Abstract: Disclosed is a swallowable self-expanding gastric space occupying device and related methods of making and using the device to control obesity. The device has a membrane through which gastric liquid can pass, wherein the membrane provides an enclosure volume separated from the gastric environment by the membrane. A plurality of self-expanding components is contained in the enclosure volume, so that the components expand in volume upon contact with the gastric fluid, thereby expanding the device from an unexpanded volume to an expanded volume. Composite membranes provide the ability to precisely control how and when the membrane degrades in the stomach, to release the self-expanding components from the enclosure and to ensure that the released pieces are sufficiently small to not obstruct any portion of the gastro-intestinal system.

Abstract: Disclosed is a swallowable self-expanding gastric space occupying device and related methods of making and using the device to control obesity. The device has a membrane through which gastric liquid can pass, wherein the membrane provides an enclosure volume separated from the gastric environment by the membrane. A plurality of self-expanding components is contained in the enclosure volume, so that the components expand in volume upon contact with the gastric fluid, thereby expanding the device from an unexpanded volume to an expanded volume. Composite membranes provide the ability to precisely control how and when the membrane degrades in the stomach, to release the self-expanding components from the enclosure and to ensure that the released pieces are sufficiently small to not obstruct any portion of the gastrointestinal system.

Abstract: Apparatus and methods are provided for maintaining a desired centered relationship between a vibratory actuator of an implantable hearing aid transducer and an auditory component post-implantation. In certain embodiments, at least two guide members may extend beyond a distal end of a vibratory actuator for positioning on opposing sides of an auditory component. The guide arms may be employed to restrict post-implantation auditory component movement, and additionally or alternatively, to apply a spring-loading force against an auditory component to reposition and thereby center such auditory component in the event of post-implantation auditory component movement. In certain embodiments, a distal end may be provided on a vibratory actuator, wherein the distal end has a plurality of differently-shaped concave surfaces. A selected one of the different concave surfaces may be positioned for contact engagement with an auditory component to optimize surface engagement.

Abstract: The invention is directed to a fixation apparatus and method for interfacing an implantable hearing aid actuator with the ossicular chain of a patient. The fixation apparatus may include one or more surface discontinuities to enhance tissue fixation and thereby yield enhanced mechanical coupling and vibratory response. Surface discontinuities may be in the form of surface pores, surface asperities and complex surface shapes such as grooves, slots, lips or openings formed in the fixation apparatus. The fixation apparatus may also and/or alternatively include a portion or component that is deflectable or that comprises a conditioned shape memory material that is activatable at bodily temperatures to yield a degree of lateral loading when the fixation apparatus is positioned within an opening defined within a bone of the ossicular chain of a patient, thereby yielding enhanced mechanical coupling.

Abstract: Provided herein are systems and methods where an implantable microphone of an implantable hearing system is positioned at a location spaced from the surface of the patient's skull. More specifically, the microphone is mounted to soft tissue of the patient to at least partially isolate the microphone from skull-borne vibrations. Accordingly, by utilizing a soft tissue mount, the microphone may be made more sensitive to ambient sounds with reduced concern to amplification of non-ambient vibrations caused by skull-borne vibrations including, for example, transducer feedback, talking and/or chewing. The system will further include an auditory stimulation device that is located proximate to the skull of the patient and which is operative to stimulate an auditory component of the patient in accordance with an output signal generated by the microphone. A subcutaneously routed signal wire may extend between the implanted microphone and the auditory stimulation device.

Abstract: An implantable hearing unit is provided that includes an implantable microphone, a rechargeable power storage device and a speech signal processor. The hearing unit further includes a signal coupling device that is adapted for electrical interconnection to an implantable auditory stimulation device, which is operative to stimulate an auditory component of a patient. Such a stimulation device may include cochlear implants, brain stem stimulation systems, auditory nerve stimulation systems, and middle or inner ear transducer systems. The signal coupling device is operative to provide processed drive signals from the signal processor to the stimulation device as well provide power from the power storage device to operate the stimulation device. In one arrangement, the signal coupling device is a wireless coupling between first and second coils. In such an arrangement, the hearing unit may be utilized with an existing implanted stimulation device to make that device a fully implanted hearing system.

Abstract: An improved apparatus and method is provided for supportably mounting an implantable hearing aid device to a patient's skull. The apparatus includes a support member adapted for supporting a hearing aid device and a plurality of mounting legs extending laterally from the support member in differing directions. The apparatus further includes a mechanism for use in conforming the mounting legs to the topology of a patient's skull. In one arrangement, the mechanism includes a plurality of guide legs having a reduced yield strength in comparison to the mounting legs. The reduced yield strength guide legs may be more readily conformed to the topology of the patient's skull to provide a mounting leg profile. Accordingly, the mounting legs may be deformed to match the profile of the guide legs such that a conformal fit between the apparatus and the patient's skull may be achieved.

Abstract: A system for reducing the vibration sensitivity of an implantable microphone without an equal or greater reduction in sound sensitivity. The system reduces non-ambient vibrations by placing at least one compliant member into the path of transmission for tissue-borne vibration, but not into the path for ambient sound-induced vibration. More particularly, a compliant member is interposed along the path between a source of non-ambient vibration and an implanted microphone. In one aspect, a compliant base member is disposed between an implanted microphone and an implant wearer's skull. In another aspect, a microphone is compliantly suspended relative to an implant housing using a support membrane. In either aspect, the compliant member (i.e., base member and/or membrane) and the supported member (i.e., housing and/or microphone) define a supported system having a natural or resonant frequency. This natural frequency may be set to a value to advantageously isolate the microphone against transmitted vibration.