Med-el Elektromedizinische Geraete Gmbh

Daniel Schurzig

Max Frölich

Uwe Steinhardt

Thomas Lenarz

Kathrin Sonntag

An electrode guide device is described for inserting a cochlear implant electrode array into a scala tympany of a patient cochlea has an electrode guide tube and an end positioner at least partially contained within a cavity of the guide tube at the distal end and slidable within the cavity for adjustable extension beyond the distal end. The end positioner has a natural curvature that is constrained by the cavity of the guide tube for any portion contained within the cavity of the guide tube, and any portion of the end positioner extended beyond the distal end follows the natural curvature. The electrode array can be introduced through the groove of the guide tube along a first directional line towards an electrode opening in the patient cochlea, and then the distal end of electrode array emerging from the guide tube is redirected by the extension of the end positioner along a different second directional line through the electrode opening.

Patient specific adjustment of cochlear implant insertion trajectories

A round window coupling device is described for a hybrid electric-mechanical stimulation hearing implant system. A rigid outer shell securely fits into a round window niche in a cochlear outer surface of a recipient patient. An electrode groove in the outer surface of the outer shell snuggly fits around a portion of a cochlear implant electrode array passing through the round window niche. A coupling filling is enclosed within the outer shell to couple mechanical vibrations from the proximal end to the distal end with minimal attenuation. A transducer receiver at the proximal end connects to and receives vibrations from a drive surface of a mechanical transducer. And a drive face at the distal end interfaces to perilymph fluid within the cochlea of the recipient patient to deliver vibrations from the coupling filling to the perilymph fluid with minimal attenuation for perception as sound.

Middle ear implant coupler for mechanical cochlea stimulation via the round window

An implantable electrode arrangement for a cochlear implant system is described. A retraction limiter fits around and securely engages a portion of the distal end of an electrode lead. The retraction limiter includes flexible retraction limiting projections longitudinally distributed along its outer surface. An insertion tube fits around the electrode array and the retraction limiter and engages against the outer surface of the patient cochlea at a cochlear opening. An insertion plunger fits within the insertion tube and engages against the proximal end of the retraction limiter. The insertion plunger slides within the insertion tube to push against the proximal end of the retraction limiter to push the electrode array through the cochlear opening into the patient cochlea.

Fixation component for insertion tools for minimally invasive cochlear implants

An implantable electrode arrangement for a cochlear implant system is described. The arrangement includes an electrode array with an outer surface having electrode contacts to apply cochlear stimulation signals to target neural tissue within an implanted patient cochlea. An electrode lead delivers the cochlear stimulation signals from an implanted signal processor to the electrode array. An electrode transition section includes a distal end portion of the electrode lead that is connected to a basal end portion of the electrode array. An electrode storage device contains the electrode transition section and is secured at an electrode opening in an outer surface of the patient cochlea. The electrode storage device is controllable after being surgically implanted to further insert an additional section of the electrode array from the electrode storage device into the patient cochlea and thereby implant a greater portion of the electrode array more deeply into the patient cochlea.

Full postoperative insertion of partially inserted cochlear implants

A coupling device for a middle ear implant includes a transducer end configured to engage an implantable electromechanical transducer, a bone engagement end configured to engage a temporal bone surface of a recipient patient, a planar loading spring located between the transducer end and the bone engagement end and configured for compression by displacement of the transducer end and the bone engagement end in towards each other, and compression indicators configured to provide visual indication of a pre-load force created on the temporal bone surface by the compression of the loading spring.

Pre-load feedback of a middle-ear coupler

A loading spring has an inner end that engages the outer end of a middle ear transducer, an outer end that engages a fixed anatomical structure within the middle ear of the recipient patient, and a center of mass located on a common line between the inner end and the outer end. The loading spring also has an s-shape with a central spring axis along the common line. And the loading spring is configured for displacement of the inner end and the outer end along the central spring axis to fit the loading spring between the transducer and the fixed anatomical structure with a loading force that is within a defined range and entirely along a center axis of the middle ear transducer and the central spring axis.

Growing community of inventors

Hannover, Germany

Daniel Schurzig