Epic Biosonics Inc.

No. 182 Corporate Ventures Ltd.

Med-el Elektromedizinische Geraete Gmbh

Alan Lupin

Peter G Berrang

Henry Bluger

Stacey D Jarvin

Ewa J Lupin

Ian Booth

Terence Miranda

Henryk Klosowski

Sean A McNiven

The invention comprises a totally implantable hearing prosthesis for hearing impaired persons. An inertial vibrational element is hermetically sealed and implanted in bone between the lateral and superior semicircular canals without breaching the integrity of the canals. The vibrational element is adapted to vibrate the walls of the canals and the fluids contained therein, thereby vibrating contiguous fluids within the cochlea thus stimulating hair cells and creating a hearing percept. The invention can also be adapted to be a tinnitus masking system, and/or used in combination with a cochlear implant hearing system.

Totally implantable hearing prosthesis

The invention comprises a surgically implantable hearing aid for hearing impaired persons. The hearing aid includes a vibrational element which is vibrated by sound waves and attached to the skull of the person, and a connector which crosses the mastoid cavity and delivers the sound waves to the dura mater of the human being thereby vibrating the dura mater, the cerebrospinal fluids, and the brain to create a hearing percept. The invention can also be adapted to act as a tinnitus masker or used in conjunction with a cochlear implant. It can also be used in a modified form to connect directly through the skull of the human being.

Surgically implantable hearing aid

The invention comprises a surgically implantable hearing aid for hearing impaired persons. The hearing aid includes a vibrational element which is vibrated by sound waves and attached to the skull of the person, and a connector which crosses the mastoid cavity and delivers the sound waves to the dura mater of the patient thereby vibrating the dura mater, the cerebrospinal fluids, and the brain to create a hearing percept. The invention can also be adapted to act as a tinnitus masker or used in conjunction with a cochlear implant. It can also be used in a modified form to connect directly through the skull of the person.

A totally implantable cochlear prosthesis is presented. An externally-activated subcutaneous switch controls functions of the prosthesis. A pliable bridge connecting two hermetically sealed housing sections, and corrugated conductor lines, provide for future dimensional changes due to head growth. An encapsulated microphone is positioned underneath the skin in the posterior wall of the external auditory canal. A modiolus-hugging electrode array is inserted into one of the cochlea scala. Periodic charging of the implanted battery is accomplished via an external mechanically held head-mounted device containing an external coil, said external coil inductively coupling electrical power to an implanted receiving coil. The external and implanted coils can also be used as a communication link to program the implanted electronics.

Totally implantable cochlear prosthesis

A totally implantable microphone for use with an implanted hearing aid comprises a cylindrical bio-inert housing having a bio-inert metallic membrane at the acoustic sensing end and a bio-inert plate containing electrical lead-throughs at the other end. The cylindrical housing is implanted in the posterior wall of the external auditory canal, with the thin auditory canal skin overlaying the microphone membrane surface. Surface features on the housing ossiointegrate it to the auditory canal bone, and a flange on the housing posterior end prevents post-operative migration into the auditory canal. A support plate beneath the membrane limits inward flexing and increases the signal-to-noise ratio. A protruding rim around the membrane perimeter acts to protect the membrane from rupturing during outward flexure. Lithographically formed wires laminated in a thin inert polymer and connected to the lead-throughs enable the overall length of the encapsulated microphone to be very short.

Implantable microphone for use with a hearing aid or cochlear prosthesis

A surgical method and tools are described for the implantation of electrode arrays into the canalis cochlearis of profoundly deaf persons. Access to the canalis cochlearis is via the bony exterior ear canal and the middle ear, rather than the conventional route of drilling a cleft through the mastoid region posterior to the ear. Preferably entry to the canalis cochlearis is at a tangential angle to the curve of the basal turn. A template is used for landmarking the site for tangentially drilling into the canalis cochlearis comprising a plate shaped to be positioned by reference to the round window of the middle ear and the oval window. A device for holding open the field of view for the surgeon during implantation comprises elongated funnels.

Means for implanting a device in the canalis cochlearis

A multi-bipolar configured electrode array and means to uniquely position said array within the scalae of the human cochlea is described. Said array is inserted into the scala tympani, scala vestibuli or both, by a surgeon. The electrode array may be pre-formed to lightly hug the modiolar wall of a scala so as to position the electrodes in close proximity to the cochlear spiral lamina and spiral ganglia in the modiolus. Mechanical features within said array allow the surgeon to further position said array against the modiolar wall of the scala, post insertion, and to mechanically retain such positioning of said array. Such positioning is in close proximity to surviving neural sites in the spiral lamina and/or spiral ganglion cells in the modiolus to efficiently stimulate functioning auditory neural elements. The multi-bipolar electrode configuration achieves a high degree of spatial selectivity, thus improving the implantee's speech percepts.

Modiolar hugging electrode array

A totally implantable cochlear prosthesis is presented. Said prosthesis is designed to function for hours or days without any external components. An externally-activated subcutaneous pressure switch enables the user to adjust the perceived volume by pressing against the skin with a finger. A similar second pressure switch provides a safety &ldquo;off/on&rdquo; feature. A pliable bridge connecting two hermetically sealed housing sections, and corrugated conductor lines, provide for future dimensional changes due to head growth. A titanium encapsulated microphone is positioned underneath the skin in the posterior wall of the external auditory canal. A modiolus-hugging electrode array is inserted into one of the cochlea scala. Periodic charging of the implanted battery (contained within one of the housing sections) is required, such charging accomplished via an external mechanically held head-mounted device containing an external coil, said external coil inductively coupling electrical power to an implanted receiving coil. The external and implanted coils can also be used as a communication link to program the implanted electronics.

A dual prong hearing prosthesis for surgical implantation into both the scala tympani and the scala vestibuli of the inner ear of deaf persons is presented. The prosthesis consists of two prongs each with a plurality of closely spaced electrodes at the proximal end, said electrodes configured to stimulate the auditory nerves of the inner ear at a plurality of sites. One prong carries circumferentially-configured electrodes while the electrodes of the other prong are longitudinally-configured in relation to the length of the prong. Conductor lines from each electrode on both prongs terminate at the distal end in a contact pad arrangement thereby enabling convenient electrical connection between the implant and speech processing electronics. Means are disclosed to minimize kinking of the prongs during implantation, and to enable the electrodes to be in close proximity to the modiolus and basilar membrane thereby allowing for a high degree of versatility in selecting discrete stimulation sites.

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Victoria, Canada

Alan Lupin