scholarly journals Bionic ear prosthesis: the coming future

2020 ◽  
Vol 37 (4) ◽  
pp. 91-100
Author(s):  
S. D. Arutyunov ◽  
A. G. Stepanov ◽  
A. M. Elovikov ◽  
A. S. Arutyunov ◽  
A. A. Yuzhakov ◽  
...  
Keyword(s):  
Hearing Aid ◽  
Radio Channel ◽  
Bone Conduction ◽  
Digital Signal ◽  
Control Device ◽  
Ease Of Use ◽  
Analog To Digital ◽  
Control Configuration ◽  
Aesthetic Characteristics ◽  
Sound Processor

Objective. To develop the bionic ear prosthesis design and a method for its manufacture based on intellectual and medical 3D technologies. Materials and methods. Taking into account the analysis of data from domestic and foreign literature, a bionic ear prosthesis and a device for its manufacture have been developed. During the implementation of the project, digital equipment and software were used. The developed design of a bionic ear prosthesis consists of several components, including an auricle prosthesis and a sound processor inserted into it. This provides the functionality of remote control, configuration and wireless charging. The system is based on the principle of bone conduction. The auricle prosthesis is an external attachment device with high aesthetic characteristics, made of biocompatible materials using modern digital technologies. Built-in hearing aid, includes a microphone; a sound processor based on a digital signal component with built-in analog-to-digital and digital-to-analog converters; Bluetooth radio channel module for communication with the settings control device (Android smartphone); and an emitter of sound vibrations. Results. The expected positive effect is to increase the effectiveness of treatment, rehabilitation and socialization of deaf and hard of hearing patients by reducing the volume of surgical intervention; prevention of postoperative complications; the use of a rational aesthetic design of the auricle epithesis made of biologically compatible materials, with an inclinated highly functional electronic hearing aid integrated with the patient's auditory environment. Conclusions. The combination of these factors can provide a significant reduction in the terms of medical and social rehabilitation of patients of different ages. In addition to the above, a significant advantage of the developed design of a bionic prosthesis and the method of its manufacture is ease of use and economic availability.

Peri-operative cerebrospinal fluid leak during single-stage bone-anchored hearing aid implantation: case report

2014 ◽  
Vol 128 (12) ◽  
pp. 1111-1113
Author(s):  
G Dimbleby ◽  
A Mitchell-Innes ◽  
J Murphy
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Hearing Aid ◽  
Bone Conduction ◽  
Titanium Implant ◽  
Cerebrospinal Fluid Leak ◽  
Implant Placement ◽  
Bone Anchored Hearing Aid ◽  
Fluid Leak ◽  
Sound Processor

AbstractBackground:A bone-anchored hearing aid uses the principle of bone conduction and osseointegration to transfer sound vibrations to a functioning inner ear. It consists of a permanent titanium implant, and removable abutment and sound processor. Informed consent requires discussion of the procedural benefits, alternatives and complications. The risks of bone-anchored hearing aid surgery include infection, soft tissue hypertrophy, skin graft or flap failure, osseointegration failure, and the need for further surgery.Case report:A case of cerebrospinal fluid leak in a patient undergoing bone-anchored hearing aid surgery is reported and discussed.Conclusion:Bone-anchored hearing aid surgery poses a risk of breaching the inner table of the temporal bone and dura, resulting in a cerebrospinal fluid leak; the risk of meningitis is rare but serious. The surgeon should discuss the possibility of cerebrospinal fluid leak when consenting patients. Pre-operative computerised tomography scanning should be considered in certain individuals to aid implant placement.

scholarly journals Review of Bone Conduction Hearing Devices

2021 ◽  
Vol 11 (2) ◽  
pp. 207-219
Author(s):  
Susan E. Ellsperman ◽  
Emily M. Nairn ◽  
Emily Z. Stucken
Keyword(s):  
Hearing Aid ◽  
Bone Conduction ◽  
Sound Transmission ◽  
Ear Canal ◽  
Hearing Devices ◽  
Bone Conduction Hearing ◽  
Single Sided Deafness

Bone conduction is an efficient pathway of sound transmission which can be harnessed to provide hearing amplification. Bone conduction hearing devices may be indicated when ear canal pathology precludes the use of a conventional hearing aid, as well as in cases of single-sided deafness. Several different technologies exist which transmit sound via bone conduction. Here, we will review the physiology of bone conduction, the indications for bone conduction amplification, and the specifics of currently available devices.

scholarly journals Perception Mechanism of Bone-Conducted Ultrasound and Its Clinical Use

2021 ◽  
Vol 11 (2) ◽  
pp. 244-253
Author(s):  
Tadashi Nishimura ◽  
Tadao Okayasu ◽  
Akinori Yamashita ◽  
Hiroshi Hosoi ◽  
Tadashi Kitahara
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Bone Conduction ◽  
Speech Signals ◽  
Clinical Use ◽  
Reported Speech ◽  
Sound Therapy ◽  
Profound Deafness ◽  
Tinnitus Treatment

It is generally believed that ultrasound cannot be heard. However, ultrasound is audible when it is presented through bone conduction. Bone-conducted ultrasound (BCU) has unique characteristics; the most interesting is its perception in patients with profound deafness. Some patients can perceive it and discriminate speech-modulated BCU. Previous reports have suggested that BCU can be used for a hearing aid or tinnitus sound therapy. In this review, the perception of BCU at both the peripheral and central levels was investigated based on previous studies, although some of them remain controversial. We also investigated the clinical use of BCU. To develop hearing aids utilizing BCU, the encoding of speech signals into BCU has to be established. The outcomes of the reported speech modulations were evaluated. Furthermore, the suppression of tinnitus by BCU was reviewed, and the feasibility of the application of BCU to tinnitus treatment was investigated.

The Effects of Receiver Placement on Probe Microphone, Performance, and Subjective Measures with Open Canal Hearing Instruments

2010 ◽  
Vol 21 (04) ◽  
pp. 249-266 ◽  
Author(s):  
Lynzee N. Alworth ◽  
Patrick N. Plyler ◽  
Monika Bertges Reber ◽  
Patti M. Johnstone
Keyword(s):  
Repeated Measures ◽  
Hearing Aid ◽  
Clinical Importance ◽  
Ease Of Use ◽  
Subjective Measures ◽  
Repeated Measures Design ◽  
Hearing Instruments ◽  
Data Collection And Analysis ◽  
Significant Difference ◽  
Occlusion Effect

Background: Open canal hearing instruments differ in method of sound delivery to the ear canal, distance between the microphone and the receiver, and physical size of the devices. Moreover, RITA (receiver in the aid) and RITE (receiver in the ear) hearing instruments may also differ in terms of retention and comfort as well as ease of use and care for certain individuals. What remains unclear, however, is if any or all of the abovementioned factors contribute to hearing aid outcome. Purpose: To determine the effect of receiver location on performance and/or preference of listeners using open canal hearing instruments. Research Design: An experimental study in which subjects were exposed to a repeated measures design. Study Sample: Twenty-five adult listeners with mild sloping to moderately severe sensorineural hearing loss (mean age 67 yr). Data Collection and Analysis: Participants completed two six-week trial periods for each device type. Probe microphone, objective, and subjective measures (quiet, noise) were conducted unaided and aided at the end of each trial period. Results: Occlusion effect results were not significantly different between the RITA and RITE instruments; however, frequency range was extended in the RITE instruments, resulting in significantly greater maximum gain for the RITE instruments than the RITA instruments at 4000 and 6000 Hz. Objective performance in quiet or in noise was unaffected by receiver location. Subjective measures revealed significantly greater satisfaction ratings for the RITE than for the RITA instruments. Similarly, preference in quiet and overall preference were significantly greater for the RITE than for the RITA instruments. Conclusions: Although no occlusion differences were noted between instruments, the RITE did demonstrate a significant difference in reserve gain before feedback at 4000 and 6000 Hz. Objectively; no positive benefit was noted between unaided and aided conditions on speech recognition tests. These results suggest that such testing may not be sensitive enough to determine aided benefit with open canal instruments. However, the subjective measures (Abbreviated Profile of Hearing Aid Benefit [APHAB] and subjective ratings) did indicate aided benefit for both instruments when compared to unaided. This further suggests the clinical importance of subjective measures as a way to measure aided benefit of open-fit devices.

ERRORS CONVERSION ON TRANSFER FUNCTIONS OF MEASUREMENT AND CONTROL

2021 ◽  
Vol 4 ◽  
pp. 92-104
Author(s):  
Valentin Bahatskyi ◽  
◽  
Aleksey Bahatskyi ◽  
Keyword(s):  
Transfer Functions ◽  
Systematic Errors ◽  
Step Function ◽  
Control Device ◽  
Point Of View ◽  
Correct Operation ◽  
Analog To Digital ◽  
Analog To Digital Conversion ◽  
And Control ◽  
Measurement And Control

Currently, the measurement of electrical and non-electrical quantities is performed using analog-to-digital conversion channels, which consist of analog signal conditioning circuits and analog-to-digital converters (ADC) of electrical quantities into a digital code. The paper considers the case when the defining errors of the measurement and control channel are systematic errors of the ADC. The reliability of measurements is assessed by their errors, and the reliability of control - by the likelihood of correct operation of the control device. In our opinion, evaluating the reliability of such similar processes as measurement and control using different criteria seems illogical. The aim of the work is to study the effect of systematic errors of an analog-to-digital converter on the errors of parameter control depending on the type of conformity functions and the width of the control window, as well as the choice of the resolution of the ADC for various control tasks. The paper analyzes the transfer functions of measurement and control. It is shown that they are formed using step functions. It is proposed to use not a step function as a control transfer function, but other functions of conformity to the norm, for example, a linear function or functions of higher orders. In this case, the control result is assessed not according to the criterion of the probability of correct operation, but using the control error. Analyzed from the point of view of reconfiguring the errors of the line, parabolic and state parabolic functions of the norms for the development of changes windows in control. A recommendation has been given for the selection of functions for the conformity of standards and for the distribution of analog-to-digital conversions for industrial control enterprises.

Differences in Force Levels, Word Recognition in Quiet, Sentence Reception Threshold in Noise, and Subjective Outcomes for a Bone-Anchored Hearing Device Programmed Using Manufacturer First-Fit, Aided Sound-Field Thresholds and Programmed to DSL-BCD Using a Skull Simulator

2021 ◽  
Vol 32 (07) ◽  
pp. 395-404
Author(s):  
Adam Voss ◽  
Alison Brockmeyer ◽  
Michael Valente ◽  
John Pumford ◽  
Cameron C. Wick ◽  
...  
Keyword(s):  
Word Recognition ◽  
Best Practice ◽  
Hearing Aid ◽  
Bone Conduction ◽  
Sound Field ◽  
Double Blind ◽  
Best Practice Guidelines ◽  
Data Collection And Analysis ◽  
Hearing Devices ◽  
Subjective Outcomes

Abstract Background Best practice guidelines for verifying fittings of bone-anchored hearing devices (BAHD) recommend using aided sound-field thresholds (ASFT), but express caution regarding the variables impacting obtaining valid and reliable ASFTs.1 Recently, a skull simulator was introduced to facilitate programming BAHD devices in force level (FL) to desired sensation level-bone conduction devices (skull simulator/DSL-BCD)2 3 targets in a hearing aid analyzer. Currently, no evidence is available reporting if differences in measured FL using the manufacturer first-fit (FF) and word recognition in quiet, sentence reception threshold in noise, and subjective outcomes are present for a BAHD programmed using ASFT versus programmed using skull simulator/DSL-BCD targets. Purpose The aim of this study was to examine if significant differences were present in FL using the FF and word recognition in quiet at 50 and 65 decibel of sound pressure level (dB SPL), sentence reception threshold in noise and subjective outcomes using the abbreviated profile of hearing aid benefit (APHAB), and speech, spatial, and qualities of hearing (SSQ) between a BAHD fit using ASFT or skull simulator/DSL-BCD targets. Research Design A double-blind randomized crossover design with 15 adults having unilateral sensorineural hearing loss. All participants were successful users of the Cochlear America Baha 5. Data Collection and Analysis Baha Power 5 devices were fit using FF, ASFT, and skull simulator/DSL-BCD targets. Order of the three fitting strategies was randomly assigned and counter-balanced. Results No significant differences were found for a BAHD device programmed using ASFT versus skull simulator/DSL-BCD targets for consonant-nucleus-consonant words in quiet at 50 or 65 dB SPL, sentence reception threshold in noise, the APHAB or SSQ. There were, however, significant differences, at primarily 500 to 2,000 Hz in measured FLs between the FF, ASFT, and skull simulator/DSL-BCD targets at 50 and 65 dB SPL. Conclusions There were no significant differences in subject performance with two speech measures and subjective responses to two questionnaires for BAHD fittings using ASFT versus using skull simulator/DSL-BCD targets. Differences in FL between the three fitting strategies were present primarily at 500 to 2,000 Hz. Limitations of the study are highlighted along with situations where the skull simulator can play a significantly beneficial role when fitting BAHD devices.

A Speech-to-Noise Ratio Test with the Bone-Anchored Hearing Aid: A Comparative Study

1986 ◽  
Vol 94 (4) ◽  
pp. 421-426 ◽  
Author(s):  
Peder Carlsson ◽  
Bo Håkansson ◽  
Ulf Rosenhall ◽  
Anders Tjellström
Keyword(s):  
Hearing Aid ◽  
Bone Conduction ◽  
Ratio Test ◽  
Speech Discrimination ◽  
Impaired Hearing ◽  
Minor Surgery ◽  
Bone Anchored Hearing Aid ◽  
Bone Conduction Hearing ◽  
Noise Ratio ◽  
Bone Conduction Hearing Aid

Hitherto, for persons with impaired hearing who cannot use an air conduction hearing aid, the only alternative has been a conventional spring-loaded bone conduction hearing aid. Now, with minor surgery, a titanium screw can be implanted in the bone behind the ear and a coupling, which penetrates the skin, can be attached, giving a new kind of hearing aid—the “bone-anchored hearing aid.” Improved quality of sound is one of the patients’ subjective assessments. Improvement was not confirmed by a standard speech-discrimination test. With new speech material consisting of sentences in noise, the speech-to-noise ratio (SN) has been determined for 24 patients. Patients who previously used a conventional bone conduction hearing aid improved their SN on the average by 3.3 dB. The most important difference between the two aids related to improved SN is probably the increased audibility between 600 and 6000 Hz.

scholarly journals DSP-Based Control of Multi-Rail DC-DC Converter Systems with Non-Integer Switching Frequency Ratios

2011 ◽  
Vol 7 (1) ◽  
pp. 9-13
Author(s):  
James Mooney ◽  
Simon Effler ◽  
Mark Halton ◽  
Abdulhussain Mahdi
Keyword(s):  
Digital Signal Processor ◽  
Critical Factor ◽  
Digital Signal ◽  
Switching Frequency ◽  
Control Logic ◽  
Multiple Control ◽  
Analog To Digital ◽  
Improved Performance ◽  
The Individual ◽  
Frequency Ratios

This paper examines the use of non-integer switching frequency ratios in digitally controlled DC-DC converters. In particular the execution of multiple control algorithms using a Digital Signal Processor (DSP) for this application is analyzed. The variation in delay from when the Analog to Digital Converter (ADC) samples the output voltage to when the duty cycle is updated is identified as a critical factor to be considered when implementing the digital control system. Fixing the delay to its maximum value is found to produce reasonable performance using a conventional DSP. A modification of the DSP’s interrupt control logic is proposed here that minimizes the delay and thereby yields improved performance compared with that given by a standard interrupt controller. Applying this technique to a multi-rail power supply system provides the designer with the flexibility to choose arbitrary switching frequencies for individual converters, thereby allowing optimization of the efficiency and performance of the individual converters.

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