U.S. patent number 3,557,775 [Application Number 04/663,603] was granted by the patent office on 1971-01-26 for method of implanting a hearing aid.
Invention is credited to Jack Lawrence Mahoney.
United States Patent |
3,557,775 |
Mahoney |
January 26, 1971 |
METHOD OF IMPLANTING A HEARING AID
Abstract
A method is described of implanting a hearing improvement device
within the human body, in which a postauricular incision is made in
the skin of the anatomical area behind the auricular appendage of
the external ear, to thereby expose the bony structure overlying
the body of the mastoid, removing a predetermined area of bone down
to the antrum cell of the mastoid, implanting the device in the
cavity formed, and then closing the incision. The device has a
portion which extends into the middle ear space.
Inventors: |
Mahoney; Jack Lawrence (Carmel,
CA) |
Family
ID: |
26988918 |
Appl.
No.: |
04/663,603 |
Filed: |
August 28, 1967 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
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333858 |
Dec 27, 1963 |
3346704 |
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Current U.S.
Class: |
600/25 |
Current CPC
Class: |
H04R
25/606 (20130101); H04R 2225/31 (20130101); H04R
2225/67 (20130101) |
Current International
Class: |
H04R
25/02 (20060101); A61f 011/04 (); H04r
025/00 () |
Field of
Search: |
;128/1,2,2.1
;179/107(ALL) ;181/23 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Pinkham; Richard C.
Assistant Examiner: Shapiro; Paul E.
Parent Case Text
This application is a division of my copending application, Ser.
No. 333,858, filed Dec. 27, 1963, for MEANS FOR AIDING HEARING and
since matured into Pat. No. 3,364,704.
Claims
I claim:
1. The method of implanting a self-contained hearing improvement
device within the human body, in which said device contains a
microphone, a battery, an amplifying system, which is neutral to
the adjacent portions of the body, a microphone tube extending from
the microphone in said unit; a speaker and a speaker tube extending
therefrom including the steps of making an incision adjacent the
auricular appendage of the external ear, in the skin of the
anotomical area of the ear, exposing the bony structure overlying
the body of the mastoid, removing a predetermined area of bone down
to the antrum cell of the mastoid, implanting the self-contained
hearing improvement device in said antrum cell, situating an outer
end of the microphone tube into position and adjacent the skin
behind the auricular appendage and situating an outer end of said
speaker tube into the middle ear space behind the ear drum through
the antrum-inner ear passage; and thereafter closing the
incision.
2. The method of implanting in the human body a hearing improvement
device including signal-receiving means for receiving an incoming
signal representative of a sound wave existing outside of the human
body, intermediate means for converting said incoming signal to an
audiofrequency electrical signal, output means including
electrical-mechanical transducer means to generate mechanical
motion from said electrical signal, an operative connection between
said signal-receiving means, said intermediate means and between
said intermediate means and said output means, said method
comprising the steps of making an incision in the skin in the
auricular area of the ear adjacent the auricular appendage of the
external ear; exposing the bony structure overlying the body of the
mastoid; removing an area of bony structure to expose the antrum
cell cavity; positioning said hearing improvement device within
said cavity and with at least part of said output means in the
middle ear space to deliver said generated mechanical motion
directly thereinto; and then closing the incision.
3. The method specified in claim 2 and the step of removing
sufficient air cells of the mastoid to enlarge the antrum cell
cavity to accommodate the implanting of said hearing improvement
device, said step being performed before the step of positioning
said output means.
4. The method of implanting a hearing improvement device in a human
body, said device including signal-receiving means for receiving an
incoming signal representative of a sound wave existing outside of
said human body, intermediate means for converting said incoming
signal to an audiofrequency electrical signal, output means
including electrical-mechanical transducer means adapted to
generate mechanical motion from the electrical signal, and
operative connections from said signal-receiving means to said
intermediate means and from the intermediate means to the output
means; said method comprising the steps of surgically positioning
at least a portion of said output means within the human body in
the middle ear space at the round window to permit said generated
mechanical motion to pass from said output means directly to the
middle ear space behind the area of the tympanic membrane;
concurrently positioning said signal-receiving means within the
human body in position to receive said incoming signal; and
further, surgically positioning said intermediate means within the
human body at a locus removed from the middle ear space but
adjacent the area of the auricular appendage of the ear and in
operative relationship to said signal-receiving means and said
output means.
5. The method of implanting a hearing improvement device within the
human body, said method comprising the steps of: making an incision
adjacent the auricular appendage of the external ear in the skin of
the anatomical area of the ear; exposing the bony structure
overlying the body of the mastoid; removing a predetermined area of
bone down to the antrum cell of the mastoid; implanting a hearing
improvement device in the cavity formed by the bone removal and
mastoid antrum cell with at least a portion of the device extending
into the middle ear space; and closing the incision.
Description
This invention relates generally to a method of implanting a
hearing aid in the human body, but has reference more particularly
to a method in which the hearing aid is so implanted as to be
completely enclosed within the head of the individual utilizing the
hearing aid.
Hearing aids which are presently available on the market are
usually worn outside of the body, and are therefore objectionable
from an esthetic, cosmetic or functional viewpoint.
Although attempts have been made to utilize such hearing aids in a
manner to conceal them from view, as, for example, within the
temples of spectacles, it is virtually impossible to conceal
certain portions of the hearing aid, such as wires, etc., and fort
for this reason, many persons whose hearing facilities can be
improved do not avail themselves of such aids.
The present invention has as its primary object the provision of a
method whereby an audio implant in the nature of a miniaturized
system for amplifying sound, is placed directly in the structure of
the ear and utilizes the impaired or damaged, but still
functioning, normal channels for transmission of sound to the
brain.
Another object of the invention is to provide a method wherein an
implant of the character described, is disposed in its entirety
within the head structure of the user, and is entirely concealed
from view, thereby eliminating any and all objections to its use
from an esthetic or cosmetic point of view.
A further object of the invention is to provide a method wherein
the implant utilizes a battery which is enclosed within the head
structure.
Other objects and advantages of the invention will become apparent
in the course of the following description, taken in conjunction
with the accompanying drawings wherein:
FIG. 1 is a vertical cross-sectional view of a portion of a human
head taken through the right side of the head and passing through
the mastoid antrum and middle ear in a plane parallel to a plane
passing through the nose and the back of the head, and showing the
components of the audio implant of the present invention in
position;
FIG. 2 is a fragmentary elevational view showing a portion of the
right side of the head, and with the external ear pulled forwardly
to show or indicate where the implant and microphone tube are
placed; and
FIG. 3 is a tabulation of the means utilizing the implant of the
present invention, whereby sound is transmitted to the temporal
lobe of the brain, where the sound is heard.
Referring more particularly to the drawings, an understanding of
FIG. 1 can be gained if the observer can imagine he is inside the
head of the person depicted in FIG. 1, and is looking outwardly and
through the right ear.
The observer will see the auditory canal 1, the tympanic membrane
2, the malleus 3, the incus 4 and the mastoid antrum 5. The tip of
the mastoid is indicated by reference numeral 6, the chorda tympani
by reference numeral 7, a facial nerve by reference numeral 8, and
the squama by reference numeral 9.
Normal hearing in an individual is accomplished by the help of the
external ear, which concentrates the sonorous vibrations of the air
upon the tympanic membrane, causing the latter to vibrate. The
chain of bones in the middle ear, namely the malleus, incus and
stapes, transmits these vibrations to the internal ear, where,
wholly or chiefly through the hair cells in the organ of corti,
they stimulate the fibers of the auditory nerve, which then carries
the sound impulses to the temporal lobe of the brain.
In accordance with my invention, I provide a hearing improvement
device which I term an "audio implant," and which consists of
several components, including mainly a microphone, a battery, an
amplifying system and a speaker, such as are found in a
conventional hearing aid. These components are encased in a
silicone rubber sponge with a hardened coat of silicone rubber to
form a unit, designated by reference numeral 10 in FIGS. 1 and
2.
The unit 10 is rectangular in shape, measuring approximately 1 cm.
.times. 1 cm., and a few millimeters in thickness, and is provided
with a silicone rubber tube 11 extending centrally from one end of
the unit 10, and a similar tube 12 extending centrally from one
side of the unit 10. The tubes 11 and 12 are approximately 11/2 cm.
in length, and approximately 2 mm. in diameter. The tube 11, which
I term the microphone tube, is attached to the microphone within
the unit 10, and both ends of the tube are sealed with a very thin
membrane of silicone rubber. The tube 12, which I term the speaker
tube, is attached to the speaker within the unit 10, and both ends
of this tube are sealed with a very thin membrane of silicone
rubber.
When the device is to be implanted, a postauricular incision is
made adjacent the auricular appendage of the external ear, in the
skin of the anatomical area of the ear. This incision is
approximately three centimeters in length, and is carried out under
local anesthesia. The bony structure overlying the body of the
mastoid is exposed, and an area of bone, i.e., an area of
approximately 2 square centimeters, is removed down to the antrum
cell of the mastoid. A few of the air cells of the mastoid are then
removed to enlarge the antrum cell to accommodate the unit 10.
The unit 10 is then placed directly into this space in the manner
shown in FIG. 1, and the speaker tube 12 is then placed in a
passageway which extends from the antrum cell of the mastoid into
the middle ear space behind the ear drum. More specifically, the
speaker tube is brought up through a small opening near the
introitus of the ear canal, and to a point closely adjacent to what
is commonly referred to as the "round window" The wave motion is
transmitted to the cochlea, which starts the electrical impulses to
the temporal lobe of the brain.
The microphone tube 11 is then extended externally from the antrum
cell of the mastoid and is covered with skin and will be disposed
just beneath the skin behind the ear. The incision is then closed,
and the ear again completely sealed. Since the skin incision is
made in a hidden area adjacent the ear, no noticeable scar will be
produced, after healing.
Referring to FIG. 3 of the drawing, it is seen that through the use
of the hearing aid of this invention, sound vibrations are
transmitted through the skin, posterior to the auricle, hence to
the microphone tube 11, amplifier unit 10, speaker tube 12, middle
ear cavity, round window, and duct to choclea, thence in the normal
manner to the temporal lobe of the brain.
The battery within the unit 10 is preferably a silver-cadmium
battery and can be charged by a magnetic induction coil which is
attached to a head band, which can be worn on the head while
sleeping, or at any other time which is convenient. The induction
coil is connected to a wire which leads to a transistorized
charging unit which is energized from a conventional electrical
outlet. In charging the battery, the induction coil on the head
band is placed directly over the main structure of the mastoid.
The implant will function for approximately eight days before it
becomes necessary to recharge such a battery with the magnetic
induction coil. Recharging of the battery requires approximately 6
hours.
One of the advantages of the use of such an implant is that it is
embedded solidly in the bone of the skull, and is so situated that
it can drive the sound directly into the inner ear, without the
necessity of driving the sound through the tympanic membrane, which
offers considerable resistance to transmission of sound in cases of
conductive deafness where the oval window and stapes are fused by
abnormal bone closure called otosclerosis.
Another advantage is that there are no parts which are disposed
externally of the head or are visible, so that objections to use of
the device, based on psychological factors, and cosmetic
viewpoints, are eliminated.
A further advantage lies in the fact that the replacement
batteries, and its attendant costs, are eliminated.
A still further advantage resides in the elimination of the rushing
and clothing noise which is a constant source of annoyance to
individuals from movement across the microphones of hearing aids
which are carried about the body.
The device is also of particular advantage for children who require
the use of a hearing aid to hear sufficiently to carry on their
school work, while finding it necessary to remove these aids during
play and physical activity since external hearing aids and devices
are easily dislodged or broken during such play or physical
activity.
It is thus seen that I have provided a means of aiding hearing of
individuals whose hearing is not remediable medically or
surgically, but who require amplification of sound for hearing.
It is also seen that I have provided an audio implant in the nature
of a miniaturized system for amplifying sound, which is placed
directly in the structure of the ear and utilizes the impaired or
damaged, but still functional, normal channels for transmission of
sound to the brain.
It is further seen that I have provided an implant which is
disposed in its entirety within the head structure of the user, and
is entirely concealed from view, thereby eliminating any and all
objections to its use from an esthetic or cosmetic point of
view.
It will be understood that various changes may be made in the
details of the invention, as described, without departing from the
spirit of the invention, or the scope of the appended claims.
* * * * *