Implantable cochlear system with integrated components and lead characterization
Cochlear implant systems can include first and second subsystems, each subsystem including an input source, a signal processor, a stimulator, and a cochlear electrode. A single implantable battery and/or communication module can provide power to and communicate with each subsystem, such as via each signal processor. Systems can include separate leads providing separate communication between the implantable battery and/or communication module and each subsystem, or can include a bifurcated lead providing signals to both subsystems simultaneously. The implantable battery and/or communication module can be configured to output addressed signals designating for which subsystem a signal is intended. The implantable battery and/or communication module can be configured to separately update settings associated with each respective subsystem, such as a transfer function associated with each signal processor.
1. A cochlear implant system comprising:
a first subsystem including:
a first cochlear electrode;
a first stimulator in communication with the first cochlear electrode;
a first input source configured to receive a first stimulus signal and generate a first input signal based on the received first stimulus signal; and
a first signal processor in communication with the first stimulator and the first input source, the first signal processor programmed with a first transfer function and being configured to:
receive the first input signal from the first input source; and
output a first stimulation signal to the first stimulator based on the first input signal and the first transfer function;
a second subsystem including:
a second cochlear electrode;
a second stimulator in communication with the second cochlear electrode;
a second input source configured to receive a second stimulus signal and generate a second input signal based on the received second stimulus signal; and
a second signal processor in communication with the second stimulator and the second input source, the second signal processor programmed with a second transfer function and being configured to:
receive the second input signal from the second input source; and
output a second stimulation signal to the second stimulator based on the second input signal and the second transfer function; and
an implantable battery and/or communication module in communication with the first signal processor and the second signal processor and configured to provide electrical power to the first signal processor and the second signal processor.
2. The cochlear implant system of claim 1 , wherein the first subsystem is configured to be implanted proximate a left ear of a patient and the second subsystem is configured to be implanted proximate a right ear of the patient.
3. The cochlear implant system of claim 1 , wherein
the first stimulator and the first signal processor are housed in a first housing;
the first cochlear electrode extends from the first housing;
the second stimulator and the second signal processor are housed in a second housing; and
the second cochlear electrode extends from the second housing.
4. The cochlear implant system of claim 3 , wherein the first housing and the second housing each have an outer surface having:
a first side;
a second side opposite the first; and
a return electrode extending from the first side to the second side.
5. The cochlear implant system of claim 1 , wherein the implantable battery and/or communication module is configured to adjust the first transfer function associated with the first signal processor and to adjust the second transfer function associated with the second signal processor.
6. The cochlear implant system of claim 5 , wherein
the implantable battery and/or communication module is in communication with the first signal processor via a first lead;
the implantable battery and/or communication module is in communication with the second signal processor via a second lead, the second lead being different from the first;
the implantable battery and/or communication module is configured to adjust the first transfer function via communication with the first signal processor via the first lead; and
the implantable battery and/or communication module is configured to adjust the second transfer function via communication with the second signal processor via the second lead.
7. The cochlear implant system of claim 5 , wherein the implantable battery and/or communication module is in communication with both the first signal processor and the second signal processor via a bifurcated lead.
8. The cochlear implant system of claim 7 , wherein the implantable battery and/or communication module sends the same signals to each of the first signal processor and the second signal processor via the bifurcated lead.
9. The cochlear implant system of claim 8 , wherein
the implantable battery and/or communication module is configured to communicate addressed output signals to the first signal processor and the second signal processor via the bifurcated lead, the addressed output signals comprising address information designating at least one of the first signal processor and the second signal processor.
10. The cochlear implant system of claim 9 , wherein the first signal processor is unaffected by an addressed output signal comprising address information designating the second signal processor and not the first signal processor.
11. The cochlear implant system of claim 5 , further comprising an external device and a wireless communication interface; and
wherein the implantable battery and/or communication module is configured to receive a command to adjust the first transfer function and the second transfer function from the external device via the wireless communication interface.
12. The cochlear implant system of claim 11 , wherein the external device comprises a smartphone, tablet, charger, or programmer.
13. The cochlear implant system of claim 11 , wherein the wireless communication interface comprises a Bluetooth communication interface or a near-field communication interface.
14. The cochlear implant system of claim 11 , wherein the implantable battery and/or communication module is configured to:
adjust the first transfer function based on the received command and the first transfer function; and
adjust the second transfer function based on the received command and the second transfer function; such that
adjusting the first transfer function is independent of adjusting the second transfer function.
15. The cochlear implant system of claim 14 , wherein
the received command comprises a command to change a volume associated with the cochlear implant system; and
in response to the received command, the implantable battery and/or communication module is configured to:
determine an existing first transfer function associated with the first signal processor;
determine an updated first transfer function based on the determined existing first transfer function and the received command reflecting a change in perceived volume with respect to the existing first transfer function as prescribed in the received command;
determine an existing second transfer function associated with the second signal processor;
determine an updated second transfer function based on the determined existing second transfer function and the received command reflecting a change in perceived volume with respect to the existing second transfer function as prescribed in the received command.
16. The cochlear implant system of claim 1 , wherein
the first input source comprises a microphone or a middle ear sensor; and
the second input source comprises a microphone or a middle ear sensor.