36 results about "Ossicles" patented technology

An implantable middle ear hearing device having a tubular vibration transducer to drive a round window is designed to input sound to a round window opposite an oval window in an inner ear. The tubular vibration transducer has a unique structure that does not attenuate the magnitude of a signal, particularly, in a high frequency band. Sound delivery effect is much higher than those of conventional schemes. It is also possible to minimize difficulties associated with and problems resulting from the operation, which the conventional methods would have. Further, the transducer can have a relatively less compact than ossicle contact type transducers, and thus be easily fabricated. The hearing device can be applied to a sensorineural hearing loss patient with the ossicle damaged. Moreover, since sound is directly transmitted without through the ear drum and the ossicle, high efficiency sound delivery is achievable and hearing loss compensation are easy.

An improved middle ear implant and method are disclosed. The invention particularly relates to magnetic implants and to attachment devices and methods for mounting a magnet in the middle ear of a patient. The implant comprises a wire-form and a magnet disposed in a housing. The method may comprise the steps of: positioning a magnet in optimal alignment; and attaching said magnet to an ossicle in the middle ear. The method may further comprise the step of using a wire-form to attach the implant to the ossicle. Still further, the method may comprise the step of anchoring the implant to the ossicle with biological cement.

An ossicular prosthesis is described which includes an elongated prosthesis member having a proximal end and a distal end. A cochlea striker mass is at the distal end of the prosthesis member and includes an outer striking surface for coupling vibration of the striker mass to an outer cochlea surface of a recipient patient. A locking clamp is at the proximal end of the prosthesis member and includes a clamp strap having a fixed end and a free end, and a locking head at the fixed end of the clamp strap which has a strap opening for insertion of the free end of the clamp strap. The clamp strap passes around an ossicle of the middle ear in a closed loop and is fixedly engaged by the locking head such that acoustic vibration of the ossicle is coupled by the prosthesis member to the cochlea surface.

A middle ear prosthesis device includes an elongated prosthesis member having first and second ends. A transducer clamp is at the first end with clamping fingers for securely engaging the outer surface of an enclosed mechanical signal transducer. An ossicle fastener is at the second end for secure attachment to the ossicle of the middle ear. The ossicle fastener includes parallel planar fastener clips each having a clover shape with springy lobes surrounding an interior region defined by lobe connecting bends. There is an opening between opposing bent leg ends of each fastener clip that displaceably provides access for the ossicle to the interior region of the clip so that the fastener clips securely enclose an ossicle such as the incus bone within the interior region. Vibration of the mechanical signal transducer is coupled by the prosthesis member to the incus secured within the ossicle fastener.

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.

An ossicle prosthesis has, at on one end, a first fastening element for connection to the tympanic membrane or a component of the ossicular chain, on the other end, a second fastening element for connection to a further component of the ossicular chain, or directly to the inner ear, and a connecting element that connects the two fastening elements in a sound-conducting manner, and it also includes an elongated applicator for transferring the ossicle prosthesis from a sterile packaging to the surgical site and for insertion into the middle ear or the auditory meatus, with a free end extending away from the prosthesis and used for handling purposes, and with an engagement part which is initially fastened to the prosthesis in a non-positive or form-fit manner, or via a material bridge which may be broken off or sheared off, and which may be detached and removed together with the applicator once the prosthesis has been inserted into the ear. This prosthesis may be removed from the sterile packaging and immediately inserted directly into the auditory meatus of the patient, or inserted into the middle ear in a standardized manner, without the use of additional tools, while ensuring that handling during surgery is optimal and tailored to the geometry of the prosthesis and ruling out the possibility of damage occurring via the gripping and transfer of the prosthesis.

An ossicular prosthesis formed as a sound-conducting, elongated prosthesis body has a first coupling element designed as a tympanic membrane top plate or a clip or a connecting piece to an actuator end piece of an active hearing implant and a second coupling element provided with an access opening into a receiving space designed as a bell or a clip for a mechanical connection of the prosthesis to the head of the stapes. The second coupling element has a backing section on an inner surface of the receiving space as an axial extension of the prosthesis body. The backing section protrudes from the prosthesis body into the receiving space. In an implanted state, the backing section bears against a head of the stapes and prevents a formation of a hollow space between the stapes and an inner surface of the receiving space in an axial extension of the elongated prosthesis body. As a result, additional degrees of freedom are obtained for individualized adaptation to anatomical circumstances of a specific patient in terms of shape, size and position of the patient's stapes bone.

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.

The invention provides a use method of a bone conduction sounding device, and belongs to the technical field of bone conduction devices. A cavity is defined by a support and a vibrating diaphragm, anexciter is arranged in the cavity, the vibrating diaphragm produces sound and vibrates under the action of the exciter, the vibrating diaphragm can be attached to a human face in the direction of thevibrating diaphragm and can also be attached to the human face in the direction of the bottom wall when the bone conduction sounding device is worn, and vibration of the vibrating diaphragm can be transmitted to the human face and then transmitted to skull and ossicle regardless of the mode, so that a person can hear the sound. The vibrating diaphragm is a single-layer or multi-layer diaphragm, and the multi-layer diaphragm comprises a plurality of combined structures. The cavity is provided with or not provided with a damping hole. The exciter comprises a magnetic circuit assembly and a coilassembly which are respectively fixed on the vibrating diaphragm and the bottom wall, and the positions of the magnetic circuit assembly and the coil assembly can be exchanged, or the exciter is integrally packaged and installed on the vibrating diaphragm. According to the method, through the use method of air coupling sound transmission or cavity wall coupling sound transmission, the middle-low frequency response effect of the bone conduction sound production device is good.

A bionic cochlea includes a fluid filled vessel having a window disposed in one of its walls and a flexible fluid filled tube in fluid communication at one end with the vessel through the window. The other end of the tube has a diaphragm in communication with the ossicles of a mammalian ear. The diaphragm flexes when exposed to an acoustic pulse to produce an acoustic pressure pulse in the fluid inside the tube and vessel. A plurality of piezoelectric nanowires is disposed within the fluid filled vessel. The nanowires vibrate in response to at least one predetermined wavelength in the acoustic pressure pulse transmitting through the fluid and produce electrical signals. Electrical wires in communication with the nanowires receive the electrical signals and pass these signals to the mammalian auditory nerve.

A middle ear prosthesis coupling member is described that includes a transducer coupling element adapted for coupling to a mechanical signal transducer, and an ossicle fastener coupled to the transducer coupling element and adapted for secure attachment to the short process of the incus ossicle of a patient middle ear. The ossicle fastener includes parallel separated first and second fastener clips. Each fastener clip has two opposing bendable legs adapted for forming an interior region for receiving the short process of the incus ossicle and a relieved opening between opposing leg ends displaceably providing access for the incus ossicle to the interior region. The fastener clips securely enclose the short process of the incus ossicle within the interior region. The first fastener clip is adapted for exerting a force to pull the ossicle fastener toward the short process of the incus ossicle. The second fastener clip is adapted for holding the ossicle fastener in place over lateral movement on the short process of the incus ossicle only and without substantially exerting a force to pull the ossicle fastener toward the short process of the incus ossicle.

A middle ear prosthesis (40) is provided for mounting in the middle ear (4). The middle ear prosthesis comprises a shaft (42) having a distal end configured for the introduction into the inner ear (8) through an aperture (30) formed in a footplate (23) of a stapes bone and in a membrane of an oval window of the inner ear, by moving the shaft in an introduction direction, the shaft being configured for transmitting sound wave vibrations to the inner ear. The prosthesis further comprises a coupling portion (46), for coupling, the shaft to at least one of the ossicles (17) so as to allow transmitting thereby sound wave vibrations from the ossicles to the shaft; and a stop member (48) spaced from the distal end of the shaft and configured for bearing against the remaining portions thereby limiting the movement of the shaft in the introduction direction.

A middle ear implant system includes a bone conduction transducer configured for fixed attachment to skull bone of a patient beneath the skin behind the ear, and for generating sound vibrations from an external communications signal received through the skin for coupling to the skull bone for bone conduction sound perception by the patient. A malleable ossicle connector is connected to the bone conduction transducer and a middle ear hearing structure of the patient. And one or more isolation springs are configured for placement at the fixed attachment of the bone conduction transducer to the skull bone to acoustically decouple the bone conduction transducer from the skull bone to avoid bone conduction sound perception so that sound perception from the external communications signal is solely via the middle ear sound perception from vibrations coupled to the middle ear hearing structure by the ossicle connector.