Intelligent fine-tuning method for cochlear implant

CN119455256BActive Publication Date: 2026-10-20ZHEJIANG NUROTRON BIOTECH
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Patent Information

Application Number
CN202411814268.9
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2024-12-11
Publication Date
2026-10-20
Estimated Expiration
2044-12-11

AI Technical Summary

Technical Problem

[0004]目前,一个声音处理器全项目的调试,短则需要1个小时,长则需要3个小时以上,一个调机师一次只能给一个用户端调试,重复且繁琐的调机过程非常耗费人力和时间

Benefits of technology

[0037]1.本发明的人工耳蜗的智能辅助调机方法,通过设置辅助调机端,将部分繁琐重复、机械性的调机过程转变为机器应答,部分复杂的高级调机功能保留了人工调节。

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Abstract

The application discloses an intelligent auxiliary adjustment method of a cochlear implant, and comprises the following steps: a user end receives debugging information or / and interactive information transmitted by an auxiliary adjustment end via a server; when the user end receives the interactive information, the interactive information is displayed to the user end; when the user end receives the debugging information, the user end executes corresponding debugging actions according to the debugging information, and generates response information according to the debugging action execution effect; the server transmits the interactive information and / or the response information to the auxiliary adjustment end, and the auxiliary adjustment end analyzes the received response information; when the response information is not appropriate, N times of debugging information and interactive information are outputted, the user end receives the N times of debugging information, executes corresponding debugging actions, and generates response information until the response information is appropriate, and a debugging task is completed; the application converts part of tedious, repetitive and mechanical adjustment processes into machine responses by setting the auxiliary adjustment end, and effectively improves the adjustment efficiency.
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Description

Technical Field

[0001] This invention belongs to the field of medical device technology, and specifically relates to an intelligent assisted adjustment method for cochlear implants. Background Technology

[0002] Cochlear Implant Adjustment: Cochlear implants are currently the only medical device on the market that can effectively restore hearing for patients with severe or profound hearing loss. A cochlear implant generally consists of two parts: a sound processor and an implant itself. The implant includes electrodes, which are inserted into the cochlea to stimulate the spiral ganglion cells of the cochlear axis, thereby producing hearing. 7-14 days after implantation, a specialist can perform the initial sound processor adjustment to ensure it functions properly with the implant; this is commonly referred to as "activation." Cochlear implants generally require one-on-one manual adjustment before use and are a crucial part of speech rehabilitation for cochlear implant users. Considering the post-operative recovery period, and the fact that changes in cochlear impedance and auditory perception take about a year to stabilize, the sound processor needs to be readjusted at 1 month, 3 months, 6 months, and 12 months after activation to provide the user with the best possible auditory experience. Furthermore, if the device is upgraded, adjustment is also required before it can be worn.

[0003] The cochlear implant tuning process is divided into objective and subjective components. The objective component includes adjusting the threshold and comfort values ​​of the available electrodes, as well as loudness balance. The subjective component includes real-time audiometry such as the Ringelmann six-tone test, common sound audiometry, instrument sound audiometry, monosyllabic and disyllabic word audiometry, loud and soft audiometry, and routine communication testing. During the tuning process, the tuner needs to adjust the program parameters at each stage based on user feedback to achieve the best results.

[0004] Currently, the complete setup of a sound processor takes anywhere from one hour to over three hours. A single technician can only work on one user at a time, making the repetitive and tedious setup process extremely time-consuming and labor-intensive. Due to the limited number of technicians and their limited working hours, each setup requires advance booking, time coordination, and waiting in line, resulting in low efficiency. Summary of the Invention

[0005] To address the aforementioned problems, this invention provides an intelligent assisted tuning method for cochlear implants, transforming some tedious, repetitive, and mechanical tuning processes into automated machine responses, while retaining manual adjustment for some complex advanced tuning functions. The technical solution of this invention is as follows: S1: The assisted tuning terminal generates tuning information and / or interactive information and transmits it to the server; the user terminal receives the tuning information and / or interactive information transmitted from the server; when the user terminal receives the interactive information, the interactive information is displayed to the user terminal; when the user terminal receives the tuning information, the user terminal performs corresponding tuning actions based on the tuning information, and generates response information based on the effect of the tuning actions.

[0006] S2: The server transmits the interaction information and / or the response information to the auxiliary debugging terminal;

[0007] S3: The auxiliary debugging terminal analyzes the received response information; when the response information is appropriate, debugging stops; when the response information is inappropriate, N debugging information and / or interaction information are output to the server.

[0008] The server will also continue to transmit the N debugging information and / or interaction information from the auxiliary debugging terminal to the user terminal. The user terminal receives the N debugging information and / or interaction information, performs corresponding debugging actions according to the debugging information, and generates the response information according to the effect of the debugging actions, and transmits it to the auxiliary debugging terminal via the server.

[0009] S4: Repeat step S3 until the response information is appropriate and the debugging task is completed;

[0010] The response information includes any one or more of the following: auditory information reflecting whether the user can receive the debugging information; degree information reflecting the user's comfort level with the received debugging information; loudness information reflecting whether the user is in a loudness balance with the received debugging information; and response information reflecting the user's response to the received debugging information.

[0011] Preferably, in step S3, the auxiliary adjustment terminal includes an intelligent threshold adjustment module and an intelligent comfort value adjustment module, wherein the intelligent threshold adjustment module is connected to the intelligent comfort value adjustment module;

[0012] The intelligent threshold adjustment module adjusts the threshold value of each stimulation channel according to the received response information and generates a threshold adjustment report;

[0013] The intelligent comfort value adjustment module adjusts the comfort value of each stimulation channel according to the threshold adjustment report and generates a comfort value adjustment report.

[0014] Preferably, the intelligent threshold adjustment module sequentially adjusts the thresholds of each electrode of the cochlear implant: the first electrode is initialized with threshold stimulation, the user terminal receives the adjustment information and responds with information, which is the hearing information; the intelligent threshold adjustment module adjusts the threshold size according to the hearing information and stimulates again until the generated hearing information is a suitable result representing that the user terminal cannot receive the adjustment information, thus obtaining the optimal threshold of the first electrode;

[0015] The intelligent threshold adjustment module performs the aforementioned threshold adjustment on each electrode of the cochlear implant sequentially and then generates a threshold adjustment report.

[0016] Preferably, the intelligent comfort value adjustment module adjusts the comfort value of each electrode of the cochlear implant sequentially: the first electrode is given an initial comfort value stimulation, the user terminal receives the adjustment information and responds, the response information includes degree information; the intelligent comfort value adjustment module adjusts the comfort value according to the degree information and stimulates again until the generated degree information is a suitable result representing the user terminal's feeling of comfort in response to the received adjustment information, thus obtaining the optimal comfort value of the first electrode;

[0017] The intelligent comfort value adjustment module performs the aforementioned comfort value adjustment on each electrode of the cochlear implant in sequence, and then generates a comfort value adjustment report.

[0018] Preferably, the auxiliary tuning terminal further includes an intelligent loudness balance adjustment module, which groups the electrodes and adjusts the electrode comfort value according to the user's response information until all electrodes are in a loudness balance state; wherein the response information is loudness information.

[0019] Preferably, the auxiliary tuning terminal further includes an intelligent real-time listening module, which plays audio and obtains test results based on the user's response to the audio; and calibrates the user's volume based on the test results and generates a real-time listening report; wherein the response information is any one or more of the response information used to reflect the user's response to the received tuning information.

[0020] Preferably, the threshold adjustment is divided into a coarse threshold adjustment stage and a fine threshold adjustment stage; the specific steps are as follows:

[0021] Threshold coarse adjustment stage:

[0022] S301: The auxiliary debugging terminal reduces the threshold by 10 units and sends the debugging information to the user terminal;

[0023] S302: When the user terminal receives the debugging information and generates the hearing information, the auxiliary debugging terminal receives the hearing information and continues to repeat step S301 until the generated hearing information represents the result that the user terminal cannot receive the debugging information, and then enters the threshold fine-tuning stage.

[0024] Threshold fine-tuning stage:

[0025] S303: The auxiliary debugging terminal reduces the threshold by 5 units and sends the debugging information to the user terminal;

[0026] S304: If the information heard by the user terminal indicates that the user terminal cannot receive the debugging information, then continue to repeat step S303 until the information heard by the user terminal indicates that the user terminal has received the debugging information.

[0027] S305: After receiving the above-mentioned information, the auxiliary tuning terminal reduces the threshold by 1 unit and sends the debugging information to the user terminal.

[0028] S306: When the user terminal continues to generate hearing information representing that the user terminal has received debugging information, the auxiliary debugging terminal receives the hearing information and continues to repeat step 305. When the hearing information generated by the user terminal is a suitable result representing that the user terminal has received debugging information, the electrode threshold is determined.

[0029] 9. Preferably, the comfort value adjustment stage includes a coarse comfort value adjustment stage and a fine comfort value adjustment stage, and the specific steps are as follows:

[0030] S307: The auxiliary adjustment terminal selects an electrode, initializes the comfort value, and sends adjustment information to the user terminal;

[0031] S308: During the adjustment process, the auxiliary adjustment terminal counts the number of super-compliant electrodes. When the user terminal generates a response indicating that the electrode is a super-compliant electrode, the adjustment of that electrode is complete. If the electrode is a non-super-compliant electrode and the level information generated by the user terminal is inappropriate, the auxiliary adjustment terminal performs a coarse adjustment stage of the comfort value based on the level information, wherein the comfort value changes by 2-10 units. If the response information is still that the electrode is super-compliant, the adjustment stops. If the electrode is a non-super-compliant electrode and the level information generated by the user terminal is still inappropriate, the fine adjustment stage of the comfort value begins.

[0032] S309: During the comfort value fine-tuning stage, the auxiliary tuning terminal reduces the threshold by 1 unit and sends debugging information to the user terminal;

[0033] S310: When the degree information generated by the user terminal is a suitable result representing that the user terminal feels comfortable with the received debugging information, the electrode comfort value is determined; when the degree information generated by the user terminal is unsuitable, step S309 is repeated until the degree information is suitable.

[0034] S311: The intelligent comfort value adjustment module performs the above-mentioned comfort value adjustment on each electrode of the cochlear implant in sequence, and then generates a comfort value adjustment report.

[0035] Preferably, when the number of super-compliant electrodes is greater than or equal to 3, the comfort value adjustment is stopped.

[0036] The beneficial effects of this invention are as follows:

[0037] 1. The intelligent assisted tuning method for cochlear implants of the present invention, by setting up an auxiliary tuning terminal, transforms some tedious, repetitive, and mechanical tuning processes into machine responses, while retaining manual adjustment for some complex advanced tuning functions.

[0038] 2. The intelligent assisted adjustment method for cochlear implants of the present invention, wherein the intelligent threshold adjustment module performs coarse and fine adjustments sequentially, and the intelligent comfort value adjustment module performs coarse and fine adjustments sequentially, effectively ensuring the accuracy of the threshold and comfort value of each electrode stimulation channel, and better improving the user experience.

[0039] 3. The intelligent assisted cochlear implant tuning method of the present invention automatically diagnoses the response information by monitoring the user's feedback and performs tuning actions to replace the actions originally performed manually by the tuner. This tuning method can reduce the workload of the tuner, and when combined with cross-operation and deployed on a remote tuning system, it can greatly improve the efficiency of the tuner. Attached Figure Description

[0040] Figure 1 This is a schematic diagram of an intelligent assisted adjustment method for a cochlear implant according to a specific embodiment of the present invention;

[0041] Figure 2 This is a schematic diagram of the intelligent auxiliary tuning terminal in an intelligent auxiliary tuning method for cochlear implants according to a specific embodiment of the present invention;

[0042] Figure 3 This is a flowchart of the intelligent threshold adjustment process in an intelligent assisted cochlear implant tuning method according to a specific embodiment of the present invention.

[0043] Figure 4 This is a flowchart illustrating the intelligent comfort value adjustment process in an intelligent assisted cochlear implant method according to a specific embodiment of the present invention.

[0044] Figure 5 This is a schematic diagram of the intelligent loudness balance adjustment process in the intelligent assisted tuning method for cochlear implants according to a specific embodiment of the present invention;

[0045] Figure 6 This is a flowchart of the intelligent real-time audiometry process for an intelligent assisted tuning method for a cochlear implant according to a specific embodiment of the present invention. Detailed Implementation

[0046] The preferred embodiments of the present invention will now be described in detail with reference to the accompanying drawings.

[0047] See Figure 1-6 The intelligent assisted adjustment method for cochlear implants includes the following steps:

[0048] S1: The auxiliary debugging terminal 3 generates debugging information and / or interactive information and transmits it to the server 2; the user terminal 1 receives the debugging information and / or interactive information transmitted from the server 2; when the user terminal 1 receives interactive information, it displays the interactive information to the user terminal; when the user terminal 1 receives debugging information, the user terminal 1 performs corresponding debugging actions according to the debugging information and generates response information according to the effect of the debugging actions.

[0049] S2: Server 2 transmits interactive information and / or response information to auxiliary adjustment terminal 3;

[0050] S3: The auxiliary debugging terminal 3 analyzes the received response information; when the response information is appropriate, the debugging stops; when the response information is inappropriate, it outputs N (N is an integer) debugging information and interaction information to the server 2.

[0051] Server 2 will also continue to transmit the N debugging information and / or interaction information from auxiliary debugging terminal 3 to user terminal 1. User terminal 1 receives the N debugging information and / or interaction information, performs corresponding debugging actions according to the debugging information, and generates response information according to the effect of the debugging actions, and transmits it to auxiliary debugging terminal 3.

[0052] S4: Repeat step S3 until the response information is appropriate and the debugging task is completed.

[0053] Specifically, the response information includes any one or more of the following: auditory information reflecting whether the user can receive the debugging information; degree information reflecting the user's comfort level with the received debugging information; loudness information reflecting whether the user is in a loudness balance with the received debugging information; and response information reflecting the user's response to the received debugging information.

[0054] The auxiliary adjustment terminal 3 is a program software that can run on smartphones, tablets, PCs, or specially designed electronic devices.

[0055] See Figure 2Furthermore, in step S3, the auxiliary adjustment terminal 3 includes an intelligent threshold adjustment module 31 and an intelligent comfort value adjustment module 32, with the intelligent threshold adjustment module 31 connected to the intelligent comfort value adjustment module 32.

[0056] See Figure 3 The intelligent threshold adjustment module 31 adjusts the threshold value of each stimulation channel based on the received response information and generates a threshold adjustment report. Specifically, during the intelligent threshold adjustment stage, the user terminal 1 provides a "Can you hear it?" response interface, where the user inputs the corresponding hearing information based on the actual situation.

[0057] The intelligent threshold adjustment module 31 adjusts the thresholds of each electrode of the cochlear implant sequentially: First, it initializes the threshold stimulation of the first electrode. The user receives this adjustment information and responds with a hearing response. The intelligent threshold adjustment module 31 adjusts the threshold based on the hearing response and stimulates again (generally, the threshold needs to be adjusted and the stimulation sent twice) until the generated hearing response is a suitable result indicating that the user cannot receive the adjustment information, thus obtaining the optimal threshold for the first electrode.

[0058] After the intelligent threshold adjustment module 31 performs the above-mentioned threshold adjustment on each electrode of the cochlear implant in sequence, it generates a threshold adjustment report.

[0059] Furthermore, threshold adjustment is divided into a coarse threshold adjustment stage and a fine threshold adjustment stage. Coarse threshold adjustment locks the threshold within a relatively large range of 5 units, while fine threshold adjustment precisely finds the optimal threshold for the electrode. The specific steps are as follows:

[0060] Threshold coarse adjustment stage:

[0061] S301: Auxiliary debugging terminal 3 reduces the threshold by 10 units and sends the debugging information to user terminal 1;

[0062] S302: When user terminal 1 receives debugging information and generates hearing information, auxiliary debugging terminal 3 receives hearing information and continues to repeat step S301 until the generated hearing information is a result indicating that the user terminal cannot receive debugging information (i.e., the user selects not to hear), and then enters the threshold fine-tuning stage.

[0063] Threshold fine-tuning stage:

[0064] S303: Auxiliary debugging terminal 3 reduces the threshold by 5 units and sends the debugging information to user terminal 1;

[0065] S304: If the information heard by user terminal 1 indicates that user terminal 1 cannot receive debugging information (i.e., the user selects not to hear), then continue to repeat step S303 until the information heard by user terminal 1 indicates that user terminal 1 has received debugging information (i.e., the user selects to hear).

[0066] S305: After receiving the above-mentioned information, auxiliary tuning terminal 2 reduces the threshold by 1 unit and sends debugging information to user terminal 1.

[0067] S306: When user terminal 1 continues to generate hearing information representing that user terminal 1 has received debugging information, auxiliary debugging terminal 3 receives the hearing information and continues to repeat step S305. When the hearing information generated by user terminal 1 is a suitable result representing that user terminal 1 cannot receive debugging information, the electrode threshold is determined.

[0068] See Figure 4 The intelligent comfort value adjustment module 32 adjusts the comfort value of each stimulation channel according to the aforementioned threshold adjustment report and generates a comfort value adjustment report. Specifically, during the intelligent comfort value adjustment stage, the user terminal provides a multi-option response interface such as "too loud (uncomfortable)," "loud (comfortable)," "medium," "low," and "no sound," allowing the user to input the corresponding level information based on the actual situation.

[0069] The intelligent comfort value adjustment module 32 adjusts the comfort value of each electrode of the cochlear implant in sequence: the first electrode is initialized with a comfort value stimulus, the user terminal 1 receives the adjustment information and responds with information including degree information; the intelligent comfort value adjustment module 32 adjusts the comfort value according to the degree information and stimulates again until the generated degree information is a suitable result representing the user terminal 1's comfort with the received adjustment information (i.e., the user selects comfort), thus obtaining the optimal comfort value of the first electrode;

[0070] After the intelligent comfort value adjustment module 32 performs the above-mentioned comfort value adjustment on each electrode of the cochlear implant in sequence, it generates a comfort value adjustment report.

[0071] The comfort value adjustment stage includes a coarse comfort value adjustment stage and a fine comfort value adjustment stage. The specific steps are as follows:

[0072] S307: Auxiliary adjustment terminal 3 selects an electrode, initializes the comfort value, and sends electrode stimulation;

[0073] S308: If the response information shows that the electrode is a super-compliant electrode, the comfort value adjustment of the electrode is complete; if the electrode is a non-super-compliant electrode, the auxiliary adjustment terminal 3 performs a coarse adjustment stage of the comfort value according to the response information of the user terminal 1, wherein the comfort value changes by 2-10 units; if the response information shows that the electrode is a super-compliant electrode, the adjustment stops; if the electrode is a non-super-compliant electrode, the fine adjustment stage of the comfort value begins.

[0074] In one embodiment, when the user selects "Loud (Comfortable)", the auxiliary tuning terminal 3 sends tuning information (increases the comfort value by 2 units and continues stimulation once); when the user selects "Too Loud (Uncomfortable)", the auxiliary tuning terminal 1 sends tuning information to decrease the comfort value by 10 units and sends stimulation once; when the user selects "Medium", the auxiliary tuning terminal 3 sends tuning information to increase the comfort value by 3 units and sends stimulation once; when the user selects "Low", the auxiliary tuning terminal 3 sends tuning information to increase the comfort value by 6 units and sends stimulation once; the specific settings may vary and will not be elaborated here.

[0075] S309: During the comfort value fine-tuning phase, the auxiliary tuning terminal 3 reduces the threshold by 1 unit and sends the tuning information to the user terminal 1;

[0076] S310: When the level information generated by user terminal 1 is a suitable result representing that user terminal 1 feels comfortable with the received debugging information (i.e., the user selects the comfort option), the electrode comfort value is determined; when the level information generated by user terminal is not suitable, continue to repeat step S309 until the level information is suitable.

[0077] S311: The intelligent comfort value adjustment module 32 performs the above-mentioned comfort value adjustment on each electrode of the cochlear implant in sequence, and then generates a comfort value adjustment report.

[0078] Furthermore, when the number of super-compliant electrodes is greater than or equal to three, comfort value adjustment is stopped. Super-compliant electrodes can be understood as electrodes that cannot produce effective stimulation. If there are more than three, the pulse width at this point cannot be used; the pulse width modulation needs to be changed to increase the stimulation pulse width, thereby reducing the number of super-compliant electrodes and improving the tuning effect.

[0079] The auxiliary tuning terminal 3 also includes an intelligent loudness balance adjustment module 33. The intelligent loudness balance module 33 groups the electrodes and adjusts the electrode comfort values ​​according to the response information from the user terminal 1 until all electrodes are in a loudness balance state; the response information is loudness information. During the intelligent loudness balance stage, the user terminal 1 provides a multi-option response interface of "too loud", "balanced", and "soft"; the user can select the corresponding loudness information according to the actual situation.

[0080] See Figure 5Specifically, the loudness balance adjustment is first initialized and then intelligent loudness balance adjustment is initiated. Available electrodes are grouped into sets of three. A set of electrodes is selected and scanned at a comfort value. Based on the loudness information from user terminal 1, it is determined whether loudness balance has been achieved. If it has (i.e., the user selects balance), scanning of that set of electrodes stops. If the loudness information from user terminal 1 is too loud / too soft, a single electrode within the set is selected and stimulated at its comfort value. If the feedback from user terminal 1 indicates balance, other single electrodes within the set are selected and stimulated at their comfort values ​​until all electrodes in that set have been checked.

[0081] Specifically, if the loudness information of user terminal 1 is too loud, the intelligent loudness balance adjustment module 33 reduces the comfort value by 1 unit and sends a stimulus; if the loudness information of user terminal 1 is too soft, it increases the comfort value by 1 unit and sends a stimulus once. This process is repeated until the loudness information of user terminal 1 is balanced, at which point the electrode check is complete. Then, the above operation is performed on other individual electrodes in the group until all electrodes in the group have been checked.

[0082] Repeat the above steps until all groups of electrodes have been checked, and each group has been scanned three times, then a loudness balance adjustment report will be generated.

[0083] See Figure 6 The auxiliary tuning terminal 3 also includes an intelligent real-time listening module 34. The intelligent real-time listening module 43 plays audio and obtains test results based on the user terminal 1's response information to the audio; and calibrates the user terminal volume based on the test results and generates a real-time listening report; wherein, the response information is any one or more of the response information used to reflect the user's response to the received tuning information.

[0084] The intelligent real-time listening module 34 includes the following real-time listening phases: the Linde six-tone listening phase, the common sound listening phase, the instrument sound listening phase, the monosyllabic listening phase, the disyllabic word listening phase, and the volume / density listening phase. In the Linde six-tone listening phase, the user terminal 1 provides a multi-option response interface for the six Linde six tones; in the common sound listening phase, the user terminal 1 provides a multi-option response interface for common sounds; in the instrument sound listening phase, the user terminal 1 provides a multi-option response interface for several instruments; in the monosyllabic and disyllabic word listening phase, the user terminal 1 provides a multi-option response interface for monosyllabic and disyllabic word lists; and in the volume / density listening phase, the user terminal 1 provides a multi-option response interface for volume. Users can input corresponding response information based on the actual situation.

[0085] See Figure 5During the intelligent real-time listening test phase, the auxiliary tuning terminal 3 initializes some audio from the test audio library based on the user's situation and the tuner's experience. The audio includes, but is not limited to, the six tones of the Lin family, common sounds, instrument sounds, monosyllabic words, disyllabic words, and loud and soft sounds. The loud and soft sound test phase is generally carried out after the first five types of listening tests are completed.

[0086] Specifically, the real-time listening test begins by playing audio audio one by one. The user's response is used to determine whether the response is correct. If the response is correct, the next audio audio is played. If the response is incorrect, the audio audio is played again. Regardless of whether the response is correct or incorrect, the next audio audio is played. This continues until all audio audio has been tested, at which point the volume test begins.

[0087] During the volume control phase, the user's mobile phone volume is first calibrated. If the auxiliary tuning terminal 3 detects low volume or no sound, the user is prompted to turn off mute and turn the volume up to maximum. The system plays audio at 100%, 50%, and 10% volume respectively, and records the user's responses at different volume levels. If the trend of the response (i.e., the volume level reported by the user) is not decreasing, the test is repeated once. Regardless of subsequent responses, a real-time listening report is generated.

[0088] The intelligent assisted cochlear implant tuning method of the present invention automatically diagnoses the response information by monitoring the user's feedback and performs tuning actions to replace the actions originally performed manually by the tuner. This tuning method can reduce the workload of the tuner, and when combined with cross-operation and deployed on a remote tuning system, it can greatly improve the efficiency of the tuner.

[0089] Finally, it should be noted that the above preferred embodiments are only used to illustrate the technical solutions of the present invention and are not intended to limit it. Although the present invention has been described in detail through the above preferred embodiments, those skilled in the art should understand that various changes can be made to it in form and detail without departing from the scope defined by the claims of the present invention.

Claims

1. A method for intelligent assisted adjustment of a cochlear implant, characterized in that, Includes the following steps: S1: The auxiliary debugging terminal generates debugging information and / or interactive information and transmits it to the server; the user terminal receives the debugging information and / or interactive information transmitted from the server; When the user terminal receives the interactive information, the interactive information is displayed to the user terminal. When the user terminal receives the debugging information, the user terminal performs corresponding debugging actions according to the debugging information, and generates response information based on the effect of the debugging actions. S2: The server transmits the interaction information and / or the response information to the auxiliary debugging terminal; S3: The auxiliary adjustment terminal analyzes the received response information; When the response information is appropriate, debugging stops; when the response information is inappropriate, N debugging messages and / or interaction messages are output to the server. The server also transmits the N debugging information and / or interaction information from the auxiliary tuning terminal to the user terminal. The user terminal receives the N debugging information and / or interaction information, performs corresponding debugging actions based on the debugging information, and generates response information based on the effect of the debugging actions, which is then transmitted to the auxiliary tuning terminal via the server. The auxiliary tuning terminal includes an intelligent threshold adjustment module and an intelligent comfort value adjustment module, which are connected to the intelligent comfort value adjustment module. The intelligent threshold adjustment module adjusts the threshold value of each stimulation channel according to the received response information and generates a threshold adjustment report; The intelligent comfort value adjustment module adjusts the comfort value of each stimulation channel according to the threshold adjustment report and generates a comfort value adjustment report; wherein, when the number of supercompensatory electrodes is greater than or equal to 3, the comfort value adjustment is stopped. S4: Repeat step S3 until the response information is appropriate and the debugging task is completed; The response information includes any one or more of the following: auditory information reflecting whether the user can receive the debugging information; degree information reflecting the user's comfort level with the received debugging information; loudness information reflecting whether the user is in a loudness balance with the received debugging information; and response information reflecting the user's response to the received debugging information.

2. The intelligent assisted adjustment method for cochlear implants according to claim 1, characterized in that, The intelligent threshold adjustment module adjusts the threshold of each electrode of the cochlear implant in sequence: the first electrode is initialized with threshold stimulation, the user terminal receives the adjustment information and responds with a response message, which is a hearing message; The intelligent threshold adjustment module adjusts the threshold size based on the heard information and stimulates again until the generated heard information is a suitable result representing that the user terminal cannot receive the debugging information, thus obtaining the optimal threshold of the first electrode. The intelligent threshold adjustment module performs the aforementioned threshold adjustment on each electrode of the cochlear implant sequentially and then generates a threshold adjustment report.

3. The intelligent assisted adjustment method for cochlear implants according to claim 1, characterized in that, The intelligent comfort value adjustment module adjusts the comfort value of each electrode of the cochlear implant in sequence: the first electrode is given an initial comfort value stimulation, the user terminal receives the adjustment information and responds, and the response information includes degree information. The intelligent comfort value adjustment module adjusts the comfort value based on the degree information and stimulates again until the generated degree information is a suitable result representing the user's feeling of comfort in response to the received adjustment information, thus obtaining the optimal comfort value of the first electrode. The intelligent comfort value adjustment module performs the aforementioned comfort value adjustment on each electrode of the cochlear implant in sequence, and then generates a comfort value adjustment report.

4. The intelligent assisted adjustment method for cochlear implants according to claim 1, characterized in that, The auxiliary tuning terminal also includes an intelligent loudness balance adjustment module, which groups the electrodes and adjusts the electrode comfort value according to the user's response information until all electrodes are in a loudness balance state. The response information mentioned above is loudness information.

5. The intelligent assisted adjustment method for cochlear implants according to claim 1, characterized in that, The auxiliary tuning terminal also includes an intelligent real-time listening module, which plays audio and obtains test results based on the user's response to the audio. And calibrate the user's volume based on the test results and generate a real-time listening report; wherein, the response information is any one or more of the response information used to reflect the user's response to the received debugging information.

6. The intelligent assisted adjustment method for cochlear implants according to claim 2, characterized in that, The threshold adjustment is divided into a coarse threshold adjustment stage and a fine threshold adjustment stage; the specific steps are as follows: Threshold coarse adjustment stage: S301: The auxiliary debugging terminal reduces the threshold by 10 units and sends the debugging information to the user terminal; S302: When the user terminal receives the debugging information and generates the hearing information, the auxiliary debugging terminal receives the hearing information and continues to repeat step S301 until the generated hearing information represents the result that the user terminal cannot receive the debugging information, and then enters the threshold fine-tuning stage. Threshold fine-tuning stage: S303: The auxiliary debugging terminal reduces the threshold by 5 units and sends the debugging information to the user terminal; S304: If the information heard by the user terminal indicates that the user terminal cannot receive the debugging information, then continue to repeat step S303 until the information heard by the user terminal indicates that the user terminal has received the debugging information. S305: After receiving the above-mentioned information, the auxiliary tuning terminal reduces the threshold by 1 unit and sends the debugging information to the user terminal. S306: When the user terminal continues to generate hearing information representing that the user terminal has received debugging information, the auxiliary debugging terminal receives the hearing information and continues to repeat step S305. When the hearing information generated by the user terminal is a suitable result representing that the user terminal cannot receive debugging information, the electrode threshold is determined.

7. The intelligent assisted adjustment method for cochlear implants according to claim 3, characterized in that, The comfort value adjustment stage includes a coarse comfort value adjustment stage and a fine comfort value adjustment stage, and the specific steps are as follows: S307: The auxiliary adjustment terminal selects an electrode, initializes the comfort value, and sends adjustment information to the user terminal; S308: During the adjustment process, the auxiliary adjustment terminal counts the number of super-compliant electrodes. When the user terminal generates a response indicating that the electrode is a super-compliant electrode, the adjustment of that electrode is complete. If the electrode is a non-super-compliant electrode and the level information generated by the user terminal is inappropriate, the auxiliary adjustment terminal performs a coarse adjustment stage of the comfort value based on the level information, wherein the comfort value changes by 2-10 units. If the response information is still that the electrode is super-compliant, the adjustment stops. If the electrode is a non-super-compliant electrode and the level information generated by the user terminal is still inappropriate, the fine adjustment stage of the comfort value begins. S309: During the comfort value fine-tuning stage, the auxiliary tuning terminal reduces the threshold by 1 unit and sends debugging information to the user terminal; S310: When the degree information generated by the user terminal is a suitable result representing that the user terminal feels comfortable with the received debugging information, the electrode comfort value is determined; when the degree information generated by the user terminal is unsuitable, step S309 is repeated until the degree information is suitable. S311: The intelligent comfort value adjustment module performs the above-mentioned comfort value adjustment on each electrode of the cochlear implant in sequence, and then generates a comfort value adjustment report.

8. The intelligent assisted adjustment method for cochlear implants according to claim 7, characterized in that, When the number of super-compliant electrodes is greater than or equal to 3, the comfort value adjustment is stopped.

Citation Information

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