Medical devices have provided a wide range of therapeutic benefits to recipients over recent decades. Medical devices can include internal or implantable components/devices, external or wearable components/devices, or combinations thereof (e.g., a device having an external component communicating with an implantable component). Medical devices, such as traditional hearing aids, partially or fully-implantable hearing prostheses (e.g., bone conduction devices, mechanical stimulators, cochlear implants, etc.), pacemakers, defibrillators, functional electrical stimulation devices, and other medical devices, have been successful in performing lifesaving and/or lifestyle enhancement functions and/or recipient monitoring for a number of years.
The types of medical devices and the ranges of functions performed thereby have increased over the years. For example, many medical devices, sometimes referred to as “implantable medical devices,” now often include one or more instruments, apparatus, sensors, processors, controllers or other functional mechanical or electrical components that are permanently or temporarily implanted in a recipient. These functional devices are typically used to diagnose, prevent, monitor, treat, or manage a disease/injury or symptom thereof, or to investigate, replace or modify the anatomy or a physiological process. Many of these functional devices utilize power and/or data received from external devices that are part of, or operate in conjunction with, implantable components.
In an exemplary embodiment, there is a system for magnetic induction communication between an implantable component and an external component, comprising an implantable component, the implantable component including magnetic induction radio communication circuitry connected to an implantable antenna arrangement of the implantable component, the implantable antenna arrangement comprising at least two coil antennas for radio communication, and an external component including magnetic induction radio circuitry connected to a coil antenna of the external component, wherein the system is configured so that when the implantable antenna arrangement of the implantable component is implanted between a skull and skin of a human and the external component is worn on the head of the component during normal use the magnetic induction communication link between the external and the implantable component is active and effectively operating.
In another exemplary embodiment, there is a device, comprising an implantable hermetically sealed biocompatible housing, electronics located inside the housing, a first implantable antenna coil, the first implantable antenna coil electrically connected to the electronics and/or the device is configured to connect the first implantable antenna coil to the electronics, and a second implantable antenna coil, the second implantable antenna coil electrically connected to the electronics and/or the device is configured to connect the second implantable antenna coil to the electronics, wherein the electronics includes magnetic induction radio communication circuitry, the device is configured to enable a magnetic induction communication link, and the device is implantable in a human recipient between skin and skull bone of the human.
In another exemplary embodiment, there is method, comprising establishing a first transcutaneous link for power transfer using magnetic induction between a first set of closely coupled coil antennas with a clearance less than 20 mm, an establishing a second transcutaneous link for data communication using magnetic induction between a second set of loosely coupled coil antennas with a clearance greater than 10 mm, wherein the first and second transcutaneous links are established by the same or respective different external components of a prosthetic hearing implant system and the same implanted component of the prosthetic hearing implant implanted in a human recipient, and at least one of (1) the second transcutaneous link is established using antenna diversity via the implantable component, or (2) the second transcutaneous link is established using antenna and receiver diversity by the implantable component.
In another exemplary embodiment, there is a method, comprising establishing a transcutaneous or subcutaneous data communication link using magnetic induction with an implanted component including magnetic induction radio communication circuitry connected to an implantable antenna arrangement of the implantable component comprising at least two coil antennas, wherein the method includes selecting one coil antenna of the at least two coil antennas for connection to the magnetic induction radio communication circuitry based on data based on a link quality associated with the selected one coil antenna, which selected antenna is used to establish the communication link.
In another exemplary embodiment, there is a method, comprising establishing a first transcutaneous link that is a power induction transfer using a first set of antennas, and establishing a second transcutaneous link for data transfer using a second set of antennas, wherein the first and second transcutaneous links are established by the same or respective different external components of a prosthetic hearing implant system and the same implanted component of the prosthetic hearing implant implanted in a human recipient, and the second link utilizes induction to communicate the data, wherein the prosthetic hearing implant implanted in the human recipient includes at least two coil antennas of which an antenna of the first set and an antenna of the second set are apart.
In an exemplary embodiment, there is a method, wherein the method is executed for an antenna arrangement of an implanted component of a prosthetic hearing implant implanted in a human recipient, the implanted component comprising at least two coil antennas, the method including establishing a first transcutaneous data link between an antenna arrangement of a first external component and an antenna arrangement of the implanted component, wherein the antenna arrangement of the first external component is close to or in an ear canal of the recipient, the first external component being a non-implantable component, and a second transcutaneous data link between an antenna arrangement of a second external component and the antenna arrangement of implanted component, wherein the antenna arrangement of the second external component is close to or in the ear canal of the recipient, the second implantable component being a non-implantable component.
In an exemplary embodiment, there is a method, wherein the method is executed for an antenna arrangement of an implanted component of a prosthetic hearing implant implanted in a human recipient, the implanted component comprising at least two coil antennas, the method including establishing a first transcutaneous data link between an antenna arrangement of a first external component and an antenna arrangement of the implanted component, wherein the antenna arrangement of the first external component is close to or in an ear canal of the recipient, the first external component being a non-implantable component, and a second data link between the first external component and a second external component, wherein an antenna arrangement of the second external component is close to or in the ear canal of the recipient, the second implantable component being a non-implantable component.
In an exemplary embodiment, there is a method, comprising implanting, on a right side of a first human, a first implantable component of a hearing prosthesis including a wide diameter antenna so that the wide diameter antenna is implanted behind or above a pinna of the first human, and implanting, on a right side of a second human, a second implantable component of a hearing prosthesis including a wide diameter antenna so that the wide diameter antenna is implanted behind or above a pinna of the second human, wherein the first and second implantable components are the same design, the orientations of the implantable components after implantation are substantially different, the design of the implantable components is a design that receives power via the wide diameter antenna and data via an antenna system separate from that associated with the wide diameter antenna including at least two antennas spaced away from the wide diameter antenna, and a link quality between the antenna system of the first implantable component and an antenna of an external component within a housing of a spine of a BTE device will be effective to communicate data to the antenna system of the first implant so that an effective hearing percept can be evoked in the first human, and a link quality between the antenna system of the second implantable component and the antenna of the external component within the housing of the spine of the BTE device will be effective to communicate data to the antenna system of the second implant so that an effective hearing percept can be evoked in the second human when the external component is worn by the second human in the same way as worn by the first human, all other things being equal.
Embodiments are described below with reference to the attached drawings, in which:
Exemplary embodiments will be described in terms of a cochlear implant. That said, it is noted that the teachings detailed herein and/or variations thereof can be utilized with other types of hearing prostheses, such as by way of example, bone conduction devices, DACI/DACS/middle ear implants, etc. Indeed, any disclosure herein of an electrode array corresponds to an alternate disclosure of an actuator of a middle ear implant or a bone conduction device or a DACS/DACI, etc., and a disclosure of the alternate electronics of the implant to implement such. Still further, it is noted that the teachings detailed herein and/or variations thereof can be utilized with other types of prostheses, such as pacemakers, muscle stimulators, etc. In some instances, the teachings detailed herein and/or variations thereof are applicable to any type of implanted component that utilizes feedthroughs.
To be clear, the techniques presented herein may also be used with a variety of other medical devices that, while providing a wide range of therapeutic benefits to recipients, patients, or other users, may benefit from the teachings herein used in other medical devices. For example, any techniques presented herein described for one type of hearing prosthesis, such as a cochlear implant, corresponds to a disclosure of another embodiment of using such teaching with another hearing prosthesis, including bone conduction devices (percutaneous, active transcutaneous and/or passive transcutaneous), middle ear auditory prostheses, direct acoustic stimulators, and also utilizing such with other electrically simulating auditory prostheses (e.g., auditory brain stimulators), etc. The techniques presented herein can be used with implantable/implanted microphones, whether or not used as part of a hearing prosthesis (e.g., a body noise or other monitor, whether or not it is part of a hearing prosthesis) and/or external microphones. The techniques presented herein can also be used with vestibular devices (e.g., vestibular implants), sensors, seizure devices (e.g., devices for monitoring and/or treating epileptic events, where applicable), sleep apnea devices, electroporation, etc., and thus any disclosure herein is a disclosure of utilizing such devices with the teachings herein, providing that the art enables such. The teachings herein can also be used with conventional hearing devices, such as telephones and ear bud devices connected MP3 players or smart phones or other types of devices that can provide audio signal output. Indeed, the teachings herein can be used with specialized communication devices, such as military communication devices, factory floor communication devices, professional sports communication devices, etc.
By way of example, any of the technologies detailed herein which are associated with components that are implanted in a recipient can be combined with information delivery technologies disclosed herein, such as for example, devices that evoke a hearing percept, to convey information to the recipient. By way of example only and not by way of limitation, a sleep apnea implanted device can be combined with a device that can evoke a hearing percept so as to provide information to a recipient, such as status information, etc. In this regard, the various sensors detailed herein and the various output devices detailed herein can be combined with such a non-sensory prosthesis or any other nonsensory prosthesis that includes implantable components so as to enable a user interface, as will be described herein, that enables information to be conveyed to the recipient, which information is associated with the implant.
While the teachings detailed herein will be described for the most part with respect to hearing prostheses, in keeping with the above, it is noted that any disclosure herein with respect to a hearing prosthesis corresponds to a disclosure of another embodiment of utilizing the associated teachings with respect to any of the other prostheses noted herein, whether a species of a hearing prosthesis, or a species of a sensory prosthesis.
In view of the above, it is to be understood that at least some embodiments detailed herein and/or variations thereof are directed towards a body-worn sensory supplement medical device (e.g., the hearing prosthesis of
The recipient has an outer ear 101, a middle ear 105, and an inner ear 107. Components of outer ear 101, middle ear 105, and inner ear 107 are described below, followed by a description of cochlear implant 100.
In a fully functional ear, outer ear 101 comprises an auricle 110 and an ear canal 102. An acoustic pressure or sound wave 103 is collected by auricle 110 and channeled into and through ear canal 102. Disposed across the distal end of ear channel 102 is a tympanic membrane 104 which vibrates in response to sound wave 103. This vibration is coupled to oval window or fenestra ovalis 112 through three bones of middle ear 105, collectively referred to as the ossicles 106 and comprising the malleus 108, the incus 109, and the stapes 111. Bones 108, 109, and 111 of middle ear 105 serve to filter and amplify sound wave 103, causing oval window 112 to articulate, or vibrate in response to vibration of tympanic membrane 104. This vibration sets up waves of fluid motion of the perilymph within cochlea 140. Such fluid motion, in turn, activates tiny hair cells (not shown) inside of cochlea 140. Activation of the hair cells causes appropriate nerve impulses to be generated and transferred through the spiral ganglion cells (not shown) and auditory nerve 114 to the brain (also not shown) where they are perceived as sound.
As shown, cochlear implant 100 comprises one or more components which are temporarily or permanently implanted in the recipient. Cochlear implant 100 is shown in
In the illustrative arrangement of
Cochlear implant 100 comprises an internal energy transfer assembly 132 which can be positioned in a recess of the temporal bone adjacent auricle 110 of the recipient. As detailed below, internal energy transfer assembly 132 is a component of the transcutaneous energy transfer link and receives power and/or data from external device 142. In the illustrative embodiment, the energy transfer link comprises an inductive RF link, and internal energy transfer assembly 132 comprises a primary internal coil assembly 137. Internal coil assembly 137 typically includes a wire antenna coil comprised of multiple turns of electrically insulated single-strand or multi-strand platinum or gold wire, as will be described in greater detail below.
Cochlear implant 100 further comprises a main implantable component 120 and an elongate electrode assembly 118. Collectively, the coil assembly 137, the main implantable component 120, and the electrode assembly 118 correspond to the implantable component of the system 10.
In some embodiments, internal energy transfer assembly 132 and main implantable component 120 are hermetically sealed within a biocompatible housing or within the device in general (the housing per se may not be hermetically sealed). In some embodiments, main implantable component 120 includes an implantable microphone assembly (not shown) and a sound processing unit (not shown) to convert the sound signals received by the implantable microphone or via internal energy transfer assembly 132 to data signals. That said, in some alternative embodiments, the implantable microphone assembly can be located in a separate implantable component (e.g., that has its own housing assembly, etc.) that is in signal communication with the main implantable component 120 (e.g., via leads or the like between the separate implantable component and the main implantable component 120). In at least some embodiments, the teachings detailed herein and/or variations thereof can be utilized with any type of implantable microphone arrangement.
Main implantable component 120 further includes a stimulator unit (also not shown in
Elongate electrode assembly 118 has a proximal end connected to main implantable component 120, and a distal end implanted in cochlea 140. Electrode assembly 118 extends from main implantable component 120 to cochlea 140 through mastoid bone 119. In some embodiments electrode assembly 118 may be implanted at least in basal region 116, and sometimes further. For example, electrode assembly 118 may extend towards apical end of cochlea 140, referred to as cochlea apex 134. In certain circumstances, electrode assembly 118 may be inserted into cochlea 140 via a cochleostomy 122. In other circumstances, a cochleostomy may be formed through round window 121, oval window 112, the promontory 123, or through an apical turn 147 of cochlea 140.
Electrode assembly 118 comprises a longitudinally aligned and distally extending array 146 of electrodes 148, disposed along a length thereof. As noted, a stimulator unit generates stimulation signals which are applied by electrodes 148 to cochlea 140, thereby stimulating auditory nerve 114.
Still with reference to
As can be seen in
It is noted that magnet apparatus 160 is presented in a conceptual manner. In this regard, it is noted that in at least some instances, the magnet apparatus 160 is an assembly that includes a magnet surrounded by a biocompatible coating. Still further by way of example, magnet apparatus 160 is an assembly where the magnet is located within a container having interior dimensions generally corresponding to the exterior dimensions of the magnet. This container can be hermetically sealed, thus isolating the magnet in the container from body fluids of the recipient that penetrate the housing (the same principle of operation occurs with respect to the aforementioned coated magnet). In an exemplary embodiment, this container permits the magnet to revolve or otherwise move relative to the container. Additional details of the container will be described below. In this regard, it is noted that while sometimes the term magnet is used as shorthand for the phrase magnet apparatus, and thus any disclosure herein with respect to a magnet also corresponds to a disclosure of a magnet apparatus according to the aforementioned embodiments and/or variations thereof and/or any other configuration that can have utilitarian value according to the teachings detailed herein.
Briefly, it is noted that there is utilitarian value with respect to enabling the magnet to revolve within the container or otherwise move. In this regard, in an exemplary embodiment, when the magnet is introduced to an external magnetic field, such as in an Mill machine, the magnet can revolve or otherwise move to substantially align with the external magnetic field. In an exemplary embodiment, this alignment can reduce or otherwise eliminate the torque on the magnet, thus reducing discomfort and/or reducing the likelihood that the implantable component will be moved during the Mill procedure (potentially requiring surgery to place the implantable component at its intended location) and thus reduce and/or eliminate the demagnetization of the magnet.
Element 136 can be considered a housing of the coil, in that it is part of the housing 199.
With reference now to
It is noted that
An image processor 102 is in signal communication with the sensor-stimulator 108 via cable 104 which extends through surgical incision 106 through the eye wall (although in other embodiments, the image processor 102 is in wireless communication with the sensor-stimulator 108). In an exemplary embodiment, the image processor 102 is analogous to the sound processor/signal processors of the auditory prostheses detailed herein, and in this regard, any disclosure of the latter herein corresponds to a disclosure of the former in an alternate embodiment. The image processor 102 processes the input into the sensor-stimulator 108, and provides control signals back to the sensor-stimulator 108 so the device can provide processed and output to the optic nerve. That said, in an alternate embodiment, the processing is executed by a component proximate to or integrated with the sensor-stimulator 108. The electric charge resulting from the conversion of the incident photons is converted to a proportional amount of electronic current which is input to a nearby retinal cell layer. The cells fire and a signal is sent to the optic nerve, thus inducing a sight perception.
The retinal prosthesis can include an external device disposed in a Behind-The-Ear (BTE) unit or in a pair of eyeglasses, or any other type of component that can have utilitarian value. The retinal prosthesis can include an external light/image capture device (e.g., located in/on a BTE device or a pair of glasses, etc.), while, as noted above, in some embodiments, the sensor-stimulator 108 captures light/images, which sensor-stimulator is implanted in the recipient.
In the interests of compact disclosure, any disclosure herein of a microphone or sound capture device corresponds to an analogous disclosure of a light/image capture device, such as a charge-coupled device. Corollary to this is that any disclosure herein of a stimulator unit which generates electrical stimulation signals or otherwise imparts energy to tissue to evoke a hearing percept corresponds to an analogous disclosure of a stimulator device for a retinal prosthesis. Any disclosure herein of a sound processor or processing of captured sounds or the like corresponds to an analogous disclosure of a light processor/image processor that has analogous functionality for a retinal prosthesis, and the processing of captured images in an analogous manner. Indeed, any disclosure herein of a device for a hearing prosthesis corresponds to a disclosure of a device for a retinal prosthesis having analogous functionality for a retinal prosthesis. Any disclosure herein of fitting a hearing prosthesis corresponds to a disclosure of fitting a retinal prosthesis using analogous actions. Any disclosure herein of a method of using or operating or otherwise working with a hearing prosthesis herein corresponds to a disclosure of using or operating or otherwise working with a retinal prosthesis in an analogous manner. Indeed, it is noted that any disclosure herein with respect to a hearing prosthesis corresponds to a disclosure of another embodiment of utilizing the associated teachings with respect to any of the other prostheses noted herein, whether a species of a hearing prosthesis, or a species of a sensory prosthesis.
Returning back to the cochlear implant embodiment,
Implantable component 244 may comprises a power storage element 212 and a functional component 214. Power storage element 212 is configured to store power received by transceiver unit 208, and to distribute power, as needed, to the elements of implantable component 244. Power storage element 212 may comprise, for example, a rechargeable battery 212. An example of a functional component may be a stimulator unit 120 as shown in
In certain embodiments, implantable component 244 may comprise a single unit having all components of the implantable component 244 disposed in a common housing. In other embodiments, implantable component 244 comprises a combination of several separate units communicating via wire or wireless connections. For example, power storage element 212 may be a separate unit enclosed in a hermetically sealed device, such as the housing, or the combination of the housing and other components, etc. The implantable magnet apparatus and plates associated therewith may be attached to or otherwise be a part of any of these units, and more than one of these units can include the magnet apparatus and plates according to the teachings detailed herein and/or variations thereof.
In the embodiment depicted in
As shown in
While not shown in
As used herein, an inductive communication component includes both standard induction coils and inductive communication components configured to vary their effective coil areas.
As noted above, prosthesis 200A of
It is noted that the components detailed in
Cochlear implant 300A comprises an implantable component 344A (e.g., implantable component 100 of
Similar to the embodiments described above with reference to
Implantable component 344A also comprises a power storage element 212, electronics module 322 (which may include components such as sound processor 126 and/or may include a receiver stimulator unit 332 corresponding to receiver stimulator unit 1022 of
As shown, electronics module 322 includes a stimulator unit 332. Electronics module 322 can also include one or more other functional components used to generate or control delivery of electrical stimulation signals 315 to the recipient. As described above with respect to
In the embodiment depicted in
As will be described in more detail below, while not shown in the figures, external device 304A/304B and/or implantable component 344A/344B include respective inductive communication components.
In contrast to the embodiments of
Some of the components of
In an exemplary embodiment, as will be described in more detail below, inductive communication component 416 comprises one or more wire antenna coils (depending on the embodiment) comprised of multiple turns of electrically insulated single-strand or multi-strand platinum or gold wire (thus corresponding to coil 137 of
Transceiver unit 406A can be included in a device that includes any number of components which transmit data to implantable component 334A/B/C. For example, the transceiver unit 406A may be included in a behind-the-ear (BTE) device having one or more of a microphone or sound processor therein, an in-the-ear device, etc.
It is noted that for ease of description, power transmitter 412A and data transceiver 414A/data transmitter 414B are shown separate. However, it should be appreciated that in certain embodiments, at least some of the components of the two devices may be combined into a single device.
In the illustrative embodiments, a receiver unit 408A and transceiver unit 406A (or transmitter unit 406B) establish a transcutaneous communication link over which data and power is transferred from transceiver unit 406A (or transmitter unit 406B), to implantable component 444A. As shown, the transcutaneous communication link comprises a magnetic induction link formed by an inductance communication component system that includes inductive communication component 416 and coil 442.
The transcutaneous communication link established by receiver unit 408A and transceiver unit 406A (or whatever other viable component can so establish such a link), in an exemplary embodiment, may use time interleaving of power and data on a single radio frequency (RF) channel or band to transmit the power and data to implantable component 444A. A method of time interleaving power according to an exemplary embodiment uses successive time frames, each having a time length and each divided into two or more time slots. Within each frame, one or more time slots are allocated to power, while one or more time slots are allocated to data. In an exemplary embodiment, the data modulates the RF carrier or signal containing power. In an exemplary embodiment, transceiver unit 406A and transmitter unit 406B are configured to transmit data and power, respectively, to an implantable component, such as implantable component 344A, within their allocated time slots within each frame.
The power received by receiver unit 408A can be provided to rechargeable battery 446 for storage. The power received by receiver unit 408A can also be provided for distribution, as desired, to elements of implantable component 444A. As shown, electronics module 322 includes stimulator unit 332, which in an exemplary embodiment corresponds to stimulator unit 322 of
In an embodiment, implantable component 444A comprises a receiver unit 408A, rechargeable battery 446 and electronics module 322 integrated in a single implantable housing, referred to as stimulator/receiver unit 406A. It would be appreciated that in alternative embodiments, implantable component 344 may comprise a combination of several separate units communicating via wire or wireless connections.
In view of the above, it is to be understood that in an exemplary embodiment, there is a device is hermetically sealed and is implantable, which includes a housing. The housing contains circuitry of a hearing prosthesis, and corresponds to the housing detailed above or variations thereof having opening(s) in which feedthrough assembly(ies) are located in the opening(s). The housing can also contain a battery so that the device can be “self powered” and thus be a totally implantable hearing prosthesis.
Embodiments include a modified version of the implantable component 100 as detailed above, and will be described below, but first, some background information on external components.
External assembly 242 typically comprises a sound transducer 291 for detecting sound, and for generating an electrical audio signal, typically an analog audio signal. In this illustrative arrangement, sound transducer 291 is a microphone. In alternative arrangements, sound transducer 291 can be any device now or later developed that can detect sound and generate electrical signals representative of such sound. An exemplary alternate location of sound transducer 291 will be detailed below. As will be detailed below, a sound transducer can also be located in an ear piece, which can utilize the “funneling” features of the pinna for more natural sound capture (more on this below).
External assembly 242 also comprises a signal processing unit, a power source (not shown), and an external transmitter unit. External transmitter unit 216 (sometimes referred to as a headpiece) comprises an external coil 228 (which can correspond to coil 130 of the external component of
In some arrangements, the signal processor (also referred to as the sound processor) may produce electrical stimulations alone, without generation of any acoustic stimulation beyond those that naturally enter the ear. While in still further arrangements, two signal processors may be used. One signal processor is used for generating electrical stimulations in conjunction with a second speech processor used for producing acoustic stimulations.
As shown in
Also,
In one arrangement, external coil 130 transmits electrical signals to the internal coil via an inductance communication link. The internal coil is typically a wire antenna coil comprised of at least one, or two or three or more turns of electrically insulated single-strand or multi-strand platinum or gold wire. The electrical insulation of the internal coil is provided by a flexible silicone molding (not shown). In use, internal receiver unit may be positioned in a recess of the temporal bone adjacent to outer ear 101 of the recipient.
The above description presents baseline technologies that are not innovative and do not form the basis of the invention herein. In at least some exemplary embodiments, the teachings above are used in combination with the innovative teachings below. Further, in at least some exemplary embodiments, the teachings above are modified so as to implement the innovative teachings below. In this regard, in at least some exemplary embodiments, the above is modified so as to enable the use thereof with the teachings herein.
In this exemplary embodiment, as can be seen, the external assemblies 242 include cylindrical antennas (sometimes called rod antennas) 810. These are generally arrayed within the spine of the BTE device such that when utilized in the bilateral arrangement (conceptually shown in
In this exemplary embodiment, the external assembly would include at least two antennas for transcutaneous communication—a first antenna of the headpiece/transmitter unit 216 for power transfer to the implantable component and a second antenna 810 for data transfer to the implantable component. In an exemplary embodiment, the devices are configured such that power is only transferred via the coil 228 and no data is transferred via that coil, and data is transferred via antenna 810 but no power is transferred via that antenna. In an exemplary embodiment, the external component can be configured to transmit data and power from the coil 228 so as to provide redundancy in the event that data cannot be transferred via antenna 810. Corollary to this is that in an exemplary embodiment, the implanted device can be configured such that the implant would not recognize data that is transmitted to the coil 137 that communicates with the external coil 228 and only transduces power that is received by the implanted coil 137. That said, in an exemplary embodiment, the implanted device can be configured such that the implant would recognize data that is transmitted to coil 137 in addition to transducing power, again to provide redundancy.
In an exemplary embodiment, such as where the implant is a partially implantable hearing prosthesis that relies on the external assembly to provide power in real time or near real time to operate (e.g., there is no implanted battery), power would be transmitted over the link established between the coil 228 and the coil 137, and the data to operate the implant would be transmitted over the link established on one side by antenna 810 and a corresponding implanted antenna that will be described in a moment. In this regard, the external assembly can correspond to that of
It is briefly noted that the antenna 810 can be located in other portions of the behind the ear device.
It is briefly noted that while the embodiments of
It is also noted that in some exemplary embodiments include an MI radio antenna located in an OTE (off the ear) device. In an exemplary embodiment of this arrangement, this is a device that is located and otherwise magnetically held over the implanted wide diameter coil 137 of the implant, and does not have a component that is in contact with the pinna that is physically connected to the OTE device. There could be such a device that is in radio signal communication there with, and there could be an ITE device that is in radio signal communication therewith, but there is no physical link between the two—the link is electromagnetic. To be clear, any disclosure herein with respect to functionality and/or structure of a BTE device corresponds to an alternate disclosure of such with respect to an ITE device and an OTE device and vice versa two more times, unless otherwise noted and unless the art does not enable such.
It is also noted that the various antenna orientations and geometries shown in
While the embodiment depicted in
Antenna 810 is part of a magnetic inductance radio (MI radio) system that enables the establishment of a utilitarian ipsilateral communication link between the external component and the implant device. The communication link may operate between 148.5 kHz and 30 MHz by way of example only and not by way of limitation (the link between the coil 137 and coil 130 can be, in some embodiments by way of example only and not by way of limitation, less than 30 MHz, such as between 3 and 15 MHz in general, and more specifically, 4.5 MHz and 7 MHz. The physical implementation of the external MI-radio antennas inside the external sound processor devices and hearing aids in a bilateral/binaural system can be as presented above, where the axis of symmetry of these cylindrical antenna rods are aligned between the two external devices (meaning their ‘axes of symmetry’ are ideally on a same line, as seen in
It is noted that the teachings herein, while generally described in terms of transcutaneous communication, are also applicable to subcutaneous communication. That is, embodiments can be applicable to communication between two different antennas that are both implanted with in a recipient. This can be, for example, where there is utilitarian value with respect to maintaining a hermetic body, such as a housing, without the risk of utilizing a feedthrough or the like therethrough. By way of example only and not by way limitation, an antenna within a ceramic housing also containing a processor can communicate with a separate component that includes an implanted microphone. The utilization of the antenna in the housing can avoid the need for a feedthrough or the like from the component with the implanted microphone. Accordingly, any disclosure herein relating to transcutaneous communication also corresponds to a disclosure of subcutaneous communication unless otherwise noted providing that the art enable such.
With the above as background, embodiments of some teachings are such that the physical implementation of the MI-radio antennas of the implant for ipsilateral communication with the external component are well-defined as such to provide, and in some instances, guarantee, strong incoming MI implant signals. Embodiments can avoid communication interruptions caused by external interference and/or can avoid antenna positions/orientations in radio dead zones (dead spots) or close to radio dead zones. As used herein, the phrase dead zones means a zone where the in ingoing and outgoing magnetic flux in the enclosed area of an antenna (geometric median of all enclosed winding surfaces of a given antenna cancels each other out to zero or effectively zero or a zone where the magnetic field lines do not cross the enclosed area i.e., the field line vectors are parallel to the enclosed winding surface). Some additional details of this will be described below.
Accordingly, in an exemplary embodiment, as seen in
As noted, stimulator 622 includes a housing 622H which supports the feedthroughs 611 (and another feedthrough eclipsed thereby). Depicted are electrical contacts extending out the bottom of the feedthrough 611. As seen, bottoms of the feedthroughs are recessed relative to the bottom surface 799.
As will be further explained below, antennas 1020 and 1030 are placed so that they form a symmetrical implant MI radio antenna system (the coil 137 is not part of this system for the purposes of this discussion, but can be—the coil 137 need not have any of the symmetrical features disclosed herein in at least some embodiments, with respect to the symmetry features associated with the MI radio as detailed herein) for short range radio communication purposes residing outside of the housing of the receiver stimulator, which can be a titanium housing in some embodiments that acts as an electromagnetic shield and is not radio transparent. Here, the implant MI radio antenna system comprises two antenna coils that are in signal communication with an MI-radio transceiver system located inside the housing of the receiver stimulator. Here, in this embodiment, both coil antennas of the antenna system are placed in series and are in signal communication with one single MI-radio transceiver (e.g., transceiver 1444 as seen in
In view of the above, it can be seen that in an exemplary embodiment, there is a device, comprising an implantable hermetically sealed biocompatible housing, such as housing 622H of the receiver stimulator unit detailed above. The device further includes electronics located inside the housing. Additional details of the electronics will be provided below. The device further includes a first implantable antenna coil, the first implantable antenna coil electrically connected to the electronics and/or the device is configured to connect the first implantable antenna coil to the electronics (e.g., via a switch—note that if the switch is closed, the first coil is electrically connected to the electronics (assuming there is no other break), and a second implantable antenna coil, the second implantable antenna coil electrically connected to the electronics and/or the device is configured to connect the second implantable antenna coil to the electronics. In some embodiments of this device, the electronics includes magnetic induction radio communication circuitry, the device is configured to enable a magnetic induction communication link, and the device is implantable in a human recipient between skin and skull bone of the human.
In some embodiments of this device, the electronics includes at least two separate transceivers and the first implantable antenna coil and the second implantable antenna coil are respectively electrically connected to respective transceivers of the at least two separate transceivers. In some embodiments, again where the electronics includes at least one transceiver, the implantable component is configured so that the first implantable antenna coil and the second implantable antenna coil can be electrically connected to and electrically disconnected from the at least one transceiver. In some embodiments, the magnetic induction radio circuitry includes at least one transceiver and the implantable component includes switching circuitry configured to respectively place the first implantable antenna coil and the second implantable antenna coil into electrical connection and electrical disconnection with the at least one transceiver.
In an exemplary embodiment of the device, the first implantable antenna coil and the second implantable antenna coil reside at separate locations and have respective longitudinal axes that are parallel to each other or are quasi-aligned with each other. Additionally, in some embodiments, the device includes a third antenna coil behind or above a pinna of the recipient allowing transcutaneous power transfers to the implantable component.
Also, in view of the above, embodiments include a device comprising an implantable housing, such as housing 622H of the receiver stimulator unit detailed above. In an exemplary embodiment, there are electronics located in the housing. In this exemplary embodiment, the electronics can correspond to the receiver stimulator electronics of the receiver stimulator unit of a cochlear implant. In this exemplary embodiment, at least some of the electronics can be configured to output a signal to a location outside the housing. In this regard, in an exemplary embodiment, this can correspond to the electronics circuitry of the stimulator portion of a receiver stimulator of a cochlear implant. The electronics can be the electronics of the receiver stimulator unit.
In this exemplary embodiment, there can be a first antenna, corresponding to the implantable coil number 137 of the implantable component 1000, which first antennas located outside the housing (this would be the third antenna coil behind or above the pinna allowing transcutaneous power transfers, noted in the paragraph immediately before the paragraph just above). This first antenna can be an inductance coil, such as a transcutaneous inductance coil. In this exemplary embodiment, the first antenna is in signal communication with the electronics (thus in signal communication with the receiver electronics portions of the receiver stimulator unit). It is briefly noted that the phrase electronics as used herein includes an integrated circuit as well as separate circuits. For example, the receiver electronics can be a separate component from the stimulator electronics (collectively they can be arranged in a unit). Conversely, the receiver electronics can be combined with the stimulator electronics on one single printed circuit board for example. Any implementation that will provide functionality of a receiver and the functionality of a stimulator of a receiver stimulator unit of a cochlear implant or any other alternate hearing prosthesis can be utilized in at least some exemplary embodiments.
Still further, in an exemplary embodiment, there can be seen a second antenna and a third antenna located outside the housing. Both of these antennas can be in signal communication with the electronics located inside the housing. The antennas can correspond to antennas 1020 or 1030 or any the other antennas detailed herein. And of course, consistent with the utilitarian value of the teachings detailed herein, this device can be implantable in a human recipient (i.e., it is made of bio compatible components, at least with respect to those that interface with body tissue and fluids inside the body).
Consistent with the teachings detailed herein, the second and third antennas are part of a magnetic inductance radio system (which can have a unified transducer or receiver or can have separate transducers or receivers).
Consistent with the teachings above, the first antenna in at least some exemplary embodiments is a different type of antenna than the second and third antennas. By way of example only and not by way of limitation, the first antenna is a wide diameter inductance coil, and the second and third antenna are narrow diameter inductance coils.
In an exemplary embodiment, the first antenna (e.g., coil 137) has an outermost maximum coil diameter of at least or equal to 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, or 40 mm, or any value or range of values therebetween in 0.1 mm increments (e.g., 23.3 mm, 27.1 mm, 18.8 to 36.5 mm, etc.). In an exemplary embodiment, the second and/or third antennas (they can have the same configurations, but can also be different) can have an outermost maximum coil diameter equal to or no greater than 1, 1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7, 1.8, 1.9, 2, 2.1, 2.2, 2.3, 2.4, 2.5, 2.6, 2.7, 2.8, 2.9, 3, 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 3.7, 3.8, 3.9, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, or 8 mm, or any value or range of values therebetween in 0.005 mm increments). With respect to the embodiments where the antennas are cylindrical/cylinder antennas (e.g., the windings of the coils extend in a manner akin to cylinder walls, the height (as in cylinder height) can be equal to or no greater than 3, 3.25, 3.5, 3.75, 4, 4.25, 4.5, 4.75, 5, 5.25, 5.5, 5.75, 6, 6.25, 6.5, 6.75, 7, 7.25, 7.5, 7.75, 8, 8.25, 8.5, 8.75, 9, 9.5, 10, 10.5, 11, 11.5, 12, 12.5, 13, 14, or 15 mm, or any value or range of values therebetween in 0.05 mm increments.
In at least some exemplary embodiments, at least X percent, such as a majority, of the conductive componentry of the second and/or third antenna by mass thereof is located within 1.5, 1.6, 1.7, 1.8, 1.9, 2, 2.1, 2.2, 2.3, 2.4, 2.5, 2.6, 2.7, 2.8, 2.9, 3, 3.25, 3.5, 3.75, 4, 4.25, 4.5, 4.75, 5, 5.25, 5.5, 5.75, 6, 6.25, 6.5, 6.75, 7, 7.25, 7.5, 7.75, 8, 8.25, 8.5, 8.75, 9, 9.5, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 mm, or any value or range of values therebetween in 0.01 millimeter increments from an outer surface of the housing of the receiver stimulator. X can be 55, 60, 65, 70, 75, 80, 85, 90, 95, or 100. In an exemplary embodiment, the most distal portion of the second and/or third antenna from the housing falls within the aforementioned distance from the housing.
In at least some exemplary embodiments, at least X percent, such as a majority, of the conductive componentry of the first antenna by mass thereof is located further than or equal to 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49 or 50 mm or any value or range of values therebetween in 0.1 millimeter increments from at least X percent of the conductive componentry of the second and/or third antenna by mass thereof. In an exemplary embodiment, the closest portion of a coil of the second and/or third antenna to a coil of the first antenna is greater than the just detailed values.
As seen, the MI radio antennas have a height (in terms of a cylinder—one would refer to this as a length in other situations) that is less than the length of the housing on a side thereof facing the antennas. In some embodiments, the height of a second antenna and/or third antenna is no more than or equal to 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 85, 90, 95, 100, 110, 120, or 130 percent, or any value or range of values therebetween in 1 percent increments of the length of the sidewall of the housing of the receiver stimulator to which it is closest. Also, as seen, the second antenna and/or the third antenna has a mean or median outermost diameter is less than a height of the closest sidewall of the housing. In some embodiments, the aforementioned diameter of the second antenna and/or third antenna is no more than or equal to 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 100, 110, 120, or 130 percent or any value or range of values therebetween in 1 percent increments of the height of the sidewall of the housing of the receiver stimulator to which it is closest.
It is briefly noted that many of the aforementioned values are applicable to the antennas of the external component where applicable. For example, the aforementioned values associated with the distances between the large diameter coil and the MI coil of the implant could also be applicable to the corresponding coils of the external component (the headpiece antenna relative to the antenna 810). By way of example,
In an exemplary embodiment of the device just detailed and/or variations thereof, the second and third antennas are arranged symmetrically relative to the housing. This symmetry can be with respect to the left and right sides of the housing (where a plane parallel to the longitudinal axis 1099 bifurcates the left and right side and the second and third antennas are on the respective sides).
In an exemplary embodiment, the second and third antennas are cylindrically coiled antennas that are arranged symmetrically relative to one another. Again, this is seen in
In an exemplary embodiment, the aforementioned second and third antennas are coiled antennas that have respective longitudinal axes that are parallel to one another.
In some embodiments, the second and third antennas are arranged symmetrically relative to a first plane that lies on and is parallel to a longitudinal axis of an assembly comprising the housing and the first antenna (or just the housing or the first antenna in some embodiments). This is seen in
In an exemplary embodiment, again where the antennas are on opposite sides of the housing, the second and third antennas are arranged symmetrically relative to a first plane that lies on and is parallel to a longitudinal axis of an assembly comprising the housing and the first antenna (or just the housing or the first antenna in some embodiments), and the second and third antennas and the housing are arranged symmetrically relative to a second plane (1414—the plane extends out of the page—1414 can also represent a lateral axis of the housing 622H) normal to the first plane and normal to the longitudinal axis. This is seen in
In an exemplary embodiment, the second and/or third antennas (1020 and/or 1030) are at an oblique angle relative to a plane of extension of the width and the length of the housing 622H. thus, an embodiment includes antenna coils that are tilted relative to the housing. This can be seen in
It is noted that in some embodiments, the angle A1 (and as will be seen below, angle A2) of the second antenna can be different than the angle of the third antenna. Indeed, in an exemplary embodiment, one angle can be positive in one angle can be negative. That said, in an exemplary embodiment, the symmetrical arrangements on at least two planes can have utilitarian value.
In an exemplary embodiment, the second and/or third antennas are at an oblique angle relative to a plane of extension of a height and a length of the housing. This can be seen in
Thus, in view of the above, it can be seen that in an exemplary embodiment, the second and third antennas are arranged symmetrically relative to a first plane that lies on and is parallel to a longitudinal axis of an assembly comprising the housing and the first antenna, and the second and third antennas are located on a same side of the housing. Also in view of the above, it can be seen that in some embodiments, the second and third antennas are arranged symmetrically relative to a first plane that lies on and is parallel to a longitudinal axis of an assembly comprising the housing and the first antenna or just the housing or just the first antenna (any reference herein to symmetry associated with one of these three arrangements corresponds to a disclosure of symmetry with respect to the other two arrangements). Here, the second and third antennas are located on opposite sides of the housing, and the second and third antennas and the housing are arranged symmetrically relative to a second plane normal to the first plane and normal to the longitudinal axis.
It is also noted that with respect to
Also, as seen, there is an axis 1665 which corresponds to an axis that extends through a center of mass and/or a geometric center of the antenna 1030 and/or a location where a number of coils on one side equals a number of coils on the other and/or fractions thereof (this does not include the leads that extend to the antenna—here, the antenna begins where the coiling begins—it is also noted that these features can correspond to antenna 1020, as noted above). This axis is normal to the axis 1501, which also extends through the center of mass and/or a geometric center of the antenna 1020 and/or is the axis of winding. (Note herein that reference to antenna 1020 corresponds to a disclosure associated with the other antenna, antenna 1030, and vice versa.) The crosspoint of the axis 1665 and 1501 can be located in the vertical direction D3 from the front surface of the housing 622H (the surface that faces the lead 618). D3 can be less than or equal to or greater than 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 mm, or any value or range of values therebetween in 0.1 mm increments. It is also noted that while the dimension D3 has been shown as being measured from the front of the housing, in an alternate embodiment, the dimension D3 can be measured from the back of the housing (the side facing the antenna 137). It is also noted that in an exemplary embodiment, the dimension D3 can be measured from the forward most portion or the rearward most portion of the housing with respect to the frame of reference of
In an exemplary embodiment, the forward most portion of the antenna 1030 (and of course, 1020) can be less than or equal to or greater than 5, 4, 3, 2, 1 or 0 mm in front of the front of the housing or any value or range of values therebetween in 0.1 mm increments or can be less than or equal to or greater than 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10 millimeters or any value or range of values therebetween in 0.1 mm increments in back of the front of the housing. The aforementioned values can also be the case in reverse with respect to the rearward most portion of the antenna relative to the rear of the housing.
The crosspoint of the axis 1665 and 1501 can be located in the horizontal direction from the side surface of the housing 622H that faces the antenna 1030 a distance D2, where D2 can be less than or equal to or greater than 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 mm, or any value or range of values therebetween in 0.1 mm increments. It is also noted that with respect to
Briefly, it is noted that the housings detailed herein can be housings having a length dimension L, a width dimension W, and a height dimension H, wherein L and W are variously equal to or less than 50, 49, 48, 47, 46, 45, 44, 43, 42, 41, 40, 39, 38, 37, 36, 35, 34, 33, 32, 31, 30, 29, 28, 27, 26, 25, 24, 23, 22, 21, 20, 19, 18, 17, 16, 15, 14, 13, 12, 11, or 10 mm, or any value or range of values therebetween in 0.1 mm increments (e.g., L could be 30 mm, and W could be 24.3 mm or less than those values), and H is any value equal to or less than 20, 19, 18, 17, 16, 15, 14, 13, 12, 11, 10, 9, 8, 7, 6, 5, 4, or 3 mm, or any value or range of values therebetween in 0.1 mm increments.
In view of the arrangement of
In an exemplary embodiment of the device just detailed and/or variations thereof, the second and third antennas are arranged symmetrically relative to the housing. This symmetry can be with respect to the left and right sides of the housing (where a plane parallel to the longitudinal axis 1099 bifurcates the left and right side and the second and third antennas are on the respective sides).
As with the embodiment of
In an exemplary embodiment, the longitudinal axes of antennas 1720 and/or 1730 are within 15, 14, 13, 12, 11, 10, 9, 8, 7, 6, 5, 4, 3, 2, 1 degrees or any value or range of values therebetween in 0.1° increments of each other as measured in any one of the frames of references of
In some embodiments of the same housing side antennas, the second and third antennas are arranged symmetrically relative to a first plane that lies on and is parallel to a longitudinal axis of an assembly comprising the housing and the first antenna (or just the housing or the first antenna in some embodiments). This is seen in
In some embodiments, misalignment of the two antennas relative to the above noted second plane vis-à-vis the same side antenna embodiment would be less than or equal to 15, 14, 13, 12, 11, 10, 9, 8, 7, 6, 5, 4, 3, 2, or 1%, or any value or range of values therebetween in 0.1% increments on a component portion to component portion basis (e.g., the height (in cylindrical terms) of antenna 1720 vs. the height (again, in cylindrical terms) of antenna 1730 above the second plane is no more or no less than 10% of a difference of the other).
In an exemplary embodiment, the second and/or third antennas (1720 and/or 1730) are at an oblique angle relative to a plane of extension of the width and the length of the housing 622H. This can be seen in
It is noted that in some embodiments, the angle A3 of the second antenna 1720 can be different than the angle of the third antenna 1730. Any of the features detailed above with respect to antennas 1020 and/or 1030 can be applicable to antennas 1720 and/or 1730, with the appropriate variations to take into account the 90 degree change in orientation to get to the same housing side features.
In an exemplary embodiment of the same side housing antennas, the second and/or third antennas are at an oblique angle relative to a plane of extension of a height and a length of the housing. This can be seen in
It is noted that in some embodiments, the angle A1 and/or A3 of the second antenna can be different than the angle of the third antenna. Indeed, in an exemplary embodiment, one angle can be positive in one angle can be negative. That said, in an exemplary embodiment, the symmetrical arrangements on at least two planes can have utilitarian value.
Also, as seen, as with the different side embodiment, there is an axis 1665 which corresponds to that axis as detailed above. The crosspoint of the axis 1665 and 1501 can be located in the horizontal direction D3 from the side surfaces of the housing 622H. D3 can have the values noted above.
In an exemplary embodiment, the leftmost portion of the antenna 1720 (and of course, the rightmost portion of the antenna 1730) can be less than or equal to or greater than 5, 4, 3, 2, 1, or 0 mm from the side of the housing to the left (or right, with respect to the antenna 1730) or any value or range of values therebetween in 0.1 mm increments or can be less than or equal to or greater than 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 millimeters, or any value or range of values therebetween in 0.1 mm increments to the right of the side of the housing. The aforementioned values can also be the case in reverse with respect to the rightward most portion of the antenna relative to the sides.
The crosspoint of the axis 1665 and 1501 can be located in the vertical direction from the front of the housing 622H/the side that faces the antenna 1720 a distance D2, where D2 can be less than or equal to or greater than 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 mm, or any value or range of values therebetween in 0.1 mm increments. It is also noted that with respect to
Thus, in view of the above, it can be seen that in an exemplary embodiment, the second and third antennas are arranged symmetrically relative to a first plane that lies on and is parallel to a longitudinal axis of an assembly comprising the housing and the first antenna, and the second and third antennas are located on a same side of the housing. Also in view of the above, it can be seen that in some embodiments, the second and third antennas are arranged symmetrically relative to a first plane that lies on and is parallel to a longitudinal axis of an assembly comprising the housing and the first antenna or just the housing or just the first antenna (any reference herein to symmetry associated with one of these three arrangements corresponds to a disclosure of symmetry with respect to the other two arrangements). Here, the second and third antennas are located on opposite sides of the housing, and the second and third antennas and the housing are arranged symmetrically relative to a second plane normal to the first plane and normal to the longitudinal axis.
Moreover, in some embodiments, the second and third antennas are arranged symmetrically relative to a first plane that lies on and is parallel to a longitudinal axis of an assembly comprising the housing and the first antenna and the second and third antennas and the housing are arranged proximate to and on either side of a lead assembly extending from the housing to an output apparatus of the device, the output apparatus being configured to stimulate the human recipient.
Also as can be seen from the above, in some embodiments, the second and third antennas are arranged symmetrically relative to a first plane that lies on and is parallel to a longitudinal axis of an assembly comprising the housing and the first antenna and the second and third antennas and the housing are arranged unsymmetrically relative to a second plane normal to the first plane and normal to the longitudinal axis.
In an exemplary embodiment of the implantable component, the first antenna is a wide diameter inductance coil. Further, the second and third antenna are located such that, respectively, a majority of conductive componentry and/or antenna by mass thereof and/or a majority of the surface area of the antenna is located within 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, or 35 mm, or any value or range of values therebetween in 0.1 mm increments of each other. In an exemplary embodiment, at least 55, 60, 65, 70, 75, 80, 85, 90, 95, or 100%, or any value or range of values therebetween in 1% increments of the aforementioned features are located within the just detailed measurements.
In an exemplary embodiment, the coil of the first antenna 137 is at least a distance of and/or equal to a distance of 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, or 40 mm, or any value or range of values therebetween in 0.1 mm increments from the second antenna and/or third antenna.
Briefly, as noted above, silicone is located over the housing and the implant coil 137. In this regard, the aforementioned spatial features of the second and/or third antenna can be achieved by utilizing the silicone, or any other type of biocompatible material such as ceramic or peek material to support the second and/or third antenna. Briefly, returning back to
Further, in an exemplary embodiment, there is a bracket mount that is utilized to support the antennas. In an exemplary embodiment, this bracket mount is a slider bracket mount. In this regard,
Thus, in an exemplary embodiment, the second and/or third antennas are supported by a bracket mount, such as a slider bracket mount, which is attached to the housing. That said, in an exemplary embodiment, there is no bracket per se. In an exemplary embodiment, the coils can be encased in an overall silicone body or any other type of biocompatible material such as ceramic or peek material that encases the housing and/or other components. In an exemplary embodiment, a biocompatible support structure could be utilized to position the coils relative to the housing or otherwise hold the coils relative to the housing during the silicone application process. A material that would not interfere or otherwise affect the transmissive and/or receptive properties of the coil can be utilized in at least some exemplary embodiments.
As can be understood from the above, in contrast to the large diameter inductance coil number 137, the second and/or third antennas are held to the housing in a much less flexible manner. That is, in an exemplary embodiment, owing to the silicone body 136 that supports the coil 137, the coil number 137 can be moved relative to the housing in a plane that is parallel to and lying on the longitudinal axis of the implantable assembly (e.g., with respect to the frame of reference 1C, the left side of the assembly 100 would be rotatable about the right side of the body—the left side could swing up and down). Conversely, the second and third antennas are effectively fixed relative to the housing.
Two antennas can be arranged in series to a respective single transducer and two antennas can have a home run to respective transducers. Any arrangement that can enable the teachings detailed herein that have utilitarian value can be utilized in at least some exemplary embodiments.
Thus, in view of the of the above, in an exemplary embodiment, where the implantable component includes a housing hermetically housing the receiver electronics therein and where the implantable component includes a second antenna and a third antenna configured for MI radio communication with the external component, the implantable component can be configured such that the second and/or third antenna can be controllably placed in signal communication with the receiver circuitry, and in some embodiments, when one of the antennas is in signal communication with the receiver circuitry, the other antenna is controllably out of signal communication with the receiver circuitry.
As mentioned above, the second and third antennas can have utilitarian value with respect to data transmission from an external component to the implantable component. This can enable the wide diameter antenna 137 and the corresponding external antenna that is in signal communication there with to be used solely for power transfer to the implantable component, to power the circuitry of the implantable component in real time while the data is being transferred to the implantable component via receipt by the second and third antennas so that that power can be utilized to evoke a hearing percept based on that data (e.g., the data can include stimulator drive instructions that are based on captured sound captured by the microphone to the external component so that the stimulator or whatever device is implanted that will output a signal to a device that stimulates tissue (actuator, electrodes, etc.) will operate to send the signal evoke a hearing percept based on those drive instructions so that the recipient will obtain a percept of the sound). The data can be provided separately from any power transfer—this can be the case where, for example, the implanted device is a totally implantable hearing prostheses with an implantable power storage device such as a battery, and external microphones are being utilized owing to the fact that such typically have different signal-to-noise ratios and/or otherwise provide different sound capture results relative to an implantable microphone (e.g., because the implantable microphone is a layer of skin thereover, etc.), and the recipient seeks the basis for operation of the implant to be ultimately based on sound captured from an external microphone as opposed to the implantable microphone. It is also noted that in some other scenarios, data transfer can take place while the wide diameter antenna is being used to simply charge the implanted battery. That is, the onboard battery can be utilized to power the electronics of the implantable component while that battery is being recharged and while data is being provided via the second and third antenna to the implantable device.
In an exemplary embodiment, the second and third antennas are utilized for MI radio. This as distinguished from the traditional inductive signal resulting from the diameter antennas. MI radio allows data transfers using alternating magnetic waves in the magnetoquasistatic field between antenna coils up to 50 cm range. The transceivers used for MI radio communication consume very little power compared to other type of transceivers based on radiated emissions or propagating field waves.
Embodiments of the teachings detailed herein have utilitarian value with respect to enabling data transfer or otherwise signal communication from a wide variety of external component configurations for the same exact implantable component located at a variety of positions. That is, some embodiments of the implantable component as explained herein can have utilitarian value with respect to providing by semi analogy a “one size fits all” implant. Granted, this is not in terms of size (indeed, the sizes are the same—the designs are the same)—instead, this is about placement and configuration, but the analogy is apt. A single implantable component can be utilized for children and for adults (having different size heads, the latter having sometimes 2 to 3 to 4 times or more the size skull outer surface area), can be utilized for left side and for right side implantation, and can be utilized in a variety of different angles and placements within the recipient, all while permitting the same external component designs to be utilized to communicate with the implantable component via the second and/or third antennas, and also while permitting a wide variety of external component designs to be so utilized for communication with those antennas. In an exemplary embodiment, the teachings herein can enable the use of the same implant in a 1, 2, 3, 4, 5, 6, 7, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, or 80, or any value or range of values therebetween in 1 month increments 20 to 80 percentile human factors male or female born in the United States, by enabling a wide variety of placement locations, as will be detailed herein. And with respect to at least some implementations, there is no need for different implants for a left side and a right side implant—the same implant can be used for both.
By way of example only and not by way of limitation, a given implantable component can be utilized to establish the implanted portion of a transcutaneous signal link with an external component establishing the external portion of that transcutaneous link having a transmissive antenna that is fixed relative to the overall housing of the external component, and can also be utilized to establish, without moving the implanted component, a second transcutaneous signal link with an external component of a completely different form, which external component establishes the external portion of that second transcutaneous link, where a second transmissive antenna that is also fixed relative to the overall housing of that second external component is located at a different location outside the recipient. By way of example, the first link can be established utilizing a behind-the-ear device such as that detailed above in
Again as noted above, the teachings detailed herein permit the establishment of a viable and otherwise high quality and/or well-defined magnetic radio inductance link between a given implant in a wide variety of designs of external components located in a wide variety of orientations.
The distance D5 between the aforementioned centers is shown in one dimension, but represents a two-dimensional distance as the axes of the coils are not on the same plane (indeed, the locations of the implanted coils will be frequently different from one person to another owing to physiology and/or implant actions). It is noted that the distance is measured from the center of the external antenna 810 along axis 2599 to a plane 2525 that is normal to that axis to the hypothetical plane that extends at a 90° angle relative to axis 2599 and extends through the axis 1501 of the antenna 1020. In an exemplary embodiment, the distance D5 can be less than, greater than, and/or equal to 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, or 30 mm, or any value or range of values therebetween in 0.1 mm increments.
All the above said, in at least some exemplary embodiments, the pertinent distances between the centers of the antennas can be measured in a one-dimensional format via projection.
Returning back to
Further as can be seen, there is a cross-hair 2799 that is centered about the geometric center of the coil/wide diameter antenna of the implant/the antenna utilized for power. The crosshairs are parallel to the X and Y axis. In an exemplary embodiment, the parallel axes are less than, greater than or equal to 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 4.25, 4.5, 4.75, 5, 5.25, 5.5, 5.75 or 6 inches or any value or range of values therebetween in inch increments from each other. Also, with respect to the horizontal axes, the values could be less than or equal to −1, −0.75, −0.5, −0.25 or 0 inches or any value or range of values therebetween in 0.01 increments from each other in at least some exemplary embodiments. Again, all of these values are a result of projection onto the frame of reference seen in
In view of the teachings detailed herein with respect to the MI radio antennas, it can be seen that the arrangement of the implant as disclosed herein can enable at least adequately defined links to be established between the implanted antenna(s) and the external antenna(s) over a wide range of placements and orientations of the implanted component. It is noted that in at least some exemplary scenarios of use, not all of the aforementioned values may work for all antenna placements and/or antenna types. Still, a great many of them will be applicable and otherwise provide a functioning link that can enable the prostheses to be operated in a utilitarian manner. More specifically, it will be understood that in embodiments where the external component utilizes an ITE device will generally require the implanted antennas to be closer to the ear canal than that which would be the case with respect to embodiments that utilize the BTE device as the external component containing the MI radio antenna. Thus, some of the aforementioned values would not necessarily be applicable to the former while those values would be applicable to the latter. Still, the point is that the teachings detailed herein enable a wide range of placements with respect to location and orientation of the implant relative to that which would be the case in the absence of the teachings detailed herein.
In view of the above, it is noted that there are embodiments that include methods. Referring now to
It is noted that in this embodiment, the first and second links are established simultaneously.
In an exemplary embodiment, this set of antennas can include one or more of the implanted antennas for the MI radio system detailed herein (e.g., the narrow diameter coils), and one or more of the external antennas for the MI radio system detailed herein.
In an exemplary embodiment of method 2801, the first and second transcutaneous links are established by the same or respective different external components of a prosthetic hearing implant system and the same implanted component of the prosthetic hearing implant implanted in a human recipient. Also, in method 2801, in an exemplary embodiment thereof, at least one of: (1) the second transcutaneous link is established using antenna diversity via the implantable component, or (2) the second transcutaneous link is established using antenna and receiver diversity by the implantable component.
In an exemplary embodiment, the power transfer link may also establishe a communication link by altering power level or implant load (which can be a third communication link). This can be used to provide data for the purpose of power transfer control. In an exemplary embodiment, the second transcutaneous link is established using antenna and receiver diversity by the implantable component. That is, there can be two coil antennas and two transceivers. In an exemplary embodiment, the second transcutaneous link is established using antenna diversity via the implantable component. This can be two coil antennas and a single transceiver or two transceivers.
An exemplary embodiment includes a method of selecting a given antenna from among the implanted antennas based on a link quality. In this regard, in an exemplary embodiment, there is a method, comprising establishing a transcutaneous or subcutaneous data communication link using magnetic induction with an implanted component including magnetic induction radio communication circuitry connected to an implantable antenna arrangement of the implantable component comprising at least two coil antennas. This implantable component can be any of the implants detailed herein having two or more coil antennas, for example. In an exemplary embodiment, the method includes selecting one coil antenna of the at least two coil antennas for connection to the magnetic induction radio communication circuitry based on data based on a link quality associated with the selected one coil antenna, which selected antenna is used to establish the communication link. By way of example only and not by way limitation, depending on the positioning of the implant relative to the external component, for example, or other implantable component for example, the antenna that has the best link quality, or otherwise the link quality that has the most utilitarian value, can be selected. This provides versatility with respect to the positioning of the various components. In an exemplary embodiment, this can have utilitarian value with respect to providing a wider range of implant scenarios/positions relative to that which would otherwise be the case.
In an exemplary embodiment, link quality can be identified by verifying and/or comparing a link for each implant coil antenna. Link quality verification can be done, for example, by signal level measurement(s) and/or signal-to-noise measurement(s) bit error and/or packet error measurement(s), and comparing the various measurements. In an exemplary embodiment, the implantable component and/or the external component is configured to perform one or more or all of these measurements to evaluate the link quality, and includes logic circuitry/programming, to select a given coil.
In an exemplary embodiment, the action of selecting is executed by comparing a link quality associated with one or more antennas of the at least two coil antennas other than the selected antenna with the link quality associated with the selected antenna. In an exemplary embodiment, this is executed all of the data communication antennas. Thus, with respect to the embodiments where there are two coil antennas as detailed herein that are utilized for radio communication, this would be done for both antennas, and a link quality that is deemed to be more utilitarian would result in the antenna being selected that corresponds to such. If there were three or more antennas, this can be done three times.
That said, it is also noted that in some embodiments, the action of selecting the antenna does not necessarily require a comparison. If the link quality is acceptable or otherwise utilitarian, that can be the antenna selected, and it may not necessarily be needed to evaluate the link quality of the other antennas. In an exemplary embodiment, if the link quality is not sufficiently utilitarian, or it is believed that the link quality might be better with another antenna, then the link quality for the other antenna can be determined.
In an exemplary embodiment of this method, the data communication link is between the selected one coil antenna and another antenna of another component separate from the implantable component. This can be the external component, such as the BTE device detailed above, or can be another implantable component. Further, in this exemplary embodiment, the link qualities respectively correspond to the links between that another antenna and the respective antennas of the at least two coil antennas. In an exemplary embodiment, the data communication link is between the selected one coil antenna and another antenna of another component separate from the implantable component, and the link qualities correspond to the link between respective different antennas of the another component and the respective antennas of the at least two coil antennas.
In view of the above, some embodiments include electrically decoupling one or more of the at least two coil antennas other than the selected one coil antenna from at least some of the circuitry, based on an evaluation of link quality, and electrically coupling the selected one coil antenna to at least some of the circuitry. The idea here is that for a shared transceiver, for example, the selected antenna is in signal communication with that transceiver, and the antenna that will not be used is no longer in signal communication with that transceiver. That said, where embodiments use dedicated transceivers, the method can include deactivating a receiver (which can be a transceiver—the transceiver has a receiver) electrically coupled to one or more of the at least two coil antennas other than the selected one coil antenna based on an evaluation of link quality and activating a receiver electrically coupled to the selected one coil antenna, wherein the receivers are part of the circuitry.
In some embodiments, the action of selecting is executed after the implantable component has been implanted in a recipient. In this regard, at least some exemplary embodiments of utilitarian value with respect to enabling the selection and thus the activation of a given antenna after implantation. In an exemplary embodiment, the selection can be controlled via a data signal provided from the external component to the implantable component (or other component in signal communication with the component at issue). In an exemplary embodiment, the selection can be controlled utilizing the wide area antenna for example, in the event that the data signals per se are not readily usable because the selection has not yet taken place. Still, in at least some exemplary embodiments, the coil antennas, at least one of them, are utilized to provide the control signal or otherwise to control the implantable component to “deactivate” a given antenna and/or a given transceiver. Still further, in an exemplary embodiment, the implantable component can be configured to automatically deactivate or otherwise remove the signal communication between a transceiver and a given coil antenna. Indeed, in an exemplary embodiment, the implantable component can include logic circuitry or the like that can evaluate the link quality autonomously.
The teachings detailed herein include a computer readable medium having recorded there on, machine-readable instructions that can enable any one or more of the functions and/or methods detailed herein. In particular, the implantable component can include a computer readable medium to evaluate a link quality and select the given coil.
As an aside, it is noted that the data transfer and the power transfer utilizing the separate antennas can be executed simultaneously over at least a period of 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7, 8, 9 or 10 hours or longer.
Referring now to
In the exemplary embodiment of the method 2800 under discussion, the first and second transcutaneous links are established by the same or respective different external components of a prosthetic hearing implant system (e.g., the assembly of 242 of
In an exemplary embodiment of the aforementioned method, the data link and the power link are RF frames or bursts within a TDMA scheme ink. In an exemplary embodiment of the aforementioned method, the data link and the power link are established without a combined link and without a split link. In an exemplary embodiment, the data link is a pure data link, and the power link is a pure power link. Still, as noted above, in some embodiments, there can be limited data associated with the power link, such as where the data it is course data/data that is low data content (which might be to activate or deactivate a switch, which data is data that is very unlikely to be affected by a high Q value link) versus data that is high data content, such as the data corresponding to data based on captured sound, which data is utilized to evoke a hearing percept.
In an exemplary embodiment, the aforementioned power links and/or the aforementioned data links are maintained for at least and/or equal to 30, 45, 60, 90, 120, 150, 180, 200, 250, 300, 350, 400, 450 or 500 minutes straight or any value or range of values therebetween in one minute increments.
Embodiments according to at least some of the teachings detailed herein contemplate the utilization of a BTE device to establish the second link and then subsequently the utilization of an ITE device to establish a subsequent link utilizing an ITE device to replace that second link. In at least some exemplary sub scenarios of the scenario, the location of the antenna of the external component that transmits the data to the implanted antenna will change relative to that which was the case for the subsequent link. This owing to the fact that the physical arrangements of the BTE device are substantially different from that of the ITE device. Accordingly, in an exemplary embodiment of method 2800, the second set of antennas is established by a first antenna external to an ear canal of the recipient and a second antenna implanted in the recipient, and the method further comprises, after establishing the second link, breaking the second link and establishing a third transcutaneous data link using a third antenna in the ear canal of the recipient and the second antenna, the second antenna being at the at the location where the second antenna was when the second link was established. In an exemplary embodiment, precedent to the establishment of the third link, the first link is also broken and then reestablished, utilizing the first set of antennas where the antennas of that first set are located where they were when the first link was established in method action 2810. In an exemplary embodiment, the reestablishment of the first link is executed within 1, 2, 3, 4, 5, 6, 8, 9 or 10 minutes or any value or range of values therebetween in one minute increments of the establishment of the third link.
In an exemplary embodiment, a distance from the location where the second antenna was located to the distance where the third antenna is located is greater than or equal to 2, 3, 4, 5, 6, 7, 8, 9 or 10 mm or any value or range of values therebetween in 1 mm increments. In an exemplary embodiment.
It is noted that in an exemplary embodiment, the third link could be established before the second link. That is, and in the ear device could be utilized for the utilization of the BTE device that was utilized to establish the second link. That is, in an embodiment, the aforementioned order of actions could be reversed vis-à-vis the second link and the third link.
In view of the above, it can be seen that in at least some exemplary embodiments, with respect to the external antenna establishing the second and third links, the antenna establishing the second link is shadowed at least in part by the pinna of a human, whereas the antenna establishing the third link is located such that the pinna does not shadow the antenna. Also, with respect to the locations of the antennas, in at least some exemplary embodiments, the distance between the antenna utilized in the BTE device and the implanted antenna will be less than the distance between the antenna utilized in the ITE device and the implanted antenna. In an exemplary embodiment, the differences in distance can be at least or equal to 15, 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, 90, 100, 110, 120, 130, 140, 150, 160, 170, 180, 190 or 200 percent or more or any value or range of values therebetween in 1% increments where the closest distance is the baseline from which these percentages are calculated.
With respect to
Shown in
In an exemplary embodiment, X20 can be equal to or less than 0 to 45 mm or any value or range of values therebetween in 0.1 mm increments (e.g., 6, 8.83, 7.1 to 22 mm). X20 can also be greater than or equal to −20, −10, or 0 mm, or any value or range of values therebetween in 0.1 mm increments. (Note that measurements to the right of line 99 are negative values.) In an exemplary embodiment, Y20 can be equal to or less than 0 to 30 mm, or any value or range of values therebetween in 0.1 mm increments (e.g., 2.2, 4.4, 3.4 to 29.3, etc.). Y20 can also be greater than or equal to −20, −10 or 0 mm, or any value or range of values therebetween in 0.05 inch increments (Note that measurements below line 98 are negative values). In an exemplary embodiment, D30 can be equal to or less than 5 to 45 mm, or any value or range of values therebetween in 0.1 mm increments. In an exemplary embodiment, A20 can be equal to or less than 0, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 140, 150, 160, 170, 180, 190, 200, 210, 220 or 230 degrees, or any value or range of values in 1 degree increments. A20 can also be greater than −130, −120, −110, −100, −90, −80, −70, −60, −50, −40, −30, −25, −20, −15, −10, −5 or 0 degrees, or any value or range of values in 1 degree increments.
To be clear, the various values are for various arrangements of placements of the antenna of the external component that establishes the second or third link. Some values would not be applicable for one versus the other. Also, embodiments also contemplate other devices that can enable these values to be met, such as a head set for a headband or the like. Accordingly, these values are applicable when the art enable such depending on the type of external component.
It is noted that embodiments can enable the establishment of the various links having sufficient quality and otherwise being sufficiently well-defined so that data can be transmitted over both links, even when the orientations of the various antennas are different relative to one link versus another. In an exemplary embodiment, the teachings herein can eliminate or otherwise reduce the occurrences are the likely occurrences of so-called dead spots or dead zones. Additional details of this will be described below, but in an exemplary embodiment, it is noted that, all other things being equal, with respect to the methods detailed herein, a strength of the third link has a value that is within 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45 or 50% or any value or range of values therebetween in 1% increments of a value of a strength of the second link for an equal amount of power consumption.
Briefly, consistent with the teachings above, in an exemplary embodiment, the second set of antennas that are utilized to establish the second link comprise narrow diameter coil inductance antennas and the first set of antennas comprise wide diameter coil inductance antennas. Also, in an exemplary embodiment, the first power link is an inductance link, and the second power link is an MI radio link. In an exemplary embodiment, second link and/or the third link operates at a frequency that is at least half that of the first link or at least twice that of the first link. In an exemplary embodiment, the first link operates between 3 and 7 MHz.
In an exemplary embodiment, the first set of antennas includes a first coil external to the recipient and a second coil implanted in the recipient, which coils have respective longitudinal axes that are at least generally aligned with each other, and the second set of antennas includes a third coil external to the recipient and a fourth coil implanted in the recipient, which coils have respective longitudinal axes that are offset by at least and/or equal to 10, 15, 20, 25, 30, 35, 40, 45, 50, 55 or 60 degrees or any value or range of values therebetween in at least one frame of reference. In an exemplary embodiment, the offset can be seen in at least two frames of reference, where the frames of reference are orthogonal to one another. In an exemplary embodiment, the offset of the axes of the first antennas can be less than or equal to 10, 9, 8, 7, 6, 5, 4, 3, 2, 1 or zero degrees or any value or range of values therebetween in 0.1° increments.
In at least some exemplary embodiments, the first set of antennas includes a first coil external to the recipient and a second coil implanted in the recipient, which coils have respective longitudinal axes that have a closest approach to each other of a first value. In an exemplary embodiment, the second set of antennas includes a third coil external to the recipient and a fourth coil implanted in the recipient, which coils have respective longitudinal axes that have a closet approach to each other of a second value, which second value is at least and/or equal to 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5 or 5 times or any value or range of values therebetween in 0.1 increments that of the first value. In an exemplary embodiment the first value is less than or equal to 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5 or 7 millimeters or any value or range of values therebetween in 0.1 millimeter increments.
In an exemplary embodiment, instead of the longitudinal axes being the basis for the measurements, the aforementioned closest approach can be a portion of the antenna (which does not include leads thereto as used herein).
Exemplary embodiments include a system for magnetic induction communication between an implantable component and an external component. The implantable component can correspond to implantable component 1000 or any of the other implantable components detailed herein meeting the following features. The implantable component can include magnetic induction radio communication circuitry connected to an implantable antenna arrangement of the implantable component, the implantable antenna arrangement comprising at least two coil antennas for radio communication. This magnetic induction radio communication circuitry can be a receiver and/or a transceiver that multiplexes or otherwise routes signals received from the various antennas.
The system further includes an external component of the hearing prostheses. This external component can correspond to the BTE device detailed above with the ITE device, or any other external component that meets the following features. This external component can include magnetic induction radio circuitry connected to a coil antenna of the external component. The radio circuitry can correspond to one or more separate transmitters and/or transceivers or an integrated transmitter and/or transceiver that multiplexes or otherwise routes signals that are to be sent to the various antennas.
In an exemplary embodiment of the system, the system is configured so that when the implantable antenna arrangement of the implantable component is implanted between a skull and skin of a human (e.g., above the mastoid bone) and the external component is worn on the head of the component during normal use, the magnetic induction communication link between the external and the implantable component is active and effectively operating.
In an exemplary embodiment of the system, the magnetic induction radio communication circuitry includes at least two separate transceivers and the respective coils of the implantable antenna arrangement are electrically connected to respective transceivers of the at least two separate transceivers. In an exemplary embodiment, the aforementioned magnetic induction radio communication circuitry of the system includes at least one transceiver and the implantable component is configured so that respective coils of the implantable antenna arrangement can be electrically connected to and electrically disconnected from the at least one transceiver. This can be done with switch devices, etc.
In some embodiments of the system, the magnetic induction radio communication circuitry detailed above includes at least one transceiver and the implantable component includes switching circuitry configured to place respective coils of the implantable antenna arrangement into electrical connection and electrical disconnection with the at least one transceiver. Also, in some embodiments of the system, the implantable coil antennas reside at separate locations and have respective longitudinal axes that are parallel to each other or are quasi-aligned with each other. In some embodiments, the coil antennas are outside the housing that contains the communication circuitry, but in some embodiments, the coil antennas are inside, such as where the housing is transparent to the signals (e.g., a ceramic housing of a given design enabling such).
Exemplary embodiments include a system comprising an implantable component of a hearing prosthesis, the implantable component including receiver circuitry in signal communication with two separate antennas. Implantable component can correspond to the implantable component 1000 or any of the other implantable components detailed herein meeting the following features. In an exemplary embodiment, the receiver circuitry can correspond to multiple receivers and/or transceivers or an integrated receiver that multiplexes or otherwise routes signals received from the various antennas. It is briefly noted that as used herein, the terms receiver and transmitter would also be met by a transceiver.
Further, the system includes an external component of the hearing prostheses. This external component can correspond to the BTE device detailed above with the ITE device, or any other external component that meets the following features. This external component can include transmitter circuitry in signal communication with two separate antennas. This transmitter circuitry can correspond to one or more separate transmitters, or integrated transmitter that multiplexes or otherwise routes signals that are to be sent to the various antennas. Again, transmitter circuitry includes the circuitry of a transceiver.
In exemplary embodiments of the system, the system is configured such that a first antenna of the implantable component receives power via an inductive transcutaneous link from a first antenna of the external component. In some embodiments, this can be the antenna 130 of
Moreover, the system is configured so that when the first antenna of the implantable component is implanted between a skull and skin of a human behind and/or above a pinna of the person and the external component is worn on the head of the component during normal use and both links are active and effectively operating: (i) the first antenna of the external component has a longitudinal axis that is generally aligned with a longitudinal axis of the first antenna of the implantable component and (ii) the second antenna of the external component has a longitudinal axis that is nonaligned with a longitudinal axis of the second antenna of the implantable component. In an exemplary embodiment, the axes of the second antennas are at an effective oblique angle relative to one another. Some additional details of effective relative angles will be described below. It is briefly noted that in some embodiments, the axes may be oblique relative to one another but effective communication between the two antennas may not necessarily be achievable owing to dead zones.
In at least some exemplary embodiments, the system is configured so that when the first antenna of the implantable component is implanted between a skull and skin of a human behind and/or above a pinna of the human and the external component is worn on the head of the human during normal use and both links are active and effectively operating, the first antenna of the external component is at least and/or equal to 15, 16, 17, 18, 18, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39 or 40 mm or any value or range of values therebetween in 1 mm increments from the second antenna of the external component.
It is briefly noted that any reference to a person or human herein corresponds to a disclosure of a 50 percentile male or a 50 percentile female of 40 years of age unless otherwise noted. That does not mean that any reference to a person or human means that that is the person or human that corresponds to such. In embodiments where there is implantation into a human, that human can be a child or an adult unless otherwise specified. The reference to the 50 percentile person is a reference for disclosure purposes only.
Another exemplary method according to the teachings detailed herein entails utilizing the same implantable component at a variety of orientations and sides of the head implantation arrangements over a number of different patients/recipients. In this regard, the teachings detailed herein can be such that a one-size-fits-all implant can be provided. Briefly, owing to the arrangements of the antennas, the implantable component can be implanted with less attention paid to the location of the antennas relative to that which would otherwise be the case. Accordingly, in an exemplary method, there is the action of implanting, on a right side of a first human, a first implantable component of a hearing prosthesis including a wide diameter antenna so that the wide diameter antenna is implanted behind or above a pinna of the first human. This method also includes implanting, on a right side of a second human, a second implantable component of a hearing prosthesis including a wide diameter antenna so that the wide diameter antenna is implanted behind or above a pinna of the second human. In an exemplary embodiment, these two method actions of implanting occur within a week or a month of each other, and are executed by the same surgeon. More specifics regarding these methods of implantation include the specifics that the first and second implantable components are the same design. By way of example only and not by way of limitation the locations of the antennas are all at the same location. This as opposed to a design where, for example, there were only antennas on one side of the housing for the first person and antennas on the other side of the housing for the second person. Further, the orientations of the implantable components after implantation are substantially different. In an exemplary embodiment, the orientations can be any of the orientations detailed herein (some of which may not be substantially different of course). In some exemplary embodiments, the design of the implantable components is a design that receives power via the wide diameter antenna and data via an antenna system separate from that associated with the wide diameter antenna including at least two antennas spaced away from the wide diameter antenna.
Further, in some embodiments, a link quality between the antenna system of the first implantable component and an antenna of an external component within a housing of a spine of a BTE device will be effective to communicate data to the antenna system of the first implant so that an effective hearing percept can be evoked in the first human, and a link quality between the antenna system of the second implantable component and the antenna of the external component within the housing of the spine of the BTE device will be effective to communicate data to the antenna system of the second implant so that an effective hearing percept can be evoked in the second human when the external component is worn by the second person in the same way as worn by the first person, all other things being equal. It is noted that this does not mean that the method requires that the utilization of the same BTE device. Indeed, the BTE devices could simply be the same design. That said, this does not require that the BTE device be affirmatively used to meet the method. The method only requires that if this BTE device will utilize, the aforementioned results would be the case. Put another way, this BTE device is a device that can be utilized to test whether or not the method was executed.
In an exemplary embodiment, an orientation of the first implantable component after implantation is at least and/or equal to 30, 35, 40, 45, 50, 55, 60, 65, 70, 75 or 80 degrees or any value or range of values therebetween in 1° increments different than an orientation of the second implantable component after implantation.
Consistent with the concept that in at least some embodiments, the same implant can be utilized for the left side and the right side, the method can include implanting, on a left side of a third human, a third implantable component of a hearing prosthesis including a wide diameter antenna so that the wide diameter antenna is implanted behind or above a pinna of a human, wherein the first and second and third implantable components are the same design. Here a link quality between the antenna system of the third implantable component and the antenna of the external component within the housing of the spine of the BTE device will be effective to communicate data to the antenna system of the third implant so that an effective hearing percept can be evoked in the third human when the external component is worn by the third person in the same way as worn by the first person, albeit on the opposite side of the head, all other things being equal. Again, this BTE device is a control device that can enable a determination as to whether or not the method was executed.
In an exemplary embodiment, the antenna in the housing would be at least partially shadowed by the respective pinnas when the link qualities are achieved. In this regard, the arrangement of
This method can further include respectively implanting, on a right side of a third, a fourth, a fifth and a sixth human (or more, implantations up to an nth human, where n can be any integer between 3-100 or any value or range of values therebetween in 1 increments), a respective implantable component of a hearing prosthesis including a wide diameter antenna so that the wide diameter antenna is implanted behind or above a pinna of a third human, wherein the respective implantable components and the first and second implantable components are the same design. Also, the respective orientations of the implantable components after implantation are substantially different from each other, including the orientations of the first and second implantable components. Again, as a control, respective link qualities between the respective antenna systems of the respective implantable components and the antenna of the external component within the housing of the spine of the BTE device will be effective to communicate data to the respective antenna systems of the respective implants so that an effective hearing percept can be evoked in the respective humans when the external component is worn by the respective humans in the same way as worn by the first person, all other things being equal.
It is noted that in an exemplary embodiment, the actions of implantation can be executed within 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 10 days or weeks or months. In an exemplary embodiment, the methods can be practiced where there could be an intervening implantation that does not meet the requirements. That is, a method action of implanting five implants meeting the other method actions could be met by implanting three implants consecutively, and then implanting a fourth implant that is outside the method, and then implanting a fifth and sixth implant that meets the method.
An exemplary method further includes respectively secondly implanting, on a left side of a seventh, eighth, ninth and a tenth human (or more, implantations up to an ith human, where i can be any integer between 7-100 or any value or range of values therebetween in 1 increments), a respective second implantable component of a hearing prosthesis including a wide diameter antenna so that the wide diameter antenna is implanted behind or above a pinna of a third human, wherein the respective second implantable components and the first and second implantable components are the same design, respective second orientations of the implantable second components after implantation are substantially different from each other, including the orientations of the first and second implantable components an drespective link qualities between the respective antenna systems of the respective implantable components and the antenna of the external component within the housing of the spine of the BTE device will be effective to communicate data to the antenna system of the respective second implants so that an effective hearing percept can be evoked in the respective humans when the external component is worn by those humans in the same way as worn by the first person, albeit on the opposite side of the head, all other things being equal.
It is also noted that the nomenclature of “first,” “second,” “seventh” etc., is for enumeration and is not used for order unless otherwise stated. Accordingly, for example, the seventh human may be the first, second, third, etc., temporally.
At least some embodiments of the teachings detailed herein can have utilitarian value with respect to achieving a physical implementation of the MI-radio antenna coils of the implant for ipsilateral communication with the external sound processor device (or whatever external device supports the external antenna) that is well-defined and unique. Such can result in, for example, the guarantee of strong or at least statistically significant adequate (i.e., there will be a baseline for the quality of the signal, as the hearing percept evoked by the implant will be based entirely there on in at least some exemplary embodiments where the microphone is located on the outside of the recipient, and thus the teachings detailed herein can meet this baseline in at least 90, 91, 92, 93, 94, 95, 96, 97, 98, 99 or 100% of recipients meeting the 20 to 80 percentile human factors male or female of ages 20 to 80, or in some embodiments, of ages 1 to 80 or 2 to 80 or 3 to 80) to incoming MI implant signals from the external devices (whether such as an ITE, BTE, OTE), avoiding communication interruptions caused by external interference.
In at least some exemplary embodiments of the teachings detailed herein, the arrangements described herein can avoid radio dead zones or close to radio dead zones for signal emanating from the external devices (ITE, BTE, OTE) and/or can avoid antenna positions that are close to the RF power coil (the bigger coil/the wide diameter coil) that result in interface of a statistically significant level.
Exemplary embodiments of potential dead zones can be where, with respect to figure for example, the axis 1559 is aligned with the axis 2559. Indeed, dead zones can exist where the magnetic flux is parallel to the axes 1559. In this regard, the magnetic flux of antenna 810, which can be represented as a series of ever-increasing ovals having one side thereof extending through the center of the coil 810. If those ovals are such that they have a tangent component that is parallel with axis 1559, such will result in a dead spot in at least many embodiments. Accordingly, embodiments exist where the placement of the implant are such that the coil antennas of the implant are such that those scenarios resulting in the dead zones do not exist or otherwise are very unlikely to exist. In some exemplary embodiments, the placements of the implant is such that the placement of the antennas results in the axis 1501 being aligned with the tangent component of the aforementioned ovals.
In view of the above, it can be seen that in at least some exemplary embodiments, the angle between the axis 1501 and the axis 2599 with respect to the frame of reference of FIG. 26 and/or a frame of reference superimposed upon plane 2772 of
In an exemplary embodiment, providing that the bottom surface of the housing 799 is placed facing the skull, and is implanted in the manner statistically average for a cochlear implant implanted in the United States of America in the year 2019 and/or implanted between the skin and the skull. It is impossible to have a dead zone with respect to the MI radio data transmission antennas when the external component has an antenna 810 aligned such that the longitudinal axis thereof is parallel to the plane that is normal to the longitudinal axes of the human, at least when the respective antennas are within 30 mm of each other.
In an exemplary embodiment, where the first antenna of the implant is a wide diameter coil antenna, the implantable component is configured so that if the first antenna is implanted between skull bone and skin of a human so that the wide diameter extends generally parallel to the skull (and/or the longitudinal axis is normal to the skull surface) and is implanted in the manner statistically average (mean, median and/or mode) for cochlear implantation in the United States of America in the year 2019, if the second antennas of the MI radio link (the implanted antenna and the external antenna being the “second antennas”) are within and/or equal to 20, 25, 30, 35, 40, 45 or 50 mm or any value or range of values therebetween in 1 mm increments) of each other, it is impossible to have a dead zone between the second antenna of the external component and the second antenna of the implantable component if a longitudinal axis of the second antenna of the implantable component is normal to a longitudinal axis of the human.
The physical implementation of the MI-radio antenna coils of the implant for ipsilateral communication with the external sound processor device, in at least some embodiments herein, well-defined. Such can be utilitarian so that the implant can be optimal, or at least statistically adequate, with the BTE/ITE/OTE antenna coil implementation, any one or any two or all three of these being optimized for binaural links. Further, the coils of the implant can be optimized with the OTE antenna coil implementation, the latter residing on top of the RF power coil or proximate thereto and/or within 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10 mm therefrom in some embodiments.
Embodiments can have utilitarian value with respect to avoiding an extra structural antenna lead assembly extending from the housing for the MI antennas. By structural antenna lead assembly, it is meant one that can mechanically support the antenna relative to the housing. This is akin to the lead assemblies that extend to the electrode array or other mechanical stimulating actuator and the lead assemblies that extend to the implanted microphones. These structural lead assemblies not only provide leads for signal communication, but also “hold” the various components together in an assembly. Further by way of example, lead 512 of
Teachings herein can enable reliable data communication between the external components of the hearing prostheses and the implant along with reliable communication between the various external components in a bilateral arrangement. Such is established, by way of example, by utilizing a separate RF link for data from that which is utilized for power. Embodiments include systems that do not have a combined link and do not include a split link, while other embodiments include these arrangements for redundancy. Indeed, in an exemplary embodiment, upon the failure or otherwise upon the unlikely scenario where the datalink is not sufficiently well-defined, these other links may be utilized as a backstop.
It is noted that any method detailed herein also corresponds to a disclosure of a device and/or system configured to execute one or more or all of the method actions detailed herein. It is further noted that any disclosure of a device and/or system detailed herein corresponds to a method of making and/or using that the device and/or system, including a method of using that device according to the functionality detailed herein. Any functionality disclosed herein also corresponds to a disclosure of a method of executing that functionality, and vice versa.
It is further noted that any disclosure of a device and/or system detailed herein also corresponds to a disclosure of otherwise providing that device and/or system.
Any feature of any embodiment can be combined with any other feature any other embodiment providing that such is enabled. Any feature of any embodiment can be explicitly excluded from utilized nation with any other feature of any embodiment herein providing that the art enable such.
It is noted that in at least some exemplary embodiments, any feature disclosed herein can be utilized in combination with any other feature disclosed herein unless otherwise specified. Accordingly, exemplary embodiments include a medical device including one or more or all of the teachings detailed herein, in any combination.
While various embodiments of the present invention have been described above, it should be understood that they have been presented by way of example only, and not limitation. It will be apparent to persons skilled in the relevant art that various changes in form and detail can be made therein without departing from the spirit and scope of the invention.
This application claims priority to U.S. Provisional Application No. 63/123,734, entitled ANTENNA ARRANGEMENTS, filed on Dec. 10, 2020, naming Werner MESKENS of Mechelen, Belgium as an inventor, the entire contents of that application being incorporated herein by reference in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/IB2021/061587 | 12/10/2021 | WO |
Number | Date | Country | |
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63123734 | Dec 2020 | US |