Systems and methods for detecting nerve stimulation with an implanted prosthesis

• US 9,352,153 B2
• Filed: 01/24/2011
• Issued: 05/31/2016
• Est. Priority Date: 01/24/2011
• Status: Active Grant

• Current Assignee: Cochlear Limited
• Original Assignee: Cochlear Limited
• Inventors: van Dijk, Bastiaan
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): KIMBALL, JEREMIAH T
• Application Number:
  US13/012,639
• Publication Number:
  US 20120191161A1
• Time in Patent Office: 1,954 Days
• Field of Search: 607/57
• US Class Current: 1/1
• CPC Class Codes: A61N 1/0541 Cochlear electrodes
• CPC Class Codes: A61N 1/36039 fitting procedures

Abstract

The present application discloses systems and methods for detecting non-auditory nerve stimulation with an implant having a plurality of electrodes configured to electrically stimulate a target nerve of the implant recipient. One embodiment includes generating an electrical stimulation signal with a first set of electrodes of the implant, measuring a response to the electrical stimulation signal with a second set of electrodes of the implant, and determining whether the electrical stimulation signal stimulated at least one non-target nerve of the implant recipient based on the measured response.

Claims

1. A method comprising:

delivering, with a first set of electrodes of a cochlear implant, an electrical signal to a cochlea of a recipient of the cochlear implant, wherein the cochlear implant comprises a plurality of electrodes, and wherein at least a portion of the plurality of electrodes are positioned within the cochlea of the recipient to stimulate an auditory nerve of the recipient;

measuring, with a second set of electrodes of the cochlear implant, a response to the electrical signal; and

based on the measured response, determining that the electrical signal directly and electrically stimulated a facial nerve of the recipient.

2. The method of claim 1, wherein determining that the electrical signal directly and electrically stimulated the facial nerve of the recipient comprises:

comparing one or more signal characteristics of the response to one or more model signal characteristics of facial nerve stimulation to identify one or more similarities between the one or more signal characteristics of the response and the one or more model signal characteristics of the facial nerve stimulation; and

analyzing one or more similarities between the one or more signal characteristics of the response and the one or more model signal characteristics of the facial nerve stimulation.

3. The method of claim 1, wherein the measuring of the response overlaps with the delivering of the electrical signal to the cochlea, and wherein the method further comprises:

prior to determining that the electrical signal directly and electrically stimulated the facial nerve of the recipient, subtracting one or more signal components corresponding to the electrical signal or stimulation signal artifacts from the response.

4. The method of claim 1, wherein one or more signal characteristics of a recipient'"'"'s auditory nerve response are known, and wherein determining that the electrical signal directly and electrically stimulated the facial nerve of the recipient comprises:

comparing signal characteristics of the response to the one or more known signal characteristics of the recipient'"'"'s auditory nerve response to identify one or more differences between the signal characteristics of the response and the one or more known signal characteristics of the recipient'"'"'s auditory nerve response; and

analyzing the one or more differences between the signal characteristics of the response and the one or more known signal characteristics of the recipient'"'"'s auditory response.

5. The method of claim 1, wherein determining that the electrical signal directly and electrically stimulated the facial nerve of the recipient comprises:

comparing signal characteristics of the response to one or more corresponding thresholds; and

determining that one or more signal characteristics of the response exceed at least one corresponding threshold.

6. The method of claim 1, wherein the cochlear implant has a plurality of configuration settings, and wherein the method further comprises:

in response to determining that the electrical signal directly and electrically stimulated the facial nerve, changing one or more configuration settings of the cochlear implant such that delivery of the electrical signal with the first set of electrodes does not directly and electrically stimulate the facial nerve.

7. The method of claim 1, further comprising sending the measured response to a computing device configured to determine that the electrical signal directly and electrically stimulated the facial nerve.

8. The method of claim 7, further comprising generating an alert in response to determining that the electrical signal directly and electrically stimulated the facial nerve.

9. The method of claim 1, further comprising:

in response to determining that the electrical signal directly and electrically stimulated the facial nerve, changing one or more of an amplitude, a pulse width, or a pulse rate of the electrical signal such that delivery of the electrical signal with the first set of electrodes does not directly and electrically stimulate the facial nerve.

10. The method of claim 1, wherein the first set of electrodes comprises an active electrode and a reference electrode, and wherein the method further comprises:

changing at least one of the active electrode or the reference electrode to a different electrode in the plurality of electrodes in response to determining that the electrical signal directly and electrically stimulated the facial nerve.

11. The method of claim 1, wherein the first set of electrodes comprises an active electrode and a reference electrode, and wherein the method further comprises:

disabling the active electrode in response to determining that the electrical signal directly and electrically stimulated the facial nerve.

12. The method of claim 1, wherein measuring the response to the electrical signal comprises measuring at least one of a current, a voltage, a frequency, or an impedance with the second set of electrodes of the cochlear implant.

13. The method of claim 1, wherein determining whether the first electrical signal stimulated the facial nerve comprises analyzing the measured response with a recognition algorithm implemented in at least one of software, hardware, or firmware.

14. A cochlear implant comprising:

a plurality of electrodes including (i) a first set of electrodes configured to deliver at least one electrical signal to a cochlea of recipient of the cochlear implant to stimulate the recipient'"'"'s auditory nerve, and (ii) a second set of electrodes configured to measure a response to delivery of the at least one electrical signal to the cochlea; and

circuitry configured to analyze the measured response and determine, based on the analysis, that the at least one electrical signal directly and electrically stimulated a facial nerve of the recipient.

15. The cochlear implant of claim 14, further comprising:

non-transitory machine-readable storage media configured to store a plurality of configuration settings for the cochlear implant, wherein in response to determining that the electrical signal directly and electrically stimulated the facial nerve, the cochlear implant is configured to change one or more of the configuration settings of the cochlear implant such that delivery of the electrical signal with the first set of electrodes does not directly and electrically stimulate the facial nerve.

16. The implant of claim 14, wherein the implant is further configured to change one or more of an amplitude, a pulse width, or a stimulation rate of the electrical signal in response to determining that the electrical signal directly and electrically stimulated the facial nerve.

17. The cochlear implant of claim 14, wherein the first set of electrodes comprises an active electrode and a reference electrode, and wherein the cochlear implant further comprises circuitry configured to change at least one of the active electrode or the reference electrode to a different electrode in the plurality of electrodes in response to determining that the electrical signal directly and electrically stimulated the facial nerve.

18. The cochlear implant of claim 14, wherein the first set of electrodes comprises an active electrode and a reference electrode, and wherein the implant further comprises circuitry configured to disable the active electrode in response to determining that the electrical signal directly and electrically stimulated the facial nerve.

19. The cochlear implant of claim 14, further comprising a component configured to analyze the measured response with a recognition algorithm implemented in at least one of software, hardware, or firmware.

20. The cochlear implant of claim 14, wherein to analyze the measured response and determine that the electrical signal directly and electrically stimulated the facial nerve of the recipient, the circuitry is configured to:

compare one or more signal characteristics of the response to one or more model signal characteristics of facial nerve stimulation to identify one or more similarities between the one or more signal characteristics of the response and the one or more model signal characteristics of the facial nerve stimulation; and

analyze one or more similarities between the one or more signal characteristics of the response and the one or more model signal characteristics of the facial nerve stimulation.

21. A system comprising:

a computing device configured to communicate with a cochlear implant, wherein the computing device is configured to;

receive, from the cochlear implant, a measured response to an electrical signal applied via a first set of electrodes of the cochlear implant, wherein the electrical signal is applied to stimulate a recipient'"'"'s auditory nerve and wherein the measured response is measured via a second set of electrodes of the cochlear implant; and

analyze the measured response and determine that the measured response includes an indication that the electrical signal directly and electrically stimulated a facial nerve of the implant recipient.

22. The system of claim 21, wherein the computing device is further configured to generate an alert in response to determining that the measured response includes the indication that the electrical signal directly and electrically stimulated the facial nerve of the implant recipient.

23. The system of claim 21, wherein the implant has a plurality of configuration settings, and wherein in response to determining that the electrical signal directly and electrically stimulated the facial nerve the computing device is configured to send instructions to the implant to change one or more of an amplitude, a pulse width, or a stimulation rate of the electrical signal.

24. The system of claim 21, wherein the first set of electrodes includes an active electrode and a reference electrode, and wherein in response to determining that the electrical signal directly and electrically stimulated the facial nerve the computing device is further configured to send instructions to the implant to change at least one of the active electrode or the reference electrode to a different electrode in the plurality of electrodes.

25. The system of claim 21, wherein the first set of electrodes comprises an active electrode and a reference electrode, and wherein in response to determining that the electrical signal directly and electrically stimulated the facial nerve the computing device is further configured to send instructions to the implant to disable the electrode in response.

26. The system of claim 21, wherein the computing device is configured to analyze the received measured response with a recognition algorithm implemented in at least one of software, hardware, or firmware.