Objective Acoustic Prescription Fitting for Hearing Prostheses
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Solution Overview
Problem
Existing electro-acoustic hearing prostheses lack personalized and effective fitting methods that accurately determine acoustic prescriptions, leading to suboptimal performance and limited benefits for recipients with partial sensorineural hearing loss.
Innovation Solution
Utilizing acoustically-evoked inner ear responses, such as auditory nerve neurophonic and cochlear microphonic, to generate personalized gain functions for electro-acoustic hearing prostheses, optimizing the conversion of sound signals into acoustic stimulation signals.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If traditional fitting methods are used for electro-acoustic hearing prostheses, then the device can be implemented, but the acoustic prescription accuracy is insufficient and personalized adaptation is limited
Solution Approach 1:
The patent employs objective inner ear response measurements as feedback to iteratively optimize acoustic prescription parameters. The system measures actual inner ear responses to acoustic stimulation and uses this feedback to adjust and personalize the acoustic prescription, thereby improving both measurement precision and personalized adaptation capability simultaneously
Solution Approach 2:
The system performs self-calibration by automatically determining acoustic prescriptions based on objective measurements of the recipient's own inner ear responses. This eliminates the need for subjective patient feedback and enables automated personalized fitting, resolving the contradiction between implementation simplicity and prescription accuracy
2Ease of manufacture
If generic acoustic prescriptions are used, then the fitting process is simplified, but the performance and benefit to recipients with partial sensorineural hearing loss is suboptimal
Solution Approach 1:
The patent performs preliminary objective measurements of inner ear responses before finalizing the acoustic prescription. This preliminary characterization of the recipient's auditory system enables subsequent optimization of performance effectiveness while maintaining fitting simplicity through automated processing
Solution Approach 2:
The system dynamically adjusts acoustic prescription parameters based on measured inner ear response characteristics. By changing parameters such as gain functions and frequency weighting based on objective measurements, the system achieves both simplified automated fitting and optimized performance effectiveness
Data Source
AI summary
Presented herein are techniques that make use of objective measurements obtained in response to acoustic stimulation signals. More specifically, at least one measure of outer hair cell function and at least one measure of auditory nerve function are obtained from a tonotopic region of an inner ear of a recipient of a hearing prosthesis. The at least one measure of auditory nerve function and the least one measure of outer hair cell function are then analyzed relative to one another.


