• Title/Summary/Keyword: Middle ear implant

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A Study on the Development of a Human Middle Ear Implant (인체 중이 임플란트 개발에 관한 연구)

  • Yoo, Seung-Hyun;Kim, Hak-Kyun;Kim, Jong-Bum;Song, Joon-Ho;Oh, Dae-Jin
    • Korean Journal of Computational Design and Engineering
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    • v.14 no.2
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    • pp.87-95
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    • 2009
  • This paper describes the design of the ossicular replacement prosthesis for the people who have problem of hearing because of middle ear disease. Also the simulation results of the designed product for verification by finite element analysis software (ABAQUS) are presented. New model is applied to middle ear FE analysis which was generated in previous study. The full replacements of ossicular prosthesis for ossicles (malleus, incus and stapes) are made of Hydroxyapatite and Titanium. Although other existing prosthesis models consider only sound amplification effect, current type has damper system which is operating on the audible frequencies. High frequency sound transmitted to inner ear can be reduced and the prosthesis and inner ear can be prevented from damage.

A Case of Middle Ear Implantation Using the Vibrant Soundbridge in a Patient with Bilateral Mixed Hearing Loss (양측 혼합성 난청 환자에서 Vibrant Soundbridge를 이용하여 시행한 인공중이이식술 1예)

  • Shin, Yong Gook;Gu, Ja Won;Kang, Jin Wook;Song, Mee Hyun
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.61 no.12
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    • pp.705-709
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    • 2018
  • It is challenging to achieve sufficient hearing gain in patients with mixed hearing loss. In chronic middle ear diseases, conventional passive reconstructive surgeries often result in suboptimal hearing gain and additional hearing aids may have limitations due to insufficient sound amplification, occlusion effect, acoustic feedback, and skin irritation. Middle ear implantation (MEI) using Vibrant Soundbridge (VSB) is another option for auditory rehabilitation in mixed hearing loss as well as sensorineural hearing loss. The floating mass transducer of VSB can be placed on various middle ear structures either directly or using different types of couplers in order to deliver vibratory mechanical energy to the cochlea. We report a patient who presented with bilateral mixed hearing loss due to chronic otitis media and had limitations using conventional hearing aids in the worse hearing ear. The patient was successfully treated with MEI using the Bell coupler together with middle ear surgery in a single step.

Proposal of Magnetic Coupling Type Implantable Middle Ear Hearing Aid (자기결합방식의 이식형 인공중이의 제안)

  • 정영숙;윤영호;박재훈;송병섭;이승하;김명남;조진호
    • Journal of Biomedical Engineering Research
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    • v.19 no.5
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    • pp.487-495
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    • 1998
  • In this paper, a new type of implantable middle ear hearing aid, which consists of external loop coil, a small magnet and a simple external device, is proposed. The internal device of proposed type consists of only a small magnet and the external device does not need to be positioned behind the ear or in the ear canal. The proposed type is excellent in cosmetic sides and very convenient to use, because the external device can be hidden in upper garment and collar of clothes. Also, purposely this type doesn't need to be small on the size of battery, which means it has longer battery life. Therefore, the battery is not necessary to be charged frequently. It also can solve the difficulty of gap calibration at surgical operation which conventional Implantable middle. Therefore, the battery is not necessary to be charged frequently. It also can solve the difficulty of gap calibration at surgical operation which conventional implantable middle ear hearing aid has. We investigate the performance of proposed implantable middle ear bearing aid and we analyze that proposed type is appropriate for mild and severe hearing impaired person and the result of experiment showed the accuracy of our analysis. For the validation of our analysis we used the temporal bone at the experiment and confirm that ossicles can be vibrated when the proposed system In startled in the body.

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Implementation of Wireless Charger with the Function of Auto-Shutdown for fully Implantable Middle Ear Hearing Devices (완전 이식형 인공중이를 위한 자동 충전종료형 무선 충전장치의 구현)

  • Lee, Jang-Woo;Lim, Hyung-Gyu;Jung, Eui-Sung;Han, Ji-Hun;Lee, Seung-Hyun;Park, Il-Yong;Cho, Jin-Ho
    • Journal of Biomedical Engineering Research
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    • v.28 no.4
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    • pp.539-548
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    • 2007
  • In the paper, a wireless charger with the function of auto-shutdown for fully implantale middle ear hearing devices (F-IMEHD) has been designed. The wireless charger can communicate with an implant module to be turned off automatically shutdown after an internal rechargeable battery has been fully-charged by electromagnetic coupling using two coils. For the communication with an implant module, the wireless charger uses the load shift keying (LSK) method. But, the variation of the mutual inductance due to the different distance between two coils can cause the communication error in receiving the fully-charged signal from an implant module. To solve the problem, the implemented wireless charger has a variable reference generator for LSK communication. The wireless charger generates proper level of the reference voltage for a comparator using an ADC (analog-to-digital converter) and a DAC (digital-to-analog converter). Through the result of experiment, it has been confirmed that the presented wireless charger can detect signals from implantable module. And wireless charger can stop generating electromagnetic flux after an implanted battery has been fully charged in spite of variable coil distance according to different skin thickness.

Vibration Modeling and Optimal Design of Differential Electromagnetic Transducer for Implantable Middle Ear Hearing Devices using the FEA (FEA를 이용한 이식형 인공중이용 차동전자 트랜스듀서의 진동 모델링과 최적 설계)

  • Kim Min-Kyu;Lim Hyung-Gyu;Han Chan-Ho;Song Byung-Seop;Park Il-Yong;Cho Jin-Ho
    • The Journal of the Acoustical Society of Korea
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    • v.24 no.7
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    • pp.379-386
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    • 2005
  • Among various kinds of hearing aids which have been developed so far. the conventional air conduction hearing aids have some problems such as the acoustic distortion, an howling effect due to acoustic feedback. Another type of hearing aid. the cochlear implant system can be applied to the profound imparied person. However. it shows the disadvantage that there is no possibility of recovery of the acoustic organ such as ossicle. On the other hand. the implantable middle ear heaving device directly vibratos the ossicular chain and has better sound qualify. good cosmetics for appearance. and wide frequency responses so that it can overcome the defects or the conventional hearing aids. In this paper, a mathematical modeling and a momentum equation derivation of the DET has been performed. For the optimization of the structure dimension generating maximal vibrating force of the DET. the computer simulation using a finite element analysis (FEA) software has been performed. Also. the vibrating transducer has been designed to make the frequency characteristics or the transducer be similar to those of the normal middle ear. Through the experimental results, the measured vibration characteristics of the DET has been evaluated to verify the performance for the application to implantable middle ear hearing devices.

A Proposal of Output Method of Round Window Stimulation Type Middle Ear Implants using Acoustic Transmission (공기 전도형 출력을 갖는 정원창 자극형 인공중이의 출력방식 제안)

  • Seong, Kiwoong;Lee, KyuYup;Kim, Myoung Nam;Cho, Jin-Ho
    • Journal of Korea Multimedia Society
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    • v.21 no.6
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    • pp.678-684
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    • 2018
  • In order to broaden the indication of middle ear implant, research has been actively conducted on the reverse output method that stimulates the round window. However, it is very difficult to transmit the vibration output effectively because the indivisual anatomical difference of the round window niche is very large and also the visual field is not secured even by a skilled otolaryngologic surgeon. In this paper, we propose a new reverse stimulation method of middle ear implants that transmits energy to the inner ear by using air as a medium. This can compensate for the disadvantages of the conventional method of transmitting vibration energy and minimizes the energy transfer efficiency interference due to the combination of the excitation point and the output device. It was shown that forward and backward transfer characteristics were obtained by cadaveric experiments, and it was shown that it can overcome the acoustical impedance of high round window and transmit energy to inner ear. The receiver, which is the output device of the conventional hearing aids, can generate a constant volume velocity, so it can have a high output at a limited volume, such as a round window niche. So, suggested method can overcome the high acoustical impedance of the round window and deliver acoustic energy to the inner ear.

DFMT Electromagentic Transducer for Implantable Middle Ear Hearing Aid (이식형 인공중이 시스템을 위한 차동 플로팅매스형 전자 튜랜스듀서)

  • 송병섭;박재훈;윤영호;배상곤;채승표;김명남;이상흔;이건일;조진호
    • Journal of Biomedical Engineering Research
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    • v.20 no.5
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    • pp.625-632
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    • 1999
  • 이식형 인공중이에 사용되는 전자트랜스듀서는 압전형 트랜스듀서에 비해 음향특성은 좋으나 부피가 크고 효율이 낮으며 수술시 정밀한 코일-자석 간격 조정이 필요하며, 최근 제안된 FMT 트랜스듀서는 외부 자장의 변화에 민감하다는 문제점이 지적되고 있다. 본 논문에서는 코일-자석 간격조정이 필요 없고 외부자장에 영향을 받지 않는 차동 플로팅메스형 전자 트랜스듀서를 제안하였다. 제안된 방식은 2개의 소형 자석을 같은 극끼리 접합함으로써 외부자장에 대해 영향을 받지 않고 효율이 높은 등의 장점을 가진다. 제안된 트랜스듀서의 진동력 및 효율에 관한 정량적인 해석을 하였으며 기존의 트랜스듀서와 비교분석을 행하였다. 그리고 공급전류에 대해 발생되는 진동력의 크기를 계산함으로서 실제 이식형 인공중이의 제작에 필요한 객관적인 설계데이타를 제시하였다. 한편, 시험 제작된 트랜스듀서의 해석결과 제안한 트랜스듀서는 기존의 FMT 트랜스듀서보다도 효율이 1.5배 정도의 향상됨을 보였으며 무부하시험 및 사체의 이소골 진동실험을 통하여 적절한 진동을 효과적으로 이소골에 전달할 수 있음을 보였다.

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Design of High Efficiency Differential Electromagnetic Type Transducer for Implantable Middle Ear System (이식형 인공중이 시스템을 위한 고효율 차동 전자 트랜스듀서의 설계)

  • Song, Byung-Seop;Ro, Chul-Kyun;Kim, Myoung-Nam;Cho, Jin-Ho
    • Journal of Sensor Science and Technology
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    • v.11 no.3
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    • pp.171-182
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    • 2002
  • The differential electromagnetic transducer for IME(implantable middle ear) system, which have two small permanent magnets glued with the same pole facing each other in the coil, has high vibration efficiency and does not influenced by external magnetic field. In this paper, using finite element method, highly efficient structure of the transducer was proposed and vibration force of the transducer was calculated by electromagnetic theory. And the necessary vibration force of transducer to transmit the sound signal to inner ear when the transducer is attached at stapes was calculated and the design parameters of the transducer were investigated. Using the parameters, the differential electromagnetic transducer was manufactured in small size to implant in confined human middle ear. And it was examined by unloaded and loaded vibration experiment using temporal bone sampled from cadaver.

Lumped Mechanical Model of Electromagnetic Floating Mass Transducer Implanted on Human Middle Ear (이소골에 장착된 전자기 플로팅매스 진동체에 대한 집중 질량-스프링 모델의 제안)

  • Seong, Ki-Woong;Kim, Min-Woo;Lee, Jang-Woo;Lim, Hyung-Gyu;Jung, Eui-Sung;Kim, Dong-Wook;Lee, Myung-Won;Lee, Jung-Hyun;Kim, Myoung-Nam;Lee, Kyu-Yeop;Lee, Sang-Heun;Park, Il-Yong;Cho, Jin-Ho
    • Journal of Biomedical Engineering Research
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    • v.30 no.2
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    • pp.162-168
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    • 2009
  • Implantable middle ear hearing devices (IMEHDs) have been widely studied as an alternative hearing aids to solve the problems of conventional hearing aids. Vibration transducer of middle ear hearing aids is a key component because vibration characteristics of transducer is directly involved performance of hearing aids. So, the study about middle ear hearing aids concentrate on the transducers. A floating mass type transducer is most efficient. In this paper, we suggest a lumped mechanical model of electromagnetic floating mass transducer implanted on human middle ear. The proposed model enables analysis of the vibration characteristics of a floating mass transducer and prediction of the variation after implant on ossicle that offers a simple and easy to analyze. The parameters was drawn based on the components and the structures of transducer. The Lumped mechanical model was converted by the electrical-mechanical equivalent model, and simulated using PSpice. So, we investigated vibration characteristics of transducer influenced it's components. And we predict vibration characteristics of stapes footplate due to implanted transducer's vibration using combining model of transducer and human ear. To prove the feasibility of the suggested model, we fabricated a differential floating mass transducer (DFMT) as one of floating mass transducers and performed experiments using the human temporal bones.

Implementation of Fitting Software for Fully Implantable Middle Ear Hearing Device (완전 이식형 인공중이용 적합 소프트웨어의 구현)

  • Lee, J.W.;Jung, E.S.;Lim, H.K.;Lee, J.H.;Seong, K.W.;Kim, M.N.;Cho, J.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.3 no.1
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    • pp.21-25
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    • 2009
  • Generally, fully implantable middle ear hearing device (F-IMEHD) is implanted under the skin nearby human temporal bone with all components including implantable microphone and vibration transducer. The microphone and transducer have different characteristic before and after implant. Fitting process is performed for this characteristic change of them and proper performance of hearing aids for each patient. Conventional hearing aids and partially implantable hearing aids, they have wired connector for fitting process. However in case of F-IMEHD, it is difficult this wired connection, because all components of F-IMEHD is implanted. In this paper, fitting software that can be apply wireless fitting hardware for F-IMEHD has been designed and implemented. It can find out proper fitting parameter reflecting characteristics of the microphone and transducer for patients who has difficulty in hearing.

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