The hearing aid includes a signal processor having a level-dependent filter section and a level-independent filter section. The level-dependent filter section provides level-dependent gain wherein sound is attenuated or amplified depending on the level of the incoming sound. The level-independent filter section provides substantially constant gain wherein sound that passes through the filter section is not changed in level, and provides transparency in that it corrects for insertion loss caused by the earpiece of the hearing aid when worn by the user. The level dependent and level independent filter sections, when fitted to the user, greatly improve the user's perception of sound.

Presented herein are in-situ techniques for monitoring a recipient's cochlea health to proactively identify (i.e., predict) changes to the recipient's cochlea health outside of a clinical setting. The cochlea health monitoring techniques presented herein obtain one or more cochlea health biomarkers associated with a recipient's cochlea health, such the recipient's residual hearing, and analyze these biomarkers to predict that a cochlea health change is likely to occur.

A hearing assistance device includes an implantable part for electrically stimulating an auditory nerve of a user. The electrical stimulation of the cochlear nerve by a cochlear implant hearing assistance device is improved by providing an implanted part that comprises a) a current source generator; and b) an electrode array configured to be located inside one of the cochlear scala or adjacent to the auditory nerve. The hearing assistance device is configured to produce a time-varying waveform delivered by the current source generator, the time-varying waveform comprising a positively sloping positive pulse.

A method, including the action of executing a first evaluation including evaluating first interactions of respective current spreads with one another for a plurality of first electrodes implanted in a recipient resulting from energizement thereof with at least one second implanted electrode disabled, wherein the second electrode, if enabled and energized at about the same level as at least one of the first electrodes, would result in current spread to at least one of the plurality of first electrodes, and one of disabling at least one third electrode of the plurality of first electrodes based on the evaluation or maintaining an enablement of the nondisabled electrodes based on the evaluation.

Cochlear implant systems can include a cochlear electrode, a stimulator in electrical communication with the cochlear electrode, a sensor configured to receive a stimulus signal and generate an input signal based on the received stimulus signal, and a signal processor in communication with the stimulator and the sensor. The signal processor can include an analog filtering stage configured to generate an analog filtered signal from a received input signal and a digital filtering stage configured to generate a digitally filtered signal from the analog filtered signal. The analog filtering stage and digital filtering stage can be used to normalize the frequency response of the digitally filtered signal with respect to the stimulus signal.

A cochlear implant includes an electrode array having a plurality of electrode contacts arranged along at least a portion of a length of an electrode array, and a processing arrangement configured to map at least one electrode contact to first and/or second mappings. The first mapping provides a first electrical stimulation from the electrode contact to a first ground electrode positioned external to a patient’s cochlea to stimulate hearing at a first location in the cochlea positioned adjacent to the electrode contact when the implant is inserted into the cochlea. The second mapping provides a second electrical stimulation from the electrode contact to the second ground electrode to stimulate hearing at a location in the cochlea positioned further towards the apex of the cochlea as compared to a distal end of the electrode array when the implant is inserted into the cochlea.

A method, comprising receiving at least one sound at an electronic device. The at least one sound is enhanced for the at least one user based on a compound metric. The compound metric is calculated using at least two sound metrics selected from an engineering metric, a perceptual metric, and a physiological metric. The engineering metric comprises a difference between an output signal and a desired signal. At least one of the perceptual metric and the physiological metric is based at least in part on input sensed from the at least one user in response to the received at least one sound.

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.

A method of calibrating stimulation threshold levels of a cochlear implant, comprises sending a series of stimulation signals having a predetermined length in time to a selected subset of a plurality of stimulation electrodes of the cochlear implant of a user, wherein for each signal of the series of stimulation signals, the stimulation level is larger compared to the stimulation level of the previous stimulation signal; receiving an electrophysiological signal for each stimulation signal from a measurement electrode attached to the head of the user; calculating a cross-correlation signal for each of the received electrophysiological signals for each stimulation level following the first stimulation signal with respect to the first electrophysiological signal received for the first stimulation signal, determining, whether the respective cross-correlation signal exceeds a predetermined threshold level, wherein the sending of the series of stimulation signals is stopped and the stimulation level is set as the threshold stimulation level for the selected subset of stimulation electrodes, in case it is determined that the cross-correlation signal exceeds the predetermined threshold level for a first time, and outputting the level of stimulation at which the sending is stopped.

Cochlear implant systems can include a signal processor, an implantable battery and/or communication module, and a plurality of conductors coupling the implantable battery and/or communication module and the signal processor. The implantable battery and/or communication module can communicate data and deliver electrical power to the signal processor via the plurality of conductors. The implantable battery and/or communication module can be configured to perform characterization process to determine one or more characteristics of one or more such conductors. Characterization processes can include determining an impedance between two conductors as a function of frequency, determining whether a conductor is intact, and determining an impedance of a given conductor. Some characterization processes include grounding one or more conductors.