We report a programmable analog bionic ear (cochlear implant) processor in a 1.5-microm BiCMOS technology with a power consumption of 211 microW and 77-dB dynamic range of operation. The 9.58 mm x 9.23 mm processor chip runs on a 2.8 V supply and has a power consumption that is lower than state-of-the-art analog-to-digital (A/D)-then-DSP designs by a factor of 25. It is suitable for use in fully implanted cochlear-implant systems of the future which require decades of operation on a 100-mAh rechargeable battery with a finite number of charge-discharge cycles. It may also be used as an ultra-low-power spectrum-analysis front end in portable speech-recognition systems. The power consumption of the processor includes the 100 microW power consumption of a JFET-buffered electret microphone and an associated on-chip microphone front end. An automatic gain control circuit compresses the 77-dB input dynamic range into a narrower internal dynamic range (IDR) of 57 dB at which each of the 16 spectral channels of the processor operate. The output bits of the processor are scanned and reported off chip in a format suitable for continuous-interleaved-sampling stimulation of electrodes. Power-supply-immune biasing circuits ensure robust operation of the processor in the high-RF-noise environment typical of cochlear implant systems.
Pulse oximeters are ubiquitous in modern medicine to noninvasively measure the percentage of oxygenated hemoglobin in a patient's blood by comparing the transmission characteristics of red and infrared light-emitting diode light through the patient's finger with a photoreceptor. We present an analog single-chip pulse oximeter with 4.8-mW total power dissipation, which is an order of magnitude below our measurements on commercial implementations. The majority of this power reduction is due to the use of a novel logarithmic transimpedance amplifier with inherent contrast sensitivity, distributed amplification, unilateralization, and automatic loop gain control. The transimpedance amplifier, together with a photodiode current source, form a high-performance photoreceptor with characteristics similar to those found in nature, which allows LED power to be reduced. Therefore, our oximeter is well suited for portable medical applications, such as continuous home-care monitoring for elderly or chronic patients, emergency patient transport, remote soldier monitoring, and wireless medical sensing. Furthermore, our design obviates the need for an A-to-D and digital signal processor and leads to a small single-chip solution. We outline how extensions of our work could lead to submilliwatt oximeters.
Sounds originating from within the inner ear, known as otoacoustic emissions (OAEs), are widely exploited in clinical practice but the mechanisms underlying their generation are not entirely clear. Here we present simulation results and theoretical considerations based on a hydrodynamic model of the human inner ear. Simulations show that, if the cochlear amplifier (CA) gain is a smooth function of position within the active cochlea, filtering performed by a middle ear with an irregular, i.e., nonsmooth, forward transfer function suffices to produce irregular and long-lasting residual oscillations of cochlear basilar membrane (BM) at selected frequencies. Feeding back to the middle ear through hydrodynamic coupling afforded by the cochlear fluid, these oscillations are detected as transient evoked OAEs in the ear canal. If, in addition, the CA gain profile is affected by irregularities, residual BM oscillations are even more irregular and tend to evolve towards self-sustaining oscillations at the loci of gain irregularities. Correspondingly, the spectrum of transient evoked OAEs exhibits sharp peaks. If both the CA gain and the middle-ear forward transfer function are smooth, residual BM oscillations have regular waveforms and extinguish rapidly. In this case no emissions are produced. Finally, and paradoxically albeit consistent with observations, simulating localized damage to the CA results in self-sustaining BM oscillations at the characteristic frequencies (CFs) of the sites adjacent to the damage region, accompanied by generation of spontaneous OAEs. Under these conditions, stimulusfrequency OAEs, with typical modulation patterns, are also observed for inputs near hearing threshold. This approach can be exploited to provide novel diagnostic tools and a better understanding of key phenomena relevant for hearing science.
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