Abstract: A method for creating a coupling between an implantable device, such as a transducer, and a structure of the ear, such as an ossicle, in an implantable hearing assistance device. The coupling permits slip between the device and the structure and provides a neutral load. The device is positioned such that it either lightly touches or is positioned away from the structure. In one embodiment, the surface of the device or the structure is cleaned while the remaining surface, that is, the surface not cleaned, is coated with a solution. An adhesive material is applied between the device and the structure. The solution prevents a bond from forming at that interface while a bond forms at the remaining surface. Alternatively, a compliant adhesive may be used. In another embodiment, the surface of the device is coated with a gel, the gel optionally being covered with a metallic foil.

Abstract: A method and apparatus assists a hearing impaired person by introducing and maintaining a mechanical feedback barrier between a microphone and a transducer of an implantable hearing assistance system. In this method, mechanical sound vibrations impinging on the person's body habitus are received with an electromechanical device (e.g. microphone) disposed at a body habitus sound reception site. The body habitus sound reception site can be located within the external auditory canal, or external of the external auditory canal either subdermally or external of the scalp. The mechanical sound vibrations are converted with the electromechanical device to an amplified electrical signal. Next, the amplified electrical signal is delivered to the inner ear with a transducer operatively coupled between the electromechanical device and the middle ear or the inner ear.

Abstract: An implantable hearing assistance system includes a sensor transducer and an electronics unit. The sensor transducer, such as a piezoelectric transducer, is operatively coupled to an auditory element of the middle ear (e.g., malleus), and electrically connected to the electronics unit. The transducer and the electronics unit are arranged together to minimize the driving impedance and lead capacitance therebetween, thereby minimizing susceptibility to electromagnetic interference and minimizing high audio frequency signal attenuation. In one example, the transducer and the electronics unit are disposed immediately adjacent each other or physically joined together to virtually eliminate (or at least significantly shorten) the length of the electrical connection between the transducer and the electronics unit.

Abstract: A method for creating a coupling between an implantable device, such as a transducer, and a structure of the ear, such as an ossicle, in an implantable hearing assistance device. The device is positioned such that it either lightly touches or is positioned between a fraction of a millimeter to a few millimeters from the structure. The surface of either the device or the structure is cleaned and suctioned while the remaining surface, that is, the surface that has not been cleaned, is coated with a thin layer of solution. An adhesive material is applied to the space between the device and the structure and allowed to cure. The applied solution prevents a mechanical and/or chemical bond from forming at that interface while a bond does form at the remaining surface. Thus a coupling is created that permits slip between the device and the structure and provides a neutral load.

Abstract: A method and apparatus for improving hearing by preventing acoustic feedback from the ossicular chain into a middle ear-implanted microphone of an implantable hearing assistance system. Mechanical sound vibrations are received with an acoustic microphone implanted in the middle ear. The mechanical sound vibrations are converted to an amplified electrical signal and the amplified electrical signal is delivered to the inner ear with a transducer operatively coupled between the microphone and the inner ear. A mechanical feedback barrier is established by removing or separating a portion of the hearing-impaired person's ossicular chain (e.g., malleus or incus) to prevent transmission of sound feedback into the microphone from the tympanic membrane via the ossicular chain. Implanting an acoustic microphone permits alternative implantation methods other than a mastoidectomy.

Abstract: A method and apparatus assists a hearing impaired person by introducing and maintaining a mechanical feedback barrier between a microphone and a transducer of an implantable hearing assistance system. In this method, mechanical sound vibrations impinging on the person's body habitus are received with an electromechanical device (e.g. microphone) disposed at a body habitus sound reception site. The body habitus sound reception site can be located within the external auditory canal, or external of the external auditory canal either subdermally or external of the scalp. The mechanical sound vibrations are converted with the electromechanical device to an amplified electrical signal. Next, the amplified electrical signal is delivered to the inner ear with a transducer operatively coupled between the electromechanical device and the middle ear or the inner ear.

Abstract: A dual path implantable hearing assistance system transduces sound vibrations of the malleus in one or both ears into electrical signals, processes the electrical signals to provide one or more resulting output electrical signals, and transduces the output signals into mechanical vibrations provided to the stapes in one or both ears. Communication between an electronics device and at least one ear is either wireless or through subcutaneous lead wires. The system may have two input paths and two output paths, programmable to provide the function of two separate single path systems, but capable of combining the signals such as by weighted summing. The system may have also have two input paths and one output path; or, one input path and two output paths; or, one input path and one output path, each associated with a different ear.

Abstract: A support for input and output transducers of a hearing aid is implanted in the middle ear. The support, which is attached to the mastoid bone, can be a single component or comprise two adjustable components. In one embodiment, an arm extends from the proximal end of the support towards an access hole created behind the outer ear, where the arm is attached for further stability. In another embodiment, the arm extends outside the access hole, where it is mounted subcutaneously to the mastoid bone with a mechanical fastener. The support provides positional adjustability, stability, and is invisible externally.

Abstract: An implantable hearing assistance system includes a sensor transducer and an electronics unit. The sensor transducer, such as a piezoelectric transducer, is operatively coupled to an auditory element of the middle ear (e.g., malleus), and electrically connected to the electronics unit. The transducer and the electronics unit are arranged together to minimize the driving impedance and lead capacitance therebetween, thereby minimizing susceptibility to electromagnetic interference and minimizing high audio frequency signal attenuation.

Abstract: The invention discloses a programmable implantable hearing aid including built-in electronics being in wireless communications with a hand-held programmer. The programmer transmits digital code signals of the type including RF, infrared and ultrasonic, based on selected parameter settings. A receiver accepts the signals for transmission to an input transducer in the middle ear. The input transducer collects the middle ear's response to the signals and transmits it to a circuit in the implanted hearing aid. The circuit searches for specific programming patterns and decodes the signals to effectuate the desired adjustment in the hearing aid. The conditioned signals are then transferred to an output transducer to operate the device at the adjusted signal level and condition. The invention enables both a patient and doctor to make unlimited number of adjustments in the implanted hearing aid without invasive surgery.

Abstract: A support shaft for use in supporting a universal connector for use in an implantable hearing assistance system. The support shaft provides an implantation surgeon with several features designed to secure a support shaft within the air cell-filled portion of a temporal bone. The support shaft is further configured to allow the secure attachment of the universal connector, the connector configured to support transducers and other components of an implantable hearing assistance system.

Abstract: An implantable hearing assistance system includes a sensor transducer and an electronics unit. The sensor transducer, such as a piezoelectric transducer, is operatively coupled to an auditory element of the middle ear (e.g., malleus), and electrically connected to the electronics unit. The transducer and the electronics unit are arranged together to minimize the driving impedance and lead capacitance therebetween, thereby minimizing susceptibility to electromagnetic interference and minimizing high audio frequency signal attenuation. In one example, the transducer and the electronics unit are disposed immediately adjacent each other or physically joined together to virtually eliminate (or at least significantly shorten) the length of the electrical connection between the transducer and the electronics unit.

Abstract: A total middle ear implantable (T-MEI) or partial middle ear implantable (PMEI) hearing assistance system provides a transient middle ear mechanical vibration stimulus, and senses emissions from the cochlea. The sensed cochlear emissions include mechanical vibrations (“otovibratory emissions”) and sound pressure waves (“otoacoustic emissions”). Based on the sensed emissions, diagnostic information is provided to the physician at an external programmer, allowing easier positioning and coupling of an electrical-to-mechanical output transducer. Diagnosis of auditory system or hearing assistance system malfunctions is effectively implemented using the data communicated from the implantable hearing assistance device. Signal processing parameters are adjusted based on the sensed cochlear emissions for improved hearing assistance. Otovibratory emission sensing is likely more sensitive than otoacoustic emissions, providing improved audiometric screening data.

Abstract: A mountable transducer assembly with removable sleeve provides for efficient and versatile implantation of transducers that are part of an implantable hearing assistance system. The invention provides for a universal connector and bracket where the universal connector can be removed from the bracket without the necessity of unmounting the bracket from its implanted location, for example, attached to the mastoid bone in the middle ear region. Further, the invention provides for three-dimensional movement of a transducer assembly attached to a removable column which further extends the flexibility and options for an implantation surgeon when implanting an implantable hearing-assistance device requiring one or more transducers. The sleeve, with attached transducer assembly, is further slidably adjustable in a longitudinal manner, to further extend the options and flexibility for the implantation surgeon to achieve good contact between a transducer and a target anatomical structure within the middle ear.

Abstract: An improved partial middle ear implantable (P-MEI) or total middle ear implantable (T-MEI) hearing assistance system includes a device and method of providing between a vibrating auditory element and a transducer that senses or provides such mechanical vibrations adjustably positionable contact at a controllable, adjustable, or calibrated force. A screw adjusts a spacing between first and second members of the transducer mount to position the transducer and obtain the desired coupling force between the transducer and the auditory element. A spring provides an adjustable coupling force. A spacer limits further compression of the spring, providing additional force. A calibrated coupling force is obtained by compressing the spring by a known amount, such as by observing visual demarcations, or by reducing the spacing between the first and second members until the spacing is almost limited by the length of the spacer. Optimal ranges of forces for sensing malleus vibrations are disclosed.

Abstract: A method and apparatus assists a hearing impaired person by introducing and maintaining a mechanical feedback barrier between a microphone and a transducer of an implantable hearing assistance system. In this method, mechanical sound vibrations impinging on the person's body habitus are received with an electromechanical device (e.g. microphone) disposed at a body habitus sound reception site. The body habitus sound reception site can be located within the external auditory canal, or external of the external auditory canal either subdermally or external of the scalp. The mechanical sound vibrations are converted with the electromechanical device to an amplified electrical signal. Next, the amplified electrical signal is delivered to the inner ear with a transducer operatively coupled between the electromechanical device and the middle ear or the inner ear.

Abstract: A hearing assistance system includes multiple middle ear transducers for sensing vibrations of an ossicle or other auditory element. The hearing assistance system is configured to accommodate an unknown or variable direction of the vibration. Two transducers are arranged to transduce nonidentical directional components of the vibration into electrical signals which are then combined. The combined electrical signal is approximately independent of the direction of the vibration, or has improved frequency response, or has an amplitude that is approximately independent of the direction of the vibration. The combined electrical signal may result from a square root of sum-of-squares, sum of individually filtered signals, differentiation, or other techniques. The hearing assistance system analogously accommodates three dimensional variability of the direction of vibration using three middle ear transducers.

Abstract: A method and apparatus transduces between mechanical and electrical signals within a middle ear to improve hearing. An electromechanical transducer film, preferably polyvinylidene fluoride (PVDF), is carried by a mount secured to the middle ear. The film is constrained by the mount, or by the mount and an auditory element. The invention includes substantially straight, bow-shaped, hoop-shaped, and bi-element transducer film embodiments. The film transduces between mechanical vibrations of an auditory element, such as the malleus or stapes, and electrical signals for use with an electronics unit of a partial middle ear implantable (P-MEI) or total middle ear implantable (T-MEI) hearing aid.

Abstract: A method and apparatus of the present invention improves hearing for a hearing-impaired person by preventing acoustic feedback from the ossicular chain into a middle ear-implanted microphone of an implantable hearing assistance system. In this method, mechanical sound vibrations impinging on the person's body habitus are received with an acoustic microphone implanted in the middle ear. The mechanical sound vibrations are converted with the microphone to an amplified electrical signal. Next, the amplified electrical signal is delivered to the inner ear with a transducer operatively coupled between the microphone and the inner ear, preferably coupled to a stapes or any element of the ossicular chain connected to the stapes. Finally, a mechanical feedback barrier is established by removing or separating a portion of the hearing-impaired person's ossicular chain (e.g., malleus or incus) to prevent transmission of sound feedback into the microphone from the tympanic membrane via the ossicular chain.

Abstract: An implantable hearing assistance system has a subcranially implantable electronics unit that is remotely situated from the ear, such as implanted in the pectoral region, rather than in the mastoid portion of the temporal bone. The increased volume available in the remote electronics unit allows it to carry a power source of increased energy capacity. This improves longevity, allows higher power consumption signal processing capability, and simplifies battery replacement. The hearing assistance system is coupled to a middle ear input transducer and a middle or inner ear output stimulator. The hearing assistance system is capable of use in a partial middle ear implantable (P-MEI), total middle ear implantable (T-MEI), or cochlear implant hearing assistance system.