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    • 1. 发明授权
    • Hearing aid microactuator
    • 助听器微型致动器
    • US08876689B2
    • 2014-11-04
    • US13437896
    • 2012-04-02
    • S. George LesinskiArmand P. Neukermans
    • S. George LesinskiArmand P. Neukermans
    • H04R25/00A61N1/05A61B17/16A61N1/36
    • A61B17/1679A61N1/0541A61N1/36036
    • A fenestration piercing the otic capsule bone of the cochlea receives a therapeutic appliance, such as a microactuator, plug, micropump for drug or therapeutic agent delivery, electrode, and the like. Several different ways of achieving a ‘water tight’ seal between the otic capsule bone and the therapeutic appliance are provided. The therapeutic appliance may be implanted with or without a sheath or sleeve lining the wall of the fenestration formed using specialized surgical burrs. The burrs permit safely fenestrating the otic capsule bone adjacent to the scala tympani of the cochlea without damaging the basilar membrane or organ of corti. This approach may also be adopted for safely fenestrating other areas of the inner ear such as the scala vestibuli, bony labyrinth of semicircular canals, or walls of the vestibule, or the oval or round windows thereof.
    • 刺穿耳蜗的耳廓胶囊骨的开窗接收治疗器具,例如用于药物或治疗剂递送的微型致动器,塞子,微型泵,电极等。 提供了在耳廓胶囊骨和治疗器具之间实现“防水”密封的几种不同的方式。 治疗器具可以植入有或不具有衬套在使用专门的手术毛刺形成的开窗壁的护套或套管。 毛刺允许安全地开启邻近耳蜗鼓膜的耳廓胶囊骨,而不损伤基底膜或皮层的器官。 这种方法也可以用于安全地开窗内耳的其他区域,例如scala vestibuli,半圆形运河的骨迷宫或前庭的墙壁,或其椭圆形或圆形的窗户。
    • 2. 发明授权
    • Fenestration burr
    • 开窗毛刺
    • US08828002B2
    • 2014-09-09
    • US13355460
    • 2012-01-20
    • S. George LesinskiGregory N. Koskowich
    • S. George LesinskiGregory N. Koskowich
    • A61B17/00
    • A61B17/1679
    • A cochlear fenestration burr includes a shaft oriented along a longitudinal axis of rotation of the burr, a cylindrical depth stop member oriented along the axis, the depth stop member having a thickness dimension, a diameter dimension and a contact surface, an extension member extended outward from the contact surface and coaxial with the axis, a cutting member having a cutting surface supported by the extension member, and a cutting tip at the end of the cutting member in the center of the cutting surface and coaxial with the axis. A maximum cutting depth is defined by a distance along the axis between an end of the cutting tip and the contact surface. A cutting grit is disposed on the cutting tip and cutting surface.
    • 耳蜗开窗毛刺包括沿着毛刺的纵向旋转轴线定向的轴,沿轴线定向的圆柱形深度止动构件,深度限制构件具有厚度尺寸,直径尺寸和接触表面,延伸构件向外延伸 从所述接触表面并与所述轴线同轴的切割构件,具有由所述延伸构件支撑的切割表面的切割构件,以及在所述切割构件的所述切割构件的所述端部处的与所述轴线同轴的切割尖端。 最大切割深度由切割尖端的端部和接触表面之间的沿轴线的距离限定。 在切割尖端和切割表面上设置切割砂粒。
    • 3. 发明授权
    • Implantable therapeutic appliance for the cochlea
    • 耳蜗植入治疗器具
    • US08192488B2
    • 2012-06-05
    • US11886134
    • 2006-05-22
    • S. George LesinskiArmand P. NeukermansRichard L. GrantKevyn Irving
    • S. George LesinskiArmand P. NeukermansRichard L. GrantKevyn Irving
    • A61F2/18
    • A61F11/004A61B17/1679H04R25/606
    • A set of fenestration burrs, for fenestrating otic capsule bone (34), includes an initial burr (150) and a sequence of fenestration polishing burrs (180). A polishing burr (152, 1521), of each of the burrs (150, 180), carries at least one spiraling flute (166, 166′). Fenestrations (36) piercing the bone (34) formed using the burrs (150, 180) exhibit uniform diameters while excluding bone dust from the inner ear. An implantable casing (72) includes a hollow collar (76) from which projects a hollow sleeve (74) receivable into the fenestration (36). The casing (72) is secured there by at least one prong (92, 102) jutting from the sleeve (74). A therapeutic appliance (134) is insertable into the casing (72). A flange (116) extending from one end of the sleeve (74) carries at least one L-shaped slot (122) open at one end and extending circumferentially around the flange (116).
    • 开窗眼胶囊(34)的一组开窗毛刺包括初始毛刺(150)和开窗抛光毛刺序列(180)。 每个毛刺(150,180)的抛光毛刺(152,1521)承载至少一个螺旋形槽(166,166')。 刺穿使用毛刺(150,180)形成的骨头(34)的开窗(36)显示出均匀的直径,同时从内耳排除骨灰。 植入式外壳(72)包括一个中空套环(76),中空套管(74)可从中间套管(76)伸入开窗(36)。 壳体(72)通过从套筒(74)突出的至少一个尖头(92,102)固定在那里。 治疗用具(134)可插入壳体(72)中。 从套筒(74)的一端延伸的凸缘(116)承载至少一个在一端开口并围绕凸缘(116)周向延伸的L形槽(122)。
    • 4. 发明申请
    • Implanting a Therapeutic Appliance Into the Cochlea
    • 将治疗器械植入耳蜗
    • US20080215148A1
    • 2008-09-04
    • US11886134
    • 2006-05-22
    • S. George LesinskiArmand P. NeukermansRichard L. GrantKevyn Irving
    • S. George LesinskiArmand P. NeukermansRichard L. GrantKevyn Irving
    • A61F2/18
    • A61F11/004A61B17/1679H04R25/606
    • A set of fenestration burrs, for fenestrating otic capsule bone (34), includes an initial burr (150) and a sequence of fenestration polishing burrs (180). A polishing burr (152, 1521), of each of the burrs (150, 180), carries at least one spiraling flute (166, 166′). Fenestrations (36) piercing the bone (34) formed using the burrs (150, 180) exhibit uniform diameters while excluding bone dust from the inner ear. An implantable casing (72) includes a hollow collar (76) from which projects a hollow sleeve (74) receivable into the fenestration (36). The casing (72) is secured there by at least one prong (92, 102) jutting from the sleeve (74). A therapeutic appliance (134) is insertable into the casing (72). A flange (116) extending from one end of the sleeve (74) carries at least one L-shaped slot (122) open at one end and extending circumferentially around the flange (116).
    • 开窗眼胶囊(34)的一组开窗毛刺包括初始毛刺(150)和开窗抛光毛刺序列(180)。 每个毛刺(150,180)的抛光毛刺(152,1521)承载至少一个螺旋形槽(166,166')。 刺穿使用毛刺(150,180)形成的骨头(34)的开窗(36)显示出均匀的直径,同时从内耳排除骨灰。 植入式外壳(72)包括一个中空套环(76),中空套管(74)可从中间套管(76)伸入开窗(36)。 壳体(72)通过从套筒(74)突出的至少一个尖头(92,102)固定在那里。 治疗用具(134)可插入壳体(72)中。 从套筒(74)的一端延伸的凸缘(116)承载至少一个在一端开口并围绕凸缘(116)周向延伸的L形槽(122)。
    • 5. 发明授权
    • Microphones for an implantable hearing aid
    • 可植入助听器的麦克风
    • US5881158A
    • 1999-03-09
    • US862874
    • 1997-05-23
    • S. George LesinskiArmand P. Neukermans
    • S. George LesinskiArmand P. Neukermans
    • A61F11/04A61N1/36H04R19/01H04R25/00
    • H04R25/402H04R19/016H04R25/405H04R25/606H04R2225/61H04R2225/67
    • A implantable sealed microphone (50) includes a diaphragm (52) having a thin central region (54) surrounded by a thicker rim (56). One side of sheet electret material (72) is bonded to the diaphragm (52) while the other side contacts a roughened plate (82). The rim (56) is bonded to a housing (112) thereby hermetically enclosing the electret (72) and the plate (82). The microphone (50) also includes an electrical connector (94) that couples both the plate (82) and the electret (72) to an input of an amplifier (30) included in an implantable hearing aid system (10). Preferably, the microphone (50) is incorporated into a sealed electronics module (100) together with the amplifier (30) and an energy storage device such as a battery that energizes operation of the implantable hearing aid system (10). In such a configuration, the microphone's diaphragm (52) forms a surface of the electronics module's housing (112). An electrical connector (134) couples an output signal from the amplifier (30) to a microactuator (32) of the implantable hearing aid system (10).
    • 可植入式密封麦克风(50)包括具有由较厚边缘(56)围绕的薄中心区域(54)的隔膜(52)。 片状驻极体材料(72)的一面接合到隔膜(52),而另一侧接触粗糙板(82)。 轮缘(56)结合到壳体(112)上,从而气密地包围驻极体(72)和板(82)。 麦克风(50)还包括将板(82)和驻极体(72)耦合到包括在可植入助听器系统(10)中的放大器(30)的输入端的电连接器(94)。 优选地,麦克风(50)与放大器(30)一起并入密封电子模块(100)中,以及诸如电池的能量存储装置,其激励可植入助听器系统(10)的操作。 在这种配置中,麦克风的隔膜(52)形成电子模块的壳体(112)的表面。 电连接器(134)将来自放大器(30)的输出信号耦合到可植入助听器系统(10)的微致动器(32)。
    • 6. 发明授权
    • Implantable auditory system with micromachined microsensor and
microactuator
    • 具有微加工微传感器和微型致动器的植入式听觉系统
    • US5531787A
    • 1996-07-02
    • US8663
    • 1993-01-25
    • S. George LesinskiH. Thurman Henderson
    • S. George LesinskiH. Thurman Henderson
    • A61F11/04H04R25/00A61F2/18A61N1/08
    • H04R25/606A61F2002/183
    • An implantable auditory system for a human subject includes a microsensor, a processor and a microactuator. The microsensor is implanted in the middle ear to transduce sound waves into electrical signals. The processor is implanted in a hole surgically sculpted in the skull and controls amplification and processing of the electrical signals. The microactuator is micromachined from a single crystal and acts as a parallel plate capacitor, with a diaphragm spaced from the rest of the crystal by an extremely small void therebetween. The microactuator is implanted in the middle ear, and it may extend into the inner ear through a surgically formed fenestration or be mounted to the ossicular chain. Electrical signals conveyed to the microactuator set up electric fields across the narrow void and the diaphragm to produce electrostatic forces that cause the diaphragm to vibrate, thereby directly or indirectly vibrating fluid in the inner ear. Use of electrostatic forces to vibrate inner ear fluid reduces electrical current requirements, resulting in increased battery life.
    • 用于人类受试者的可植入听觉系统包括微传感器,处理器和微致动器。 微传感器植入中耳,将声波转换成电信号。 将处理器植入到通过外科手术雕刻在颅骨中的孔中,并控制电信号的放大和处理。 微致动器由单晶体微加工而成,并作为平行平板电容器,其隔膜与晶体的其余部分隔开极小的空隙。 微致动器植入中耳,并可通过手术形成的开窗延伸到内耳中,或者安装在小耳链上。 传送到微致动器的电信号在窄空隙和隔膜上设置电场,以产生导致隔膜振动的静电力,从而直接或间接地振动内耳中的流体。 使用静电力振动内耳液体可减少电流需求,从而延长电池寿命。
    • 7. 发明申请
    • Fenestration Burr
    • 开窗毛刺
    • US20130190764A1
    • 2013-07-25
    • US13355460
    • 2012-01-20
    • S. George LesinskiGregory N. Koskowich
    • S. George LesinskiGregory N. Koskowich
    • A61B17/16
    • A61B17/1679
    • A cochlear fenestration burr includes a shaft oriented along a longitudinal axis of rotation of the burr, a cylindrical depth stop member oriented along the axis, the depth stop member having a thickness dimension, a diameter dimension and a contact surface, an extension member extended outward from the contact surface and coaxial with the axis, a cutting member having a cutting surface supported by the extension member, and a cutting tip at the end of the cutting member in the center of the cutting surface and coaxial with the axis. A maximum cutting depth is defined by a distance along the axis between an end of the cutting tip and the contact surface. A cutting grit is disposed on the cutting tip and cutting surface.
    • 耳蜗开窗毛刺包括沿着毛刺的纵向旋转轴线定向的轴,沿轴线定向的圆柱形深度止动构件,深度限制构件具有厚度尺寸,直径尺寸和接触表面,延伸构件向外延伸 从所述接触表面并与所述轴线同轴的切割构件,具有由所述延伸构件支撑的切割表面的切割构件,以及在所述切割构件的所述切割构件的所述端部处的与所述轴线同轴的切割尖端。 最大切割深度由切割尖端的端部和接触表面之间的沿轴线的距离限定。 在切割尖端和切割表面上设置切割砂粒。
    • 8. 发明申请
    • Hearing Aid Microactuator
    • 助听器微型制动器
    • US20120190914A1
    • 2012-07-26
    • US13437896
    • 2012-04-02
    • S. George LesinskiArmand P. Neukermans
    • S. George LesinskiArmand P. Neukermans
    • H04R25/00
    • A61B17/1679A61N1/0541A61N1/36036
    • A fenestration piercing the otic capsule bone of the cochlea receives a therapeutic appliance, such as a microactuator, plug, micropump for drug or therapeutic agent delivery, electrode, and the like. Several different ways of achieving a ‘water tight’ seal between the otic capsule bone and the therapeutic appliance are provided. The therapeutic appliance may be implanted with or without a sheath or sleeve lining the wall of the fenestration formed using specialized surgical burrs. The burrs permit safely fenestrating the otic capsule bone adjacent to the scala tympani of the cochlea without damaging the basilar membrane or organ of corti. This approach may also be adopted for safely fenestrating other areas of the inner ear such as the scala vestibuli, bony labyrinth of semicircular canals, or walls of the vestibule, or the oval or round windows thereof.
    • 刺穿耳蜗的耳廓胶囊骨的开窗接收治疗器具,例如用于药物或治疗剂递送的微型致动器,塞子,微型泵,电极等。 提供了在耳廓胶囊骨和治疗器具之间实现“防水”密封的几种不同的方式。 治疗器具可以植入有或不具有衬套在使用专门的手术毛刺形成的开窗壁的护套或套管。 毛刺允许安全地开启邻近耳蜗鼓膜的耳廓胶囊骨,而不损伤基底膜或皮层的器官。 这种方法也可以用于安全地开窗内耳的其他区域,例如scala vestibuli,半圆形运河的骨迷宫或前庭的墙壁,或其椭圆形或圆形的窗户。
    • 10. 发明授权
    • Attaching an implantable hearing aid microactuator
    • 安装植入式助听器微型致动器
    • US5951601A
    • 1999-09-14
    • US823224
    • 1997-03-24
    • S. George LesinskiArmand P. NeukermansChristopher P. Neukermans
    • S. George LesinskiArmand P. NeukermansChristopher P. Neukermans
    • A61F2/02A61F2/18H04R25/00
    • H04R25/606
    • A microactuator (32) of an implantable hearing aid system (10) is secured within a casing (50) implanted into a fenestration (52) that pierces the promontory (18) of the otic capsule bone (31). The casing (50) includes a hollow sleeve (62) that has an outer surface (64) and a first end (66) that is received into the fenestration (52). The sleeve (62) also includes an inner surface (68) adapted to receive a barrel (74) of the microactuator (32). The casing (62) also includes a flange (76) that is integral with the sleeve (62) and projects outward from the outer surface (64) of the sleeve (62) about a second end (78) of the sleeve (62). Various means secure the sleeve (62) within the fenestration (52) such as screwing into the promontory (18) or clamping to the promontory (18). The casing may fasten the microactuator (32) to the casing (50) by a threaded attachment, with screws, with button-and-socket snap fasteners, or with a slotted tongue-and-groove lock. A dummy plug may replace the microactuator (32) should removal become necessary.
    • 可植入式助听器系统(10)的微型致动器(32)固定在植入开孔(52)的壳体(50)内,该开窗(52)刺穿耳廓胶囊骨(31)的海角(18)。 壳体(50)包括具有外表面(64)和容纳在开窗(52)中的第一端部(66))的中空套筒(62)。 套筒(62)还包括适于容纳微致动器(32)的筒体(74)的内表面(68)。 外壳(62)还包括与套筒(62)成一体并从套筒(62)的外表面(64)向外突出的凸缘(76),围绕套筒(62)的第二端(78) 。 各种装置固定开窗(52)内的套筒(62),例如拧入海角(18)或夹紧到海角(18)。 外壳可以通过螺纹连接,螺钉,按钮和插座卡扣紧固件或带槽舌槽锁定将微致动器(32)固定到壳体(50)。 如果需要移除,则虚拟插头可以替代微型致动器(32)。