitude lower than the first amplitude. The second amplitude may be associated with a target power level for the output power of the wireless transmission. Corresponding systems and methods are also disclosed.
An illustrative insertion management system may be configured to provide, as a first input to a machine learning model, geometric model data specific to a recipient of a cochlear implant and representative of a geometrical model of a cochlea of the recipient, provide, as a second input to the machine learning model, procedure data representative of one or more contextual attributes of a lead insertion procedure in which an electrode lead is inserted to the cochlea of the recipient, and generate, based on an output of the machine learning model that takes into account the geometric model data and the procedure data, procedure assistance data configured to assist a user in performing the lead insertion procedure.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
43.
Microphone assembly for use with an off-the-ear sound processor
An illustrative cochlear implant system is disclosed herein. The cochlear implant system comprises a microphone assembly including a microphone and a retention device configured to hold the microphone near an entrance to an ear canal of an ear of a recipient. The cochlear implant system further comprises an off-the-ear (OTE) sound processor that includes a housing configured to be worn off the ear of the recipient and further configured to physically attach to the microphone assembly so as to allow the microphone assembly to be worn off the ear when the microphone assembly is not being worn at the ear using the retention device. Corresponding systems and methods are also disclosed.
An illustrative electrode locating system directs a first electrode on an electrode lead to generate an electrical pulse after being inserted into a cochlea of a patient during an insertion procedure to insert the electrode lead into the cochlea. The electrode locating system then directs a voltage to be detected between a second electrode of the electrode lead that has not yet been inserted into the cochlea and a ground contact that is to remain external to the cochlea after the insertion procedure. Based on the voltage detected between the second electrode and the ground contact, the electrode locating system determines that the second electrode has not yet been inserted into the cochlea. Corresponding systems and methods are also disclosed.
An illustrative stiffening member includes a body configured to integrate with a portion of an electrode lead so as to maintain the portion of the electrode lead in a substantially linear configuration in an absence of a flexure force. The stiffening member includes a plurality of slots distributed along the body and configured to bias the body, in a presence of the flexure force, to flex inwardly on a first side of the body that is closer to electrodes of the electrode lead than is a second side opposite the first side. The stiffening member also includes an orientation retainer coupled to the body and configured to interface with the electrode lead to maintain, while the body is integrated with the portion of the electrode lead, the first side of the body closer to the electrodes than the second side of the body.
An exemplary sound processor is configured to maintain data representative of a frequency allocation table that maps frequencies in an upper region of an audible frequency range of a recipient to a plurality of electrodes located within a cochlea of the first ear, direct a cochlear implant to apply standard electrical stimulation representative of frequencies in an audio signal that are within the upper region to the cochlea of the first ear by way of the plurality of electrodes in accordance with the frequency allocation table, and direct the cochlear implant to apply phantom electrical stimulation representative of frequencies in the audio signal that are within a lower region of the audible frequency range to the cochlea of the first ear by way of a most apical electrode and one or more compensating electrodes included in the plurality of electrodes in accordance with a phantom electrode stimulation configuration.
An illustrative insertion management system may be configured to identify one or more attributes of a lead insertion procedure in which an electrode lead having a plurality of electrodes is inserted into a cochlea of a recipient of a cochlear implant; dynamically select, based on the one or more attributes of the lead insertion procedure, a first subset of electrodes included in the plurality of electrodes for inclusion in a monitoring electrode set, the monitoring electrode set configured to have less electrodes than a total number of the plurality of electrodes; monitor, during the lead insertion procedure, impedance values for electrodes included in the monitoring electrode set; and determine, during the lead insertion procedure and based on the monitoring, a positioning state of the electrode lead.
An illustrative cochlear implant system includes an electrode lead having an array of electrodes, a cochlear implant coupled with the electrode lead and configured to be implanted within a recipient together with the electrode lead, and a processing unit communicatively coupled to the cochlear implant. The processing unit is configured to direct the cochlear implant to apply stimulation to the recipient by way of the array of electrodes. The processing unit is further configured to detect, by way of one or more electrodes included in the array of electrodes, a cortical potential produced by the recipient. Based on the detected cortical potential, the processing unit is configured to determine a fitting parameter associated with the cochlear implant system. Corresponding systems and methods are also disclosed.
There is provided a hearing prosthesis system comprising a hearing implant (108) implantable within a patient and including an implant transceiver coil (132) and an implant attachment magnet device (136); an external component (106) including an external transceiver coil (134) and an external attachment magnet device (130), wherein the external component comprises or is connected to a measurement unit (170) for measuring coil coupling strength values indicative of the received coil telemetry coupling strength ("MTEL- RSSI") when the external transceiver coil and the implant transceiver coil are inductively coupled; and an analyzing unit (190) configured to control the measurement unit, to receive coil coupling strength values measured by the measurement unit and to analyze the received coil coupling strength values so as to output at least one of n estimation of a present transcutaneous distance between the implant transceiver coil and the external transceiver coil, an estimation of a present transcutaneous magnetic coupling strength between the implant attachment magnet device and the external attachment magnet device, and a target value of the transcutaneous magnetic coupling strength for adjusting the transcutaneous magnetic coupling strength between the implant attachment magnet device and the external attachment magnet device.
An illustrative system includes a stimulation device configured to apply stimulation to a recipient, a sensing device configured to detect a physiological condition of the recipient, and a processing unit communicatively coupled to the stimulation device and the sensing device. The processing unit determines a stimulation strategy that is customized to the recipient and includes stimulation frames and stimulation gaps. The processing unit then directs the stimulation device to apply the stimulation to the recipient in accordance with the stimulation strategy by applying the stimulation only during time that corresponds to the stimulation frames. The processing unit also directs the sensing device to detect the physiological condition of the recipient in accordance with the stimulation strategy by detecting only during time that corresponds to the stimulation gaps. Based on the detected physiological condition, the processing unit performs an action. Corresponding systems, methods, and apparatuses are also disclosed.
A diagnostic system is disclosed that is configured to direct an acoustic stimulation generator to apply acoustic stimulation having a stimulus frequency to a recipient of a cochlear implant during an insertion procedure in which an electrode lead communicatively coupled to the cochlear implant is inserted into a cochlea of the recipient, direct the cochlear implant to use an electrode disposed on the electrode lead to record an evoked response signal during the insertion procedure, the evoked response signal representing amplitudes of a plurality of evoked responses that occur within the recipient in response to the acoustic stimulation applied to the recipient, and incrementally step, as the electrode lead is inserted into the values starting with an initial value and ending with a final value lower than the initial value.
A system may include a device configured to be implanted within a recipient and that includes an integrated circuit. The integrated circuit may include a first node configured to provide a bandgap reference voltage and a second node configured to provide a CTAT voltage. The first node may be coupled to a first input of an ADC and the second node may be coupled to a second input of the ADC. The system may also include a processor communicatively coupled to an output of the ADC. The processor may be configured to determine, based on the output of the ADC, the CTAT voltage. The processor may be further configured to determine, based on the CTAT voltage, a temperature of the device.
G01K 7/01 - Measuring temperature based on the use of electric or magnetic elements directly sensitive to heat using semiconducting elements having PN junctions
G01K 13/20 - Clinical contact thermometers for use with humans or animals
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
A61N 1/08 - Arrangements or circuits for monitoring, protecting, controlling or indicating
An electrode lead for a cochlear implant system may include a tube having an interior volume and an outer peripheral surface; a plurality of stimulating electrodes disposed on a distal portion of the electrode lead; a ground electrode disposed on a proximal portion of the electrode lead for providing a current return path for stimulation current generated by the plurality of stimulation electrodes, wherein the ground electrode is ring-shaped and is fixed on and around the outer peripheral surface of the tube; and a ground wire extending within the interior volume of the tube to the ground electrode and being electrically connected to the ground electrode through an opening in a wall of the tube.
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
H01B 7/04 - Flexible cables, conductors, or cords, e.g. trailing cables
H01B 3/46 - Insulators or insulating bodies characterised by the insulating materialsSelection of materials for their insulating or dielectric properties mainly consisting of organic substances plasticsInsulators or insulating bodies characterised by the insulating materialsSelection of materials for their insulating or dielectric properties mainly consisting of organic substances resinsInsulators or insulating bodies characterised by the insulating materialsSelection of materials for their insulating or dielectric properties mainly consisting of organic substances waxes silicones
A61N 1/08 - Arrangements or circuits for monitoring, protecting, controlling or indicating
54.
SYSTEMS FOR DETERMINING WHEN AN ELECTRODE LEAD REACHES A COCHLEAR BASAL TURN DURING A LEAD INSERTION PROCEDURE
An exemplary insertion management system is configured to direct a cochlear implant to apply electrical stimulation by way of a first electrode disposed on an electrode lead that is being inserted into a cochlea of a recipient, direct the cochlear implant to record, while the electrical stimulation is being applied by way of the first electrode, a differential voltage signal representative of a differential voltage between a second electrode and a third electrode both disposed on the electrode lead, the second and third electrodes different than the first electrode, determine, while the differential voltage signal is being recorded, that a signal characteristic of the differential voltage signal changes by at least a threshold amount, and determine, based on the signal characteristic changing by at least the threshold amount, that a distal end of the electrode lead is positioned within a threshold distance of a basal turn of the cochlea.
An exemplary cochlear implant system includes a sound processor, a cochlear implant, and equalization circuitry integrated within the sound processor and/or the cochlear implant. The sound processor operates externally to a recipient and is associated with a sound processor coil. The cochlear implant includes a cochlear implant coil larger than the sound processor coil and that is configured to form a transcutaneous narrowband inductive link with the sound processor coil when the cochlear implant is implanted within the recipient. By way of the transcutaneous narrowband inductive link, the cochlear implant receives a forward telemetry signal incorporating power and forward telemetry data. The equalization circuitry facilitates recovery, by the cochlear implant, of the forward telemetry data from the forward telemetry signal by compensating for distortion introduced onto the forward telemetry signal as a result of bandwidth limitations imposed by the transcutaneous narrowband inductive link. Corresponding systems and devices are also disclosed.
An illustrative proximity detection system directs a first electrode of an electrode lead to apply a first pulse and directs a second electrode of the electrode lead to apply a second pulse concurrently with the first pulse so as to form a dipole that generates a field. The first and second electrodes are each configured as stimulating electrodes that apply stimulation to the cochlear tissue when the electrode lead is located at a resting position subsequent to a surgical insertion of the electrode lead into a cochlea of a patient. After the pulses are applied, and based on an energy magnitude of the field that is detected to reflect from cochlear tissue located within the field, the proximity detection system determines a proximity of the electrode lead to the cochlear tissue. Corresponding systems and methods are also disclosed.
A cochlear implant including a cochlear lead, an antenna, a stimulation processor, and a magnet apparatus, associated with the antenna, including a case and a magnet assembly, having a spine and at least one magnet that is secured to the spine, that is located within the case and is rotatable relative to the case.
An exemplary system is configured to maintain data representative a machine learning model for use in a cochlear implant system and train the machine learning model. The training may include applying audio content as a training input to the machine learning model, the machine learning model configured to apply a machine learning heuristic to the audio content to output an electrical signal representative of the audio content; applying the electrical signal to a brain processing model, the brain processing model configured to output synthesized audio content representative of the electrical signal; generating an error metric representative of a difference between the audio content and the synthesized audio content; and feeding back the error metric into the machine learning model, the machine learning model configured to use the error metric to adjust the machine learning heuristic applied to the audio content.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
An exemplary diagnostic system is configured to direct an acoustic stimulation generator to an acoustic stimulation generator to apply acoustic stimulation having a plurality of stimulus frequencies to a recipient of a cochlear implant during an insertion procedure in which an electrode lead communicatively coupled to the cochlear implant is inserted into a cochlea of the recipient, direct the cochlear implant to use an electrode disposed on the electrode lead to record a plurality of evoked response signals during the insertion procedure, each evoked response signal included in the plurality of evoked response signals corresponding to a different stimulus frequency included in the plurality of stimulus frequencies, and determine, based on an amplitude and a phase of each of one or more evoked response signals included in the plurality of evoked response signals, an insertion state of the electrode lead within the cochlea of the recipient.
An exemplary spatial enhancement system performs frequency- specific localization and speech comprehension enhancement. Specifically, the system receives an audio signal presented to a recipient of a hearing device, and generates, based on the audio signal, a first frequency signal and a second frequency signal. The first frequency signal includes a portion of the audio signal associated with a first frequency range, and the second frequency signal includes a portion of the audio signal associated with a second frequency range. Based on the first and second frequency signals, the system generates an output frequency signal that is associated with the first and second frequency ranges and that is configured for use by the hearing device in stimulating aural perception by the recipient. This generating of the output frequency signal includes processing the first frequency signal to apply a localization enhancement and processing the second frequency signal to apply a speech comprehension enhancement.
A system includes an interface assembly and electronic circuitry. The interface assembly is configured to receive DC power and a self-clocking differential signal comprising a data signal encoded with a clock signal at a clock frequency. The electronic circuitry is configured to recover, from the self-clocking differential signal, the data signal and the clock signal at the clock frequency, and to generate, based on the recovered clock signal at the clock frequency, a synthesized clock signal at a carrier frequency. The electronic circuitry is also configured to use the synthesized clock signal to wirelessly transmit, to an implantable stimulator implanted within a recipient, AC power based on the DC power and forward telemetry data based on the recovered data signal. Corresponding systems, methods, and devices are also disclosed.
An exemplary method includes a hearing performance prediction system aggregating a plurality of training examples, a training example in the plurality of training examples including a hearing aid dataset and a cochlear implant dataset associated with a user; and training a machine learning model using the plurality of training examples. The training may include computing, using the machine learning model, a predicted hearing performance for the user based on the hearing aid dataset of the user in the training example; computing a feedback value based on the predicted hearing performance of the user and the cochlear implant dataset of the user in the training example; and adjusting one or more model parameters of the machine learning model based on the feedback value.
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 5/055 - Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fieldsMeasuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
A61F 2/18 - Internal ear or nose parts, e.g. ear-drums
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 30/20 - ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
A61F 11/04 - Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense, e.g. through the touch sense
G06Q 30/06 - Buying, selling or leasing transactions
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
An illustrative sound calibration system is configured to direct a loudspeaker to present a sound to a recipient by way of a length of tubing extending from the loudspeaker to an ear tip disposed at an ear canal of the recipient. The directing is configured to cause the sound to have a target sound pressure level at the ear canal. The system is further configured to obtain, from a probe microphone disposed within the ear tip, a detected sound pressure level of the sound as the sound is presented at the ear canal. The system is further configured to identify a discrepancy between the detected and target sound pressure levels of the sound as the sound is presented at the ear canal, and, based on the identified discrepancy, to direct a remedial action to be performed to compensate for the discrepancy. Corresponding systems and methods are also disclosed.
An exemplary system includes a sensor configured to output sensor data and a hearing device comprising a processor. The processor of the hearing device may be configured to detect, based on the sensor data, a triggering event that occurs during use of the hearing device by a recipient of the hearing device. The triggering event may be indicative of possible damage to at least one of the hearing device or the recipient. The processor may further, apply, in response to the detecting of the triggering event, stimulation to the recipient, detect a signal that occurs in response to the stimulation and that is recorded by an electrode associated with the hearing device, compare the signal to a baseline signal recorded by the electrode prior to the triggering event, and determine, based on the comparing of the signal to the baseline signal, an operational effectiveness state of the hearing device.
An illustrative system includes a cochlear implant, a lead configured to be inserted into a cochlea of a patient by way of an insertion procedure, a plurality of electrodes disposed on the lead and including an intracochlear electrode and an extracochlear electrode, a probe coupled to the extracochlear electrode, and a processor communicatively coupled with the probe and the cochlear implant. During the insertion procedure, the processor directs the cochlear implant to short the intracochlear and extracochlear electrodes, then detects, by way of the probe and the shorted intracochlear and extracochlear electrodes, evoked responses measured at the intracochlear electrode. The evoked responses include a first evoked response measured at a first insertion depth and a second evoked response measured at a second insertion depth. The processor generates, based on the first and second evoked responses, a notification indicating that cochlear trauma has likely occurred at the second insertion depth.
A system includes electronic circuitry that receives a self-clocking differential signal comprising a data signal encoded with a clock signal at a dock frequency. The electronic circuitry is configured to recover, from the self-docking differential signal, the data signal and the dock signal. Then, based on the recovered dock signal, the electronic circuitry is configured to wirelessly transmit, to an implantable stimulator implanted within a recipient, a forward telemetry signal representing data recovered from the data signal. Corresponding systems, methods, devices, and application specific integrated circuits (ASICs) are also disclosed.
G01R 23/02 - Arrangements for measuring frequency, e.g. pulse repetition rateArrangements for measuring period of current or voltage
G06F 1/04 - Generating or distributing clock signals or signals derived directly therefrom
H01Q 1/24 - SupportsMounting means by structural association with other equipment or articles with receiving set
H02J 50/27 - Circuit arrangements or systems for wireless supply or distribution of electric power using microwaves or radio frequency waves characterised by the type of receiving antennas, e.g. rectennas
H02J 50/80 - Circuit arrangements or systems for wireless supply or distribution of electric power involving the exchange of data, concerning supply or distribution of electric power, between transmitting devices and receiving devices
A diagnostic system for use during a procedure associated with a cochlear implant includes a computing module and a base module configured to attach to a back side of the computing module and serve as a stand for the computing module. The computing module includes a display screen and a processor configured to execute a diagnostic application and direct the display screen to display a graphical user interface associated with the diagnostic application. The base module includes an interface unit configured to be communicatively coupled to the processor and to the cochlear implant while the base module is attached to the back side of the computing module.
A diagnostic system may determine a minimum evoked response amplitude and a maximum evoked response amplitude for a recipient of a cochlear implant and determine a mapping between a plurality of audible pitches and a plurality of evoked response amplitudes included in a range defined by the minimum and maximum evoked response amplitudes. The diagnostic system may monitor, during an insertion procedure in which an electrode lead communicatively coupled to the cochlear implant is inserted into a cochlea of the recipient, an evoked response signal recorded during the insertion procedure by an electrode disposed on the electrode lead. As the evoked response signal is being monitored, the diagnostic system may detect an amplitude change in the evoked response signal and present, based on the mapping, acoustic feedback that audibly indicates the amplitude change.
An exemplary system directs a display screen to display a graphical user interface that includes a selectable option to perform an electrode sweep with respect to a plurality of electrodes disposed on an electrode lead implanted at least partially within a cochlea of a recipient of a cochlear implant, detects a selection by a user of the option, directs, in response to the selection of the option, an acoustic stimulation generator to apply acoustic stimulation having a frequency to the recipient, directs the cochlear implant to use each electrode included in the plurality of electrodes to record an evoked response measurement in response to the acoustic stimulation, determines an amplitude of each of the evoked response measurements recorded by the plurality of electrodes, and presents, within the graphical user interface, a tuning curve that graphically indicates the amplitudes of the evoked response measurements.
G06F 3/0481 - Interaction techniques based on graphical user interfaces [GUI] based on specific properties of the displayed interaction object or a metaphor-based environment, e.g. interaction with desktop elements like windows or icons, or assisted by a cursor's changing behaviour or appearance
G06F 3/0484 - Interaction techniques based on graphical user interfaces [GUI] for the control of specific functions or operations, e.g. selecting or manipulating an object, an image or a displayed text element, setting a parameter value or selecting a range
71.
Systems and methods for measuring evoked responses from a brain of a patient
An illustrative system includes a behind-the-ear (BTE) sound processor configured to be worn by a patient behind an ear of the patient. The BTE sound processor is configured to direct a cochlear implant implanted within the patient to apply electrical stimulation to the patient. The system further includes a conductive contact configured to detect a signal representative of an evoked response generated by a brain of the patient. The conductive contact is integrated with the BTE sound processor so as to be located between the BTE sound processor and an external surface of a head of the patient while the BTE sound processor is worn by the patient behind the ear of the patient. Corresponding systems and methods are also disclosed.
H01Q 7/00 - Loop antennas with a substantially uniform current distribution around the loop and having a directional radiation pattern in a plane perpendicular to the plane of the loop
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
H01Q 1/27 - Adaptation for use in or on movable bodies
H01Q 1/36 - Structural form of radiating elements, e.g. cone, spiral, umbrella
73.
Method of manufacturing a self curling cochlear electrode lead
An exemplary method for manufacturing a self-curling cochlear electrode lead includes forming a shape memory polymer element that is configured to cause the cochlear electrode lead to transition to a curved spiral shape so as to conform with a curvature of the human cochlea when a temperature of the shape memory polymer element reaches a transition temperature, placing the shape memory polymer element within a cochlear electrode lead mold, attaching a wire included in a plurality of wires to each electrode contact included in a plurality of electrode contacts, placing the plurality of wires and the plurality of electrode contacts in the cochlear electrode lead mold, and providing the cochlear electrode lead mold with a flexible insulating material such that the shape memory polymer element, the plurality of wires, and the plurality of electrode contacts and embedded within the flexible insulating material after the flexible insulating material solidifies.
A cochlear implant system may include a cochlear implant configured to be implanted within a user and a sound processor configured to detect an amount of sound exposure to the user; gradually adjust a most comfortable level (“M level”) from an initial value towards a target value in accordance with an adaption time course and in accordance with the detected amount of sound exposure to the user by increasing the M level when the detected amount of sound exposure is above a first threshold and decreasing the M level when the detected amount of sound exposure is below a second threshold; and direct the cochlear implant to apply stimulation having the gradually adjusted M level to the user.
An apparatus external to a patient and communicatively coupled to an implant within the patient is disclosed. The apparatus identifies a tentative stimulation parameter adjustment constraint and an absolute stimulation parameter adjustment constraint for a stimulation parameter associated with the implant. The apparatus also determines an impedance of an electrode implanted within the patient and coupled with the implant. Based on the impedance of the electrode, the apparatus automatically adjusts the stimulation parameter within a range between a present value and a first value defined by the tentative stimulation parameter adjustment constraint. Additionally, based on user input manually provided by the patient, the apparatus further adjusts the stimulation parameter within a range between the first value and a second value beyond the first value and defined by the absolute stimulation parameter adjustment constraint. Corresponding apparatuses, systems, and methods are also disclosed.
A method of forming a cochlear implant electrode array includes positioning a contact array assembly, which includes at least one carrier and a plurality of contacts on the at least one carrier, in a mold, removing at least a portion of the at least one carrier from the mold without removing the plurality of contacts from the mold, and introducing resilient material into the mold after the at least a portion of the at least one carrier has been removed to form a flexible body.
An exemplary system includes an implantable stimulator configured to be implanted within a recipient and apply electrical stimulation configured to treat tinnitus within the recipient. The system further includes an implantable sensor configured to be implanted within the recipient and output first sensor data representative of a first property associated with the recipient. The system further includes an external sensor configured to be external to the recipient and output second sensor data representative of a second property associated with the recipient. The system further includes a controller communicatively coupled to the implant, the implantable sensor, and the external sensor. The controller is configured to receive the first and second sensor data, and control, based on the first and second sensor data, the electrical stimulation.
An exemplary system includes a coil configured to be positioned over a wound on a body and held in place on the body by a magnet implanted within the body. The system further includes a controller communicatively coupled to the coil and configured to apply therapeutic electromagnetic pulses by way of the coil to the wound. Other systems and methods for providing therapeutic electromagnetic pulses to a recipient are also disclosed.
A cochlear including a housing, an antenna, a stimulation processor operably connected to the antenna, and an electrode array, operably connected to the stimulation processor, including a flexible body defining a longitudinal axis, a proximal region and a distal region, a plurality of electrically conductive contacts on the flexible body, and at least one stiffener within the flexible body.
A method of forming an electrode array includes the steps of positioning a workpiece on a mold part defining an opening and a channel and having undercuts, compressing the workpiece into the mold part to form a contact, and introducing resilient material into the mold part to form a flexible body.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
H01R 4/00 - Electrically-conductive connections between two or more conductive members in direct contact, i.e. touching one anotherMeans for effecting or maintaining such contactElectrically-conductive connections having two or more spaced connecting locations for conductors and using contact members penetrating insulation
82.
Headpieces and implantable cochlear stimulation systems including the same
A cochlear implant headpiece, for use with a cochlear implant, including a housing, a diametrically magnetized headpiece magnet, defining an axis and a N-S direction, within the housing and rotatable about the axis, whereby the N-S direction of the headpiece magnet self-aligns with the gravitational direction when the axis is perpendicular to the gravitational direction, and a headpiece antenna associated with the housing.
An exemplary system includes a cochlear implant configured to be implanted within a recipient, the cochlear implant coupled to a lead having a plurality of electrodes, and a controller communicatively coupled to the cochlear implant. The controller is configured to direct the cochlear implant to apply stimulation current to a first electrode set of the plurality of electrodes to represent the audio signal to the recipient. The controller is further configured to direct the cochlear implant to apply treatment current to a second electrode set of the plurality of electrodes to treat tinnitus within the recipient, the second electrode set including electrodes different from the first electrode set.
An exemplary cochlear implant system for use by a recipient includes a microphone assembly and an off-the-ear (OTE) sound processor communicatively coupled with the microphone assembly. The microphone assembly includes a microphone configured to capture an audio signal representative of sound presented to the recipient, and a retention device configured to hold the microphone in place near an entrance to an ear canal of an ear of the recipient. The OTE sound processor includes a housing configured to be worn on a head of the recipient at a location that is off the ear of the recipient, and electronic circuitry included within the housing. The electronic circuitry is configured to generate stimulation parameters that, when transmitted to a cochlear implant implanted within the recipient, direct the cochlear implant to apply electrical stimulation representative of the captured audio signal to the recipient. Corresponding systems and methods are also disclosed.
An apparatus, for use with a cochlear implant having a magnet and implanted within a patient having first and second ears, includes a first splint and a strap system, including at least a forehead strap and a chin strap, configured to position the first splint behind the first ear.
An exemplary electrode lead includes a flexible body formed of a flexible insulating material, an electrode contact disposed on a side of the flexible body, a coiled electrode wire provided within the flexible body so as to extend along a length of the flexible body and electrically connect the electrode contact to a signal source, and a coiled reinforcing element provided within the flexible body so as to extend together with the coiled electrode wire along the length of the flexible body. A winding direction of the coiled electrode wire is opposite a winding direction of the coiled reinforcing element and a winding pitch of the coiled electrode wire is smaller than a winding pitch of the coiled reinforcing element. Corresponding methods of manufacturing an electrode lead are also described.
A cochlear implant exomagnet that includes a magnet apparatus and a magnet mount configured to secure the magnet apparatus to a cochlear implant in such a manner that the magnet apparatus is not located within the internal magnet pocket of the cochlear implant.
A cochlear implant headpiece in accordance with one of the present inventions includes a housing including a top wall, a bottom wall and a receptacle that extends from the top wall to the bottom wall, that defines an open top end, an open bottom end and a central axis, and that includes a receptacle lock member, a magnet apparatus defining a bottom and including a magnet and a magnet apparatus lock member, and a headpiece antenna on or within the housing. The respective configurations of the receptacle and the magnet apparatus are such that the magnet apparatus can be inserted into the receptacle and, when fully inserted into the receptacle, the magnet apparatus bottom is located within or downwardly beyond the open bottom end of the receptacle. The respective configurations of the receptacle lock member and the magnet apparatus lock member are such that the fully inserted magnet apparatus will be fixed in one of a plurality of rotational orientations around the central axis. The present inventions also include cochlear stimulation systems with a sound processor and/or a cochlear implant in combination with such a headpiece.
A cochlear implant including a stimulation assembly including an antenna and a stimulation processor and a cochlear lead, operably connected to the stimulation processor, including an electrode array with a flexible body, a plurality of electrically conductive contacts on the flexible body, and a high contrast orientation indicator on a portion of the cochlear lead proximal of the electrode array.
A cochlear implant headpiece in accordance with one of the present inventions includes a housing including a top wall, a bottom wall and a receptacle that extends from the top wall to the bottom wall, that defines an open top end, an open bottom end and a central axis, and that includes a receptacle lock member, a magnet apparatus defining a bottom and including a magnet and a magnet apparatus lock member, and a headpiece antenna on or within the housing. The respective configurations of the receptacle and the magnet apparatus are such that the magnet apparatus can be inserted into the receptacle and, when fully inserted into the receptacle, the magnet apparatus bottom is located within or downwardly beyond the open bottom end of the receptacle. The respective configurations of the receptacle lock member and the magnet apparatus lock member are such that the fully inserted magnet apparatus will be fixed in one of a plurality of rotational orientations around the central axis. The present inventions also include cochlear stimulation systems with a sound processor and/or a cochlear implant in combination with such a headpiece.
A method including the steps of securing a plurality of contact subassemblies to a mold surface at longitudinally spaced locations within a mold with resilient material located between the contact subassemblies and the mold surface, the contact subassemblies including, prior to being placed into the mold, an electrically conductive contact having a flat portion defining lateral ends and side portions associated with the lateral ends of the flat portion and a lead wire secured to the electrically conductive contact, introducing resilient material into the mold to form an electrode array blank including a flexible body defining an exterior surface and the electrically conductive contacts below the exterior, and forming a plurality of windows in the electrode array blank that extend through the exterior surface of the flexible body to the electrically conductive contacts.
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
H01R 43/02 - Apparatus or processes specially adapted for manufacturing, assembling, maintaining, or repairing of line connectors or current collectors or for joining electric conductors for soldered or welded connections
H01R 4/10 - Electrically-conductive connections between two or more conductive members in direct contact, i.e. touching one anotherMeans for effecting or maintaining such contactElectrically-conductive connections having two or more spaced connecting locations for conductors and using contact members penetrating insulation effected solely by twisting, wrapping, bending, crimping, or other permanent deformation
A device includes a voltage source configured to selectively drive a first wire and a second wire with a first voltage level. The device further includes an adjustable current source configured to selectively discharge the first and second wire. The device further includes a control circuit configured to output data and power by way of the first and second wire by selectively coupling the first wire to the voltage source and the second wire to the adjustable current source such that, during a first time period, the first wire has the first voltage level and the second wire has a second voltage level. The data and power is output by also selectively switching the couplings of the first time period such that, during a second time period subsequent to the first time period, the first wire has the second voltage level and the second wire has the first voltage level.
An exemplary sound processor within a cochlear implant system directs a cochlear implant to concurrently apply first and second pulses by way of first and second electrodes disposed on an electrode lead configured to be inserted into a cochlea of a patient. The first and second pulses have substantially equal magnitudes and opposite phases such that the application of the first and second pulses forms a dipole that generates a field. The sound processor further directs the cochlear implant to detect, by way of a third electrode disposed on the electrode lead, an energy magnitude of the field that reflects from cochlear tissue located within the field. Based on a difference between the detected energy magnitude of the field and a baseline energy magnitude of the field, the sound processor determines a proximity of the electrode lead to the cochlear tissue. Corresponding systems and methods are also disclosed.
An antenna assembly for use with a medical implant includes an antenna and an electromagnetic shield. At least one of the antenna and the shield includes electrically conductive conductor that defines a conductor resistance and an electrically conductive sheath, over electrically conductive conductor, that defines a sheath resistance that is greater than the conductor resistance.
H01Q 1/52 - Means for reducing coupling between antennas Means for reducing coupling between an antenna and another structure
A61N 1/372 - Arrangements in connection with the implantation of stimulators
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
H01Q 7/00 - Loop antennas with a substantially uniform current distribution around the loop and having a directional radiation pattern in a plane perpendicular to the plane of the loop
A61N 1/08 - Arrangements or circuits for monitoring, protecting, controlling or indicating
A method that may include the steps of positioning a contact assembly, including a plurality of electrically conductive contacts that are respectively connected to a plurality of lead wires, on a shell formed from a first resilient material to form an electrode array sub-assembly, positioning the electrode array subassembly in a cochlear implant electrode array mold, and introducing a second resilient material into the mold to form a cochlear implant electrode array flexible body, on which the contacts are located, that is defined by the first and second flexible materials.
A cochlear including a cochlear lead, a housing including a magnet pocket and a magnet aperture, a magnet, located within the magnet pocket, having a top surface adjacent to the magnet aperture that defines a top magnet outer perimeter and a bottom surface adjacent to the bottom wall that defines a bottom magnet outer perimeter that is greater than the top magnet outer perimeter, an antenna within the housing, a stimulation processor within the housing.
A particle alignment method in accordance with at least one of the present inventions includes the step of positioning a cochlear implant, which is implanted within a patient's head and which includes a magnet apparatus with a central axis and magnetic material particles, at a location outside of the scanning area of an MRI system, adjacent to the MRI system, and within the MRI magnetic field in such a manner that the central axis of the magnet apparatus is at least substantially parallel to the MRI magnetic field.
An exemplary passive acoustic proximity detection system is configured to determine a first acoustic spectrum of a first signal representative of audio detected and output by a first microphone configured to be positioned at an ear canal entrance of a user. The detection system is further configured to determine a second acoustic spectrum of a second signal representative of audio detected and output by a second microphone configured to be located away from the ear canal entrance. Based on a comparison of the first acoustic spectrum and the second acoustic spectrum, the detection system is configured to generate a proximity indicator indicative of a proximity of an object to the first microphone. Based on the proximity indicator, the detection system is configured to select a signal processing program for execution by the passive acoustic detection system.
An exemplary diagnostic system may be configured to direct an acoustic stimulation generator to apply acoustic stimulation to a recipient of a cochlear implant during an insertion procedure in which an electrode lead coupled to the cochlear implant is supposed to be inserted into a cochlea of the recipient, direct the cochlear implant to use an electrode on the electrode lead to record an evoked response signal that occurs within the recipient in response to the acoustic stimulation, detect an anomaly in the evoked response signal, and determine, based on the anomaly, that the electrode lead is being inserted into a vestibular canal instead of into the cochlea.
