Intrabody communication with ultrasound

Abstract

A hearing system has a first device and a second device. The first device acoustically couples to skin of a user of the hearing system and includes a sensor to detect acoustic signals. The second device includes a hearing stimulator arrangement to stimulate hearing of the user in response to the acoustic signals detected with the first device. The first device and second device are each operable to bidirectionally communicate through an ultrasonic communication link comprising at least a portion of the body of the user.

Description

BACKGROUND OF THE INVENTION

[0002] The present invention relates to communications, and more particularly, but not exclusively, relates to communication with ultrasound transcutaneously transmitted between devices carried on or implanted in the human body.

[0003] Various approaches have been suggested to communicate between electronic devices carried on a person's body. Of particular interest is the communication between components of a hearing aid system. Such systems frequently include a signal processor, one or more microphone units, and/or hearing stimulus units spaced apart form one another relative to a user's body. U.S. patent application Ser. No. 09/805,233 filed on Mar. 13, 2001; Ser. No. 09/568,435 filed on May 10, 2000, and Ser. No. 09/568,430 filed on May 10, 2000; and U.S. Pat. No. 6,222,927 B1 are cited as further sources concerning various hearing systems.

[0004] Interconnecting body-carried components for hearing systems and other applications by wires or cables to facilitate electrical or optical communication between the components is generally undesirable. Indeed, wireless Radio Frequency (RF) communications through the atmosphere have been suggested to address this shortcoming. However, communication through the transmission of electromagnetic signals in this manner also has certain drawbacks, such as the potential for interference by stray signals, the difficulty of incorporating the necessary transmission and reception circuits into a device of a size that can be comfortably worn by the user, undesirable power consumption, and/or a high degree of signal attenuation. Accordingly, there is an ongoing demand for further contributions in this area of technology.

SUMMARY OF THE INVENTION

[0005] One embodiment of the present invention includes a unique communication system. Other embodiments include unique methods, systems, devices, and apparatus for intrabody communication utilizing ultrasound. As used herein, “sound” and “sonic” refer to an acoustic wave or waves with a frequency less than or equal to 20,000 Hertz (Hz), and “ultrasound” and “ultrasonic” refer to an acoustic wave or waves with a frequency greater than 20,000 Hz.

[0006] A further embodiment includes at least two system units operable to be placed on the body of a user. These units each include an ultrasonic transmitter/receiver arrangement. This arrangement includes one or more ultrasonic transducers. These transducers are effective to acoustically couple to skin of the user's body to provide bidirectional point-to-point communication between the units with information-containing ultrasonic signals. In one form, the units are arranged to provide a hearing system with at least one of the units being operatively arranged to stimulate hearing of the user.

[0007] Still another embodiment of the present invention includes a hearing system that has an external module arranged to be carried on the body of a user and an implantable module to be at least partially implanted in the body of the user. The external module includes at least one microphone to detect sound and a transmitter to send ultrasonic signals containing information representative of detected acoustic signals when the external module is acoustically coupled to the user's skin. The implantable module includes a receiver and a hearing stimulation arrangement. The receiver receives the ultrasonic signals along an ultrasonic communication link through at least a portion of the body of the user between the external module and the implantable module when the implantable module is at least partially implanted in the body of the user. The hearing stimulation arrangement is responsive to the ultrasonic signals received by the receiver to stimulate hearing of the user in correspondence to the detected sound.

[0008] Yet a further embodiment includes a hearing system with an implantable module at least partially implantable in a user's body and at least one external module selected from the group consisting of a programming unit, a remote control, a microphone, and a signal processing device. The implantable module also includes at least one microphone to detect sound, an audio signal processor, and a hearing stimulation arrangement to stimulate hearing in response to the sound detected with the microphone. The external module includes a transmitter for sending information in the form of ultrasonic signals to the implantable module via a transcutaneous ultrasonic communication link through at least a portion of the user's body between the external module and the implantable module. The transmitter is effective to modulate the ultrasonic signals with a carrier frequency in a range between 100 kiloHertz (kHz) and 10 MegaHertz (MHz). The implantable module receives the ultrasonic signals and selectively adjusts operation in response thereto.

[0009] A still further embodiment includes: providing a communication system carried by a user's body that includes a first device and a second device; acoustically coupling the first device to a first skin region of the user's body and the second device to a second skin region of the user's body; and bidirectionally communicating between the first and second devices by transmitting ultrasound through at least a portion of the user's body between the first device and the second device.

[0010] Yet a further embodiment includes: providing a communication system carried by a user's body, the system including a first device with a sound sensor and a second device; detecting sound with the sensor; generating an ultrasound signal representative of the sound with the first device; and transmitting the ultrasound signal through at least a portion of the user's body from the first device to the second device.

[0011] In another embodiment, a hearing system is provided including a first device spaced apart from a second device. The first and second devices are coupled to a user's body with at least one of the first device and second device being acoustically coupled to skin. Two-way communication is performed between the first and second devices through bidirectional transmission of ultrasound signals through at least a portion of the user's body between the first device and second device.

[0012] Another embodiment includes: providing a hearing system including a first device spaced apart from a second device; acoustically coupling the first device and the second to a user's body; and performing two-way communication between the first device and the second device through bidirectional transmission of ultrasound signals through at least a portion of the user's body between the first device and the second device. In one form, the ultrasound signals are provided with a carrier frequency in a range between 100 kHz and 10 MHz.

[0013] In another embodiment, a hearing system is provided including a first device and second device that are coupled to a user's body in a spaced-apart relationship. An information-carrying ultrasound signal is transmitted from the first device to the second device over a path along a distance of which at least one-half is through non-bony, soft tissue of the user's body. The ultrasound signal is received with the second device and an output is generated based on information determined at least in part from the ultrasound signal.

[0014] Further forms, embodiments, objects, features, aspects, benefits, and advantages of the present invention shall become apparent from the detailed drawings and descriptions provided herein.

BRIEF DESCRIPTION OF THE DRAWINGS

[0015] In the following figures, like reference numerals represent like features. In some cases, the figures or selected features thereof are not drawn to scale to enhance clarity.

[0016] FIG. 1 is a diagrammatic view of an intrabody communication system of a first type as worn by a user.

[0017] FIG. 2 is a side view of a portion of the system of FIG. 1.

[0018] FIG. 3 is a diagrammatic cross-sectional view of a portion of the system of FIG. 1 relative to structures of the user's ear.

[0019] FIG. 4 is a schematic view of various hearing system devices utilized in the system of FIG. 1.

[0020] FIGS. 5 and 6 are schematic views of alternative transmitter/receiver arrangements for the ultrasonic transceiver included in the hearing system devices of FIG. 4.

[0021] FIG. 7 is a schematic view of an intrabody communication system of a second type.

[0022] FIG. 8 is a diagrammatic view of an intrabody communication system of a third type as worn by a user.

[0023] FIG. 9 is a schematic view of hearing system devices utilized in the system of FIG. 8.

[0024] FIG. 10 is a view of an in-the-ear canal hearing system device.

[0025] FIGS. 11-13 are alternative sectional views of the device shown in FIG. 10.

[0026] FIG. 14 is a partial diagrammatic view of a further type of hearing system device for intrabody communication.

[0027] FIG. 15 is a partial diagrammatic view of another type of hearing system device for intrabody communication.

[0028] FIG. 16 is a partially diagrammatic, perspective view of still another type of hearing system device for intrabody communication.

[0029] FIG. 17 is a partial diagrammatic view of yet another type of hearing system device for intrabody communication.

[0030] FIG. 18 is a partial diagrammatic view of a further hearing system device for intrabody communication.

[0031] FIG. 19 is a schematic view of an intrabody communication system of a fourth type.

DESCRIPTION OF SELECTED EMBODIMENTS

[0032] While the present invention may be embodied in many different forms, for the purpose of promoting an understanding of the principles of the invention, reference will now be made to the embodiments illustrated in the drawings and specific language will be used to describe the same. It will nevertheless be understood that no limitation of the scope of the invention is thereby intended. Any alterations and further modifications in the described embodiments, and any further applications of the principles of the invention as described herein are contemplated as would normally occur to one skilled in the art to which the invention relates.

[0033] One embodiment of the present invention is directed to an intrabody communication system that utilizes ultrasound. In one form, this system is utilized to provide a body area network to communicate between various body-worn devices, such as a headset with one or more earphones and/or one or more microphones, a Personal Digital Assistant (PDA), a mobile phone, and the like. In another form, this system is utilized to communicate between components of a hearing system arrangement, such as that depicted in FIGS. 1-4.

[0034] Referring to FIGS. 1-4, intrabody communication system 20 is in the form of a hearing system 21 with hearing system units 30a, 30b, 30c, and 30d (collectively designated modules 30). System 20 communicates operational information between modules 30 by utilizing at least a portion of body B of the user as an ultrasonic transmission line. Hearing system units 30a, 30b, and 30c are external to body B while unit 30d is of an implantable type shown internal to body B (see, for example, FIG. 1 and FIG. 3). External hearing system units 30a and 30b are each in the form of a Behind-The-Ear (BTE) device 31 with respect to ears E1 and E2 of body B. Devices 31 each include sound sensor 32 in the form of a microphone 32a. Microphone 32a can be of an omnidirectional type, or of a directional type such as those with a cardioid, hypercardioid, or FIG. 8 directional pattern to name just a few. Devices 31 also each include a signal processing arrangement 34 coupled to sensor 32 to receive signals therefrom (see, for example FIGS. 2 and 4). In one form, signal processing arrangement 34 includes circuitry to receive electrical signals from sensor 32 representative of detected sound. For this form, signal processing arrangement 34 further includes circuitry to condition, filter, and/or amplify the received signals; and as appropriate, convert the received signals into a desired format—such as conversion from an analog-to-digital format. Signal processing arrangement 34 can include one or more digital signal processors responsive to the received electric signals in a digital format and/or control signals to modify its operation. Electrical power for device 31 can be provided in the form of an electrochemical cell or battery and/or a different source as would occur to those skilled in the art.

[0035] Devices 31 each also include ultrasonic transceiver 50 in contact with skin 26 of body B. As used herein, “transceiver” refers broadly to any device having a capability to transmit and receive information. Referring to FIGS. 5 and 6, two alternative transmitter/receiver arrangements 50a and 50b for ultrasonic transceiver 50 are illustrated. Transmitter/receiver arrangement 50a includes ultrasonic transducers 51a and 51b each having a respective transducer face 52a and 52b arranged to be acoustically coupled to body B. To that end, face 52a, 52b is comprised of at least a portion of an outer surface of an enclosure that houses arrangement 50a and/or is acoustically coupled to such outer surface. For external applications, coupling to body B can be through direct contact of transducer face 52a, 52b with skin 26 of body B; where transducer face 52a, 52b is shaped and sized with respect to the coupling area of body B to reduce air gap formation between face 52a, 52b and body B so that an unacceptable level of ultrasonic signal attenuation does not occur. Additionally or alternatively, a conformal interface material, such as an adhesive, a gel, a liquid, or other type of material could be used to provide a desired acoustic coupling. For subcutaneous applications, transducer acoustic coupling can be directly to bone, cartilage, or such other tissue as would occur to those skilled in the art. An adhesive or other mounting technique to hold the transducer in a desired position and contact relationship could be utilized to implement such subcutaneous applications.

[0036] Transducers 51a and 51b are coupled to transmitter (TXR) 53 and receiver (RXR) 54, respectively. Transmitter 53 and receiver 54 are coupled to codec 55. Codec 55 includes encoder 56 and decoder 57. Codec 55 is arranged to communicate externally with signal processing devices such as signal processing arrangement 34 of device 31. Typically, such communications are in a digital format; however, other formats could be additionally or alternatively utilized.

[0037] Codec 55 receives information-containing signals from an external source, such as signal processing arrangement 34, and encodes these signals into a desired transmission format with encoder 56. By way of nonlimiting example for digitally encoded formats, an Amplitude Shift Keying (ASK), a Frequency Shift Keying (FSK), a Phase Shift Keying (PSK), a Pulse Width Modulation (PWM), or a Pulse Amplitude Modulation (PAM) technique could be utilized, just to name a few. An encoded signal is provided from codec 55 to transmitter 53 for conversion to a modulated electronic output. Transmitter 53 includes a drive amplifier to provide an output signal of a desired level and impedance. This modulated signal output from transmitter 53 is operable to stimulate transducer 51a to generate a corresponding modulated ultrasonic signal that can be transmitted via face 52a through body B.

[0038] Transducer 51b is arranged to generate an electrical output signal in response to detection of a suitably configured ultrasound signal received via face 52b from body B. This electrical output signal from transducer 52b is received by receiver 54 for demodulation. Receiver 54 includes a sense amplifier to assist in such operations. The corresponding demodulated signal output by receiver 54 is provided in an electronic format to codec 55. Decoder 57 of codec 55 decodes the signal from receiver 54, as appropriate for its expected format. Codec 55 then provides a signal externally for use by external signal processing equipment, such as signal processing arrangement 34. For transmitter/receiver arrangement 50a, transducers 51a and 51b can be dedicated to transmitter 53 and receiver 54, respectively; however, in other arrangements, one or more ultrasonic transducers can be utilized for both transmitter and receiver operations.

[0039] For example, transmitter/receiver arrangement 50b of FIG. 6 includes transducer 51c with face 52c. Face 52c is arranged to comprise at least a portion of an outer surface of an enclosure for arrangement 50b and/or is acoustically coupled to such surface. Face 52c can be acoustically coupled to body B as described in connection with faces 52a, 52b of transmitter/receiver arrangement 50a. Transducer 51c is coupled to transmitter 53 and receiver 54, which operate in a manner previously described in connection with like reference numerals of FIG. 5. Typically, transducer 51c is time-shared on a periodic or aperiodic basis between an ultrasound signal transmit mode and an ultrasound signal receive mode, correspondingly utilizing transmitter 53 and receiver 50 of arrangement 50b. In one embodiment of arrangement 50b, transmit and receive modes are time-multiplexed in a predefined manner. In other embodiments, changes between receive and transmit modes may be upon demand or be performed in accordance with such other techniques as would occur to those skilled in the art. In still other embodiments, different carrier frequencies and/or modulation techniques can be utilized; such that ultrasonic signals can be transmitted and received with a single transducer in a virtually simultaneous fashion without unacceptable levels of interference between the modes.

[0040] While transmitter 53, receiver 54, codec 55, encoder 56, and decoder 57 have been shown as separate operational components to enhance understanding, it should be appreciated that some or all of these operations could be provided by common circuitry and/or components. In one such form, a custom signal processing integrated circuit device can be provided to perform many, if not all, of these operations with little, if any, support circuitry.

[0041] Returning to FIGS. 1-4, system 20 also includes unit 30c that provides user control in off-body communication in the form of a signal processing and control device 40. Device 40 is worn by the user with a wrist strap or wrist band 41. Indeed, device 40 can be integrated into a wristwatch or made to appear as one. The WATCHPILOT provided by PHONAK AG, which has a business address of Laubisrütistrasse 28, 8712 Stäfa, Switzerland, could be adapted to such use. Device 40 includes user control 42 arranged to provide input through one or more push buttons, rotary dials, switches, or the like. Device 40 also includes indicator 43 to provide user-observable output. Indicator 43 is typically in the form of a Liquid Crystal Display (LCD) or Light Emitting Diode (LED) display, but can be differently configured as would occur to those skilled in the art.

[0042] Device 40 also includes off-body communication interface 45. Interface 45 includes a wireless off-body Radio Frequency (RF) transmitter (TXR) 45a and receiver (RXR) 45b, which collectively provide RF transceiver 45c. Transceiver 45c is coupled to antenna 46. Interface 45 is configured to wirelessly and bidirectionally communicate with off-body device 90 via antenna 92 of device 90. In one form, this RF communication is performed in accordance with a BLUETOOTH or AUTOCOM standard, and/or a MICROLINK or MLX standard from PHONAK AG. Alternatively or additionally, off-body interface 45 can be arranged for communication by an electrically wired connection and/or optical fiber connection provided with appropriate cabling to off-body device 90. In still other embodiments, ultrasonic transmission through the air and/or infrared (IR) communication techniques could be used in addition or as an alternative.

[0043] Device 40 further includes signal processing arrangement 44 coupled to control 42, indicator 43, and interface 45. In one form, signal processing arrangement 44 includes electrical circuitry to receive and process user inputs from control 42 and generate information for output via indicator 43. Further, signal processing arrangement 44 includes circuitry to communicate via interface 45. Device 40 also includes ultrasonic transceiver 50. Signal processing arrangement 44 is operatively coupled to ultrasonic transceiver 50. Transceiver 50 is in contact with skin 26 of the user's body B, and can include one of the arrangements 50a or 50b previously described in connection with FIGS. 5 and 6, respectively; or be of such different arrangement as would occur to those skilled in the art. In one nonlimiting form, signal processing arrangement 44 includes one or more processors with programming to facilitate Input and/or Output (I/O) via control 42, indicator 43, interface 45, transceiver 50, and perform any desired data modifications, conversions, storage, or the like; and includes any signal conditioners, filters, format converters (such as analog-to-digital and/or digital-to-analog types), amplifiers, power sources, or the like to implement desired operations as would occur to those skilled in the art.

[0044] Hearing system unit 30d is illustrated as being implanted within body B in the vicinity of structures associated with ear E1. Hearing system unit 30d includes implanted hearing device 60 which includes ultrasonic transceiver 50 previously described in connection with device 31 and device 40. Referring specifically to FIGS. 3 and 4, device 60 includes signal processing arrangement 64 operatively coupled to ultrasonic transceiver 50, both of which are encapsulated in the enclosure 61. Enclosure 61 is implanted in the mastoid region of ear E1. In one form, enclosure 61 is made from titanium, a ceramic material, or such other body-compatible material as would occur to those skilled in the art.

[0045] Device 60 also includes hearing stimulation arrangement 70 coupled to signal processing arrangement 64 via one or more wires or cables from enclosure 61. Hearing stimulation arrangement 70 includes middle ear actuator 72 coupled to the middle ear region in the vicinity of the auditory canal. Hearing stimulation apparatus 70 also includes an electromechanical intracochlear actuator 74, such as a bone conduction cochlear stimulator coupled to the small bones of the ear (malleus, incus, and/or stapes), and intracochlear stimulation electrodes 76 implanted within the cochlea. However, it should be understood that more or fewer hearing stimulation apparatus, or perhaps only one of these hearing stimulators could be used in other embodiments. Device 60 further includes auditory canal microphone 80 coupled to signal processing arrangement 64 via cabling. Microphone 80 can be used to detect acoustic signals in addition to or in lieu of sensors 32 to enhance natural sound perception of the user.

[0046] Referring to FIGS. 1-6, certain operational aspects of system 20 for aiding hearing of the user are next described. Modules 30 are arranged to bidirectionally communicate using at least a portion of body B between communicating units 30a, 30b, 30c and 30d as an ultrasonic communication link; or stated differently, as an ultrasonic transmission line. Such two-way ultrasonic communication is represented by the double-headed arrows in FIG. 4 between symbolically illustrated portions of body B in contact with ultrasonic transceivers 50 of modules 30. Accordingly, a Body Area Network (BAN) is implemented with system 20.

[0047] In one mode of operation, devices 31 are each mounted to the pinna of a respective ear E1 or E2, providing a spaced-apart sensor relationship for detecting sound. Inputs from spaced-apart sensors 32 can be processed to provide a corresponding hearing stimulus to the user via device 60. Such processing could be performed with the signal processing arrangement of one or more of modules 30, optionally utilizing ultrasonic communication capabilities to transmit information between modules 30 to perform remote or distributed processing with the signal processing arrangements, as required. In one form, at least some processing tasks are distributed among two or more processing units to perform pipelined and/or parallel processing operations. Collectively, system 20 can be arranged to perform adaptive beamforming and/or binaural processing routines for a hearing aid as described, for example, in International Patent Applications Nos. PCT/US01/15047, PCT/US01/14945, or PCT/US99/26965; U.S. patent application Ser. Nos. 09/805,233, 09/568,435, or 09/568,430; and/or U.S. Pat. No. 6,222,927 B1. Alternatively or additionally, other processing techniques can be used to provide a desired type of hearing stimulus.

[0048] In such implementations, device 40 can be used to provide the user means for remotely controlling selected aspects of system performance, such as hearing system volume, sound filtering, sensitivity, a sound detection beamwidth or direction, and the like through control 42. Indicator 43 can be used to provide the user selected visual output regarding system user settings and/or one or more other performance parameters, such as battery/power status of one or more modules 30, and the like.

[0049] Off-body interface 45 can be arranged to receive information from off-body device 90. Such information can include remote audio input to the user from a Public Address System (PAS), telephonic communication link, one or more remote microphones, an entertainment source such as a radio, television, MP3 player, tape player, CD player, etc. and/or a different type of audio satellite, just to name a few. Alternatively or additionally, off-body device 90 can provide data and/or parametric values used in the operation of system 20. Interface 45 can also be used in conjunction with device 90 to perform testing of one or more modules 30 and/or of system 20 collectively; communicate system or module diagnosis; and/or system/module performance data. Further, where applicable, off-body 90 and interface 45 can be used to add or modify software utilized by any of modules 30. For any information communicated via interface 45, it should be understood that ultrasonic communication can be used to transmit/receive information with respect to modules 30 other than module 30c. In addition or as an alternative, interface 45 can communicate through another wireless technique and/or by cable connection.

[0050] It should be understood that point-to-point ultrasonic communication between external hearing system units 30a, 30b, and 30c from one to the next corresponds to a skin-to-skin ultrasonic transmission. In contrast, point-to-point ultrasonic communication with unit 30d occurs transcutaneously with one or more of units 30a, 30b and 30c. For example, as illustrated in FIG. 3, ultrasonic transceiver 50 of unit 30a is arranged to be in close proximity to ultrasonic transceiver 50 of unit 30d to facilitate bidirectional communications therebetween. Likewise, one-way or two-way ultrasound-conveyed information can be directly communicated between unit 30d and one more of units 30b and 30c; and/or can be communicated via unit 30a. Indeed, in alternative embodiments one or more of units 30a, 30b, 30c, and/or 30d may include only the capability to transmit or only the capability to receive ultrasonic signals as desired for the particular arrangement.

[0051] It has been surprisingly found that ultrasound communications based on a frequency selected from a range between 100 kHz and 10 MHz can be used to communicate through the human body at a relatively high bandwidth without undesirable levels of attenuation in soft tissue. Accordingly, when such performance is desired, a preferred ultrasound carrier frequency is selected from the range between 100 kHz and 10 MHz. In a more preferred embodiment, an ultrasonic carrier frequency range of about 500 MHz to about 2 MHz is utilized. In terms of digitally encoded information, a bandwidth from about 300 kilobits/second (kb/s) through about 500 kb/s can be utilized for an ultrasound carrier having a frequency in this range. For either the 100 kHz-10 MHz or 500 kHz-2 MHz range, it has been found that higher frequency-transmissions are typically more effective for shorter communication paths through body B, and lower frequency transmissions are typically more effective for relatively longer communication paths through body B. With respect to system 20, one nonlimiting example of a relatively shorter communication path is between units 30a and 30d; and one nonlimiting example of a relatively longer communication path is between units 30a and 30c. Nonetheless, in other embodiments, the communication frequency may be determined independent of the transmission distance through body B, may be uniform regardless of distance, or may be differently determined as would occur to those skilled in the art.

[0052] In one embodiment, an ultrasound carrier is used to communicate information along a path having a distance at least half of which is through nonbony, soft tissue. For instance, communication between unit 30c and 30d can take place directly along a path through soft tissue in the cranium of the user. In one alternative embodiment, some or all of the components and/or corresponding functionality of unit 30c are included in one or both units 30a, 30b; and unit 30c is not present. In relation to system 20, this alternative can provide a basis for a relatively greater number of communications through soft tissue of the user's head. In still another alternative embodiment, unit 30c and unit 30a or 30b are not present. For this alternative, the remaining unit 30a or 30b can include some or all of the components and/or corresponding functionality of the one or more units not present.

[0053] In one experimental example, ultrasonic signals with a carrier frequency in the 500 kHz to 2 MHz range were transmitted from one mastoid to the other of a human subject with an attenuation of no more than about 20 deciBels (dB). At least one half of the distance traveled by this communication was through soft, non-bony tissue of the human subject's head. Compared to standard RF body area transmission techniques, the level of attenuation of ultrasonically communicated signals in the 500 kHz-2 MHz range according to the present invention can be several orders of magnitude better. Further, for this ultrasonic communication approach, power consumption on the order of about one milliWatt (mW) is made possible compared to at least ten times that for typical RF techniques. Also, a bandwidth of at least 300 kbits/second can be provided with an ultrasonic carrier frequency in the 1-2 MHz range.

[0054] FIG. 7 illustrates intrabody communication system 120 of another embodiment of the present invention; where like reference numerals refer to like features. System 120 includes a number of hearing system units 130 more specifically designated external processing device 131, external remote control device 140, external programming device 150, and internal hearing device 160. Device 160 is at least partially implantable in body B of a user of system 120. Each hearing system unit 130 includes an ultrasonic transceiver 50 of the type previously described to communicate among units 130 utilizing at least a portion of body B as an ultrasonic signal communication link. Such communications can be bidirectional in nature as symbolized by the double-headed arrows between portions of body B presented in FIG. 7.

[0055] Device 131 includes an external signal processor 134 operatively coupled to communicate with other units 130 through ultrasonic transceiver 50 of device 131. Signal processor 134 is operatively coupled to one or more external sensors 132 arranged to detect sound. Sensors 132 can be in the form of a microphone 32a previously described, but can alternatively or additionally be provided as a different type of sound or acoustic detector. Device 131 also includes wireless transceiver 136 which is coupled to signal processor 134. Wireless transceiver 136 operates through a standard RF communication technique to transmit to and/or receive information from a remote source, as described in connection with interface 45 and device 90. Device 131 also includes cable interface/connection 138 to receive/transmit information in an electrical and/or optical format via cabling. Such information can include some or all of the type described in connection with interface 45 and device 90 of system 20. Device 131 can be in the form of one or more Behind-The-Ear (BTE) devices, In-The-Canal (ITC) of the ear devices, or otherwise worn on body B with acoustic coupling to skin 26 of body B as previously described in connection with system 20.

[0056] Device 140 provides remote control 142 coupled to ultrasonic transceiver 50. Remote control 142 can be operated by a user and/or service provider to adjust operation of one or more aspects of system 120. In one form, device 140 is of a portable type that is temporarily placed in contact with skin 26 of body B to perform its operations. In other embodiments, device 140 is body-worn with a wrist band, a device appearing as jewelry, a BTE device, an ITC device, or the like. Device 140 can be arranged to receive confirmation of changes in settings or other transmission to any of units 130 from device 140. In other embodiments, device 140 can be arranged to provide for one-way communication—transmitting to other units 130 only.

[0057] Device 150 includes system programmer 152 operatively coupled to ultrasonic transceiver 50 of device 150. Collectively, programmer 152 and the coupled ultrasonic transceiver 50 of device 150 communicate via ultrasonic signals through a portion of body B to add to or modify programming associated with one or more of the other units 130. Device 150 can be of a portable type that is temporarily placed in contact with skin 26 of body B by a user or service provider only to perform programming changes as needed, or can be a more permanent body-worn type implemented with a wrist band, a device appearing as jewelry, a BTE device, an ITC device, or the like. Likewise, device 150 can be of a “transmit only” type or a two-way communication type regarding ultrasonic transmissions with other units 130. In alternative embodiments, at least two of devices 131, 140, and 150 are combined in a single unit (not shown).

[0058] Device 160 can be of a type comparable to device 60 of system 20. Device 160 includes internal signal processor 164. Internal signal processor 164 is coupled to ultrasonic transceiver 50 of device 160 to selectively provide for communication therewith. Processor 164 is also coupled to hearing stimulation apparatus 170 of device 160. Hearing stimulation apparatus 170 can include one or more of the hearing stimulators of arrangement 70 and/or one or more different hearing stimulator types. Device 160 also includes internal microphone 180 that can be of a subcutaneous type or located in the auditory canal. Collectively, units 130 can operate to perform standard signal processing to enhance hearing of a user of system 120 in the manner previously described in connection with system 20.

[0059] FIGS. 8 and 9 illustrate intrabody communication system 220 of another embodiment of the present invention; where like reference numerals refer to like features. System 220 includes hearing system units 230. Hearing system units 230 are more specifically designated ear canal device 231, remote control and interface device 240, and programming device 150 (only shown in FIG. 9). Each of units 230 includes an ultrasonic transceiver 50 to provide bidirectional communication that utilizes at least a portion of body B as an ultrasonic signal communication link as previously described. Device 231 includes acoustic sensor 232. Sensor 232 can be a microphone or such other sound detecting sensor type as would occur to those skilled in the art. Sensor 232 is coupled to signal processor 234 which processes received signals to generate a corresponding output to hearing stimulator 236 in the form of ear canal loudspeaker 238. Processor 234 can be arranged to perform desired processing of signals received with sensor 232 and generate a corresponding hearing stimulus via stimulator 236 in a manner common to standard ITC devices.

[0060] Device 240, shown in the form of a body-worn wrist band 41 (see FIG. 8), can include user control 42 to control various operations and settings of device 231 and user viewable indicator 43 to display settings or other information for the user as described in connection with system 20. Device 240 further includes off-body interface 246 to provide for one-way or two-way communication of information with a remote device as described in connection with interface 45 and off-body device 90 of system 20. Control 42, indicator 43, and interface 246 are coupled to signal processor 244 which is responsive to suitable inputs and generates corresponding outputs for these components. Device 240 operates in a manner comparable to device 40 of system 20 to provide user control and information exchange relative to device 231. It should be understood that signal processing relative to sound detected with sensor 232 can be performed by processor 244 via ultrasonic communication in addition to or as an alternative to processing with processor 234. In other embodiments, device 240 can include one or more acoustic sensors in addition to or as an alternative to sensor 232 of device 231. Collectively, devices 231 and 240 can operate in a standard manner to enhance hearing of a user of system 220 with regard to acoustic inputs received via sensor 232 and/or audio inputs (if any) received via interface 246.

[0061] Device 150 (not shown in FIG. 8) is of the type described in connection with system 120, being operable to add to and/or modify programming of one or more of processors 234, 244. Correspondingly, device 150 of system 220 can be temporarily utilized as needed to change programming of one or more other units 230 or of a more permanent body-worn type. Alternatively or additionally, unit 150 can be combined with one or more other units 230 in other embodiments.

[0062] FIG. 10 illustrates a hearing system unit 280 in the form of an In-The-Canal (ITC) of the ear device 281. Device 281 includes case 282 enclosing operational components, such as those described in connection with device 231; where like reference numerals refer to like features. Referring to the sectional views of FIGS. 11-13, alternative ultrasonic arrangements are illustrated for a representative cross-section of device 281 along line A-A. In FIG. 11, a coating on the outer surface 282a of case 282 with an ultrasonic transduction material 250a defines, at least in part, the corresponding ultrasonic transducer 50. Material 250a can be of a piezoelectric or ferroelectric type or such different type as would occur to those skilled in the art. In FIG. 12, coating 250b on an inner surface 282b of case 282 with an appropriate ultrasonic transduction material, such as a piezoelectric or ferroelectric provides the corresponding ultrasonic transducer 50. In FIG. 13, a chip 250c of ultrasonic transduction material, such as a piezoelectric or ferroelectric, is mounted inside case 282 and is in acoustical contact with case 282 to provide the corresponding ultrasonic transducer 50. In other arrangements, two or more of these approaches could be combined, and/or one or more of these approaches could be used to provide a transducer for an external or internal hearing system unit or other intrabody communication device.

[0063] FIGS. 14 and 15 illustrate two different types of earlobe (EL) worn devices 320a, 320b each configured in the form of an earring 321a, 321b. Each device 320a and 320b includes an earring case 322 enclosing a signal processor and coupled microphones collectively designated by reference numeral 324, a power source in the form of battery 326, and an ultrasonic transceiver 50 coupled to the signal processor and microphones 324. For device 320a, case 322 is connected to post 330 which is configured to extend through an aperture (such as results from a piercing) of earlobe EL to be secured by a push-on fixation device 332 of the type commonly used with earrings. In FIG. 14, earlobe EL is shown in section to more clearly illustrate post 330. For device 320b, case 322 is coupled to clip 340 by spring 342 to provide a compressive grip around earlobe EL. Devices 320a, 320b can be utilized in place of a BTE type of device, or other type of external hearing system unit previously described. In one such alternative, an earring clip arrangement of device 320b is connected to earlobe EL to program a hearing system, having a cable connection to an off-body programmer. When the programming operation is complete, the earring clip is removed. In still other embodiments, an earring is utilized to provide an external microphone for temporary or nominal use.

[0064] Referring to FIG. 16, hearing system 520 includes eye glass frame 521. Frame 521 includes articulating earpieces 522a, 522b. System 520 also has sensors 32 positioned proximate to the temple hinges of frame 521. Ear piece 522b includes processor 534 operatively coupled to sensors 32, and ultrasonic transceiver 50 operatively coupled to processor 534 to collectively provide a hearing system device operationally comparable to the two devices 31 of system 20. A power source in the form of an electrochemical cell or battery or other type is also included (not shown). In other arrangements, different operations, and/or combinations of previously described embodiments could be incorporated into eye glass frame 521 using techniques known to those skilled in the art.

[0065] FIG. 17 illustrates ear E2 of body B having hearing system ear button 630 coupled behind ear E2. Ear button 630 can be held in place by an adhesive, a mechanical clip, a magnetic arrangement, and/or in a different manner as would occur to those skilled in the art. Ear button 630 can include a signal processor 634 and ultrasonic transceiver 50 of the type previously described. A power source in the form of an electrochemical cell or battery, or other type of power source is also included, but not shown to preserve clarity. Ear button 630 can be used to relay information unidirectionally or bidirectionally from other hearing system units and/or can include microphones to provide for communications with implanted devices. In one embodiment, ear button 630 can be used as a substitute for device 31, device 231, device 320a, device 320b, a combination of these, or such different hearing system unit configuration as would occur to those skilled in the art.

[0066] Referring to FIG. 18, system 720 is illustrated in which intrabody communication device 721 is provided in the form of a bracelet 722 with case 723. Case 723 houses signal processor 724 and ultrasonic transceiver 50, which are coupled together. A power source in the form of an electrochemical cell or battery, or other type of power source is also enclosed, but is not shown to preserve clarity. Processing arrangement 724 further includes an off-body interface for communicating with off-body unit 790 via cable 792. Alternatively or additionally, processing arrangement 724 can be configured to include a wireless off-body communication arrangement. System 720 can be used to incorporate any of the external units previously described in connection with systems 20, 120, and/or 220.

[0067] FIG. 19 illustrates intrabody communication system 820 including communication devices 830. System 820 establishes a Body Area Network (BAN) 821 using ultrasonic communication between devices 830. Typically, devices 830 are acoustically coupled to skin 26 of Body B. Communication devices 830 more specifically include headset unit 830a, mobile phone unit 830b, and Personal Digital Assistant (PDA) unit 830c. Units 830a, 830b, and 830c each include at least one ultrasonic transceiver 50 of the type previously described. Unit 830a further includes headset 836a coupled to audio processor 834a which is in turn coupled to the unit 830a ultrasonic transceiver 50 to selectively communicate with one or more devices 830. Headset 836a includes one or more earphone loudspeakers and optionally at least one microphone. Audio processor 834a and/or unit 830a can optionally include an MP3 player, tape player, CD player, and/or a wireless radio or television receiver, just to name a few possibilities.

[0068] Unit 830b includes mobile phone 836b coupled to telephone processor 834b arranged to selectively communicate through ultrasonic transceiver 50 of unit 830b. Such communication could be to device 830a to provide aural input to the user and, when microphones are included in headset 836a, to receive sound input therefrom.

[0069] Unit 830c includes PDA 836c having an interface to an ultrasonic transceiver 50 of unit 830c to connect to body area network 821. PDA 836c is coupled to transceiver 50 of device 830c via a PALM interface 834c or other appropriate arrangement. PDA 836c can communicate data to or from a remote source, such as the Internet or other computer network. Such computer network communication can be through wireless transmission with mobile phone 836b of unit 830b. In other embodiments, different devices could be used for intrabody communication based on bidirectional or unidirectional ultrasound transmission through BAN 821. Indeed, one or more of the units of system 820 could be used in conjunction with one or more of the hearing system units of previously described embodiments, and/or utilizing short range RF techniques, such as BLUETOOTH, AUTOCOM, MICROLINK or MLX.

[0070] Any processor or signal processing arrangement referenced herein can be of a software or firmware programmable type, a dedicated hardwired device, or a combination of both. Further, such processor or arrangements can be comprised of one or more components and can include one or more Central Processing Units (CPUs). In one embodiment, unit processing is based on a digitally programmable, highly integrated semiconductor chip particularly suited for signal processing. In other embodiments, a more general purpose type of device or arrangement could be utilized. Further, any processor or processing arrangement referenced herein can include one or more memory devices and/or types of memory such as solid-state electronic memory, magnetic memory, or optical memory. Also, signal processing arrangements include any oscillators, control clocks, interfaces, signal conditioners, format converters, filters, limiters, power supplies, communication ports, or other types of arrangements/circuitry as would occur to those skilled in the art to implement the present invention. Indeed, such arrangements could be integrated along with one or more signal processors on a dedicated microelectronic device directed to one or more embodiments of the present invention.

[0071] Many other embodiments of the present invention are contemplated. For example, in some instances, only unidirectional communication would be used with one or more, or perhaps all of the units being of a dedicated receiver or transmitter type. Correspondingly, circuitry of ultrasonic transceiver 50 can be simplified in accordance with the dedicated nature of the communication for such units, with programming of associated processors or processing arrangements being altered as appropriate to the dedicated transmitter or receiver arrangement. In still other embodiments, a hybrid combination of ultrasonic communication with one or more other forms of wireless communication, such as RF or IR based communication and/or cabled electric or optic based communication, could be utilized. Indeed, ultrasonic communication through the air could be used in conjunction with ultrasonic communication through at least a portion of a user's body with or without one or more of these other transmission formats. Power sources for any of the units can be of a disposable and/or rechargeable type—such as a rechargeable battery. Indeed, for implantable devices, rechargeable battery sources can be utilized which can be recharged remotely through a transcutaneous inductive power transfer technique.

[0072] In further embodiments, one or more features of one of the systems, units, or devices described in connection with FIGS. 1-19 can be combined, duplicated, deleted, or modified relative to one or more other of these systems, units, and/or devices. The techniques of the present invention can be used in a wide array of hearing system applications including Cochlear Implants (CI), Middle Ear Implants (MEI), and/or Bone Anchored Hearing Aids (BAHA), to name just a few representative examples. Further, intrabody communication systems of the present invention can be used in a wide variety of medical systems that can be facilitated by a BAN, as well as other nonmedical BAN applications. By way of nonlimiting example, nonmedical BAN applications include, but are not limited to security communication systems, entertainment systems, and surveillance systems, to name only a few. In one alternative embodiment, underwater applications could use hydrophone in place of a microphone. In still other embodiments, one or more intrabody communication system units are of an in-front-of-the-ear type. In other embodiments, an earring device, BTE device, ITC device, eye glass frame device, bracelet device or the like is cabled to another device. Alternatively or additionally, one or more external microphones are cabled to such a device. Indeed, in one alternative embodiment a microphone close to one side of the user's head communicates ultrasonically through the user's head, at least partially by soft tissue conduction, to an implanted device close to the other side of the user's head and/or to an external device mounted on the other side of the user's head.

[0073] As used herein, communications via a cable connection to an interface can be through any standard protocol, including, but not limited to USB, RS232, RS422, etc. Likewise, wireless communications can be via any standard protocol appropriate to the medium and frequency range.

[0074] In another arrangement, one or more devices could be of a type that derives some or all of its power from other devices and/or parasitically from the user. For example, the movement of the user could be used to generate small amounts of usable power. Devices suitable for operation without an independent power source particularly include those that communicate with remote devices where power could be remotely supplied via the communication interface wirelessly (i.e. inductively) and/or through cabling. Communicating certain RF tag devices are nonlimiting examples of this kind of arrangement. In still other embodiments, a different power source and/or power supply source could be utilized as would occur to those skilled in the art.

[0075] A further embodiment of the present invention includes a bi-directional transcutaneous communication system for bi-directional point-to-point communication between at least two electronic system units placed on the body of a user, wherein each of the electronic system units incorporates an ultrasonic transmitter and an ultrasonic receiver, wherein the ultrasonic transmitters each include an ultrasonic transducer for converting electrical transmitter signals into information-containing ultrasonic signals, and wherein the ultrasonic receivers each include an ultrasonic transducer for converting information-containing ultrasonic signals into electrical receiver signals, the ultrasonic transducers, at least when in operation, being disposed in at least close proximity to the skin of the user for transmitting and receiving, respectively, ultrasonic signals utilizing the body of the user as an ultrasonic transmission line between the electronic system units. In one form, the communication system is directed to aiding hearing of a hearing impaired user. In another form, the communication system is utilized for entertainment and/or telephonic communication.

[0076] Still a further embodiment comprises a bidirectional transcutaneous communication system for bi-directional point-to-point communication between at least two electronic system units placed on the body of a user, wherein each of the electronic system units incorporates an ultrasonic transceiver, the transceiver including an ultrasonic transducer for converting, in a time sharing mode, electrical transmitter signals into information-containing ultrasonic signals and information-containing ultrasonic signals into electrical receiver signals, the ultrasonic transducer, at least when in operation, being disposed in at least close proximity to the skin of the user for transmitting and receiving, respectively, ultrasonic signals utilizing the body of the user as an ultrasonic transmission line between the electronic system units. In one form, the communication system is directed to aiding hearing of a hearing impaired user. In another form, the communication system is utilized for entertainment and/or telephonic communication.

[0077] Yet a further embodiment includes a partially implantable hearing system comprising an external module and an implantable module, wherein the external module includes microphone means for picking up acoustic signals, wherein the implantable module includes an output actuator arrangement for stimulation of the hearing in response to picked up acoustic signals, wherein the hearing system further comprises a transcutaneous ultrasonic communication link for ultrasonic communication between the external and implantable modules, wherein the external module incorporates means for at least transmitting ultrasonic signals containing information related to picked up acoustic signals and the implantable module incorporates means for at least receiving ultrasonic signals containing information related to picked up acoustic signals, wherein the transmitting and receiving means each include ultrasonic transducer means for converting electrical transmitter signals into information-containing ultrasonic signals and for converting information-containing ultrasonic signals into electrical receiver signals, respectively, the ultrasonic transducer means being disposed in at least close proximity to the skin of the user for transmitting and receiving, respectively, the ultrasonic signals utilizing the body of the user as an ultrasonic transmission line between the external and implantable modules.

[0078] In another embodiment, a partially implantable hearing system comprises an external module and an implantable module, wherein the external module includes microphone means for picking up acoustic signals, wherein the implantable module includes an output actuator arrangement for stimulation of the hearing in response to picked up acoustic signals, wherein the hearing system further comprises a transcutaneous ultrasonic communication link for ultrasonic communication between the external and implantable modules via modulated ultrasonic carrier signals having a frequency in the range between 100 kHz and 10 MHz, wherein the external module incorporates means for at least transmitting modulated ultrasonic carrier signals and the implantable module incorporates means for at least receiving modulated ultrasonic carrier signals, wherein the transmitting and receiving means each include ultrasonic transducer means for converting electrical transmitter signals into modulated ultrasonic carrier signals and for converting modulated ultrasonic carrier signals into electrical receiver signals, respectively, the ultrasonic transducer means being disposed in at least close proximity to the skin of the user for transmitting and receiving, respectively, ultrasonic signals utilizing the body of the user as an ultrasonic transmission line between the external and implantable modules. In a further embodiment, the frequency range is from about 500 kHz through about 2 MHz.

[0079] For still another embodiment, a hearing system comprises an implantable module that can be totally implanted, the implantable module including microphone means for picking up acoustic signals, audio signal processing means, and an output actuator arrangement for stimulation of the hearing in response to picked up acoustic signals, wherein the hearing system further comprises at least one external module selected from the group consisting of programming units, remote control units, external microphones, and signal processing and control units and any combinations thereof, and a transcutaneous ultrasonic communication link for ultrasonic communication between the external and implantable modules, wherein the external module incorporates means for at least transmitting information-containing ultrasonic signals and the implantable module incorporates means for at least receiving information-containing signals, wherein the transmitting and receiving means each include ultrasonic transducer means for converting electrical transmitter signals into information-containing ultrasonic signals and for converting information-containing ultrasonic signals into electrical receiver signals, respectively, the ultrasonic transducer means being disposed in at least close proximity to the skin of the user for transmitting and receiving, respectively, ultrasonic signals utilizing the body of the user as an ultrasonic transmission line between the external and implantable modules.

[0080] For a further embodiment, a hearing system comprises an implantable module that can be totally implanted, the implantable module including microphone means for picking up acoustic signals, audio signal processing means, and an output actuator arrangement for stimulation of the hearing in response to picked up acoustic signals, wherein the hearing system further comprises at least one external module selected from the group consisting of programming units, remote control units, external microphones, and signal processing and control units and any combinations thereof, and a transcutaneous ultrasonic communication link for ultrasonic communication between the external and implantable modules via modulated ultrasonic carrier signals having a frequency in the range between 100 kHz and 10 MHz, wherein the external module incorporates means for at least transmitting modulated ultrasonic carrier signals and the implantable module incorporates means for at least receiving modulated ultrasonic carrier signals, wherein the transmitting and receiving means each include ultrasonic transducer means for converting electrical transmitter signals into modulated ultrasonic carrier signals and for converting modulated ultrasonic carrier signals into electrical receiver signals, respectively, the ultrasonic transducer means being disposed in at least close proximity to the skin of the user for transmitting and receiving, respectively, ultrasonic signals utilizing the body of the user as an ultrasonic transmission line between the external and implantable modules. In another embodiment, the frequency range is from about 500 kHz through about 2 MHz.

[0081] All publications, patents, and patent applications cited in this specification are herein incorporated by reference as if each individual publication, patent, or patent application were specifically and individually indicated to be incorporated by reference and set forth in its entirety herein. Further, any theory, mechanism of operation, proof, or finding stated herein is meant to further enhance understanding of the present invention and is not intended to make the present invention in any way dependent upon such theory, mechanism of operation, proof, or finding. While the invention has been illustrated and described in detail in the drawings and foregoing description, the same is to be considered as illustrative and not restrictive in character, it being understood that only selected embodiments have been shown and described and that all changes, modifications and equivalents that come within the spirit of the invention as defined herein and/or by the following claims are desired to be protected.

Claims

1. A hearing system, comprising: at least two hearing system units operable to be placed on the body of a user, one or more of the hearing system units being operatively arranged to stimulate hearing of the user, the hearing system units each including an ultrasonic transmitter/receiver arrangement, the ultrasonic transmitter/receiver arrangement of each of the electronic system units including one or more ultrasonic transducers, the one or more ultrasonic transducers of the transmitter/receiver arrangement being effective to acoustically couple to a skin region of the body of the user to provide bidirectional point-to-point communication between the electronic system units with information-containing ultrasonic signals by utilizing the body of the user between the hearing system units as an ultrasonic transmission line.

2. The system of claim 1, wherein the one or more transducers for at least one of the transmitter/receiver arrangements of the one or more hearing system units is time-shared between an ultrasonic signal transmit mode and an ultrasonic signal receive mode.

3. The system of claim 1, wherein the one or more transducers number two or more for the transmitter/receiver arrangement of at least one of the hearing system units, and the transmitter/receiver arrangement includes a transmitter operable to transmit ultrasound with one of the two or more transducers and a receiver operable to receive ultrasound with another of the two or more transducers.

4. The system of claim 1, further comprising means for interfacing to the body of the user to reduce occurrence of one or more air gaps between the one or more ultrasonic transducers of the transmitter/receiver arrangement of each of the hearing system units and the skin region of the body of the user.

5. The system of claim 1, wherein the transmitter/receiver arrangement is operable to provide the information-containing ultrasonic signals with a modulated ultrasonic carrier frequency in a range between 100 kHz and 10 MHz.

6. The system of claim 5, wherein the range is from about 500 kHz through about 2 MHz.

7. The system of claim 1, wherein at least one of the hearing system units includes one or more of: a remote control, a signal processor, and a microphone.

8. The system of claim 1, wherein at least one of the hearing system units includes an interface for wired connection to an external device, the external device being in a form of a bracelet device or wrist band device.

9. The system of claim 1, wherein at least one of the hearing system units is in a form of an in-the-ear canal device with a shell, the shell including at least one of an inner side and an outer side coated with a piezoelectric material to provide at least one of the one or more ultrasonic transducers of the at least one of the hearing system units.

10. The system of claim 1, wherein at least one of the ultrasonic transducers for one of the hearing system units is included in a behind-the-ear device with at least one of an inner side and an outer side coated with a piezoelectric material to form the at least one of the ultrasonic transducers.

11. A hearing system, comprising: an external module arranged to be carried on a body of a user, the external module including at least one microphone to detect sound and a transmitter to send ultrasonic signals containing information representative of detected sound signals when the external module is acoustically coupled to a skin region of the body of the user; and an implantable module including a receiver and a hearing stimulation arrangement, the receiver being operable to receive the ultrasonic signals along an ultrasonic communication link through at least a portion of the body of the user between the external module and the implantable module when the implantable module is at least partially implanted in the body of the user, the hearing stimulation arrangement being responsive to the ultrasonic signals received by the receiver to stimulate hearing of a user in correspondence to the detected sound.

12. The system of claim 11, wherein the transmitter is arranged to send the ultrasonic signals with a modulated frequency in a range between 100 kHz and 10 MHz.

13. The system of claim 12, wherein the ultrasonic signals are encoded with digital information and have a bandwidth from about 300 to about 500 kbits/s.

14. The system of claim 11, wherein at least one of the external module and the implantable module includes means for digital signal processing.

15. The system of claim 11, wherein: the transmitter further includes a digital encoder to encode the information into electrical signals in a format corresponding to at least one of amplitude shift keying, frequency shift keying, phase shift keying, pulse width modulation and pulse code modulation; and the transmitter is operable to convert the electrical signals into the ultrasonic signals including the information.

16. The system of claim 11, wherein the external module includes means for receiving ultrasound signals and the implantable module includes means for transmitting ultrasound signals to provide bidirectional point-to-point communication between the external module and the implantable module through the ultrasonic communication link.

17. The system of claim 11, wherein the external module is a device selected from the group consisting of an ear-ring, an ear-clip, an eyeglass frame, a headset, an ear-button, an in-the-ear canal device, and a behind-the-ear device.

18. The system of claim 11, wherein the hearing stimulation arrangement includes at least one of a middle ear actuator, an electromechanical intracochlear actuator, a bone conduction cochlea stimulator, and an intra-cochlear electrode array.

19. The hearing system as claimed in claim 11, wherein the external module includes a communication unit for wireless off-body communication, the communication unit including at least one of an RF transmitter, an RF receiver, and an RF transceiver.

20. The hearing system as claimed in claim 11, wherein the external module includes an off-body wired interface comprising one of a bracelet device or wrist band device.

21. A hearing system, comprising: an implantable module at least partially implantable in a body of a user, the implantable module including at least one microphone to detect sound, an audio signal processor and a hearing stimulation arrangement to stimulate hearing in response to sound detected with the microphone; at least one external module selected from the group consisting of a programming unit, a remote control, an external microphone, and a signal processing device; and wherein the external module includes a transmitter for sending information in the form of ultrasonic signals to the implantable module through a transcutaneous ultrasonic communication link through at least a portion of the body of the user between the external module and the implantable module, the transmitter being effective to modulate the ultrasonic signals with a carrier frequency in a range between 100 kHz and 10 MHz, and further wherein the implantable module includes a receiver to receive the ultrasonic signals and selectively adjusts operation of the implantable module in response.

22. The system of claim 21, wherein the transmitter is effective to provide encode the information in digital form with the ultrasonic signals having a bandwidth in a range of about 300 to about 500 kbits/s.

23. The system of claim 21, wherein the external module includes means for receiving ultrasound signals and the implantable module includes means for transmitting the ultrasound signals to provide bidirectional point-to-point communication between the external module and the implantable module through the ultrasonic communication link.

24. The system of claim 21, wherein the external module includes a first ultrasonic transceiver, the first ultrasonic transceiver including the transmitter and the implantable module includes a second ultrasonic transceiver, the second ultrasonic transceiver including the receiver.

25. The system of claim 21, wherein the range is from about 500 kHz through about 2 MHz.

26. The system of claim 25, wherein the external module comprises at least one remote audio satellite.

27. The system of claim 26, wherein the remote audio satellite is selected from the group comprising a single microphone for audio pick-up and a microphone array having at least two microphones disposed for beamforming.

28. The system of claim 26, wherein the remote audio satellite is at least partially included in an apparatus adapted for being worn in close proximity to or in contact with an ear of the user, the device being at least one of an in-the-ear device, a behind-the-ear device, and an in-front-of-the-ear device.

29. The system of claim 21, wherein the external module is included in a device selected from the group consisting of a wrist band and a bracelet.

30. The system of claim 21, wherein the output actuator arrangement is at least one of a middle ear actuator, an electromechanical intra-cochlear actuator, a bone conduction cochlea stimulator, and intra-cochlear electrode array.

31. The system of claim 21, wherein said external module includes an off-body communication interface.

32. A method, comprising: providing a communication system carried by a user's body, the system including a first device and a second device; acoustically coupling the first device to a first skin region of the user's body and the second device to a second skin region of the user's body; and bidirectionally communicating between the first device and the second device through transmission of ultrasound signals through at least a portion of the user's body between the first device and the second device.

33. The method of claim 32, wherein the first device and the second device comprise a hearing system.

34. The method of claim 33, wherein the hearing system includes a third device operable to ultrasonically communicate with at least one of the first device and the second device.

35. The method of claim 33, which includes placing at least a portion of one of the first device and the second device in contact with a region of a user's ear.

36. The method of claim 33, wherein one or more of the first device and the second device includes at least one of a middle ear actuator, an electromechanical intracochlear actuator, a bone conduction cochlea stimulator, and an intracochlear electrode array.

37. The method of claim 32, wherein at least one of the first device and the second device is a general purpose communication device, headset, mobile phone, and personal digital assistant.

38. The method of claim 32, which includes communicating off-body with at least one of the first device and the second device.

39. The method of claim 38, wherein said communicating off-body includes wirelessly communicating information.

40. The method of claim 38, wherein said communicating off-body is performed by a wired connection to one of the first device and the second device in the form of at least one of a bracelet, a wrist band, an eye glass frame, and jewelry.

41. The method of claim 32, wherein said bidirectionally communicating is performed with an ultrasound carrier having a frequency in a range between 100 kHz and 10 MHz.

42. A method, comprising: providing a communication system carried by a user's body, the system including a first device with a sensor and a second device; detecting sound with the sensor; generating an ultrasound signal representative of the sound with the first device; and transmitting the ultrasound signal through at least a portion of the user's body from the first device to the second device.

43. The method of claim 42, wherein the sensor is in the form of at least one microphone.

44. The method of claim 42, wherein the sensor is in the form of a first microphone and further comprising ultrasonically communicating through the user's body between a third device and at least one of the first device and the second device, the third device including a second microphone.

45. The method of claim 44, which includes performing adaptive beamforming with the communication system.

46. The method of claim 42, which includes sending information-containing ultrasonic signals from the second device to the first device using at least a part of the user's body as an ultrasonic communication link.

47. The method of claim 46, wherein said transmitting and said sending are performed with a modulated ultrasonic carrier having a frequency in a range between 100 kHz and 10 MHz.

48. The method of claim 42, which includes performing digital signal processing with a digital signal processing device included in one or more of the first device and the second device.

49. The method of claim 42, which includes stimulating hearing in response to said transmitting with a stimulation apparatus disposed relative to an ear of the user's body, the stimulation apparatus being coupled to the second device.

50. The method of claim 49, wherein the stimulation apparatus includes at least one of a middle ear actuator, an electromechanical intracochlear actuator, a bone conduction cochlea stimulator, and an intracochlear electrode array.

51. The method of claim 42, wherein the first device is provided in a form of at least one of a hearing system component, a headset, and a mobile telephone.

52. A method, comprising: providing a hearing system including a first device spaced apart form a second device; coupling the first device and the second device to a user's body, at least one of the first device and the second device being acoustically coupled to skin of the user's body; and performing two-way communication between the first device and the second device through bidirectional transmission of ultrasound signals through at least a portion of the user's body between the first device and the second device.

53. The method of claim 52, which includes acoustically coupling both the first device and the second device to the skin of the user's body.

54. The method of claim 52, wherein at least one of the first device and the second device includes one or more microphones.

55. The method of claim 52, wherein the hearing system includes a plurality of microphones and which includes performing adaptive beamforming with the hearing system.

56. The method of claim 52, wherein said two-way communication includes transmitting and receiving the ultrasound signals with a modulated ultrasonic carrier frequency in a range between 100 kHz and 10 MHz.

57. The method of claim 52, which includes performing digital signal processing with a digital signal processor included in one or more of the first device and the second device.

58. The method of claim 52, which includes stimulating hearing with a stimulation apparatus included in at least one of the first device and the second device.

59. The method of claim 58, wherein the stimulation apparatus includes at least one of a middle ear actuator, an electromechanical intracochlear actuator, a bone conduction cochlea stimulator, and an intracochlear electrode array.

60. A method, comprising: providing a hearing system including a first device spaced apart form a second device; acoustically coupling the first device and the second device to a user's body; and performing two-way communication between the first device and the second device through bidirectional transmission of ultrasound signals through at least a portion of the user's body between the first device and the second device, at least a portion of the ultrasound signals having a carrier frequency in a range between 100 kHz and 10 MHz.

61. The method of claim 60, wherein said acoustically coupling the first device includes disposing the first device on skin of the user's body and said acoustically coupling the second device includes at least partially implanting the second device relative to an ear of the user's body.

62. The method of claim 61, wherein the first device includes at least one microphone and the second device is responsive to ultrasonically communicated information from the first device to stimulate hearing with a stimulation apparatus.

63. The method of claim 62, which includes one or more of: (a) mounting the first device behind an ear of the user's body, (b) mounting the first device at least partially in an ear canal of the user's body, (c) mounting the first device with an eyeglass frame, (d) mounting the first device with a wrist band, and (e) mounting the first device with jewelry; and wherein the stimulation apparatus is at least one of a middle ear actuator, an electromechanical intracochlear actuator, a bone conduction cochlea stimulator, and an intracochlear electrode array.

64. The method of claim 60, wherein the hearing system includes a signal processing device and a plurality of microphones included in one or more of the first device and the second device.

65. The method of claim 64, which includes executing a routine with the signal processing device to perform adaptive beamforming with the hearing system.

66. The method of claim 60, wherein the range is from about 500 kHz through about 2 MHz.

67. A method, comprising: providing a hearing system including a first device and a second device; coupling the first device and the second device to a user's body in a spaced-apart relationship; transmitting an information-carrying ultrasound signal having a carrier frequency in a range between 100 kHz and 10 MHz from the first device to the second device over a path along a distance of which at least one half is through non-bony, soft tissue of the user's body; receiving the ultrasound signal at the second device; and generating an output with the second device based on information determined at least in part from the ultrasound signal.

68. The method of claim 67, which includes sending information-containing ultrasonic signals to the first device, and bidirectionally communicating information with the first device utilizing at least a portion of the user's body as an ultrasonic communication link.

69. The method of claim 67, wherein the first device includes one or more microphones.

70. The method of claim 69, which includes generating the output with a stimulation device to stimulate hearing, the ultrasound signal being representative of an acoustic signal detected with the one or more microphones.

71. The method of claim 67, wherein the range is from about 500 kHz through about 2 MHz.

72. A hearing system, comprising: a first device including means for acoustically coupling to skin of a body of a user of the hearing system and means for detecting acoustic signals; a second device including means for stimulating hearing of the user in response to the acoustic signals detected with the first device; and wherein the first device and the second device each include means for bidirectionally communicating through an ultrasonic communication link comprising at least a portion of the body of the user.