U.S. patent number 3,882,285 [Application Number 05/404,339] was granted by the patent office on 1975-05-06 for implantable hearing aid and method of improving hearing.
This patent grant is currently assigned to The Vicon Instrument Company. Invention is credited to Jeremy A. Agnew, James A. Nunley.
United States Patent |
3,882,285 |
Nunley , et al. |
May 6, 1975 |
Implantable hearing aid and method of improving hearing
Abstract
A self-contained hearing device made of components compatible
with the human body is provided which is implanted in a
hollowed-out portion of the skull adjacent the ear canal. A
microphone port is connected with the ear canal for receiving sound
that enters the ear and transforming it to energies which are
transmitted by a direct connection to the ossicular chain or to
other mechanical movable portions of the middle ear. A method of
improving hearing is provided wherein a parallel hearing path is
provided to augment the normal hearing path.
Inventors: |
Nunley; James A. (Colorado
Springs, CO), Agnew; Jeremy A. (Colorado Springs, CO) |
Assignee: |
The Vicon Instrument Company
(Colorado Springs, CO)
|
Family
ID: |
23599224 |
Appl.
No.: |
05/404,339 |
Filed: |
October 9, 1973 |
Current U.S.
Class: |
600/25;
381/173 |
Current CPC
Class: |
H04R
25/606 (20130101); H04R 2225/67 (20130101) |
Current International
Class: |
A61F
11/04 (20060101); A61F 11/00 (20060101); A61F
2/18 (20060101); H04R 25/00 (20060101); H04r
025/02 () |
Field of
Search: |
;179/17R,1E |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
American Academy of Ophtalmology & Otolarynology, Course 319
Text, Oct. 1, 1966..
|
Primary Examiner: Blakeslee; Ralph D.
Attorney, Agent or Firm: Sheridan, Ross & Fields
Claims
What is claimed is:
1. A self-contained implantable hearing device for positioning in a
hollowed-out portion of the skull adjacent to the ear canal to
provide a sound path parallel to the normal sound path to improve
hearing, said unit comprising:
transducer means positionable adjacent the ear canal for receiving
audio signals entering the ear canal and converting them to
electrical signals;
means for connecting said transducer means with the ear canal for
transmission of the audio signal from the ear canal to said
transducer means for transmission along a path parallel to the ear
canal;
amplifier means coupled to said transducer means adjacent the ear
canal for amplifying the electrical signal produced by said
transducer means along said parallel path;
transmitter means coupled to said amplifier means adjacent the ear
canal for converting the electrical signal to a mechanical
response; and
mechanical response means coupled to said transmitter means
adjacent the ear canal and connectable to a mechanical drive
structure within the ear to complete said parallel path and to
provide a mechanical movement of the structure in response to an
acoustical signal received by said transducer, which augments and
supports any signal produced by the transmission of sounds through
the normal sound path of the ear to provide improved hearing.
2. An implantable hearing device unit, as claimed in claim 1,
wherein said mechanical response means includes:
an elongated rigid element.
3. An implantable hearing device unit, as claimed in claim 1,
wherein said transmitter means is:
a piezo-electric crystal.
4. An implantable hearing device unit, as claimed in claim 1,
wherein:
said mechanical response means is connected to the ossicular
chain.
5. An implantable hearing device unit, as claimed in claim 1,
wherein:
said mechanical response means is connected to the stapes.
6. An implantable hearing device unit, as claimed in claim 1,
wherein:
said mechanical response means is connected to the oval window.
7. A self-contained implantable hearing device for positioning in a
hollowed-out portion of the skull adjacent to the ear canal to
provide a sound path parallel to the normal sound path to improve
hearing, said unit comprising:
transducer means positionable adjacent the ear canal for receiving
audio signals entering the ear canal and converting them to
electrical signals;
means for connecting said transducer means with the ear canal for
transmission of the audio signal from the ear canal to said
transducer means for transmission along a path parallel to the ear
canal;
amplifier means coupled to said transducer means adjacent the ear
canal for amplifying the electrical signal produced by said
transducer means along said parallel path;
a piezo-electric crystal connected to said amplifier means adjacent
the ear canal and providing a mechanical response proportional to
the electrical signal from said amplifier means; and
an elongated rigid element having one end connected to said
piezo-electrical crystal adjacent the ear canal and the other end
connectable to the ossicular chain to complete said parallel path
and to provide a mechanical movement of the structure in response
to an acoustical signal received by said transducer means, which
augments and supports any signal produced by the transmission of
sound through normal sound path of the ear to provide improved
hearing.
8. A method of improving hearing by providing a sound path parallel
to the normal sound path for reproducing sound and augmenting the
sound entering an ear canal, including the steps of:
implanting a hearing device in the skull bone adjacent the ear
canal, wherein said hearing device includes in series a microphone,
an amplifier circuit, and a mechanical output responsive to an
audio signal received by the microphone;
connecting the microphone in audio communication with the ear
canal; and
connecting the mechanical output of the hearing device to a
mechanical drive structure within the ear so that sound entering
the ear can pass along a parallel path through said hearing device
to augment sound passing along the normal path.
9. The method as claimed in claim 8, wherein the connecting of the
mechanical output is made to the ossicular chain.
10. A method as claimed in claim 8, wherein the connection of the
mechanical output is to the stapes.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates to a hearing device, and more particularly
to a hearing device which is totally implantable in the skull of a
human being. The device provides a parallel path for sound
transmittal from the ear canal to the cochlea in addition to the
normal hearing path to provide improved response at the oval
window, to sound entering the ear canal.
2. Description of the Prior Art
Various attempts have been made to miniaturize and conceal hearing
devices to make them aesthetically acceptable. In addition,
attempts have been made to place hearing devices inside the ear or
even implant them within the skull. U.S. Pat. No. 3,170,046 to
Leale, discloses a hearing device which is entirely received within
the ear canal. The difficulty with such a device is that it blocks
out the normal passage of sound through the ear canal so that all
sound must be transmitted through the device. Furthermore, it is
still partially visible when looking at the ear from the side.
A device utilizing a piezo-electric element is disclosed in U.S.
Pat. No. 3,712,962 to Epley, which includes an implanted receiver
and a piezo-electric element connected to the ossicular chain. The
receiver is responsive to an external transmitter worn on the body
of the user. Obviously, this device has the disadvantage in that
the entire device is not implanted in the ear and that many
extraneous sounds may be transmitted to the receiver which distort
the signal received by the ear.
A totally implantable hearing device and method for implanting the
same is shown in U.S. Pat. Nos. 3,346,704 and 3,557,775,
respectively, both to Mahoney. In these hearing devices, the
microphone is located just under the skin behind the ear for
receiving signals which are transmitted by means of a speaker tube
to the middle ear where signals are transmitted by the round or
oval window to the cochlea. With the microphone tube located just
under the skin, there is a possibility of distortion of the sound
and also, due to the position of the microphone behind the ear, all
sound may not reach it. In addition, the sounds received would not
necessarily be the same as those passing through the ear canal
causing distortion and confusion of sound transmitted both through
the ear canal and through the hearing device to the cochlea,
resulting in a garbled and possibly highly unintelligible sound
sensed by the user. Furthermore, the device depends upon the
transformation of sound waves to mechanical movements which may or
may not be in phase with sounds coming into the ear canal.
SUMMARY OF THE INVENTION
In this invention, a novel method and apparatus for improving
defective hearing has been provided wherein a self-contained
miniature hearing device having a transducer, such as a microphone
with a microphone port positionable in the ear canal, an amplifier
and a transmitter which provides a mechanical response to the sound
received by the microphone, is implanted in the skull just behind
the ear with the microphone port positioned in the ear canal and
the mechanical response means connected between the transmitter and
mechanical drive structure within the ear. Thus, some hearing can
be obtained in the normal manner, if a total hearing loss is not
present, and this can be supplemented by a parallel path provided
by the implanted unit wherein sound is received in the ear canal
and amplified by the hearing aid device and converted to a
mechanical response which is connected to a mechanical drive
structure in the ear. As used throughout the specification and
claims herein, the term "mechanical drive structure within the ear"
includes all movable elements of the ear, including the ear drum,
all parts of the ossicular chain, and the oval window; and the term
"parallel path" refers to a path providing an alternate route for
sound to travel along at least a portion of the normal route of
sound travel from the ear canal to the oval window and is not
limited to a geometrically parallel arrangement.
In a preferred embodiment of the invention, the transmitter
includes a piezo-electric crystal connected to one end of a rod
which is moved by the piezo-electric crystal in response to sound
waves picked up by the receiver, with the other end of the rod
being connected to the ossicular chain, preferably to the stapes.
This attachment can be made in any medically suitable manner.
A distinct advantage of this invention is that the rod can be
connected to different portions along the mechanical drive
structure of the ear, depending upon the particular hearing defect
of the person on which it is to be used. While the stapes is
believed to be the most practical place to connect the wire, it
could be connected to other portions of the chain, or, if the
ossicular chain is entirely defective, it can be attached directly
to the oval window.
Additional advantages of this invention will become apparent from
the description which follows, taken in conjunction with the
accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a fragmentary section through a portion of a human skull
adjacent the ear showing the location of the implantable hearing
aid of this invention within the skull;
FIG. 2 is an enlarged longitudinal section through the implantable
hearing aid of FIG. 1 showing further details of construction;
and
FIG. 3 is a circuit diagram which can be used in the hearing aid of
FIGS. 1 and 2.
DESCRIPTION OF THE PREFERRED EMBODIMENT
In accordance with this invention, an implantable hearing device H
is implanted in the skull 2 in a recess 4 formed adjacent an ear
canal 6. To accomplish this, the ear 8 is bent forward and an
incision (not shown) made therebehind to expose the skull 2
whereupon it is hollowed-out to form the recess 4 and receive
hearing device H which is made of a material which is compatible
with the human body as is well understood in the art. Conveniently,
the hearing device H includes a housing 10 which contains a
transducer, such as a microphone, an amplifier and a transmitter.
As best seen in FIG. 2, housing 10 includes three compartments 12,
14 and 16, as shown. Conveniently, a microphone can be placed in
compartment 12, an amplifier circuit in compartment 14 and a source
of power, such as a battery, in compartment 16, after which housing
10 can be closed by lid 18 sealed thereto by suitable means.
Conveniently, compartment 12 has a microphone port 20 which, as
shown in FIG. 1, is connected to ear canal 6 by means of a tube 22
so that the hearing device H receives all audio signals as they
enter the ear.
As described more fully below, the audio signal entering through
tube 22 and port 20 is transmitted by a microphone in compartment
12 to an amplifier circuit in compartment 14 where the signal is
amplified and used to power a piezo-electric crystal 24 which
conveniently is mounted on a metal disc 26 connected to the end of
housing 10, as by a silicon rubber mounting 28. Thus, the signal
causes movements of crystal 24 in response to the audio signal
received by the microphone causing longitudinal movement of an
elongated rigid element such as a metal wire or rod 30 which moves
in response to the signal and has an outer end connected to a
portion of the mechanical drive structure within the ear, such as
the ossicular chain C. By this means, the ossicular chain will be
caused to move or vibrate in response to movement of the
piezo-electric crystal and rod 30 and, therefore, transmit this
response to the oval window 32 to provide suitable responses in the
cochlea. Other configurations can be used and certain modifications
may be desirable for specific applications.
As is well known in the art, the ossicular chain C comprises a
malleus 34, which normally moves in response to the tympanic
membrane or ear drum 36. The malleus is in turn connected to the
incus 38 which is connected to the stapes 40 which causes movement
of the oval window 32. At present, it is believed that the device
will operate more satisfactorily if wire 30 extends to the stapes
40, but it should be understood that the wire could be connected to
any other portion of the ossicular chain C, or to the ear drum 36
or the oval window 32, depending upon the particular condition and
problem causing deficiency in the hearing of the user.
From the arrangement shown, it is apparent that by inserting
hearing device H in the position shown, a parallel path of sound
transmittal is provided in addition to the normal hearing path.
Thus, the hearing device does not interfere with normal hearing,
but can be used to supplement and amplify the response so that the
response perceived by the user is as nearly normal as is
possible.
A typical circuit for hearing device H is shown in FIG. 3, but it
will be understood that various other circuits can be used and
certain modifications may be desirable for particular applications.
In the present circuit, a low current gain microphone 42 having a
resistance of 1K to 5K ohms can be used. Conveniently, capacitor C1
and C2 are of 1 mf having a low frequency response. C3 is a 0.01 mf
type with a high frequency roll off, and C4 is a 20 mf decoupling
capacitor. R1 is a 470K ohm feed-back resistor, whereas R2 is a
100K ohm idle current set resistor. R3 is a 5K ohm resistor for
volume control purposes. Conveniently, battery 44 is used as the
power source. In some applications this battery may be a 1.5 volt
mercury battery. Periodically it may be necessary to make an
incision behind ear 8 and remove the hearing device H to replace
power source 44 in compartment 16. After replacement, of course,
the hearing device can be remounted in recess 4 as shown in FIG. 1.
Some replacements may be avoided by use of rechargeable power
sources.
From the foregoing, the advantages of this invention are readily
apparent. A hearing device has been provided which is completely
self-contained and can be implanted in the skull of the user so
that there are no cosmetic drawbacks, as the device will be
completely hidden. In addition, a novel method of improving hearing
is provided wherein only the sound that enters the ear is picked up
and converted to a mechanical signal which is transmitted along a
parallel path to aid the impaired hearing of the user so that the
user may perceive the signal as nearly normal as is possible.
The invention has been described in detail with particular
reference to a preferred embodiment thereof, but it will be
understood that variations and modifications can be effected within
the spirit and scope of this invention.
* * * * *