Abstract: An implantable actuator system is disclosed. The system comprises a hermetically sealed housing; an actuator positioned in the housing, the actuator having at least one element displaceable relative to the housing; a coupling element connecting the actuator to the recipient's ear; and a diaphragm positioned at an end of the housing to provide a hermetic seal between the coupling element and the housing, wherein the diaphragm has sufficient flexibility to permit the coupling element to transmit vibrations to or from the actuator, wherein a liquid is positioned around the displaceable element of actuator to dampen the frequency response of the actuator, and in certain aspects, to make the system insensitive to differences in pressure between inside and outside of the housing.

Abstract: Presented herein are echo location techniques to obtain information about an implantable component of a hearing prosthesis relative to a recipient's tissue. The hearing prosthesis may comprise an elongate stimulating assembly configured to be implanted in a recipient's where an echo transmitter is disposed in the stimulating assembly. The echo transmitter is configured to emit an energy pulse within the recipient and an echo receiver disposed in the stimulating assembly is configured to detect a portion of the energy pulse reflected from tissue of the recipient.

Abstract: An implantable floating mass transducer is described for a hearing implant system in an implant patient. A cylindrical transducer housing contains a cylindrical inner mass magnet having an inner magnetic field with a first field direction. One or more signal drive coils are on the outer housing surface for conducting a transducer drive signal current to produce a signal magnetic field that interacts with the inner magnetic field to create vibration of the inner mass magnet which is coupled by the transducer housing to the internal hearing structure for sound perception by the implant patient. A ring-shape outer offset magnet is positioned around the outer housing surface with an outer magnetic field having a second field direction opposite to the first field direction so as to offset the inner magnetic field to minimize their combined magnetic field and thereby minimize magnetic interaction of the transducer with any external magnetic field.

Abstract: A hearing aid microphone assembly is configured for implantation into a subject and includes a microphone housing, the housing having a generally conical sound gathering portion with a proximal end and a distal end and a microphone support portion with one or more ports configured to receive a microphone and acoustically coupled to the distal end. A diaphragm is disposed over the proximal end of the housing to hermetically seal the sound gathering portion of the housing and create a first chamber. The microphone assembly is configured with either: (1) at least a first and a second port each coupled to a microphone; or (2) at least a first port coupled to a microphone and an accelerometer coupled to the housing. Each of the ports is configured to communicate acoustically with the first chamber. Any unused ports are sealed.

Abstract: An assembly comprising a sound transducer can be implanted in the middle ear in a manner that simplifies surgery. The assembly may comprise a narrow cross-sectional profile such that the assembly can be positioned in the middle ear through an incision in the eardrum, for example without cutting bone. The incision can be closed and electromagnetic energy transmitted through the closed incision to a transducer configured to vibrate the ear in response to the electromagnetic energy. In many embodiments, the sound transducer comprises a speaker positioned in the middle ear, and the sound transducer can couple to vibratory structure of the ear with air so as to simplify surgery. The assembly may be affixed to a substantially fixed structure of the ear, for example the promontory, so as to inhibit user perceivable occlusion and inhibit motion of the assembly, such that the user can perceive clear sound with little occlusion.

Abstract: A device, including a vibratory apparatus having an actuator configured to generate vibrations upon actuation of the actuator, including plurality of lever arms, wherein the vibratory apparatus is configured such that at least a respective portion of respective lever arms of the plurality of lever arms move about at least one of a single or a respective hinge when the vibratory apparatus is generating vibrations.

Abstract: A device, including an implantable microphone, including a chamber in which media corresponding to at least one of a liquid or a fluid resistant to compression is located such that vibrations originating external to the microphone are effectively transmitted through the media.

Abstract: Various embodiments of systems, devices, components, and methods are disclosed for magnetic spacers configured for use in conjunction with bone conduction hearing aids and corresponding magnetic implants. According to some embodiments, the magnetic spacers are configured to vary the amount and/or orientation or direction of magnetic coupling force provided thereby.

Abstract: A system, including a first prosthetic device configured to evoke a hearing percept based on a first ambient sound and a second non-invasive device configured to stimulate skin based on a second ambient sound generated by a voice.

Abstract: Methods, systems, and devices for receiving a data signal and a power signal by a hearing prosthesis are disclosed. An input signal is received at a first unit of a hearing prosthesis. The first unit receives the input signal at a wired interface module that conforms to a standardized interface. The first unit identifies a data signal and a power signal included in the input signal. The first unit transfers at least a portion of the power signal to a second unit of the hearing prosthesis. The second unit is implanted in a body and is configured to stimulate an auditory organ, allowing a user to perceive at least a portion of a sound.

Abstract: A bone conduction hearing aid device comprising a vibrator configured to vibrate in response to sound signals received by the device. The device further comprises a housing mass forming a housing for one or more operational components of the device, wherein the housing mass is attached to the vibrator so as to move in response to the vibration. The device also comprises a coupling configured to attach the device to a recipient so as to deliver the generated mechanical to the recipient's skull.

Abstract: A hearing aid apparatus is provided. In one embodiment, a system and method are provided for using a tympanostomy tube as a platform for driving the middle ear. The system and method may employ a mechanical interface for driving the middle ear. In another embodiment, a hearing aid apparatus includes a direct-drive hearing device (DHD) having a silicone mold on one end, where the silicone mold has an attached magnet; and a tympanostomy tube with a ferromagnetic cap, where the tympanostomy tube is insertable into a tympanic membrane. The DHD is configured for insertion in an ear canal such that the magnet attached to the silicone mold is in contact with the ferromagnetic cap of the tympanostomy tube.

Abstract: A sub-cranial vibratory stimulator that at least partially bypasses a recipient's skull bone and delivers vibration to fluid within a recipient's skull bone. The sub-cranial vibratory stimulator comprises an actuator that is configured to be implanted beneath a recipient's skull bone. The actuator transfers vibration to the fluid within the recipient's skull without first passing through the skull bone. The actuator is also substantially mechanically decoupled (isolated) from the recipient's skull bone.

Abstract: An osteoconductive implantable component for use in coupling a bone conduction device to a recipient is provided. The implantable component is configured to be implanted adjacent to a recipient's bone and is configured to promote bone ingrowth and/or ongrowth to interlock the implantable component with the recipient's bone so as to prevent movement of the implantable component with respect to the recipient's skull.

Abstract: A cochlear implant system includes a subcutaneous housing which includes a main body and a bottom cover secured to the main body. A central cavity in a center of the subcutaneous housing is formed by a portion of an outer surface of the main body. A magnet is removably inserted into the central cavity and includes a cylindrical body with a central axis aligned with a removal axis of the central cavity, a groove extending circumferentially around the cylindrical body, and a top surface, which includes an outer edge, a plurality of ribs extending radially farther than the outer edge, and a plurality of abutments extending radially farther than the ribs. A compressive ring is seated in the groove of the cylindrical body and engages under a ledge in the central cavity when the magnet is inserted into the central cavity and biases the magnet against removal from the central cavity.

Abstract: A transducer is configured to couple to the cochlear fluid so as to transmit sound with low amounts of energy, such that feed back to a microphone positioned in the ear canal is inhibited substantially. The cochlear fluid coupled hearing device can allow a user to determine from which side a sound originates with vibration of the cochlea and the user can also receive sound localization cues from the device, as feedback can be substantially inhibited. The transducer may be coupled to the cochlear fluid with a thin membrane disposed between the transducer and the cochlear fluid, for example with a fenestration in the cochlea. In some embodiments, a support coupled to the transducer directly contacts the fluid of the cochlea so as to couple the transducer to the cochlear fluid.

Abstract: A tinnitus method and device for providing relief to a person suffering from the disturbing effects of tinnitus is described. The method can be implemented entirely in software to spectrally modify an audio signal in accordance with a predetermined masking algorithm which modifies the intensity of the audio signal at selected frequencies. A predetermined masking algorithm is described which provides intermittent masking of the tinnitus wherein, at a comfortable listening level, during peaks of the audio signal the tinnitus is completely obscured, whereas during troughs the perception of the tinnitus occasionally emerges. In practice it has been found that such intermittent masking provides an immediate sense of relief, control and relaxation for the person, whilst enabling sufficient perception of the tinnitus for habituation and long term treatment to occur. Advantageously the predetermined masking algorithm is specifically tailored to the audiometric configuration of the person.

Abstract: An implantable magnet arrangement is described for a hearing implant in a recipient patient. A pair of implant magnets are fixable in a common plane beneath the skin of the patient to underlying skull bone. At least one of the magnets is adapted to transform a magnetic drive signal from an external signal drive coil into a corresponding mechanical stimulation signal for delivery by bone conduction of the skull bone as an audio signal to the cochlea. Each implant magnet includes a pair of internal magnets lying in parallel planes which meet along a common junction with repelling like magnetic polarities facing towards each other.

Abstract: Devices are used to receive sound so as to enhance directionality in a single microphone auditory prosthesis. A tube including a plurality of openings directs sound into a microphone located on the auditory prosthesis. Directionality of such a system is based on a constructive and destructive interference between added sound components as sound enters the openings on the tube. The spacing and size of the openings can be configured such that sounds coming towards the recipient from a predetermined direction are received, while sounds from less desirable directions are cancelled out due to sound wave phase differences.

Abstract: An electric switching device for an implantable hearing aid is disclosed. The device automatically, directly or indirectly activates the power consumption for an implantable hearing aid when an outer sound processor is installed on the patient and turns off/reduces the power consumption when the sound processor is removed.

Abstract: Disclosed are various embodiments of systems, devices, components and methods for improving acoustic coupling between a bone conduction hearing device (BCHD) and a patient's head or skull. Such systems, devices, components and methods include disposing a gel or paste between the BCHD and the patient's skin, hair and/or skull. The gel or paste improves the transmission of acoustic signals generated by a transducer in the BCHD to the patients head or skull by providing a more efficient and improved intermediary acoustic medium for the transmission of acoustic signals to the patient's head or skull.

Abstract: An audio device with an insertion part being adapted to be inserted into an ear canal of a user. The insertion part comprises pressure means and a resilient surface. The resilient surface comprises an adhesive, which is adapted to adhere to a skin portion of a bony portion of an ear canal of a user. The pressure means are adapted to provide a force to press the adhesive against the skin portion. The pressure means include a phase-changing material, which is adapted to cause a reduction in the force, when heat is supplied to the phase-changing material.

Abstract: An implantable device is configured for placement in the eardrum to transmit an audio signal to a user. The device may be configured to improve transmission of an electromagnetic signal from an input assembly on a lateral side of an eardrum to an output assembly positioned on a medial side of the eardrum, for example, at least partially in the middle ear of the user. The output assembly may comprise a transducer or at least two electrodes configured to stimulate the cochlea, for example. The device may include an opening to transmit the light signal or an optic to transmit the light signal. Alternatively, the device may be configured to support a transducer of the output assembly with the eardrum when the device is implanted in the eardrum, such that the eardrum vibrates in response to the electromagnetic signal. The electromagnetic signal may include light energy.

Abstract: A passive ossicular prosthesis includes a first and second fastening element for connection to the tympanic membrane. A connecting element connects the fastening elements in a sound-conducting manner. The connecting element includes a receiving part and an insertion part. The insertion part is inserted into a receiving opening of the receiving part. The receiving part encloses an end section of the insertion part in the manner of a clamp by way of two opposing, parallel legs disposed parallel to a shank axis of the connecting element. The legs have catch devices that fix the enclosed end section discrete spatial positions relative to the shank axis.

Abstract: A device, including an implantable electronic circuit integrated at least one of in or on a substrate, wherein the device includes a hermetic enclosure having a space therein, wherein the substrate forms at least a portion of the hermetic enclosure.

Abstract: Disclosed is hearing device that uses magnetostrictive materials to assist a user in hearing and comprehending sounds. Conductive coils are made with a magnetostrictive covering that can comprise a film or other coating. In addition, printed circuit boards can be used with traces that form a coil to generate a magnetic field that activates a magnetostrictive film disposed over the coil traces on the printed circuit board. Enhanced effects are achieved using these systems. Delays in the signal processing can also be introduced by varying the thickness of the magnetostrictive coverings.

Abstract: A device includes a sound input element for receiving a sound signal and converting the sound signal into an electrical signal. The device also includes an actuator and a sound processor for processing the electrical signal to generate a stimulation signal. The sound processor is configured to apply frequency shifting on the stimulation signal to generate a frequency shifted stimulation signal and to apply the frequency shifted stimulation signal as an output from the device. The frequency shifting can be triggered by detecting that the stimulation signal is associated with frequencies above an output limit of the device for a recipient and/or the stimulation signal can be applied as vibration.

Abstract: A method including obtaining data based on a current and/or anticipated future state of a hearing prosthesis and adjusting a set gain margin of the hearing prosthesis based on the current or anticipated future state of the hearing prosthesis.

Abstract: An auditory ossicle prosthesis, which at one end has a first securing element for mechanical connection to a member of the ossicular chain, which securing element is designed in the form of a loop that encloses the member, is partially open to the outside via a slit-like aperture and engages with a force fit around the member, the slit-like aperture being considerably smaller than the diameter of the member engaged by the loop, wherein, after attachment, the loop bears with a force fit on the engaged member via at least three areas, and that, in the circumferential direction around the engaged member, at least three areas of the loop do not touch the engaged member but instead each extend at a distance from the surface of the latter.

Abstract: An implantable microphone for use in hearing systems includes a housing having a back wall. The back wall has a recess (e.g., blind hole) configured to be coupled to an auditory ossicle. The implantable microphone also includes a membrane coupled to a top portion of the housing and a vibration sensor adjacent to the membrane. The membrane is configured to move in response to movement from the auditory ossicle, and the vibration sensor is configured to measure the movement of the membrane and to convert the measurement into an electrical signal.

Abstract: An implantable magnet arrangement is described for a hearing implant in a recipient patient. A pair of implant magnets are fixable in a common plane beneath the skin of the patient to underlying skull bone. At least one of the magnets is adapted to transform a magnetic drive signal from an external signal drive coil into a corresponding mechanical stimulation signal for delivery by bone conduction of the skull bone as an audio signal to the cochlea. Each implant magnet includes a pair of internal magnets lying in parallel planes which meet along a common junction with repelling like magnetic polarities facing towards each other, and the magnetic polarities of each implant magnet are reversed from each other.

Abstract: Embodiments presented herein are generally directed to a coupling arrangement for securing an external component to a recipient of an implantable medical device. The coupling arrangement is configured to magnetically couple the external component to a recipient so as to minimize damage to tissue of the recipient adjacent to the coupling arrangement.

Abstract: Disclosed herein are apparatus and methods for delivering bone conduction stimuli for measuring the gravitation receptor functions of the inner ear. In some embodiments, an apparatus may include (i) an impactor operatively linked to a guide disposed within a housing and (ii) an electrically driven actuator enclosed within the housing. The electrically driven actuator may be configured to cause the impactor to (i) travel to a striking point to deliver a mechanical bone conduction stimulus for transmission to a skull bone and (ii) controllably decelerate prior to the instance of stimuli delivery.

Abstract: A method and system to help determine the extent to which a hearing prosthesis recipient is exposed to speech. The hearing prosthesis will log data regarding audio input, optimally in correspondence with times when the hearing prosthesis is in a stimulation-on mode in which the hearing prosthesis is set to stimulate a physiological system of the recipient in accordance with received audio input, so as to facilitate identification of speech to which the recipient is exposed. Further, as the hearing prosthesis itself receives the audio input, the hearing prosthesis may analyze the audio input to determine one or more linguistic characteristics of the audio input, such as a quantity of speech by the recipient and/or by others, and the hearing prosthesis may output data representing the determined one or more linguistic characteristics. Advantageously, the data may then be used to help facilitate rehabilitation of the recipient.

Abstract: The invention relates to a device for the combined application of a transcutaneous electrical stimulus to the surface of a portion of the human ear and emission of an acoustic signal into the auditory canal of the ear, wherein the device has at least one electrode head with at least one electrode for the application of the electrical stimulus, a loudspeaker and an output channel for acoustic signals into the auditory canal, a control device by which the application of the electrical stimulus and the emission of acoustic signals can be controlled. In order to achieve improved treatment of disorders using electrical stimulation, in particular tinnitus, the invention provides that the at least one electrode head which carries it is designed to allow it to be arranged in the Cymba conchae of the ear.

Abstract: A hearing apparatus and method for measuring a distance between an eardrum and the hearing apparatus are provided. The hearing apparatus may include a signal output unit configured to output a first measurement signal, a signal identification unit configured to receive a second measurement signal, and a distance determination unit configured to determine the distance between the user's eardrum and the hearing apparatus.

Abstract: There is provided an at least partially implantable device for picking up sound impinging onto a skin area of a person, comprising means for generating an audio signal corresponding to the change in time of the distance between a position of the device and the outer surface of the skin area, wherein the device position is adjacent to the skin area.

Abstract: A fenestration piercing the otic capsule bone of the cochlea receives a therapeutic appliance, such as a microactuator, plug, micropump for drug or therapeutic agent delivery, electrode, and the like. Several different ways of achieving a ‘water tight’ seal between the otic capsule bone and the therapeutic appliance are provided. The therapeutic appliance may be implanted with or without a sheath or sleeve lining the wall of the fenestration formed using specialized surgical burrs. The burrs permit safely fenestrating the otic capsule bone adjacent to the scala tympani of the cochlea without damaging the basilar membrane or organ of corti. This approach may also be adopted for safely fenestrating other areas of the inner ear such as the scala vestibuli, bony labyrinth of semicircular canals, or walls of the vestibule, or the oval or round windows thereof.

Abstract: An implantable floating mass transducer is described for a hearing implant system in an implant patient. A cylindrical transducer housing contains a cylindrical inner mass magnet having an inner magnetic field with a first field direction. One or more signal drive coils are on the outer housing surface for conducting a transducer drive signal current to produce a signal magnetic field that interacts with the inner magnetic field to create vibration of the inner mass magnet which is coupled by the transducer housing to the internal hearing structure for sound perception by the implant patient. A ring-shape outer offset magnet is positioned around the outer housing surface with an outer magnetic field having a second field direction opposite to the first field direction so as to offset the inner magnetic field to minimize their combined magnetic field and thereby minimize magnetic interaction of the transducer with any external magnetic field.

Abstract: A middle ear implant may include a first interface portion configured to interface with a first structure of a middle ear of a patient, a second interface portion configured to interface with a second structure of the middle ear of the patient, a shaft configured to connect the first interface portion and the second interface portion, and a sensor disposed at one end of the shaft, between the shaft and one of the first interface portion or the second interface portion. The sensor may be configured to provide a DC signal output indicative of static pressure on the sensor based on placement of the sensor between the first and second structures. The sensor may also be configured to provide an AC signal output indicative of a frequency response of the implant in response to the sensor being coupled to an output device.

Abstract: An exemplary stapedius reflex measurement safety system includes a stimulation management facility configured to direct a cochlear implant system to apply an electrical stimulus to an auditory pathway of a patient and a detection facility configured to determine that a change in acoustic immittance that occurs as the electrical stimulus is being applied by the cochlear implant system is likely representative of a rise time phase associated with an occurrence of a stapedius reflex within the patient. The stimulation management facility is further configured to direct, in response to the determination, the cochlear implant system to cease applying the electrical stimulus.

Abstract: An improved implantable auditory stimulation system includes two or more implanted microphones for transcutaneous detection of acoustic signals. Each of the implanted microphones provides an output signal. The microphone output signals may be combinatively utilized by an implanted processor to generate a signal for driving an implanted auditory stimulation device. The implanted microphones may be located at offset subcutaneous locations and/or may be provided with different design sensitivities, wherein combinative processing of the microphone output signals may yield an improved drive signal. In one embodiment, the microphone signal may be processed for beamforming and/or directionality purposes.

Abstract: The present invention concerns an actuator for an implantable hearing aid for implantation into the human middle ear. The actuator comprises a substantially elongate piezoelectric component (34, 36) having first and second operating end faces (41, 43), said end faces extending substantially at right angles to the longitudinal axis of the piezoelectric component. Also there is provided a frame component comprising at least one flextensional amplifier element (32), the flextensional amplifier element being integral with and connecting first and second frame end portions (42, 44), the first and second frame end portions also extending substantially at right angles to longitudinal axis of the piezoelectric component when fitted thereto, whereby the first and second end portions are in contact with the piezoelectric component end faces.

Abstract: The present application discloses a vibration-based hearing prosthesis configured to measure the vibration applied by a hearing prosthesis to the skull of the hearing prosthesis recipient while the recipient is wearing the hearing prosthesis. Directly measuring the applied vibration in situ allows hearing characteristics to be more accurately mapped to voltage inputs. A recipient's hearing threshold and associated voltage input may be directly measured. Additionally, measuring the applied vibrations allows co-listening. A doctor can monitor the sound output from a vibration-based hearing prosthesis as it is worn by a recipient. Directly measuring the vibration output also allows an additional degree of freedom in diagnostics because a recipient can perform diagnostic tests at home.

Abstract: A device to transmit an audio signal to a user comprises a transducer and a support. The support is configured for placement on the eardrum to drive the eardrum. The transducer is coupled to the support at a first outer location to decrease occlusion and a second inner location to drive the eardrum. The transducer may comprise one or more of an electromagnetic balanced armature transducer, a piezoelectric transducer, a magnetostrictive transducer, a photostrictive transducer, or a coil and magnet. The device may find use with open canal hearing aids.

Abstract: A fixation system for a bone conduction device is disclosed. An abutment is coupled to a bone anchor such that vibrations applied to the abutment pass into the bone anchor. The abutment defines a conduction path to the bone anchor such that vibrations applied to the abutment are transferred to the bone anchor. The abutment comprises a plurality of interlocking stacked plates disposed adjacent the bone anchor, wherein the plates form part of the conduction path. The fixation system also comprises a vibratory coupler extending from the bone conduction device, comprising a second conduction surface and a magnet, wherein the magnet attracts to the abutment so as to couple the second conduction surface to the abutment, thereby enabling vibrations to pass through the conduction path. The plates are configured to slide laterally in response to tangential forces incident upon the abutment.

Abstract: A device for volitional swallowing with a substitute sensory system comprises a band wrapped around the neck with a vibrator positioned over the larynx. Upon activation by a button on a spoon held by an operator, such as the subject, the vibrator moves and vibrates the larynx. The patient initiates the sensory stimulation immediately prior to the patient's own initiation of a swallow by viewing on a display screen a movement feedback signal, possibly from a piezo-electric sensor also contained in the band which will also be displayed on the display screen. The signal from the switch device initiating sensory stimulation will be presented on the same display screen for the patient and trainer to observe when the button or switch is activated for sensory stimulation in relation to the onset of the swallow.

Abstract: An implantable microphone that includes a hermetically-sealed, enclosed volume and an electret member and back plate disposed with a space therebetween and capacitively coupleable to provide an output signal indicative of acoustic signals incident upon at least one of the electret member and back plate. At least one of the electret member and the back plate may include a plurality of laterally offset portions located in corresponding spatial relation to a plurality of laterally offset regions including the lateral extent of the space. The output signal may be at least one of weighted and weightable in relation to the plurality of laterally offset portions. The electret member may include the plurality of laterally offset portions, and the laterally offset portions may include at least one positively charged dielectric material portion and at least one negatively charged dielectric material portion.

Abstract: A relaxation inducing sleep mask includes a comfortable eye mask and a sleep module carried by the eye mask providing audible and/or visible patterns each intended to promote relaxation and to induce sleep.

Abstract: The present application discloses hearing prostheses with two modes of operation and methods for operating the prostheses. In the first mode of operation, a hearing prosthesis receives a microphone input and produces an output based on the microphone input. In the second mode of operation, the hearing prosthesis may detect an accessory input signal and switch to an accessory input mode. The second mode of operation may produce an output that is based at least in part on the accessory input signal. Some embodiments may include detecting an accessory input signal with a detector. In response to detecting an accessory input signal, the hearing prosthesis may switch to an accessory operation mode. When the accessory input signal is not detected, the hearing prosthesis may operate in microphone operation mode.