Implantable tissue-stimulating prosthesis

• US 4,408,608 A
• Filed: 04/09/1981
• Issued: 10/11/1983
• Est. Priority Date: 04/09/1981
• Status: Expired due to Term

• Current Assignee: Cochlear Corporation (Cochlear Limited)
• Original Assignee: Telectronics Incorporated
• Inventors: Daly, Christopher N., Money, David K.
• Primary Examiner(s): Kamm, Wm. E.
• Application Number:
  US06/252,319
• Time in Patent Office: 915 Days
• Field of Search: 128/419 R, 128/419 F, 128/421, 128/422, 128/423
• US Class Current: 607/57
• CPC Class Codes: A61N 1/36038 Cochlear stimulation
• CPC Class Codes: A61N 1/372 Arrangements in connection with the implantation of stimulators

Abstract

There is disclosed an implantable tissue-stimulating prosthesis, such as a cochlear prosthesis, which can not only be implemented in single-chip form, but which also permits great flexibility in stimulation strategy and data transmission format. Only sixteen electrodes are required for stimulating fifteen different sites. Each site is stimulated by a biphasic pulse under control of two adjacent electrodes whose polarities are reversed in the middle of the site stimulation cycle. Although the transmission scheme requires a pulse-width modulation format, the precise form of the format can be varied in order to accommodate widely different stimulation strategies. For example, only a single site may be stimulated during each transmission frame or multiple sites may be stimulated during the same frame. Although only one site can be stimulated at any instant of time, the system cycling is so fast that "simultaneous" site stimulations are perceived. The system is designed for minimum power usage, and its operation is fail-safe in that no site may be stimulated for longer than a pre-set time interval.

Claims

1. A cochlear prosthesis comprising a plurality of electrodes, pairs of which are associated with respective stimulation sites and with at least almost all of said electrodes being included in each of at least two different pairs, means for detecting a transmitted information signal which represents both stimulation sites and stimulation intensities required therefor, and means under control of said detecting means for energizing the pair of electrodes associated with a represented stimulation site with successive opposite-polarity current pulses in accordance with the respective represented stimulation intensity, said energizing means energizing only a single pair of electrodes at any instant of time and operating fast enough such that at least any two electrode pairs can be energized successively within the time interval that allows the respective site stimulations to be perceived as occurring simultaneously.

2. A cochlear prosthesis in accordance with claim 1 wherein said time interval is less than one millisecond.

3. A cochlear prosthesis in accordance with claim 1 wherein said information signal represents a stimulation intensity in the form of a pulse width.

4. A cochlear prosthesis in accordance with claim 3 wherein said information signal is formatted in successive frames with each frame including a plurality of pulses in a predetermined sequence corresponding to respective stimulation sites, and said energizing means is capable of energizing successive pairs of electrodes in a predetermined sequence corresponding to the predetermined pulse sequence in each frame.

5. A cochlear prosthesis in accordance with claim 4 wherein in order to energize the electrode pair associated with a stimulation site represented in any frame said energizing means first cycles through and selects for energization all electrode pairs which are earlier in said predetermined sequence, any such earlier selected electrode pair which is associated with a stimulation site which does not require perceptible stimulation not being energized by said energizing means with current pulses which can be perceived.

6. A cochlear prosthesis in accordance with claim 5 wherein successive pairs of electrodes in said predetermined sequence have an electrode in common.

7. A cochlear prosthesis in accordance with claim 6 further including means for shorting together of all of said electrodes, and means for operating said shorting means after said energizing means has operated on all of the electrode pairs represented in an information signal frame.

8. A cochlear prosthesis in accordance with claim 6 further including means for shorting together all of said electrodes, means for detecting a pulse width in said information signal which exceeds a predetermined width, and means responsive to operation of said pulse width detecting means for operating said shorting means.

9. A cochlear prosthesis in accordance with claim 6 wherein a stimulation site is represented in an information signal frame by a respective pair of successive pulses, and said energizing means controls the intensity of each of the opposite-polarity current pulses applied to a represented stimulation site in accordance with the width of a different one of the respective pair of pulses.

10. A cochlear prosthesis in accordance with claim 9 wherein said energizing means includes means for switching the polarity of a single source of power across any electrode pair for deriving opposite-polarity current pulses.

11. A cochlear prosthesis in accordance with claim 6 further including means for deriving a source of power for said detecting and energizing means from the detected information signal.

12. A cochlear prosthesis in accordance with claim 11 further including means for shorting together all of said electrodes, means for detecting a predetermined drop in the level of said source of power, and means responsive to said level drop detecting means for operating said shorting means.

13. A cochlear prosthesis in accordance with claim 6 further including means for inhibiting the energizations of all of said electrodes, means for determining if the detected information signal is inconsistent with a predetermined format, and means responsive to operation of said determining means for operating said inhibiting means.

14. A cochlear prosthesis in accordance with claim 13 wherein said inhibiting means is further operative to short together all of said electrodes.

15. A cochlear prosthesis in accordance with claim 13 further including means for re-synchronizing the operation of said energizing means to successive information signal frames, and means responsive to said determining means for controlling operation of said re-synchronizing means.

16. A cochlear prosthesis in accordance with claim 4 further including means for shorting together of all of said electrodes, and means for operating said shorting means after said energizing means has operated on all of the electrode pairs represented in an information signal frame.

17. A cochlear prosthesis in accordance with claim 4 further including means for shorting together all of said electrodes, means for detecting a pulse width in said information signal which exceeds a predetermined width, and means responsive to operation of said pulse width detecting means for operating said shorting means.

18. A cochlear prosthesis in accordance with claim 4 wherein a stimulation site is represented in an information signal frame by a respective pair of pulses, and said energizing means controls the intensity of each of the opposite-polarity current pulses applied to a represented stimulation site in accordance with the width of a different one of the respective pair of pulses.

19. A cochlear prosthesis in accordance with claim 18 wherein said energizing means includes means for switching the polarity of a single source of power across any electrode pair for deriving opposite-polarity current pulses.

20. A cochlear prosthesis in accordance with claim 4 wherein said energizing means including means for switching the polarity of a single source of power across any electrode pair for deriving opposite-polarity current pulses.

21. A cochlear prosthesis in accordance with claim 4 further including means for deriving a source of power for said detecting and energizing means from the detected information signal.

22. A cochlear prosthesis in accordance with claim 21 further including means for shorting together all of said electrodes, means for detecting a predetermined drop in the level of said source of power, and means responsive to said level drop detecting means for operating said shorting means.

23. A cochlear prosthesis in accordance with claim 4 further including means for inhibiting the energizations of all of said electrodes, means for determining if the detected information signal is inconsistent with a predetermined format, and means responsive to operation of said determining means for operating said inhibiting means.

24. A cochlear prosthesis in accordance with claim 23 wherein said inhibiting means is further operative to short together all of said electrodes.

25. A cochlear prosthesis in accordance with claim 23 further including means for re-synchronizing the operation of said energizing means to successive information signal frames, and means responsive to said determining means for controlling operation of said re-synchronizing means.

26. A cochlear prosthesis in accordance with claim 1 wherein said information signal is formatted in successive frames with each frame including a plurality of items of data in a predetermined sequence corresponding to respective stimulation sites, and said energizing means is capable of energizing successive pairs of electrodes in a predetermined sequence corresponding to the predetermined items of data sequence in each frame.

27. A cochlear prosthesis in accordance with claim 26 wherein in order to energize the electrode pair associated with a stimulation site represented in any frame said energizing means first cycles through and selects for energization all electrode pairs which are earlier in said predetermined sequence, any such earlier selected electrode pair which is associated with a stimulation site which does not require perceptible stimulation not being energized by said energizing means with current pulses which can be perceived.

28. A cochlear prosthesis in accordance with claim 26 wherein successive pairs of electrodes in said predetermined sequence have an electrode in common.

29. A cochlear prosthesis in accordance with claim 1 wherein a stimulation site is represented in said information signal by a respective pair of pulses, and said energizing means controls the intensity of each of the opposite-polarity current pulses applied to a represented stimulation site in accordance with the width of a different one of the respective pair of pulses.

30. A cochlear prosthesis in accordance with claim 29 wherein said energizing means includes means for switching the polarity of a single source of power across any electrode pair for deriving opposite-polarity current pulses.

31. A cochlear prosthesis in accordance with claim 1 wherein said energizing means includes means for switching the polarity of a single source of power across any electrode pair for deriving opposite-polarity current pulses.

32. An implantable tissue-stimulating prosthesis comprising a plurality of electrodes, pairs of which are associated with respective stimulation sites and with at least most of said electrodes being included in each of at least two different pairs, means for detecting a transmitted information signal which represents stimulation intensities required for said stimulation sites, and means under control of said detecting means for energizing said electrode pairs in accordance with the operation of said detecting means, said energizing means energizing only a single pair of electrodes at any instant of time and operating fast enough such that at least any two electrode pairs can be energized successively within the time interval that allows the respective site stimulations to be perceived as occurring simultaneously.

33. An implantable tissue-stimulating prosthesis in accordance with claim 32 wherein said time interval is less than one millisecond.

34. An implantable tissue-stimulating prosthesis in accordance with claim 32 wherein said information signal represents a stimulation intensity in the form of a pulse width.

35. An implantable tissue-stimulating prosthesis in accordance with claim 34 wherein said information signal is formatted in successive frames with each frame including a plurality of pulses in a predetermined sequence corresponding to respective stimulation sites, and said energizing means is capable of energizing successive pairs of electrodes in a predetermined sequence corresponding to the predetermined pulse sequence in each frame.

36. An implantable tissue-stimulating prosthesis in accordance with claim 35 further including means for shorting together all of said electrodes, means for detecting a pulse width in said information signal which exceeds a predetermined width, and means responsive to operation of said pulse width detecting means for operating said shorting means.

37. An implantable tissue-stimulating prosthesis in accordance with claim 35 wherein a stimulation site is represented in an information signal frame by a respective pair of pulses, and said energizing means applies a pair of successive opposite-polarity current pulses to each electrode pair which is energized, and controls the intensity of each of said opposite-polarity current pulses in accordance with the width of a different one of the respective pair of information signal pulses.

38. An implantable tissue-stimulating prosthesis in accordance with claim 32 wherein said information signal is formatted in successive frames with each frame including a plurality of items of data in a predetermined sequence corresponding to respective stimulation sites, and said energizing means is capable of energizing successive pairs of electrodes in a predetermined sequence corresponding to the predetermined items of data sequence in each frame.

39. An implantable tissue-stimulating prosthesis in accordance with claim 38 wherein in order to energize the electrode pair associated with a stimulation site represented in any frame said energizing means first cycles through and selects for energization all electrode pairs which are earlier in said predetermined sequence, any such earlier selected electrode pair which is associated with a stimulation site which does not require perceptible stimulation not being energized by said energizing means with current pulses which can be perceived.

40. An implantable tissue-stimulating prosthesis in accordance with claim 38 wherein successive pairs of electrodes in said predetermined sequence have an electrode in common.

41. An implantable tissue-stimulating prosthesis in accordance with claim 32 further including means for shorting together all of said electrodes, and means for operating said shorting means in the absence of said detecting means detecting an information signal which represents a requirement for site stimulation.

42. An implantable tissue-stimulating prosthesis in accordance with claim 32 further including means for shorting together all of said electrodes, means for detecting a represented stimulation intensity in said information signal which exceeds a predetermined intensity, and means responsive to operation of said stimulation intensity detecting means for operating said shorting means.

43. An implantable tissue-stimulating prosthesis in accordance with claim 32 wherein a stimulation site is represented in said information signal by a respective pair of pulses, and said energizing means applies a pair of successive opposite-polarity current pulses to each electrode pair which is energized, and controls the intensity of each of the opposite-polarity current pulses in accordance with the width of a different one of the respective pair of information signal pulses.

44. An implantable tissue-stimulating prosthesis in accordance with claim 43 wherein said energizing means includes means for switching the polarity of a single source of power across any electrode pair for deriving opposite-polarity current pulses.

45. An implantable tissue-stimulating prosthesis in accordance with claim 32 wherein said energizing means includes means for switching the polarity of a single source of power across any electrode pair for deriving opposite-polarity current pulses.

46. An implantable tissue-stimulating prosthesis in accordance with claim 32 further including means for deriving a source of power for said detecting and energizing means from the detected information signal.

47. An implantable tissue-stimulating prosthesis in accordance with claim 46 further including means for shorting together all of said electrodes, means for detecting a predetermined drop in the level of said source of power, and means responsive to said level drop detecting means for operating said shorting means.

48. An implantable tissue-stimulating prosthesis in accordance with claim 32 further including means for inhibiting the energizations of all of said electrodes, means for determining if the detected information signal is inconsistent with a predetermined format, and means responsive to operation of said determining means for operating said inhibiting means.

49. An implantable tissue-stimulating prosthesis in accordance with claim 48 wherein said inhibiting means is further operative to short together all of said electrodes.

50. An implantable tissue-stimulating prosthesis in accordance with claim 48 further including means for re-synchronizing the operation of said energizing means to said information signal, and means responsive to said determining means for controlling operation of said re-synchronizing means.

51. A cochlear prosthesis comprising a plurality of electrodes associated with each other in pairs, means for detecting a transmitted information signal, said information signal being in the form of sequential frames each of which identifies required stimulation intensities for respective paired electrodes in a predetermined sequence, and means responsive to said detecting means for selecting and energizing at most a single electrode pair at any instant but for selecting all of the electrode pairs and energizing them with the required respective stimulation intensities in the same sequence in which the electrode pairs are identified in a frame of said information signal, said selecting and energizing means operating fast enough such that at least any two electrode pairs can be selected and energized successively within the time interval that allows the respective stimulations to be perceived as occurring simultaneously

52. A cochlear prosthesis in accordance with claim 51 wherein any electrode pair which does not require stimulation, but precedes some other electrode pair which does in said predetermined sequence, is identified in a frame which identifies said some other electrode pair as requiring stimulation.

53. A cochlear prosthesis in accordance with claim 52 wherein said selecting and energizing means selects each electrode pair which is identified in sequence in a frame, but prevents effective energization of any electrode pair which does not require stimulation with an intensity which can be perceived.

54. A cochlear prosthesis in accordance with claim 53 wherein each frame consists of a sequence of pulse widths corresponding to the required stimulation intensities for respective electrode pairs.

55. A cochlear prosthesis in accordance with claim 54 wherein there are two successive pulses for each electrode pair identified in a frame, and said selecting and energizing means energizes an electrode pair by applying a biphasic pulse thereto, each half of which has an intensity which is a function of the width of a respective one of the two corresponding frame pulses.

56. A cochlear prosthesis in accordance with claim 53 wherein successive pairs of electrodes in said predetermined sequence have an electrode in common.

57. A cochlear prosthesis in accordance with claim 51 further including means for deriving a source of power for said detecting means and said selecting and energizing means from the transmitted information signal.

58. A cochlear prosthesis in accordance with claim 57 further including means for shorting together all of said electrodes, means for detecting a predetermined drop in the level of said source of power, and means responsive to said level drop detecting means for operating said shorting means.

59. A cochlear prosthesis in accordance with claim 51 further including means for inhibiting the energization of all of said electrodes, means for determining if the detected information signal is inconsistent with a predetermined format, and means responsive to operation of said determining means for controlling operation of said inhibiting means.

60. A cochlear prosthesis in accordance with claim 59 wherein said inhibiting means is further operative to short together all of said electrodes.

61. A cochlear prosthesis in accordance with claim 59 further including means for re-synchronizing the operation of said selecting and energizing means to sequential information signal frames, and means responsive to operation of said determining means for controlling operation of said re-synchronizing means.

62. A cochlear prosthesis in accordance with claim 51 wherein said selecting and energizing means includes means for switching the polarity of a single source of power across any electrode pair to be energized for applying to said electrode pair a pair of opposite-polarity current pulses.

63. A cochlear prosthesis in accordance with claim 51 wherein said selecting and energizing means includes a counter which is advanced by detected frame information and whose count selects a respective electrode pair.

64. A cochlear prosthesis in accordance with claim 63 wherein said counter includes a reset state, and further including means responsive to said counter being reset for shorting together all of said electrodes.

65. A cochlear prosthesis in accordance with claim 64 further including means responsive to the detection of the end of a frame for resetting said counter.

66. A cochlear prosthesis in accordance with claim 64 further including means responsive to the detection of the start of a frame for resetting said counter.

67. A cochlear prosthesis in accordance with claim 64 further including means responsive to the detection in a frame of said information signal of any required stimulation intensity which exceeds a predetermined intensity for resetting said counter.

68. A cochlear prosthesis in accordance with claim 51 wherein each frame consists of a sequence of pulse widths corresponding to the required stimulation intensities for respective electrode pairs.

69. A cochlear prosthesis in accordance with claim 68 wherein there are two successive pulses for each electrode pair identified in a frame, and said selecting and energizing means energizes an electrode pair by applying a biphasic pulse thereto, each half of which has an intensity which is a function of the width of a respective one of the two corresponding frame pulses.

70. A cochlear prosthesis in accordance with claim 51 wherein successive pairs of electrodes in said predetermined sequence have an electrode in common.

71. A cochlear prosthesis in accordance with claim 51 wherein said selecting and energizing means includes means for switching the polarity of a single source of power across any electrode pair to be energized for applying to said electrode pair a pair of opposite-polarity current pulses.

72. A cochlear prosthesis in accordance with claim 51 wherein said time interval is less than one millisecond.

73. An implantable tissue-stimulating prosthesis comprising a plurality of electrodes for stimulating a plurality of stimulation sites, means for detecting a transmitted information signal, said information signal being in the form of sequential frames each of which identifies required stimulation intensities for respective stimulation sites in a predetermined sequence, means responsive to said detecting means for selecting and energizing said electrodes so that at most a single stimulation site is stimulated at any instant but for selecting and energizing the electrodes such that the stimulation sites are stimulated with the required respective stimulation intensities in the same sequence in which the stimulation sites are identified in a frame of said information signal, and means for shorting said plurality of electrodes responsive to the absence of the identification of a site which requires stimulation.

74. An implantable tissue-stimulating prosthesis in accordance with claim 73 wherein any stimulation site which does not require stimulation, but precedes some other stimulation site which does in said predetermined sequence, is identified in a frame which identifies said some other stimulation site as requiring stimulation.

75. An implantable tissue-stimulating prosthesis in accordance with claim 74 wherein said selecting and energizing means selects each stimulation site which is identified in sequence in a frame, but prevents effective energization of any stimulation site which does not require stimulation with an intensity which can be perceived.

76. An implantable tissue-stimulating prosthesis in accordance with claim 75 wherein each frame consists of a sequence of pulse widths corresponding to the required stimulation intensities for respective stimulation sites.

77. An implantable tissue-stimulating prosthesis in accordance with claim 76 wherein there are two successive pulses for each stimulation site identified in a frame, and said selecting and energizing means energizes a stimulation site by applying a biphasic pulse thereto, each half of which has an intensity which is a function of the width of a respective one of the two corresponding frame pulses.

78. An implantable tissue-stimulating prosthesis in accordance with claim 73 wherein each frame consists of a sequence of pulse widths corresponding to the required stimulation intensities for respective stimulation sites.

79. An implantable tissue-stimulating prosthesis in accordance with claim 78 wherein there are two successive pulses for each stimulation site identified in a frame, and said selecting and energizing means energizes a stimulation site by applying a biphasic pulse thereto, each half of which has an intensity which is a function of the width of a respective one of the two corresponding frame pulses.

80. An implantable tissue-stimulating prosthesis in accordance with claim 73 further including means for deriving a source of power for said detecting means and selecting and energizing means from the transmitted information signal.

81. An implantable tissue-stimulating prosthesis in accordance with claim 80 further including means for shorting together all of said electrodes, means for detecting a predetermined drop in the level of said source of power, and means responsive to said level drop detecting means for operating said shorting means.

82. An implantable tissue-stimulating prosthesis in accordance with claim 73 further including means for inhibiting the energizations of all of said electrodes, means for determining if the detected information signal is inconsistent with a predetermined format, and means responsive to operation of said determining means for controlling operation of said inhibiting means.

83. An implantable tissue-stimulating prosthesis in accordance with claim 82 wherein said inhibiting means is further operative to short together all of said electrodes.

84. An implantable tissue-stimulating prosthesis in accordance with claim 82 further including means for re-synchronizing the operation of said selecting and energizing means to sequential information signal frames, and means responsive to operation of said determining means for controlling operation of said re-synchronizing means.

85. An implantable tissue-stimulating prosthesis in accordance with claim 73 wherein said selecting and energizing means includes a counter which is advanced by detected frame information and whose count selects a respective stimulation site.

86. An implantable tissue-stimulating prosthesis in accordance with claim 85 wherein said counter includes a reset state, and further including means responsive to said counter being reset for shorting together all of said electrodes.

87. An implantable tissue-stimulating prosthesis in accordance with claim 86 further including means responsive to the detection of the end of a frame for resetting said counter.

88. An implantable tissue-stimulating prosthesis in accordance with claim 86 further including means repsonsive to the detection of the start of a frame for resetting said counter.

89. An implantable tissue-stimulating prosthesis in accordance with claim 86 further including means responsive to the detection in a frame of said information signal of any required stimulation intensity which exceeds a predetermined intensity for resetting said counter.

90. An implantable tissue-stimulating prosthesis in accordance with claim 85 further including means responsive to the detection of the end of a frame for resetting said counter.

91. An implantable tissue-stimulating prosthesis in accordance with claim 85 further including means responsive to the detection of the start of a frame for resetting said counter.

92. An implantable tissue-stimulating prosthesis in accordance with claim 85 further including means responsive to the detection in a frame of said information signal of any required stimulation intensity which exceeds a predetermined intensity for resetting said counter.

93. An implantable tissue-stimulating prosthesis in accordance with claim 73 wherein said selecting and energizing means operates fast enough such that at least any two stimulation sites can be selected and energized successively within the time interval that allows the respective stimulations to be perceived as occurring simultaneously.

94. An implantable tissue-stimulating prosthesis in accordance with claim 93 wherein said time interval is less than one millisecond.

95. An implantable tissue-stimulating prosthesis comprising a plurality of electrodes, means for detecting a transmitted signal which represents the manner in which said electrodes are to be energized, means for energizing said electrodes in accordance with the operation of said detecting means, means for deriving a source of potential from a transmitted signal for powering the prosthesis, the potential of said source decreasing gradually following cessation of said transmitted signal and increasing gradually following resumption of said transmitted signal, means for shorting together all of said electrodes, means for detecting when the potential of said source is below a predetermined value, and means responsive to operation of said potential detecting means operating said shorting means while the potential of said source is still high enough to power the prosthesis.

96. An implantable tissue-stimulating prosthesis in accordance with claim 95 wherein said electrodes are associated with respective stimulation sites and said energizing means stimulates at most one stimulation site at any instant of time.

97. An implantable tissue-stimulating prosthesis in accordance with claim 96 wherein said energizing means includes a counter the states of which represent respective stimulation sites, means under control of said detecting means for advancing said counter in accordance with successive stimulation sites represented in a transmitted signal, and means for resetting said counter responsive to operation of said potential detecting means.

98. An implantable tissue-stimulating prosthesis in accordance with claim 97 wherein said detecting means includes control means for ascertaining the intensity of stimulation required at each stimulation site, and further including auxiliary means responsive to said control means ascertaining an intensity which exceeds a predetermined intensity for resetting said counter.

99. An implantable tissue-stimulating prosthesis in accordance with claim 98 further including means for preventing the operation of said auxiliary resetting means if said counter is already reset.

100. An implantable tissue-stimulating prosthesis in accordance with claim 99 wherein said transmitted signal consists of a pulse-modulated carrier whose pulse envelope represents sequential stimulation sites and the required stimulation intensities therefor.

101. An implantable tissue-stimulating prosthesis in accordance with claim 100 wherein the widths of pulses in said pulse envelope represent stimulation intensities.

102. An implantable tissue-stimulating prosthesis in accordance with claim 101 wherein said transmitted signal is transmitted in the form of sequential frames, and the position of each pulse in the pulse envelope of any frame represents the stimulation site to be stimulated.

103. An implantable tissue-stimulating prosthesis in accordance with claim 95 wherein said energizing means includes a counter the states of which represent respective stimulation sites, means under control of said detecting means for advancing said counter in accordance with successive stimulation sites represented in a transmitted signal, and means for resetting said counter responsive to operation of said potential detecting means.

104. An implantable tissue-stimulating prosthesis in accordance with claim 103 wherein said detecting means includes control means for ascertaining the intensity of stimulation required at each stimulation site, and further including auxiliary means responsive to said control means ascertaining an intensity which exceeds a predetermined intensity for resetting said counter.

105. An implantable tissue-stimulating prosthesis in accordance with claim 104 further including means for preventing the operation of said auxiliary resetting means if said counter is already reset.

106. An implantable tissue-stimulating prosthesis in accordance with claim 95 wherein said transmitted signal consists of a pulse-modified carrier whose pulse envelope represents sequential stimulation sites and the required stimulation intensities therefor.

107. An implantable tissue-stimulating prosthesis in accordance with claim 106 wherein the widths of pulses in said pulse envelope represent stimulation intensities.

108. An implantable tissue-stimulating prosthesis in accordance with claim 107 wherein said transmitted signal is transmitted in the form of sequential frames, and the position of each pulse in the pulse envelope of any frame represents the stimulation site to be stimulated.

109. An implantable tissue-stimulating prosthesis in accordance with claim 95 further including means for operating said shorting means in the absence of said detecting means detecting that any of said electrodes are to be energized.

110. An implantable tissue-stimulating prosthesis comprising a plurality of electrodes, means for detecting a transmitted signal which represents the manner in which said electrodes are to be energized, counter means whose states represent respective stimulation sites, means for advancing said counter means in accordance with successive stimulation sites represented in a transmitted signal, means for energizing said electrodes in accordance with the state of said counter means and the operation of said detecting means, means for deriving a source of potential from a transmitted signal for powering the prosthesis, the potential of said source decreasing gradually following cessation of said transmitted signal and increasing gradually following resumption of said transmitted signal, means for detecting when the potential of said source is below a predetermined value, and means responsive to operation of said potential detecting means for resetting said counter means while the potential of said source is still high enough to power the prosthesis.

111. An implantable tissue-stimulating prosthesis in accordance with claim 110 wherein said electrodes are associated with respective stimulation sites and said energizing means stimulates at most one stimulation site at any instant of time.

117. An implantable tissue-stimulating prosthesis in accordance with claim 110 wherein said detecting means includes control means for ascertaining the intensity of stimulation required at each stimulation site, and further including auxiliary means responsive to said control means ascertaining an intensity which exceeds a predetermined intensity for resetting said counter means.

118. An implantable tissue-stimulating prosthesis in accordance with claim 117 further including means for preventing the operation of said auxiliary resetting means if said counter means is already reset.

119. An implantable tissue-stimulating prosthesis in accordance with claim 110 wherein said transmitted signal consists of a pulse-modulated carrier whose pulse envelope represents sequential stimulation sites and the required stimulation intensities therefor.

120. An implantation tissue-stimulating prosthesis in accordance with claim 119 wherein said transmitted signal is transmitted in the form of sequential frames, and the position of each pulse in the pulse envelope of any frame represents the stimulation site to be stimulated.

121. An implantable tissue-stimulating prosthesis in accordance with claim 110 wherein said transmitted signal is transmitted in the form of sequential frames, and the position of each pulse in the pulse envelope of any frame represents the stimulation site to be stimulated.

114. An implantable tissue-stimulating prosthesis in accordance with claim 114 wherein said transmitted signal consists of a pulse-modulated carrier whose pulse envelope represents sequential stimulation sites and the required stimulation intensities therefor.

115. An implantable tissue-stimulating prosthesis in accordance with claim 114 wherein the widths of pulses in said pulse envelope represent stimulation intensities.

116. An implantable tissue-stimulating prosthesis in accordance with claim 115 wherein said transmitted signal is transmitted in the form of sequential frames, and the position of each pulse in the pulse envelope of any frame represents the stimulation site to be stimulated.

122. An implantable tissue-stimulating prosthesis comprising a plurality of electrodes, means for detecting a transmitted signal which represents the manner in which said electrodes are to be energized, capacitor means, means for deriving a source of potential across said capacitor means from a transmitted signal for powering the prosthesis, means for selectively energizing said electrodes from said potential source in accordance with the operation of said detecting means, means for detecting when the potential across said capacitor means falls below a predetermined value, means responsive to operation to said potential detecting means while the potential of said source is still high enough to power the prosthesis for placing the prosthesis in a predetermined system state, impedance means, and means responsive to said energizing means energizing none of said electrodes for connecting said impedance means across said capacitor means for controlling the discharge of said capacitor means at a predetermined rate.

123. An implantable tissue-stimulating prosthesis in accordance with claim 122 wherein said energizing means includes a counter the states of which represent respective stimulation sites, and means under control of said detecting means for advancing said counter in accordance with successive stimulation sites represented in a transmitted signal, and wherein said predetermined system state is a state in which said counter is reset.

124. An implantable tissue-stimulating prosthesis in accordance with claim 123 wherein said detecting means includes control means for ascertaining the intensity of stimulation required at each stimulation site, and further including means responsive to said control means ascertaining an intensity which exceeds a predetermined intensity for resetting said counter.

125. An implantable tissue-stimulating prosthesis in accordance with claim 124 further including means for preventing the operation of said resetting means if said counter is already reset.

126. An implantable tissue-stimulating prosthesis in accordance with claim 123 further including means responsive to the prosthesis being placed in said predetermined system state for shorting together all of said electrodes.

127. A cochlear prosthesis comprising a plurality of electrodes, pairs of which are associated with respective stimulation sites and with at least almost all of said electrodes being included in each of at least two different pairs, means for detecting a transmitted information signal which represents both stimulation sites and stimulation intensities required therefor, means under control of said detecting means for energizing the pair of electrodes associated with a represented stimulation site with successive opposite-polarity current pulses in accordance with the respective represented stimulation intensity, said information signal representing a stimulation intensity in the form of a pulse width and said information signal being formatted in successive frames with each frame including a plurality of pulses in a predetermined sequence corresponding to respective stimulation sites, said energizing means being capable of energizing successive pairs of electrodes in a predetermined sequence corresponding to the predetermined pulse sequence in each frame, means for shorting together all of said electrodes, means for detecting a pulse width in said information signal which exceeds a predetermined width, and means responsive to operation of said pulse width detecting means for operating said shorting means.

128. A cochlear prosthesis in accordance with claim 127 wherein a stimulation site is represented in an information signal frame by a respective pair of pulses, and said energizing means controls the intensity of each of the opposite-polarity current pulse applied to a represented stimulation site in accordance with the width of a different one of the respective pair of pulses.

129. A cochlear prosthesis comprising a plurality of electrodes, pairs of which are associated with respective stimulation sites and with at least almost all of said electrodes being included in each of at least two different pairs, means for detecting a transmitted information signal which represents both stimulation sites and stimulation intensities required therefor, means under control of said detecting means for energizing the pair of electrodes associated with a represented stimulation site with successive opposite-polarity current pulses in accordance with the respective represented stimulation intensity, means for shorting together all of said electrodes, and means for operating said shorting means in the absence of said detecting means detecting an information signal which represents a requirement for site stimulation.

130. A cochlear prosthesis comprising a plurality of electrodes, pairs of which are associated with respective stimulation sites and with at least almost all of said electrodes being included in each of at least two different pairs, means for detecting a transmitted information signal which represents both stimulation sites and stimulation intensities required therefor, means under control of said detecting means for energizing the pair of electrodes associated with a represented stimulation site with successive opposite-polarity current pulses in accordance with the respective represented stimulation intensity, means for shorting together all of said electrodes, means for detecting a represented stimulation intensity in said information signal which exceeds a predetermined intensity, and means responsive to operation of said stimulation intensity detecting means for operating said shorting means.

131. A cochlear prosthesis comprising a plurality of electrodes, pairs of which are associated with respective stimulation sites and with at least almost all of said electrodes being included in each of at least two different pairs, means for detecting a transmitting information signal which represents both stimulation sites and stimulation intensities required therefor, means under control of said detecting means for energizing the pair of electrodes associated with a represented stimulation site with successive opposite-polarity current pulses in accordance with the respective represented stimulation intensity, means for deriving a source of power for said detecting and energizing means from the detected information signal, means for shorting together all of said electrodes, means for detectng a predetermined drop in the level of said source of power, and means responsive to said level drop detecting means for operating said shorting means.

132. A cochlear prosthesis comprising a plurality of electrodes, pairs of which are associated with respective stimulation sites and with at least almost all of said electrodes being included in each of at least two different pairs, means for detecting a transmitted information signal which represents both stimulation sites and stimulation intensities required therefor, means under control of said detecting means for energizing the pair of electrodes associated with a represented stimulation site with successive opposite-polarity current pulses in accordance with the respective represented stimulation intensity, means for inhibiting the energizations of all of said electrodes, means for determining if the detected information signal is inconsistent with a predetermined format, and means responsive to operation of said determining means for operating said inhibiting means.

133. A cochlear prosthesis in accordance with claim 132 wherein said inhibiting means is further operative to short together all of said electrodes.

134. A cochlear prosthesis in accordance with claim 132 further including means for re-synchronizing the operation of said energizing means to said information signal, and means responsive to said determining means for controlling operation of said re-synchronizing means.

135. A cochlear prosthesis comprising a plurality of electrodes associated with each other in pairs, means for detecting a transmitted information signal, said information signal being in the form of sequential frames each of which identifies required stimulation intensities for respective paired electrodes in a predetermined sequence, means responsive to said detecting means for selecting and energizing at most a single electrode pair at any instant but for selecting all of the electrode pairs and energizing them with the required respective stimulation intensities in the same sequence in which the electrode pairs are identified in a frame of said information signal, means for deriving a source of power for said detecting means and said selecting and energizing means from the transmitted information signal, means for shorting together all of said electrodes, means for detecting a predetermined drop in the level of said source of power, and means responsive to said level drop detecting means for operating said shorting means.

136. A cochlear prosthesis comprising a plurality of electrodes associated with each other in pairs, means for detecting a transmitted information signal, said information signal being in the form of sequential frames each of which identifies required stimulation intensities for respective paired electrodes in a predetermined sequence, means responsive to said detecting means for selecting and energizing at most a single electrode pair at any instant but for selecting all of the electrode pairs and energizing them with the required respective stimulation intensities in the same sequence in which the electrode pairs are identified in a frame of said information signal, means for inhibiting the energizations of all of said electrodes, means for determining if the detected information signal is inconsistent with a predetermined format, and means responsive to operation of said determining means for controlling operation of said inhibiting means.

137. A cochlear prosthesis in accordance with claim 136 wherein said inhibiting means is further operative to short together all of said electrodes.

138. A cochlear prosthesis in accordance with claim 136 further including means for re-synchronizing the operation of said selecting and energizing means to sequential information signal frames, and means responsive to operation of said determining means for controlling operation of said re-synchronizing means.

139. A cochlear prosthesis comprising a plurality of electrodes associated with each other in pairs;

means for detecting a transmitted information signal, said information signal being in the form of sequential frames each of which identifies required stimulation intensities for respective paired electrodes in a predetermined sequence;

means responsive to said detecting means for selecting and energizing at most a single electrode pair at any instant but for selecting all of the electrode pairs and energizing them with the required respective stimulation intensities in the same sequence in which the electrode pairs are identified in a frame of said information signal, said selecting and energizing means including a counter which is advanced by detected frame information and whose count selects a respective electrode pair, said counter including a reset state; and

means responsive to said counter being reset for shorting together all of said electrodes.

112. An implantable tissue-stimulating prosthesis in accordance with claim 142 wherein said detecting means includes control means for ascertaining the intensity of stimulation required at each stimulation site, and further including auxiliary means responsive to said control means ascertaining an intensity which exceeds a predetermined intensity for resetting said counter.

113. An implantable tissue-stimulating prosthesis in accordance with claim 112 further including means for preventing the operation of said auxiliary resetting means if said counter is already reset.

140. A cochlear prosthesis in accordance with claim 139 further including means responsive to the detection of the end of a frame for resetting said counter.

141. A cochlear prosthesis in accordance with claim 139 further including means responsive to the detection of the start of a frame for resetting said counter.

142. A cochlear prosthesis in accordance with claim 139 further including means responsive to the detection in a frame of said information signal of any required stimulation intensity which exceeds a predetermined intensity for resetting said counter.

143. A cochlear prosthesis comprising a plurality of electrodes associated with each other in pairs, means for detecting a transmitted information signal, said information signal being in the form of sequential frames each of which identifies required stimulation intensities for respective paired electrodes in a predetermined sequence, means responsive to said detecting means for selecting and energizing at most a single electrode pair at any instant but for selecting all of the electrode pairs and energizing them with the required respective stimulation intensities in the same sequence in which the electrode pairs are identified in a frame of said information signal, said selecting and energizing means including a counter which is advanced by detected frame information and whose count selects a respective electrode pair, and means responsive to the detection of the end of a frame for resetting said counter.

144. A cochlear prosthesis comprising a plurality of electrodes associated with each other in pairs, means for detecting a transmitted information signal, said information signal being in the form of sequential frames each of which identifies required stimulation intensities for respective paired electrodes in a predetermined sequence, means responsive to said detecting means for selecting and energizing at most a single electrode pair at any instant but for selecting all of the electrode pairs and energizing them with the required respective stimulation intensities in the same sequence in which the electrode pairs are identified in a frame of said information signal, said selecting and energizing means including a counter which is advanced by detected frame information and whose count selects a respective electrode pair, and means responsive to the detection of the start of a frame for resetting said counter.

145. A cochlear prosthesis comprising a plurality of electrodes associated with each other in pairs, means for detecting a transmitted information signal, said information signal being in the form of sequential frames each of which identifies required stimulation intensities for respective paired electrodes in a predetermined sequence, means responsive to said detecting means for selecting and energizing at most a single electrode pair at any instant but for selecting all of the electrode pairs and energizing them with the required respective stimulation intensities in the same sequence in which the electrode pairs are identified in a frame of said information signal, said selecting and energizing means including a counter which is advanced by detected frame information and whose count selects a respective electrode pair, and means responsive to the detection in a frame of said information signal of any required stimulation intensity which exceeds a predetermined intensity for resetting said counter.