Cochlear response audiometer

• US 5,372,142 A
• Filed: 02/17/1993
• Issued: 12/13/1994
• Est. Priority Date: 02/17/1993
• Status: Expired due to Fees

• Current Assignee: Mod Tap W Corp. (KOCH Industries Incorporated), Poul Madsen Medical Devices Ltd.
• Original Assignee: Poul Madsen Medical Devices Ltd.
• Inventors: Kunov, Hans, Madsen, Poul B.
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US08/018,521
• Time in Patent Office: 664 Days
• Field of Search: 128/739, 128/746, 128/740, 128/897-898
• US Class Current: 600/552
• CPC Class Codes: A61B 5/12 Audiometering
• CPC Class Codes: A61B 5/121 evaluating hearing capacity

Abstract

The invention provides a cochlear response audiometer, and new methods for signal generation, detection and processing. The invention preferably uses bone conducted sound, applied to the mastoid, forehead, or any other place with good mechanical contact to the skull, via a vibrator. The bone conducted sound stimulates the cochlea via the skull. The stimulus also produces a sound in the ear canal, but at a very low level, so there is no high level stimulus signal and ringing travelling toward the cochlea at the same time as the cochlear response is travelling back into the ear canal. The responses from the cochlea are recorded, preferably by using a differential amplifier input circuit for the microphone when air-borne response signals are used, and the responses are processed in a way which compensates for the stimulus artefact, by subtracting a scaled-down version of the cochlear response to a large stimulus from the cochlear response to a moderate stimulus.

Claims

1. A method for eliciting and recording cochlear responses of a subject, comprising the steps of applying a stimulus signal by mechanically vibrating the subject'"'"'s teeth or the bony structure of the subject'"'"'s head, without using either ear canal to apply said stimulus signal, and electronically recording the cochlear responses to said stimulus signal and electronically isolating said cochlear responses from other responses.

2. A method as recited in claim 1, wherein said recording of the cochlear responses involves recording the mechanical vibrations from the teeth or from the bony structure of the subject'"'"'s head.

3. A method as recited in claim 1, wherein said recording of the cochlear responses is by means of a microphone positioned in the subject'"'"'s ear canal.

4. A method as recited in claim 3, wherein said microphone is connected to a differential amplifier input circuit.

5. A method for eliciting and recording cochlear responses of a subject, comprising the steps of applying a stimulus signal by mechanically vibrating the teeth or by mechanically vibrating the bony structure of the subject'"'"'s head or by sending an airborne signal into an ear canal of the subject, and recording the cochlear responses to said stimulus signal, wherein said stimulus signal has a pair of phase-locked frequencies f₁ and f₂, and an elemental time window T, such that f₁ =a/T and f₂ =b/T, where a and b are integers, and T is the elemental time window width in seconds.

6. A method as recited in claim 5, where said stimulus signal is presented in a window of exactly nT seconds, where n is an integer, said stimulus signal within said window being given by x(t)=A {sin (2π

at/T)-B sin (2π

bt/T)), where A is the amplitude of the stimulus signal and B is the relative amplitude between the frequencies.

7. A method as recited in claim 6, where presentation of the stimulus signal in the elemental time window is defined by mab(2a-b) discrete samples, where m is an integer.

8. A method as recited in claim 6, in which the response signal comprising primaries, their harmonics and intermodulation products, and noise, is independently multiplied by two sinusoidal signals each having a frequency of (2a-b)/T and phase shifted by 90 degrees from one another, the method allowing the detection of a cubic distortion product signal.

9. A method as recited in claim 8, where a phase angle φ

for the cubic distortion product signal is measured using φ

=arctan(α

/β

), where α and

β

are the results of the integration of the results of the two multiplications in claim 21.

10. A method as recited in claim 6, wherein a stimulus signal having a nominal frequency f₀ (a geometric mean of f₁ and f₂) is swept over a frequency range of interest, sequential windows being presented with said stimulus signal, a number of measurements being performed on a given window/frequency combination until a satisfactory outcome has been determined and the window/frequency combination being then automatically set to another predetermined value.

11. A method as recited in claim 5, where B is a/b.

12. A method for eliciting and recording cochlear responses of a subject, comprising the steps of applying a stimulus signal by mechanically vibrating the teeth or bony structure of the subject'"'"'s head or by sending an airborne signal into an ear canal of the subject, recording the cochlear responses to said stimulus signal, and reducing a stimulus artefact by subtracting a scaled-down version of the cochlear response to a large stimulus from the cochlear response to a moderate stimulus that is smaller than the large stimulus.

13. A method for eliciting and recording cochlear responses of a subject, comprising the steps of applying a stimulus signal to the cochlea, recording the responses to said stimulus signal by recording the mechanical vibrations from the teeth or bony structure of the subject'"'"'s head;

and electronically isolating said cochlear responses from other responses.