The present invention relates to hearing devices, and, more particularly, to hearing devices that are positioned in the ear canal for inconspicuous wear.
The ear canal 10 (
A cross-sectional view of the typical ear canal (not shown but described in details in cited references) reveals generally oval shape with a long diameter in the vertical axis and a short diameter in the horizontal axis. Canal dimensions vary significantly along the ear canal and among individuals.
Physiological debris is primarily present in the cartilaginous region 12 of the ear canal, and includes cerumen (earwax), sweat, and oils produced by the various glands underneath the skin in the cartilaginous region. Debris in the ear canal is a major cause of damage to canal hearing devices resulting in frequent and costly repairs. Canal hearing devices on the market are mostly custom made with few exceptions. Generic canal devices currently have limited market acceptance due to poor fit, limited performance and reliability.
Several types of hearing losses affect millions of individuals. Hearing loss naturally occurs as we age beginning at higher frequencies (above 4000 Hz) and increasingly spreads to lower frequencies with age. It is estimated that over 30 million Americans suffer from hearing loss and the vast majority remain untreated due to the high cost of inconspicuous hearing devices and hassles of ownership.
The Limitations of Conventional Canal Hearing Devices.
The limitation of current canal hearing devices is well described in U.S. Pat. No. 6,473,513 and U.S. Pat. No. 6,137,889 incorporated herein by reference. These limitations include the well know occlusion effect (speaking into a barrel effect), dexterity limitation for placing a device deep in the ear canal, device size for fitting a miniature device into ear canals, particularly in small and contoured ones. A major limitation is the propensity of canal hearing aids (referring to both ITC and CIC types throughout the application) to feedback (whistle) when set at moderate volume settings or higher.
Current canal devices are mostly custom made requiring an impression of the ear canal to fabricate a custom shell and place electronic and electroacoustic components within. This process is notoriously inefficient leading to high cost, high rates of remake and return-for-credit. Because of their placement, primarily entirely in the cartilaginous region, custom canal devices are highly prone to contamination from ear canal debris. However, placement in the cartilaginous region as compared to the bony region has the distinct advantage of improved access and comfort of wear since the tissue there is more tolerant to frequent touch and pressure. This bony region is prone to damage and irritation when touched by any rigid part or when subjected to pressure.
It is a principal objective of the present invention to provide a canal hearing device that delivers sound within proximity to the eardrum while providing easy access to the hearing impaired user.
Another objective is to provide a cost effective generic design that can fit the majority of individuals without resorting to custom manufacturing.
A further objective of the invention is to provide acoustic sealing in the bony region for providing acoustic occlusion relief without placing a rigid structure therein.
A major objectives is to provide a new hearing aid form-factor that is inconspicuous to alleviate the stigma of hearing aid wear.
Another objective is to provide a more reliable miniature hearing aid design with predictable function and operation.
And finally, a major objective is to provide a miniature hearing aid design that is easy to maintain and does not require repair.
The present invention provides a universal canal hearing device that is inconspicuous and delivers amplified sound in proximity to the eardrum. The canal hearing device comprises a main module and a disposable battery module comprising a sound port within. The main module fits primarily in the cartilaginous ear canal and incorporates durable components intended for long-term operation including the receiver (speaker), microphone and hearing aid electronics. The disposable battery module comprises consumable components that deplete or deteriorate within relatively a short period of time such as the battery and incoming sound port. The battery module also comprises an acoustically transparent debris filter to prevent water ingress and debris from reaching and contaminating the main module, particularly the microphone within.
The disposable battery module is removable and connects to the main module electrically, mechanically and acoustically for delivering power and incoming sound thereto. The unique modular design of the invention allows for a reliable, predictable, and cost effective maintenance of the canal hearing device by protecting expensive components designed for long term operation, while disposing periodically degradable elements. The unitary structure of the disposable battery assembly also acts as a handle to assist in manipulating the hearing device during insertion or removal.
In the preferred embodiments, the battery module assembly is shaped substantially in the shape of the battery cell integrated within. The battery module offers a more space efficient design by eliminating the battery compartment with a door as practiced in conventional custom hearing aids. The battery module is positioned laterally in the cartilaginous region terminating generally at the aperture for inconspicuous wear.
The main module connects medially to a seal tip positioned in the bony region in proximity to the eardrum. The seal tip assembly delivers sound via flexible narrow tubing and seals against the walls of the ear canal via soft compliant material concentrically positioned over the sound tubing. Sealing in the bony region minimizes the acoustic occlusion effect, which is highly objectionable by hearing aid users leading to discontinued use of a hearing aid. The sound tubing is relatively short (e.g. not exceeding 8 mm) and narrow (e.g., having a diameter of less than 2.5 mm) to allow the compliant seal tip to concentrically compress over. In the preferred embodiments, the seal tip provides as least 20 decibels of acoustic attenuation across the audiometric frequency range of 250-6000 Hz. The seal tip is removable and preferably disposable or washable.
The hearing device comprises a laterally retainer for providing centering contact with the ear canal in the cartilaginous region. The lateral retainer offers sound diversion for attenuated amplified sound away from the incoming sound port while providing ear canal aeration and occlusion relief.
The devices provided herein generally comprise universal generic modules with assorted seal tips for fitting a variety of ear canals without resorting to custom manufacturing. In the preferred embodiments, the battery module and the seal tip assembly are oriented at about 25° with the respect to the main module to fit within the characteristic contours of the ear canal.
A further aspect of the present invention is the ability to disconnect the battery module and connect a programming cable to the main module. The external programming cable connects to an external programming device, preferably a personal computer (PC) or a hand held electronic device. The programming cable delivers power, programming signals and test audio signals to the main module worn in the ear canal. This allow for an interactive fitting process involving hearing evaluation, prescription programming and post fitting evaluation. Connecting to a PC allows for connecting the hearing aid to the Internet for remote and web-enabled evaluation and fitting. The connection may also be made wirelessly using a wireless link.
All publications, patents, and patent applications mentioned in this specification are herein incorporated by reference to the same extent as if each individual publication, patent, or patent application was specifically and individually indicated to be incorporated by reference.
The novel features of the invention are set forth with particularity in the appended claims. A better understanding of the features and advantages of the present invention will be obtained by reference to the following detailed description that sets forth illustrative embodiments, in which the principles of the invention are utilized, and the accompanying drawings of which:
The above and still further objectives, features, aspects and attendant advantages of the present invention will become apparent from the following detailed description of certain preferred and alternate embodiments and method of manufacture and use thereof constituting the best mode presently contemplated of practicing the invention, when taken in conjunction with the accompanying drawings, in which:
The present invention provides a modular canal hearing aid for inconspicuous wear in the ear canal with sound delivered in close proximity to the eardrum. Exemplary embodiments of the modular canal hearing device 30 are described with reference to
The canal hearing device 30 comprises a main module 40 and disposable battery module 50 incorporating a sound port 51. The main module 40 fits entirely inside the ear canal past the aperture in the cartilaginous region 12. The main module incorporates components designed for durable prolonged operation including the receiver (speaker) 41 microphone 42 (shown in
The disposable removable battery module 50 is connected to the main module electrically, mechanically and acoustically for delivering power thereto and for delivering incoming sound to the microphone within the main module. The unique modular design of the invention allows for a reliable, predictable, and cost effective operation of the canal hearing device by protecting expensive components designed for years of operation, while providing periodic replacement of degradable elements. The unitary structure of the disposable battery assembly 50 is also easier to handle, replace and manipulate by the user alone, or with the main module 40 as a hearing aid assembly 30. This is particularly suited for the hearing impaired with limited dexterity and/or with poor vision. Replacing the integrated battery assembly 50 is far easier than replacing a battery cell as in conventional canal hearing aid designs.
In the preferred embodiments, the battery module 50 is shaped substantially in the shape of the button-cell battery 52 (
The main module 40 connects medially to a disposable retainer seal 60 for positioning in the bony region 13 in close proximity to the eardrum. The retainer seal assembly 60 delivers amplified sound to the eardrum via sound port tubing 61 and seals against the walls of the ear canal at the bony region via soft compliant seal tip 63 concentrically positioned over sound port tubing 61. Sealing in the bony region is important to minimize the occlusion effect, which is highly objectionable by hearing impaired individuals, particularly those with significant residual hearing in the low frequency range. Sound port tubing 61 is flexible and narrow with outside diameter not exceeding 2.5 mm to allow the compliant seal tip 63 to substantially compress, deform, and conform comfortably in the narrow and highly sensitive bony region 13 of the ear canal as shown in
In some embodiments, the seal tip provides as least 20 decibels of acoustic attenuation across the audiometric frequency range of 250-6000 Hz. The seal tip assembly 60 is removable via tip connector 62 and is preferably made disposable and/or washable. Replacing retainer seal 60 periodically prevents contamination of the receiver 41 coupled thereto thus improves the longevity of the main module 40. Contamination of the speaker occurs when ear canal debris, particularly earwax, travels through a sound output port 61 reaching the receiver and damaging it. Therefore, periodic replacement of the retainer seal assembly 60 ensure continuous disposal of debris collected in sound port tubing 61. Seal tip channels 64 (
The canal hearing device 30 may incorporate laterally a centering retainer 59, about the area of the interface between battery module 50 and the main module 40. The lateral retainer 59 centers the device 30 in the cartilaginous region 12 of the ear canal (
The seal tip 63 and retainer 59 are preferably made of compressible, soft and deformable material that is biocompatible such as medical grade polyurethane or silicone and may incorporate anti-microbial or anti-bacterial agents to minimize ear canal skin infections and damage to the ear canal.
The present invention minimizes costly damage and repair for the device by incorporating degradable elements in a single unitary disposable structure 50 that can be replaced periodically as needed. By employing a waterproof debris barrier 56, either over or under the sound port 51, the hearing device becomes water resistant, thus can be worn safely during water exposure when swimming or showering. Should the debris barrier 56 or the sound port 51 become soiled or damaged, such as after exposure to chlorinated water in pools, hair spray, shampoo, etc., the disposable battery module 50 is removed and replaced. Debris barrier 56 is preferably made of thin film or membrane that is acoustically transparent such as Emflon PTFE and Versapor™ manufactured by PALL corporation of Port Washington, N.Y. The debris barrier 56 should provide minimal acoustic attenuation of less than 2 decibels within the frequency range of 250-6,000 Hz.
The retainer seal assembly 60 delivers sound from the speaker 41 to the tympanic membrane in proximity efficiently and faithfully, particularly at high frequencies of the audible range. The seal tip 63 is placed entirely in the immobile bony region and within 6-10 mm from the tympanic membrane 15. The seal tip 63 is flexible and compresses freely over the air gap 67 between the sound conduction tube 61 and the seal tip 63. The flexibility and air gap also minimizes the transfer of motion to and from the main module 40. The seal tip 63 provides a level of articulation with respect to the longitudinal axis of the sound conduction tube 61 to further improve fit and comfort. The connector 62 of the sound conduction tube 61, shown as a straight snap-in in
The hearing device 30 is designed for placement substantially in the ear canal for invisible wear therein as shown in
The mechanical connection between the battery module 50 and the main module 40 is designed for sufficient bonding to prevent accidental disengagement. However, the battery module 50 is readily removable form the main module 40 upon appropriate force for replacement. An exemplary locking mechanism is a snap connection 74 as shown in
In the preferred embodiments, the battery module 50 is replaced upon depletion, typically within 10-15 days of use. Other degradable parts incorporated within the battery module, such as debris barrier 56, will also be replaced thus ensuring reliable long-term operation of the hearing device.
In another embodiment (not shown), the canal hearing device 30 is designed with the battery module placed just outside the ear canal in the deeper portion of the concha area 5. This arrangement improves access for persons of limited dexterity such as those suffering from arthritis. Even in this embodiment, the hearing device is inconspicuously hidden behind the tragus (not shown) when viewed from the front or the side. The inconspicuous wear is enhanced by the use of dark colors for the battery module. In the preferred embodiment, black and/or dark gray colors were best in resembling the unoccluded ear canal cavity. In prototype experiments, black coloring of the battery module resulted in the most inconspicuous wear in the ear canal, even when the device was being looked at directly from close distance and from any angle.
The battery module 50 and main module 40 are designed in a generic shape thus eliminating custom manufacturing and allowing cost effective “instant fitting” method. The retainer seal assembly 60 and retainer 59 are also generic and offered in assorted sizes for fitting individual ear canals. In a preferred embodiment, the device is remotely controlled and programmed by wireless methods known in the art of hearing air control and programming. In one embodiment, a reed switch is incorporated in the main module for wireless remote control by a magnet placed in proximity to the ear canal. The batter module 50 may also comprise a rechargeable battery for periodic removal and charging by a charging station (not shown).
Electronic circuitry (not shown) incorporated in the main module 40 may comprise analog and digital circuitry for sound processing and control operations. The sound processing is preferably by a digital signal processing. Hearing aid electronics are well known in the art. A flexible circuit assembly (not shown) is typically employed for connecting various electronic components including the microphone, switches, receiver, and wireless control elements. The mechanical interface between the battery module 50 and the main module 40 preferably provide tight sealing to prevent water ingress into the interface. This can be accomplished by providing an O-ring 76 at the interface as shown in
Venting channels 64 are provided on the outer surface of seal tip 63 for providing pressure venting and aeration across the retainer seal assembly 60. Minimal venting is required across the retainer seal assembly 60 in the bony region since sweating glands and moisture are present primarily in the cartilaginous region 13. In the embodiments shown in
The hearing device of the present invention is designed for water-resistance to withstand moisture and occasional water exposure while in the ear canal. However, should the battery module 50 becomes damaged, plugged by earwax, or power depleted, it can be readily replaced while preserving the relatively more expensive main module 40. In the preferred embodiments, the battery module and the seal tip assembly are oriented at an angle with the respect to the main module to fit in the characteristic contours of the ear canal, more specifically into the first and second bends thereof. The angle is generally in the range of 20-35°, preferably about 25°,
In another aspect of the present invention shown in
Using the cable assembly 70 shown in
The following experiments were conducted to validate a universal design for the invented modular hearing device. Ear canal data was obtained from ear impressions, surface models, as well as subjective responses from human subjects wearing prototypes.
Experiment-A
Impressions of ear canals were obtained from 7 adults ranging in age from 19 to 67. Cross section measurements of the ear canal impressions were made for the long diameter (DL) and short diameter (DS) in 3 different regions of the ear canal; the cartilaginous region (C), the bony region (B) and bony-cartilaginous junction region (J). Impression material was injected in the ear canal up to approximately 6-8 mm from the tympanic membrane, using standard material and impression techniques. The impression was removed from the ear canal after curing and dimensional measurements were taken. The 7 impressions were also laser scanned to obtain 3D surface models. Results of right ear are tabulated below.
Results and Analysis of Experiment A
Ear canal diameters vary considerably from as little as 3.8 mm in the short diameter of the bony region to as much as 13 mm in the long diameter of the cartilaginous region. Although smaller and larger ear canals do exist the subject population fairly represented the general population according to the experience of the inventors. The ratio of long to short diameter in each region was approximately 1.6 which is consistent with other data. The short diameter in the bony region averaged 5.4 mm highlighting the challenge of fitting a receiver assembly 41 (
Experiment B
In this experiment, it was attempted to place the smallest receiver components available on the market within the bony region. To achieve a universal fit, according to the goals of the invention, a compliant foam seal was concentrically placed over the receiver portion. Miniature receiver model FK-3451 manufactured by Knowles Electronics was used for the experiment. The receiver approximate dimensions were 2.0×2.7 mm×5 mm in length. The placement fitting test was performed on actual subjects and validated by 3D surface models obtained from ear canal impressions. The foam seal was made of polyurethane to allow for compression and sealing along the walls of the ear canal. The acoustic seal had a thickness of approximately 1.5 mm, thus consuming approximately 3 mm across the ear canal prior to any compression.
Results and Analysis of Experiment B
Placement of a receiver assembly into the bony region was problematic for all 7 subjects. Two of the 7 subjects could not tolerate insertion at any depth into the bony region. The difficulty in fitting standard miniature electroacoustic components in the bony region is largely due to dimension and structural issues including; girth of the receiver/seal combination; length of the receiver/electronic assembly; contours of the ear canal; non-compliant nature of electroacoustic components, and; non-compliant nature of the bony region. A universal hearing aid design with receiver placement in the bony region would have a high rate of contraindication in the general population, particularly for self-insertion.
Experiment C
In this experiment, the embodiment shown in
Results and Analysis of Experiment C
The universal device was inserted in the right ear canal of all 7 subjects. The angle design allowed for deep fitting with the seal assembly placed well into the bony region as shown in
All 7 subjects reported comfort of wearing. The universal device was virtually “invisible” even when looked at directly from close distance and at any angle. This was particularly the case when the battery module was colored black which camouflaged the battery module as the ear cavity.
Conclusion of Experiments A-C
The ear canal in the bony region is rigid, non-compliant and extremely sensitive to touch and pressure. Inserting a retainer seal into the bony region of the ear canal for the general population is possible by the design of soft compliant compressible material over an air-gap and a flexible core of less than 2.5 mm in diameter. Rigid bulky components are more suited for fitting in the cartilaginous region within a main module and with a battery module laterally connected at an angle of approximately 25°. The device was inconspicuous for all subjects and actually invisible for most, particularly when the battery module was colored black. The retainer seal 60 and lateral retainer 59 provided secure retention of the device in the ear canal.
Although a presently contemplated best mode of practicing the invention has been described herein, it will be recognized by those skilled in the art to which the invention pertains from a consideration of the foregoing description of presently preferred and alternate embodiments and methods of fabrication and use thereof, that variations and modifications of the exemplary embodiments and methods may be made without departing from the true spirit and scope of the invention. Thus, the above-described embodiments of the invention should not be viewed as exhaustive or as limiting the invention to the precise configurations or techniques disclosed. Rather, it is intended that the invention shall be limited only by the appended claims and the rules and principles of applicable law.
While preferred embodiments of the present invention have been shown and described herein, it will be obvious to those skilled in the art that such embodiments are provided by way of example only. Numerous variations, changes, and substitutions will now occur to those skilled in the art without departing from the invention. It should be understood that various alternatives to the embodiments of the invention described herein may be employed in practicing the invention. It is intended that the following claims define the scope of the invention and that methods and structures within the scope of these claims and their equivalents be covered thereby.
This application claims the priority benefit of U.S. Provisional Application Ser. No. 61/272,312, filed Sep. 10, 2009, which is incorporated herein by reference in its entirety for all purposes.
Number | Date | Country | |
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61272312 | Sep 2009 | US |