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    • 65. 发明授权
    • Electrical cardiac output forcer
    • 电心输出量
    • US06853859B1
    • 2005-02-08
    • US09693551
    • 2000-10-20
    • Kai KrollMark W. Kroll
    • Kai KrollMark W. Kroll
    • A61N1/362A61N1/39
    • A61N1/3918A61N1/3625A61N1/395
    • An electrical method and apparatus for stimulating cardiac cells causing contraction to force hemodynamic output during fibrillation, hemodynamically compromising tachycardia, or asystole. Forcing fields are applied to the heart to give cardiac output on an emergency basis until the arrhythmia ceases or other intervention takes place. The device is used as a stand alone external or internal device, or as a backup to an ICD, atrial defibrillator, or an anti-tachycardia pacemaker. The method and apparatus maintain some cardiac output and not necessarily defibrillation.
    • 用于刺激引起收缩的心脏细胞以促进原纤维化期间的血流动力学输出,血流动力学上抵消心动过速或心搏停止的电气方法和装置。 强迫场应用于心脏以在紧急情况下产生心输出量,直到心律失常停止或其他干预发生。 该设备用作独立的外部或内部设备,或作为ICD,心房除颤器或抗心动过速起搏器的备用。 该方法和装置维持一些心输出量,而不一定除颤。
    • 66. 发明授权
    • Method and apparatus for reduced feedback in implantable hearing assistance systems
    • 在可植入式助听器系统中减少反馈的方法和装置
    • US06540662B2
    • 2003-04-01
    • US09899594
    • 2001-07-05
    • Kai KrollDonald J. BushekScott C. MeyersonPaul J. Urbanski
    • Kai KrollDonald J. BushekScott C. MeyersonPaul J. Urbanski
    • H04R2500
    • H04R25/456A61F2002/183H04R25/606
    • A method and apparatus assists a hearing impaired person by introducing and maintaining a mechanical feedback barrier between a microphone and a transducer of an implantable hearing assistance system. In this method, mechanical sound vibrations impinging on the person's body habitus are received with an electromechanical device (e.g. microphone) disposed at a body habitus sound reception site. The body habitus sound reception site can be located within the external auditory canal, or external of the external auditory canal either subdermally or external of the scalp. The mechanical sound vibrations are converted with the electromechanical device to an amplified electrical signal. Next, the amplified electrical signal is delivered to the inner ear with a transducer operatively coupled between the electromechanical device and the middle ear or the inner ear. Finally, a mechanical feedback barrier is introduced and maintained between the sound reception site and the transducer to in mimize acoustic feedback therebetween. Preferably, this feedback barrier is established by removing, separating, or fixing, or combinations thereof, a portion of the hearing impaired person's ossicular chain (e.g malleus, incus, or stapes).
    • 一种方法和装置通过在麦克风和可植入式助听器系统的换能器之间引入和维持机械反馈屏障来辅助听障人员。 在该方法中,利用设置在身体习惯声音接收部位的机电装置(例如,麦克风)接收撞击身体习惯的机械声音振动。 身体习惯声音接收部位可以位于外耳道内,也可以位于外耳道的外耳道外部。 机械声振动被机电装置转换成放大的电信号。 接下来,放大的电信号通过可操作地耦合在机电装置和中耳或内耳之间的换能器传送到内耳。 最后,在声音接收位置和换能器之间引入并保持机械反馈屏障,以模仿它们之间的声反馈。 优选地,该反馈屏障是通过去除,分离或固定或组合听觉受损者的小耳链(例如,马蹄骨,砧骨或镫骨)的一部分而建立的。
    • 67. 发明授权
    • Hearing aid transducer support
    • 助听器支持
    • US06488616B1
    • 2002-12-03
    • US09551480
    • 2000-04-18
    • Donald J. BushekKai Kroll
    • Donald J. BushekKai Kroll
    • H04R2500
    • H04R25/606A61F2/18A61F2002/183
    • A support for input and output transducers of a hearing aid is implanted in the middle ear. The support, which is attached to the mastoid bone, can be a single component or comprise two adjustable components. In one embodiment, an arm extends from the proximal end of the support towards an access hole created behind the outer ear, where the arm is attached for further stability. In another embodiment, the arm extends outside the access hole, where it is mounted subcutaneously to the mastoid bone with a mechanical fastener. The support provides positional adjustability, stability, and is invisible externally.
    • 支持助听器的输入和输出换能器植入中耳。 附着于乳突骨的支撑体可以是单个部件或包括两个可调部件。 在一个实施例中,臂从支撑件的近端延伸到在外耳后面形成的进入孔,其中臂被附接以进一步的稳定性。 在另一个实施例中,臂延伸到进入孔的外部,在那里用机械紧固件皮下地安装到乳突骨。 支持提供位置可调性,稳定​​性,并且在外部是不可见的。
    • 68. 发明授权
    • Hearing assistance device sensing otovibratory or otoacoustic emissions evoked by middle ear vibrations
    • 听力辅助装置可感测由中耳震动引起的耳鸣或耳声发射
    • US06342035B1
    • 2002-01-29
    • US09499076
    • 2000-02-04
    • Kai KrollScott C. Meyerson
    • Kai KrollScott C. Meyerson
    • H04R2500
    • H04R25/606A61N1/36036
    • A total middle ear implantable (T-MEI) or partial middle ear implantable (PMEI) hearing assistance system provides a transient middle ear mechanical vibration stimulus, and senses emissions from the cochlea. The sensed cochlear emissions include mechanical vibrations (“otovibratory emissions”) and sound pressure waves (“otoacoustic emissions”). Based on the sensed emissions, diagnostic information is provided to the physician at an external programmer, allowing easier positioning and coupling of an electrical-to-mechanical output transducer. Diagnosis of auditory system or hearing assistance system malfunctions is effectively implemented using the data communicated from the implantable hearing assistance device. Signal processing parameters are adjusted based on the sensed cochlear emissions for improved hearing assistance. Otovibratory emission sensing is likely more sensitive than otoacoustic emissions, providing improved audiometric screening data.
    • 全中耳植入式(T-MEI)或部分中耳可植入式(PMEI)助听系统提供暂时的中耳机械振动刺激,并感测耳蜗的排放。 感测到的耳蜗发射包括机械振动(“振动发射”)和声压波(“耳声发射”)。 基于所感测的发射,诊断信息在外部编程器上提供给医生,允许更容易地定位和耦合电 - 机械输出传感器。 使用从可植入式助听器传送的数据有效地实现听觉系统或助听器系统故障的诊断。 信号处理参数根据感测到的耳蜗发射进行调整,以改善助听器。 振动发射感测可能比耳声发射更敏感,提供改进的听力测试数据。
    • 69. 发明授权
    • Hearing system with middle ear transducer mount
    • 听力系统带中耳传感器座
    • US06315710B1
    • 2001-11-13
    • US08897851
    • 1997-07-21
    • Donald J. BushekKai KrollScott C. Meyerson
    • Donald J. BushekKai KrollScott C. Meyerson
    • H04R2500
    • H04R25/606H04R2225/67
    • An improved partial middle ear implantable (P-MEI) or total middle ear implantable (T-MEI) hearing assistance system includes a device and method of providing between a vibrating auditory element and a transducer that senses or provides such mechanical vibrations adjustably positionable contact at a controllable, adjustable, or calibrated force. A screw adjusts a spacing between first and second members of the transducer mount to position the transducer and obtain the desired coupling force between the transducer and the auditory element. A spring provides an adjustable coupling force. A spacer limits further compression of the spring, providing additional force. A calibrated coupling force is obtained by compressing the spring by a known amount, such as by observing visual demarcations, or by reducing the spacing between the first and second members until the spacing is almost limited by the length of the spacer. Optimal ranges of forces for sensing malleus vibrations are disclosed.
    • 改进的部分中耳可植入(P-MEI)或全中耳植入式(T-MEI)助听系统包括在振动听觉元件和传感器之间提供的装置和方法,所述装置和方法可以感测或提供这样的机械振动,以可调节的位置接触 一个可控的,可调节的或校准的力。 螺钉调节换能器支架的第一和第二构件之间的间隔,以定位换能器并获得换能器和听觉元件之间所需的耦合力。 弹簧提供可调节的联接力。 间隔件限制弹簧的进一步压缩,提供额外的力。 通过例如通过观察视野划分或通过减小第一和第二构件之间的间距来压缩弹簧获得校准的耦合力,直到间隔几乎被间隔物的长度限制为止。 公开了用于感测锤形振动的最佳力量范围。