EP2892609B1 - Electromagnetic bone conduction hearing device - Google Patents
Electromagnetic bone conduction hearing device Download PDFInfo
- Publication number
- EP2892609B1 EP2892609B1 EP13836067.2A EP13836067A EP2892609B1 EP 2892609 B1 EP2892609 B1 EP 2892609B1 EP 13836067 A EP13836067 A EP 13836067A EP 2892609 B1 EP2892609 B1 EP 2892609B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- signal
- external
- magnet
- implant
- signal processor
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 210000000988 bone and bone Anatomy 0.000 title description 8
- 239000007943 implant Substances 0.000 claims description 30
- 230000005291 magnetic effect Effects 0.000 claims description 23
- 230000008447 perception Effects 0.000 claims description 5
- 210000003477 cochlea Anatomy 0.000 description 11
- 230000005236 sound signal Effects 0.000 description 10
- 210000000959 ear middle Anatomy 0.000 description 9
- 210000003625 skull Anatomy 0.000 description 9
- 230000000638 stimulation Effects 0.000 description 8
- 230000005415 magnetization Effects 0.000 description 7
- 239000000463 material Substances 0.000 description 6
- 210000000860 cochlear nerve Anatomy 0.000 description 3
- 230000004044 response Effects 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 230000006735 deficit Effects 0.000 description 2
- SZVJSHCCFOBDDC-UHFFFAOYSA-N ferrosoferric oxide Chemical compound O=[Fe]O[Fe]O[Fe]=O SZVJSHCCFOBDDC-UHFFFAOYSA-N 0.000 description 2
- 230000001771 impaired effect Effects 0.000 description 2
- 238000002595 magnetic resonance imaging Methods 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 210000003582 temporal bone Anatomy 0.000 description 2
- 210000003454 tympanic membrane Anatomy 0.000 description 2
- 238000004804 winding Methods 0.000 description 2
- 229910002771 BaFe12O19 Inorganic materials 0.000 description 1
- 206010011891 Deafness neurosensory Diseases 0.000 description 1
- 241000878128 Malleus Species 0.000 description 1
- 208000009966 Sensorineural Hearing Loss Diseases 0.000 description 1
- 230000036982 action potential Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 210000000262 cochlear duct Anatomy 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 210000000883 ear external Anatomy 0.000 description 1
- 230000005672 electromagnetic field Effects 0.000 description 1
- 239000003302 ferromagnetic material Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 210000001785 incus Anatomy 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 239000000696 magnetic material Substances 0.000 description 1
- 239000006247 magnetic powder Substances 0.000 description 1
- 210000002331 malleus Anatomy 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 229910001172 neodymium magnet Inorganic materials 0.000 description 1
- 230000001537 neural effect Effects 0.000 description 1
- 229910000938 samarium–cobalt magnet Inorganic materials 0.000 description 1
- 210000001079 scala tympani Anatomy 0.000 description 1
- 210000001605 scala vestibuli Anatomy 0.000 description 1
- 231100000879 sensorineural hearing loss Toxicity 0.000 description 1
- 208000023573 sensorineural hearing loss disease Diseases 0.000 description 1
- 210000001323 spiral ganglion Anatomy 0.000 description 1
- 210000001050 stape Anatomy 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 229910000859 α-Fe Inorganic materials 0.000 description 1
Images
Classifications
-
- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04R—LOUDSPEAKERS, MICROPHONES, GRAMOPHONE PICK-UPS OR LIKE ACOUSTIC ELECTROMECHANICAL TRANSDUCERS; DEAF-AID SETS; PUBLIC ADDRESS SYSTEMS
- H04R25/00—Deaf-aid sets, i.e. electro-acoustic or electro-mechanical hearing aids; Electric tinnitus maskers providing an auditory perception
- H04R25/60—Mounting or interconnection of hearing aid parts, e.g. inside tips, housings or to ossicles
- H04R25/604—Mounting or interconnection of hearing aid parts, e.g. inside tips, housings or to ossicles of acoustic or vibrational transducers
- H04R25/606—Mounting or interconnection of hearing aid parts, e.g. inside tips, housings or to ossicles of acoustic or vibrational transducers acting directly on the eardrum, the ossicles or the skull, e.g. mastoid, tooth, maxillary or mandibular bone, or mechanically stimulating the cochlea, e.g. at the oval window
-
- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04R—LOUDSPEAKERS, MICROPHONES, GRAMOPHONE PICK-UPS OR LIKE ACOUSTIC ELECTROMECHANICAL TRANSDUCERS; DEAF-AID SETS; PUBLIC ADDRESS SYSTEMS
- H04R2209/00—Details of transducers of the moving-coil, moving-strip, or moving-wire type covered by H04R9/00 but not provided for in any of its subgroups
- H04R2209/021—Reduction of eddy currents in the magnetic circuit of electrodynamic loudspeaker transducer
-
- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04R—LOUDSPEAKERS, MICROPHONES, GRAMOPHONE PICK-UPS OR LIKE ACOUSTIC ELECTROMECHANICAL TRANSDUCERS; DEAF-AID SETS; PUBLIC ADDRESS SYSTEMS
- H04R2225/00—Details of deaf aids covered by H04R25/00, not provided for in any of its subgroups
- H04R2225/67—Implantable hearing aids or parts thereof not covered by H04R25/606
-
- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04R—LOUDSPEAKERS, MICROPHONES, GRAMOPHONE PICK-UPS OR LIKE ACOUSTIC ELECTROMECHANICAL TRANSDUCERS; DEAF-AID SETS; PUBLIC ADDRESS SYSTEMS
- H04R2460/00—Details of hearing devices, i.e. of ear- or headphones covered by H04R1/10 or H04R5/033 but not provided for in any of their subgroups, or of hearing aids covered by H04R25/00 but not provided for in any of its subgroups
- H04R2460/13—Hearing devices using bone conduction transducers
-
- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04R—LOUDSPEAKERS, MICROPHONES, GRAMOPHONE PICK-UPS OR LIKE ACOUSTIC ELECTROMECHANICAL TRANSDUCERS; DEAF-AID SETS; PUBLIC ADDRESS SYSTEMS
- H04R25/00—Deaf-aid sets, i.e. electro-acoustic or electro-mechanical hearing aids; Electric tinnitus maskers providing an auditory perception
- H04R25/55—Deaf-aid sets, i.e. electro-acoustic or electro-mechanical hearing aids; Electric tinnitus maskers providing an auditory perception using an external connection, either wireless or wired
- H04R25/554—Deaf-aid sets, i.e. electro-acoustic or electro-mechanical hearing aids; Electric tinnitus maskers providing an auditory perception using an external connection, either wireless or wired using a wireless connection, e.g. between microphone and amplifier or using Tcoils
Definitions
- the present invention relates to medical implants, and more specifically to a novel transcutaneous auditory prosthetic implant system.
- a normal ear transmits sounds as shown in Figure 1 through the outer ear 101 to the tympanic membrane (eardrum) 102, which moves the ossicles of the middle ear 103 (malleus, incus, and stapes) that vibrate the oval window 106 and round window 107 membranes of the cochlea 104.
- the cochlea 104 is a long narrow duct wound spirally about its axis for approximately two and a half turns. It includes an upper channel known as the scala vestibuli and a lower channel known as the scala tympani, which are connected by the cochlear duct.
- the cochlea 104 forms an upright spiraling cone with a center called the modiolar where the spiral ganglion cells of the cochlear nerve 105 reside.
- the fluid-filled cochlea 104 functions as a transducer to generate electric pulses which are transmitted to the cochlear nerve 105, and ultimately to the brain.
- Hearing is impaired when there are problems in the ability to transduce external sounds into meaningful action potentials along the neural substrate of the cochlea 104.
- auditory prostheses have been developed.
- a conventional hearing aid or middle ear implant may be used to provide acoustic-mechanical stimulation to the auditory system in the form of amplified sound.
- a cochlear implant with an implanted stimulation electrode can electrically stimulate auditory nerve tissue with small currents delivered by multiple electrode contacts distributed along the electrode.
- Middle ear implants employ electromagnetic transducers to convert sounds into mechanical vibration of the middle ear 103.
- a coil winding is held stationary by attachment to a non-vibrating structure within the middle ear 103 and microphone signal current is delivered to the coil winding to generate an electromagnetic field.
- a magnet is attached to an ossicle within the middle ear 103 so that the magnetic field of the magnet interacts with the magnetic field of the coil. The magnet vibrates in response to the interaction of the magnetic fields, causing vibration of the bones of the middle ear 103. See U.S. Patent 6,190,305 .
- U.S. Patent Publication 20070191673 describes another type of implantable hearing prosthesis system which uses bone conduction to deliver an audio signal to the cochlea for sound perception in persons with conductive or mixed conductive/sensorineural hearing loss.
- An implanted floating mass transducer (FMT) is affixed to the temporal bone.
- the FMT couples a mechanical stimulation signal to the temporal bone for delivery by bone conduction to the cochlea for perception as a sound signal.
- a certain amount of electronic circuitry must also be implanted with the FMT to provide power to the implanted device and at least some signal processing which is needed for converting the external electrical signal into the mechanical stimulation signal and mechanically driving the FMT.
- WO 2011/163115 A1 describes an implantable hearing prosthesis for a recipient patient.
- An implantable attachment magnet is fixable beneath the skin of the patient to underlying skull bone and is adapted to magnetically connect with an external attachment magnet over the skin.
- An implantable signal transducer also is fixable beneath the skin of the patient to underlying skull bone and is adapted to transform a magnetic audio signal from an external signal drive coil into a corresponding mechanical stimulation signal for delivery by bone conduction of the skull bone as an audio signal to the cochlea.
- a connector member flexibly connects and positions the attachment magnet a fixed distance from the signal transducer.
- Embodiments of the present invention include an external component for an implantable hearing prosthesis of a recipient patient.
- An external housing contains an attachment magnet configured to magnetically connect with an implant magnet of an implanted signal transducer.
- a pair of external electromagnetic drive coils within the external housing are adjacent to the attachment magnet for conducting electrical current to develop magnetic drive signals through the skin to the signal transducer to generate responsive vibrations of the signal transducer for perception by the patient as sound.
- the drive coils are configured such that their respective magnetic drive signals have opposing magnetic directions.
- the signal processor may be enclosed within the external housing, or within a signal processor housing separate from and connected to the external housing. There also may be at least one sensing microphone for developing an audio input signal to the signal processor.
- An implant component and an external signal drive component each have two main lobes characterized by a distinctive magnet arrangement and a flexible connector member that maintains a constant distance between the two main lobes.
- One of the external main lobes contains a sensing microphone, an audio signal processor, and an attachment magnet which magnetically connects with a corresponding implant attachment magnet that forms one of the implant main lobes.
- the other external main lobe contains a ring drive magnet surrounding an electromagnetic signal drive coil that generates a magnetic drive signal from the signal processor which is representative of sound detected by the sensing microphone.
- the other implant main lobe is a ring magnet arrangement that is fixed to the skull bone to magnetically couple the magnetic drive signal to the skull bone which delivers the signal to the cochlea by bone conduction where it is sensed as sound by the patient.
- Figure 2 shows a cross-sectional view of an example that is not part of the invention including an implantable attachment magnet 202 which is fixable beneath the skin 205 of the patient to underlying skull bone 218.
- the implantable attachment magnet 202 magnetically connects with a corresponding external attachment magnet 208 over the skin 205.
- An implantable signal transducer 203 magnetically cooperates with corresponding external signal drive coil 204 that provides an externally generated magnetic audio signal to couple a corresponding mechanical stimulation signal to the skull bone 218 for delivery by bone conduction as an audio signal to the cochlea.
- An implant connector member 216 flexibly connects and positions the attachment magnet 202 a fixed distance from the signal transducer 203.
- a corresponding external component 201 includes an external attachment magnet 208 that is fixable on the skin 205 to magnetically connect with the implant attachment magnet 202 beneath the skin 205.
- An external signal drive coil 204 provides the magnetic audio signal to the implant signal transducer 203 beneath the skin 205.
- An external connector member 217 flexibly connects and positions the external attachment magnet 208 a fixed distance from the signal drive coil 204.
- the implant attachment magnet 202 is specifically implemented as an outer ring magnet 210 having a first magnetization direction and inner core magnet 209 having an opposite second magnetization direction.
- the signal transducer 203 also includes an outer ring magnet 214 having a first magnetization direction and inner core magnet 213 having an opposite second magnetization direction.
- Such ring magnet arrangements minimize problems that can arise from strong external magnetic fields such as with magnetic resonance imaging. This subject is explored more fully in U.S. Provisional Patent Application 61/227,632, filed July 22, 2009 .
- the external attachment magnet 208 is a typical disk-shaped magnet sized and adapted to magnetically connect with the inner core magnet 209 of the implant attachment magnet 202.
- the external attachment magnet 208 may be like the implant attachment magnet 202 in having an inner core magnet that is surrounded by an outer ring magnet, both of which are sized and adapted to optimize the magnetic connection with the implant attachment magnet 202.
- the external signal drive coil 204 shown in Fig. 2 includes an outer ring magnet 212 sized and magnetically adapted to optimize the cooperation with the outer ring magnet 214 of the implanted signal transducer 203.
- the inner core 211 of the signal drive coil 204 includes an electromagnetic coil (with or without a core) that produces the magnetic audio signal which is coupled across the skin to the implanted signal transducer 203.
- FIG. 3 A-B shows top plan views providing further detail regarding the outside and internal structures of the external component 201 that is not part of the invention.
- the external attachment magnet 208 is contained within a processor housing 301 made of an impact resistant material such as plastic.
- a battery compartment 302 contains a battery power supply 304 that provides electrical power to the external component 201.
- the processor housing 301 also contains openings for one or more sensing microphones 207 that sense the nearby acoustic environment and generate a representative microphone signal output.
- a signal processor 305 within the processor housing 301 receives the microphone signal and generates a corresponding electrical stimulation signal output.
- Signal leads 303 in the flexible member 217 couple the electrical stimulation signal from the signal processor 305 to the signal drive coil 204 for output to the implant.
- FIG 4 which is not part of the invention, shows a top plan view providing further detail regarding the implant portion used in Figure 2 .
- the implant signal transducer 203 may be adapted for fixed attachment to the skull bone 218 by one or more bone screws 215 through corresponding flange openings 401 distributed around the outer circumference of the implant signal transducer 203.
- some embodiments may be adapted for fixation of the signal transducer 203 in a prepared recessed transducer well in the skull bone 218.
- the lobe of the signal transducer 203 and/or the lobe of the implant attachment magnet 202 may be hermetically enclosed such as with a biocompatible membrane.
- FIG. 5 shows various aspects of an external component 500 according to an embodiment of the present invention.
- An external housing 501 contains an attachment magnet 502 configured to magnetically connect with one or more implant magnets 505 in an implanted signal transducer 504.
- a pair of external electromagnetic drive coils 503 are located within the external housing 501 adjacent to the attachment magnet 502 configured such that their respective magnetic drive signals have opposing magnetic directions.
- the drive coils 503 conduct electrical current to develop magnetic drive signals through the skin to the implanted signal transducer 504 to generate responsive vibrations of the signal transducer 504 for perception by the patient as sound.
- the external attachment magnet 502 cooperates most strongly with the closest counterpart implant magnet 505 within the implanted signal transducer 504.
- the implanted signal transducer 504 is shown having a stack of three implant magnets 505 with alternating different lateral magnetization directions. This arrangement improves the compatibility of the implanted signal transducer 504 with the far field of MRI imaging systems-the sum of the magnetic moments of the implant magnets 504 with a N/S magnetization direction should be substantially equal to the sum of the magnetic moments of the magnets with S/N magnetization direction.
- different embodiments may have different numbers and specific arrangements of the implant magnet 505, and so instead of three magnets (as shown), there may be one, two, four or more with their own specific magnetic orientation arrangements.
- the external housing 501 can contain other components such as a signal processor for generating electrical drive signals for the electromagnetic drive coils 503. There also may be a sensing microphone for developing an audio input signal to the signal processor. Alternatively, an embodiment may be arranged more like in Fig. 2 with a separate attached housing that encloses other components such as a signal processor, microphone, power supply, etc.
- One advantage embodiments of the present invention possess which is lacking in earlier arrangements such as FMT-based systems is that there is no requirement that the implanted components include electronic circuits and associated power circuitry.
- the prior art has to convert a received electrical signal and therefore must have some necessary functional overhead including electrical power and signal conversion circuitry. But with embodiments of the present invention there is simply no requirement for any subcutaneous electronic circuitry.
- Embodiments of the present invention such as those described above can be easily and directly implemented in existing products with corresponding size and geometry replacement magnets, either for the implanted magnet and/or the external magnet.
- Embodiments may usefully contain permanent magnetic material and/or ferromagnetic material as well as other structural materials. These include without limitation magnetic ferrite materials such as Fe 3 O 4 , BaFe 12 O 19 etc., compound materials such as plastic bonded permanent magnetic powder, and/or sintered material such as sintered NdFeB, SmCo, etc. Selection of the proper materials and arrangements may help avoid or reduce undesired eddy currents.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/604,759 US8774930B2 (en) | 2009-07-22 | 2012-09-06 | Electromagnetic bone conduction hearing device |
PCT/US2013/058375 WO2014039743A1 (en) | 2012-09-06 | 2013-09-06 | Electromagnetic bone conduction hearing device |
Publications (3)
Publication Number | Publication Date |
---|---|
EP2892609A1 EP2892609A1 (en) | 2015-07-15 |
EP2892609A4 EP2892609A4 (en) | 2016-04-27 |
EP2892609B1 true EP2892609B1 (en) | 2019-04-17 |
Family
ID=50237615
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP13836067.2A Active EP2892609B1 (en) | 2012-09-06 | 2013-09-06 | Electromagnetic bone conduction hearing device |
Country Status (5)
Country | Link |
---|---|
EP (1) | EP2892609B1 (zh) |
CN (1) | CN104768606B (zh) |
AU (1) | AU2013312415B2 (zh) |
DK (1) | DK2892609T3 (zh) |
WO (1) | WO2014039743A1 (zh) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9980066B2 (en) | 2015-09-18 | 2018-05-22 | Med-El Elektromedizinische Geraete Gmbh | Bone conduction transducer system with adjustable retention force |
DK3441111T3 (da) * | 2017-08-11 | 2020-10-26 | Oticon Medical As | Implanterbart medicinsk udstyr, der omfatter en trådløs transkutan forbindelse |
WO2020068604A1 (en) | 2018-09-24 | 2020-04-02 | Med-El Elektromedizinische Geraete Gmbh | Universal bone conduction and middle ear implant |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20090134721A1 (en) * | 2002-04-01 | 2009-05-28 | Med-El Elektromedisinische Geraete Gmbh | MRI-safe Electro-magnetic Tranducer |
Family Cites Families (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2108544U (zh) * | 1991-03-10 | 1992-07-01 | 骆保民 | 安全型前庭刺激装置 |
US5913815A (en) * | 1993-07-01 | 1999-06-22 | Symphonix Devices, Inc. | Bone conducting floating mass transducers |
US5624376A (en) * | 1993-07-01 | 1997-04-29 | Symphonix Devices, Inc. | Implantable and external hearing systems having a floating mass transducer |
US5554096A (en) | 1993-07-01 | 1996-09-10 | Symphonix | Implantable electromagnetic hearing transducer |
US6178353B1 (en) * | 1998-07-27 | 2001-01-23 | Advanced Bionics Corporation | Laminated magnet keeper for implant device |
US8246532B2 (en) | 2006-02-14 | 2012-08-21 | Vibrant Med-El Hearing Technology Gmbh | Bone conductive devices for improving hearing |
AU2008331550B2 (en) * | 2007-11-30 | 2013-02-21 | Med-El Elektromedizinische Geraete Gmbh | Impact protector for an external element of a partially implantable system |
CN102318370B (zh) * | 2008-12-10 | 2014-10-22 | 维布兰特美迪医疗电子听觉技术有限公司 | 一种用于受体患者的植入式的听力假体 |
EP2456517B1 (en) * | 2009-07-22 | 2017-09-06 | Med-El Elektromedizinische Geräte GmbH | Magnetic attachment arrangement for implantable device |
WO2011163115A1 (en) * | 2010-06-21 | 2011-12-29 | Vibrant Med-El Hearing Technology Gmbh | Electromagnetic bone conduction hearing device |
EP2679025B1 (en) * | 2011-02-24 | 2017-09-06 | Med-El Elektromedizinische Geräte GmbH | Mri safe actuator for implantable floating mass transducer |
-
2013
- 2013-09-06 AU AU2013312415A patent/AU2013312415B2/en active Active
- 2013-09-06 DK DK13836067.2T patent/DK2892609T3/da active
- 2013-09-06 CN CN201380046729.6A patent/CN104768606B/zh active Active
- 2013-09-06 WO PCT/US2013/058375 patent/WO2014039743A1/en unknown
- 2013-09-06 EP EP13836067.2A patent/EP2892609B1/en active Active
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20090134721A1 (en) * | 2002-04-01 | 2009-05-28 | Med-El Elektromedisinische Geraete Gmbh | MRI-safe Electro-magnetic Tranducer |
Also Published As
Publication number | Publication date |
---|---|
AU2013312415B2 (en) | 2016-01-21 |
EP2892609A1 (en) | 2015-07-15 |
WO2014039743A1 (en) | 2014-03-13 |
EP2892609A4 (en) | 2016-04-27 |
CN104768606A (zh) | 2015-07-08 |
DK2892609T3 (da) | 2019-07-22 |
CN104768606B (zh) | 2017-09-08 |
AU2013312415A1 (en) | 2015-03-12 |
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