1. Field of the Invention
The present invention relates generally to prosthetic hearing devices, and more particularly, to an implantable interferometer microphone which may be utilized in prosthetic hearing devices.
2. Related Art
In recent years, rehabilitation of sensorineural hearing disorders with prosthetic hearing devices has acquired major importance. Such hearing disorder include, for example, various types of inner ear damage through complete postlingual loss of hearing or prelingual deafness, combined inner ear and middle ear damage, and temporary or permanent noise impressions (tinnitus).
Particular effort has been directed to providing some hearing capability to those persons for which hearing has completely failed due to accident, illness or other effects or for which hearing is congenitally non-functional. If, in such patients, only the inner ear (cochlea), and not the neural auditory path which leads to the brain, is impaired, the remaining auditory nerve may be stimulated with electrical stimulation signals to produce a hearing impression which can lead to speech comprehension. In these so-called cochlearm implants (also referred to as Cochlear™ devices, Cochlear™ implant systems, and the like; “cochlear implants” herein), an array of stimulation electrodes is inserted into the cochlea. This array is controlled by an electronic system which typically is surgically embedded as a hermetically sealed, biocompatible module in the bony area behind the ear (mastoid). The electronic system essentially contains a decoder and driver circuitry for the stimulation electrodes. Acoustic sound reception, conversion of the sound into analog electrical signals, and the processing of the analog signals, typically takes place in a so-called sound processor which is typically worn outside on the recipient's body. The sound processor superimposes the preprocessed signals, properly coded, on a high frequency carrier signal which, via inductive coupling, is transmitted (transcutaneously) to the implanted circuitry through the closed skin. In the above and other conventional prosthetic hearing devices, the sound-receiving microphone is also located outside of the recipient's body. In most conventional prosthetic hearing devices, the microphone is located in a housing of a behind-the-ear (BTE) component worn on the external ear, and is typically connected to the sound processor by a cable.
For some time there have been approaches to treat sensorineural and conducive hearing losses using totally implantable hearing aids. Such prosthetic hearing devices may offer better rehabilitation than conventional hearing aids. A common approach in such devices is to stimulate an ossicle of the middle ear or, directly, the inner ear, via mechanical or hydromechanical stimulation rather than via an amplified acoustic signal as in conventional hearing aids, or electrically, as in cochlear implants. The actuator stimulus of these systems is accomplished with different physical transducer principles such as, for example, by electromagnetic or piezoelectric technologies. The advantage of these devices is seen mainly in a sound quality which is improved compared to that of conventional hearing aids. Such totally implantable electromechanical hearing aids are described, for example, by H. P. Zenner et al. “First implantations of a totally implantable electronic hearing system for sensorineural hearing loss”, in HNO Vol. 46, 1998, pp. 844-852; H. Leysieffer et al. “A totally implantable hearing device for the treatment of sensorineural hearing loss: TICA LZ 3001”, in HNO Vol. 46, 1998, pp. 853-863; and H. P. Zenner et al. “Totally implantable hearing device for sensorineural hearing loss”, in The Lancet Vol. 352, No. 9142, page 1751.
Another type of totally implantable prosthetic hearing device is the bone anchored hearing aid (BAHA). BAHA is a surgically implantable system for treatment of hearing loss through direct bone conduction. It has been used as a treatment for conductive and mixed hearing losses as well as for the treatment of unilateral sensorineural hearing loss. Typically, BAHA is used to help people with chronic ear infections, congenital external auditory canal atresia and single sided deafness, as such persons often cannot benefit from conventional hearing aids. Such systems are surgically implanted to allow sound to be conducted through the bone rather than via the middle ear.
More recently, totally implantable cochlear implants have been developed for use alone or in combination with other technologies, such as the noted totally implantable hearing aid.
One challenge of implantable prosthetic hearing systems, particularly those that are substantially or totally implantable, is the use of a totally-implantable microphone. Some of the problems encountered with implantable microphones include difficulty optimizing the coupling of sound between the tissue and the device, size restrictions due to the space available in the target implant location such as the middle ear, and the need to deliver sufficient gain to aid severe hearing loss.
Embodiments of the present invention are described herewith with reference to the accompanying drawings, in which:
In accordance with one aspect of the present invention, a prosthetic hearing device is disclosed, comprising: a biocompatible housing having a surface that vibrates in response to sound waves traveling through tissue; and an interferometer mounted in the housing, the interferometer is constructed and arranged to generate a light beam that impinges on a reflective interior surface of the vibrating surface, and to receive light reflected from the reflective interior surface.
In accordance with another aspect of the present invention, a totally implantable interferometer microphone is disclosed, comprising: a biocompatible housing having a surface that vibrates in response to sound waves traveling through tissue; and an interferometer constructed and arranged to generate a light beam that impinges on an interior surface of said vibrating surface, and to receive light reflected from said reflective interior surface.
In accordance with a further aspect of the present invention, a method for detecting ambient sound in a prosthetic hearing device is disclosed, the method comprising: allowing an implanted surface to vibrate in response to the incidence of the ambient sound wave on the implanted surface; impinging a light beam on a portion of the vibrating surface; receiving light reflected from the reflective portion; measuring the movement of the vibrating surface based on an interference pattern of the impinging and reflected light; and determining at least a frequency of the incident sound wave based on the interference pattern.
The present invention is directed generally to the use of an interferometer to detect sound in an implantable component of a prosthetic hearing device. The use of an interferometer microphone results in a substantially more robust and sensitive prosthetic hearing device which may be configured to be operable within the space occupied by conventional cochlear implants. In conventional implantable microphones a thin diaphragm is often used to sense acoustic signals traveling through the surrounding tissue. These diaphragms are inherently sensitive to damage not only while being handled prior to implantation, but also while implanted. For example, such conventional microphones may be damaged by an impact to the head. In contrast, the interferometer microphone of the present invention has a sensitivity sufficient to allow sensing of sound signals from a much thicker and robust implant housing. Not only does this robustness provide certain embodiments with increased protection, it also makes such embodiments much less prone to variations in assembly, often a problem with the welding of thin diaphragms.
Exemplary embodiments of the present invention are further described below in conjunction with an exemplary prosthetic hearing device. In this illustrative application, the prosthetic hearing device is a totally implantable cochlear implant. It should be understood to those of ordinary skill in the art, however, that embodiments of the present invention may be used in other partially or completely implantable medical devices in which microphones are implemented.
An external unit 168 may be utilized to charge via a transcutaneous link a battery (not shown) included in cochlear implant 100. The transcutaneous link comprises an external coil 130 and an internal coil (not shown) included in implant assembly 152. The internal and external coils transmit power and coded signals to configure, monitor, and charge implant assembly 152. In certain embodiments, implantable unit 152 is connected, through RF transmission, to an external device such as a PC where the output can be read and compared to a calibrated input. This also enables any system upgrades to be uploaded from the PC to the integrated circuit.
Electronic assembly 234 comprises, for example, integrated circuits that perform conventional operations associated with the implanting prosthetic hearing device; that is, cochlear implant 100 in this illustrative application. Such operations and functions may include, but are not limited to, for example, signal processing, RF transmission to and from external unit 168, power regulation and electrode stimulation. In certain embodiments, a power source 236 is also included within housing 204. In the embodiment shown in
In the exemplary application shown in
Preferably, implant housing 200 is fixedly secured in direct contact with mastoid 230 to facilitate efficient sound transfer to the device. It should be appreciated, however, that other techniques may be implemented to obtain an intimate contact between device 200 and mastoid 230. For example, in other embodiments there is a gap between device 200 and mastoid 230. Such a gap will fill with bodily fluids over time. The presence of body fluid between device 200 and tissue 232 and/or bone 230 facilitates sound transfer.
Because the entire implant 200 is in the field of sound waves 107, vibrating surface 202 may comprise a substantial portion of housing 204. The ability of the entire housing 204 to vibrate provides design flexibility not provided in conventional devices. For example, virtually any internal surface of housing 204 may be used to detect sound. As such, the optimal portion of housing 204 may be selected based on orientation and location of implant assembly 152, or, alternatively, more than one surface may be used. Also, the need to dedicate a portion of the surface area of conventional devices to a sound sensing membrane is not required in systems implementing such embodiments of the present invention. Regardless of the location or quantity of vibrating surfaces, interferometer 208 is preferably isolated from housing 204 to insure there is a measurable difference in amplitude and phase between interferometer 208 and vibrating surfaces 202.
Preferably, the components of the interferometer microphone of the present invention are collocated with electronic assembly 234 in the same housing 204. It should be appreciated that this is arrangement is advantageous in that it results in a single implantable unit. It should also be appreciated, however, that in some applications, there may be reasons for separating the interferometer microphone from the main implant housing. One of these would be in applications where the size of the microphone dictates that it be separate from the electronics module. Another would be applications in which it may be beneficial to position the microphone in an area where the signal strength is greater, or where the natural acoustics of the outer ear can be utilized to advantage.
In this embodiment, interferometer microphone 242 comprises an interferometer 208 secured within a housing 244 having a vibrating surface 202. In this example, interferometer microphone 242 is secured to bone 230 via spacers 246. Raising interferometer microphone 242 off of the surface of bone 230 positions vibrating surface 202 in closer proximity to surface 248 of tissue 201. Interferometer microphone 242 is operationally coupled to the remaining components of device 240 via lead line(s) 250.
In the embodiment shown in
As noted, interferometer 208 measures the movement of vibrating surface 202. Interferometer 208 may be any device now or later developed that uses an interference pattern to determine wave frequency, length, or velocity. In certain embodiments described herein, interferometer 208 is an interferometer that uses a laser as its light source. The purely monochromatic nature of a laser results in improved efficiency and overall performance of the device. It should be appreciated that although preferable, a light source other than a laser may be implemented in alternative embodiments depending on the requirements of the particular application.
In particular embodiments, interferometer 208 is a fiber-optic dynamic interferometer. The interference of light underlies many high-precision measuring systems and displacement sensors and the incorporation of optical fibers allows for the reduction in size and cost. In certain embodiments, the fiber optic interferometers comprise: Mach-Zehnder and Fabry-Perot interferometers. In fiber optic interferometers the interference occurs between the partially reflecting end of the fiber and an external mirror or other reflective surface. The size of the sensitive element using fiber optics can be as small as diameter of the fiber, that is, about 0.1 mm, and the sensitivity can achieve sub-angstrom level. The use of fiber optics eliminates the concern regarding sensitivity to electro-magnetic interference as well as enabling the device to be implemented in hostile environments. Furthermore, in certain embodiments, the laser interferometer preferably uses optical fiber sensors, eliminating the need to dedicate a portion of the surface area of conventional devices to serving as a sound sensing membrane.
In one embodiment, interferometer 208 is a 100 Hz-10,000 Hz laser interferometer using optical fiber sensors. As one of ordinary skill in the art would appreciate, however, any other types of interferometers or now or later developed may be implemented in alternative embodiments. An example of an applicable interferometer is a heterodyne interferometer, with an acousto-optic modulator (Bragg cell) on one arm, which provides the advantage that it is less susceptible to hum and noise. Another example would be a quadrature homodyne interferometer. Such an interferometer generally requires the addition of wave retardation plates, a polarizing beam splitter and a second detector. Alternative embodiments of the interferometer will be evident to those of ordinary skill in the relevant art.
The reflective interior of housing 204 is preferably attained due to the material of the housing and not a coated or additional layer of material. Therefore, preferred materials of manufacture for housing 204 include those that have a reflective surface, such as titanium. Alternatively, if housing 204 is formed of a non-reflective material, the interior of vibrating surface 202 is coated with an appropriate reflective material.
In one embodiment, housing 204 is sealed and maintained with a controlled atmosphere of an inert gas mixture such as helium and argon to prevent the ingress of body fluid in the event a fine opening occurs in housing 204. In one particular embodiment, housing 204 is maintained at or slightly above 1 atmosphere.
The use of interferometer 208 enables linear motion of vibrating surface 202 of a fraction of a nanometer to be accurately detected, increasing the frequency response of the implementing cochlear implant. Advantageously, this enables the recipient to sense more of the sound field in the tissue than conventional pressure microphones. Advantageously, because interferometer 208 measures the deflection of the implant housing, with deflections being proportional to tissue-borne sound, no special construction changes are required to the implant housing such as thin diaphragms, air cavities etc. As noted, it is preferable that the interferometer and other components such as mirror 340 in the embodiment illustrated in
In other embodiments, interferometer 208 and the electronic components 330 are at opposing sides of housing 304. In such an arrangement the depth of implant housing 304 can be less than that of housing 304.
In order to detect airborne sound 107 from beneath the skin, implanted microphone 402 needs to be of high sensitivity. As a result, implanted microphone 402 also picks up body noises. Unfortunately, body noises are usually at levels and frequencies that can be annoying to the recipient.
To resolve this problem, in one embodiment, interferometer 408 is tuned to be sensitive to body noises. Sound processor 404 removes the body noises from signal 410 received from microphone 402 to generate a signal 414 representative of ambient sound 107. Signal 414 is then used for subsequent processing by other components (not shown) of the implementing prosthetic hearing device.
As one of ordinary skill in the art would appreciate, interferometer 408 may be utilized to perform functions other than the above body-noise sensing function when utilized in conjunction with internal microphone 402. It should also be appreciated that internal microphone 402 may be any internal microphone now or later developed.
Although the present invention has been fully described in conjunction with several embodiments thereof with reference to the accompanying drawings, it is to be understood that various changes and modifications may be apparent to those skilled in the art. Such changes and modifications are to be understood as included within the scope of the present invention.
All documents, patents, journal articles and other materials cited in the present application are hereby incorporated by reference.
The present application claims priority from U.S. Provisional Patent Application 60/757,019 entitled “Implantable Interferometer Microphone,” filed Jan. 9, 2006, which is hereby incorporated by reference herein.
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