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: An implantable hearing aid transducer is provided that allows providing movement for stimulation purposes in at least first and second directions. This allows for moving an auditory component in a direction that may be substantially aligned with a natural direction of movement for the auditory component. In one arrangement, a middle ear transducer having an elongated vibratory member that extends into a patient's tympanic cavity is operative to move a tip of the vibratory member in at least first and second directions. A first direction may be along a long axis of the vibratory member while a second direction may be in a direction that is at least partially transverse to the long axis of the vibratory member. Further, the transducer may be positionable to provide alignment of the vibratory member such that the transverse direction of movement is substantially aligned with a direction of natural movement of a middle ear component (e.g. ossicles bone) to be stimulated.

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: An implantable hearing aid transducer interface disposable between an implantable transducer and a mounting apparatus and having at least a portion that is displaceable in response to a predeterminable range of transducer movement. According to one aspect of the invention, the predeterminable range of transducer movement includes movement in response to a physiological movement of an auditory component that results in pressure on the implantable transducer. In this case, the compliant interface permits adaptive movement of the implantable transducer in response to the pressure to maintain a desired interface between the implantable transducer and an auditory component. According to another aspect, the predeterminable range of transducer movement may be transducer vibration resulting from an acoustic stimulation of an auditory component by the implantable transducer. In this case, the compliant interface reduces the transmission of transducer vibration over a feedback path to a microphone of a hearing aid.

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.

Abstract: An implantable hearing aid transducer interface disposable between an implantable transducer and a mounting apparatus and having at least a portion that is displaceable in response to a predeterminable range of transducer movement. According to one aspect of the invention, the predeterminable range of transducer movement includes movement in response to a physiological movement of an auditory component that results in pressure on the implantable transducer. In this case, the compliant interface permits adaptive movement of the implantable transducer in response to the pressure to maintain a desired interface between the implantable transducer and an auditory component. According to another aspect, the predeterminable range of transducer movement may be transducer vibration resulting from an acoustic stimulation of an auditory component by the implantable transducer. In this case, the compliant interface reduces the transmission of transducer vibration over a feedback path to a microphone of a hearing aid.