Provision of stimulus components having variable perceptability to stimulating device recipient

• US 8,019,432 B2
• Filed: 09/20/2010
• Issued: 09/13/2011
• Est. Priority Date: 10/31/2005
• Status: Expired due to Fees

• Current Assignee: Cochlear Limited
• Original Assignee: Cochlear Limited
• Inventors: Botros, Andrew M., Dijk, Bastiaan van
• Primary Examiner(s): Manuel; George
• Assistant Examiner(s): Wieland; Robert N
• Application Number:
  US12/886,378
• Publication Number:
  US 20110015700A1
• Time in Patent Office: 358 Days
• Field of Search: 607/55, 607/57, 607/48, 607/56, 600/559
• US Class Current: 607/57
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 5/388 Nerve conduction study, e.g. detecting action potential of peripheral nerves
• CPC Class Codes: A61N 1/36039 fitting procedures
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

The automatic measurement of evoked compound action potential (ECAP) thresholds of the auditory nerve; that is, a neural response, concurrently with the performance of psychophysics measurements of a prosthetic hearing implant recipient. During the fitting process, a stimulus signal comprising two components is applied to each stimulation channel. One signal component is configured to elicit an ECAP neural response, referred to herein as a neural response signal component. The other component is configured to elicit a response to a psychophysics stimulation, referred to herein as a psychophysics signal component. Indications of the psychophysics measurement and the concurrently obtained neural response measurements are provided to the user. For the psychophysics measurement, this includes the selected characteristics of the psychophysics signal component since the results of the applied stimulation is a recipient behavioral or auditory response.

Claims

1. A method comprising:

receiving a user-specified current level; and

applying to a stimulation channel of the cochlear implant a stimulus signal comprising a substantially imperceptible component based on the user-specified current level and a perceivable component having the user-specified current level.

2. The method of claim 1, wherein said applying to the stimulation channel of the cochlear implant the stimulus signal comprises:

applying the substantially imperceptible component; and

applying the perceivable component after applying the substantially imperceptible component.

3. The method of claim 1, wherein the substantially imperceptible component is configured to elicit an evoked compound action potential (ECAP) neural response, the method further comprising:

automatically measuring the ECAP neural response.

4. The method of claim 3, further comprising:

displaying the ECAP neural response measurement and an indication of the user-specified current level concurrently .

5. The method of claim 1, wherein each of the substantially imperceptible component and the perceivable component are configured for determination of a common dynamic range parameter for the cochlear implant.

6. The method of claim 5, wherein the dynamic range parameter is a threshold level, the method further comprising:

concurrently displaying the ECAP neural response measurement and an indication of the user-specified current level; and

receiving a user-specified threshold level in response to said displaying the ECAP neural response measurement and the indication of the user-specified current level.

7. The method of claim 6, wherein the perceivable component is configured to elicit a psychophysics response, the method further comprising:

subjectively interpreting the psychophysics response in determining the dynamic range parameter.

8. The method of claim 7, further comprising:

judging the subjective interpretation of the psychophysics response against the displayed ECAP neural response measurement.

9. The method of claim 5, wherein the dynamic range parameter is a comfort level, the method further comprising:

receiving a user-specified comfort level in response to displaying the ECAP neural response measurement and the indication of the user-specified current level.

10. A fitting system configured to receive a user-specified current level, and to provide an instruction to a cochlear implant to cause the cochlear implant to apply to a stimulation channel of a cochlear implant a first stimulus signal comprising a substantially imperceptible component based on the user-specified current level, and a perceivable component having the user-specified current level.

11. The fitting system of claim 10, wherein the substantially imperceptible component comprises a series of pulses each having a first period, and the perceivable component comprises a series of pulses each having a second period different than the first period.

12. The fitting system of claim 10, wherein the substantially imperceptible component is configured to elicit an evoked compound action potential (ECAP) neural response, and the perceivable component is configured to elicit a psychophysics response.

13. The fitting system of claim 10, further configured to automatically measure the ECAP neural response, and to display the ECAP neural response measurement and an indication of the user-specified current level concurrently.

14. The fitting system of claim 13, wherein the fitting system is further configured to provide an audio indication of the ECAP neural response measurement.

15. The apparatus of claim 13, wherein the fitting system comprises:

a display comprising a neural response display and a psychophysics mapping scale display,

wherein the neural response display is configured to display the ECAP neural response measurement; and

wherein the psychophysics mapping scale display is configured to display a psychophysics mapping scale.

16. A fitting system configured to receive a user-specified current level, and to provide an instruction to a cochlear implant to cause the cochlear implant to apply to a stimulation channel of a cochlear implant a stimulus signal comprising a substantially imperceptible component based on the user-specified current level, and a perceivable component having the user-specified current level, wherein each of the substantially imperceptible component and the perceivable component are configured for determination of a common dynamic range parameter for the cochlear implant.

17. The fitting system of claim 16, wherein the substantially imperceptible component is configured to elicit an evoked compound action potential (ECAP) neural response, and the perceivable component is configured to elicit a psychophysics response.

18. The fitting system of claim 17, further configured to automatically measure the ECAP neural response, and to display the ECAP neural response measurement and an indication of the user-specified current level concurrently.

19. The fitting system of claim 18, wherein the fitting system is further configured to provide an audio indication of the ECAP neural response measurement.

20. The fitting system of claim 16, wherein the substantially imperceptible component comprises a series of pulses each having a first period, and the perceivable component comprises a series of pulses each having a second period different than the first period.