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    • 1. 发明授权
    • Electrode for implantation into cochlea
    • 用于植入耳蜗的电极
    • US4261372A
    • 1981-04-14
    • US959757
    • 1978-11-13
    • Carl C. HansenOle M. Lauridsen
    • Carl C. HansenOle M. Lauridsen
    • A61F11/00A61F11/04A61N1/05H04R25/00A61N1/04
    • A61N1/0541H04R25/606
    • An electrode in the form of a foil-like flexible, electrically insulating support member having nerve electrodes supported thereupon for implantation into the cochlea. The electrode establishes electrical communication to the acoustic nerves of the human ear, substantially in the area of the cochlea containing the auditory nerves pertaining to that part of the audible spectrum, which is relevant to the intelligibility of speech. The electrode is provided with two prongs and a shank, each prong having a length which corresponds to the length of the turn in the cochlea into which it is to be inserted during implantation and hence the two prongs are of different lengths. Further, each prong terminates in a bevelled pilot guiding member which guides each prong through its respective turn in the cochlea to thereby reduce damage to the auditory nerves. During implantation each prong passes through only a single turn of the cochlea and is prevented from gouging into the walls of the cochlea due to provision of the bevelled guiding member. The guiding member can be provided as a drop-shaped member secured to the end of each prong or by forming an eyelet in the distal ends of the prongs.The present invention is related to an electrode for implantation into the cochlea in order to establish electrical communication to the acoustic nerves of the human ear, the electrode comprising an insulating support member having nerve contact points and associated supply lines.Electrodes of this kind have been described by Martin Sonn and Wolfgang Feist in an article entitled "A prototype flexible microelectrode array for implant-prosthesis applications" in Medical and Biological Engineering, Nov. 1974, pages 778-790 and are illustrated in FIG. 1. This prior art electrode is disposed to be inserted through an aperture in a turn of a patient's cochlea, whose internal ear is defective, in order to establish communication substantially in the area of cochlea containing the acoustic nerves pertaining to that part of the audible spectrum, which is relevant to the intelligibility of speech. Accordingly it has such an extension that it has to be introduced into about nearly two turns of cochlea. It has appeared, however, that a satisfactory result was not attained, in as much as it has certainly been possible to bring the patent to such a condition that she or he could interpret electrical signals supplied through the electrode as being sound but not as being intelligible speech. The present invention is based on the opinion that this fact is due to damaging of the patient's acoustic nerves during the insertion of the electrode into the cochlea. Accordingly, it is an object of the present invention to provide an improved embodiment of an electrode of the kind discussed above, by means of which the damage of the acoustic nerves during the implantation can be avoided.The present invention is based on the acknowledgement, that the entire area of cochlea which is relevant to speech cannot be contacted collectively, because an electrode having a sufficient extension for this purpose will act unavoidably as a chisel, which during the introduction gouges into cochlea and in this way damages the interior walls of cochlea and possibly the acoustic nerves too. Consequently it would be obvious to implant a number of shorter electrodes, but this will cause difficulties in practice. Partly, implantation of a number of electrodes would last a longer time than it would be permitted to keep the lymph-filled cochlea open and partly the attachment of a number of electrode ends or connection of lines to an external signal source would cause further difficulties compared to application of only a single electrode.
    • 具有箔状柔性电绝缘支撑构件形式的电极,其具有支撑在其上的神经电极用于植入耳蜗。 电极建立与人耳的声学神经的电通信,其基本上在耳蜗区域,其包含与声音频谱部分相关的听觉神经,这与语音的可理解性相关。 电极设置有两个尖头和一个柄,每个插脚的长度对应于在植入期间插入其中的耳蜗中的匝的长度,因此两个插脚具有不同的长度。 此外,每个插脚终止于倾斜的引导引导构件,其引导每个插脚通过其在耳蜗中的相应回转,从而减少对听觉神经的损伤。 在植入期间,每个插脚仅通过耳蜗的一匝,并且由于设置有倾斜的引导构件而被阻止进入耳蜗的壁。 引导构件可以被设置为固定到每个插脚的端部上的凹形构件,或者通过在插脚的远端形成孔眼。
    • 4. 发明授权
    • Electrode for implantation into the cochlea (II)
    • 植入耳蜗的电极(II)
    • US4284085A
    • 1981-08-18
    • US959756
    • 1978-11-13
    • Carl C. HansenOle M. Lauridsen
    • Carl C. HansenOle M. Lauridsen
    • A61F11/00A61F11/04A61N1/05H04R25/00A61N1/04
    • A61N1/0541
    • An electrode for implantation into the cochlea. The purpose is to establish electrical communication to the acoustic nerves of the human ear, substantially in the area of the cochlea containing the acoustic nerves pertaining to that part of the audible spectrum, which is relevant to the intelligibility of speech. The problem is, that an electrode inserted into the cochlea certainly has made it possible to bring the patient in such a condition that she or he could interpret electrical signals supplied through the electrode as being sound but not as being intelligible speech.The invention provides an electrode, which has two conditions of curvature, the one of which is temporary and corresponds to the curvature in the middle of the particular turn of the cochlea and the other one of which is permanent and corresponds to the first position of the electrode in the cochlea in which position it obtains an optimum contact to the acoustic nerves. The electrode of the invention further contains elements for changing the condition of curvature from the temporary one to the permanent one, when the electrode has been inserted into the cochlea. The permanent condition of curvature is constituted by the electrode's natural condition of curvature whereas the temporary condition of curvature is established by means of a detachable or loosenable connection, which, until it is detached or loosened, maintains the temporary condition of curvature. A quick and reliable operation is made possible and the probability of obtaining a uniform communication over various frequency ranges along the cochlea is greatly increased.
    • 用于植入耳蜗的电极。 目的是建立与人类耳朵的声学神经的电通信,其基本上在耳蜗区域,其包含与声音频谱部分有关的声学神经,这与语音的可理解性相关。 问题在于,插入耳蜗中的电极肯定使得患者能够将其通过电极解释的电信号解释为声音而不是可理解的语音。 本发明提供一种电极,其具有两个曲率条件,其中一个是临时的,并且对应于耳蜗的特定转弯中间的曲率,另一个是永久的,并且对应于耳蜗的第一位置 耳蜗中的电极,其中它获得与神经的最佳接触。 本发明的电极还具有将电极插入耳蜗时将曲率状态从暂时状态改变为永久状态的元件。 曲率的永久状态由电极的曲率自然条件构成,而通过可拆卸或松动的连接来建立曲率的临时状态,直到其被分离或松动,保持曲率的临时状态。 可以实现快速可靠的操作,并且大大增加沿着耳蜗在各种频率范围内获得均匀通信的概率。