AU2008201247B2 - Apparatus and Method for Applying a Substance to a Human Body - Google Patents

Description

AUSTRALIA Patents Act 1990 COMPLETE SPECIFICATION Standard Patent Applicant(s): PHONAK AG Invention Title: Apparatus and Method for Applying a Substance to a Human Body The following statement is a full description of this invention, including the best method for performing it known to me/us: P46802.AU.1 PatSetFiing AppUcation 2008-3-17.doc (M) - 2 Apparatus and Method for Applying a Substance to a Human Body The present invention relates to an apparatus and method 5 for applying a substance to a human body and has particular application in the art of hearing devices. The present invention is based on the problems arising in manufacturing of in-ear hearing aids. However, the 10 solution as found is generally applicable to ear devices as defined further below. When manufacturing hearing aid shells today typically audiologists produce a model of the shape of the 15 individual auditory canals, thereby taking a mold thereof, typically of silicon. This model is then sent to the hearing aid manufacturer who on the basis of this basis casts a hearing aid shell from a plastic material. 20 This procedure is problematic under different aspects: e Based on the mold plastic materials must be used for the shell making, which result in a shell which is relatively hard and stable with respect to its shape. 25 This as a result leads to the fact that when inserting the finished in-ear hearing aid into an individual's ear, on account of the remaining pressure spots, the shell of the hearing aid must practically always be refinished. 30 e Even though the above procedure allows making the resulting relatively hard shell with an outer shape matching the mold, it does not allow making complex inner and/or outer shapes such as would be desirable 35 for configuring in an optimal manner the shape of mounts for the hearing aid's functional components. We understand under the expression "functional components" - 3 all units which are provided for reception, processing and reproduction of audio signals, that is, microphones e digital processor units, loudspeakers and accessories 5 such as remote controls, binaural signal transmissions, batteries, etc. It must additionally be borne in mind that optimal packaging of such functional components using the space available can only be realized on an individual basis, because the geometry of the auditory 10 canal are substantially different from individual to individual. The above-mentioned procedure is on one hand highly labor intensive and on the other hand the resulting hearing aid 15 will mostly be less than optimal with respect to comfort of wear and space utilization. The material used in this conventional manufacturing furthermore necessitates a relatively thick wall of the in-ear hearing aid shell, thereby further and additionally reducing the space 20 available for implementing the functional components. In one aspect the invention provides an apparatus for applying a substance to a human body during predetermined time intervals, comprising: 25 a hearing device comprising two outer shells and at least one other member, both shells being adapted to a shape of an application area for said device at an individual, the shells being exchangeable from said at least one other member remote from said individual; and 30 the substance being provided at an outer surface of one of said shells, wherein the other one of said shells lacks the substance.. According to another aspect of the invention there is 35 provided a method of applying a substance to a human body during predetermined time intervals, comprising the steps of: - 4 providing a hearing device comprising two outer shells and at least one other member, wherein both shells are adapted to the shape of an application area for the device an an individual, the shells being exchangeable 5 from said at least one other member, one of said shells having the substance on an outer surface thereof, wherein the other one of said shells lacks the substance; applying said one of said shells on the other member; and applying said hearing device to an individual. 10 Examples of the invention are exemplified below with the help of figures wherein: Fig. 1 is a simplified functional block diagram of a 15 manufacturing plant operating on one exemplary embodiment of a method according to the present invention, thereby optimizing industrial manufacturing of ear devices; 20 Fig. 2 is a view in analogy to that of Fig. 1 of a further embodiment of such a plant; Fig.3 is a view in analogy to those of the Figs. 1 and 2 of a still further embodiment of the plant; 25 Fig. 4 schematically shows an in-ear hearing aid with a prior art earwax protection cap; Fig. 5 is a view in analogy to that of Fig. 4 of an in-ear 30 hearing aid with an earwax protection cap manufactured with the method according to another embodiment of the present invention. Fig. 6 is an in-ear hearing aid with a conventional 35 venting slot worked therein; Fig. 7(a) to 7(f) - 5 show perspective cutaways of the surfaces of ear devices comprising venting slots manufactured with an embodiment of a method according to the present invention; 5 Fig. 8 is a schematic cutaway of an ear device surface comprising a venting slot of varying cross-sections and cross-sectional shapes considered along its longitudinal extent and as manufactured by an 10 embodiment of a method according to the present invention; Fig. 9 schematically shows an in-ear ear device comprising a venting slot of increased length extent and as 15 manufactured by the method of an embodiment of the present invention; Fig. 10 is a view of analogy to that of Fig. 9 of an in-ear ear device with several venting slots as 20 manufactured by the method of an embodiment of the present invention; Figs. 11(a) to (e) are cutaways of ear device shells fitted with 25 venting channels of various cross-sectional shapes and dimensions and as manufactured by an embodiment of a method according to the present invention; Fig. 12 is a view in analogy to that of Fig. 8 of a venting 30 channel in an ear device with a longitudinally varying cross-sectional shape or area respectively and as manufactured by an embodiment of a method according to the present invention; 35 Fig. 13 shows in analogy to Fig. 9 schematically an in-ear ear device with a venting channel of increased extent and as manufactured by an embodiment of a - 6 method according to the present invention; Fig. 14 is a view in analogy to that of Fig. 10 of an in ear ear device with several venting channels and as 5 manufactured by a method according to an embodiment of the present invention; Fig. 15 schematically shows a longitudinal section of an in-ear ear device with a ribbed inner surface; 10 Fig. 16 is a cross-sectional cutaway of the ear device of Fig. 15, the ribs being of different cross sectional areas; 15 Fig. 17 is a perspective cutaway of an ear device shell with inside ribs as shown in the Figs. 15 or 16, whereby the ribs vary in their cross-sectional shape and dimension along their length extent; 20 Fig. 18 is a view in analogy to that of Fig. 15 of an in ear ear device with outer ribs and as manufactured by a method according to an embodiment of the present invention; 25 Fig. 19 schematically shows a cutaway of a ribbed ear device shell with ribs of different cross-sectional area; Fig. 20 schematically shows a cross-section of an ear 30 device with outer or possibly inner ribs and with an inside space which is at least partially filled with a filler material; Fig. 21 schematically shows a cutaway of a longitudinal 35 section of an ear device shell comprising a part which is flexible as concerns bending and compression and as manufactured by a method - 7 according to an embodiment of the present invention; Fig. 22 is a schematic longitudinal section of an ear 5 device shell comprising a receiving space for an electronic module and as manufactured by a method according to an embodiment of the present invention; 10 Fig. 23 shows the ear device shell of Fig. 22 being urged over an electronic module; Fig. 24 is a schematic perspective view of an in-ear ear device, in particular of an in-ear hearing aid 15 device with a two-part, separable and assemblable device shell as.manufactured by a method according to an embodiment of the present invention; Fig. 25 shows in a schematic cutaway representation the 20 integration of acoustic conductors and matching members to an acoustic/electric or to an electric/acoustic transducer within an ear device and as manufactured by a method according to an embodiment of the present invention; 25 Fig. 26 shows in a representation in analogy to that of Fig. 25 the configuration of two or more than two acoustic conductors in the shell of an ear device and manufactured according to a method according to 30 an embodiment of the present invention; Fig. 27 shows by means of simplified signal flow/functional-block-diagram a novel method or a novel arrangement respectively to carry out such 35 method, wherein account is taken of the dynamics of the area of application of an ear device when shaping such device; -7& Fig. 28 by means of a simplified flow diagram, a technique for manufacturing a hearing device under close consideration of skin characteristics at individual's application area; 5 Fig. 29 by means of a section of the shell of a hearing device, a first preferred embodiment of adapting the shell's surface to skin characteristics of individual's application area; 10 Fig. 30 is a representation according to Fig. 29, a second embodiment of appropriately tailoring and manufacturing the said shell surface area; 15 Fig. 31 schematically, a further preferred embodiment of flexibly exchanging the shell of a hearing device -8 to adapt its surface characteristics to the instantaneous needs of the individual with respect to skin at the application area. Preferably all embodiments of ear devices described 5 subsequently to the manufacturing method are made using the method as outlined below. Definition We understand by the expression "ear device" a device which is applied adjacent to the outside of the external ear 10 and/or to the external ear and/or in the auditory canal. Such devices include outside-the-ear hearing aids, in-ear hearing aids, earphones, noise-protection and water protection inserts etc. Such devices may thus be active or passive i.e. with built-in electronic devices or without 15 it. Their outer shape is partly fitted to the area of the body, adjacent or in the ear, where they are to be applied. In German such ear devices are known as "Otoplastik". 1. Manufacturing process The preferred manufacturing method for the ear devices 20 described individually below rests on 3D digitizing the shape of an individual's particular application area for the ear device and then realizing the ear device or the shell thereof by an additive built-up process. Additive built-up processes are also known as "rapid prototyping". 25 References to such additive built-up processes as already used in rapid prototyping may be found at/in * http://ltk.hut.fi/-koukka/RP/rptree.html (1) and -9 e Wohler's Report 2000, Rapid Prototyping & Tooling State of the Industry (2) Out of the group of presently known additive built-up processes for rapid prototyping laser sintering, laser- or 5 stereolithography or the thermojet process are especially applicable to construe ear devices or their shells, thereby especially the embodiments thereof as described below. The specifications of these preferred additive built-up processes shall be discussed now only in brief, summarizing 10 manner: 9 Laser Sintering: Hot-melt powder is deposited in a thin layer on a powder bed, e.g. using a roller. The powder layer is solidified using a laser beam which is controlled according to the shape of a sectional layer of the ear 15 device or of the shell of such ear device, thereby making use of the 3D shape data of the individual application area. A solidified sectional layer of the ear device or of its shell is thus produced within the remaining loose powder. This layer is then lowered from the powder plane 20 and a new powder layer is deposited on it, which is again laser-solidified according to a subsequent sectional layer of the ear device. * Laser- or Stereo-Lithography: A first sectional layer of an ear device or of its shell is solidified by a UV laser 25 at the surface of a liquid photopolymer. The solidified layer is lowered and is covered again with liquid polymer. Using the UV laser, a second sectional layer of the ear device or of its shell is solidified on top of the already - 10 solidified layer. Again laser position control is performed by means of the 3D data or information of the previously recorded individual application area, among other data controlling the laser. 5 e Thermojet Processing: The contour formation according to the sectional layers of the ear device or of its shell are implemented similarly to an ink jet printer by deposition of liquid according to the digitized 3D shape data, especially of the individual application area. Thereafter 10 the deposited sectional "drawing" is solidified. Again, following the principle of additive build-up, layer after layer is deposited so as to finally build up the ear device or its shell. The following documentation is referred to regarding other additive built-up processes and regarding 15 the above mentioned preferred ones: " http://www.padtinc.com/srvrpmsls.html (3) " "Selective Laser Sintering (SLS) of Ceramics", Muskesh Agarwala et al., presented at the Solid Freeform Fabrication Symposium, Austin, 20 TX, August 1999, (4) " http://www.caip.rutgers.edu/RPLibrary/process.html(5) e http://www.biba.uni-bremen.de/groups/rp/lom.html or " http://www.biba.uni-bremen.de/groups/rp/rpintro.html (6) 25 e Donald Klosterman et al., "Direct Fabrication of Polymer Composite Structures with Curved LOM", Solid - 11 Freeform Fabrication Symposium, University of Texas at Austin, August 1999, (7) * http://lff.me.utexas.edu/sls.html (8) e http://www.padtinc.com/srv_rpm_sla.html (9) 5 e http://www.cs.hut.fi/-ado/rp/rp.html (10) Principally the additive built-up processes always deposit a thin layer of material on a surface, be it as a full surface as is the case in laser sintering or stereo lithography, be it already as a contour of a sectional 10 layer of the ear device or of its shell under construction. Thereupon the desired sectional shape is stabilized, i.e. solidified. Once one layer has been solidified, a new layer is deposited on it as was described, and this new layer in 15 turn is solidified and thereby joined to the layer underneath it, which was already finished before. In this manner the ear device or its shell is construed by additive layer by layer deposition. For industrial manufacturing, preferably not only the 20 sectional layer of one individual ear device or of its shell is deposited or solidified, but several of such individual devices or shells simultaneously. When laser sintering e.g. the one laser which commonly is mirror controlled, sequentially solidifies the sectional layers of 25 several ear devices or of their shells before all these solidified sectional layers are commonly lowered. Thereupon and following up deposition of a new layer of powder across all already solidified and lowered sectional layers, the - 12 several further sectional layers are realized. In spite of this parallel manufacturing the particular ear devices or the particular shells thereof are manufactured individually and individually digitally controlled. 5 Thereby, a single laser beam is used to solidify the several sectional layers and/or more than one beam are operated in parallel and are controlled in parallel. In an alternative of this procedure one laser solidifies one sectional layer while simultaneously the powder layer 10 for the formation of another ear device or shell thereof is deposited. Thereupon the one laser solidifies the prepared powder layer according to the sectional layer for the further device while the previously solidified layer is lowered and a new powder layer is deposited thereon. Thus 15 the laser operates intermittently between two or more ear devices or their shells being built up, the laser down time caused by the powder deposition when forming one of the shells being exploited to solidify a sectional layer of another ear device being built up. 20 Fig. 1 schematically shows how, in one embodiment, several ear devices or their shells are industrially manufactured in parallel processing, using laser sintering or laser- or stereolithography. A laser with a control unit 5 and a beam 3 is mounted above the bed 1 for powder or liquid medium. 25 In position 1 the laser solidifies the layer Si of a first ear device or of its shell while being controlled by a first individual set of data, D 1 . Next the laser is moved by a conveying device 7 into a second position where by means of the individual data set D 2 it produces the layer - 13 S 2 corresponding to a further individual contour. Obviously several lasers can be moved together as one unit and accordingly more than one individual ear device can be produced simultaneously. Only after the lasers 5 have 5 produced the particular individual layers in all the positions, a new layer of powder is deposited by means of a powder supply indicated in general manner by 9, when laser sintering is used, while (not shown in the figure) when laser- or stereolithography is used, the solidified layers 10 S are lowered in the bed of liquid. As shown in Fig. 2 sectional layers of individual ear devices or of their shells are solidified simultaneously at one or several liquid or powder beds 1 by means of simultaneously and individually controlled lasers 5. 15 Following this solidification and after shutting off the lasers, the powder source 9 again deposits a new layer of powder, whereas in the case of laser- or stereolithography the just solidified sectional layers or the already solidified build-ups are lowered into the liquid bed. 20 According to Fig. 3 the laser 5 solidifies the layer Si at the one powder or liquid bed la and then switches over to the bed lb (dashed lines), where, during the solidification cycle at bed la, the powder depositing source 9b deposits powder over a previously solidified layer S1, or, as 25 regards laser- or stereolithography, the layer Si is being lowered. Only when the laser 5 becomes active at the bed lb the powder source 9a deposits a new layer of powder over the just solidified layer Si at the bed la, or the layer Si is lowered in liquid in the bed la.

- 14 When using the thermojet process and in order to similarly increase productivity, sectional layers of more than one ear device or of their shells are simultaneously deposited, i.e. in one stroke by one deposition head, or, when in 5 parallel, by several such heads. The above discussed method allows implementing highly complex shapes of ear devices or of their shells, both as regards their external shape with individual matching to the application area and, as regards a shell, its inside 10 shape. Overhangs, recesses and protrusions are easily implemented. Moreover materials are known for additive built-up processes which can be shaped into rubbery, elastic and yet shape-stable shells which, where desired, may vary locally 15 in wall thickness down to extremely thin walls while nevertheless being resistant to tearing. In a presently preferred implementation, the digitizing procedure of the individual application area, in particular that of hearing aids, and even more that for in-ear hearing 20 aids, is carried out in a specialized facility, in the latter case at the audiologist. In the form of 3D information, the individual shape is recorded there especially in relation to hearing aids - and is transmitted to a production center, be it by transmitting a data 25 storage medium, be it by an internet connection etc. Particularly using the above mentioned procedures, the ear device or its shell and specifically the in-ear hearing aid shell is shaped at the production center. Preferably the - 15 final assembly of the functional components is also carried out at this center. Because, and as already mentioned, the thermoplastic materials which are used in general result in a relatively 5 elastic, supple external shape, the shaping of ear devices or of their shells becomes much less critical with respect to pressure sites than has been experienced so far, and this feature is especially significant regarding in-ear ear devices. Illustratively, in-ear ear devices may be realized 10 as hearing protectors, as earphones, as water-protection inserts and especially as in-ear hearing aids, which may be introduced similarly to rubbery plugs and of which the outer surface optimally applies the shape of the application area, namely of the auditory canal. One or more 15 venting ducts or channels can easily be fitted into the in ear ear devices, so that as the ear device may be seated in a sealing manner in the auditory canal, eardrum ventilation is kept undegraded. Moreover the device's inside space can be optimized and be optimally utilized due to the 20 individual 3D data or the application area, even individually as regards any individual apparatus configuration to be received in the device as in the case of a hearing aid. In particular as regards ear devices in the form of hearing 25 aids, the centralized manufacturing of their shells allows central storing and managing of individual data relating to the individual shape of the application area and also of the individual functional components and their adjustment. If for any reason a shell must be replaced, it can be - 16 readily remanufactured by retrieving the individual data sets without the heretofore necessary laborious new matching process. Considering that the described procedures for manufacturing 5 ear devices are known, but only for rapid prototyping and are described in the literature, they need not be discussed herein in all their technical details. Surprisingly, however, by taking these known rapid prototyping techniques over into industrial and 10 commercially acceptable manufacturing of ear devices, very substantial advantages are attained on grounds which per se are not significant in rapid prototyping, for instance the elasticity of the thermoplastic materials, the possibility to individually create exceedingly thin walls, etc. 15 In summary, the use of the cited additive built-up processes in manufacturing of ear devices or of their shells makes it possible to integrate thereat various functional elements which are laid out at the computer when designing the ear device and which are integrally produced 20 as the ear device or its shell is built up. Conventionally such functional elements have been fitted into or joined to the finished ear device or to its shell, which may be recognized by material interfaces or by inhomogeneities in the material at link areas of such components to e.g. the 25 shell. As regards the cited ear devices, especially those provided with electronics such as hearing aids, and especially in ear hearing aids, components which can be directly integrated by the proposed technique into the ear device or - 17 its shell are e.g. seats and fasteners for components, ear wax protection systems, venting channels or grooves for in ear ear devices, supports which position in-ear ear devices in the auditory canal as so-called claws or channel locks. 5 Fig. 4 illustrates in a schematic manner an in-ear ear device 11, e.g. an in-ear hearing aid, at which the acoustic output 13 to the ear drum is protected by an earwax protection cap 15. This protection cap 15 heretofore has been mounted during manufacturing as a separate part 10 onto the shell 16 of the ear device 11, being affixed e.g. by gluing or bonding. As shown in a similar view in Fig. 5, when using the above mentioned additive built-up processes, the earwax protection cap 15a is directly integrated to the shell 16a of the otherwise identical in-ear ear device lla. 15 At the link area schematically denoted by P in Fig. 4, where, in the conventional technique, necessarily an inhomogeneity in the material is present, or a material interface, this is not the case in the embodiment of Fig. 5: The material of the shell 16a transits homogeneously 20 into that of the earwax protection cap 15a. The above description is merely an illustrative example of the manner in which known earwax protection systems and other functional elements may be integrated using the manufacturing technique as was described above. 25 Several specific and novel ear devices are now discussed below: 2. Vented in-ear ear devices It is known to provide an external venting slot in in-ear ear devices, in particular in in-ear hearing aids, in the - 18 manner as schematically shown in Fig. 6. Such venting slots being used today are not at all optimal under several aspects: - With respect to acoustical behavior: The presently known 5 venting slots hardly match the particular acoustical requirements. In active ear devices, for instance in-ear hearing aids, they can hardly contribute to solve the feedback problem from the electro/mechanical output transducer to the acoustical/electrical input 10 transducer. Even as regards passive in-ear ear devices, such as hearing protection devices, they are unable to support the desired protective effect and simultaneously to maintain the desired venting properties. - Sensitivity to earwax: Presently used venting slots in 15 the outside surfaces of in-ear ear devices are exceedingly sensitive to earwax formation. Depending on its intensity, such earwax formation may rapidly degrade the venting slots in their venting abilities, and may even clog them entirely. 20 For in-ear ear devices, thereby especially for in-ear hearing aids or for hearing protection devices, but also for ear devices, which only partly enter the auditory canal, such as earphones, venting systems are now presented which at least partly remedy the drawbacks of known 25 systems. Thereby a distinction is made between different venting systems, namely: -those which are at least partly open towards the wall of the auditory canal, similarly to slots, - 19 -those which are fully closed towards the wall of the auditory canal. 2a) Venting systems open towards the wall of the auditory canal 5 Figs. 7(a) through (f) show schematic and perspective representations of cutaways of the outer wall 18 residing in the auditory canal of an in-ear ear device with novel venting-slot profiles. According to Fig. 7(a) the cross sectional profile of the venting slot 20a is rectangular or 10 quadratic and constrained to predetermined, accurately maintained dimensional ratios. As shown in Fig. 7(b), the cross-sectional profile of the venting slot 20b has the shape of the sector of a circle or of an ellipse, again constrained by accurately predetermined cross-sectional 15 edge curve 21b. By precisely predetermining and implementing the cross-sectional contour of the venting slots 20, some predictability and control of the acoustical transmission behavior along this slot when resting against the inner wall of the auditory canal may already be 20 attained. Obviously the acoustic behavior also depends on the length subtended by the slot 20 along the outer wall 18 of the ear device. In the Figs. 7(c) through (f) further venting slots cross sectional profiles are shown, which additionally are 25 protected against earwax. The profile of slot 20c according to fig. 7(c) is in the form of a cross-sectional T. With respect to the open cross-sectional slot bottom surface at 27c, the inwardly projecting parts 23c and the resulting constriction 25c pointing towards the wall of the - 20 auditory canal already provide a substantial protection against earwax influence. Even if earwax were to penetrate the constriction 25c and harden therein, the venting slot will not thereby be significantly constricted or even 5 clogged, the slot then becomes a closed venting channel. The Figs. 7(d) through 7(f) are based on the principle as shown in Fig. 7(c) and the cross-sectional shape of the open slot bottom parts 27d through 27f is shown in different geometries, namely being arcuate according to 10 Fig. 7(d) or having the form of a sector of an ellipse, triangular according to Fig. 7(e) and circular or elliptical according to Fig. 7(f). By appropriately designing the cross-sectional slot surface, which is shown in merely illustrative manner in 15 Figs. 7 (a) through 7(f), substantial improvements may be attained relating both to acoustical properties and to protection against earwax as compared with conventional state of the art's haphazardly contoured venting slots. Thereby the profiles of the slots are now first computer 20 modeled taking into account the protection against earwax and the acoustical effects and are integrated accurately into the ear devices as manufactured. The above discussed additive built-up processes are especially well suited for such purposes. In order to further optimize the acoustical 25 effects of the venting slots, the most varied acoustical impedances may be implemented along the novel venting slots, which is as an example shown at the slot 29 of Fig. 8, which, propagating in its longitudinal direction, defines for different profiles, combined as desired and 30 according to Fig. 8, from profiles according to Fig. 7.

- 21 Similarly to the configuration of passive electric circuits, the resultant acoustical transfer behavior of the slot abutting the auditory canal can be computer modeled and checked and then be integrated into the in-ear ear 5 device or its shell. One can provide sections of the device which are provided with an increased earwax protection there where such sections are especially exposed to earwax, as is shown in Fig. 8 at A. 10 Furthermore, it might be highly desirable, especially with an eye on optimizing the acoustical behavior, to tailor the venting slots longer than would be possible from the actual length of a particular in-ear ear device. As shown in Fig. 9 this goal is attained in that such slots 31, realized as 15 e.g. shown in Figs. 7 and 9, run along predetermined curves along the surface of the ear device, for instance as shown in Fig. 9, practically as slots helically wound around the ear device. Additional flexibility of optimization is reached in that more than one venting slot are run along 20 the ear device surface as schematically shown in Fig. 10. Because of the high design flexibility reached, regarding the venting slots, such slots may be differently dimensioned according to the respective application area in the auditory canal, with respect to earwax protection and 25 to acoustical behavior and thus may be realized in an optimized manner along the surface of an ear device. 2b) Venting systems with fully integrated channels This embodiment of the novel venting system is based on venting channels which at least along parts thereof are - 22 fully integrated into the ear device and which are thus closed there towards the wall of the auditory canals. This system will be elucidated below in relation to its realization in the shell of an ear device. It must be 5 nevertheless emphasized that when no further unit needs to be integrated into an ear device and such ear device is tailored as a full material device the discussion below is also valid for channels which are provided through such full material devices. 10 Fig. 11 shows in analogy to Fig. 7 different cross sectional shapes and relations of cross-sectional areas of proposed venting channels or ducts 33a through 33e. As shown in Fig. 11(a) the cross-sectional contour of the venting channel 33a in the shell of the ear device is 15 rectangular or quadratic. In the embodiment of Fig. 11(b) the cross-section of the channel 35b has the shape of a sector of a circle or of an ellipse. In the embodiment of Fig. 11(c) the cross-section of the venting channel 33c is circular or elliptical, whereas it is triangular in the 20 embodiment according to Fig. 11(d). In the embodiment of Fig. 11(e) the shell of the ear device exhibits a complex inside shape, for instance has an integrated support part 37. To optimally use the available space, the venting channel 35e of this embodiment is 25 designed with a cross-sectional contour which exploits the complex shape of the shell of the ear device. As a result its cress-sectional shape runs in a complex manner partly into the support strip 37.integrated in the shell 35e.

- 23 Returning to the embodiment according to section 2a), it may be noted that such complex cross-sectional shapes optimally exploiting the available space may also be realized at venting slots which are open towards the 5 auditory canal and as well, vice-versa, channel layout may be realized for closed venting channels as shown, for open slots, in the Figs. 9 and 10. Finally, Fig. 12 shows an embodiment of a fully integrated venting channel 39 which has along its length extent and as 10 shown e.g. within the shell of the ear device, different cross-sectional shapes and/or extents of cross-sectional areas, as a result of which different acoustical impedances are implemented so as to optimize the acoustical transfer behavior. Be it borne in mind in this respect and in 15 context with section 5) below, that because complex acoustical impedances may be realized, venting channels or slots, but especially closed channels as addressed in this section of the description, can easily be utilized simultaneously and at least along parts thereof as 20 acoustical conductor segments at the output side of active electromechanical transducers, as e.g. at the output side of microphones, e.g. in in-ear hearing aids. In analogy to the Figs. 9 and 10, Fig. 13 and 14 show how, on one hand, the integrated venting channels as described 25 in this section of the description, can be extended by selecting a commensurate path along a respective ear device 43 and, on the other hand, how two or more such channels, where appropriate fitted with different and/or varying - 24 channel cross-sections, in analogy to Fig. 12, can be integrated in the ear device. By the design shown in the sections 2a) and 2b), which are combinable according to respective needs, the expert is 5 given access to a huge number of embodiment variations of novel venting systems and in particular to a large number of degrees of freedom on account of the different parameters each dimensionable per se to individually create optimal protection against earwax and optimal acoustical 10 transfer behavior for respective individual ear devices. In all embodiments preferably the specific individual system configuration is calculated or computer modeled to meet the cited requirements. Thereupon the individual ear device is manufactured. Again the initially cited additive built-up 15 processes, as known for rapid prototyping, are especially appropriate, controlled by the optimized modeling result. 3. Ear devices optimized with respect to shape stability This section discloses novel ear devices optimally matching the dynamics of the sites of use, i.e. the application 20 area. It is e.g. known that conventional in-ear ear devices cannot meet the requirements of the comparatively large movement dynamics of the auditory canal for instance during chewing, because they exhibit substantially the same shape stability all along the device. Similarly e.g. the 25 acoustical conductors between outside-the-ear haring aids and the auditory canal cannot freely follow the movement dynamics of the application area. The same problems, even if partly less pronounced, also arise with hearing protection devices, with earphones, water-protection - 25 inserts etc. In particular their intrinsic function, namely protection, will be partly degraded when increased account is taken of the movement dynamics of the application areas. Such is the case e.g. with known hearing protection devices 5 made of elastically shape-changing plastics which meet well the cited dynamics of the application area, but as a tradeoff against their acoustical transfer behavior. Fig. 15 schematically shows a longitudinal section of an in-ear ear device, whereas Fig. 16 shows a schematic cross 10 section of a segment of this ear device. The ear device, e.g. for receiving electronic components, comprises a shell 45, which is elastic, stocking-like, of thin-walled material. The shape stability of the shell skin, which in this embodiment is smooth on its outside, is assured, where 15 desired, by ribs 47 integrated at the inside of the shell and being of the same material as the shell skin. Depending on the required dynamics for the ear device on one hand, for instance in order to take into account the dynamics of the auditory canal and on the other hand on the 20 requirements relating to the support and the protection of components installed, as e.g. at an in-ear hearing aid, local distribution of the wall thickness of the shell skin 45, the density and shape of ribs 47 provided will be first computed and thereupon the ear device is realized on the 25 basis of the computed data. Again the above mentioned manufacturing processes using additive built-up are exceedingly appropriate to this purpose. Obviously too the above discussed in-ear ear device design may be combined with a venting system as elucidated in relation with the - 26 Figs. 7 through 14. In particular the ribs controlling dimensional or shape stability as e.g. bending behavior in given zones of the ear device may be fitted with different cross-sectional contours, and may transit where necessary 5 from one contour into another as propagating along their longitudinal extent. Fig. 17 is a perspective view schematically illustrating the design of the outer skin 45 fitted with ribs 47 of varying cross-sectional areas along their longitudinal 10 extents. In lieu of or complementing the desired wall reinforcement and the design of the desired flexural or torsional behavior, in short the shape behavior of in-ear ear devices, the inner rib pattern can be complemented as shown 15 in Figs. 17 and 18 by an external rib pattern. For that purpose and as shown in Figs 18 and 19, a pattern of ribs 51 is manufactured on the outside of the ear device 49, where called for, with zones of varying density, direction and cross-sectional profile. 20 As shown in Fig. 19 such complementation may be implemented in ear devices with a cavity, but also in ear devices lacking such cavities, which do not hold e.g. electronic components, namely e.g. in hearing protection and in water protection ear devices. Such an ear device is shown in a 25 schematic cross-sectional view in Fig. 20. Therein the inside space 53 consists of an extremely compressible absorbing material which is enclosed by a shape-subtending shell skin 55 which is provided with the rib pattern 57. Both the "skin" 55 and the rib pattern 57 are jointly and - 27 integrally manufactured. Again the initially cited manufacturing processes are appropriate for this purpose, with resort to additive built-up techniques. To what extent in the near future such additive built-up processes can be 5 implemented on one workpiece while changing the processed materials remains to be seen. If it should become possible to do so, it will be feasible, for instance as regards the embodiment of Fig. 20, also to build up the filler 53 simultaneously with the shell skin 55 and the ribs 57 as a 10 respective sectional layer. Figs. 18 and 19 in particular show that by means of the external rib pattern, it is possible to simultaneously form venting slots or free venting spaces as indicated in schematic and illustrative manner by the arrow P. 15 As regards Fig. 20, if required and as indicated by dashed lines at 57j, it is quite feasible to fit the shell skin 55 with an inner rib pattern 57i even when the in-ear ear device is filled with material, that is when it is not intended to receive further components, for instance 20 electronic ones. Furthermore and as indicated in dashed lines 59 in Fig. 20, ear devices also can be manufactured which leave free a cavity to receive units such as electronic components, but wherein the intermediate space between such a cavity 59 designed specifically for the 25 required volumes and shapes of the additional elements to be integrated and the shell skin 55 is filled by e.g. a resilient or acoustically attenuating material, or wherein components to be installed are cast in place with such a material up to the shell skin 55.

- 28 The shell 55 or 45 of the Figs. 15, 16 and 17 furthermore may be made of an electrically conducting material so that thereby the electronic components inside become electrically shielded. This feature also applies to the 5 filling material 53 of Fig. 20. By means of the Figs. 15 to 20 an ear device was shown by the example of a in-ear ear device, the shell thereof being shape stabilized by inner and/or outer ribs, resulting in an extremely lightweight and controllably shapable 10 construction. Obviously, such construction may also be applied as required to outside-the-ear ear devices. Fig. 21 shows another embodiment of an-ear ear device which is made flextural or compressible in a predetermined region. The shell 51 of the ear device, in particular that 15 of an in-ear hearing aid, for that purpose, is fitted in one or more predetermined areas with a corrugated or accordion-like bellows structure 63, where bendability or compressability are required. Even though this procedure is illustrated in Fig. 21 by means of the shell of an in-ear 20 ear device, such a structure can be implemented easily and if required also for an outside-the-ear ear device. Again the initially cited manufacturing processes are preferably used for implementation. As already elucidated in relation with Fig. 20 the inside volume of this ear device can be 25 filled too with a filler material corresponding to the particular requirements, or components installed therein can be embedded in such a filler material, as a result of which the device becomes more stable and has improved acoustical behavior.

- 29 4. Modular housings / installations A problem arises in particular with in-ear hearing aids that the application area, namely the auditory canal, changes its shape. This is manifestly the case for growing 5 humans. However, even in adults the auditory canals may also strongly change in parts, mostly with the tendency to form constrictions (e.g. the so-called diver's ear). Accordingly, conventional in-ear hearing aids incur the problem that even if the installed components could be kept 10 unchanged over many years, so that for instance only the transfer function of the hearing aid would have to be readjusted for the particular hearing conditions, nevertheless new hearing aids must be designed just on the account alone that the previous shaping no longer properly 15 fits into the auditory canal. The approach as was elucidated in section 3) already offers the possibility to improve on such drawbacks because they enable automatic shape matching of the ear device to changing shapes of the application areas. In the present 20 section further measures shall be explained, in particular relating to in-ear ear devices. Be it borne in mind that the measures as of this section also allow changing the "housing" of outside-the-ear ear devices such as of outside-the-ear hearing aids, not only when required for 25 comfort of wearing but also as desired, for instance to alter the esthetic appearance of such outside-the-ear hearing aids. Fig. 22 schematically shows an in-ear ear device 65 in longitudinal section, the shape of the inside space 67 - 30 substantially corresponding to that of the electronic module 69 of Fig. 23 to be received in this inside space. The ear device 65 is made of an elastic material, and as shown in Fig. 23, can be urged over the electronic module 5 69. The inside space 67 is configured in such a way that the module(s) to be received are directly positioned and affixed in mechanically interlocking manner by the ear device 65. On account of such a procedure, it is easy to fit one and the same electronic module 69 with different 20 ear devices 65 so as e.g. to account for the growth of the auditory canal of a child. With respect to the hearing aid, the ear device shell becomes so practically an easily exchangeable, disposable accessory part. The ear device 65 is easily exchanged not only to match changed conditions on 25 the application area, but also merely for being soiled. This feature even can be used for instance in the event of external otitis, in medical applications, for instance to deposit medicines at the outer surface of the ear device or at least to insert sterilized ear devices at regular 20 intervals. The design shown in the Figs. 22 and 23 of course may be combined with a design disclosed in the sections 2) and 3), and preferably the ear device 65 is manufactured by the processes discussed under section 1), thereby allowing 25 configuring the most complex shapes to seat the module 69 without play and vibration-free. As shown by the Figs. 22 and 23, the phase plate 1, which otherwise is present in conventional in-ear hearing aids, is made integrally with the ear device. The same feature - 31 applies to further supports and to seats for the electronic components of the hearing aid. When implementing the layer by-layer buildup processes discussed under section 1), as denoted in dashed pointed lines in Fig. 22 and in the 5 built-up direction shown by the arrow AB, then it should be easily possible to manufacture the ear devices in said build-up direction AB from different materials and in relation to the needs in the particular zones. This feature also applies to the ear devices as discussed in sections 2) 10 and 3) and as discussed in the following sections 5), 6) and 7). Thus, it is an easy matter at the example according to Fig. 22 to make the zone 65 A from an elastic material, whereas the output area 65 b is made of a shape-stable material. 15 Fig. 24 shows a further embodiment of an ear device, again in the form of an in-ear hearing aid as an example, allowing simple and quick exchange of installed components. Basically the design consists in manufacturing the ear device shell of an in-ear ear device subdivided into 20 several parts, which may be assembled in the manner as e.g. shown in Fig. 24. Using quick connections, such as latches, pawl locks or even bayonet locks or the like, the housing or shell segments 73a and 73b of the in-ear ear device can quickly be mutually separated, the installed components 25 such as electronic modules can be removed and may be inserted in another shell possibly with a different outer shape or principally in a new shell if this is necessary, for instance for cleaning or sterility reasons. If it is intended to discard the used shell, then it is clearly 30 possible to design the shell part connection so that the - 32 shell can only be opened by its destruction, for instance in that externally not accessible locking elements such as latches are provided and the shell is just being cut open in order to remove the components. 5 Again this embodiment can obviously be combined with the heretofore described embodiments and with those still to be described. 5. Integrating acoustical conductors into ear devices or into their shells 10 Both as regards outside-the-ear as well as in-ear hearing aids, it is conventional practice to couple on one hand acoustical/electrical input transducers or electro/acoustical output transducers provided therein on their input side or their output side respectively by means 15 of acoustical conductors, which are assembled as independent parts in the form of tubular structures, to, on the other hand, the ambient of the hearing aid or, in particular as regards the input acoustical/electrical transducer, to mount them with their reception surfaces 20 adjacent to the surface of the hearing aid, possibly only separated by minor cavities and protecting devices towards the ambient. Thereby when conceiving such hearing aids there is present a relatively large dependency, where in the hearing aid the 25 converters and where in the hearing aid the coupling openings to the ambient are placed. It would be highly desirable to have largest possible conceptual freedom with respect to placing coupling openings to the ambient and - 33 placing the said converters or transducers within the hearing aid. This goal is principally attained in that the acoustical conductors mentioned - at the input side of the 5 acoustic/electrical converters or at the output side of the electrical to acoustical converters - are integrated into the ear device or in the wall of the ear device shell. This feature is shown purely schematically in Fig. 25. A converter module 75 comprises an acoustical input or output 10 77. The shell 79 of the ear device of an in-ear or of an outside-the-ear hearing aid or of a headphone comprises, as an integral part, an acoustical conductor 81. This acoustical conductor is embedded at least to a part and as shown in Fig. 25 within the wall of the ear device shell 15 79. By means of acoustical stub conductors or conductor segments 83 preferably the respective acoustical impedance of the acoustical conductor 81 is matched. When applied to outside-the-ear hearing aids, this concept makes it possible to implement acoustical input apertures 85 20 distributed along the ear device and there where desired, and to couple such apertures via acoustical conductors 89, which are integrated in the ear device or its shell 87 to the acoustical/electrical converters 91 as provided and essentially independent therefrom, where such converters 91 25 are placed within the ear device. Thus in Fig. 26 there is e.g. shown how two converters are centralized to one module and their inputs are connected to the desired apertures 85 by acoustical conductors 89 respectively tailored. From consideration of the Figs. 25 and 26 as well as of the - 34 explanations in section 2) with respect to the novel venting system it becomes apparent that it is absolutely possible to exploit venting channels additionally as acoustical conductor channels, especially if one accurately 5 conceives the acoustical impedance conditions by means of acoustical matching members 83 as schematically shown in Fig. 25. 6. Identification of ear devices When manufacturing ear devices, in particular in-ear ear 10 devices, each is matched individually to its particular wearer. Therefore it would be extremely desirable to identify each finished ear device, thereby especially each in-ear ear device and thereby most particularly each in-ear hearing aid. Therefore it is proposed to provide within the 15 ear device or within its shell an individual identification by means of intrusions and/or extrusions which besides of the individual purchaser may identify e.g. the manufacturer, may further define for a serial number of the product, may identify whether the device is to be worn on 20 the left or on the right hand side. Such an identification is implemented most preferably during the manufacturing of the ear device with the built-up processes as were described under section 1). By such identification it is made sure that departing from manufacturing any mix up of 25 devices is prevented. This is especially important for a subsequent possibly automated assembly with further modules, so e.g. during assembling of in-ear hearing aids. This procedure may obviously be combined with one or more - 35 than one of the procedures and aspects as described under the sections 2) to 5). 7. Optimizing ear devices with respect to the dynamics of the area where they are to be applied 5 When taking the shape of ear devices for in-ear applications, so e.g. for in-ear hearing aids, it is today customary to take from the auditory canal e.g. with silicon, a mold. Under consideration of the relatively large movement dynamics of the auditory canal, e.g. during 10 chewing, it is evident that basing the shaping of the in ear ear device practically on one instantaneous situation and making a mold in this situation may hardly lead to a result which may completely satisfy when wearing the resultant ear device. As is shown in Fig. 27 by means of a 15 simplified functional block/signal-flow diagram, there is therefore taken from the dynamic application area, shown by block 93, the shape at several positions, which occur during the dynamics in practice. Thus there is registered, like a movie, the dynamics of the application area. The 20 resulting data sets are stored in a storing unit 95. Even making use of customary procedures by taking molds, this novel procedure may be realized in that several molds are taken from the application area in two or more than two positions according to its dynamic in practice. 25 Subsequently such molds are scanned, and the respective digitalized data sets are stored in the storage unit 95. A further possibility e.g. resides to register the dynamics of the application area by means of x-rays.

- 36 In dependency of the accuracy to be reached several "pictures" or even a "movie" of the pattern of movement of the respective application area is registered. The data registered in the store unit 95 are subsequently fed to a 5 computer unit 97. The output of the computer unit 97 controls the manufacturing process 99 for the ear device. If e.g., and as customary today, in-ear ear devices are manufactured with a relatively hard shell, the computer unit 97 calculates from the dynamic data as stored in unit 10 95 and possibly with the help of further manufacturing parameters as schematically shown at K the best fitting shape for the ear device so that an optimum comfort is reached when wearing the device in daily use and thereby maintaining its functional task. If the ear device is to be 15 manufactured according to the section 3) of the description, the computer unit 97 calculates the characteristics of the different areas of the ear device with respect to flexibility, flexural behavior, compressability etc. At its output the computer unit 97 20 controls as was mentioned the manufacturing process 99, thereby preferably a manufacturing process as it was disclosed in section 1) as preferred manufacturing processes. 8. Adapting outer surface characteristics of the hearing 25 device shell to the application area of the individual for the hearing device In fig. 28 there is schematically shown, by means of a functional block diagram, a further aspect of the present invention which was already addressed under point 4, - 37 "modular housings". When applying a hearing device to an individual's ear 79, being for an in-the-ear hearing device into the ear channel of the individual or for an outside the-ear hearing device adjacent to individual's ear, 5 characteristics of individual's skin at such application area should, under certain circumstances, be considered when manufacturing the hearing device for that individual. (a) The color and the surface structure of the skin of the application area for the hearing device and of the skin 10 adjacent to such area may be considered for conceiving the respective surface of the hearing device under the aspect of optimal aesthetic appearance of the hearing device once applied and of comfort for the individual carrying such hearing device. 15 (b) Mechanical characteristics of the skin and its underlying tissues as of bones or cartilage should be considered when manufacturing the shell of the hearing device, and especially its outer surface so as to ensure optimum comfort of the individual when carrying 20 such hearing device. (c) Chemical characteristics of the skin of the individual at and possibly adjacent to the application area for the hearing device as with respect to acidity, transpiration etc. should also be considered when 25 tailoring the outer surface of the hearing device shell, and especially those parts thereof which come in intimate contact with the skin of the individual. (d) The state of health of individual's skin at the application area or adjacent thereto, as e.g. with - 38 respect to already existing irritation, high dryness etc., should also be considered when tailoring the surface area of the hearing device shell, which comes into intimate contact with such individual's skin as 5 the hearing device is applied to the individual. Thus, summarizing, a single or multiple characteristics (a) to (d) of the skin at the application area of the individual, i.e. at that area, which comes in contact with the hearing device carried by the individual and possibly 10 of areas just adjacent thereto, may be considered to make sure that the applied hearing device does not act as a disturbing factor for the individual under any of the addressed aspects. According to fig. 28 there is thus first defined the 15 application area for the hearing device at the individual. According to block 80 the skin at that area is analyzed. This may be done by visual inspection, taking a probe etc. briefly by any known method of skin analysis. Thereby there is generated a skin analyzing result, which is significant 20 for at least one of the following skin characteristics: * visual appearance as of color and of macro-structure, * micro-structure and texture e chemical characteristics as of acidity, dryness " health state as of irritation and abnormal dryness 25 * mechanical characteristics as of underlying bone or cartilage structures.

- 39 Information of one and preferably more than one of the above mentioned skin characteristics is retrieved from skin analyzing 80 and applied for controlling surface manufacturing of the hearing device shell, especially along 5 areas of said surface, which will be situated adjacent to or in intimate contact with individual's skin at the application area. Manufacturing of the shell besides of such surface manufacturing is governed by other criteria P, as by 10 geometric shape of the application area, intended use of the hearing device, modules to be built in etc. At manufacturing 82 the surface area of the hearing device shell is manufactured to take into account visual appearance and possibly macro- and/or micro-roughness and 15 texture of the skin by appropriately coloring and appropriately tailoring surface macro- and/or micro roughness of the shell's surface area. This may be done by appropriately manufacturing such surface of the shell material, i.e. by appropriately tailoring its substantial 20 rigid material surface. For perfectly suiting chemical characteristics of the skin and of the health state of the skin, we propose to manufacture at 82 the surface of the shell to come in intimate contact with the application area's skin of the 25 individual by applying a gel, a liquid or a pasteous substance to the surface of the shell. Such a substance, as an antibiotically acting substance or a neutralizing substance, may thereby be applied to the substantially rigid material of the remaining shell in that, as shown in - 40 fig. 29 the solid material surface 90 of the shell 91 is roughened or structured, especially micro-structured, and there is applied a film 92 of the said liquid, gel or pasteous material. 5 An other possibility is, as shown in fig. 30, to conceive at least the surface area of the solid shell material 30 to be porous and to fill such porous surface 94 with the respectively suited liquid, gel or pasteous substance to be slowly dispatched to the surface 96 of the shell 91 so as 10 to realize long-term dispatching such substance to the skin of individual's application area. Clearly, the state of the skin of individual's application area may change in time, which would necessitate differently manufactured surface areas of the shell. 15 According to fig. 31 there is provided at a hearing device 100, schematically shown, some parts or modules 101 upon which a shell 103 is removably applied as e.g. a stocking. There are manufactured such shells 103 with different characteristics Si, S 2 , S 3 of the surface coming in contact 20 or being disposed adjacent to individual's application area, so that if there is need, the shell 103 of individual's hearing device, let's say with surface characteristics S 1 , may easily be exchanged by an other shell 103 identical in shape, but with a different surface 25 characteristics S 2 or S3. By this technique it becomes possible to optimally adapt the hearing device to individual's needs and thereby minimizing all uncomfort factors, which disturb the individual when carrying the hearing device. The hearing - 41 device may become a device for dispatching medicaments to the individual, especially via the skin of individual's application area. By appropriate tailoring of the shell's surface, especially at the contact area to individual's 5 application area, any disturbing of the skin as of irritation thereof may be prevented in advance. For the purposes of this specification it will be clearly understood that the word "comprising" means "including but not limited to", and that the word "comprises" has a corresponding meaning. It is to be understood that, if any prior art publication is referred to herein, such reference does not constitute an admission that the publication forms a part of the common general knowledge in the art, in Australia or any other country.

Claims (26)

1. An apparatus for applying a substance to a human body during predetermined time intervals, comprising: 5 a hearing device comprising two outer shells and at least one other member, both shells being adapted to a shape of an application area for said device at an individual, the shells being exchangeable from said at least one other member remote from said individual; and 10 the substance being provided at an outer surface of one of said shells, wherein the other one of said shells lacks the substance.

2. The apparatus of claim 1 wherein said substance 15 exhibits controlled migration through said one of said shells and to the surface of said one of said shells.

3. The apparatus of claim 2 wherein said substance is at least one of antibiotically active and an antimicrobial 20 agent.

4. The apparatus of claim 1 wherein the surface is roughened. 25

5. The apparatus of claim 4 wherein the substance is a film disposed in interstices of the surface.

6. The apparatus of claim 1 wherein the substance is structured. 30

7. The apparatus of claim 6 wherein the substance is a film disposed in interstices of the surface.

8. The apparatus of claim 1 wherein the substance is a 35 micro-structured.

9. The apparatus of claim 8 wherein the substance is a N \Melboume\Cascs\Patenl\46000-46999\P46602.AU.1\Specis\P46602 AU 1 Specfication 2008-3-17 doc 17/03108 -43 film disposed in interstices of the surface.

10. The apparatus of claim 1 wherein the surface is porous. 5

11. The apparatus of claim 1 wherein the substance is disposed in pores of the surface.

12. The apparatus of claim 11 wherein the substance is 10 disposed in the pores so as to be slowly dispatched therefrom.

13. The apparatus of claim 1 wherein the substance is a gel. 15

14. The apparatus of claim 1 wherein the substance is a liquid.

15. The apparatus of claim 1 wherein the substance is a 20 paste.

16. The apparatus of claim 1 wherein the substance is antibiotically active. 25

17. The apparatus of claim 1 wherein the substance is an antimicrobial agent.

18. The apparatus of claim 1 wherein the substance is a film. 30

19. A method of applying a substance to a human body during predetermined time intervals, comprising the steps of: providing a hearing device comprising two outer 35 shells and at least one other member, wherein both shells are adapted to the shape of an application area for the device an an individual, the shells being exchangeable N:\Melboume\Cases\Patent\46000-46999\P46602 AU.1\Specis\P46602 AU I Specification 2008-3-17 doc 17/03108 -44 from said at least one other member, one of said shells having the substance on an outer surface thereof, wherein the other one of said shells lacks the substance; applying said one of said shells on the other 5 member; and applying said hearing device to an individual.

20. The method of claim 19 wherein the surface is roughened, structured, or micro-structured and further comprising the step of applying the substance into 10 interstices of the surface.

21. The method of claim 19 wherein said substance exhibits controlled migration through said one of said shells and to the surface of said one of said shells. 15

22. The method of claim 21 wherein said substance is at least one of antibiotically active and an antimicrobial agent. 20

23. The method of claim 20 further comprising the step of removing said one of said shells from the other member and applying the other one of said shells on the other member. 25

24. The method of claim 23 wherein the steps of removing said one of said shells and applying the other one of said shells are performed remotely from the individual.

25. The method of claim 19 further comprising the step 30 of applying the substance to the outer surface of said one of said shells remotely from the individual.

26. The method of claim 19 wherein the step of applying said one of said shells on the other member is performed 35 remotely from the individual. N'\Melboume\Ceses\Patent\46000-46999\P46602 AU 1\Specs\P46602 AU 1 Specification 2008-3-17 doc 17/03/08