Abstract: According to an exemplary embodiment the hearing of a patient may be improved by providing the patient with a wearable package having a microphone, a wireless transmitter circuit responsive to the microphone to transmit a wireless transducer signal, a power storage device configured to provide power to the transmitter circuit; and a wireless power transmission circuit configured to transmit a wireless power signal and implanting into the patient an electrically powered microactuator having: a wireless receiver circuit to receive the wireless transducer signal; a transducer drive circuit coupled to the wireless receiver circuit to convert the received transducer signal into a transducer drive signal; a transducer coupled to the transducer drive circuit to convert the transducer drive signal into motion; and a wireless power reception circuit configured to receive the wireless power signal to power the transducer drive circuit.

Abstract: A method for increasing the acoustic impedance of the round window membrane of the cochlea in a human patient includes surgically opening access to the round window membrane and placing a packing layer over the round window membrane. Optionally a layer of collagen graft may be obtained from the patient and placed between the round window membrane and the packing layer. Optionally the packing layer may be enclosed within the collagen graft. Optionally bone paté may be obtained from the patient and used to form at least a portion of the packing layer. Optionally a silastic buttress may be placed under compression between the packing layer and the bone of sinus tympani of the patient.