Development of Fully-Implantable Middle Ear Hearing Device with Differential Floating Mass Transducer : Current Status

  • Cho Jin-Ho (Advanced Research Center for Recovery of Human Sensibility, Kyungpook National University, School of Electrical Engineering, & Computer Science, Kyungpook National University) ;
  • Park Il-Yong (Advanced Research Center for Recovery of Human Sensibility, Kyungpook National University) ;
  • Lee Sang-Heun (Department of Otolaryngology, School of Medicine, Kyungpook National University)
  • Published : 2005.10.01

Abstract

It is expected that fully-implantable middle-ear hearing devices (FIMEHDs) will soon be available with the advantages of complete concealment, easy surgical implantation, and low power operation to resolve the problems of semi-implantable middle-ear hearing devices (SIMEHDs) such as discomfort of wearing an external device and replacement of battery. Over the last 3 years, a Korean research team at Kyungpook National University has developed an FIMEHD called ACRHS-1 based on a differential floating mass transducer (DFMT). The main research focus was functional improvement, the establishment of easy surgical procedures for implantation, miniaturization, and a low-power operation. Accordingly, this paper reviews the overall system architecture, functions, and experimental results for ACRHS-1 and its related accessories, including a wireless battery charger and remote controller.

Keywords

References

  1. J. I. Suzuki, N. Yanagihara, M. Toriyama, and N. Sakabe, 'Principle, Construction and Indication of the Middle Ear Implant', Advanced in Audiology, Vol. 4, pp. 15-21, 1988
  2. R. L. Goode, M. L. Rosenbaum, and A. J. Maniglia, 'The History and Development of the Implantable Hearing Aid', The Otolaryngologic Clinics of North America, Vol. 28, pp. 1-16, Feb., 1995
  3. H. A. Abbass, M. Kane, S. Garverick, W. H. Ko, and A. J. Maniglia, 'Mechanical, Acoustic and Electromagnetic Evaluation of Semi-implantable Middle Ear Hearing Device (SIMEHD)', ENT-Ear, Nose & Throat Journal, Vol. 76, No 5, pp321-327, 1997
  4. A. Vujanic, R. Pavelka, N. Adamovic, C. Kment, S. Mitic, W. Brenner, and G. Popovic, 'Development of a totally implantable hearing aid', MIEL 2002. 23rd International Conference on, Vol. 1, pp. 235-238, 2002
  5. H. Leysieffer, J. W. Baumann, G. Muller, and H. P. Zenner, 'An implantable piezoelectric hearing aid transducer for sensorineural hearing loss', HNO 45, pp. 792-800, Oct., 1997
  6. I. L. Grant, K. Kroll, E. B. Welling, and S. C. Levine, 'Optimizing the position and force of a piezoelectric malleus sensor', Hearing Aid Research and Development Conference, National Institutes of Health, Bethesda, Maryland, pp. 22-24, Sept., 1997
  7. N. Yanagihara, Y. Hinohira, and K. Gyo, 'Surgical rehabilitation of deafness with partially implantable hearing aid using piezoelectric ceramic bimorpli ossicular vibrator', Auris, Nasus, Larynx, Vol. 24, issue 1, pp. 91-98, Jan., 1997 https://doi.org/10.1016/S0385-8146(96)00025-9
  8. M. P. Thill, J. M. Gerard, P. Garin, and E. Offeciers, 'Belgian experience with the Vibrant Soundbridge prosthesis', ACTA Belges d'ORL, Vol. 56, issue 4, pp. 375-378, 2002
  9. O. Sterkers, D. Bouccara, S. Labassi, J. P. Bebear, C. Dubreuil, B. Frachet, B. Fraysse, J. P. Lavieille, J. Magnan, C. Martin, E. Truy, A. Uziel, and Vaneecloo, 'A middle ear implant, the Symphonix Vibrant Soundbridge: Retrospective study of the first 125 patients implanted in France', Otology and Neurotology, Vol. 24, pp. 427-436, 2003 https://doi.org/10.1097/00129492-200305000-00013
  10. M. Chasin and J. Spindel, 'Middle ear implants: A new technology', The Hearing Journal, Vol. 54, No.8, pp. 33-48, Aug., 2001
  11. B. Fraysse, J. P. Lavieille, S. Schmerber, V. Enee, E. Truy, C. Vincent, F. M. Vaneecloo, and O. Sterkers, 'A Multicentric experience and clinical results with the Vibrant Soundbridge middle ear implant', Otology & Neurotology, Vol. 22, pp. 952-961, Nov., 2001 https://doi.org/10.1097/00129492-200111000-00041
  12. A. F. Snik and C. W. Cremers, 'The effect on the floating mass transducer in the middle ear on hearing sensitivity', The American Journal of Otology, Vol. 21, pp. 42-48, 2000 https://doi.org/10.1016/S0196-0709(00)80111-8
  13. Naoaki Yanagihara, Hidemitu Sato, Yasuyuki Hinohira, Kiyohumi Gyo, and Kiyoharu Hori, 'Long-term Results Using A Piezoelectric Semi-implantable Middle Ear Hearing Device, The Rion Device E-type', Ortolarygn. Cl. of N. A., Vol. 34, no. 2, pp. 389-400, Apr., 2001 https://doi.org/10.1016/S0030-6665(05)70338-8
  14. Douglas A. Chen, 'Phase 1 clinical trial results of the envoy system: A totally implantable middle ear device for sensorinural hearing loss', The American Academy of Otolaryngology, Head and Neck Surgery Foundation Inc., pp. 904-916, 2004
  15. B. S. Song, T. Y. Jung, S. P. Chae, M. N.Kim, and J. H. Cho, 'Proposal and evaluation of vibration transducer with minimal magnetic field interference for use in IME system by in-vitro experiment', IEICE Transactions on electronics, Vol E.85-C, No.6, pp. 1374-1377, Jun., 2002
  16. S. K. Park, K. C. Lee, J. H. Cho, and S. H. Lee, 'Electromagnetic vibration transducer using polyimide elastic body for implantable middle ear hearing aid', Sensors and Actuators A, Physical, pp. 201-207, 2002
  17. B. S. Song, M. K. Kim, Y. H. Yoon, S. H. Lee, and J. H. Cho, 'Design of a Differential Electromagnetic Transducer for Use in IME System', Int. J. IEICE Trans. INF. & SYST, Vol. E87-D, No.5, pp. 1231-1237, 2004
  18. B. S. Song, T. Y. Jung, S. P. Chae, M. N. Kim, and J. H. Cho, 'Proposal and evaluation of vibration transducer with minimal magnetic field interference for use in IME system by in-vitro experiment', IEICE Transactions on electronics, Vol. E.85-C, No.6, pp. 1374-1377, Jun., 2002
  19. M. K. Kim, Y. H. Yoon, H. G. Lim, B. S. Song, I. Y. Park, and J. H. Cho, 'Analysis and Design of Differential Electromagnetic Transducer for Implantable Middle Ear using Finite Element Analysis', Transducers'05, Vol. 1, pp. 796-799, Jun., 2005
  20. A. E. Deddens , E. P. Wilson, T. H. J. Lesser, and J. M. Fredrickson, 'The effects of skin thickness on microphone function', American Journal of Otolaryngology, Vol. 11, issue 1, pp. 1-4, Jan.-Feb., 1990 https://doi.org/10.1016/0196-0709(90)90162-O
  21. M. K. Kim, H. G. Lim, Y. H. Yoon, J. H. Lee, I. Y. Park, B. S. Song, M. N. Kim, and J. H. Cho, 'Design of Implantable Microphone for Artificial Middle Ear System', Journal of Biomedical Engineering Research, Vol. 26, No.3, pp. 139-144, Jun., 2005 https://doi.org/10.2220/biomedres.26.139
  22. Michael C. Pollack, Amplification for the hearing-impaired, Third edition, pp.281-283, 1988
  23. M. Kohno and H. Matsuki, 'Improved transcutaneous signal coils for detecting two-dimensional dislocation', IEEE Transactions on Magnetics, Vol. 35, No.5, pp. 4127-4129, Sept., 1999 https://doi.org/10.1109/20.800777
  24. H. Matsuki, Y. Yamakata, N. Chubachi, S. Nitta, and H. Hashimoto, 'Transcutaneous DC-DC converter for totally implantable artificial heart using synchronous rectifier', IEEE Transactions on Magnetics, Vol. 32, No.5, pp. 5118-5120, Sept., 1996 https://doi.org/10.1109/20.539509
  25. W. S. Lim, J. H. Nho, B. C. Choi, and T. Y. Ahn, 'Low profile contactless battery charger using planner printed circuit board windings as energy transfer device', IEEE 33rd Annual Power Electronics Specialists Conference, Vol. 2, pp. 23-27, Jun., 2002
  26. E. S. Jung, H. K. Kang, et al, ' The Design of an Infrared Transcutaneous Control Unit for Totally Implantable Middle Ear System', IEEK, Vol. 41, pp. 71-78, Sept., 2004
  27. P. R. Troyk and G. A. De Michele, 'Inductively-Coupled Power and Data Link for Neural Prostheses using a Class-E Oscillator and FSK Modulation', Proceeding of the 25th Annual International Conference of the IEEE EMBS, pp. 3376-3379, Sept., 2003
  28. Philip R. Troyk, Mark Edgington., 'Inductive links and drivers for remotely-powered telemetry systems', IEEE, pp. 60-62, 2000