WO2022228366A1 - Cochlear implantation device and cochlea implant - Google Patents

Cochlear implantation device and cochlea implant Download PDF

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Publication number
WO2022228366A1
WO2022228366A1 PCT/CN2022/088924 CN2022088924W WO2022228366A1 WO 2022228366 A1 WO2022228366 A1 WO 2022228366A1 CN 2022088924 W CN2022088924 W CN 2022088924W WO 2022228366 A1 WO2022228366 A1 WO 2022228366A1
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WO
WIPO (PCT)
Prior art keywords
stent
monofilament
cochlear implant
signal
implant device
Prior art date
Application number
PCT/CN2022/088924
Other languages
French (fr)
Chinese (zh)
Inventor
郑浩
王丞阳
王�华
Original Assignee
微创投资控股有限公司
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Publication of WO2022228366A1 publication Critical patent/WO2022228366A1/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
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N5/0601Apparatus for use inside the body
    • A61N5/0603Apparatus for use inside the body for treatment of body cavities
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N5/0613Apparatus adapted for a specific treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0662Ears
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N5/0601Apparatus for use inside the body
    • A61N5/0603Apparatus for use inside the body for treatment of body cavities
    • A61N2005/0605Ear
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N2005/063Radiation therapy using light comprising light transmitting means, e.g. optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N2005/0632Constructional aspects of the apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N2005/0635Radiation therapy using light characterised by the body area to be irradiated
    • A61N2005/0643Applicators, probes irradiating specific body areas in close proximity
    • A61N2005/0645Applicators worn by the patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N2005/065Light sources therefor
    • A61N2005/0651Diodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N2005/0664Details

Definitions

  • the invention relates to the field of medical technology, in particular to a cochlear implant device and a cochlear implant.
  • a cochlear implant is an implantable hearing aid device that includes an extracorporeal device part and an implantable device part.
  • the extracorporeal device part consists of a microphone, a voice processor, and a signal transmitter for sending instructions to the implanted device part.
  • the implantation device is composed of a signal receiving and decoding module and an array of signal parts. The doctor implants the signal part into the cochlea.
  • the signal part array is, for example, an electrode array. Stimulation, so that patients with severe deafness have a certain sound perception.
  • the auditory neurons are distributed on one side of the cochlear cavity. The closer the signal part is to the cochlear neurons and the more stable the relative position, the better the stimulation effect. Therefore, it is particularly important to ensure the adhesion and relative position stability between the signal part and the neurons in the cochlea.
  • the cross-sectional shape of the cochlea along the axial direction of different patients is different.
  • the signal part is not in the predetermined position, thereby affecting the effect of signal stimulation; and because the signal part array does not fit closely with the cochlea, the signal part array cannot directly contact the inner wall of the cochlea, which will affect the stimulation effect.
  • the linearly arranged signal parts such as electrodes
  • the unevenness of the inner wall of the cochlea in a local range will make part of the signal parts suspended and away from the inner wall of the cochlea , resulting in weakened signal stimulation effect, reduced accuracy, and affected the final use effect.
  • the purpose of the present invention is to provide a cochlear implant device and a cochlear implant, so as to solve the problem that the current cochlear implant device cannot adapt to different cochleas, and the signal part after implantation does not fit closely with the cochlea, causing the signal part to be in contact with the cochlea.
  • the inside of the cochlea cannot be directly contacted, the signal stimulation effect is poor, the signal position accuracy is poor, and the use effect is not good.
  • the present invention provides a cochlear implant device, comprising: a tubular structure formed by coiling a stent monofilament, and a signal portion; the tubular structure has an implanted state and a released state, and in the implanted state In the inserted state, the tubular structure is used to be disposed on an implantation guide device, and used to implant a cochlea with the implantation guide device; when the tubular structure changes from the implanted state to the released state During the conversion process, the tubular structure is radially reduced and expanded; the signal portion is arranged on the stent monofilament and is used for sending or receiving signals.
  • the tubular structure is formed by at least two stent monofilaments spiraling along different trajectories.
  • At least one of the signal parts is provided on at least one of the stent monofilaments.
  • each of the stent monofilaments is provided with one signal portion, the lengths of each of the stent monofilaments are equal, and each of the signal portions is arranged equidistantly along the axial direction of the stent monofilament.
  • the signal portion is disposed at the intersection of the two stent monofilaments, and the signal portion is located closer to the outer side of the tubular structure.
  • the tubular structure is formed by braiding at least two stent monofilaments, and each stent monofilament has a different number of signal parts.
  • each of the stent monofilaments is provided with at least one of the signal parts.
  • the cochlear implant device further includes a wire, the wire is connected to the signal part;
  • the stent monofilament includes a stent monofilament body and a wire groove, and the wire groove is along the stent monofilament body.
  • the axial extension is arranged, and the wire is arranged in the wire groove.
  • the signal part is disposed on the monofilament body of the stent and is located outside the wire groove.
  • the signal part includes an electrical signal component and/or an optical signal component; the electrical signal component includes an electrode, and the optical signal component includes an LED and/or a light intensity sensor.
  • the stent monofilament further includes a medicine groove, and the medicine groove is used for accommodating medicine.
  • the support monofilament includes an optical fiber
  • the signal portion includes an optical fiber light transmission port
  • the optical fiber light transmission port is used for light transmission.
  • the stent monofilament further includes a stent monofilament body and an optical fiber groove, the optical fiber groove is extended along the axial direction of the stent monofilament body, and the optical fiber is disposed in the optical fiber groove.
  • the present invention also provides a cochlear implant, comprising: the above-mentioned cochlear implant device and an extra-cochlear implant device, wherein the extra-cochlear implant device is signally connected to the cochlear implant device.
  • the cochlear implant device includes a tubular structure formed by coiling a stent monofilament, and a signal portion; the tubular structure has an implanted state and a released state state in which the tubular structure is used to be disposed on an implantation guide device and used to implant a cochlea with the implantation guide device; in the implanted state, the tubular structure is formed by the implantation state During the transition to the release state, the tubular structure expands in a radially variable diameter; the signal portion is arranged on the stent monofilament and is used for sending or receiving signals.
  • This arrangement enables the cochlear implant device to adapt to the individual differences of different cochleas, to ensure that the implanted signal part fits closely with the cochlea, to ensure excellent signal stimulation effect, to improve the accuracy of the signal position, and to improve the patient's use effect.
  • FIG. 1 is a schematic diagram of the cochlear implant device provided in the first embodiment and the second embodiment.
  • FIG. 2 is a schematic diagram of the cochlear implant device provided in the first embodiment after being implanted into the cochlea.
  • FIG. 3 is an expanded schematic diagram of the cochlear implant device provided in the first embodiment of the present invention being implanted into the cochlea.
  • FIG. 4 is a schematic diagram of a plurality of stent monofilaments provided in the first embodiment.
  • FIG. 5 is a schematic diagram of a cross-section of a stent monofilament provided in the first embodiment.
  • the cochlear implant device includes a tubular structure formed by coiling a stent monofilament, and a signal portion; the tubular structure has an implanted state and a released state state in which the tubular structure is used to be disposed on an implantation guide device and used to implant a cochlea with the implantation guide device; in the implanted state, the tubular structure is formed by the implantation state During the transition to the release state, the tubular structure expands in a radially variable diameter; the signal portion is arranged on the stent monofilament and is used for sending or receiving signals.
  • This arrangement enables the cochlear implant device to adapt to the individual differences of different cochleas, to ensure that the implanted signal part fits closely with the cochlea, to ensure excellent signal stimulation effect, to improve the accuracy of the signal position, and to improve the patient's use effect.
  • FIG. 1 is a schematic diagram of the cochlear implant device provided in the first embodiment and the second embodiment
  • FIG. 2 is a schematic diagram of the cochlear implant device provided in the first embodiment after the cochlear implantation
  • 3 is a schematic diagram of the development of the cochlear implant device provided by the first embodiment of the cochlear implantation
  • the cochlear implant device includes a stent monofilament 100 and a signal portion 200 .
  • the stent monofilament 100 is coiled to form a tubular structure A.
  • the stent monofilament 100 is preferably a sheet metal wire, for example.
  • the stent monofilament 100 is not limited to a sheet shape, nor is it limited to a metal material.
  • the cross section of the stent monofilament 100 is a circular or oval structure, and the stent monofilament 100 can be made of a polymer material, such as It is fiber or fiber material, etc.
  • the stent monofilament 100 can be coiled or braided along a mandrel (not shown).
  • the monofilament 100 is wound and braided on the mandrel, and finally a stent of a tubular structure A with a diameter of 8 mm is formed.
  • the mandrel can be a metal mandrel.
  • the staff can select a mandrel with an appropriate diameter and shape according to the actual size requirements of the patient's cochlea 10, and control the radial mechanical extrusion characteristics of the stent monofilament 100 at different positions by controlling the size of the mandrel at different positions. and so on, so as to satisfy the real situation in the cochlea 10 of the patient.
  • the tubular structure A formed by the stent monofilament 100 can be radially compressed or radially expanded, and the tubular structure A is radially expanded so that the tubular structure A can match the cochlea radial dimension.
  • the tubular structure A can be elongated or shortened along its axial length.
  • the tubular structure A can also be bent along its axial direction to match the helical structure of the cochlea 10 , so that the tubular structure A has an implanted state and a released state. In the implanted state, the tubular structure A is intended to be placed on an implantation guide (not shown), and used to implant a cochlea 10 with the implantation guide.
  • the implantation guide device is, for example, a bendable rod-shaped structure, and the stent monofilament 100 can be arranged spirally on the implantation guide device.
  • the axis of the tubular structure A expands helically to match the helical structure of the cochlea 10 .
  • the expansion means that the tubular structure A expands along its own radial direction, and after the tubular structure A enters the release state, the tubular structure A can be in close contact with the cochlea 10 , so that the tubular structure A is arranged in such a way that the tubular structure A is in accordance with the patient's condition.
  • the signal portion 200 is disposed on the stent monofilament 100 for sending or receiving signals.
  • the signal unit 200 preferably includes, for example, electrical signal components and/or optical signal components.
  • the electrical signal component can be used for sending electrical signals or receiving signals in the cochlea.
  • the optical signal component can be used to emit an optical signal. Both the electrical signal and the optical signal can stimulate the nervous system in the cochlea, and directly stimulate the auditory nerve to restore or reconstruct the hearing function of the deaf.
  • the position of the signal portion 200 on the stent monofilament 100 is matched and set according to the position of the signal stimulation required by the cochlea 10 (for example, the position of the neuron).
  • the structure of the stent monofilament 100 in the released state is simulated in vitro, and then the signal portion 200 is set according to the position of the desired signal stimulation.
  • the signal part 200 on the stent monofilament 100 can be accurately positioned to the position of the required signal stimulation, so that the cochlear implant device can adapt to the individual differences of different cochleas, and can adapt to the unique unevenness of the inner wall of the cochlea of different patients.
  • the signal part 200 includes electrodes, so that the electrode array mounted on the stent monofilament 100 is closely attached to the inner wall of the cochlea, so that the electrode array can better stimulate the auditory nerve.
  • the cochlear implant device may include one stent monofilament 100 , or may include two stent monofilaments 100 .
  • the cochlear implant device includes at least two stent monofilaments 100
  • the tubular structure A is formed by at least two stent monofilaments 100 spiraling along different trajectories.
  • the monofilament 100 plays a supporting role in the entire tubular structure A. Compared with a single stent monofilament 100, the tubular structure A has a better radial support force, ensuring the stability of the tubular structure A inside the cochlea 10. sex.
  • the different trajectories indicate that the circling trajectories of each stent monofilament 100 are at least partially non-overlapping. That is, each stent monofilament 100 has a different spiral angle, so that the signal parts 200 on the stent monofilament 100 can be arranged in more positions, thereby improving the accuracy of signal stimulation.
  • the tubular structure A is formed by braiding at least two stent monofilaments 100 . More preferably, the number of signal parts 200 provided on each stent monofilament 100 is different. For example, one stent monofilament 100 is provided with one signal part 200 and the other stent monofilament 100 is provided with two signal parts 200 .
  • the length of one stent monofilament 100 may also be different from the length of the other stent monofilament 100.
  • the staff calculates the integrated position of each signal portion 200 on the stent monofilament 100 according to the change of the cochlear diameter at the actual intra-cochlear implantation site in the patient's cochlea, and then calculates the integrated position of each signal portion 200 on the stent monofilament 100 through parameters such as the weaving combination process, the diameter of the target cochlea, and the signal size. .
  • the weaving combination process the diameter of the target cochlea
  • the signal size the signal size
  • the tubular structure A is formed by braiding, for example, three stent monofilaments 100 , wherein each of the two stent monofilaments 100 is provided with a signal portion 200 , and one of them is not provided with a signal portion 200.
  • the three stent monofilaments 100 are arranged in a staggered position, so that the signal portion 200 can be closely attached to the target position of the cochlea. More preferably, the signal portion 200 is disposed at the intersection of the two stent monofilaments 100 , and the signal portion 200 is located closer to the outside of the tubular structure A, so that the signal portion 200 can be closer to the cochlea target location.
  • the signal part 200 needs to be close to the inner wall of the cochlea. If the signal part 200 is installed at the intersection of the two stent monofilaments 100, the signal part 200 needs to be installed on the stent monofilament 100 closest to the cochlea to avoid being affected by other stents. Monofilament 100 shades. Of course, in other embodiments, the number of the stent monofilament 100 and the signal portion 200 is not limited. The stent monofilaments 100 may be five, six, or eight, and the like. The number of signal parts 200 on each stent monofilament 100 may also be two, three, or four, etc.
  • each signal part 200 on a single stent monofilament 100 is not limited, and can be determined according to the actual situation of the cochlea 10 Calculated.
  • each of the stent monofilaments 100 is provided with at least one of the signal parts 200 , so that each stent monofilament 100 can not only play a supporting role, but also play a role of carrying the signal part 200 .
  • At least one signal portion 200 is provided on at least one of the stent monofilaments 100 , and the setting position of the signal portion 200 can be set according to actual requirements, so that the signal portion 200 able to provide stimulation signals.
  • each of the stent monofilaments 100 is provided with one of the signal parts 200 . When the stent monofilament 100 is straightened, the lengths of each of the stent monofilaments 100 are the same.
  • each of the signal parts 200 is arranged at equal distances along the axial direction of the stent monofilament 100, so that when each stent monofilament 100 is braided and combined, it is convenient to confirm the position of the signal part 200 on each stent monofilament 100, Improve weaving efficiency and weaving quality.
  • each of the signal parts 200 is arranged at an interval of six millimeters along the axial direction of the stent monofilament 100 .
  • the signal part includes an electrical signal component and/or an optical signal component; the electrical signal component includes an electrode, and the optical signal component includes an LED and/or a light intensity sensor.
  • the signal unit 200 includes an electrical signal component, and the electrical signal component includes an electrode.
  • the electrode is, for example, a thin electrode of platinum-iridium alloy with a length and width of 1 mm, which is connected to a wire 300 by welding.
  • the signal unit 200 includes an optical signal component including an LED and/or a light intensity sensor.
  • the optical signal component is connected to the wire 300 for receiving signals, and then stimulates the nerves of the cochlea by means of optical stimulation, so as to restore or reconstruct the hearing function of the deaf.
  • the light signal component may be an LED, a light intensity sensor, or may include both an LED and a light intensity sensor.
  • the location and quantity of the optical signal components can be calculated according to the actual condition of the patient's cochlea.
  • the signal portion includes both electrical signal components and optical signal components.
  • the cochlear implant device further includes a wire 300 connected to the signal portion 200 .
  • the wire 300 is, for example, a diameter of 30 microns with an insulating layer.
  • the material of the wire 300 is not limited to gold wire, and can also be other materials capable of conducting electricity. Those skilled in the art can choose according to actual needs, which will not be repeated here.
  • the wires 300 are used for transmitting electrical signals and the like, for example.
  • the stent monofilament 100 includes a stent monofilament body 110 and a wire groove 120 .
  • the wire groove 120 extends along the axial direction of the stent monofilament body 110 , and the wire 300 is disposed in the wire groove 120 .
  • the wire guide 120 is not limited to a straight line along the axial direction of the stent monofilament body 110 , but is arranged following the shape of the stent monofilament body 110 , and is not limited to the axial direction strictly defined by the stent monofilament body 110 . , but represents the longitudinal direction of the strip-shaped stent monofilament body 110 .
  • the stent monofilament body 110 is a nickel-titanium alloy wire with a width and a thickness of 100 microns, the depth of the wire groove 120 is 50 microns, and the electrodes and the stent monofilament body 110 are adhered and integrated by an insulating material.
  • the signal part 200 , the wire 300 and the stent monofilament 100 are integrated in this way to ensure that when the wire 300 is connected to the signal part 200 , the external structure size of the stent monofilament 100 will not be increased, and the influence of the misalignment or displacement of the wire 300 is prevented.
  • the implantation position of the cochlear implant device ensures the stability of the cochlear implant device. Dimensions such as the depth, length, and width of the wire groove 120 can be set by those skilled in the art according to actual needs, and details are not described herein again.
  • the length of the wire slot 120 is matched according to the length of the actual wire, so as to avoid setting too many structures on the stent monofilament 100, thereby preventing the mechanical properties of the stent monofilament 100 from being affected by excessive structures.
  • the signal portion 200 is disposed on, for example, the stent monofilament body 110 and outside the wire groove 120 , for example, the signal portion 200 is disposed when the groove of the wire groove 120 faces in a certain direction.
  • the signal part 200 can be arranged on the monofilament body 110 of the stent to achieve close contact with the cochlea; The wires 300 in the grooves slide out, thereby optimizing the structure of the stent monofilament 100 and ensuring the quality of the stent monofilament 100 .
  • the stent monofilament 100 further includes a medicine slot (not shown), and the medicine slot is used for accommodating medicine.
  • the medicine groove is preferably extended along the axial direction of the stent monofilament 100. More preferably, the medicine groove is arranged through the wire groove 120. It can be understood that the wire groove 120 overlaps with the medicine groove.
  • the staff only needs to process one groove portion. More preferably, in the first embodiment, the groove part on one side of the signal part 200 is set as a wire groove 120 , and the groove part on the other side of the signal part 200 is set as a medicine groove.
  • the staff can also set up a medicine groove on the stent monofilament 100, and the structure, size and position of the medicine groove can be set according to actual needs.
  • the staff will use fixed-point spraying to place some anti-inflammatory drugs or antibiotics.
  • the staff can also cover the surface of the stent monofilament 100 with a slow-release drug coating or a hydrophilic coating according to actual needs.
  • a nickel-titanium alloy sheet with a thickness of 100 microns to laser engrave grooves (conductor grooves and drug grooves) with a width and depth of 50 microns, and then cut them into stent monofilaments 100 with a width of 100 microns, and then pass the insulating material to make the signal
  • the part 200 is adhesively integrated with the stent monofilament 100 .
  • the wire 300 is placed in the wire groove 120 .
  • the integrated stent monofilament 100 , the signal portion 200 and the wire 300 are braided and integrated into a stent on a braiding machine, so that the signal portion 200 on the stent monofilament 100 is located in the same circumferential direction of the tubular structure A
  • the positions of the wires 300 are linearly arranged and spaced equidistantly; the wires 300 are drawn from one end of the monofilament support 100 and connected together.
  • the present invention also provides a cochlear implant, which includes the above-mentioned cochlear implant device and an extra-cochlear implant device, and the extra-cochlear implant device is signally connected to the cochlear implant device.
  • the cochlear implant has the beneficial effects of the cochlear implant device, which will not be repeated here.
  • FIG. 1 is a schematic diagram of the cochlear implant devices provided in the first embodiment and the second embodiment.
  • the stent monofilament 100 of the cochlear implant device includes an optical fiber
  • the signal portion 200 includes an optical fiber light-transmitting port
  • the optical fiber light-transmitting port is used for Translucent.
  • the optical fiber can be directly set as the tubular structure A, and the optical signal of the optical fiber is optically stimulated through the optical fiber light-transmitting port.
  • the optical fiber not only has the function of support, but also plays the role of light stimulation. In actual use, the staff can first enhance the strength of the optical fiber to ensure that it can meet the standard of supporting the cochlea.
  • the stent monofilament 100 further includes a stent monofilament body 110 and an optical fiber groove, the optical fiber groove is extended along the axial direction of the stent monofilament body 110, the optical fiber is arranged in the optical fiber groove, and then The optical fiber with lower strength can be accommodated in the stent monofilament 100, so that the stent monofilament 100 has a supporting function, and ensures that the tubular structure A has a supporting function.
  • the cochlear implant device can use electrical signals to stimulate the cochlear nerve, and can stimulate the cochlear nerve through optical signals, thereby laying a foundation for improving the patient's use effect.
  • the cochlear implant device includes a tubular structure formed by coiling a stent monofilament, and a signal portion; the tubular structure has An implanted state and a released state, in the implanted state, the tubular structure is used for being disposed on an implantation guide device, and used for implanting a cochlea with the implantation guide device; in the tubular structure by During the transition from the implanted state to the released state, the tubular structure is radially reduced in diameter and expanded; the signal portion is arranged on the stent monofilament and is used for sending or receiving signals.
  • This arrangement enables the cochlear implant device to adapt to the individual differences of different cochleas, to ensure that the implanted signal part fits closely with the cochlea, to ensure excellent signal stimulation effect, to improve the accuracy of the signal position, and to improve the patient's use effect.

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Abstract

Provided in the present invention are a cochlear implantation device and a cochlea implant. The cochlear implantation device comprises a tubular structure formed by coiling a support monofilament, and a signal portion, wherein the tubular structure has an implantation state and a release state; in the implantation state, the tubular structure is configured to be disposed on an implantation guide device and is used to implant a cochlea along with the implantation guide device; during transition of the tubular structure from the implantation state to the release state, the tubular structure radially expands in a reducing manner; and the signal portion is disposed on the support monofilament and is used for sending or receiving signals. In this way, the cochlear implantation device can adapt to the individual difference of different cochleae, and ensure that the implanted signal portion can be closely attached to the cochlea, so as to ensure a good signal stimulation effect, improve the signal position accuracy, and improve the effect of use by a patient.

Description

人工耳蜗植入装置及人工耳蜗Cochlear Implants and Cochlear Implants 技术领域technical field
本发明涉及医疗技术领域,特别涉及一种人工耳蜗植入装置及人工耳蜗。The invention relates to the field of medical technology, in particular to a cochlear implant device and a cochlear implant.
背景技术Background technique
人工耳蜗是一种植入式听觉辅助设备,包括体外装置部分和植入装置部分。体外装置部分由麦克风、语音处理器以及用于向植入装置部分发送指令的信号发射器组成。植入装置部分由信号接收及解码模块、信号部阵列组成,医生将信号部植入耳蜗之中,所述信号部阵列例如是电极阵列,通过信号部对耳蜗内功能尚完好的听觉神经施加信号刺激,使重度失聪的病人产生一定的声音知觉。听觉神经元分布在耳蜗内腔体的一侧,信号部与耳蜗内神经元贴合越近、相对位置越稳定,则刺激效果越好。因此,保证信号部与耳蜗内神经元之间的贴合、相对位置的稳定尤为重要。A cochlear implant is an implantable hearing aid device that includes an extracorporeal device part and an implantable device part. The extracorporeal device part consists of a microphone, a voice processor, and a signal transmitter for sending instructions to the implanted device part. The implantation device is composed of a signal receiving and decoding module and an array of signal parts. The doctor implants the signal part into the cochlea. The signal part array is, for example, an electrode array. Stimulation, so that patients with severe deafness have a certain sound perception. The auditory neurons are distributed on one side of the cochlear cavity. The closer the signal part is to the cochlear neurons and the more stable the relative position, the better the stimulation effect. Therefore, it is particularly important to ensure the adhesion and relative position stability between the signal part and the neurons in the cochlea.
然而,在实际应用中,由于患者存在个体差异,不同患者的耳蜗内沿轴向的横截面形状均存在差异,植入后的信号部阵列与耳蜗贴合不紧密,在耳蜗内易发生位移,导致信号部不在预定位置,进而影响信号刺激的效果;并且,由于信号部阵列与耳蜗贴合不紧密,信号部阵列无法与耳蜗内壁直接接触将影响刺激效果。在目前技术中,尽管通过各种方式在植入后使得线性排列的信号部,例如电极,弯曲贴合在耳蜗内壁,但局部范围内耳蜗内壁的凹凸不平将使得部分信号部悬空,远离耳蜗内壁,导致信号刺激效果减弱,精准性降低,影响最终使用效果。However, in practical applications, due to individual differences in patients, the cross-sectional shape of the cochlea along the axial direction of different patients is different. As a result, the signal part is not in the predetermined position, thereby affecting the effect of signal stimulation; and because the signal part array does not fit closely with the cochlea, the signal part array cannot directly contact the inner wall of the cochlea, which will affect the stimulation effect. In the current technology, although the linearly arranged signal parts, such as electrodes, are bent and fitted to the inner wall of the cochlea after implantation in various ways, the unevenness of the inner wall of the cochlea in a local range will make part of the signal parts suspended and away from the inner wall of the cochlea , resulting in weakened signal stimulation effect, reduced accuracy, and affected the final use effect.
因此,开发出一种能够适应不同耳蜗的个体差异、植入后的信号部与耳蜗贴合紧密,使得信号部与耳蜗内部能够直接接触,保证优异的信号刺激效果,提高信号位置的精准性,提升使用效果,已成为人工耳蜗植入装置以及人工耳蜗厂家亟待解决的问题。Therefore, we developed a new type of signal that can adapt to the individual differences of different cochleas. The implanted signal part is closely attached to the cochlea, so that the signal part can be in direct contact with the inside of the cochlea, which ensures excellent signal stimulation effect and improves the accuracy of the signal position. Improving the use effect has become an urgent problem to be solved by cochlear implant devices and cochlear implant manufacturers.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于提供一种人工耳蜗植入装置及人工耳蜗,以解决目前的人工耳蜗植入装置不能够适应不同的耳蜗,植入后的信号部与耳蜗贴合不紧密,导致信号部与耳蜗内部不能够直接接触、信号刺激效果差、信号位置精准性差以及使用效果不佳的问题。The purpose of the present invention is to provide a cochlear implant device and a cochlear implant, so as to solve the problem that the current cochlear implant device cannot adapt to different cochleas, and the signal part after implantation does not fit closely with the cochlea, causing the signal part to be in contact with the cochlea. The inside of the cochlea cannot be directly contacted, the signal stimulation effect is poor, the signal position accuracy is poor, and the use effect is not good.
为解决上述技术问题,本发明提供一种人工耳蜗植入装置,包括:由支架单丝盘旋而成的管状结构,以及信号部;所述管状结构具有植入状态以及释放状态,在所述植入状态下,所述管状结构用于设置于一植入引导装置上,并用于随所述植入引导装置植入一耳蜗;在所述管状结构由所述植入状态向所述释放状态的转换过程中,所述管状结构沿径向变径扩张;所述信号部设置于所述支架单丝上,用于发出或者接收信号。In order to solve the above technical problems, the present invention provides a cochlear implant device, comprising: a tubular structure formed by coiling a stent monofilament, and a signal portion; the tubular structure has an implanted state and a released state, and in the implanted state In the inserted state, the tubular structure is used to be disposed on an implantation guide device, and used to implant a cochlea with the implantation guide device; when the tubular structure changes from the implanted state to the released state During the conversion process, the tubular structure is radially reduced and expanded; the signal portion is arranged on the stent monofilament and is used for sending or receiving signals.
可选的,所述管状结构由至少两条所述支架单丝沿不同的轨迹盘旋形成。Optionally, the tubular structure is formed by at least two stent monofilaments spiraling along different trajectories.
可选的,至少一条所述支架单丝上设置至少一个所述信号部。Optionally, at least one of the signal parts is provided on at least one of the stent monofilaments.
可选的,每条所述支架单丝上均设置一个所述信号部,每条所述支架单丝的长度相等,每个所述信号部沿所述支架单丝的轴向等距设置。Optionally, each of the stent monofilaments is provided with one signal portion, the lengths of each of the stent monofilaments are equal, and each of the signal portions is arranged equidistantly along the axial direction of the stent monofilament.
可选的,所述信号部设置于两条所述支架单丝的交点处,且所述信号部位于更靠近所述管状结构的外侧。Optionally, the signal portion is disposed at the intersection of the two stent monofilaments, and the signal portion is located closer to the outer side of the tubular structure.
可选的,所述管状结构由至少两条所述支架单丝编织成型,每条所述支架单丝设置的信号部的数量不相同。Optionally, the tubular structure is formed by braiding at least two stent monofilaments, and each stent monofilament has a different number of signal parts.
可选的,每条所述支架单丝上均设置有至少一个所述信号部。Optionally, each of the stent monofilaments is provided with at least one of the signal parts.
可选的,所述人工耳蜗植入装置还包括导线,所述导线与所述信号部连接;所述支架单丝包括支架单丝本体以及导线槽,所述导线槽沿所述支架单丝本体的轴向延伸设置,所述导线设置于所述导线槽中。Optionally, the cochlear implant device further includes a wire, the wire is connected to the signal part; the stent monofilament includes a stent monofilament body and a wire groove, and the wire groove is along the stent monofilament body. The axial extension is arranged, and the wire is arranged in the wire groove.
可选的,所述信号部设置于所述支架单丝本体上且位于所述导线槽的外部。Optionally, the signal part is disposed on the monofilament body of the stent and is located outside the wire groove.
可选的,所述信号部包括电信号部件和/或光信号部件;所述电信号部件包括电极,所述光信号部件包括LED和/或光强传感器。Optionally, the signal part includes an electrical signal component and/or an optical signal component; the electrical signal component includes an electrode, and the optical signal component includes an LED and/or a light intensity sensor.
可选的,所述支架单丝还包括药槽,所述药槽用于容置药物。Optionally, the stent monofilament further includes a medicine groove, and the medicine groove is used for accommodating medicine.
可选的,所述支架单丝包括光纤,所述信号部包括一光纤透光口,所述光纤透光口用于透光。Optionally, the support monofilament includes an optical fiber, and the signal portion includes an optical fiber light transmission port, and the optical fiber light transmission port is used for light transmission.
可选的,所述支架单丝还包括支架单丝本体以及光纤槽,所述光纤槽沿所述支架单丝本体的轴向延伸设置,所述光纤设置于所述光纤槽内。Optionally, the stent monofilament further includes a stent monofilament body and an optical fiber groove, the optical fiber groove is extended along the axial direction of the stent monofilament body, and the optical fiber is disposed in the optical fiber groove.
为解决上述技术问题,本发明还提供一种人工耳蜗,包括:如上所述的人工耳蜗植入装置以及人工耳蜗体外装置,所述人工耳蜗体外装置与所述人工耳蜗植入装置信号连接。In order to solve the above technical problem, the present invention also provides a cochlear implant, comprising: the above-mentioned cochlear implant device and an extra-cochlear implant device, wherein the extra-cochlear implant device is signally connected to the cochlear implant device.
在本发明提供的一种人工耳蜗植入装置及人工耳蜗中,所述人工耳蜗植入装置包括由支架单丝盘旋而成的管状结构,以及信号部;所述管状结构具有植入状态以及释放状态,在所述植入状态下,所述管状结构用于设置于一植入引导装置上,并用于随所述植入引导装置植入一耳蜗;在所述管状结构由所述植入状态向所述释放状态的转换过程中,所述管状结构沿径向变径扩张;所述信号部设置于所述支架单丝上,用于发出或者接收信号。如此设置,使得人工耳蜗植入装置能够适应不同耳蜗的个体差异,保证植入后的信号部与耳蜗贴合紧密,保证优异的信号刺激效果,提高信号位置的精准性,提升患者的使用效果。In a cochlear implant device and a cochlear implant provided by the present invention, the cochlear implant device includes a tubular structure formed by coiling a stent monofilament, and a signal portion; the tubular structure has an implanted state and a released state state in which the tubular structure is used to be disposed on an implantation guide device and used to implant a cochlea with the implantation guide device; in the implanted state, the tubular structure is formed by the implantation state During the transition to the release state, the tubular structure expands in a radially variable diameter; the signal portion is arranged on the stent monofilament and is used for sending or receiving signals. This arrangement enables the cochlear implant device to adapt to the individual differences of different cochleas, to ensure that the implanted signal part fits closely with the cochlea, to ensure excellent signal stimulation effect, to improve the accuracy of the signal position, and to improve the patient's use effect.
附图说明Description of drawings
本领域的普通技术人员将会理解,提供的附图用于更好地理解本发明,而不对本发明的范围构成任何限定。其中:Those of ordinary skill in the art will appreciate that the accompanying drawings are provided for a better understanding of the present invention and do not constitute any limitation on the scope of the present invention. in:
图1为本实施例一与本实施例二提供的人工耳蜗植入装置的示意图。FIG. 1 is a schematic diagram of the cochlear implant device provided in the first embodiment and the second embodiment.
图2为本实施例一提供的人工耳蜗植入装置植入耳蜗后的示意图。FIG. 2 is a schematic diagram of the cochlear implant device provided in the first embodiment after being implanted into the cochlea.
图3为本实施例一提供的人工耳蜗植入装置植入耳蜗的展开示意图。FIG. 3 is an expanded schematic diagram of the cochlear implant device provided in the first embodiment of the present invention being implanted into the cochlea.
图4为本实施例一提供的多个支架单丝的示意图。FIG. 4 is a schematic diagram of a plurality of stent monofilaments provided in the first embodiment.
图5为本实施例一提供支架单丝横截面的示意图。FIG. 5 is a schematic diagram of a cross-section of a stent monofilament provided in the first embodiment.
附图中:In the attached picture:
A-管状结构;A-tubular structure;
10-耳蜗;10 - cochlea;
100-支架单丝,110-支架单丝本体,120-导线槽;100- stent monofilament, 110- stent monofilament body, 120- wire guide;
200-信号部;200 - Signal Department;
300-导线。300-wire.
具体实施方式Detailed ways
为使本发明的目的、优点和特征更加清楚,以下结合附图和具体实施例对本发明作进一步详细说明。需说明的是,附图均采用非常简化的形式且未按比例绘制,仅用以方便、明晰地辅助说明本发明实施例的目的。此外,附图所展示的结构往往是实际结构的一部分。特别的,各附图需要展示的侧重点不同,有时会采用不同的比例。In order to make the objects, advantages and features of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments. It should be noted that the accompanying drawings are all in a very simplified form and are not drawn to scale, and are only used to facilitate and clearly assist the purpose of explaining the embodiments of the present invention. Furthermore, the structures shown in the drawings are often part of the actual structure. In particular, each drawing needs to show different emphases, and sometimes different scales are used.
如在本说明书中所使用的,单数形式“一”、“一个”以及“该”包括复数对象,除非内容另外明确指出外。如在本说明书中所使用的,术语“或”通常是以包括“和/或”的含义而进行使用的,除非内容另外明确指出外。另外,在下文的描述中,给出了大量具体的细节以便提供对本发明更为彻底的理解。然而,对于本领域技术人员而言显而易见的是,本发明可以无需一个或多个这些细节而得以实施。在其他的例子中,为了避免与本发明发生混淆,对于本领域公知的一些技术特征未进行描述。As used in this specification, the singular forms "a," "an," and "the" include plural referents unless the content clearly dictates otherwise. As used in this specification, the term "or" is generally employed in its sense including "and/or" unless the content clearly dictates otherwise. Furthermore, in the following description, numerous specific details are set forth in order to provide a more thorough understanding of the present invention. It will be apparent, however, to one skilled in the art that the present invention may be practiced without one or more of these details. In other instances, some technical features known in the art have not been described in order to avoid obscuring the present invention.
在本发明提供的一种人工耳蜗植入装置及人工耳蜗中,所述人工耳蜗植入装置包括由支架单丝盘旋而成的管状结构,以及信号部;所述管状结构具有植入状态以及释放状态,在所述植入状态下,所述管状结构用于设置于一植入引导装置上,并用于随所述植入引导装置植入一耳蜗;在所述管状结构由所述植入状态向所述释放状态的转换过程中,所述管状结构沿径向变径扩张;所述信号部设置于所述支架单丝上,用于发出或者接收信号。如此设置,使得人工耳蜗植入装置能够适应不同耳蜗的个体差异,保证植入后的信号部与耳蜗贴合紧密,保证优异的信号刺激效果,提高信号位置的精准性,提升患者的使用效果。In a cochlear implant device and a cochlear implant provided by the present invention, the cochlear implant device includes a tubular structure formed by coiling a stent monofilament, and a signal portion; the tubular structure has an implanted state and a released state state in which the tubular structure is used to be disposed on an implantation guide device and used to implant a cochlea with the implantation guide device; in the implanted state, the tubular structure is formed by the implantation state During the transition to the release state, the tubular structure expands in a radially variable diameter; the signal portion is arranged on the stent monofilament and is used for sending or receiving signals. This arrangement enables the cochlear implant device to adapt to the individual differences of different cochleas, to ensure that the implanted signal part fits closely with the cochlea, to ensure excellent signal stimulation effect, to improve the accuracy of the signal position, and to improve the patient's use effect.
以下参考附图进行描述。The following description is made with reference to the accompanying drawings.
【实施例一】[Example 1]
请参考图1至图5,图1为本实施例一与本实施例二提供的人工耳蜗植入装置的示意图;图2为本实施例一提供的人工耳蜗植入装置植入耳蜗后的示意图;图3为本实施例一提供的人工耳蜗植入装置植入耳蜗的展开示意图; 图4为本实施例一提供的多个支架单丝的示意图;图5为本实施例一提供支架单丝横截面的示意图。Please refer to FIGS. 1 to 5 , FIG. 1 is a schematic diagram of the cochlear implant device provided in the first embodiment and the second embodiment; FIG. 2 is a schematic diagram of the cochlear implant device provided in the first embodiment after the cochlear implantation 3 is a schematic diagram of the development of the cochlear implant device provided by the first embodiment of the cochlear implantation; Schematic diagram of the cross section.
请参考图1所示,人工耳蜗植入装置包括:支架单丝100以及信号部200。Referring to FIG. 1 , the cochlear implant device includes a stent monofilament 100 and a signal portion 200 .
如图1所示,所述支架单丝100盘旋形成管状结构A。所述支架单丝100例如优选是一片状金属丝。当然,所述支架单丝100不限制为片状,也不限制为金属材质,例如,支架单丝100的横截面为圆形或者椭圆形的结构,支架单丝100可以采用高分子材质,例如是纤维或者光纤材质等。在所述支架单丝100盘旋设置形成管状结构A时,支架单丝100可沿一芯棒(未示出)盘旋或者编织成型,例如,选取直径为8毫米的芯棒,通过编织机将支架单丝100缠绕编织于芯棒上,最终形成一个直径为8毫米的管状结构A的支架。其中所述芯棒可以是一金属芯棒。当然,实际中,工作人员可以通过患者实际耳蜗10的尺寸需求,选取合适直径和形状的芯棒,通过控制芯棒不同位置的尺寸,进而控制支架单丝100不同位置的径向力学挤压特性等,进而满足患者耳蜗10内的实况。As shown in FIG. 1 , the stent monofilament 100 is coiled to form a tubular structure A. The stent monofilament 100 is preferably a sheet metal wire, for example. Of course, the stent monofilament 100 is not limited to a sheet shape, nor is it limited to a metal material. For example, the cross section of the stent monofilament 100 is a circular or oval structure, and the stent monofilament 100 can be made of a polymer material, such as It is fiber or fiber material, etc. When the stent monofilament 100 is coiled and arranged to form the tubular structure A, the stent monofilament 100 can be coiled or braided along a mandrel (not shown). The monofilament 100 is wound and braided on the mandrel, and finally a stent of a tubular structure A with a diameter of 8 mm is formed. The mandrel can be a metal mandrel. Of course, in practice, the staff can select a mandrel with an appropriate diameter and shape according to the actual size requirements of the patient's cochlea 10, and control the radial mechanical extrusion characteristics of the stent monofilament 100 at different positions by controlling the size of the mandrel at different positions. and so on, so as to satisfy the real situation in the cochlea 10 of the patient.
需理解,所述支架单丝100所形成的所述管状结构A可被径向压缩或者径向展开,所述管状结构A沿径向变径扩张,使得所述管状结构A能够匹配所述耳蜗的径向尺寸。与此同时,所述管状结构A能够沿其轴向长度伸长或者缩短。如图2所示,所述管状结构A还能够沿其轴向发生弯曲,用以匹配耳蜗10的螺旋结构,进而使得所述管状结构A具有植入状态以及释放状态。在所述植入状态下,所述管状结构A用于设置于一植入引导装置(未示出)上,并用于随所述植入引导装置植入一耳蜗10。所述植入引导装置例如是一可弯曲的杆状结构,支架单丝100能够设置盘旋设置于植入引导装置上。在所述管状结构A由所述植入状态向所述释放状态的转换过程中,所述管状结构A的轴线呈螺旋状扩张以匹配所述耳蜗10的螺旋结构。所述扩张表示所述管状结构A沿自身的径向进行扩张,所述管状结构A在进入释放状态之后,管状结构A能够紧贴所述耳蜗10,如此设置,使得管状结构A在根据患者的耳蜗的内部尺寸展开时实时的调整自身的径向尺寸,展开后的管状结构A与耳蜗内壁贴合紧密,使得支架单丝100每个部分都可以紧贴患者的耳蜗10的自然腔道内壁,进而解决了耳蜗电极与耳蜗内壁贴合不紧密的问题。It should be understood that the tubular structure A formed by the stent monofilament 100 can be radially compressed or radially expanded, and the tubular structure A is radially expanded so that the tubular structure A can match the cochlea radial dimension. At the same time, the tubular structure A can be elongated or shortened along its axial length. As shown in FIG. 2 , the tubular structure A can also be bent along its axial direction to match the helical structure of the cochlea 10 , so that the tubular structure A has an implanted state and a released state. In the implanted state, the tubular structure A is intended to be placed on an implantation guide (not shown), and used to implant a cochlea 10 with the implantation guide. The implantation guide device is, for example, a bendable rod-shaped structure, and the stent monofilament 100 can be arranged spirally on the implantation guide device. During the transition of the tubular structure A from the implanted state to the released state, the axis of the tubular structure A expands helically to match the helical structure of the cochlea 10 . The expansion means that the tubular structure A expands along its own radial direction, and after the tubular structure A enters the release state, the tubular structure A can be in close contact with the cochlea 10 , so that the tubular structure A is arranged in such a way that the tubular structure A is in accordance with the patient's condition. When the inner size of the cochlea is unfolded, the radial size of itself is adjusted in real time, and the unfolded tubular structure A is closely fitted with the inner wall of the cochlea, so that each part of the stent monofilament 100 can be closely attached to the inner wall of the natural cavity of the patient's cochlea 10, This further solves the problem that the cochlear electrode does not fit closely with the inner wall of the cochlea.
如图1与图3所示,所述信号部200设置于所述支架单丝100上,用于发出或者接收信号。所述信号部200例如优选包括电信号部件和/或光信号部件。优选的,所述电信号部件能够用于发出电信号,或者接收耳蜗内的信号。所述光信号部件能够用于发出光信号。所述电信号以及所述光信号均可以刺激耳蜗内的神经系统,直接兴奋听神经来恢复或重建聋人的听觉功能。所述信号部200设置于所述支架单丝100上的位置根据耳蜗10所需信号刺激的位置(例如是神经元的位置)进行匹配设置,例如,工作人员确定了患者的耳蜗实况之后,在体外模拟支架单丝100处于释放状态之后的结构,然后根据所需信号刺激的位置设置信号部200。如此设置,处于支架单丝100上的信号部200能够精确的定位至所需信号刺激的位置,使得是人工耳蜗植入装置能够适应不同耳蜗的个体差异,可适应不同患者耳蜗内壁独特的凹凸不平的形态,保证优异的信号刺激效果;并且,所述支架单丝100在释放状态下的张力作用,信号部200与耳蜗内壁相对位置固定稳定,使得信号部200能够与耳蜗10内部直接接触且紧密贴合,术后不易发生松动和位移,从而避免耳蜗术后易发生位移的问题,提高刺激信号位置的精准性,提升患者的使用效果。在本实施例中,所述信号部200包括电极,从而使得支架单丝100上搭载的电极阵列与耳蜗内壁紧密贴合,使电极阵列能够更好地刺激听觉神经。As shown in FIG. 1 and FIG. 3 , the signal portion 200 is disposed on the stent monofilament 100 for sending or receiving signals. The signal unit 200 preferably includes, for example, electrical signal components and/or optical signal components. Preferably, the electrical signal component can be used for sending electrical signals or receiving signals in the cochlea. The optical signal component can be used to emit an optical signal. Both the electrical signal and the optical signal can stimulate the nervous system in the cochlea, and directly stimulate the auditory nerve to restore or reconstruct the hearing function of the deaf. The position of the signal portion 200 on the stent monofilament 100 is matched and set according to the position of the signal stimulation required by the cochlea 10 (for example, the position of the neuron). The structure of the stent monofilament 100 in the released state is simulated in vitro, and then the signal portion 200 is set according to the position of the desired signal stimulation. In this way, the signal part 200 on the stent monofilament 100 can be accurately positioned to the position of the required signal stimulation, so that the cochlear implant device can adapt to the individual differences of different cochleas, and can adapt to the unique unevenness of the inner wall of the cochlea of different patients. In addition, due to the tension effect of the stent monofilament 100 in the released state, the relative position of the signal portion 200 and the inner wall of the cochlea is fixed and stable, so that the signal portion 200 can be in direct contact with the interior of the cochlea 10 and closely Fitting, it is not easy to loosen and displace after surgery, so as to avoid the problem of easy displacement after cochlear surgery, improve the accuracy of the stimulation signal position, and improve the use effect of patients. In this embodiment, the signal part 200 includes electrodes, so that the electrode array mounted on the stent monofilament 100 is closely attached to the inner wall of the cochlea, so that the electrode array can better stimulate the auditory nerve.
人工耳蜗植入装置可以包括一条支架单丝100,也可以包括两条支架单丝100。作为优选,如图1所示,所述人工耳蜗植入装置包括至少两条所述支架单丝100,所述管状结构A由至少两条所述支架单丝100沿不同的轨迹盘旋形成,支架单丝100在整个管状结构A中起到支撑的作用,相比于单根的支架单丝100,所述管状结构A具有更好的径向支撑力,保证管状结构A在耳蜗10内部的稳定性。可理解的,所述不同的轨迹表示每条支架单丝100盘旋的轨迹至少有部分不重叠。即,每条支架单丝100盘旋的角度不同,使得支架单丝100上的信号部200能够设置于更多的位置,提高信号刺激的精度。优选地,所述管状结构A由至少两条所述支架单丝100编织成型。更为优选的,每条所述支架单丝100设置的信号部200的数量不相同,例如其中一个支架单丝100设置一个信号部200,另一个支架单丝100设置两个信号部200。当然,在支架单丝100伸直的状态下,其中一个支架单丝100的长度,还可 以与另外一个支架单丝100的长度不相同。工作人员根据患者的耳蜗内的实际植入耳蜗内位点处耳蜗直径变化,然后通过编织组合工艺、目标耳蜗的直径与信号尺寸等参数计算每个信号部200在支架单丝100上集成的位置。在本实施例一中,如图1所示,所述管状结构A例如是由三条支架单丝100编织成型,其中两条支架单丝100上各设置一个信号部200,其中一条未设置信号部200。三条支架单丝100错位排布,使得信号部200能够紧贴耳蜗目标位置。更佳的,所述信号部200设置于两条所述支架单丝100的交点处,且所述信号部200位于更靠近所述管状结构A的外侧,进而使得信号部200能够更加紧贴耳蜗目标位置。实际上,信号部200需要紧贴耳蜗的内壁,若在两条支架单丝100的交点处设置信号部200,信号部200需要设置在最靠近耳蜗的支架单丝100上,以避免被其它支架单丝100遮挡。当然,在其他的实施例中,所述支架单丝100以及信号部200的数量不予限制。所述支架单丝100可以是五条、六条或者八条等。每条支架单丝100上的信号部200的数量还可以是两个、三个或者四个等,单个支架单丝100上的每个信号部200之间距离不予限制,可根据耳蜗10实况计算得出。作为优选,每条所述支架单丝100上均设置有至少一个所述信号部200,进而使得每条支架单丝100即可以起到支撑的作用,又具有承载信号部200的作用。The cochlear implant device may include one stent monofilament 100 , or may include two stent monofilaments 100 . Preferably, as shown in FIG. 1 , the cochlear implant device includes at least two stent monofilaments 100 , and the tubular structure A is formed by at least two stent monofilaments 100 spiraling along different trajectories. The monofilament 100 plays a supporting role in the entire tubular structure A. Compared with a single stent monofilament 100, the tubular structure A has a better radial support force, ensuring the stability of the tubular structure A inside the cochlea 10. sex. Understandably, the different trajectories indicate that the circling trajectories of each stent monofilament 100 are at least partially non-overlapping. That is, each stent monofilament 100 has a different spiral angle, so that the signal parts 200 on the stent monofilament 100 can be arranged in more positions, thereby improving the accuracy of signal stimulation. Preferably, the tubular structure A is formed by braiding at least two stent monofilaments 100 . More preferably, the number of signal parts 200 provided on each stent monofilament 100 is different. For example, one stent monofilament 100 is provided with one signal part 200 and the other stent monofilament 100 is provided with two signal parts 200 . Of course, when the stent monofilaments 100 are straightened, the length of one stent monofilament 100 may also be different from the length of the other stent monofilament 100. The staff calculates the integrated position of each signal portion 200 on the stent monofilament 100 according to the change of the cochlear diameter at the actual intra-cochlear implantation site in the patient's cochlea, and then calculates the integrated position of each signal portion 200 on the stent monofilament 100 through parameters such as the weaving combination process, the diameter of the target cochlea, and the signal size. . In the first embodiment, as shown in FIG. 1 , the tubular structure A is formed by braiding, for example, three stent monofilaments 100 , wherein each of the two stent monofilaments 100 is provided with a signal portion 200 , and one of them is not provided with a signal portion 200. The three stent monofilaments 100 are arranged in a staggered position, so that the signal portion 200 can be closely attached to the target position of the cochlea. More preferably, the signal portion 200 is disposed at the intersection of the two stent monofilaments 100 , and the signal portion 200 is located closer to the outside of the tubular structure A, so that the signal portion 200 can be closer to the cochlea target location. In fact, the signal part 200 needs to be close to the inner wall of the cochlea. If the signal part 200 is installed at the intersection of the two stent monofilaments 100, the signal part 200 needs to be installed on the stent monofilament 100 closest to the cochlea to avoid being affected by other stents. Monofilament 100 shades. Of course, in other embodiments, the number of the stent monofilament 100 and the signal portion 200 is not limited. The stent monofilaments 100 may be five, six, or eight, and the like. The number of signal parts 200 on each stent monofilament 100 may also be two, three, or four, etc. The distance between each signal part 200 on a single stent monofilament 100 is not limited, and can be determined according to the actual situation of the cochlea 10 Calculated. Preferably, each of the stent monofilaments 100 is provided with at least one of the signal parts 200 , so that each stent monofilament 100 can not only play a supporting role, but also play a role of carrying the signal part 200 .
优选的,如图4所示,至少一条所述支架单丝100上设置至少一个所述信号部200,所述信号部200的设置位置可以根据实际的需求进行设置,进而使得所述信号部200能够提供刺激信号。优选的,如图4所示,每条所述支架单丝100上均设置一个所述信号部200,在支架单丝100伸直的状态下,每条所述支架单丝100的长度相等,每个所述信号部200沿所述支架单丝100的轴向等距设置,进而使得在编织组合每条支架单丝100时,方便确认每条支架单丝100上的信号部200的位置,提高编织效率以及编织的质量。在本实施例一中,每个所述信号部200沿所述支架单丝100的轴向间隔六毫米设置。Preferably, as shown in FIG. 4 , at least one signal portion 200 is provided on at least one of the stent monofilaments 100 , and the setting position of the signal portion 200 can be set according to actual requirements, so that the signal portion 200 able to provide stimulation signals. Preferably, as shown in FIG. 4 , each of the stent monofilaments 100 is provided with one of the signal parts 200 . When the stent monofilament 100 is straightened, the lengths of each of the stent monofilaments 100 are the same. Each of the signal parts 200 is arranged at equal distances along the axial direction of the stent monofilament 100, so that when each stent monofilament 100 is braided and combined, it is convenient to confirm the position of the signal part 200 on each stent monofilament 100, Improve weaving efficiency and weaving quality. In the first embodiment, each of the signal parts 200 is arranged at an interval of six millimeters along the axial direction of the stent monofilament 100 .
优选的,如图5所示,所述信号部包括电信号部件和/或光信号部件;所述电信号部件包括电极,所述光信号部件包括LED和/或光强传感器。在本实施例一中,所述信号部200包括电信号部件,所述电信号部件包括电极。所 述电极例如是1毫米长宽的铂铱合金薄电极,通过焊接的方式与一导线300连接。在另一实施例中,所述信号部200包括光信号部件,所述光信号部件包括LED和/或光强传感器。优选的,所述光信号部件与导线300连接,用于接收信号,进而通过光刺激的方式刺激耳蜗的神经,恢复或者重建聋人的听觉功能。所述光信号部件可以是LED,可以是光强传感器,还可以即包括LED,又包括光强传感器。同样的,所述光信号部件的设置位置、数量等可以根据患者耳蜗的实况进行计算得到。在其他实施例中,所述信号部既包括电信号部件,又包括光信号部件。Preferably, as shown in FIG. 5 , the signal part includes an electrical signal component and/or an optical signal component; the electrical signal component includes an electrode, and the optical signal component includes an LED and/or a light intensity sensor. In the first embodiment, the signal unit 200 includes an electrical signal component, and the electrical signal component includes an electrode. The electrode is, for example, a thin electrode of platinum-iridium alloy with a length and width of 1 mm, which is connected to a wire 300 by welding. In another embodiment, the signal unit 200 includes an optical signal component including an LED and/or a light intensity sensor. Preferably, the optical signal component is connected to the wire 300 for receiving signals, and then stimulates the nerves of the cochlea by means of optical stimulation, so as to restore or reconstruct the hearing function of the deaf. The light signal component may be an LED, a light intensity sensor, or may include both an LED and a light intensity sensor. Likewise, the location and quantity of the optical signal components can be calculated according to the actual condition of the patient's cochlea. In other embodiments, the signal portion includes both electrical signal components and optical signal components.
如图4与图5所示,所述人工耳蜗植入装置还包括导线300,所述导线300与所述信号部200连接,所述导线300例如是一直径为三十微米的带有绝缘层的金丝,当然,所述导线300的材质不限制为金丝,还可以是其他的能够导电的其他材质,本领域技术人员可以根据实际需要进行选择,本文在此不再赘述。所述导线300例如用于传递电信号等。所述支架单丝100包括支架单丝本体110以及导线槽120所述导线槽120沿所述支架单丝本体110的轴向延伸设置,所述导线300设置于所述导线槽120中。所述导线槽120沿所述支架单丝本体110的轴向不限制为一直线,而是跟随所述支架单丝本体110的形态进行设置,不限制为支架单丝本体110严格定义的轴向,而是表示条状的支架单丝本体110条形的长度方向。例如,所述支架单丝本体110为一宽度和厚度均是一百微米的镍钛合金丝,导线槽120的深度为五十微米,所述电极与支架单丝本体110通过绝缘材质粘连集成。所述信号部200、导线300以及支架单丝100如此集成设置,保证了导线300与信号部200连接时,不会增加支架单丝100的外部结构尺寸,并且,防止导线300错位或者移位影响人工耳蜗植入装置的植入位置,保证了人工耳蜗植入装置的稳定性。所述导线槽120的深度、长度以及宽度等尺寸,本领域技术人员可以根据实际需求进行设置,本文在此不再赘述。可选的,所述导线槽120的长度依据实际导线的长度尺寸匹配设置,避免在支架单丝100上设置过多的结构,进而避免由于过多的结构影响支架单丝100的力学性能等。As shown in FIG. 4 and FIG. 5 , the cochlear implant device further includes a wire 300 connected to the signal portion 200 . The wire 300 is, for example, a diameter of 30 microns with an insulating layer. Of course, the material of the wire 300 is not limited to gold wire, and can also be other materials capable of conducting electricity. Those skilled in the art can choose according to actual needs, which will not be repeated here. The wires 300 are used for transmitting electrical signals and the like, for example. The stent monofilament 100 includes a stent monofilament body 110 and a wire groove 120 . The wire groove 120 extends along the axial direction of the stent monofilament body 110 , and the wire 300 is disposed in the wire groove 120 . The wire guide 120 is not limited to a straight line along the axial direction of the stent monofilament body 110 , but is arranged following the shape of the stent monofilament body 110 , and is not limited to the axial direction strictly defined by the stent monofilament body 110 . , but represents the longitudinal direction of the strip-shaped stent monofilament body 110 . For example, the stent monofilament body 110 is a nickel-titanium alloy wire with a width and a thickness of 100 microns, the depth of the wire groove 120 is 50 microns, and the electrodes and the stent monofilament body 110 are adhered and integrated by an insulating material. The signal part 200 , the wire 300 and the stent monofilament 100 are integrated in this way to ensure that when the wire 300 is connected to the signal part 200 , the external structure size of the stent monofilament 100 will not be increased, and the influence of the misalignment or displacement of the wire 300 is prevented. The implantation position of the cochlear implant device ensures the stability of the cochlear implant device. Dimensions such as the depth, length, and width of the wire groove 120 can be set by those skilled in the art according to actual needs, and details are not described herein again. Optionally, the length of the wire slot 120 is matched according to the length of the actual wire, so as to avoid setting too many structures on the stent monofilament 100, thereby preventing the mechanical properties of the stent monofilament 100 from being affected by excessive structures.
优选的,所述信号部200例如设置于所述支架单丝本体110上且设置于所述导线槽120的外部,例如,所述导线槽120槽口朝向某一方向,所述信 号部200设置于所述槽口朝向的位置,进而使得信号部200一方面能够设置于所述支架单丝本体110上,实现紧贴耳蜗,另一方面使得信号部200能够遮盖导线槽120的槽口,防止槽内的导线300滑出,进而优化了所述支架单丝100的结构,保证支架单丝100的质量。Preferably, the signal portion 200 is disposed on, for example, the stent monofilament body 110 and outside the wire groove 120 , for example, the signal portion 200 is disposed when the groove of the wire groove 120 faces in a certain direction. On the one hand, the signal part 200 can be arranged on the monofilament body 110 of the stent to achieve close contact with the cochlea; The wires 300 in the grooves slide out, thereby optimizing the structure of the stent monofilament 100 and ensuring the quality of the stent monofilament 100 .
优选的,所述支架单丝100还包括药槽(未示出),所述药槽用于容置药物。所述药槽优选沿所述支架单丝100的轴向延伸设置,更佳的,所述药槽与所述导线槽120贯通设置,可以理解的,所述导线槽120与所述药槽重叠设置,工作人员在加工导线槽120与药槽时,只需要加工一个槽部即可。更佳的,在本实施例一中,所述信号部200一侧的槽部设置为导线槽120,所述信号部200的另一侧的槽部设置为药槽。当然,工作人员还可以在支架单丝100上另外开设一药槽,所述药槽的结构、大小以及位置可以根据实际需求进行设置。在置入药物时,工作人员采用定点喷涂的方式置入一些消炎药或者抗生素等。在实际使用时,工作人员还可以根据实际需求在支架单丝100的表面覆盖缓释药物的涂层或亲水涂层。Preferably, the stent monofilament 100 further includes a medicine slot (not shown), and the medicine slot is used for accommodating medicine. The medicine groove is preferably extended along the axial direction of the stent monofilament 100. More preferably, the medicine groove is arranged through the wire groove 120. It can be understood that the wire groove 120 overlaps with the medicine groove. By setting, when processing the wire groove 120 and the medicine groove, the staff only needs to process one groove portion. More preferably, in the first embodiment, the groove part on one side of the signal part 200 is set as a wire groove 120 , and the groove part on the other side of the signal part 200 is set as a medicine groove. Of course, the staff can also set up a medicine groove on the stent monofilament 100, and the structure, size and position of the medicine groove can be set according to actual needs. When placing the drug, the staff will use fixed-point spraying to place some anti-inflammatory drugs or antibiotics. In actual use, the staff can also cover the surface of the stent monofilament 100 with a slow-release drug coating or a hydrophilic coating according to actual needs.
以下将结合图1至图5,具体介绍本实施例提供的人工耳蜗植入装置的加工过程:The following will specifically describe the processing process of the cochlear implant device provided in this embodiment with reference to FIGS. 1 to 5 :
首先,使用厚度为一百微米的镍钛合金板材激光雕刻五十微米宽深的凹槽(导线槽以及药槽)后切割成宽度为一百微米的支架单丝100,再通过绝缘材料使信号部200与支架单丝100粘连集成。First, use a nickel-titanium alloy sheet with a thickness of 100 microns to laser engrave grooves (conductor grooves and drug grooves) with a width and depth of 50 microns, and then cut them into stent monofilaments 100 with a width of 100 microns, and then pass the insulating material to make the signal The part 200 is adhesively integrated with the stent monofilament 100 .
然后,将导线300置入导线槽120之中。Then, the wire 300 is placed in the wire groove 120 .
最后,如图4所示,将集成好的支架单丝100、信号部200以及导线300在编织机上编织集成为支架,使得支架单丝100上的信号部200位于管状结构A的同一个周向的位置,形成线型排布且间隔等距;导线300从单丝支架100的一端引出,汇聚连出。Finally, as shown in FIG. 4 , the integrated stent monofilament 100 , the signal portion 200 and the wire 300 are braided and integrated into a stent on a braiding machine, so that the signal portion 200 on the stent monofilament 100 is located in the same circumferential direction of the tubular structure A The positions of the wires 300 are linearly arranged and spaced equidistantly; the wires 300 are drawn from one end of the monofilament support 100 and connected together.
本发明还提供一种人工耳蜗,所述人工耳蜗包括如上所述的人工耳蜗植入装置以及人工耳蜗体外装置,所述人工耳蜗体外装置与所述人工耳蜗植入装置信号连接。所述人工耳蜗具备所述人工耳蜗植入装置所具备的有益效果,此处不再赘述。人工耳蜗的其他部件的结构和原理,可参考现有技术,此处不再展开说明。The present invention also provides a cochlear implant, which includes the above-mentioned cochlear implant device and an extra-cochlear implant device, and the extra-cochlear implant device is signally connected to the cochlear implant device. The cochlear implant has the beneficial effects of the cochlear implant device, which will not be repeated here. For the structures and principles of other components of the cochlear implant, reference may be made to the prior art, which will not be described here.
【实施例二】[Example 2]
请参考图1,图1为本实施例一与本实施例二提供的人工耳蜗植入装置的示意图。Please refer to FIG. 1 . FIG. 1 is a schematic diagram of the cochlear implant devices provided in the first embodiment and the second embodiment.
本实施例二的人工耳蜗植入装置与实施例一中相同部分不再叙述,以下仅针对不同点进行描述。The same parts of the cochlear implant device of the second embodiment and the first embodiment will not be described, and only the differences will be described below.
在本实施例二中,如图1所示,所述人工耳蜗植入装置的所述支架单丝100包括光纤,所述信号部200包括一光纤透光口,所述光纤透光口用于透光。所述光纤可以直接设置为管状结构A,光纤的光信号通过光纤透光口进行光刺激。所述光纤即具有支撑的作用,又起到光刺激的作用。在实际使用时,工作人员可以先对光纤的强度进行增强,保证其可以达到支撑耳蜗的标准。In the second embodiment, as shown in FIG. 1 , the stent monofilament 100 of the cochlear implant device includes an optical fiber, and the signal portion 200 includes an optical fiber light-transmitting port, and the optical fiber light-transmitting port is used for Translucent. The optical fiber can be directly set as the tubular structure A, and the optical signal of the optical fiber is optically stimulated through the optical fiber light-transmitting port. The optical fiber not only has the function of support, but also plays the role of light stimulation. In actual use, the staff can first enhance the strength of the optical fiber to ensure that it can meet the standard of supporting the cochlea.
进一步的,所述支架单丝100还包括支架单丝本体110以及光纤槽,所述光纤槽沿所述支架单丝本体110的轴向延伸设置,所述光纤设置于所述光纤槽内,进而使得强度较低的光纤能够容置于支架单丝100中,使得支架单丝100具有支撑作用,保证管状结构A具有支撑作用。Further, the stent monofilament 100 further includes a stent monofilament body 110 and an optical fiber groove, the optical fiber groove is extended along the axial direction of the stent monofilament body 110, the optical fiber is arranged in the optical fiber groove, and then The optical fiber with lower strength can be accommodated in the stent monofilament 100, so that the stent monofilament 100 has a supporting function, and ensures that the tubular structure A has a supporting function.
需要说明的是,每个实施例中重点说明的都是与其他实施例的不同之处,各个实施例之间相同相似部分互相参见即可。此外,上述实施例一与实施例二中的不同部分可互相组合使用,例如,实施例一中的所述信号部200、支架单丝100以及导线300集成的结构,与实施例二中的光纤进行组合,共同形成同一个管状结构,进而使得所述人工耳蜗植入装置即可以采用电信号刺激耳蜗神经,由可以通过光信号刺激耳蜗神经,进而为提高患者的使用效果奠定基石。It should be noted that, each embodiment focuses on the differences from other embodiments, and the same and similar parts between the various embodiments may be referred to each other. In addition, the different parts of the first embodiment and the second embodiment can be used in combination with each other. Combined to form the same tubular structure, the cochlear implant device can use electrical signals to stimulate the cochlear nerve, and can stimulate the cochlear nerve through optical signals, thereby laying a foundation for improving the patient's use effect.
综上所述,在本发明提供的一种人工耳蜗植入装置及人工耳蜗中,所述人工耳蜗植入装置包括由支架单丝盘旋而成的管状结构,以及信号部;所述管状结构具有植入状态以及释放状态,在所述植入状态下,所述管状结构用于设置于一植入引导装置上,并用于随所述植入引导装置植入一耳蜗;在所述管状结构由所述植入状态向所述释放状态的转换过程中,所述管状结构沿 径向变径扩张;所述信号部设置于所述支架单丝上,用于发出或者接收信号。如此设置,使得人工耳蜗植入装置能够适应不同耳蜗的个体差异,保证植入后的信号部与耳蜗贴合紧密,保证优异的信号刺激效果,提高信号位置的精准性,提升患者的使用效果。To sum up, in the cochlear implant device and the cochlear implant provided by the present invention, the cochlear implant device includes a tubular structure formed by coiling a stent monofilament, and a signal portion; the tubular structure has An implanted state and a released state, in the implanted state, the tubular structure is used for being disposed on an implantation guide device, and used for implanting a cochlea with the implantation guide device; in the tubular structure by During the transition from the implanted state to the released state, the tubular structure is radially reduced in diameter and expanded; the signal portion is arranged on the stent monofilament and is used for sending or receiving signals. This arrangement enables the cochlear implant device to adapt to the individual differences of different cochleas, to ensure that the implanted signal part fits closely with the cochlea, to ensure excellent signal stimulation effect, to improve the accuracy of the signal position, and to improve the patient's use effect.
上述描述仅是对本发明较佳实施例的描述,并非对本发明范围的任何限定,本发明领域的普通技术人员根据上述揭示内容做的任何变更、修饰,均属于权利要求书的保护范围。The above description is only a description of the preferred embodiments of the present invention, and is not intended to limit the scope of the present invention. Any changes and modifications made by those of ordinary skill in the field of the present invention based on the above disclosure all belong to the protection scope of the claims.

Claims (14)

  1. 一种人工耳蜗植入装置,其特征在于,包括:由支架单丝盘旋而成的管状结构,以及信号部;A cochlear implant device, characterized in that it comprises: a tubular structure formed by coiling a stent monofilament, and a signal portion;
    所述管状结构具有植入状态以及释放状态,在所述植入状态下,所述管状结构用于设置于一植入引导装置上,并用于随所述植入引导装置植入一耳蜗;在所述管状结构由所述植入状态向所述释放状态的转换过程中,所述管状结构沿径向变径扩张;The tubular structure has an implanted state and a released state, and in the implanted state, the tubular structure is configured to be disposed on an implantation guide device and used to implant a cochlea along with the implantation guide device; in During the transition process of the tubular structure from the implanted state to the released state, the tubular structure expands in a radially variable diameter;
    所述信号部设置于所述支架单丝上,用于发出或者接收信号。The signal part is arranged on the support monofilament and is used for sending or receiving signals.
  2. 根据权利要求1所述的人工耳蜗植入装置,其特征在于,所述管状结构由至少两条所述支架单丝沿不同的轨迹盘旋形成。The cochlear implant device according to claim 1, wherein the tubular structure is formed by at least two of the stent monofilaments spiraling along different trajectories.
  3. 根据权利要求2所述的人工耳蜗植入装置,其特征在于,至少一条所述支架单丝上设置至少一个所述信号部。The cochlear implant device according to claim 2, wherein at least one of the signal portions is provided on at least one of the stent monofilaments.
  4. 根据权利要求3所述的人工耳蜗植入装置,其特征在于,每条所述支架单丝上均设置一个所述信号部,每条所述支架单丝的长度相等,每个所述信号部沿所述支架单丝的轴向等距设置。The cochlear implant device according to claim 3, wherein each of the stent monofilaments is provided with one signal portion, each of the stent monofilaments has the same length, and each of the signal portions has the same length. They are arranged equidistantly along the axial direction of the stent monofilament.
  5. 根据权利要求2所述的人工耳蜗植入装置,其特征在于,所述信号部设置于两条所述支架单丝的交点处,且所述信号部位于更靠近所述管状结构的外侧。The cochlear implant device according to claim 2, wherein the signal portion is disposed at the intersection of the two stent monofilaments, and the signal portion is located closer to the outer side of the tubular structure.
  6. 根据权利要求2所述的人工耳蜗植入装置,其特征在于,所述管状结构由至少两条所述支架单丝编织成型,每条所述支架单丝设置的信号部的数量不相同。The cochlear implant device according to claim 2, wherein the tubular structure is formed by braiding at least two stent monofilaments, and the number of signal parts provided on each stent monofilament is different.
  7. 根据权利要求2所述的人工耳蜗植入装置,其特征在于,每条所述支架单丝上均设置有至少一个所述信号部。The cochlear implant device according to claim 2, wherein at least one signal portion is provided on each of the stent monofilaments.
  8. 根据权利要求1所述的人工耳蜗植入装置,其特征在于,所述人工耳蜗植入装置还包括导线,所述导线与所述信号部连接;所述支架单丝包括支架单丝本体以及导线槽,所述导线槽沿所述支架单丝本体的轴向延伸设置,所述导线设置于所述导线槽中。The cochlear implant device according to claim 1, wherein the cochlear implant device further comprises a lead wire, the lead wire is connected to the signal part; the stent monofilament comprises a stent monofilament body and a lead wire The wire groove is arranged along the axial direction of the stent monofilament body, and the wire is arranged in the wire groove.
  9. 根据权利要求8所述的人工耳蜗植入装置,其特征在于,所述信号部设置于所述支架单丝本体上且位于所述导线槽的外部。The cochlear implant device according to claim 8, wherein the signal portion is disposed on the stent monofilament body and is located outside the wire groove.
  10. 根据权利要求1所述的人工耳蜗植入装置,其特征在于,所述信号部包括电信号部件和/或光信号部件;所述电信号部件包括电极,所述光信号部件包括LED和/或光强传感器。The cochlear implant device according to claim 1, wherein the signal part comprises an electrical signal part and/or an optical signal part; the electrical signal part comprises an electrode, and the optical signal part comprises an LED and/or Light intensity sensor.
  11. 根据权利要求1所述的人工耳蜗植入装置,其特征在于,所述支架单丝还包括药槽,所述药槽用于容置药物。The cochlear implant device according to claim 1, wherein the stent monofilament further comprises a medicine groove, and the medicine groove is used for accommodating medicine.
  12. 根据权利要求1所述的人工耳蜗植入装置,其特征在于,所述支架单丝包括光纤,所述信号部包括一光纤透光口,所述光纤透光口用于透光。The cochlear implant device according to claim 1, wherein the support monofilament comprises an optical fiber, and the signal portion comprises an optical fiber light-transmitting port, and the optical fiber light-transmitting port is used to transmit light.
  13. 根据权利要求12所述的人工耳蜗植入装置,其特征在于,所述支架单丝还包括支架单丝本体以及光纤槽,所述光纤槽沿所述支架单丝本体的轴向延伸设置,所述光纤设置于所述光纤槽内。The cochlear implant device according to claim 12, wherein the stent monofilament further comprises a stent monofilament body and an optical fiber groove, the optical fiber groove extending along the axial direction of the stent monofilament body, and the The optical fiber is arranged in the optical fiber groove.
  14. 一种人工耳蜗,其特征在于,包括:根据权利要求1-13中任一项所述的人工耳蜗植入装置以及人工耳蜗体外装置,所述人工耳蜗体外装置与所述人工耳蜗植入装置信号连接。A cochlear implant, comprising: the cochlear implant device according to any one of claims 1-13 and an extra-cochlear implant device, the extra-cochlear implant device and the cochlear implant device signal connect.
PCT/CN2022/088924 2021-04-30 2022-04-25 Cochlear implantation device and cochlea implant WO2022228366A1 (en)

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Publication number Priority date Publication date Assignee Title
CN102985003A (en) * 2010-06-30 2013-03-20 Med-El电气医疗器械有限公司 Helical core ear implant electrode
CN108353237A (en) * 2015-10-30 2018-07-31 科利耳有限公司 Implantable stimulates component
CN107158560A (en) * 2017-04-27 2017-09-15 清华大学 It is controllable from deformation nerve microelectrode based on swelling behavior characteristic
CN215195029U (en) * 2021-04-30 2021-12-17 上海微创投资控股有限公司 Artificial cochlea implanting device and artificial cochlea

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