公开(公告)号：US06506164B2

公开(公告)日：2003-01-14

申请号：US09813443

申请日：2001-03-22

申请人： Gabriele Reischl ,  Hans Leysieffer ,  Gerd M. Müller

发明人： Gabriele Reischl ,  Hans Leysieffer ,  Gerd M. Müller

IPC分类号： A61B500

CPC分类号： A61B5/121

摘要： Device for electromechanical stimulation and testing of the hearing, including an electromechanical transducer for producing mechanical vibrations, a mechanical coupling element for transmitting mechanical stimulation vibrations from the electromechanical transducer without surgery through the external auditory canal to the umbo, and thus, to the manubrium malleli of the ossicular chain, a positioning device for positioning the coupling element with reference to the umbo, and a fixing device for secure, play-free linkage of the positioning device to human body, especially the human skull. An intermediate element is provided between the positioning device and the electromechanical transducer, said intermediate element being designed and dimensioned such that the intermediate element transmits quasi-steady-state positioning adjustments from the positioning device to the transducer, but reduces transmission of at least dynamic forces from the positioning device to the coupling element at least to such an extent that the risk of middle or inner ear damage is substantially reduced.

摘要翻译： 用于机电刺激和测试听力的装置，包括用于产生机械振动的机电换能器，用于从机电换能器传递机械刺激振动的机械耦合元件，而不需要通过外耳道到umbo进行手术，并因此传递到马蹄莲 的定位装置，用于将联接元件相对于umbo定位的定位装置，以及用于将定位装置特别是人类头骨安全，无间隙地连接的固定装置。 中间元件设置在定位装置和机电换能器之间，所述中间元件的设计和尺寸使得中间元件将准稳态定位调节从定位装置传递到换能器，但减少至少动力的传递 至少从定位装置到联接元件的程度使得大大降低了中耳或内耳损伤的风险。

公开(公告)号：US08105229B2

公开(公告)日：2012-01-31

申请号：US11783336

申请日：2007-04-09

申请人： Gerd M. Müller ,  Hans Leysieffer

发明人： Gerd M. Müller ,  Hans Leysieffer

IPC分类号： H04R25/00

CPC分类号： H04R25/552 ,  A61F2002/183 ,  H04R25/606

摘要： An at least partially implantable hearing system comprising at least one electromechanical output transducer; a micromanipulator for positioning the transducer and for fixing the transducer in a position set by the micromanipulator, the micromanipulator being adapted to be fixedly attached by fixing means to a skull cap; and a releasable coupling unit disposed between the transducer and the micromanipulator, said coupling unit, in an assembled state, fixing the transducer with respect to the micromanipulator, and, in a released state, permitting removal of the transducer from the micromanipulator.

摘要翻译： 至少部分植入式听力系统，包括至少一个机电输出换能器; 用于定位换能器并用于将换能器固定在由微操纵器设置的位置的显微操纵器，所述显微操纵器适于通过固定装置固定地连接到头盖; 以及设置在所述换能器和所述显微操纵器之间的可释放耦合单元，所述耦合单元处于组装状态，将所述换能器相对于所述显微操纵器固定，并且在释放状态下允许从所述显微操纵器移除所述换能器。

公开(公告)号：US06398717B1

公开(公告)日：2002-06-04

申请号：US09576009

申请日：2000-05-22

申请人： Hans Leysieffer ,  Gerd M. Müller

发明人： Hans Leysieffer ,  Gerd M. Müller

IPC分类号： H04R2500

CPC分类号： H04R25/606 ,  A61F2002/183

摘要： Device for mechanical coupling of an output-side converter part (15) of an electromechanical hearing aid converter (13), which can be implanted in an artificial mastoid cavity outside the region of the middle ear, the converter part having a capacity to be excited to mechanical vibrations, to a preselected coupling site (16) on one of the ossicular chain, the footplate of the stapes, the membrane which closes the round window, or an artificial window in the cochlea, in the vestibulum or in the labyrinth (equilibrium organ), the device comprising a biocompatible, mechanically passive coupling arrangement (17) which is connected to the output-side converter part and which reaches in the implanted state from the mastoid cavity into the tympanic cavity and adjoins the coupling site with the coupling end (18). The coupling end (18) of a coupling element (22, 29, 34, 37, 40, 46, 52, 59, 68, 71, 77, 81, 88, 95) is formed with a contact surface (32) which has a surface shape which is matched or which can be matched to the surface shape of the coupling site and has a surface composition and surface size such that by placing the coupling end against the coupling site dynamic tension-compression force coupling of the coupling element and the preselected coupling site occurs by surface adhesion which is sufficient for reliable mutual connection of the coupling element and the coupling site.

摘要翻译： 用于机电耦合的机电耦合机构，用于机电助听器转换器（13）的输出侧转换器部件（15），其可植入在中耳区域外的人造乳突腔中，所述转换器部件具有被激发的能力 到机械振动，到一个预选的耦合部位（16），其中一个小耳链，镫骨板，闭合圆窗的膜，或耳蜗中的人造窗，前庭或迷宫中的平衡（平衡 器官），该装置包括生物相容的机械无源耦合装置（17），其连接到输出侧转换器部分，并且以植入状态从乳突腔到达鼓室并且与耦合端相连接 （18）。 耦合元件（22,29,34,37,40,46,52,59,68,71,77,81,88,95）的联接端（18）形成有接触表面（32），其具有 表面形状匹配或可与匹配位置的表面形状匹配，并具有表面组成和表面尺寸，使得通过将耦合端抵抗耦合元件的耦合位置动态张力 - 压缩力耦合和 预选的耦合部位通过表面粘附发生，这足以使耦合元件和耦合部位的可靠的相互连接。

公开(公告)号：US07226406B2

公开(公告)日：2007-06-05

申请号：US09938533

申请日：2001-08-27

申请人： Gerd M Müller ,  Hans Leysieffer

发明人： Gerd M Müller ,  Hans Leysieffer

IPC分类号： H04R25/00

CPC分类号： H04R25/552 ,  A61F2002/183 ,  H04R25/606

摘要： An at least partially implantable hearing system comprising at least one electromechanical output transducer; a micromanipulator for positioning the transducer and for fixing the transducer in a position set by the micromanipulator, the micromanipulator being adapted to be fixedly attached by fixing means to a skull cap; and a releasable coupling unit disposed between the transducer and the micromanipulator, said coupling unit, in an assembled state, fixing the transducer with respect to the micromanipulator, and, in a released state, permitting removal of the transducer from the micromanipulator.

公开(公告)号：US06547715B1

公开(公告)日：2003-04-15

申请号：US09613560

申请日：2000-07-10

申请人： Gerd M Müller ,  Hans Leysieffer

发明人： Gerd M Müller ,  Hans Leysieffer

IPC分类号： H04R2500

CPC分类号： H04R25/606

摘要： Implantable arrangement for mechanical coupling of an output-side driver part of an active or passive hearing system, the driver part having a capacity to be excited to mechanical vibrations, to a preselected coupling site on the ossicular chain, the footplate of the stapes or a membrane which closes the round window or an artificial window in the cochlea, in the vestibulum or in the labyrinth (equilibrium organ), via a coupling arrangement which has a coupling element adapted to be connected to a preselected coupling site. The coupling element is provided with a positioning device for selective movement of the coupling element between an open position in which the coupling element is adapted to be engaged with and disengaged from the coupling site, and a closed position in which the coupling element in the implanted state is joined by force fit and/or form fit to the coupling site.

摘要翻译： 用于将主动或被动听觉系统的输出侧驱动器部分（该驱动器部件具有被激发至机械振动的能力）机械联接到可视链上的预选联接部位，镫骨板或 膜，其通过具有适于连接到预选耦合位点的耦合元件的耦合装置封闭耳蜗，前庭或迷宫（平衡器官）中的圆窗或人造窗。 耦合元件设置有定位装置，用于选择性地移动耦合元件在打开位置之间，其中耦合元件适于与耦合部位接合和脱离耦合部分，以及关闭位置，其中植入的耦合元件 状态通过力配合和/或形状配合到联接部位连接。

公开(公告)号：US06540661B1

公开(公告)日：2003-04-01

申请号：US09680489

申请日：2000-10-06

申请人： Gerd M. Müller

发明人： Gerd M. Müller

IPC分类号： H04R2500

CPC分类号： H04R25/606 ,  A61F2/18 ,  A61F2002/183 ,  H04R3/00

摘要： A mechanical coupling for an output-side driver of an active or passive implantable hearing system. The driver is adapted to vibrate a preselected coupling site on an ossicular chain via a first coupling which has a coupling rod which can be caused to vibrate mechanically by the driver and a coupling element which can be connected to the preselected coupling site. The coupling rod and the coupling element are interconnected by at least one coupling. A first coupling half of the coupling has an approximately spherical outside contour which can be accommodated in the inside contour of a second coupling half, i.e. a contour which is at least partially complementary to the outside contour. The is adapted to reversibly swivel and/or turn against friction forces, but is essentially rigid under the dynamic forces which occur in the implanted state.

摘要翻译： 用于有源或无源可植入听力系统的输出侧驱动器的机械耦合。 驱动器适于通过第一联接器在小耳链上振动预选的联接部位，该第一联接器具有可由驱动器机械地振动的联接杆和可连接到预选耦合部位的联接元件。 联接杆和联接元件通过至少一个联接器相互连接。 联接器的第一联接半部具有近似球形的外部轮廓，其可以容纳在第二联接半部的内部轮廓中，即，与外部轮廓至少部分互补的轮廓。 适于可逆地旋转和/或转动抵抗摩擦力，但是在植入状态下发生的动态力下基本上是刚性的。

公开(公告)号：US06482144B1

公开(公告)日：2002-11-19

申请号：US09680488

申请日：2000-10-06

申请人： Gerd M. Müller

发明人： Gerd M. Müller

IPC分类号： H04R2500

CPC分类号： A61F2/18 ,  A61F2002/183 ,  H04R25/606

摘要： A mechanical coupling for an output-side driver of an active or passive implantable hearing system. The driver is adapted to vibrate a preselected site on a member selected from the group comprising the ossicular chain, the footplate of the stapes and a membrane which closes a window in one of the cochlea, the vestibulum and the labyrinth (equilibrium organ), via a first coupling which has a coupling rod, which can be caused to vibrate mechanically by the driver, and a coupling element which can be connected to the preselected coupling site. The coupling rod and the coupling element are interconnected by at least one coupling. The first coupling half of the coupling has a roughly cylindrical outside contour that can be accommodated in the inside contour of a second coupling half, i.e. a contour which is at least partially complementary to the outside contour. In the implanted state, transmission of the dynamic forces between the two coupling halves of the coupling takes place essentially in the direction of the longitudinal axis of the first coupling half The coupling can be reversibly coupled and decoupled and can be adjusted in a reversibly linear and/or rotational manner with reference to the longitudinal axis of the first coupling half, whereas the coupling is essentially rigid under the dynamic forces which occur in the implanted state.

摘要翻译： 用于有源或无源可植入听力系统的输出侧驱动器的机械耦合。 驱动器适于振动来自包括听小骨链，镫骨板的组中的预选位置和在耳蜗，前庭和迷宫（平衡器官）之一中封闭窗口的膜，通过 具有能够被驱动器机械地振动的联接杆的第一联接器和可以连接到预选耦合位置的联接元件。 联接杆和联接元件通过至少一个联接器相互连接。 联接器的第一联接半部具有大致圆柱形的外部轮廓，其可以容纳在第二联接半部的内部轮廓中，即与外部轮廓至少部分互补的轮廓。 在植入状态下，耦合的两个耦合半部之间的动态力的传输基本上在第一耦合半部的纵向轴线的方向上发生。耦合可以可逆地耦合和去耦合，并且可以以可逆的线性和 /或相对于第一联接器半体的纵向轴线的旋转方式，而耦合在植入状态下发生的动力下基本上是刚性的。

公开(公告)号：US07058192B2

公开(公告)日：2006-06-06

申请号：US10010155

申请日：2001-12-10

申请人： Gerd M Müller ,  Hans Leysieffer

发明人： Gerd M Müller ,  Hans Leysieffer

IPC分类号： H04R25/00

CPC分类号： H04R25/604 ,  H04R2225/67

摘要： A fixation element for an implantable microphone is disclosed. In a preferred embodiment the fixation element comprises an essentially cylindrical portion adapted to be inserted into a bore which crosses a wall of the auditory canal of a user, said cylindrical portion, at least in an implanted state of the fixation element, surrounding an outer circumferential portion of a housing part of the microphone, which housing part is provided with a sound receiving member. The cylindrical portion includes at least one elastic region of increased diameter, said elastic region contacting, in the implanted state of the fixation element, a wall of said bore and providing, by elastic restoring forces, for a friction which is sufficiently high to fix said cylindrical portion in at least one of the two axial directions of said bore.

公开(公告)号：US06537199B1

公开(公告)日：2003-03-25

申请号：US09626745

申请日：2000-07-26

申请人： Gerd M. Müller ,  Hans Leysieffer

发明人： Gerd M. Müller ,  Hans Leysieffer

IPC分类号： H04R2500

CPC分类号： A61F2/18 ,  A61F2002/183 ,  H04R25/606

摘要： An implantable arrangement for mechanical coupling of an output driver part of an active or passive hearing system, the driver part being excitable to mechanically vibrate, to a preselected coupling site in the middle or inner ear, such as on the ossicular chain, the footplate of the stapes or the membrane which closes the round window or an artificial window in the cochlea, in the vestibulum or in the labyrinth (equilibrium organ), via a coupling arrangement which has a coupling element which can be connected to the preselected coupling site. The arrangement is provided with an attenuator which adjoins the coupling site in the implanted state and which has entropy-elastic properties.

摘要翻译： 用于将主动或被动听觉系统的输出驱动器部分机械耦合的可植入装置，所述驱动部分可兴奋地机械地振动到中耳或内耳中的预选耦合部位，例如在小耳链上， 镫骨或膜，其通过具有可连接到预选耦合部位的耦合元件的耦合装置封闭圆形窗口或耳蜗中的人造窗口或前庭迷路（平衡器官）。 该装置设置有在植入状态下邻接耦合部位并具有熵弹性特性的衰减器。