The present disclosure relates generally to bone conduction devices.
Hearing loss, which may be due to many different causes, is generally of two types, conductive and/or sensorineural. Conductive hearing loss occurs when the normal mechanical pathways of the outer and/or middle ear are impeded, for example, by damage to the ossicular chain or ear canal. Sensorineural hearing loss occurs when there is damage to the inner ear, or to the nerve pathways from the inner ear to the brain.
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. Typically, a hearing aid is positioned in the ear canal or on the outer ear to amplify received sound. This amplified sound is delivered to the cochlea through the normal middle ear mechanisms resulting in the increased perception of sound by the recipient.
In contrast to acoustic hearing aids, certain types of auditory prostheses, commonly referred to as bone conduction devices, convert a received sound into vibrations. The vibrations are transferred through teeth and/or bone 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 one aspect, a bone conduction system is provided. The bone conduction system comprises a housing having a surface that is complementary to an outer surface of a recipient's maxillary alveolar process such that the maxillary alveolar process supports the housing within the recipient's mouth, and a transducer disposed in the housing configured to deliver mechanical output forces to the recipient so as to evoke a hearing percept of a sound signal.
In another aspect, a bone conduction device is provided. The bone conduction device comprises a housing configured be positioned in a recipient's mouth between the recipient's tissue proximate to the mouth opening and the gums, and retained in the mouth through pressure applied by the tissue in the direction of the gums; and a transducer disposed in the housing configured to deliver mechanical output forces to the recipient so as to evoke a hearing percept of a sound signal.
Embodiments are described herein in conjunction with the accompanying drawings, in which:
Embodiments presented herein are generally directed to bone conduction devices having a housing that is complementary to the recipient's maxillary alveolar process such that the maxillary alveolar process supports the housing within the recipient's mouth. The bone conduction devices presented herein, sometimes referred to as under-lip bone conduction devices, are retained in the recipient's mouth without attachment to the recipient's teeth or other structures of the mouth.
As shown in
The recipient's upper lip 104(A) is connected to the recipient's nose 120 by tissue 122(A), while tissue 122(B) extends inferior to the lower lip 104(B). That is, tissue 122(A) forms the outer portion of the mouth 102 that is proximate to the upper gums 116, while tissue 122(B) forms the outer portion of the mouth that is proximate to the lower gums 118. The tissue 122(A) and the upper gums 116 generally define an upper cavity 124 of the mouth 102 that is proximate to the maxillary alveolar process 109). The tissue 122(B) and the lower gums 118 generally define a lower cavity 115 of the mouth 102 that is proximate to the mandibular alveolar process 111.
As shown in
When the under-lip bone conduction device 100 is engaged with the ridge 164 of the maxillary alveolar process 109, the under-lip bone conduction device 100 has an arrangement (i.e., size and shape) so as to be substantially positioned in the upper cavity 124 of the mouth 102). Therefore, the tissue 122(A) and/or the upper lip 104(A) press the under-lip bone conduction device 100 against the upper gums 116 to assist in retaining the under-lip bone conduction device 100 within the mouth 102 without attachment to the recipient's upper teeth 112 or other structures of the mouth 102.
Merely for ease of illustration, under-lip bone conduction devices in accordance with embodiments presented herein are primarily described herein with an arrangement to be positioned in the upper cavity 124. However, under-lip bone conduction devices in accordance with embodiments presented herein may also be positioned in the lower cavity 115. That is, under-lip bone conduction devices in accordance with embodiments presented herein have an arrangement (i.e., size and shape) so as to be positioned in the lower cavity 115 of the mouth 102. Such an under-lip bone conduction device includes a housing having a front surface with a shape that is complementary to an outer surface of the recipient's lower gums and mandibular alveolar process 111 such that the mandibular alveolar process 111 supports the housing within the mouth (i.e., be configured such that the tissue 122(B) and/or the lower lip 104(B) presses the under-lip bone conduction device against the lower gums 118 to retain the under-lip bone conduction device within the lower cavity 115 of the mouth 102).
The power source 136 is configured to supply operational power to the other components of the under-lip bone conduction device 100. The power source 136 is, for example, one or more rechargeable or replaceable/disposable batteries. In embodiments in which the power source 136 is rechargeable, the electronics package 133 also comprises a charging interface 137 that is used to charge power source 136. In one example, the charging interface 137 is an induction coil configured to permit wireless recharging of the power source 136 when located in proximity to a charging base station (not shown in
The under-lip bone conduction device 100 operates in conjunction with a sound processing unit 138 that is externally worn by the recipient (i.e., located outside of the mouth 102). The under-lip bone conduction device 100 and sound processing unit 138 are sometimes collectively referred to herein as a “bone conduction system” 101. The sound processing unit 138 includes a housing 140 and is, for example, a behind-the-ear (BTE) sound processing unit, a body-worn sound processing unit, etc. Positioned in and/or on the housing 140 are one or more sound input elements 142, a sound processor 144, a transmitter 146, a power source 148, a user interface 150, an external interface module 156, and/or various other operational components (not shown in
The power source 148 is configured to supply operational power to the other components of sound processing unit 138. The power source 148 is, for example, one or more rechargeable or replaceable/disposable batteries.
The sound input elements 142 comprise one or more microphones, telecoils, ports, or other devices configured to receive (detect) sound signals in one or more formats (e.g., analog signals or digital signals). User interface 150, which is included in the sound processing unit 138, allows the recipient to interact with the sound processing unit 138 and/or with the under-lip bone conduction device 100. For example, user interface 150 allows the recipient to adjust the volume, alter the speech processing strategies, power on/off the device, etc. As noted, sound processing unit 138 further includes an external interface module 156 that is used to connect the sound processing unit 138 to an external device (e.g., a fitting system, a remote control, etc.).
In operation, a sound input element 142 receives sound signals 154 and outputs electrical signals that represent the received sound signals. These electrical signals are processed by the sound processor 144 to generate processed signals which are provided to transmitter 146. Transmitter 146 and receiver 132 form a wireless link 152 there between that is used to transfer data signals to the under-lip bone conduction device 100. The wireless link 152 between transmitter 146 and receiver 132 is, for example, a radio-frequency (RF) link, infrared (IR) link, electromagnetic link, capacitive link, etc.
As noted,
Signals transmitted by transmitter 146 are received by receiver 132. The received signals are used to drive/activate transducer 134 so as to generate a mechanical output force in the form of vibrations that are delivered to the recipient. In one example, the vibrations generated by transducer 134 pass through the recipient's soft tissue (e.g., upper gum 116) and are conveyed by rigid tissue (e.g., the maxillary alveolar process 109 and upper maxilla 108), cartilage, etc.) to the recipient's cochlea (not shown), thereby generating motion or vibration of the cochlea fluid. The motion of the cochlea fluid activates the hair cells in the recipient's cochlea. That is, the transducer 134 is configured to generate output forces that cause vibrations that evoke perception of the received sound signals 154.
Transducer 134 may have a number of different arrangements so as to generate mechanical output forces. For example, transducer 134 may be a piezoelectric transducer, an electro-magnetic (EM) transducer, etc. In certain examples, the transducer assembly 131 includes one or components that process/format the signals received from the transmitter 146 for use in driving the transducer 134. This processing/formatting may vary depending on the specific arrangement of the transducer 134 and is not described further herein.
In certain embodiments, the housing 130 is a unitary element to which the transducer 134 is mechanical coupled. However, in other embodiments, the housing 130 includes a housing portion 179 that is vibrationally isolated from the remainder of the housing 130 via an isolation mechanism, such as a plurality of springs 181, compliant/resilient material, etc. The transducer 134 of the under-lip bone conduction device 100 may be attached to the housing portion 179, which is inserted to be in contact with the gums 116. As such, vibration is transferred from the transducer 124 to the gums 116 and maxilla 108.
Similar to the arrangement of
The power source 336 is configured to supply operational power to the other components of the under-lip bone conduction device 300. The power source 336 is, for example, rechargeable or replaceable/disposable batteries. In embodiments in which the power source 336 is rechargeable, the under-lip bone conduction device 300 also comprises a charging interface 337 that is used to charge power source 336. In one example, the charging interface 337 is an induction coil configured to permit wireless recharging of the power source 336 when located in proximity to a charging base station (not shown in
In contrast to the embodiment of
As noted, the under-lip bone conduction device 300 also comprises a receiver 332. The receiver 332 operates as an interface for one or more external devices (e.g., a fitting system, a remote control, etc.).
In certain embodiments, the housing 330 is a unitary element to which the transducer 334 is mechanical coupled. However, in other embodiments, the housing 330 includes a housing portion 379 that is vibrationally isolated from the remainder of the housing 330 via an isolation mechanism, such as a plurality of springs 381, compliant/resilient material, etc. The transducer 334 of the under-lip bone conduction device 300 is attached to the housing portion 379, which is inserted to be in contact with the gums 116. As such, vibration is transferred from the transducer 324 to the gums 116 and maxilla 108.
For ease of illustration, further details of under-lip bone conduction devices in accordance with embodiments presented herein are described with reference to under-lip bone conduction device 100 of
As shown in
The under-lip bone conduction device 100 has an outer width 155 that is the same size as, or larger than, the natural width of the upper cavity 124. As such, when the under-lip bone conduction device 100 is positioned on the maxillary alveolar process 109, the recipient's tissue 122(A) and/or the upper lip 104(A) exerts inward pressure on the under-lip bone conduction device 100 (i.e., applies pressure in the direction of the maxillary alveolar process 109). The pressure applied by the tissue 122(A), coupled with the support provided by the maxillary alveolar process 109 retains the under-lip bone conduction device 100 within mouth 102.
A person's “dental arch” refers to the curving shape formed by the arrangement of a normal set of teeth. The inferior dental arch is formed by the mandibular alveolar process 111 and the mandibular teeth 114, while the superior dental arch is formed by the maxillary alveolar process 109 and the maxillary teeth 112. As shown in
Although a person's dental arch is generally curved, the maxillary alveolar process 109 along the dental arch may not form a planar surface. For example, in certain recipient's, the roots of the upper teeth 112 extend out from the maxillary alveolar process 109, thereby creating an undulating surface at the upper gums 116. In certain embodiments, in addition to cavity 168 that extends along the elongate length of front surface 166, the front surface 166 is also undulating so as to match the undulating surface of the upper gums 116.
It is to be appreciated that different recipient's mouths will include anatomical differences (e.g., different undulating surfaces, different ridgelines, etc.). As such, in accordance with examples presented herein, different portions of the housing 130, such as surface 166, are molded to fit a particular recipient. In one example, the front surface 166 is molded in a substantially rigid arrangement that matches the general convex shape (including ridge 164) of the recipient. In other examples, the surface 166 is formed from a material that is in situ moldable and adapts to the recipient's anatomical features, such as the undulating surface of the upper gums 116, each time it is inserted. Materials that may be used in such embodiments include, for example, encapsulated gel, slow recovery foam, a dilatant material, etc.
As shown in
As noted above, under-lip bone conduction device 100 has a shape that is generally complementary to the outer surface 162 of the recipient's maxillary alveolar process 109 (i.e., a shape so as to be supported within the mouth 102 by the maxillary alveolar process 109). In certain examples, the support provided by the maxillary alveolar process 109, coupled with inward pressure exerted by tissue 122(A), is sufficient to retain the under-lip bone conduction device 100 in the correct position within mouth 102. However in accordance with certain embodiments presented herein, additional fixation/securement mechanisms may be provided. For example, a temporary adhesive (e.g., denture adhesive power, cream, etc.) can be used to further secure the under-lip bone conduction device 100 in a selected location.
As noted above, under-lip bone conduction devices in accordance with embodiments herein have a forward surface that is configured to abut the upper gums 116 of a recipient so as to be positioned adjacent to the maxillary alveolar process 1099 of the recipient. In addition, other surfaces of under-lip bone conduction devices are in contact with other soft tissue (e.g., the tissue 122(A), the upper lip 104(A), etc.). In certain embodiments, one or more surfaces of an under-lip bone conduction device are textured to increase friction between the housing and the soft tissue of the recipient, thereby assisting in retention of the under-lip bone conduction device in the upper cavity of a recipient's mouth. The textured surface(s) function as a securement mechanism to further retain the under-lip bone conduction devices within a recipient's mouth.
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As noted above, embodiments presented herein have been primarily described with reference to an under-lip bone conduction device configured to be positioned in an upper cavity of a recipient's mouth. It is to be appreciated that under-lip bone conduction devices in accordance with alternative embodiments are alternatively configured to be positioned in a lower cavity of a recipient's mouth. Under-lip bone conduction devices configured to be positioned in a lower cavity of a recipient's mouth may have a different shape (e.g., a housing having a front surface with a shape that is complementary to an outer surface of the recipient's lower gums and mandibular alveolar process such that the mandibular alveolar process supports the housing within the mouth), but may otherwise be similar to an under-lip bone conduction device configured to be positioned in the upper cavity of a recipient's mouth.
As described elsewhere herein, under-lip bone conduction devices in accordance with embodiments presented herein are positioned within a recipient's mouth under/behind the upper lip (or possibly the lower lip). The lip and/or adjacent tissue press the under-lip bone conduction devices to the maxillary or mandibular alveolar process to provide solid contact between a transducer within the bone conduction device and the soft tissue adjacent to the maxillary or mandibular alveolar process. As such, vibration generated by under-lip bone conduction devices presented herein pass through the gums to the maxillary or mandibular alveolar process.
It is to be appreciated that the above embodiments are not mutually exclusive and may be combined with one another in various arrangements.
The invention described and claimed herein is not to be limited in scope by the specific preferred embodiments herein disclosed, since these embodiments are intended as illustrations, and not limitations, of several aspects of the invention. Any equivalent embodiments are intended to be within the scope of this invention. Indeed, various modifications of the invention in addition to those shown and described herein will become apparent to those skilled in the art from the foregoing description. Such modifications are also intended to fall within the scope of the appended claims.
This application claims priority to U.S. Provisional Application No. 62/114,279 entitled “Under-Lip Bone Conduction Device,” filed Feb. 10, 2015, the content of which is hereby incorporated by reference herein.
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Number | Date | Country | |
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20160234611 A1 | Aug 2016 | US |
Number | Date | Country | |
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62114279 | Feb 2015 | US |