Minimization of electrical stimulus artifact during measurement of evoked neural response
The invention provides a method of electrical artefact compensation in measurement of a neural response. The neural response is evoked by a first stimulus, after which a compensatory stimulus is applied in order to counteract a stimulus artefact caused by the first stimulus. The invention also provides for short circuiting the stimulating electrode subsequent to the first stimulus. A system for implementing such steps is also provided. The invention may be of application in measurement of physiological responses, including neural responses and in particular a neural response of the auditory nerve.
1. A method of electrical artifact compensation evoked by a first electrical stimulus, the method comprising:
applying a first electrical stimulus to nerves using one or more first stimulating electrodes, the first electrical stimulus becoming subject to charge redistribution resulting in a stimulus artifact;
configuring a compensatory electrical stimulus to substantially compensate for the stimulus artifact thereby reducing the stimulus artifact;
applying the compensatory electrical stimulus to the nerves using one or more second stimulating electrodes, whereby the compensatory electrical stimulus is configured to improve measurement of a response of the stimulated nerves to the applied electrical stimuli;
measuring a response of the stimulated nerves to the applied electrical stimuli using one or more sensing electrodes that are different than the one or more first and second stimulus electrodes; and
altering a subsequent compensatory electrical stimulus based on the measured response.
2. The method of claim 1 , further comprising measuring a response of the stimulated nerves to the applied electrical stimuli.
3. The method of claim 2 , wherein measuring the response of the stimulated nerves includes measuring electrically evoked compound action potentials (ECAPs).
4. The method of claim 1 , wherein the first electrical stimulus includes:
a first phase having a first polarity;
a second phase, subsequent to the first phase, having a second polarity opposite to the first polarity; and
wherein the preselected amplitude and duration of the compensatory electrical stimulus is less than an amplitude and duration of the second phase of the first electrical stimulus.
5. The method of claim 4 , wherein the compensatory stimulus is of the first polarity.
6. The method of claim 1 , wherein the compensatory electrical stimulus is adaptive.
7. The method of claim 1 , further comprising:
waiting a predetermined period after the first electrical stimulus;
after waiting a predetermined period, measuring an effectiveness of the compensatory electrical stimulus in compensating for said artifact; and
altering a subsequent compensatory electrical stimulus in response to the measured effectiveness of the compensatory electrical stimulus.
8. The method of claim 7 , wherein altering the subsequent compensatory electrical stimulus comprises:
altering the amplitude and duration of the subsequent compensatory electrical stimulus.
9. The method of claim 7 , further comprising:
measuring an actual performance of the compensatory electrical stimulus in compensating for said artifact; and
determining an error between the actual performance and a target performance.
10. The method of claim 9 , wherein altering a subsequent compensatory electrical stimulus comprises:
altering characteristics of the subsequent compensatory electrical stimulus by an incremental change, wherein the incremental change is adapted to reduce an error between an actual performance and the target performance.
11. The method of claim 10 , wherein the incremental change is adapted to maximize a rate of convergence of the actual performance to the target performance.
12. The method of claim 11 , wherein measuring the actual performance of the compensatory electrical stimulus comprises:
applying the first electrical stimulus and the compensatory electrical stimulus; and
measuring a first neural response resulting from the applied first and compensatory electrical stimuli, the first neural response including at least one first neural sample.
13. The method of claim 12 , wherein measuring the first neural response includes:
measuring approximately 64 first neural samples taken at approximately 48 microsecond intervals.
14. The method of claim 13 , wherein measuring the actual performance of the compensatory electrical stimulus further comprises:
repeating application of the first and compensatory electrical stimuli; and
subsequent to each application of the first and compensatory electrical stimuli, measuring subsequent neural responses each including at least one second neural sample and resulting from respective applied first and compensatory electrical stimuli.
15. The method of claim 14 , wherein measuring the subsequent neural responses comprises:
measuring substantially 20 subsequent neural responses.
16. The method of claim 15 , wherein measuring the actual performance of the compensatory electrical stimulus further comprises:
discarding an initial number of the measured neural responses.
17. The method of claim 16 , wherein discarding an initial number of the measured neural responses comprises:
discarding approximately a first 10 of the measured neural responses.
18. The method of claim 17 , wherein measuring the actual performance of the compensatory electrical stimulus further comprises:
averaging un-discarded measured neural responses to obtain an averaged measurement.
19. The method of claim 18 , wherein measuring the actual performance of the compensatory electrical stimulus further comprises:
determining a stimulus artifact from the averaged measurement; and
assessing an effectiveness of the compensatory electrical stimulus using the determined stimulus artifact.
20. The method of claim 19 , wherein determining the stimulus artifact from the averaged measurement comprises:
determining a deviation of the averaged measurement from a desired response.
21. A method of electrical artifact compensation evoked by a first electrical stimulus, the method comprising:
applying a first electrical stimulus to nerves using one or more first stimulating electrodes, the first electrical stimulus becoming subject to charge redistribution resulting in a stimulus artifact;
configuring a compensatory electrical stimulus to substantially compensate for the stimulus artifact thereby reducing the stimulus artifact;
applying the compensatory electrical stimulus to the nerves using one or more second stimulating electrodes, whereby the compensatory electrical stimulus is configured to improve measurement of a response of the stimulated nerves to the applied electrical stimuli;
short circuiting the one or more first and second stimulus electrodes;
measuring, after the shorting, a response of the stimulated nerves to the applied electrical stimuli; and
altering a subsequent compensatory electrical stimulus in response to a measured effectiveness of the compensatory electrical stimulus in compensating for said stimulus artifact.
22. The method of claim 21 , wherein altering the subsequent compensatory electrical stimulus comprises:
altering the amplitude and duration of the subsequent compensatory electrical stimulus.
23. The method of claim 21 , wherein:
the measuring includes:
assessing an actual performance of the compensatory electrical stimulus in compensating for said stimulus artifact; and
the method further comprises:
determining an error between the actual performance and a target performance.
24. The method of claim 23 , wherein altering a subsequent compensatory electrical stimulus comprises:
altering characteristics of the subsequent compensatory electrical stimulus by an incremental change, wherein the incremental change is adapted to reduce an error between the actual performance and the target performance.
25. The method of claim 24 , wherein the incremental change is adapted to maximize a rate of convergence of the actual performance to the target performance.
26. The method of claim 25 , wherein measuring the actual performance of the compensatory electrical stimulus comprises:
applying the first electrical stimulus and the compensatory electrical stimulus; and
measuring a first neural response resulting from the applied first and compensatory electrical stimuli, the first neural response including at least one first neural sample.
27. The method of claim 1 , wherein:
the one or more first stimulating electrodes are the same as the one or more second stimulating electrodes.
28. The method of claim 21 , wherein:
only the one or more first and second stimulus electrodes are short circuited.
29. A method of objectively measuring one or more patient-specific parameters operating parameters of a cochlear implant, the method comprising:
(a) applying a base electrical stimulus to nerves of the cochlea, the base electrical stimulus becoming subject to charge redistribution resulting in a stimulus artifact;
(b) configuring a compensatory electrical stimulus to substantially compensate for the stimulus artifact;
(c) applying the compensatory electrical stimulus to the nerves of the cochlea;
(d) measuring a set of electrically evoked compound action potentials (ECAPs) of the stimulated nerves;
(e) comparing variation of the set against a tolerance;
(f) adjusting, if the comparison is outside the tolerance, how the compensatory electrical stimulus is configured based on the comparison;
(g) looping back through steps (a)-(f) unless a loop-exit condition is satisfied; and
(h) determining, upon the condition having been satisfied, the one or more patient-specific parameters operating parameters based on the measured set of ECAPs.