Vestibular implant system with internal and external motion sensors
A vestibular prosthesis system is described which includes an external movement sensor that is attachable a patient's head for generating an external movement signal. An internal movement sensor is implantable under the skin of the patient's head for generating an internal movement signal. A fail-safe sensor is configured to detect movement of the one or more external movement sensors relative to the head and generate a corresponding relative motion signal. And an implant processor also is implantable under the skin and in communication with the internal movement sensor and the external transmitter for generating an implant stimulation signal based on one of the movement signals and/or the relative motion signal to electrically stimulate target neural tissue for vestibular sensation by the patient.
1. A partially implantable vestibular prosthesis system comprising:
one or more external movement sensors attachable to the skin of a patient's head and configured to generate an external movement signal representing movement of the patient's head;
an external transmitter in communication with the external movement sensor configured for transcutaneous transmission of an implant communication signal having an electrical power component and a signal component based on the external movement signal;
one or more internal movement sensors implantable under the skin of the patient's head configured to generate an internal movement signal representing movement of the patient's head;
a fail-safe sensor configured to detect movement of the one or more external movement sensors relative to the head and generate a corresponding relative motion signal; and
an implant processor implantable under the skin and in communication with the fail-safe sensor, the internal movement sensor, and the external transmitter and configured to generate an implant stimulation signal based on one of the movement signals and/or the relative motion signal to electrically stimulate target neural tissue for vestibular sensation by the patient.
2. A system according to claim 1 , wherein the one or more external movement sensors includes an ear canal external movement sensor configured to be attachable within the ear canal of the patient's head.
3. A system according to claim 2 , wherein the ear canal external movement sensor is configured to be magnetically attachable within the ear canal over a corresponding implanted holding magnet which establishes a correct position for the external movement sensor.
4. A system according to claim 2 , wherein the ear canal external movement sensor is configured to leave a portion of the ear canal unoccluded to allow hearing sensation by the tympanic membrane.
5. A system according to claim 1 , wherein the one or more external movement sensors is configured to be magnetically attachable on the scalp of the patient's head over a corresponding implant magnet arrangement which establishes a correct position for the external movement sensor.
6. A system according to claim 5 , wherein the one or more external movement sensors includes a plurality of magnets for cooperation with a corresponding plurality of magnets in the implant magnet arrangement.
7. A system according to claim 6 , wherein the plurality of magnets in the one or more external movement sensor are arranged with asymmetrical magnetic polarities.
8. A system according to claim 6 , wherein the plurality of magnets in the one or more external movement sensors are arranged with spatial asymmetry.
9. A system according to claim 6 , wherein the plurality of magnets in the one or more external movement sensors are arranged with asymmetrically different diametrical orientations.
10. A system according to claim 6 , wherein the plurality of magnets in the one or more external movement sensors are arranged with asymmetrically different distances between cooperating pairs of magnets.
11. A system according to claim 6 , wherein the plurality of magnets in the one or more external movement sensors are arranged to require orientation of the external movement sensor so that each magnet in the external movement sensor is cooperating with another corresponding magnet in the implant magnet arrangement in order to have enough magnetic attraction force to securely hold the external movement sensor.
12. A system according to claim 1 , wherein the implant stimulation signal is preferentially based on the external movement signal when available and otherwise is based on the internal movement signal.
13. A system according to claim 1 , wherein the implant stimulation signal is preferentially based on the internal movement signal when the external movement signal exceeds some acceptable threshold value.
14. A system according to claim 1 , wherein the fail-safe sensor comprises a sensor position sensor configured to generate a sensor movement signal representing movement of the external sensor relative to the patient's head.
15. A system according to claim 1 , wherein the implant processor includes a baseline pacing mode wherein the implant stimulation signal is generated without reference to a movement signal.
16. A system according to claim 1 , wherein the target neural tissue includes the semicircular canals of the inner ear.
17. A system according to claim 1 , wherein the target neural tissue includes the vestibular nerve.