Vestibular stimulation device
A vestibular stimulation array is disclosed having one or more separate electrode arrays each operatively adapted for implantation in a semicircular canal of the vestibular system, wherein each separate electrode array is dimensioned and constructed so that residual vestibular function is preserved. In particular, the electrode arrays are dimensioned such that the membranous labyrinth is not substantially compressed. Furthermore, the electrode array has a stop portion to limit insertion of the electrode array into the semi-circular canal and is still enough to avoid damage to the anatomical structures.
1. A method, comprising:
inserting at least one electrode array into a recipient, wherein the at least one electrode array comprises one or more electrodes electrically connected to a stimulator unit so as to form at least part of a vestibular stimulation device;
after the at least one electrode array is inserted into the recipient, delivering one or more electrical stimulation signals to a vestibular system of the recipient with the one or more electrodes;
obtaining, via the one or more electrodes, one or more electrically evoked compound action potentials (ECAPs) generated by the vestibular system in response to the one or more electrical stimulation signals;
positioning the at least one electrode array in response to the one or more ECAPs generated by the vestibular system in response to the one or more electrical stimulation signals; and
after positioning, delivering the one or more electrical stimulation signals to otolithic organs or a vestibular periphery of the recipient.
2. The method of claim 1 , wherein inserting the at least one electrode array into the recipient comprises:
inserting the at least one electrode array into an inner ear of the recipient.
3. The method of claim 1 , wherein inserting the at least one electrode array into the recipient comprises:
inserting the at least one electrode array into the vestibular system of the recipient.
4. The method of claim 1 , wherein delivering the one or more electrical stimulation signals to the vestibular system of the recipient comprises:
delivering the one or more electrical stimulation signals to at least one of a semicircular canal, an otolithic organ, an ampulla, a vestibular nerve, or a vestibular afferent of the vestibular system of the recipient.
5. The method of claim 1 , wherein inserting the at least one electrode array into the recipient comprises:
inserting the at least one electrode array such that, following insertion, at least one of the one or more electrodes is positioned proximate to an ampulla of the vestibular system.
6. The method of claim 1 , wherein inserting the at least one electrode array into the recipient comprises:
inserting the at least one electrode array such that, following insertion, at least one of the one or more electrodes is positioned to deliver the one or more electrical stimulation signals to otolithic organs of the vestibular system.
7. The method of claim 1 , wherein inserting the at least one electrode array into the recipient comprises:
inserting the at least one electrode array such that, following insertion, at least one of the one or more electrodes is positioned to deliver the one or more electrical stimulation signals to a vestibular periphery of the vestibular system.
8. The method of claim 1 , further comprising:
evaluating, based on the one or more ECAPs, a position of at least one of the one or more electrodes in the recipient.
9. The method of claim 1 , wherein delivering the one or more electrical stimulation signals to the vestibular system of the recipient, comprises:
delivering monopolar electrical stimulation to the vestibular system.
10. The method of claim 1 , wherein delivering the one or more electrical stimulation signals to the vestibular system of the recipient comprises:
delivering bipolar electrical stimulation to the vestibular system of the recipient.
11. The method of claim 1 , wherein the at least one electrode array is part of an implant, and the method further comprising:
recording the one or more ECAPs generated by the vestibular system to the one or more electrical stimulation signals from the implant.
12. The method of claim 1 , further comprising revising a position of the at least one electrode array in response to a result of analyzing the ECAPs generated by the vestibular system in response to the one or more electrical stimulation signals.
13. A system, comprising:
at least one electrode array comprising one or more electrodes configured to be implanted in a recipient;
a stimulator unit electrically connected to the one or more electrodes of the at least one electrode array, wherein the stimulator unit is configured to, during or after the at least one electrode array is implanted in the recipient, generate and apply one or more electrical stimulation signals to a vestibular system of the recipient via the one or more electrodes; and
one or more processors configured to obtain, via the one or more electrodes, one or more electrically evoked compound action potentials (ECAPs) generated by the vestibular system in response to the one or more electrical stimulation signals and to analyze the one or more ECAPs generated by the vestibular system in response to the one or more electrical stimulation signals to position the at least one electrode array in the recipient, and to thereafter deliver the one or more electrical stimulation signals to otolithic organs or a vestibular periphery of the recipient.
14. The system of claim 13 , wherein the at least one electrode array is configured to be implanted in the inner ear of the recipient.
15. The system of claim 13 , wherein the vestibular system includes the semicircular canals, the otolithic organs, the ampullae, the vestibular nerve, and vestibular afferents.
16. The system of claim 13 , wherein the at least one electrode array is configured to be implanted in the vestibular system of the recipient.
17. The system of claim 13 , wherein the at least one electrode array is configured to be implanted proximate to an ampulla of the recipient.
18. The system of claim 13 , wherein analyzing the one or more ECAPs generated by the vestibular system in response to the one or more electrical stimulation signals comprises:
evaluating, based on the one or more ECAPs, a position of at least one electrode of the one or more electrodes in the recipient.
19. A method, comprising:
delivering electrical stimulation to a vestibular system of a recipient with at least one electrode array configured to be inserted into the recipient;
obtaining, via the at least one electrode array, one or more electrically evoked compound action potentials (ECAPs) of the vestibular system to the electrical stimulation;
analyzing the one or more ECAPs of the vestibular system to the electrical stimulation to position the at least one electrode array in the recipient; and
after the analyzing, delivering the electrical stimulation to otolithic organs or a vestibular periphery of the recipient.
20. The method of claim 19 , wherein the at least one electrode array is configured to be inserted into an inner ear of the recipient.
21. The method of claim 19 , wherein the at least one electrode array is configured to be inserted into the vestibular system of the recipient.
22. The method of claim 19 , wherein delivering the electrical stimulation to the vestibular system of the recipient comprises:
delivering the electrical stimulation to at least one of a semicircular canal, an ampulla, a vestibular nerve, or a vestibular afferent of the vestibular system of the recipient.
23. The method of claim 19 , wherein, following insertion of the at least one electrode array, the at least one electrode array is configured to be positioned proximate to an ampulla of the vestibular system.