Method and apparatus for implanting hearing device

• US 4,774,933 A
• Filed: 11/17/1987
• Issued: 10/04/1988
• Est. Priority Date: 05/18/1987
• Status: Expired due to Fees

• Current Assignee: Xomed Surgical Products, Inc. (Medtronic Plc)
• Original Assignee: Xomed Inc. (Medtronic Plc)
• Inventors: DiCarlo, Paul, Hough, Jack V. D.
• Primary Examiner(s): Lazarus, Ira S.
• Assistant Examiner(s): Cole, Richard R.
• Application Number:
  US07/122,590
• Time in Patent Office: 322 Days
• US Class Current: 600/25
• CPC Class Codes: A61B 17/862 at the periphery of the screw head
• CPC Class Codes: A61B 17/8875 Screwdrivers, spanners or wrenches
• CPC Class Codes: A61B 17/8883 the driver bit acting on the periphery of the screw head
• CPC Class Codes: A61F 11/20 Ear surgery
• CPC Class Codes: H04R 2460/13 Hearing devices using bone conduction transducers
• CPC Class Codes: H04R 25/606 acting directly on the eardrum, the ossicles or the skull, e.g. mastoid, tooth, maxillary or mandibular bone, or mechanically stimulating the cochlea, e.g. at the oval window

Abstract

A bone conduction hearing device in the form of a magnetic disk is implanted and fastened to the temporal bone by a screw thread connection. Apparatus includes instruments for accurately drilling and tapping a hole in the temporal bone, and a wrench for tightening the magnetic disk hearing device against the bone.

Claims

1. A method for implanting a magnetic disk means on the mastoid bone to enhance sound transmission, the method comprising the steps of:

(1) making an incision behind the ear and exposing the linea temporalis of the temporal bone;

(2) drilling a hole in a substantially flat surface of the temporal bone;

(3) tapping the drilled hole to provide internal screw threads therein;

(4) attaching a magnetic disk means having a flat lower surface to the temporal bone by a screw means threaded into the tapped hole of step (3);

(5) tightening the screw means to cause the flat lower surface of the magnetic disk means to lie snugly against the flat surface of the temporal bone; and

(6) closing the incision with the magnetic disk means implanted abutting against the temporal bone.

2. The method of claim 1 wherein between steps (1) and (2), further comprising step (7) machining the exposed surface of the temporal bone to produce a small flat surface.

3. The method of claim 1 wherein step (2) includes the steps of (7) drilling a small central hole, and (8) drilling a plurality of small guide holes spacedly about the central hold to receive an identical plurality of pins to support a guide means for tapping of the drilled hole of step (2).

4. The method of claim 1 wherein step (5) includes the step of (7) rotating a wrench means to provide a selected maximum torque to the screw means in attaching the magnetic disk means to the temporal bone.

5. The method of claim 1 wherein step (3) includes the step of (7) tapping the drilled hole to a preliminary diameter, and (8) retapping the tapped hole to the final desired diameter and thread size.

6. A method for implanting a magnetic disk means on the mastoid bone to enhance sound transmission, the method comprising the steps of:

(1) making an incision behind the ear and exposing the linea temporalis of the temporal bone;

(2) drilling and tapping a hole in a substantially flat surface of the temporal bone;

(3) attaching a magnetic disk means having a flat lower surface to the temporal bone by a screw means threaded into the drilled and tapped hole of step (2);

(4) tightening the screw means to cause the flat lower surface of the magnetic disk means to lie snugly against the flat surface of the temporal bone; and

(5) closing the incision with the magnetic disk means implanted abutting against the temporal bone.

7. A method for enhancing hearing comprising the steps of:

making an incision and exposing a portion of patient'"'"'s skull;

subcutaneously implanting into the exposed skull portion a first member including a magnetic portion and capable of receiving electromagnetic signals and generating vibrations;

securing the first member in contact with and to the skull portion;

closing the incision;

magnetically securing a second member capable of transmitting electromagnetic signals to the magnetic portion of the first member; and

transmitting electromagnet signals transcutaneously from the first member to the second member and generating vibrations in the skull portion in contact with the first member which are conducted to the patient'"'"'s inner ear.

8. The method of claim 7 wherein the first member includes a bone screw and the step of securing includes drilling a hole into the skull portion and screwing a portion of the bone screw into the hole.

9. The method of claim 7 wherein the first member includes a bone screw and the step of securing includes the steps of drilling a hole and tapping the hole with screw threads in the skull portion and screwing a portion of a bone screw into the tapped hole.

10. The method of claim 9 wherein the step of drilling further includes drilling a central hole and plurality of predeterminedly spaced guide holes about the central hole, supporting a guide member in the guide holes, and guiding a tapping member with the guide member for tapping the central hole.

11. The method of claim 9 wherein the step of tapping includes tapping the drilled hole to a preliminary diameter and subsequently retapping the tapped hole to a final diameter.

12. The method of claim 9 wherein the exposed skull portion is a temporal bone and the magnetic portion includes a magnetic disk attached to the bone screw and the step of securing includes abutting the magnetic portion against the temporal bone.

13. The method of claim 12 wherein the step of securing includes using a tool having a selected maximum torque to screw the bone screw to the temporal bone.

14. The method of claim 13 wherein the step of securing includes rotating a wrench to produce the selected maximum torque to screw the bone screw to the temporal bone.

15. The method of claim 12 further comprising machining the temporal bone to produce an exposed flat surface to be contacted by the magnetic portion.

16. The method of claim 15 wherein the step of securing includes tightening the bone screw and magnetic portion of the first member against the machined flat surface of the temporal bone.