Method for creating a coupling between a device and an ear structure in an implantable hearing assistance device
A method for creating a coupling between an implantable device, such as a transducer, and a structure of the ear, such as an ossicle, in an implantable hearing assistance device. The coupling permits slip between the device and the structure and provides a neutral load. The device is positioned such that it either lightly touches or is positioned away from the structure. In one embodiment, the surface of the device or the structure is cleaned while the remaining surface, that is, the surface not cleaned, is coated with a solution. An adhesive material is applied between the device and the structure. The solution prevents a bond from forming at that interface while a bond forms at the remaining surface. Alternatively, a compliant adhesive may be used. In another embodiment, the surface of the device is coated with a gel, the gel optionally being covered with a metallic foil.
1. A method for creating a coupling in an implantable device for the ear, the method comprising the steps of:
providing a device for coupling to a structure of the ear;
positioning the device proximate the structure;
cleaning the surface of the device;
coating the surface of the device with a gel;
applying an adhesive between the device and the structure;
allowing the adhesive to cure.
2. The method of claim 1 , further including the step of covering the gel with a metallic foil.
3. The method of claim 1 , wherein the adhesive is bone dust mixed with fibrin glue.
4. The method of claim 1 , wherein the adhesive is blood.
5. The method of claim 1 wherein the adhesive is a biocompatible cement.
6. The method of claim 1 , further including the step of cleaning and suctioning the surface of the structure before coating.
7. The method of claim 1 , wherein the gel is a silicone.
8. The method of claim 1 , wherein the gel is a hydrogel.
9. The method of claim 1 , wherein the gel is a viscous fluid.
10. The method of claim 1 , wherein the device is a transducer.
11. The method of claim 1 , wherein the device is a prosthesis.
12. The method of claim 1 , wherein the structure is an ossicle.
13. The method of claim 1 , further including the step of separating the structure and the device to break any bonding that has occurred.
14. The method of claim 1 , wherein step of positioning the device further includes positioning the device a distance of between ¼ and ½ mm from the structure.
15. The method of claim 1 , wherein step of positioning the device further includes positioning the device a distance of between ¼ and 1 mm from the structure.
16. The method of claim 1 , further including the step of coating the surface of the structure with a thin layer of solution before the step of applying an adhesive between the device and the structure.
17. The method of claim 16 , wherein the solution is an aqueous solution.
18. The method of claim 16 , wherein the solution inhibits bonding between the adhesive and the structure.
19. A method for creating a coupling in an implantable hearing assistance device, the method comprising the steps of:
providing a transducer having a transducer tip configured for contact with an ossicle extending therefrom;
positioning the transducer tip proximate an ossicle of the middle ear;
cleaning a surface of the transducer tip;
coating the surface of the transducer tip with a gel;
applying an adhesive between the transducer tip and the ossicle; and
allowing the adhesive to cure.
20. The method of claim 19 , further including the step of covering the gel with a metallic foil.
21. The method of claim 19 , wherein the adhesive is blood.
22. The method of claim 21 , further including the step of mixing the blood with bone dust.
23. The method of claim 19 wherein the adhesive is a biocompatible cement.
24. The method of claim 19 , further including the step of cleaning and suctioning the surface of the ossicle before coating.
25. The method of claim 19 , further including the step of separating the ossicle and the transducer tip to break any bonding that has occurred.
26. The method of claim 19 , wherein step of positioning the transducer tip further includes positioning the transducer tip a distance of between ¼ and 1 mm from the ossicle.
27. The method of claim 19 , wherein the transducer is an input transducer.
28. The method of claim 27 , wherein the ossicle is a malleus.
29. The method of claim 27 , wherein the ossicle is an incus.
30. The method of claim 19 , wherein the transducer is an output transducer.
31. The method of claim 19 , wherein the ossicle is a stapes.
32. The method of claim 19 , further including the step of mounting the transducer to the mastoid.
33. The method of claim 19 , further including the step of coating the surface of the ossicle with a thin layer of solution before the step of applying an adhesive between the transducer tip and the ossicle.
34. The method of claim 33 , wherein the solution is naturally occurring on the surface of the ossicle.
35. A method for creating a coupling in an implantable transducer for the ear, the method comprising the steps of:
providing the transducer having a tip configured for contact with a structure of the ear;
positioning the transducer tip proximate the structure;
cleaning a surface of the transducer tip;
applying a compliant adhesive between the transducer tip and the structure; and
allowing the adhesive to cure.