A method, including obtaining data indicative of an ability of a recipient of a hearing prosthesis to discriminate between tokens of respective token pairs of a plurality of token pairs in respective evoked hearing percepts induced by the hearing prosthesis and adjusting one or more but less than all frequency channels of a plurality of frequency channels of the hearing prosthesis based on the obtained data.

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.

A method and a system for measuring a main electrically evoked compound action potential is described. The system may comprise a cochlea implant system which includes an electrode array, and where the electrode array includes at least a stimulator electrode, a first recording electrode and a second recording electrode, and where the first recording electrode is arranged closer to the stimulator electrode than the second recording electrode, a processor electrically in communication with the cochlea implant system. The processor may be configured to apply a stimulation including a first primary stimulation paradigm to the stimulator electrode and to receive a first primary cochlea response signal recorded by the first recording electrode while applying the stimulation, and to receive a first secondary cochlea response signal recorded by the second recording electrode, and determine the main electrically evoked compound action potential based on a difference between the first primary cochlea response signal and the first secondary cochlea response signal.

An aspect of the disclosure is to provide a system and a method of fitting a cochlea implant system to a patient, the method including determining an insertion angle of at least one electrode of a first electrode array of the cochlea implant system inserted into a cochlea of the patient, determining a plurality of natural frequencies as a function of a cochlea spiral length based on a natural frequency allocation model and the insertion angle, determining a plurality of characteristic frequencies as a function of a cochlea spiral length by frequency downshifting the plurality of natural frequencies until an objective is obtained and while preserving the harmonic relationship between the natural frequencies of the plurality of natural frequencies in the plurality of characteristic frequencies, and allocating the plurality of characteristic frequencies to each electrode of the first electrode array based on the insertion angle of the at least one electrode.

A system and method for determining the location of an implant such as a cochlear implant relative to a structure of interest such as a tissue wall. The implant has an electrode array including a first electrode and a second electrode. The electrode array is insertable into an electrically-conductive volume relative to the inner wall of the scala tympani of the cochlea. A pulse generator generates a biphasic, constant-current pulse on the first and second electrodes. A controller measures the differential voltage across the pair of electrodes during the current pulse. The controller determines the proximity between the inner wall and the segment of the electrode array between the first and second electrodes based on the differential voltage between the first and second electrodes.

The present invention discloses a rapid neural response telemetry (NRT) circuit and system of a cochlear implant. The circuit comprises a stimulus generator, a signal amplifier, an analog-to-digital (A/D) converter and a calculated data memory. The stimulus generator zero charges in a nerve tissue before stimulus onset and offset, and the onset asynchrony of two continuous stimuli on the same electrode may be adjusted at will. The signal amplifier filters and amplifies nervous impulse signals that are evoked by electric stimuli and received by a collector electrode. The A/D converter can adjust the sampling frequency and start-up time, and is connected to the signal amplifier to perform A/D conversion on amplified analog signals. The calculated data memory is connected to the A/D converter to calculate and store the data undergoing A/D conversion. According to the present invention, a stimulus circuit is improved to reduce artifacts of NRT so that key parameters for NRT can be flexibly controlled, the success rate in eliciting NRT is improved, and the NRT speed is greatly improved by calculating and storing the data.

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.

Disclosed herein are methods, systems, and devices for dynamically adjusting a user interface provided by an external unit of a hearing device. In an example method, the external unit determines whether a state of the external unit is one of (i) a coupled state when the external unit and the stimulation unit are coupled or (ii) a decoupled state when the external and the stimulation unit are decoupled. The external unit then provides one of (i) a first user interface when the determined state is the coupled state or (ii) a second user interface when the determined state is the decoupled state.

Cochlear implant systems can comprise a cochlear implant system comprising a cochlear electrode, a stimulator, an input source, and an implantable battery and/or communication module. The signal processor may be programmed with a transfer function and be configured to receive input signals from the input source and output a stimulation signal to the stimulator based on the received input signals with the transfer function. The system may be configured to receive a status indicator signal indicative of whether an external auditory aid device is active and update the transfer function of the signal processor if the external auditory aid device is active. For example, the signal processor can operate programmed with a first transfer function if the external auditory aid device is not active and with a second transfer function if the external auditory aid device is active.

Cochlear implant systems can include an inner ear sensor configured to receive a stimulus signal from the cochlear tissue of a wearer and generate an input signal based on the received stimulus signal. The inner ear sensor can be configured to detect pressure, for example, within a wearer's cochlear tissue and generate an input signal based on the detected pressure. The inner ear sensor can be integrated with a cochlear electrode implanted in the cochlear tissue. Systems can include a signal processor programmed with a transfer function and configured to receive an input signal and output a stimulation signal based on the received input signal and transfer function. Systems can include an implantable battery and/or communication module in communication with the signal processor. The implantable battery and/or communication module can be configured to interface with and update the transfer function of the signal processor.