Abstract: A scaffold for reshaping an ear or a nose, the scaffold being configured to be i) attached to the cartilaginous portion of an ear or ii) attached to the cartilaginous portion of a nose, wherein the scaffold is formed at least in part from a shape-memory material and/or a plastic material and is capable of transforming from a first configuration to a second, pre-programmed configuration.

Abstract: The present invention provides a number of novel implants for use in cosmetic and reconstructive nasal surgery, and kits and structural elements comprising various combinations of those implants. The invention includes a technique for securing various implants to each other that will reduce the complexity of the surgery and the required operating time. Another aspect of the invention includes structures that permit the quick and yet secure attachment to each other of various elements, in a way that the surgeon can use to build up a desired shape and provide actual structural support for the involved portion of the patient's features.

Abstract: A set of fenestration burrs, for fenestrating otic capsule bone (34), includes an initial burr (150) and a sequence of fenestration polishing burrs (180). A polishing burr (152, 1521), of each of the burrs (150, 180), carries at least one spiraling flute (166, 166?). Fenestrations (36) piercing the bone (34) formed using the burrs (150, 180) exhibit uniform diameters while excluding bone dust from the inner ear. An implantable casing (72) includes a hollow collar (76) from which projects a hollow sleeve (74) receivable into the fenestration (36). The casing (72) is secured there by at least one prong (92, 102) jutting from the sleeve (74). A therapeutic appliance (134) is insertable into the casing (72). A flange (116) extending from one end of the sleeve (74) carries at least one L-shaped slot (122) open at one end and extending circumferentially around the flange (116).

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 auditory ossicle prosthesis (40) which replaces or bridges at least one element in the human auditory ossicle chain, whereby the auditory ossicle prosthesis (40) is made of an elastic material or a material having at least one articulated connection, is characterised in that means for frequency adjustment (=tuning) are arranged for sound transmission in the middle ear, in particular to change the lever conditions in the auditory ossicle chain. In this way sound transmission between the middle ear area and the inner ear of the human auditory canal is considerably improved, whereby, in particular, optimum adaptation to the individually differing conditions and a tailor-made solution to the problems and deficiencies in the patient in question are made possible.

Abstract: An ossicle prosthesis (10), which on both of its ends has a first securing element (11) and a second securing element (12) for mechanical connection to a member of the ossicle chain and between the two securing elements has a ball joint, which includes two struts (13, 13?) which are solidly connected to the first securing element (11) and between them enclose a gaplike space, in which a ball (14) is pivotably supported in two recesses (15), in which the ball (14) is part of an elongated shaft (16) that connects the two securing elements to one another, characterized in that the elongated shaft (16) includes many balls (14, 14?, 14?) adjacent to one another, is displaceable through the gaplike space between the two struts and through a perforation (17) in the first securing element, and one of the balls, in a snapped-in position, snaps between the respective recesses, and that the gaplike space can be made narrower between the two struts (13, 13?) of the ball joint for fixation of the shaft (16) after the desi

Abstract: An implant device for bone anchored hearing aids of the type that include a screw-shaped anchoring element for anchorage in the bone tissue, an abutment sleeve for skin penetration and arranged to be connected to the fixture with a screw connection and a tool for installing the implant into the bone tissue. The fixture and the abutment sleeve are made as a pre-mounted unit that unit is arranged to be installed in one step by means of the tool, which is arranged to cooperate with a tool engaging portion on the abutment sleeve. This arrangement requires fewer pieces to handle for the surgeon during the installation, which means that the surgical procedure can be carried out in a simpler and predetermined way, at the same time as the advantages inherent in a two-piece implant device are maintained.

Abstract: An object is to provide a cochlear implant system (also known as an artificial inner ear system) which is easy to use with little interference with daily activities. A cochlear implant device (or artificial inner ear device) includes an inner ear electrode, an information processing circuit, a transmitter/receiver circuit, a charging circuit, and a battery; and the battery is charged with electromagnetic waves received by the transmitter/receiver circuit through the charging circuit. In addition, the power stored in the battery is supplied to the cochlear implant device. Further, the electromagnetic waves received by the transmitter/receiver circuit are converted into a signal by the information processing circuit, and the signal is provided from the inner ear electrode to stimulate the auditory nerve.

Abstract: An electrically nonconductive occludent constructed and arranged to forcefully infill a tissue opening so as to effectively prevent transport of electrical current, fluid and bacteria through the tissue opening. A cochlear implant comprising: an elongate electrode carrier member having at least one electrode disposed thereon, wherein the carrier member is configured to traverse a cochleostomy to position the electrodes in the cochlea; and an electrically nonconductive occludent constructed and arranged to circumferentially surround a portion of the carrier member traversing the cochleostomy, and to forcefully infill cochleostomy thereby segregating perilymphatic canals of the cochlea from extracochlear regions.

Abstract: The present invention relates to thermoresponsive adhesives. The invention further relates to methods for the reversible attachment of retinal implants, other implants, and drug delivery devices.

Abstract: An implantable electrode array (30) that can adopt a first, preferably straight, configuration selected to allow the array to be inserted into an implantee's body, such as the cochlea, and at least a second, preferably spirally curved, configuration where the electrode array is adapted to apply tissue stimulation to the cochlea. The array (30) includes an elongate carrier (31) having a proximal end and a distal end and a plurality of electrodes (36) supported by the carrier (31) at respective longitudinally spaced locations thereon. The array (30) further comprises an outer layer (33) adhered to the elongate carrier (31) by an intermediate bioresorbable adhesive layer (32) positioned at least partially between the carrier (31) and the outer layer (33).

Abstract: An ossicular prosthesis has a shaft and a superelastic engagement structure coupled to the shaft. The engagement structure at least partially defines an opening and is deformable to widen the opening to permit a portion of an ossicle to be received therein. When the engagement structure is deformed to receive the portion of the ossicle, the stress in the engagement structure remains substantially constant throughout a majority of the deformation. The load required to deform the engagement structure into an open position is relatively small, facilitating the procedure as well as reducing the potential for damage to the intact ossicle.

Abstract: An ossicular prosthesis has a shaft and an elastic engagement structure coupled to the shaft. The engagement structure at least partially defines an opening and is deformable to widen the opening to permit a portion of an ossicle to be received therein. In one embodiment, the engagement structure is formed to provide substantially three point contact against ossicular structure of various diameters. In accord with preferred materials, when the engagement structure is deformed to receive the portion of the ossicle, the stress in the engagement structure remains substantially constant throughout a majority of the deformation. The load required to deform the engagement structure into an open position is relatively small, facilitating the procedure as well as reducing the potential for damage to the intact ossicle.

Abstract: A method for non-surgically treating an internal nasal valve of a patient comprising, injecting a working device into the internal nasal valve of the patient, wherein the injected working device in the nasal tissue causes an alteration of an internal or external nasal valve. A device introduced by injection into the nose, allowing for structural support or filling of defects in the nose, and causing a change in external shape of the nose. The device and inserts and implants described also have use in cosmetic applications relating to the facial tissue.

Abstract: Ossicular replacement prostheses are manufactured from a non-biodegradable shape memory polymer. Such prostheses can include TORPs, PORPs, and incudo-stapedial joints (ISJs). The prostheses are reshaped upon application of a stimulus to capture a portion of one or more ossicles. The force of capture of a reshaped polymeric prosthesis is less than a comparable reshaped shape memory alloy prosthesis and thereby prevents recipient discomfort and/or pressure induced necrosis of the bone. In addition, biocompatible shape memory polymers can be designed with recoverable strain that is orders of magnitude higher than shape memory alloys. Furthermore, prostheses can be manufactured in a single size and easily trimmed or otherwise modified by the surgeon during the implantation procedure to tailor the prosthesis in size and/or shape for the particular anatomy. Such modification does not negatively effect the ability of the prostheses to engage the ossicle.

Abstract: Disclosed are soft, high refractive index, acrylic materials. These materials, especially useful as intraocular lens materials, contain an aryl acrylic hydrophobic monomer as the single principal device-forming monomer and a tack-reducing macromer additive. In addition to their use as intraocular lens materials, the present materials are also suitable for use in other ophthalmic or otorhinolaryngological devices, such as contact lenses, keratoprostheses, corneal inlays or rings; otological ventilation tubes and nasal implants.

Abstract: Disclosed are soft, high refractive index, acrylic materials. These materials, especially useful as intraocular lens materials, contain an aryl acrylic hydrophobic monomer as the single principal device-forming monomer and a tack-reducing macromer additive. In addition to their use as intraocular lens materials, the present materials are also suitable for use in other ophthalmic or otorhinolaryngological devices, such as contact lenses, keratoprostheses, corneal inlays or rings; otological ventilation tubes and nasal implants.

Abstract: According to one aspect, an electrical stimulation system for treating tinnitus is provided. The system includes an electrical stimulation lead adapted for implantation into the person's skull for electrical stimulation of target brain tissue located in the person's temporal lobe. The lead includes one or more electrodes adapted to be positioned near the target brain tissue and to deliver electrical stimulation energy to the target brain tissue. The system also includes a stimulation source operable to generate signals for transmission to the electrodes of the lead to cause the electrodes to deliver electrical stimulation energy to the target brain tissue located in the person's temporal lobe to reduce tinnitus effects.

Abstract: A roof-shaped implant for spreading the nasal wings, which implant is attachable to the triangular cartilage of the human nose and is made from an initially flat strip that has been bent to a roof shape, has a dorsal section of the implant above the dorsum of the nose is flat or curved so as to be only slightly angled towards the plateau region of the triangular cartilage at an angle of spread of ?>160 °, or curved around the plateau region of the triangular cartilage in a barrel shape at a radius of curvature of r>4 cm, preferably r>10 cm, and two lateral sections extend so as to be parallel in relation to the respective nasal wing at an angle ? of more than 50° towards the flat dorsal section so as to be canted downwards. In this way without incurring major production expenditure it is possible to achieve a particularly good geometric match of the implant to the shape of the human triangular cartilage.

Abstract: A titanium incudo-stapedial joint prosthesis comprises a body including a generally tubular wall defining a first cavity for receiving a head of a stapes. A generally U-shaped wall is connected to the tubular wall defining a second cavity extending generally perpendicular to the first cavity for receiving an incus. The tubular wall comprises slots to enable the first cavity to be sized to fit the head of the stapes. The general U-shaped wall comprises slots to enable the second cavity to be sized to fit to the incus.

Abstract: A method and device are disclosed for neural stimulation with improved power consumption and/or effectiveness. The stimulus generator is arranged, for example via a look up table, to recognize proposed stimuli which will be masked by earlier or simultaneous stimuli. Such masked stimuli are either deleted, or replaced by another stimulus.

Abstract: A middle ear prosthesis comprises a one piece disk shaped prosthesis including a generally circular malleable body including a bore. The body engages a tympanic membrane and the bore receives a head of a stapes when implanted in a middle ear. More particularly, the middle ear prosthesis comprises a body comprising an annular head, a collar, and a plurality of radially extending members connecting the head to the collar. The head engages a tympanic membrane and the collar receives a head of a stapes when implanted in a middle ear.

Abstract: A prefabricated tympanic membrane prosthesis includes a piece of collagen sheet processed with a diluted solution of formalin. The piece of collagen sheet is molded on a forming surface of a tool having a shape resembling a natural tympanic membrane of a human subject. The piece of collagen sheet is processed with a diluted solution of formalin so that the resulting tympanic membrane prosthesis retains the shape of the forming surface. The tympanic membrane prosthesis is semi-rigid, yet flexible, and is packaged in a substantially rigid container to protect it shape during shipment and storage.

Abstract: An auditory ossicle prosthesis (10) which is fastened to the limb of incus (20) of the human ossicular chain and to the stapes, or is inserted directly into the inner ear, whereby the auditory ossicle prosthesis (10) is made of an elastic material or a material having at least one hinged connection, and whereby the auditory ossicle prosthesis (10), starting at its articulation on the limb of incus (20), largely traces the course of the natural limb of incus (20) to its end or past it, and, angled downward in the region of the level of the natural end of the limb of incus (20), extends to the other endpoint of the auditory ossicle prosthesis (10) on the stapes or at/in the inner ear.

Abstract: An auditory prosthesis includes an implanted component and an external component. The external component includes a transmitter for transmitting electromagnetic signals to the implanted component; means for detecting electromagnetic emissions of the transmitter; and means for indicating when the electromagnetic emissions of the transmitter have been detected.

Abstract: An auditory ossicles prosthesis mountable with its one end on a hammer grip of a human auditory ossicies chain and with its another end on a raising bracket of the human auditory ossicles chain or insertable directly into an inner ear, wherein the auditory ossicles prosthesis has a prosthesis element, and an at least one joint integrated in the prosthesis element.

Abstract: A cochlear implant wherein the return path of the electrode array is located to increase current flow through the modiolus. The return electrode is placed at various locations outside the cochlea, and into the modiolus itself. In addition, the electrode array includes an inflatable membrane that is inflated to anchor the array in position in the cochlea with the electrode contacts pressed into contact with the modiolar wall and allowing the membrane to seal with the surrounding tissue of the cochlea, increasing the longitudinal resistance along the cochlear implant electrode, decreasing shunting of the injected current via scala tympani. In experiments that were conducted the current along the modiolus was determined to be, on average, 2.4 times larger with the return electrode in the modiolus than in an extracochlear location.

Abstract: A biodegradable auricular prosthetic device is described, particularly but not exclusively devised for the treatment of otitis media, comprising a tubular body having axially opposed ends and flanged at least at one of the opposed ends and at least a portion of which is produced from a material subject to biological degradation in the presence of organic liquids, wherein at least the portion made of material subject to biological degradation is produced from a polymeric material selected from the group of polyphosphazenes.

Abstract: Adapting crosslinking with triglycidyl amine (TGA) to incorporate the use of a particular type of anti-calcification agent provides a broad-reaching solution to the problem in vivo bioprosthesis calcification. The anti-calcification agent in question includes a polyphosphonate compound that contains a functional group, which serves as a reaction site between the polyphosphonate and a polyepoxide. The functional group is reactive enough to dominate the reaction between the polyphosphonate and the polyepoxide, thereby excluding the chelating oxygen atoms of polyphosphonate from the reaction, protecting their anti-calcification ability. Furthermore, the high reactivity of the functional group allows the polyphosphonate to attach to the polyepoxide more completely, which improves the calcification resistance of bioprosthetic material with which the polyepoxide is crosslinked.

Abstract: A miniaturized micromachined (MEMS) accelerometer-based sensor suitable for use in biological applications, such as a middle ear implant, is provided. An encapsulation layer is deposited on top of an accelerometer proof mass and flexure prior to release of the proof mass and flexure. The encapsulation layer protects the proof mass and flexure from subsequent processing steps, such as dicing and packaging, which enables fabrication of finished devices having reduced size. Surfaces within the accelerometer may be passivated after releasing the proof mass and flexure. Remote piezoresistive sensing is performed in order to provide low noise and reduced sensor head size.

Abstract: A ventilation tube has a tubular member with generally circular flanges at opposite ends. Each flange has a respective tab that is angled obliquely to the axis of the tubular member. The tabs are diametrically opposite, and angled in opposite senses. Each tab has straight non-cutting edges tangential to its associated flange, and an arcuate nose portion. Each flange (may be used either for grasping the ventilation tube, or for insertion into an incision in a tympanic membrane, thereby permitting the ventilation tube to be used reversibly.

Abstract: A stapedial prosthesis includes a body defining a bucket and a shaft, and a bail handle coupled to the bucket. The bucket is preferably adjustable in diameter to fit the incus lenticular process. The shaft preferably has a varying diameter, with a central portion of a smaller diameter than a distal portion which aids in depth perception during implantation and reduces mass to permit better sound energy transmission by the prosthesis. The bail handle is preferably spring-loaded and preferably constructed of titanium. The bail handle is preferably coupled to the body without crimping, twisting or welding and preferably biases the incus toward the bucket. A method of implanting a stapedial prosthesis is also provided.

Abstract: Methods, devices, and computer program products display visual choral speech to a patient who stutters or has a speech impediment or impairment as a visual stimulus for the patient to enhance the fluency of the patient. The visual choral speech is incongruous with the speech produced by the stutterer and is provided by a visual display of the articulatory movements of a person other than the patient (or a simulated representation thereof) of the person's lips and mouth as the person speaks. The visual speech gestures can be displayed to the patient in advance of a speaking event or speech production by the stutterer and/or concurrently with a speaking event (either intermittently or continuous during the speaking event). The visual choral speech gestures can be based on a string of coherent words to provide the visual speech gestures signal such that it is relayed to the user without the attendant auditory component allowing the user to speak at a substantially normal pace with enhanced fluency.

Abstract: The present invention provides a device to restore hearing to individuals who have a discontinuity in the middle ear sound conductive mechanism. The device in accordance with the present invention addresses a specific problem arising often in middle ear surgery. Currently available middle ear prostheses are inadequate to remedy the specific problem of a lateral relationship of the stapes capitulum to the malleus, thereby necessitating a cartilage graft resulting in poor sound conductive properties. The present invention provides a middle ear prosthesis that solves the problems associated with the lateral relationship of the stapes capitulum to the malleus.

Abstract: This invention relates to surgical methods and prosthetic devices for ameliorating hearing loss in patients having ailments of the middle ear. The implant of the invention includes a gas-filled balloon having a pliant membrane of biocompatible material. The balloon is made such that the acoustic impedance presented by the balloon to the eardrum is low enough to permit the eardrum to vibrate freely in response to sound waves. Because the balloon membrane is substantially impermeable to gases and water, the implant can function effectively within the middle-ear chamber for an extended period.

Abstract: A middle ear prosthesis comprises a piston adapted to extend through an oval window when implanted in a human ear. A pair of jaws engage an ossicle when implanted in a human ear. A spring is coupled to the jaws for biasing the jaws toward one another to provide clamping pressure. The jaws are in turn connected to the piston.

Abstract: An implantable hearing aid transducer that compensates in situ for undesirable interfaces with a middle ear component. The transducer includes a housing, an actuator, a driver, and an actuator interface. According to one embodiment, the actuator interface is reshapeable in situ from a first shape to a second shape to permit movement of one of the actuator and the middle ear component in at least a first dimension to compensate for loading pressure. In this regard, the actuator interface may be gradually deformable to permit the movement of the transducer and/or the middle ear component, as well as, resistive to sudden movements of the actuator such that vibration at acoustic frequencies occurs between the actuator and the middle ear component.

Abstract: An ossicular prosthesis delivery system having an ossicular prosthesis including an enlarged head and a shaft axially, moveably mounted to the head to adjust shaft length. An elongate main body having an operating portion, including a cylindrical through bore, connected to an adjusting portion, including a generally semi-cylindrical upwardly opening channel coaxial with the bore. An end wall at a distal end of the adjusting portion includes a through passage coaxial with the channel and an upwardly opening cavity. An elongate cylindrical plunger has a claw at one end. The plunger is received in the bore with the claw in the channel and an opposite end extending outwardly of the operating portion. The ossicular prosthesis' shaft is positioned in the channel with the head received in the cavity and the plunger is rotatable in the bore to capture the shaft and is reciprocally moveable in the bore to adjust shaft length of the ossicular prosthesis.

Abstract: A apparatus and method for inner ear implants is provided that generates signal processing stochastic independence activity across the excited neural population. A high rate pulse train can produce random spike patterns in auditory nerve fibers (hereafter “pseudospontaneous activity”) that are statistically similar to those produced by spontaneous activity in the normal auditory nerve. We call this activity “pseudospontaneous”. Varying rates of pseudospontaneous activity can be created by varying the intensity of a fixed amplitude, high rate pulse train stimulus, e.g., 5000 pps. The high rate pulse train can desynchronize the nerve fiber population and can be combined with a data signal in an inner ear implant. The pseudospontaneous activity can enhance neural representation of temporal detail and dynamic range with an inner ear implant such as a cochlear implant. The pseudospontaneous activity can further eliminate a major difference between acoustic-and electrical-derived hearing percepts.

Abstract: A device for determining a length of a middle ear prosthesis has a base part for mounting prosthesis models of different lengths, and an applicator with which the prosthesis models after being released from the base part, are introducible during an operation into the middle ear.

Abstract: A nasolacrimal stent device illuminates a dark nasal cavity so that the interior of the nasal cavity can be directly observed to facilitate and ensure the correct insertion of a nasolacrimal stent into the nasal duct. Flexible, transparent probe tube segments (21) are connected to the opposite ends of a flexible detention tube segment (2) having a diameter that permits the flexible detention tube segment (2) to be inserted in a lacrimal passage, respectively. The respective extremities of distal end parts (21a, 21b) of the probe tube segments (21) are closed. The probe tube segments (21) are provided in their base end parts with openings (23), respectively. When inserting each probe tube segment (21) into the nasal cavity, an illuminating device, such as an optical fiber (30) is inserted through the opening (23) into the probe tube segment (21) to illuminate the interior of the nasal cavity through the transparent probe tube segment (21).

Abstract: A stirrup prosthesis for implantation in a middle ear has an elastic clamping member which is displaceable on a long anvil projection and formed as a clip which is open at one side, the clip having an opening, and at least one leg with a portion extending outwardly of the opening and formed as an arch with which the prosthesis is suspendable on the long anvil projection of a human middle ear before the displacement of the prosthesis onto the long anvil projection.

Abstract: An improved stapedial prosthesis of the piston type replaces the stapes of the middle ear comprising a slotted ball or disc for receiving the lenticular process of the incus and a nail porter which closes and opens the nail porter without causing damage to the incus and an instrument that is used to implant the prosthetic piston in the stapedectomy procedure.

Abstract: Insertion of a flange on a tubular prosthesis such as a voice prosthesis through a body opening such as a tracheoesophageal fistula is facilitated by forming a thinner section on the flange that preferentially folds as the flange passes through the fistula. Retention of the flange in a gel cap is improved by forming a foldable flap extension on a cylindrical flange. A tubular tool for insertion of a tubular voice prosthesis through a fistula is also disclosed.

Abstract: A middle ear prosthesis comprises a piston adapted to extend through an oval window when implanted in a human ear. A pair of jaws engage an ossicle when implanted in a human ear. A spring is coupled to the jaws for biasing the jaws toward one another to provide clamping pressure. The jaws are in turn connected to the piston.

Abstract: A middle ear prosthesis comprises a piston adapted to extend through an oval window when implanted in a human ear. A pair of jaws engage an ossicle when implanted in a human ear. A spring is coupled to the jaws for biasing the jaws toward one another to provide clamping pressure. The jaws are in turn connected to the piston.

Abstract: A device for determining a length of a middle ear prosthesis has a base part for mounting prosthesis models of different lengths, and an applicator with which the prosthesis models after being released from the base part, are introducible during an operation into the middle ear.

Abstract: An auditory ossicles prostheses has a head plate adapted to be placed on an ear drum, a base part formed so as to receive a rising bracket or to be placed in an oval window of a rising bracket foot plate, and an element for movably connecting said head part with said base part, the element for movably connecting the head part with the base part being formed as a flexible wire.

Abstract: The invention concerns a method for locating foreign objects on the internal surface of ear and ear canal whereby a probe having a light emitting distal portion is inserted into the ear canal, the method further comprising the steps of directing light from the distal portion of the probe to illuminate at least one point or the internal circumferential surface of the ear and/or car canal, receiving the light reflected from the illuminated surface, and directing the received light to at least one light sensitive element to generate an output, analyzing the output with respect to spectral composition in order to identify foreign objects. The invention also relates to an apparatus for locating foreign objects on the internal surface of ear and ear canal.

Abstract: An implantable hearing aid transducer that compensates in situ for undesirable interfaces with a middle ear component. The transducer includes a housing, an actuator, a driver, and an actuator interface. According to one embodiment, the actuator interface is reshapeable in situ from a first shape to a second shape to permit movement of one of the actuator and the middle ear component in at least a first dimension to compensate for loading pressure. In this regard, the actuator interface may be gradually deformable to permit the movement of the transducer and/or the middle ear component, as well as, resistive to sudden movements of the actuator such that vibration at acoustic frequencies occurs between the actuator and the middle ear component.