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    • 8. 发明申请
    • Multi-electrode stimulation to elicit electrically-evoked compound action potential
    • 多电极刺激引发电诱发复合动作电位
    • US20080221640A1
    • 2008-09-11
    • US10698097
    • 2003-10-31
    • Edward H. OverstreetLeonid M. LitvakMichael A. Faltys
    • Edward H. OverstreetLeonid M. LitvakMichael A. Faltys
    • A61N1/00
    • A61N1/37247A61N1/36036
    • A multichannel neurostimulation device 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.
    • 多通道神经刺激装置通过以下方式之一将目标神经组织中的激发图案空间扩展:(1)快速连续刺激小组电极,或(2)同时刺激小组电极。 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。
    • 10. 发明授权
    • Cochlear implant and simplified method of fitting same
    • 人工耳蜗植入和简化方法相似
    • US07076308B1
    • 2006-07-11
    • US10218645
    • 2002-08-13
    • Edward H. OverstreetMichael A. Faltys
    • Edward H. OverstreetMichael A. Faltys
    • A61N1/36
    • A61N1/36036A61N1/0541
    • A bionic ear cochlear stimulation system has the capability to stimulate fast enough to induce stochastic neural firing, thereby acting to restore “spontaneous” neural activity. Such neurostimulation involves the use of a high rate pulsitile stimulation signal that is amplitude modulated with sound information. Advantageously, by using such neurostimulation, a fitting system may be utilized that does not normally require T-level threshold measurements. T-level threshold measurements are not required in most instances because the high-rate pulsitile stimulation, even though at levels that would normally be a sub-threshold electrical stimulus, is able to modulate neural firing patterns in a perceptible way.
    • 仿生耳蜗耳刺激系统具有刺激足够快以诱导随机神经发射的能力,从而起到恢复“自发”神经活动的作用。 这种神经刺激涉及使用用声音信息进行幅度调制的高速率脉动刺激信号。 有利地,通过使用这种神经刺激,可以采用通常不需要T级阈值测量的拟合系统。 在大多数情况下,不需要T级阈值测量,因为即使在通常为亚阈值电刺激的水平下,高速率脉动刺激能够以可察觉的方式调节神经发射模式。