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    • 1. 发明申请
    • SYSTEM FOR GENERATING A COCHLEAR IMPLANT PROGRAM USING MULTI-ELECTRODE STIMULATION TO ELICIT THE ELECTRICALLY-EVOKED COMPOUND ACTION POTENTIAL
    • 使用多电极刺激来产生电击移植程序以制定电动化复合作用电位的系统
    • US20070179565A1
    • 2007-08-02
    • US11697605
    • 2007-04-06
    • Edward OverstreetLeonid LitvakMichael Faltys
    • Edward OverstreetLeonid LitvakMichael Faltys
    • A61N1/36
    • A61N1/37241A61N1/0541A61N1/36036A61N1/37247
    • A multichannel cochlear implant system spatially spreads the excitation pattern in the target neural tissue by either: (1) rapid sequential stimulation of a small group of electrodes, or (2) simultaneously stimulating a small group of electrodes. Such multi-electrode stimulation stimulates a greater number of neurons in a synchronous manner, thereby increasing the amplitude of the extra-cellular voltage fluctuation and facilitating its recording. The electrical stimuli are applied simultaneously (or sequentially at a rapid rate) on selected small groups of electrodes while monitoring the evoked compound action potential (ECAP) on a nearby electrode. The presence of an observable ECAP not only validates operation of the implant device at a time when the patient may be unconscious or otherwise unable to provide subjective feedback, but also provides a way for the magnitude of the observed ECAP to be recorded as a function of the amplitude of the applied stimulus. From this data, a safe, efficacious and comfortable threshold level can be obtained which may be used thereafter as the initial setting of the stimulation parameters of the neurostimulation device, or to guide the setting of the stimulation parameters of the neurostimulation device.
    • 多通道人工耳蜗植入系统通过以下方式之一空间扩展靶神经组织中的激发图案:(1)对一小组电极的快速连续刺激,或(2)同时刺激一小组电极。 这种多电极刺激以同步方式刺激更多数量的神经元,从而增加细胞外电压波动的幅度并促进其记录。 电刺激同时(或以快速顺序)施加在选定的小组电极上,同时监测附近电极上的诱发化合物动作电位(ECAP)。 可观察到的ECAP的存在不仅在患者无意识或不能提供主观反馈的时候验证植入装置的操作,而且还提供了将所观察到的ECAP的大小记录为作为 施加的刺激的幅度。 从该数据可以获得安全,有效和舒适的阈值水平,其可以随后用作神经刺激装置的刺激参数的初始设置,或者指导神经刺激装置的刺激参数的设置。
    • 4. 发明申请
    • Methods and systems for automatically identifying whether a neural recording signal includes a neural response signal
    • 用于自动识别神经记录信号是否包括神经反应信号的方法和系统
    • US20060287609A1
    • 2006-12-21
    • US11142152
    • 2005-06-01
    • Leonid LitvakEdward Overstreet
    • Leonid LitvakEdward Overstreet
    • A61B5/04A61B5/05
    • A61B5/04001A61B5/4041A61B5/7217A61N1/36036
    • Methods of automatically identifying whether a neural recording signal includes a neural response signal include fitting an artifact model to a neural recording signal to produce a fitted artifact model signal, determining a strength-of-response (SOR) metric that describes a distance of the neural recording signal from the fitted artifact model signal, and identifying the neural recording signal as including a neural response signal if the strength-of-response metric is above a pre-determined threshold. Systems for automatically identifying whether a neural recording signal includes a neural response signal include one or more devices configured to fit an artifact model to a neural recording signal to produce a fitted artifact model signal, determine a strength-of-response (SOR) metric that describes a distance of the neural recording signal from the fitted artifact model signal, and automatically identify the neural recording signal as including a neural response signal if said strength-of-response metric is above a pre-determined threshold.
    • 自动识别神经记录信号是否包括神经反应信号的方法包括将伪像模型拟合到神经记录信号以产生拟合的伪像模型信号,确定描述神经元的距离的响应强度(SOR)度量 记录来自拟合假象模型信号的信号,并且如果响应强度度量高于预定阈值,则将神经记录信号识别为包括神经响应信号。 用于自动识别神经记录信号是否包括神经反应信号的系统包括被配置为将神经记号模型拟合到神经记录信号以产生拟合假象模型信号的一个或多个装置,确定响应强度(SOR)度量, 描述了神经记录信号与拟合假象模型信号的距离,并且如果所述响应强度度量高于预定阈值,则将神经记录信号自动识别为包括神经响应信号。
    • 5. 发明申请
    • Methods and systems for automatically determining a neural response threshold current level
    • 自动确定神经反应阈值电流水平的方法和系统
    • US20060276722A1
    • 2006-12-07
    • US11141825
    • 2005-06-01
    • Leonid LitvakGulam EmadiEdward Overstreet
    • Leonid LitvakGulam EmadiEdward Overstreet
    • A61B5/05
    • A61B5/04001A61B5/7217
    • Methods of automatically determining a neural response threshold current level include identifying one or more neural response signals at one or more corresponding stimulation current levels, identifying one or more non-response signals at one or more corresponding stimulation current levels, and analyzing a trend between the neural response signals and the non-response signals. Systems for automatically determining a neural response threshold current level include one or more devices configured to identify one or more neural response signals at one or more corresponding stimulation current levels, identify one or more non-response signals at one or more corresponding stimulation current levels; and analyze a trend between the neural response signals and the non-response signals.
    • 自动确定神经反应阈值电流水平的方法包括以一个或多个相应的刺激电流水平识别一个或多个神经反应信号,识别一个或多个相应刺激电流水平下的一个或多个非响应信号,以及分析 神经反应信号和非响应信号。 用于自动确定神经反应阈值电流水平的系统包括被配置为在一个或多个相应的刺激电流水平上识别一个或多个神经反应信号的一个或多个装置,以一个或多个对应的刺激电流水平识别一个或多个非响应信号; 并分析神经反应信号与非应答信号之间的趋势。
    • 8. 发明申请
    • Gradual Recruitment of Muscle/Neural Excitable Tissue Using High-Rate Electrical Stimulation Parameters
    • 使用高速电刺激参数逐渐招募肌肉/神经激励组织
    • US20070244522A1
    • 2007-10-18
    • US11762692
    • 2007-06-13
    • Edward Overstreet
    • Edward Overstreet
    • A61N1/00
    • A61N1/36071A61N1/32
    • A neurostimulator system (170) stimulates excitable muscle or neural tissue through multiple electrodes (E1, E2, . . . En) fast enough to induce stochastic neural firing, thereby acting to restore “spontaneous” neural activity. The type of stimulation provided by the neurostimulator involves the use of a high rate, e.g., greater than about 2000 Hz, pulsatile stimulation signal generated by a high rate pulse generator (172). The stream of pulses generated by the high rate pulse generator is amplitude modulated in an output driver circuit (176) with control information, provided by a modulation control element (178). Such amplitude-modulated pulsatile stimulation exploits the subtle electro physiological differences between cells comprising excitable tissue in order to desynchronize action potentials within the population of excitable tissue. Such desynchronization induces a wider distribution of population thresholds, as well as a wider electrical dynamic range, thereby better mimicking biological recruitment characteristics.
    • 神经刺激器系统(170)通过多个电极(E 1,E 2,...)刺激可激发的肌肉或神经组织,足以诱导随机神经放电,从而起到恢复“自发”神经活动的作用。 由神经刺激器提供的刺激类型涉及使用由高速率脉冲发生器(172)产生的高速率,例如大于约2000Hz的脉动刺激信号。 由高速率脉冲发生器产生的脉冲流在具有由调制控制元件(178)提供的控制信息的输出驱动器电路(176)中进行幅度调制。 这种幅度调制的脉冲刺激利用包含可兴奋组织的细胞之间的微妙电生理差异,以便使可兴奋组织群体内的动作电位失去同步。 这种去同步引起更广泛的人口阈值分布,以及更广泛的电动态范围,从而更好地模仿生物招募特征。