411 results about "Cochlear implantation" patented technology

An electronic translator translates input speech into multiple streams of data that are simultaneously delivered to the user, such as a hearing impaired individual. Preferably, the data is delivered in audible, visual and text formats. These multiple data streams are delivered to the hearing-impaired individual in a synchronized fashion, thereby creating a cognitive response. Preferably, the system of the present invention converts the input speech to a text format, and then translates the text to any of three other forms, including sign language, animation and computer generated speech. The sign language and animation translations are preferably implemented by using the medium of digital movies in which videos of a person signing words, phrase and finger spelled words, and of animations corresponding to the words, are selectively accessed from databases and displayed. Additionally the received speech is converted to computer-generated speech for input to various hearing enhancement devices used by the deaf or hearing-impaired, such as cochlear implants and hearing aids, or other output devices such as speakers, etc. The data streams are synchronized utilizing a high-speed personal computer to facilitate sufficiently fast processing that the text, video signing and audible streams can be generated simultaneously in real time. Once synchronized the data streams are presented to the subject concurrently in a method that allows the process of mental comprehension to occur. The electronic translator can also be interfaced to other communications devices, such as telephones. Preferably, the hearing-impaired person is also able to use the system's keyboard or mouse to converse or respond.

The invention comprises a totally implantable hearing prosthesis for hearing impaired persons. An inertial vibrational element is hermetically sealed and implanted in bone between the lateral and superior semicircular canals without breaching the integrity of the canals. The vibrational element is adapted to vibrate the walls of the canals and the fluids contained therein, thereby vibrating contiguous fluids within the cochlea thus stimulating hair cells and creating a hearing percept. The invention can also be adapted to be a tinnitus masking system, and/or used in combination with a coehlear implant hearing system.

An implantable hearing unit is provided that includes an implantable microphone, a rechargeable power storage device and a speech signal processor. The hearing unit further includes a signal coupling device that is adapted for electrical interconnection to an implantable auditory stimulation device, which is operative to stimulate an auditory component of a patient. Such a stimulation device may include cochlear implants, brain stem stimulation systems, auditory nerve stimulation systems, and middle or inner ear transducer systems. The signal coupling device is operative to provide processed drive signals from the signal processor to the stimulation device as well provide power from the power storage device to operate the stimulation device. In one arrangement, the signal coupling device is a wireless coupling between first and second coils. In such an arrangement, the hearing unit may be utilized with an existing implanted stimulation device to make that device a fully implanted hearing system.

A multichannel cochlear implant system spatially spreads the excitation pattern in the target neural tissue by either: (1) rapid sequential stimulation of a small group of electrodes, or (2) simultaneously stimulating a small group of electrodes. Such multi-electrode stimulation stimulates a greater number of neurons in a synchronous manner, thereby increasing the amplitude of the extra-cellular voltage fluctuation and facilitating its recording. The electrical stimuli are applied simultaneously (or sequentially at a rapid rate) on selected small groups of electrodes while monitoring the evoked compound action potential (ECAP) on a nearby electrode. The presence of an observable ECAP not only validates operation of the implant device at a time when the patient may be unconscious or otherwise unable to provide subjective feedback, but also provides a way for the magnitude of the observed ECAP to be recorded as a function of the amplitude of the applied stimulus. From this data, a safe, efficacious and comfortable threshold level can be obtained which may be used thereafter as the initial setting of the stimulation parameters of the neurostimulation device, or to guide the setting of the stimulation parameters of the neurostimulation device.

A sound processing method for auditory prostheses, such as cochlear implants, which is adapted to improve the perception of loudness by users, and to improve speech perception. The overall contribution of stimuli to simulated loudness is compared with an estimate of acoustic loudness for a normally hearing listener based on the input sound signal. A weighting is applied to the filter channels to emphasize those frequencies which are most important to speech perception for normal hearing listeners when selecting channels as a basis for stimulation.

A medical implant, such as an implantable component (22) of a tissue-stimulating prosthesis. One example of such a prosthesis being a cochlear implant. The component (22) is adapted to be implanted at or adjacent a tissue surface within the recipient, such as a bone surface. The component (22) has a housing and at least one flange (42) extending outwardly therefrom. The flange (42) can be secured to the tissue surface via a tissue fixation device, such as a bone screw (43).

An implantable component (30) of a cochlear implant system comprising a housing for a stimulator unit (31) that is adapted to output one or more stimulation signals and an electrode assembly (30) adapted to apply electrical stimulation in accordance with the output of the stimulator unit (31). On implantation, the housing is positionable such that the electrode assembly (20) extends from the housing at least initially in a downward orientation toward the mastoid cavity before entering the cochlea. An external component (50, 60 or 70) of a cochlear implant system comprising a support for mounting to the ear of an recipient and an external signal transmitter coil (53) wherein the signal transmitter coil (53) is movably mounted to at least a portion of the support.

A cochlear stimulation lead and method of making an aggressively curved electrode array are provided. In one embodiment of the lead, while the curved section of the lead is curled further beyond the originally molded curvature and held in this position, a filling channel is filled up with a filling material that is hardened or cured in this held position. The resulting lead has a tip curvature that is more curved than the originally molded curvature.

An at least partially implantable system for rehabilitation of a hearing disorder with at least one acoustic sensor (microphone) for picking up an acoustic sensor signal and converting the acoustic sensor signal into corresponding electrical signals, an electronic signal processing unit for audio signal processing and amplification, an electrical power supply unit which supplies individual components of the system with energy, and an output-side actuator stimulation arrangement, the actuator stimulation arrangement has a dual intracochlear arrangement in combination with a stimulator arrangement with at least one stimulator element for at least indirect mechanical stimulation of a damaged inner ear and one electrically acting stimulation electrode arrangement with at least one cochlear implant electrode for electrical stimulation of the inner ear.

A cochlear implant system, or other neural stimulation system, has the capability to stimulate fast enough to induce stochastic neural firing so as to restore “spontaneous” neural activity. The stimulation rate applied to the more distally-located electrodes of an electrode array connected to the implant system is reduced from the stimulation rate applied to the more proximally-located electrodes. Thus, in the case of a cochlear implant system, the apically-located regions within the cochlea are stimulated at a reduced rate in order to conserve power. Pulse widths of the reduced-rate pulses may further be increased, and amplitudes reduced, to further conserve power. As needed, a low-level random conditioner stimulation signal may be applied to the apical regions of the cochlea in order to ensure the occurrence of random neural firings.

A headpiece for a cochlear implant system includes a transcutaneous transmission coil that transfers power and/or data to an implantable device implanted under a user's skin. The headpiece includes a magnet for holding the transmission coil in close proximity to the receiver coil in the implanted device, which also contains a magnet, and provides the desired alignment between the coils so that inductive coupling may efficiently occur. The headpiece has a bottom surface for skin contact that includes a plurality of flexible bumps configured to distribute pressure over a large surface area while allowing blood flow throughout the area. This also provides friction contact with the skin to help secure the headpiece, reducing movement due to lateral loading, while reducing skin irritation and erosion.

A hearing prosthesis includes both a hearing aid adapted to sense and amplify low frequency acoustic sound signals and a cochlear implant system adapted to sense high frequency acoustic sound signals. The hearing aid has a first microphone adapted to sense the low frequency acoustic sound signals, amplify these sensed low frequency acoustic sound signals, and present the resulting amplified low frequency acoustic sound signals in the ear canal of a user, thereby enabling the user to better hear these amplified sounds using his or her normal hearing processes. The cochlear implant system includes a second microphone adapted to sense the high frequency acoustic sound signals and selectively stimulate the inner ear with electrical stimulation that will be perceived as high frequency acoustic sound signals. Both the cochlear implant system and the hearing aid system are coupled to operate on the same ear of the user. Feedback within the hearing aid portion of the system is eliminated by positioning the first microphone at a location that is acoustically remote from the ear canal where the amplified low frequency acoustic sound signals are presented. High frequency acoustic sound signals are better sensed by placing the second microphone at a location that is in or near the ear canal where the amplified low frequency acoustic sound signals are presented.

Coding of received audio signals and the resulting application of electrical stimuli applied to electrodes used in a cochlear implant system are disclosed together with a method of fitting this new coding strategy. One of the aims is to place specific stimulation representing pitch by applying near threshold electrical stimuli with limited and focussed excitation fields. A range of stimulation rates and a minimal range of current levels above threshold are used for creation of a dynamic loudness percept for a cochlear implant recipient. Another aim is to disclose a coding scheme based on a model of physiological measures (i.e. refractoriness, adaptation, spread of activation field, spatiotemporal acoustical cochlear activation patterns and spontaneous activity) to estimate the proportions of available excitable auditory neurons close to the electrodes available for stimulation. The spectral bands formed from the pre-processing of incoming audio signals are weighted by these proportions of excitability to control place, timing, rate and current level of electrical stimuli applied to the electrodes available in the array.

A cochlear implant electrode assembly device (10) comprising an elongate electrode carrier member (11), a stiffening element (15), and a stiffening sheath (16) that at least partially envelops the elongate member (11). The member (11) is made of a resiliently flexible first material and has a plurality of electrodes (12) mounted thereon. The member (11) has a first configuration that allows it to be inserted into an implantee's cochlea (30). The member (11) also has a second configuration wherein the member is curved to match an inside surface of the cochlea (30), and at least one intermediate configuration between the first and second configurations. Both the stiffening element (15) and sheath (16) are made of a material that is relatively stiffer than the member (11). The stiffening element (15) and the stiffening sheath (16) in combination bias the elongate member (11) into the first configuration. If either the stiffening element (15) or the stiffening sheath (16) is removed or deactivated, the elongate member (11) adopts an intermediate configuration.

A cochlear implant electrode assembly device (10) comprising an elongate electrode carrier member (11), a first stiffening element (15a), and a second stiffening element (15b). The carrier member (11) is made of a resiliently flexible first material and has a plurality of electrodes (12) mounted thereon. The carrier member (11) has a first configuration selected to allow it to be inserted into an implantee's cochlea (30), a second configuration wherein it is curved in shape to match a surface of the cochlea (30), and at least one intermediate configuration between the first and second configurations. Both the first and second stiffening elements (15a, 15b) are made of a material relatively stiffer than said the material and in combination bias the elongate member into the first configuration. If either the first stiffening element (15a) or the second stiffening element (15b) are removed, the elongate member (11) adopts the at least one intermediate configuration.

A stimulation strategy for cochlear implants seeks to approximate the time domain response of a patient's neural system to electrical stimuli, to the time domain response of a normal hearing person to a corresponding acoustic stimulus. The strategy is designed to induce in the neurons of a patient a time domain response to an acoustic signal which is similar to, or approximates the time domain response induced by the normal processes in a healthy person. Various implementations are disclosed.

A binaural cochlear implant system, including two intracochlear implants adapted for implantation in the cochleas of a user, each cochlear implant utilising a speech processing strategy wherein the electrical stimuli are matched to the relative timing of the relevant audio signals as detected at each ear, such that the interaural time delays between the audio signals at each ear are substantially preserved in electrical stimuli at each ear.

The processing strategy comprises band pass filtering the audio signal, determining the peaks in, and intensity of, each band, prioritising and placing each peak in a buffer in time slots corresponding to the relative timing of each peak. The buffer output forms the basis for stimulus instructions.

An electrically conducting lead (20) that can used in the body for electrical stimulations applications, such as a cochlear implant. The lead comprises a body of relatively electrically insulative material (41) having a relatively electrically conductive element (18) extending therethrough in a wound arrangement. The electrically conductive element (18) is comprised of a plurality of layers of electrical conductors (14). The conductive element (18) is disposed in the lead such that the longitudinal extent of each of the electrical conductors (14) is the same.