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1. 发明授权

US06755778B2 Method and apparatus for reduced feedback in implantable hearing assistance systems 有权
标题翻译：在可植入式助听器系统中减少反馈的方法和装置
公开(公告)号：US06755778B2
公开(公告)日：2004-06-29
申请号：US10274641
申请日：2002-10-18
申请人： Kai Kroll , Donald J. Bushek , Scott C. Meyerson , Paul J. Urbanski
发明人： Kai Kroll , Donald J. Bushek , Scott C. Meyerson , Paul J. Urbanski
IPC分类号： H04R2500
CPC分类号： H04R25/456 , A61F2002/183 , H04R25/606
摘要： 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 minimize 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).
摘要翻译：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，在声音接收部位和传感器之间引入并保持机械反馈屏障，以最小化其间的声反馈。优选地，该反馈屏障是通过去除，分离或固定或组合听力受损者的小耳链（例如，马蹄骨，砧骨或镫骨）的一部分而建立的。

2. 发明授权

US06267731B1 Method and apparatus for reduced feedback in implantable hearing assistance systems 有权
标题翻译：在可植入式助听器系统中减少反馈的方法和装置
公开(公告)号：US06267731B1
公开(公告)日：2001-07-31
申请号：US09327345
申请日：1999-06-05
申请人： Kai Kroll , Donald J. Bushek , Scott C. Meyerson , Paul J. Urbanski
发明人： Kai Kroll , Donald J. Bushek , Scott C. Meyerson , Paul J. Urbanski
IPC分类号： A61B500
CPC分类号： H04R25/456 , A61F2002/183 , H04R25/606
摘要： 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 minimize 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).
摘要翻译：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，在声音接收部位和传感器之间引入并保持机械反馈屏障，以最小化其间的声反馈。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。

3. 发明授权

US06540662B2 Method and apparatus for reduced feedback in implantable hearing assistance systems 有权
标题翻译：在可植入式助听器系统中减少反馈的方法和装置
公开(公告)号：US06540662B2
公开(公告)日：2003-04-01
申请号：US09899594
申请日：2001-07-05
申请人： Kai Kroll , Donald J. Bushek , Scott C. Meyerson , Paul J. Urbanski
发明人： Kai Kroll , Donald J. Bushek , Scott C. Meyerson , Paul J. Urbanski
IPC分类号： H04R2500
CPC分类号： H04R25/456 , A61F2002/183 , H04R25/606
摘要： 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).
摘要翻译：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。

4. 发明授权

US06315710B1 Hearing system with middle ear transducer mount 失效
标题翻译：听力系统带中耳传感器座
公开(公告)号：US06315710B1
公开(公告)日：2001-11-13
申请号：US08897851
申请日：1997-07-21
申请人： Donald J. Bushek , Kai Kroll , Scott C. Meyerson
发明人： Donald J. Bushek , Kai Kroll , Scott C. Meyerson
IPC分类号： H04R2500
CPC分类号： H04R25/606 , H04R2225/67
摘要： 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.
摘要翻译：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。

5. 发明授权

US06387038B1 Air cell mountable support shaft 失效
标题翻译：气囊安装支撑轴
公开(公告)号：US06387038B1
公开(公告)日：2002-05-14
申请号：US09498157
申请日：2000-02-04
申请人： Kai Kroll , Scott C. Meyerson
发明人： Kai Kroll , Scott C. Meyerson
IPC分类号： H04R2500
CPC分类号： A61F2/18 , A61F2002/183 , H04R2225/67
摘要： A support shaft for use in supporting a universal connector for use in an implantable hearing assistance system. The support shaft provides an implantation surgeon with several features designed to secure a support shaft within the air cell-filled portion of a temporal bone. The support shaft is further configured to allow the secure attachment of the universal connector, the connector configured to support transducers and other components of an implantable hearing assistance system.
摘要翻译：一种支撑轴，用于支撑用于可植入式助听器系统的通用连接器。支撑轴提供了一种植入外科医生，其具有设计成将支撑轴固定在颞骨的空气细胞填充部分内的若干特征。支撑轴进一步构造成允许通用连接器的牢固附接，连接器被配置成支撑可植入式助听器系统的换能器和其它部件。

6. 发明授权

US6005955A Middle ear transducer 失效
标题翻译：中耳传感器
公开(公告)号：US6005955A
公开(公告)日：1999-12-21
申请号：US693436
申请日：1996-08-07
申请人： Kai Kroll , Theodore P. Adams , Bruce A. Brillhart , Scott C. Meyerson
发明人： Kai Kroll , Theodore P. Adams , Bruce A. Brillhart , Scott C. Meyerson
IPC分类号： A61F11/04 , H04R25/00
CPC分类号： H04R25/606 , A61F2002/183
摘要： An electromechanical transducer for an implantable hearing aid, such as a partial middle ear implantable (P-MEI) or total middle ear implantable (T-MEI) hearing aid system. The invention comprises at least one piezoelectric element proportioned for mechanically coupling to a middle ear only through an auditory element in the middle ear, such as the tympanic membrane, malleus, incus, stapes, or in the inner ear, such as the oval window, round window, vestibule, or semicircular canals. The invention need not be secured to a temporal bone. Inertial masses and a carrier are optionally provided to assist in sensing or producing mechanical vibrations. The carrier is optionally hermetically sealed. Superpositioned individual frequency responses optimize an overall frequency bandwidth.
摘要翻译：用于可植入助听器的机电换能器，例如部分中耳可植入（P-MEI）或全中耳可植入（T-MEI）助听器系统。本发明包括至少一个成比例的压电元件，其仅通过中耳中的听觉元件机械地耦合到中耳，例如鼓膜，锤骨，砧骨，镫骨，或在内耳中，例如椭圆形窗，圆形窗，前庭或半圆形运河。本发明不需要固定在颞骨上。可选地提供惯性质量和载体以辅助感测或产生机械振动。载体可选地气密密封。叠加的个体频率响应优化了总体频率带宽。

7. 发明授权

US06342035B1 Hearing assistance device sensing otovibratory or otoacoustic emissions evoked by middle ear vibrations 失效
标题翻译：听力辅助装置可感测由中耳震动引起的耳鸣或耳声发射
公开(公告)号：US06342035B1
公开(公告)日：2002-01-29
申请号：US09499076
申请日：2000-02-04
申请人： Kai Kroll , Scott C. Meyerson
发明人： Kai Kroll , Scott C. Meyerson
IPC分类号： H04R2500
CPC分类号： H04R25/606 , A61N1/36036
摘要： 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.
摘要翻译：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。

8. 发明授权

US06589189B2 Non-invasive method and apparatus for monitoring intracranial pressure 失效
标题翻译：用于监测颅内压的非侵入性方法和装置
公开(公告)号：US06589189B2
公开(公告)日：2003-07-08
申请号：US09755158
申请日：2001-01-05
申请人： Scott C. Meyerson , Paul Alexandre Avan , Bela Buki
发明人： Scott C. Meyerson , Paul Alexandre Avan , Bela Buki
IPC分类号： A61B500
CPC分类号： A61B5/031 , A61B5/6817 , A61B5/7257
摘要： An intracranial pressure (ICP) monitoring system and method for using such is disclosed. The system stimulates and interprets predictable external effects of elevated ICP. In one embodiment, the system non-invasively and continuously monitors ICP by stimulating and interpreting predictable changes measured in the otoacoustic emission (OAE) signal of the patient. The system may alternately non-invasively and continuously monitor ICP by stimulating, measuring, and interpreting other responses which rely on the transmission of vibrations through the middle ear cochlear interface, such as tympanograms (TGRAMs), ocular-acoustic reflex, auditory brainstem response (ABR), or cochlear microphonics.
摘要翻译：公开了一种颅内压（ICP）监测系统及其使用方法。该系统刺激并解释了ICP的可预测外部影响。在一个实施例中，系统通过刺激和解释在患者的耳声发射（OAE）信号中测量的可预测的变化来非侵入地且连续地监测ICP。该系统可以通过刺激，测量和解释依赖于穿过中耳耳蜗界面的振动传播的其他反应（例如鼓室图（TGRAM）），眼反射，听觉脑干反应（或 ABR）或耳蜗麦克风。

9. 发明授权

US06390971B1 Method and apparatus for a programmable implantable hearing aid 有权
标题翻译：一种可编程植入式助听器的方法和装置
公开(公告)号：US06390971B1
公开(公告)日：2002-05-21
申请号：US09498154
申请日：2000-02-04
申请人： Theodore P. Adams , Bruce A. Brillhart , Scott C. Meyerson
发明人： Theodore P. Adams , Bruce A. Brillhart , Scott C. Meyerson
IPC分类号： H04R2500
CPC分类号： H04R25/606 , H04R25/505 , H04R25/558 , H04R25/70
摘要： The invention discloses a programmable implantable hearing aid including built-in electronics being in wireless communications with a hand-held programmer. The programmer transmits digital code signals of the type including RF, infrared and ultrasonic, based on selected parameter settings. A receiver accepts the signals for transmission to an input transducer in the middle ear. The input transducer collects the middle ear's response to the signals and transmits it to a circuit in the implanted hearing aid. The circuit searches for specific programming patterns and decodes the signals to effectuate the desired adjustment in the hearing aid. The conditioned signals are then transferred to an output transducer to operate the device at the adjusted signal level and condition. The invention enables both a patient and doctor to make unlimited number of adjustments in the implanted hearing aid without invasive surgery.
摘要翻译：本发明公开了一种可编程植入式助听器，其包括与手持编程器无线通信的内置电子装置。编程器根据选择的参数设置发送包括RF，红外和超声波类型的数字代码信号。接收器接收信号以传输到中耳中的输入换能器。输入传感器收集中耳对信号的响应，并将其传输到植入式助听器中的电路。电路搜索特定的编程模式并对信号进行解码，以实现助听器中所需的调整。然后将经调理的信号传送到输出换能器以在调整的信号电平和状况下操作该装置。本发明使得患者和医生能够在无侵入性手术的情况下对植入的助听器进行无限数量的调整。

10. 发明授权

US5179947A Acceleration-sensitive cardiac pacemaker and method of operation 失效
标题翻译：加速敏感性心脏病患者和手术方法
公开(公告)号：US5179947A
公开(公告)日：1993-01-19
申请号：US641549
申请日：1991-01-15
申请人： Scott C. Meyerson , William J. Linder , Keith R. Maile
发明人： Scott C. Meyerson , William J. Linder , Keith R. Maile
IPC分类号： A61N1/365
CPC分类号： A61N1/36542
摘要： An accelerometer based rate adaptive pacemaker generating an acceleration output signal corresponding to sensed acceleration of a patient's body. Apparatus for providing a sensor determined interval is coupled to the acceleration sensor and the sensor determined interval is proportional to the acceleration output signal. Apparatus for determining an actual pacing interval is coupled to an apparatus for determining a generated pacing interval. The generated pacing interval is a function of both the sensor determined interval and the actual pacing interval.

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