Method and apparatus for endodontically augmenting hearing

• US 5,033,999 A
• Filed: 10/25/1989
• Issued: 07/23/1991
• Est. Priority Date: 10/25/1989
• Status: Expired due to Term

• Current Assignee: Mersky, Barry L.
• Original Assignee: Mersky, Barry L.
• Inventors: Mersky, Barry L.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): PONTIUS, KEVIN LANE
• Application Number:
  US07/426,176
• Time in Patent Office: 636 Days
• Field of Search: 128/746, 600/25, 379/52, 381/68.3, 381/151, 433/201.1, 181/127, 181/128
• US Class Current: 600/25
• CPC Class Codes: A61F 11/04 Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense, e.g. through the touch sense electronic stimulation of auditory nerves A61N1/36036
• 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

An audiodontic device includes a transducer implanted in a dental post hole drilled into a root canal of a tooth, preferably a maxillary molar. The transducer imparts vibratory signals to the tooth in response to applied audio signals. A precision attachment device includes a female connector embedded in a dental crown of electrically non-conductive material covering a built-up core and through which electrical leads, or the like, extend to transducer terminals located at the core periphery. Audio signals are delivered to the transducer from a radio receiver or induction loop embedded in an insulative housing contoured for buccal or lingual vestibular mounting adjacent the tooth, or disposed in a denture or retainer. In either case, a male connector for the precision attachment conducts the received audio signal from the receiver to the tooth. The female connector includes a channel contoured to slidably receive the male connector to thereby firmly hold the receiver housing in place while maintaining the necessary electrical contact to pass the received audio signal to the transducer.

Claims

1. Apparatus for aiding hearing by imparting vibrations to bones in a jaw of a subject, said apparatus comprising:

transducer means adapted to be embedded in a root canal of a tooth of the subject and responsive to application of electrical audio driver signals thereto for imparting corresponding vibratory signals to said bones via said tooth, said transducer means having a plurality of electrical transducer terminals;

a dental crown disposed on said tooth covering said transducer means and said transducer terminals; and

first and second connectors, said first connector being secured to said crown and including a plurality of crown contacts in electrical connection with said plurality of transducer terminals, respectively, said second connector including contact means for delivering said audio driver signals to said plurality of crown contacts when said connectors are engaged.

2. The apparatus according to claim 1 further comprising:

radio receiver means for receiving a radio signal modulated by audio signals and demodulating the received signal to provide said audio driver signals;

a housing for said radio receiver means contoured to be positioned in the mouth of said subject, said housing having said second connector secured thereto to provide the recovered audio signals exteriorly of said housing.

3. The apparatus according to claim 2 wherein said housing is configured to fit into the buccal vestibule of said subject adjacent said tooth, and wherein said receiver means is embedded in said housing along with electrical conductors extending from said receiver means to said second connector.

4. The apparatus according to claim 2 wherein said housing is a removable partial denture or orthodontic retainer configured to fit adjacent the subject'"'"'s palate.

5. The apparatus according to claim 2 wherein said crown is electrically non-conductive, and wherein one of said first and second connectors is a female connector, the other of said first and second connectors being a male connector adapted to be received in and engaged by said female connector in secure electrical contact while supporting said housing.

6. The apparatus according to claim 5 wherein said female connector comprises first and second electrically conductive sections extending longitudinally and electrically insulated in transversely spaced relation by a longitudinally-extending electrically-insulating section, said female connector having a longitudinally-extending channel defined therein with a predetermined transverse cross-section and open at one end;

and wherein said male connector comprises a projection adapted to be slidably received in said channel through said open one end, said projection having a transverse cross-section corresponding to said predetermined transverse cross-section such that said projection, when slidably inserted into said channel, is held securely therein, said projection including first and second contacts corresponding to said contact means and positioned to electrically contact said first and second sections, respectively, when said projection is slidably received in said channel.

7. The apparatus according to claim 6 wherein said predetermined transverse cross-section is generally C-shaped such that said channel has a longitudinally-extending opening of shorter transverse width than the transverse width of said channel at its widest part, and wherein said male connector includes a stem portion extending out of said channel through said opening when the male and female connectors are engaged.

8. The apparatus according to claim 7 wherein said female connector is embedded in said crown and wherein said male connector is a structural part of said housing.

9. The apparatus according to claim 8 wherein said tooth is a maxillary tooth, and wherein said female connector is disposed at the buccal surface of said crown.

10. The apparatus according to claim 9 wherein said female connector is said first connector and is recessed in said crown to subsist within the external contour of the crown.

11. The apparatus according to claim 10 wherein said tooth is a maxillary tooth, and wherein said female connector is disposed at the buccal surface of said crown.

12. The apparatus according to claim 5 wherein said female connector comprises a body having a longitudinally-extending channel defined therein with a predetermined transverse cross-section and open at one end;

wherein said male connector comprises a projection from said housing adapted to be slidably received through said open one end, said projection having a transverse cross-section corresponding to said predetermined transverse cross-section of said channel such that said projection, when slidably inserted to said channel is held securely therein;

wherein said female connector includes first and second electrically-isolated contacts exposed in said channel;

and wherein said male connector includes first and second terminals corresponding to said contact means and positioned to electrically contact said first and second contacts of said female connector when said male connector is engaged in said female connector.

13. The apparatus according to claim 5 wherein said transducer means is a piezo-electric transducer having first and second terminals extending longitudinally into said root canal.

14. The apparatus according to claim 5 wherein said female connector is said first connector and is recessed in said crown to subsist within the external contour of the crown.

15. The apparatus according to claim 1 further comprising:

induction coil means, responsive to being disposed in an electromagnetic field having a strength that varies with the amplitude of primary audio signals, for providing said audio driver signals as induced audio signals that vary in proportion to the primary audio signals;

a housing for said induction coil means contoured to be disposed in the mouth of said subject, said housing having said second connector secured thereto to provide the induced audio signals exteriorly of said housing.

16. The apparatus according to claim 15 wherein said housing is a removable partial denture or orthodontic retainer configured to fit adjacent the subject'"'"'s palate.

17. A method of enhancing conduction of sound to an ear of a subject via bone tissue in a jaw of the subject, said method comprising the steps of:

(a) converting audible ambient sound to corresponding acoustic signals;

(b) transmitting said acoustic signals through a non-conductive crown and core of a maxillary tooth of said subject to the root canal of said tooth;

(c) transducing the audio signal in said root canal to a corresponding vibratory signal; and

(d) applying said vibratory signal from the root canal to bones in the maxilla or mandible of said subject to permit transmission of the vibratory signal to the subject'"'"'s cochlea.

18. The method of implanting a hearing enhancement device in a tooth comprising the steps of:

(a) implanting in the root canal of said tooth a transducer dental post for converting electrical audio signals to corresponding mechanical vibrations;

(b) building a non-conductive dental core around and attached to said transducer post;

(c) disposing first and second electrical conductors within said core extending from respective first and second terminals of said transducer to predetermined respective first and second spaced locations at the exterior of said core;

(d) securing a first electrical connector, having first and second electrically-isolated crown contacts, to an artificial electrically non-conductive crown for said tooth;

(e) seating said crown on said core and transducer post in a position such that said first and second crown contacts electrically connect to said first and second conductors, respectively, at said first and second locations; and

(f) mating said first connector in a precision fit with a second connector at the exterior of said crown to permit electrical audio signals to be applied via said connectors to said first and second crown contacts of said first connector.

19. The method according to claim 18 further comprising the steps of:

(g) forming a housing of electrically non-conducting material in a size and shape to fit in a patient'"'"'s buccal or lingual vestibule adjacent said tooth with the second connector forming a structural part of said housing;

(h) embedding in said housing a radio receiver for receiving selected radio signals and demodulating the selected radio signals to recover modulating audio signals therefrom; and

(i) embedding in said housing third and fourth electrical conductors carrying said recovered audio signals from said radio receiver to respective locations of said second connector that contacts said first and second crown contacts, respectively of said first connector;

whereby said first and second connectors, when mated, support said housing in said buccal vestibule.

20. The method according to claim 18 further comprising:

(g) forming a removable partial denture or orthodontic retainer having embedded therein means for providing recovered audio signals such that said second connector is a part of said partial denture or retainer; and

(h) embedding in said partial denture third and fourth electrical conductors carrying said recovered audio signals from said means to respective locations of said second connector that contact said first and second crown contacts, respectively, of said first connector.

21. Apparatus for aiding hearing by imparting vibrations to bones in a jaw of a person, said apparatus comprising:

microphone/transmitter means adapted to be worn or carried by said person and responsive to ambient sound for transmitting a radio signal modulated as a function of said ambient sound;

a palatal orthodontic retainer adapted to be secured in the person'"'"'s mouth adjacent the person'"'"'s palate, said retainer housing a receiver for receiving and demodulating said radio signal to recover an electrical signal corresponding to said ambient sound; and

transducer means responsive to said electrical signal for imparting vibrations corresponding to said ambient sound to said bones via a tooth in said person'"'"'s mouth.