CN111135459A - Artificial cochlea implant - Google Patents

Artificial cochlea implant Download PDF

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Publication number
CN111135459A
CN111135459A CN202010046322.5A CN202010046322A CN111135459A CN 111135459 A CN111135459 A CN 111135459A CN 202010046322 A CN202010046322 A CN 202010046322A CN 111135459 A CN111135459 A CN 111135459A
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CN
China
Prior art keywords
magnetic core
cochlear implant
strip
shaped grooves
magnet
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Granted
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CN202010046322.5A
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Chinese (zh)
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CN111135459B (en
Inventor
王澄
许车明
翁丰雷
贺光明
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Shanghai Lishengte Medical Technology Co ltd
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Shanghai Lishengte Medical Technology Co ltd
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Priority to CN202010046322.5A priority Critical patent/CN111135459B/en
Publication of CN111135459A publication Critical patent/CN111135459A/en
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Publication of CN111135459B publication Critical patent/CN111135459B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36036Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of the outer, middle or inner ear
    • A61N1/36038Cochlear stimulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F11/00Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
    • A61F11/04Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense, e.g. through the touch sense

Abstract

The invention discloses a cochlear implant, which comprises an implanted electrode, a decoder, a receiving coil, a coil elastic sheet, an implanted magnet and encapsulated silica gel, wherein the implanted electrode, the decoder and the receiving coil are sequentially connected, the receiving coil is provided with a lead-out wire, the lead-out wire is electrically connected with the decoder, the coil elastic sheet is fixed at the inner side of the receiving coil, the implanted magnet is fixed at the inner side of the coil elastic sheet, and the encapsulated silica gel covers other components except an electrode stimulation end of the implanted electrode. This artificial cochlea implant body is through setting up the coil shell fragment for implant magnet is fixed in the receiving coil inboard firmly, can not take place the displacement, and receiving coil and external coil have good location precision, simultaneously, have improved the regional structural strength of receiving coil, make it have good shock resistance.

Description

Artificial cochlea implant
Technical Field
The invention relates to a cochlear implant, in particular to a cochlear implant.
Background
The artificial cochlea consists of an implanted body in the body and a sound processor outside the body. The external sound processor collects sound signals through a microphone, converts the sound signals into electric signals, transmits the electric signals to a receiving coil of the implanted body in vivo through a transmitting coil, transmits the received signals to a decoder part of the implanted body through the receiving coil, decodes the electric signals and converts the electric signals into corresponding electric pulse signals, and stimulates ganglion cells in a cochlea through an implanted electrode, so that auditory nerves are excited, sound information is transmitted to the brain, and the auditory sense is generated.
Signal transmission between the external sound processor and the implanted part is accomplished by electromagnetic induction, with the two separated by the skin and without a wire connection. The implant is the most critical part of the overall cochlear implant, and needs to work safely and reliably in the human body for a long time, and the external sound processor can only realize the function thereof through the implant. The receiving coil of the implanted body is an important component, the transmission of electric signals and energy is realized through the receiving coil, and the reliability of the receiving coil and the accurate positioning of the implanted body and the transmitting coil of the sound processor directly influence the safety and the effectiveness of the artificial cochlea.
In the current cochlear implant, the receiving coil of the implant is generally encapsulated and coated by silica gel, and compared with other materials, the silica gel has good softness and good biological safety, and the body feeling comfort of a patient is also good.
In the present artificial cochlea, because the magnetic pole adsorption affinity that needs to utilize the magnet between internal and external device fixes a position, so that internal and external device carries out information interaction and energy transmission, conventional implantation magnet mechanism, the method is firstly encapsulated a cake magnetic core in a thin-walled metal casing, the axial magnetizes, the advantage is that the location is accurate between the magnet, but because product size restriction, metal casing is general thinner, and the cake magnetic core usually has intensity low, rare earth magnets such as samarium cobalt or neodymium iron boron that the fragility is strong constitute, this kind of implantation magnet mechanism is when receiving external force impact, the implantation magnet is very easy because of receiving the impact force, take place the shell damage, the cracked condition of magnetic core. If the shell is damaged, the rare earth magnets without biosafety, such as samarium cobalt or neodymium iron boron, can be contacted with human tissues, thus threatening the health of human bodies. If the magnetic core is broken, the magnetic core and the in-vitro device can not carry out magnetic pole adsorption force positioning, so that the artificial cochlea can not work normally. The second method is to arrange a certain number of cylindrical magnetic cores into a thin-wall metal shell in an array mode, and the magnetic cores are magnetized in the radial direction, so that the defect of poor center positioning function is caused in the arrangement mode.
Besides the requirements of biological safety and mechanical strength, the implanted magnet also needs good fixing measures in a human body, if the implanted magnet displaces in the human body, firstly, the implanted magnet causes physiological damage to the human body, and secondly, the in-vivo and in-vitro devices cannot be effectively positioned, so that the cochlear implant cannot normally operate.
When the cochlear implant is used, an external transmitting coil needs to be frequently detached, the current cochlear implant magnet is only encapsulated in silica gel, and the implanted magnet is not effectively fixed, and in the process of removing the transmitting coil, because of different directions and angles,traditional cake shapeThe implanted magnet can be subjected to a certain torsional force, and in severe cases, the implanted magnet can generate micro displacement and drag muscle tissues of a human body, so that a patient feels uncomfortable.
Disclosure of Invention
In view of the above-mentioned drawbacks of the prior art, an object of the present invention is to provide a cochlear implant that can firmly fix an implant magnet without displacement.
In order to achieve the above object, the present invention provides a cochlear implant, which comprises an implanted electrode, a decoder, a receiving coil, a coil spring, an implanted magnet, and a packaging silica gel, wherein the implanted electrode, the decoder, and the receiving coil are sequentially connected, the receiving coil is provided with a lead-out wire, the lead-out wire is electrically connected with the decoder, the coil spring is fixed at the inner side of the receiving coil, the implanted magnet is fixed at the inner side of the coil spring, and the packaging silica gel covers the rest parts except the electrode stimulation end of the implanted electrode.
The coil spring is provided with a protruding main bulge, and the main bulge is close to the lead-out wire.
The coil spring is also provided with a plurality of auxiliary protrusions.
The main convex part is a plane, and the auxiliary convex part is an arc surface.
The main protrusion is provided with a main protrusion through hole, and the auxiliary protrusion is provided with an auxiliary protrusion through hole.
Part or whole should assist the bulge and be equipped with the shell fragment screw hole, should implant the magnet and be equipped with fixed ear, should fix the ear be equipped with this shell fragment screw hole assorted magnet screw hole, this cochlear implant still include with this shell fragment screw hole and this magnet screw hole assorted screw, this screw passes this shell fragment screw hole and this magnet screw hole.
The packaging silica gel is provided with a glue reducing groove which is positioned at two sides of the lead-out wire.
The implanted magnet comprises a shell, a magnetic core support and a magnetic core, wherein the shell comprises an upper shell and a lower shell, the magnetic core support is arranged in the shell, and the magnetic core is arranged in the magnetic core support.
The bottom of the magnetic core bracket is provided with a central positioning groove, and the lower shell is provided with a central convex block matched with the central positioning groove.
The magnetic core support is provided with a plurality of spaced strip-shaped grooves, the center of the magnetic core support is provided with a circular groove, the magnetic core comprises a cylindrical magnetic core and a spherical magnetic core, the cylindrical magnetic core is arranged in the strip-shaped grooves, and the spherical magnetic core is arranged in the circular groove.
As a first alternative, the magnetic core holder is provided with a plurality of spaced elongated slots and a plurality of circular slots therebetween, and the magnetic core includes a cylindrical magnetic core and a spherical magnetic core, the cylindrical magnetic core is disposed in the elongated slots, and the spherical magnetic core is disposed in the circular slots.
As a second alternative, the magnetic core holder is provided with a plurality of spaced elongated slots, and two circular slots are provided on both sides, and the magnetic core includes a cylindrical magnetic core and a spherical magnetic core, the cylindrical magnetic core is disposed in the elongated slots, and the spherical magnetic core is disposed in the circular slots.
As a third alternative, the magnetic core support is provided with a plurality of elongated slots, wherein two of the elongated slots are located at two sides, and the remaining elongated slots are arranged in a row and perpendicular to the elongated slots at two sides, and the magnetic core includes a cylindrical magnetic core disposed in the elongated slots.
As a fourth alternative embodiment, the magnetic core bracket is provided with a plurality of elongated grooves along the circumferential direction, and a pie-shaped circular groove is arranged at the center, the magnetic core comprises a cylindrical magnetic core and a pie-shaped circular magnetic core, the cylindrical magnetic core is arranged in the elongated grooves, and the pie-shaped circular magnetic core is arranged in the pie-shaped circular groove.
As a fifth alternative embodiment, the magnetic core support is provided with a plurality of elongated slots along the circumferential direction, and is provided with a plurality of symmetrically arranged circular slots at the center, the magnetic core includes a cylindrical magnetic core and a spherical magnetic core, the cylindrical magnetic core is disposed in the elongated slots, and the spherical magnetic core is disposed in the circular slots.
The artificial cochlea implant body of the invention enables the implanted magnet to be firmly fixed at the inner side of the receiving coil without displacement by arranging the coil elastic sheet, the receiving coil and the external coil have good positioning accuracy, and meanwhile, the structural strength of the receiving coil area is improved, so that the artificial cochlea implant body has good shock resistance.
The conception and the resulting technical effects of the present invention will be further described with reference to the accompanying drawings to fully understand the objects, features and effects of the present invention.
Drawings
Fig. 1 is a schematic view of a cochlear implant of the present invention.
Fig. 2 is a schematic diagram of a coil spring.
Fig. 3 is a schematic view of an implanted magnet.
Fig. 4 is a cross-sectional view of an implant magnet.
Fig. 5 is a schematic diagram of a core layout.
Figure 6 is a first alternative schematic of a core layout.
Fig. 7 is a second alternative schematic of a core layout.
Fig. 8 is a third alternative schematic of a core layout.
Fig. 9 is a fourth alternative schematic of a core layout.
Fig. 10 is a fifth alternative schematic of a core layout.
Detailed Description
The invention is further elucidated below.
As shown in fig. 1, the present invention provides a cochlear implant, which comprises an implanted electrode 1, a decoder 2, a receiving coil 3, a coil spring 4, an implanted magnet 5, and a packaging silica gel 6, wherein the implanted electrode 1, the decoder 2, and the receiving coil 3 are sequentially connected, the receiving coil 3 is provided with a lead-out wire 31, the lead-out wire 31 is electrically connected with the decoder 2, the coil spring 4 is fixed inside the receiving coil 3 for buffering external impact force, improving impact resistance, and simultaneously improving structural strength of the receiving coil 3 region, the implanted magnet 5 is fixed inside the coil spring 4, and the packaging silica gel 6 covers the rest parts except an electrode stimulation end of the implanted electrode 1.
The packaging silica gel 6 is provided with a gel reducing groove 61, and the gel reducing groove 61 is positioned at two sides of the lead-out wire 31 to increase the bending performance of the lead-out wire 31 area.
As shown in fig. 2, the coil spring 4 is made of titanium with high biosafety and high structural strength, and is provided with a protruding main protrusion 41, and the main protrusion 41 is close to the lead-out wire 31, so as to improve the structural strength of the lead-out wire 31 area, and is not easy to distort and deform, thereby protecting the lead-out wire 31. It is worth reminding that titanium metal includes pure titanium material and titanium alloy material.
The coil elastic sheet 4 is also provided with a plurality of auxiliary protruding parts 42, the auxiliary protruding parts 42 can further provide sufficient compression resistance and impact resistance protection for the receiving coil 3, meanwhile, enough silica gel elastic parts are left to be in contact with a human body, a patient cannot feel that the receiving coil 3 is very hard, and the body feeling comfort level is improved.
The main protrusion 41 is provided with a main protrusion through hole 411, the auxiliary protrusion 42 is provided with an auxiliary protrusion through hole 421, and the coil spring 4 can be better fixed together with the packaging silica gel 6 through the main protrusion through hole 411 and the auxiliary protrusion through hole 421 without displacement.
Part or all of the auxiliary protrusions 42 are provided with spring plate threaded holes 422, as shown in fig. 3, the implanted magnet 5 is provided with fixing ears 51, the fixing ears 51 are provided with magnet threaded holes 511 matched with the spring plate threaded holes 422, the cochlear implant further comprises screws 7 matched with the spring plate threaded holes 422 and the magnet threaded holes 511, and the screws 7 penetrate through the spring plate threaded holes 422 and the magnet threaded holes 511, so that the implanted magnet 5 is locked inside the coil spring 4, and thus, the implanted magnet 5 cannot rotate and deflect due to external action, and meanwhile, the implanted magnet 5 is convenient to replace. It is worth reminding that the silicone rubber coating the implanted magnet 5 and the silicone rubber of other parts can be separately packaged, that is, the implanted magnet 5 is packaged in advance, and the final packaging of products is not required, so that the packaged silicone rubber 6 cannot be damaged when the implanted magnet 5 is replaced.
The main protrusion 41 is a plane to fit the shape of the lead-out wire 31 region, and the auxiliary protrusion 42 is an arc surface to fit the shape of the receiving coil 3 region, i.e., to fit the skull shape when installed, so as to better bear the external pressure, and provide the best protection for the receiving coil 3 region and the lead-out wire 31 region.
As shown in fig. 4, the implanted magnet 5 includes a housing 52, a core support 53, and a core 54, wherein the housing 52 includes an upper shell and a lower shell, the upper shell and the lower shell are engaged with each other by a step-staggered structure and are connected by laser welding, other components can be engaged with each other by gaps, the housing 52 is made of titanium, which has no magnetic permeability and does not affect the magnetic attraction of the core 54, the core support 53 is disposed in the housing 52, is made of titanium, is manufactured by powder metallurgy injection molding, or is made of a resin-based non-metallic material, but has a strength and a material life slightly lower than those of titanium, the core 54 is disposed in the core support 53, is made of a rare earth material, such as samarium cobalt or neodymium iron boron, the inner surface of the housing 52, the surface of the core support 53, and the surface of the core 54 are coated with a polymer material having lubricity, such as PTFE, Parylene. It is worth reminding that if the magnetic core 54 is large, the upper shell may be projected in the center, but not higher than the surface of the receiving coil 3.
The bottom of the magnetic core support 53 is provided with a center positioning slot, the lower shell is provided with a center protruding block 521 matched with the center positioning slot so as to position the magnetic core support 53, and the magnetic core support 53 is ensured to be positioned at a central position, meanwhile, the center protruding block 521 can be used as a fulcrum of the magnetic core support 53, so that the magnetic core support 53 can rotate in the shell 52, when an external magnetic field changes, the magnetic core 54 and the magnetic core support 52 can rotate to conform to the external magnetic field change, and the deflection torque is reduced or even counteracted.
As shown in fig. 5, the magnetic core bracket 53 has a plurality of spaced elongated slots, a circular slot is formed at the center, the magnetic core 54 includes a cylindrical magnetic core 541 and a spherical magnetic core 542 thereof, the cylindrical magnetic core 541 is disposed in the elongated slots and is radially magnetized, the spherical magnetic core 542 is disposed in the circular slot, which can improve the positioning accuracy with the transmitting coil of the external sound processor, the arrangement of the plurality of magnetic cores can disperse the external impact force, and the magnetic core bracket 53 can improve the impact resistance.
As a first alternative, as shown in fig. 6, the core holder 53 has a plurality of spaced elongated slots and a plurality of circular slots, the core 54 includes a cylindrical core 541 and a spherical core 542, the cylindrical core 541 is disposed in the elongated slots, and the spherical core 542 is disposed in the circular slots.
As a second alternative, as shown in fig. 7, the core holder 53 has a plurality of spaced elongated slots, two circular slots are provided on two sides, the core 54 includes a cylindrical core 541 and a spherical core 542 thereof, the cylindrical core 541 is disposed in the elongated slots, the spherical core 542 is disposed in the circular slots, and the spherical cores 542 on two sides can perform the rectification action on the adjustment magnet of the external sound processor.
As a third alternative embodiment, as shown in fig. 8, the magnetic core bracket 53 has a plurality of elongated slots, two of the elongated slots are located on two sides, the other elongated slots are arranged in a row and perpendicular to the elongated slots on two sides, the magnetic core 54 includes a cylindrical magnetic core 541, the cylindrical magnetic core 541 is disposed in the elongated slots, and the cylindrical magnetic cores 541 on two sides can perform a deviation rectifying action on the adjustment magnets of the external sound processor.
As a fourth alternative embodiment, as shown in fig. 9, the magnetic core bracket 53 is provided with a plurality of elongated slots along the circumferential direction, and a pie-shaped circular slot is provided at the center, the magnetic core 54 includes a cylindrical magnetic core 541 and a pie-shaped circular magnetic core 543 thereof, the cylindrical magnetic core 541 is disposed in the elongated slots, the pie-shaped circular magnetic core 543 is disposed in the pie-shaped circular slot, and the pie-shaped circular magnetic core 543 can improve the centering accuracy with the transmitting coil of the external sound processor.
As a fifth alternative embodiment, as shown in fig. 10, the core holder 53 is provided with a plurality of elongated slots along the circumference and a plurality of symmetrically arranged circular slots at the center, the core 54 includes a cylindrical core 541 and a spherical core 542, the cylindrical core 541 is disposed in the elongated slots, and the spherical core 542 is disposed in the circular slots.
The foregoing detailed description of the preferred embodiments of the invention has been presented. It should be understood that numerous modifications and variations could be devised by those skilled in the art in light of the present teachings without departing from the inventive concepts. Therefore, the technical solutions available to those skilled in the art through logic analysis, reasoning and limited experiments based on the prior art according to the concept of the present invention should be within the scope of protection defined by the claims.

Claims (15)

1. A cochlear implant characterized by: the embedded electrode, the decoder and the receiving coil are sequentially connected, the receiving coil is provided with a lead-out wire, the lead-out wire is electrically connected with the decoder, the coil elastic sheet is fixed on the inner side of the receiving coil, the embedded magnet is fixed on the inner side of the coil elastic sheet, and the encapsulated silica gel covers other components except an electrode stimulation end of the embedded electrode.
2. The cochlear implant of claim 1, wherein: the coil spring is provided with a protruding main bulge, and the main bulge is close to the lead-out wire.
3. The cochlear implant of claim 2, wherein: the coil spring is also provided with a plurality of auxiliary protrusions.
4. The cochlear implant of claim 3, wherein: the main convex part is a plane, and the auxiliary convex part is an arc surface.
5. The cochlear implant of claim 3, wherein: the main protrusion is provided with a main protrusion through hole, and the auxiliary protrusion is provided with an auxiliary protrusion through hole.
6. The cochlear implant of claim 3, wherein: part or whole should assist the bulge and be equipped with the shell fragment screw hole, should implant the magnet and be equipped with fixed ear, should fix the ear be equipped with this shell fragment screw hole assorted magnet screw hole, this cochlear implant still include with this shell fragment screw hole and this magnet screw hole assorted screw, this screw passes this shell fragment screw hole and this magnet screw hole.
7. The cochlear implant of claim 1, wherein: the packaging silica gel is provided with a glue reducing groove which is positioned at two sides of the lead-out wire.
8. The cochlear implant of claim 1, wherein: the implanted magnet comprises a shell, a magnetic core support and a magnetic core, wherein the shell comprises an upper shell and a lower shell, the magnetic core support is arranged in the shell, and the magnetic core is arranged in the magnetic core support.
9. The cochlear implant of claim 8, wherein: the bottom of the magnetic core bracket is provided with a central positioning groove, and the lower shell is provided with a central convex block matched with the central positioning groove.
10. The cochlear implant of claim 8, wherein: the magnetic core support is provided with a plurality of spaced strip-shaped grooves, the center of the magnetic core support is provided with a circular groove, the magnetic core comprises a cylindrical magnetic core and a spherical magnetic core, the cylindrical magnetic core is arranged in the strip-shaped grooves, and the spherical magnetic core is arranged in the circular groove.
11. The cochlear implant of claim 8, wherein: the magnetic core support is provided with a plurality of spaced strip-shaped grooves, a plurality of round grooves are arranged in the middle of the magnetic core support, the magnetic core comprises a cylindrical magnetic core and a spherical magnetic core, the cylindrical magnetic core is arranged in the strip-shaped grooves, and the spherical magnetic core is arranged in the round grooves.
12. The cochlear implant of claim 8, wherein: the magnetic core support is provided with a plurality of spaced strip-shaped grooves, two circular grooves are arranged on two sides of the magnetic core support, the magnetic core comprises a cylindrical magnetic core and a spherical magnetic core, the cylindrical magnetic core is arranged in the strip-shaped grooves, and the spherical magnetic core is arranged in the circular grooves.
13. The cochlear implant of claim 8, wherein: the magnetic core support is provided with a plurality of strip-shaped grooves, wherein two strip-shaped grooves are positioned on two sides, the rest strip-shaped grooves are arranged in a row and are perpendicular to the strip-shaped grooves on the two sides, the magnetic core comprises a cylindrical magnetic core, and the cylindrical magnetic core is arranged in the strip-shaped grooves.
14. The cochlear implant of claim 8, wherein: this magnetic core support is equipped with a plurality of rectangular shape recesses along circumference, and the center is equipped with a pie circular recess, and this magnetic core includes cylindrical magnetic core and the round magnetic core of pie, and this cylindrical magnetic core settles in this rectangular shape recess, and the round magnetic core of this pie settles in this round recess of pie.
15. The cochlear implant of claim 8, wherein: the magnetic core support is provided with a plurality of strip-shaped grooves along the circumferential direction, the center is provided with a plurality of circular grooves symmetrically distributed, the magnetic core comprises a cylindrical magnetic core and a spherical magnetic core, the cylindrical magnetic core is arranged in the strip-shaped grooves, and the spherical magnetic core is arranged in the circular grooves.
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Cited By (2)

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CN112870551A (en) * 2021-01-15 2021-06-01 上海力声特医学科技有限公司 Artificial cochlea implant
CN114632262A (en) * 2022-03-25 2022-06-17 江西旺来科技有限公司 Plastic universal cochlea

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CN107308543A (en) * 2017-07-03 2017-11-03 浙江诺尔康神经电子科技股份有限公司 A kind of artificial cochlea's magnet and device
US20190015662A1 (en) * 2017-07-12 2019-01-17 Milind Chandrakant Raje Monolithic component for an implantable medical device
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CN108245776A (en) * 2017-12-28 2018-07-06 佛山市第人民医院 A kind of novel artificial cochlea electrode
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112870551A (en) * 2021-01-15 2021-06-01 上海力声特医学科技有限公司 Artificial cochlea implant
CN114632262A (en) * 2022-03-25 2022-06-17 江西旺来科技有限公司 Plastic universal cochlea
CN114632262B (en) * 2022-03-25 2023-08-08 江西旺来科技有限公司 Plastic general cochlea

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