Hearing loss, which may be due to many different causes, is generally of two types: conductive and sensorineural. Sensorineural hearing loss is due to the absence or destruction of the hair cells in the cochlea that transduce sound signals into nerve impulses. Various hearing prostheses are commercially available to provide individuals suffering from sensorineural hearing loss with the ability to perceive sound. For example, cochlear implants use an electrode array implanted in the cochlea of a recipient to bypass the mechanisms of the ear. More specifically, an electrical stimulus is provided via the electrode array to the auditory nerve, thereby causing a hearing percept.
Conductive hearing loss occurs when the normal mechanical pathways that provide sound to hair cells in the cochlea are impeded, for example, by damage to the ossicular chain or the ear canal. Individuals suffering from conductive hearing loss may retain some form of residual hearing because the hair cells in the cochlea may remain undamaged.
Individuals suffering from conductive hearing loss typically receive an acoustic hearing aid. Hearing aids rely on principles of air conduction to transmit acoustic signals to the cochlea. In particular, a hearing aid typically uses an arrangement positioned in the recipient's ear canal or on the outer ear to amplify a sound received by the outer ear of the recipient. This amplified sound reaches the cochlea causing motion of the perilymph and stimulation of the auditory nerve.
In contrast to hearing aids, which rely primarily on the principles of air conduction, certain types of hearing prostheses commonly referred to as bone conduction devices, convert a received sound into vibrations. The vibrations are transferred through the skull to the cochlea causing generation of nerve impulses, which result in the perception of the received sound. Bone conduction devices are suitable to treat a variety of types of hearing loss and may be suitable for individuals who cannot derive sufficient benefit from acoustic hearing aids, cochlear implants, etc., or for individuals who suffer from stuttering problems.
In accordance with one aspect, there is an implantable component, comprising a housing and a piezoelectric transducer, wherein the implantable component is configured to prevent the piezoelectric transducer from moving inside the housing.
In accordance with another aspect, there is a component of a bone conduction device, comprising a housing and a transducer-seismic mass assembly, wherein the component is configured to temporarily shock-proof the assembly.
In accordance with another aspect, there is a method, comprising obtaining an implantable component of an active transcutaneous bone conduction device including a transducer hermetically sealed within a housing, wherein the transducer is restrained from movement within the housing unrestraining the transducer while the transducer is hermetically sealed within the housing so that the transducer can move.
Some embodiments are described below with reference to the attached drawings, in which:
Embodiments herein are described primarily in terms of a bone conduction device, such as an active transcutaneous bone conduction device. However, it is noted that the teachings detailed herein and/or variations thereof are also applicable to a cochlear implant and/or a middle ear implant. Accordingly, any disclosure herein of teachings utilized with an active transcutaneous bone conduction device also corresponds to a disclosure of utilizing those teachings with respect to a cochlear implant and utilizing those teachings with respect to a middle ear implant. Moreover, at least some exemplary embodiments of the teachings detailed herein are also applicable to a passive transcutaneous bone conduction device. It is further noted that the teachings detailed herein can be applicable to other types of prostheses, such as by way of example only and not by way of limitation, a retinal implant. Indeed, the teachings detailed herein can be applicable to any component that is held against the body that utilizes an RF coil and/or an inductance coil or any type of communicative coil to communicate with a component implanted in the body. That said, the teachings detailed herein will be directed by way of example only and not by way of limitation towards a component that is held against the head of a recipient for purposes of the establishment of an external component of the hearing prosthesis. In view of this,
In a fully functional human hearing anatomy, outer ear 101 comprises an auricle 105 and an ear canal 106. A sound wave or acoustic pressure 107 is collected by auricle 105 and channeled into and through ear canal 106. Disposed across the distal end of ear canal 106 is a tympanic membrane 104 which vibrates in response to acoustic wave 107. This vibration is coupled to oval window or fenestra ovalis 210 through three bones of middle ear 102, collectively referred to as the ossicles 111 and comprising the malleus 112, the incus 113 and the stapes 114. The ossicles 111 of middle ear 102 serve to filter and amplify acoustic wave 107, causing oval window 210 to vibrate. Such vibration sets up waves of fluid motion within cochlea 139. Such fluid motion, in turn, activates hair cells (not shown) that line the inside of cochlea 139. Activation of the hair cells causes appropriate nerve impulses to be transferred through the spiral ganglion cells and auditory nerve 116 to the brain (not shown), where they are perceived as sound.
More particularly, sound input device 126 (e.g., a microphone) converts received sound signals into electrical signals. These electrical signals are processed by the sound processor. The sound processor generates control signals which cause the actuator to vibrate. In other words, the actuator converts the electrical signals into mechanical motion to impart vibrations to the recipient's skull.
Alternatively, sound input element 126 may be subcutaneously implanted in the recipient, or positioned in the recipient's ear. Sound input element 126 may also be a component that receives an electronic signal indicative of sound, such as, for example, from an external audio device. For example, sound input element 126 may receive a sound signal in the form of an electrical signal from an MP3 player electronically connected to sound input element 126.
Bone conduction device 100 comprises a sound processor (not shown), an actuator (also not shown), and/or various other operational components. In operation, the sound processor converts received sounds into electrical signals. These electrical signals are utilized by the sound processor to generate control signals that cause the actuator to vibrate. In other words, the actuator converts the electrical signals into mechanical vibrations for delivery to the recipient's skull.
In accordance with some embodiments, a fixation system 162 may be used to secure implantable component 150 to skull 136. As described below, fixation system 162 may be a bone screw fixed to skull 136, and also attached to implantable component 150.
In one arrangement of
In another arrangement of
In an exemplary embodiment, the vibrating electromagnetic actuator 342 is a device that converts electrical signals into vibration. In operation, sound input element 126 converts sound into electrical signals. Specifically, the transcutaneous bone conduction device 300 provides these electrical signals to vibrating electromagnetic actuator 342, or to a sound processor (not shown) that processes the electrical signals, and then provides those processed signals to vibrating electromagnetic actuator 342. The vibrating electromagnetic actuator 342 converts the electrical signals (processed or unprocessed) into vibrations. Because vibrating electromagnetic actuator 342 is mechanically coupled to plate 346, the vibrations are transferred from the vibrating electromagnetic actuator 342 to plate 346. Implanted plate assembly 352 is part of the implantable component 350, and is made of a ferromagnetic material that may be in the form of a permanent magnet, that generates and/or is reactive to a magnetic field, or otherwise permits the establishment of a magnetic attraction between the external device 340 and the implantable component 350 sufficient to hold the external device 340 against the skin of the recipient. Accordingly, vibrations produced by the vibrating electromagnetic actuator 342 of the external device 340 are transferred from plate 346 across the skin to plate 355 of plate assembly 352. This can be accomplished as a result of mechanical conduction of the vibrations through the skin, resulting from the external device 340 being in direct contact with the skin and/or from the magnetic field between the two plates. These vibrations are transferred without penetrating the skin with a solid object, such as an abutment, with respect to a percutaneous bone conduction device.
As may be seen, the implanted plate assembly 352 is substantially rigidly attached to a bone fixture 341 in this embodiment. Plate screw 356 is used to secure plate assembly 352 to bone fixture 341. The portions of plate screw 356 that interface with the bone fixture 341 substantially correspond to an abutment screw discussed in some additional detail below, thus permitting plate screw 356 to readily fit into an existing bone fixture used in a percutaneous bone conduction device. In an exemplary embodiment, plate screw 356 is configured so that the same tools and procedures that are used to install and/or remove an abutment screw (described below) from bone fixture 341 can be used to install and/or remove plate screw 356 from the bone fixture 341 (and thus the plate assembly 352).
External component 440 includes a sound input element 126 that converts sound into electrical signals. Specifically, the transcutaneous bone conduction device 400 provides these electrical signals to vibrating electromagnetic actuator 452, or to a sound processor (not shown) that processes the electrical signals, and then provides those processed signals to the implantable component 450 through the skin of the recipient via a magnetic inductance link. In this regard, a transmitter coil 442 of the external component 440 transmits these signals to implanted receiver coil 456 located in housing 458 of the implantable component 450. Components (not shown) in the housing 458, such as, for example, a signal generator or an implanted sound processor, then generate electrical signals to be delivered to vibrating electromagnetic actuator 452 via electrical lead assembly 460. The vibrating electromagnetic actuator 452 converts the electrical signals into vibrations.
The vibrating electromagnetic actuator 452 is mechanically coupled to the housing 454. Housing 454 and vibrating electromagnetic actuator 452 collectively form a vibratory apparatus 453. The housing 454 is substantially rigidly attached to bone fixture 341.
In an exemplary embodiment, the implantable component 550 is used in the embodiment of
As can be understood from the schematic of
Still with reference to
In an exemplary embodiment, the configuration depicted in
In the exemplary embodiment depicted in
In an exemplary embodiment, the force 801 is achieved via the tightening of a bolt 880 to the bone fixture 341 during attachment of the subcomponent 851 to the already implanted bone fixture 341 so as to establish the implantable component 850. In this regard, bolt 880 includes a male threaded end 886 that threads into female threads located within bone fixture 341. This operates as an effective jackscrew to pull the head of the bolt 880 downward towards the bone fixture 341, thus compressing the walls 865 between the head of the bolt 880 on the one hand, and the top of the bone fixture 341 on the other hand, thereby forcing those ends of the wall 865 towards each other, and thus forcing the other ends of the walls 865 away from each other owing to the fulcrum 890 located inside the housing.
Because the prongs 870 are no longer in the indentations 872, the counterweight 853 is free to move when the piezoelectric material 555 is subjected to a current or the like (or when the implantable component 850 is subjected to vibrations in the scenario where the implantable component 850 in general, and the transducer 552 in particular, is used as a vibration sensor as opposed to an actuator).
Accordingly, in view of the above, in an exemplary embodiment, there can be seen that there is an implantable component, such as implantable component 850, which includes a housing, such as housing 854, and a piezoelectric transducer, such as piezoelectric transducer 852. In this exemplary embodiment, the implantable component 850 is configured to prevent the piezoelectric transducer from moving inside the housing. In this regard, such an embodiment corresponds to the implantable component 850 being in the configuration depicted in
Still further, as can be seen from the above, it is to be understood that in an exemplary embodiment, there is an implantable component where the housing is configured to be bolted to a bone fixture, such as bone fixture 341, via the application of a torque to a bolt, such as bolt 880, extending from a top side of the housing 854 to a bottom side of the housing 854 (the bottom being the side of the housing where the bone fixture 341 is located). It is noted that in this exemplary embodiment, the housing 854 is configured to be bolted to a bone fixture while that bone fixture is implanted in bone of the recipient. Continuing with the description of this exemplary embodiment, the housing is configured to be driven inward from a relaxed state upon the application of the torque during bolting to the bone fixture (where, in this embodiment, the relaxed state is that corresponding to
Briefly, it is noted that at least some of these embodiments have utilitarian value in that it can provide a component of an implantable prosthesis with a shock-proof apparatus that can at least temporarily shock-proof a fragile assembly therein. In this regard, the teachings detailed herein can provide a modicum of integrity production of the actuator until the actuator is ready for use, whether that be just before implantation into the recipient, during implantation into the recipient, or after implantation into the recipient. Because some failure mode scenarios exist where subsequent to removing the implantable component from its packaging (or, in some instances, while the implantable component is still in its packaging), a healthcare professional or the like drops the implantable component onto the floor, thus causing the piezoelectric material to break, because the shock causes the piezoelectric material to deform beyond its operating range, the teachings detailed herein can be provided to temporarily shock-proof the piezoelectric actuator. Accordingly, in an exemplary embodiment, there is a component of a bone conduction device, which includes a housing and a transducer—seismic mass assembly (the combination of the piezoelectric material 550 and the counterweight 553, for example). In this exemplary embodiment, the component of the bone conduction device is configured to temporarily shock-proof this transducer—seismic mass assembly. This temporary shock-proofing can be achieved via the teachings detailed herein (e.g., whether it be by the flexible/movable housing wall, or via the movable locking apparatus 1270, etc.).
Still further, the component of the bone conduction device can include a movable component (e.g., locking apparatus 1270) that is movable relative to the assembly that prevents the assembly from moving inside the housing when at a first position (e.g., that of
Also, the implantable component 850 includes at least one housing wall section that moves relative to another housing wall section. In this exemplary embodiment, the housing wall section 865 moves relative to housing wall section 860, and vice versa. In this exemplary embodiment, when the at least one housing wall section (e.g., housing wall section 860) is in a first position relative to another housing wall section (e.g. housing wall section 865), the at least one housing wall section applies a force directly or indirectly to the transducer 852 so as to prevent the transducer 852 from moving inside the housing 854. Here, the force that is applied is applied indirectly via the prong 870. Still, in some embodiments, it can be the housing wall itself that directly applies the force so as to prevent the transducer 852 from moving inside the housing 854.
It is noted that by “prevent the transducer from moving inside the housing,” it is meant movement corresponding to the movable components thereof that moved during normal operation of the transducer. This as distinguished from, for example, the mere attachment of the transducer to the housing to secure the transducer to the housing, which is present in the prior art, and is also present in the embodiment of
While the embodiments of
It is noted that while in some embodiments, force 801 is applied via the application a compressive force from the head of the bolt 880 and the top of the bone fixture 341 in a manner concomitant with that of the embodiments of
While the embodiments detailed above focus on utilizing a housing having housing walls that move or otherwise deform or otherwise are reconfigurable so as to move the locking components from a locked state to an unlocked state, some alternate embodiments are such that the walls of the housing remain in a static configuration with respect to the actions of unlocking the shock-proof apparatus. One such exemplary embodiment is depicted in
In some embodiments, the locking apparatus 1270 prevents the counterweight 553 from moving more than but 10 micrometers with respect to an oscillatory movement of the actuator, although in other exemplary embodiments, the locking apparatus 1270 prevents the counterweight 553 from moving by an amount less 5 micrometers while in other embodiments, the locking apparatus 1270 prevents the counterweight 553 from moving more than 1 or 2 or 3 or 4 micrometers. In an exemplary embodiment, the shock-proof apparatuses detailed herein, when engaged/when in the locked configuration, prevent tips of the counterweight 553 (the portions furthest from the longitudinal axis of the implantable subcomponent) from moving more than 50 nm, 60 nm, 70 nm, 80 nm, 90 nm, 100 nm, 110 nm, 120 nm, 130 nm, 150 nm, 200 nm, 250 nm, 300 nm, 350 nm, 400 nm, 450 nm, 500 nm, 550 nm, 600 nm, 650 nm, 700 nm, 750 nm, 800 nm, 850 nm, 900 nm, 950 nm, 1 micrometer, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7, 1.8, 1.9 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90 or 100 micrometers from the static at rest position or any value or range of values therebetween in 10 nm increments. In an exemplary embodiment, the locking apparatus 1270 prevents the counterweights 553 from moving entirely, or at least the tips thereof from moving entirely.
In order to enable the implantable subcomponent 1251 to function as a transducer when implanted in a recipient, the locking apparatus 1270 is moved radially away from the longitudinal axis of the implantable subcomponent 1251, the results of which can be seen in
In view of the above, it can be seen that in an exemplary embodiment, there is an implantable component, such as implantable component 1350, that includes a movable brace, such as the locking apparatus 1270, that prevents the transducer 552 from moving inside the housing 1254. In at least some of these exemplary embodiments, the movable brace 1270 is movable from outside the housing when the housing is completely sealed with the transducer 552 and the brace 1270 therein to enable the transducer 552 move relative to the housing. In this regard, it is noted that in at least some exemplary embodiments, the housing 1254 establishes a hermetic seal with respect to the outside environment of the housing 1254. Accordingly, there can be utilitarian value with respect to the embodiments detailed herein that enable the shock-proof apparatus to be unlocked without breaching or otherwise disrupting the hermetic seal of the housing 1254. In this regard, it is noted that in at least some exemplary embodiments, any or all of the method actions detailed herein are practiced with a hermetically sealed housing containing the actuator 552. Thus, with respect to the embodiments that are utilized to temporarily shock-proof the transducer—seismic mass assembly, the teachings detailed herein, with respect to some embodiments, enable the assembly to be taken out of the shock-proofing while the assembly is hermetically sealed within the housing to enable the assembly to vibrate (e.g., such as when a current is applied to the piezoelectric material so as to cause the assembly to vibrate and thus evoke a hearing percept via bone conduction).
In an exemplary embodiment, the locking apparatus 1270 can be spring loaded the like, as can be seen in the embodiment of
In at least some exemplary embodiments, the actuators 1488 are EM actuators, while in other embodiments, the actuators are piezoelectric actuators. Any type of actuator that can enable the teachings detailed herein, whether such be present for utilization in a one instance scenario (e.g., only to take the device out of the shock-proofing configuration, never to place the device back into shock-proofing configuration), or such be present for utilization a plurality of times and be utilized in at least some exemplary embodiments.
Note that while the embodiments detailed herein have focused on the utilization of an electrical signal from outside the housing 1254 (e.g., by way of a feedthrough) to power the actuators 1488, in an alternative embodiment, a capacitor or battery or the like can be located inside the housing 1254. This capacitor or battery can have charge sufficient for only one or two actuations of the actuator 1488 sufficient to actuate the actuator 1488 (e.g., at the time of implantation and/or proximate thereto). In an exemplary embodiment, prior to implantation, an electrical current can be applied to the feedthrough to energize the capacitor or battery. That said, in an alternate embodiment, prior to implementation, an electrical current can be applied to the feedthrough to actuate the actuator 1488. By way of example, the same feedthrough that is utilized to actuate the piezoelectric material 555 can be utilized to actuate the actuator 1488. In an exemplary embodiment, the electrical current can be applied at a frequency that does not affect the piezoelectric material (e.g., owing to some form of switch or the like or other circuitry located inside the housing 1254 that diverts the current at a given frequency to the actuator 1488 instead of the piezoelectric material 555). In an exemplary embodiment, the electrical current can be applied to both the piezoelectric material and the actuator 1488 at the same time, wherein the piezoelectric material 555 will deform according to operation of the transducer 552 while at the same time the actuators 1488 will actuate to push the locking apparatus 1270 towards the outboard position. In an exemplary embodiment, the actuators can be designed so that upon full extension, a switch is tripped that stops electricity from being provided to the actuators 1488 thereafter, so that all future current applied to the feedthrough is directed towards the piezoelectric material 555 (instead of being shared during the period of time where the shock-proofing is disabled).
Note also that in another embodiment, the actuator 1488 and/or circuitry thereof can be configured so as to react to only current at a certain frequency. For example, the bone conduction device will generally not have utilitarian value with respect to frequencies above 20,000 Hz (e.g., the upper range of human hearing). Accordingly, in an exemplary embodiment, an electrical current can be provided via the feedthrough at a frequency that operates the piezoelectric material 555 so that the actuator 552 vibrates at, for example, 22,000 Hz or 25,000 Hz or 30,000 Hz, etc. (e.g., a meaningless vibration with respect to evoking a hearing percept). However, that current can be shared by the actuators 1488, which only react to electrical current at those frequencies. That is, at frequencies of the electrical current applied to the piezoelectric material that will cause the transducer 552 to vibrate at frequencies below 20,000 Hz, the actuators would not operate/would not respond to such current. Note also that in an exemplary embodiment, the current applied to the feedthroughs could have a digital and/or an analog code embedded therein, such that the presence of a certain code enables circuitry inside the housing 1254 to activate the actuators.
It is noted that the various embodiments that utilize an electrical current supplied by a feedthrough in the housing 1254 can be utilized in some embodiments such that the shock-proofing can be engaged and/or disengaged after implantation of the implantable component and the recipient, including scenarios where the shock-proofing is engaged for a period of time after it has been disengaged in a scenario where the recipient is going to be subjecting himself to a scenario of potential shock to the implanted component (e.g., playing basketball, where a ball could hit the side of the recipient's head, and thus cause a failure mode with respect to the piezoelectric material 555), and then subsequently re-disengaged. Some additional details of this are described below. However, it is noted that in an exemplary embodiment, a signal can be provided from the external device 440 to the implanted receiver coil 456 which in turn can provide the current to the feedthrough into the housing that contains the actuator 1488, etc.
Note also that in at least some exemplary embodiments, a separate EM coil can be located in the housing 1254 that is dedicated to powering or otherwise energizing the actuators 1488. In this regard, an exemplary configuration can be such that upon the application of a transcutaneous electromagnetic field to this separate EM coil in the housing 1254, a current is induced in that separate EM coil which is sufficient to power the actuators. In an exemplary embodiment, this separate EM coil can react to a completely different frequency than that which is generated by the external device so as to avoid a scenario where the external device accidentally triggers the shock-proofing apparatus to disengage or engage. That said, in an alternate embodiment, such as a scenario where the shock-proofing apparatus is a one-off use, the separate EM coil in the housing 1254 can be configured such that when the external device 440 is placed in proximity to that coil for a given period of time (e.g., 5 minutes), sufficient current will be generated to actuate the actuators 1488. The shock-proof apparatus can be arranged such that additional current that is applied thereto has no effect on the actuators. It is further noted that such techniques can be utilized to charge an implanted capacitor and/or battery so as to enable and/or disable the shock-proofing apparatus via actuation of the actuators utilizing the charge in the capacitor and/or battery.
Embodiments have focused on utilizing an electrical current to actuate the actuator 1488/to provide power to move the locking apparatus 1270. However, in an alternate embodiment, the electrical current can be applied to a component that unlocks a component that holds the locking apparatuses in place. For example, in a scenario where the locking apparatuses 1270 are spring-loaded, electricity can be applied to an actuator that releases its hold on the locking apparatuses 1270, allowing them to spring outwards and thus disengage the shock-proofing. In this regard, the teachings detailed herein with respect to providing power to the internal actuators to move the locking apparatuses 1270, etc. can also be applied to such embodiments to unlock or otherwise release a component that holds the locking apparatuses 1270 in place.
In an alternative embodiment, a magnetic field or the like can be utilized to move a sub-component made at least in part of a ferromagnetic material that reacts to a magnetic field of the locking apparatus 1270 out of the way of another subcomponent of the locking apparatus 1270, thereby releasing the locking apparatus 1270 to move outward away from the longitudinal axis of the subcomponent 1251 as a result of a force applied by spring 1414. To this end,
In view of the embodiment of
Still further, in an exemplary embodiment, instead of the spring 1414 being in compression with respect to the embodiment seen in
Still further, in an alternative embodiment, the housing 1254 can be deformable or the like. In an exemplary embodiment, while the magnetic force is applied to the subcomponent 1251, and the locking apparatus 1270 is located in the upper positions, a pressure or force can be applied to the outside of the housing 1254, deforming the housing slightly such that portions of the housing on the inside thereof or other componentry located on the inside of the housing is pushed inward, thus trapping the locking apparatus 1270 and the outboard position. This can be considered analogous to a staking method of securing a bearing or a bushing or the like inside a housing.
While the embodiments detailed above have generally focused on utilizing a magnetic field at the point of implantation so as to move the locking apparatus to the unlocked position, in an alternate embodiment, the magnetic field is utilized to maintain the locking apparatus in the locked position, and removal of the magnetic field causes the locking apparatus to move to the unlocked position. In this regard,
In view of
While the embodiments of
It is noted that various features of various embodiments detailed herein can be combined with one another. With respect to the embodiments utilizing a rigid housing/a housing that does not deform during implantation, a sub housing or an interior housing that the forms can be utilized so as to implement the features of the deformable housing. In this regard, there can be utilitarian value with respect to utilizing a rigid housing that does not deform with respect to maintaining a hermetic seal inside and/or with respect to maintaining shock-proofing with respect to temporal periods subsequent implantation where the recipient's head might be struck by an object (e.g., such as a scenario where the recipient is playing basketball the like). In this regard,
It can be seen that the magnet 2510 is a relatively de minimis component which could be accidentally removed from the housing 1254 during handling of the implantable subcomponent 2451 or during shipping thereof. Accordingly, in an exemplary embodiment, magnet 2510 is adhered to the outside of the housing 1254 utilizing a plastic strap or the like. In an exemplary embodiment, prior to surgery, the plastic strap is cut so that the magnet 2510 can be removed or otherwise taken away from housing 1254 so that the spring 2414 can coil about the post 2420. In an alternate embodiment, a frame assembly is provided that extends about the housing 1254, which frame assembly supports the magnet 2510. In some exemplary embodiments, the frame assembly only extends about the sides and across the top of the housing 1254, so that the frame assembly can be maintained on the housing 1254 until after the housing 1254 is attached to the bone fixture 341, thus permitting the shock-proof apparatus to be unlocked after the housing 1254 is secured to the bone fixture 341, while also providing a very high likelihood that the magnet 2510 will remain in place to hold magnetic mass 2420 against the inside wall the housing. It is noted that the magnetic mass 2420 can be, in an exemplary embodiment, a piece of iron or some other ferromagnetic material, and/or can be a magnet itself In an exemplary embodiment, it can be coated with silicon and/or rubber.
Many of the embodiments detailed above utilize some form of mechanical force and/or a magnetic force so as to move the components to unlock the shock-proof apparatus. In some embodiments, a shape-memory alloy or the like can be utilized so as to move the various components of the shop proving apparatus. For example,
Thus, in view of the above, it can be understood that in at least some exemplary embodiments, there is an implantable component that includes a shape memory material that prevents the piezoelectric transducer from moving inside the housing when at a first state, and releases the piezoelectric transducer to move when in a second state.
Method 3100 further includes method action 3220, which entails on restraining the transducer while the transducer is hermetically sealed within the housing so that the transducer can move. In an exemplary embodiment, method action 3220 is executed after the implantable component is brought into the operating room and prior to implantation or otherwise attachment to the recipient. In an exemplary embodiment, method action 3220 is executed prior to bringing the implantable component into the operating room. In yet some other exemplary embodiments, method action 3220 is executed after implanting the implantable component to the recipient. Still further, in at least some exemplary embodiments, method action 3220 is executed after the recipient leaves the operating room with the implantable component implanted in the recipient (some additional details will be described below).
Consistent with the teachings detailed above, where in exemplary embodiments, the application of torque to the bolt 880 causes the housing to deform (whether that be an external housing or an internal housing or other external or internal structure not classified as a housing), and, where in other exemplary embodiments, the magnetic field is applied to the implantable component to unlock the shock-proof apparatus and/or a magnetic field is removed from the implantable component to unlock the shock-proof apparatus, method 3100 further includes the action of attaching the implantable component to a skull of the recipient, wherein the action of on restraining the transducer (method action 3220) is executed during or after the action of attaching the implantable component to the skull. Also, consistent with the teachings just mentioned utilizing torque applied to the bolt 880 to cause a component of the external component to deform or otherwise move, an exemplary embodiment entails attaching the implantable component to a skull of a recipient, wherein the action of unrestraining the transducer is executed automatically by the component during the action of attaching the implantable component to the skull. In view of the above teachings associated with the utilization of the torque from the bolt to so as to take the component out of the shock-proofing configuration, it is to be understood that method 3100 can be executed by adding the action of imparting a force onto the housing of the implantable component while the transducer is restrained from movement within the housing, wherein the action of imparting the force results in the action of on restraining the transducer. As noted above, other types of force can be applied on to the housing, such as shaking the housing, etc.
With respect to the embodiments where method action 3220 is utilized proximate in operation in which the implantable component is implanted in a recipient/utilized during the operation in which the implantable component is planted in the recipient, in an exemplary embodiment, the action of unrestraining the transducer (method action 3220) is executed within about an hour (which includes exactly within an hour) of a beginning or in end of the action of attaching the implantable component to the skull of the recipient. In this regard, as noted above, an exemplary embodiment can entail unlocking the shock-proof components so as to enable the transducer to move just prior to implantation of the external component to the recipient (e.g., a surgical aid can bring the implantable component to a surgical shelf/table near the recipient, place the implantable component onto the shelf/table, and execute one of the methods detailed herein utilizing one of the apparatuses detailed herein so as to unlock the shock-proofing and take the external component out of the shock-proof state). This could take place within 5, 10, 15 minutes or so of the action of attaching the implantable component to the skull (maybe longer). Still further as noted above, an exemplary embodiment can entail unlocking the shock-proof components so as to enable the transducer to move as a result of the action of applying torque to the bolt during attachment of the implantable component to the bone fixture implanted in the recipient. Also as noted above, exemplary embodiments can entail unlocking the shock-proof components after the implantable component is implanted in the recipient. This can entail applying a magnetic field to the implantable component 5, 10, 15 minutes or more after the implantable component is attached to the bone fixture, this can entail removing a magnetic component from the implantable component so as to release the shock-proofing apparatus 5, 10, 15 minutes or more after the implantable component is attached to the bone fixture. Other scenarios of implementing the action of unrestraining the transducer within about an hour of a beginning or an end of the action of attaching the implantable component to the skull of the recipient can be included in at least some exemplary embodiments of this teaching.
Consistent with the teachings detailed above associated with applying and/or removing a magnetic field to/from the implantable component, and/or subjecting the implantable component to a temperature change and/or subjecting the implantable component to an ultrasonic signal and/or a ultraviolet light and/or an electrical charge/current, at least some exemplary embodiments of method 3100 further include the action of at least one of subjecting the implantable component to a stimulus or removing a stimulus from the implantable component, wherein the action of subjecting the stimulus or removing the stimulus unrestrained the transducer.
It is further noted that some exemplary embodiments of the implantable component are configured such that movements of the implantable component according to a certain predetermined movement regime results in the activation and/or deactivations of the shock-proofing system. For example, the implantable component can be configured such that if the recipient, starting from a position where the recipient's head is facing forward and not tilted, the recipient tilts his or her head to the left five times, and then tilts his or her head to the right three times without tilting in the other direction in between the five tilts, and then tilts his or her head to the left four times, this activates a mechanical device inside the housing of the implantable component that engages and/or disengages the shock-proofing. In an exemplary embodiment, a device akin to the mechanism utilized in a self-winding watch can be located inside the housing.
As briefly noted above, while some embodiments are directed towards a one-off use of the shock-proofing assembly, where the implantable component is initially shock-proofed, and then a method action according to the teachings detailed herein or a variation thereof is executed to take the implantable component out of the shock-proofing, and the implantable component is never shock-proofed again (with respect to preventing the counterweight from moving). Some other embodiments are directed to a system that enables the implantable component to be re-shock-proofed after the component is taken out of the shock-proofing. By way of example only and not by way of limitation, such as with respect to the embodiments detailed above utilizing the electrically powered actuator, signals can be provided to the implantable component to alternatingly place the implantable component into and out of a shock-proofing configuration. That is, in an exemplary embodiment, there is an implantable component of a bone conduction device that is configured to enable the seismic mass—transducer assembly to be taken out of the shock-proofing configuration while the assembly is hermetically sealed within the housing to enable the assembly to move relative to the housing and configured to subsequently enable the seismic mass—transducer assembly to be placed back into the shock-proofing, wherein the shock-proofing prevents the assembly from moving relative to the housing. In an exemplary embodiment, this can be executed while the implantable component is implanted in the recipient. Thus, with respect to method 3100, that method can further include the action of attaching the implantable component to a skull of a recipient either before or after the action of unrestraining the transducer and subsequent to the action of unrestraining the transducer and the action of attaching the implantable component to the skull, re-restraining the transducer. This can occur multiple times after implantation.
It is noted that unless otherwise specified, any disclosure herein with respect to limiting movement of the counterweight corresponds to a disclosure of preventing movement of the counterweight and vice versa, all of which can correspond to shock-proofing the implantable component in general, and the seismic mass—transducer in particular, in at least some exemplary embodiments.
It is also noted that with respect to the embodiments that utilize a housing that is deformable or otherwise having components that move relative to one another, some exemplary embodiments may not necessarily have impact resistance relative to that which would be the case for a solid or otherwise unmovable housing. Accordingly, a utilitarian embodiment can include placing the deformable housing/a housing having walls that move relative to other housing walls within another housing that has greater impact resistance.
It is noted that in an exemplary embodiment of the embodiment of
Utilizing an inner housing and an outer housing can have utilitarian value with respect to not only increasing an impact resistance of the implantable component overall, but also with respect to enabling or otherwise maintaining a hermetic seal between the inner housing and the outside environment. In this regard, there may be instances where the outer housing 3254 cannot be hermetically sealed. Thus, the inner housing provides a hermetic seal.
Still with reference to
Note also that the embodiment of
As noted above, embodiments utilizing some of the teachings detailed herein can also be applied to other types of actuators/transducers, such as electromagnetic transducers. In this regard,
In an exemplary embodiment, there is an implantable component, comprising: a housing; and a piezoelectric transducer, wherein the implantable component is configured to prevent the piezoelectric transducer from moving inside the housing, wherein: the housing is configured to be bolted to a bone fixture via the application of a torque to a bolt extending from a top side of the hosing to a bottom side of the housing; the housing is configured to be driven inward from a relaxed state upon the application of the torque during bolting to the bone fixture, wherein the implantable component is configured such that when the housing is in the relaxed state, the housing applies a force onto the transducer to prevent the transducer from moving inside the housing; and the implantable component is configured such that when the housing is driven inward from the relaxed state, a force is relieved from the transducer to enable the transducer to subsequently move. In an exemplary embodiment, there is an implantable component, comprising: a housing; and a piezoelectric transducer, wherein the implantable component is configured to prevent the piezoelectric transducer from moving inside the housing, wherein the implantable component includes a shape-memory material that prevents the piezoelectric transducer from moving inside the housing when at a first state and releases the piezoelectric transducer to move when in a second state.
In an exemplary embodiment, there is a component of a bone conduction device, comprising: a housing; and a transducer-seismic mass assembly, wherein the component is configured to temporarily shock-proof the assembly, and wherein the housing includes at least one housing wall section that moves relative to another housing wall section, wherein when the at least one housing wall section is in a first position relative to the another housing wall section, the at least one housing wall section applies a force directly or indirectly to the assembly to temporarily shock-proof the assembly, and wherein the component is configured such that the housing is configured to oil can and/or reverse oil can so as to move a portion thereof out of contact with the assembly so as to disable the shock-proofing.
In an exemplary embodiment, there is a component of a bone conduction device, comprising: a housing; and a transducer-seismic mass assembly, wherein the component is configured to temporarily shock-proof the assembly, and wherein the housing includes at least one housing wall section that moves relative to another housing wall section, wherein the component includes a ferromagnetic material that at least indirectly prevents the assembly from moving inside the housing; and the component is configured such that exposure of the ferromagnetic material to a magnetic field locates the ferromagnetic material at a location where the assembly cannot move relative to the housing; and the component is configured such that removal of the ferromagnetic material from the magnetic field locates the ferromagnetic material at a location where the assembly can move relative to the housing.
In an exemplary embodiment, there is a method, comprising: obtaining an implantable component of an active transcutaneous bone conduction device including a transducer hermetically sealed within a housing, wherein the transducer is restrained from movement within the housing; and unrestraining the transducer while the transducer is hermetically sealed within the housing so that the transducer can move, further comprising: attaching implantable component to a skull of a recipient either before or after the action of unrestraining the transducer; and subsequent to the action of unrestraining the transducer and the action of attaching the implantable component to the skull, re-restraining the transducer.
In an exemplary embodiment, there is a method, comprising: obtaining an implantable component of an active transcutaneous bone conduction device including a transducer hermetically sealed within a housing, wherein the transducer is restrained from movement within the housing; and unrestraining the transducer while the transducer is hermetically sealed within the housing so that the transducer can move, further comprising imparting a force onto the housing while the transducer is restrained from movement within the housing, wherein the action of imparting the force results in the action of undertraining the transducer.
In an exemplary embodiment, there is a method, comprising: obtaining an implantable component of an active transcutaneous bone conduction device including a transducer hermetically sealed within a housing, wherein the transducer is restrained from movement within the housing; and unrestraining the transducer while the transducer is hermetically sealed within the housing so that the transducer can move, further comprising imparting a force onto the housing while the transducer is restrained from movement within the housing so as to deform the housing, wherein the action of deforming the housing results in the action of undertraining the transducer.
It is noted that any disclosure of a device and/or system herein corresponds to a disclosure of a method of utilizing such device and/or system. It is further noted that any disclosure of a device and/or system herein corresponds to a disclosure of a method of manufacturing such device and/or system. It is further noted that any disclosure of a method action detailed herein corresponds to a disclosure of a device and/or system for executing that method action/a device and/or system having such functionality corresponding to the method action. It is also noted that any disclosure of a functionality of a device herein corresponds to a method including a method action corresponding to such functionality. Also, any disclosure of any manufacturing methods detailed herein corresponds to a disclosure of a device and/or system resulting from such manufacturing methods and/or a disclosure of a method of utilizing the resulting device and/or system.
Unless otherwise specified or otherwise not enabled by the art, any one or more teachings detailed herein with respect to one embodiment can be combined with one or more teachings of any other teaching detailed herein with respect to other embodiments.
While various embodiments 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. Thus, the breadth and scope of the present invention should not be limited by any of the above-described exemplary embodiments, but should be defined only in accordance with the following claims and their equivalents.
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