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可植入压膜中耳传声器:在人尸颞骨中的性能。

An Implantable Piezofilm Middle Ear Microphone: Performance in Human Cadaveric Temporal Bones.

机构信息

Massachusetts Institute of Technology, Cambridge, USA.

Harvard Medical School, Massachusetts Eye and Ear, Boston, USA.

出版信息

J Assoc Res Otolaryngol. 2024 Feb;25(1):53-61. doi: 10.1007/s10162-024-00927-4. Epub 2024 Jan 18.

Abstract

PURPOSE

One of the major reasons that totally implantable cochlear microphones are not readily available is the lack of good implantable microphones. An implantable microphone has the potential to provide a range of benefits over external microphones for cochlear implant users including the filtering ability of the outer ear, cosmetics, and usability in all situations. This paper presents results from experiments in human cadaveric ears of a piezofilm microphone concept under development as a possible component of a future implantable microphone system for use with cochlear implants. This microphone is referred to here as a drum microphone (DrumMic) that senses the robust and predictable motion of the umbo, the tip of the malleus.

METHODS

The performance was measured by five DrumMics inserted in four different human cadaveric temporal bones. Sensitivity, linearity, bandwidth, and equivalent input noise were measured during these experiments using a sound stimulus and measurement setup.

RESULTS

The sensitivity of the DrumMics was found to be tightly clustered across different microphones and ears despite differences in umbo and middle ear anatomy. The DrumMics were shown to behave linearly across a large dynamic range (46 dB SPL to 100 dB SPL) across a wide bandwidth (100 Hz to 8 kHz). The equivalent input noise (over a bandwidth of 0.1-10 kHz) of the DrumMic and amplifier referenced to the ear canal was measured to be about 54 dB SPL in the temporal bone experiment and estimated to be 46 dB SPL after accounting for the pressure gain of the outer ear.

CONCLUSION

The results demonstrate that the DrumMic behaves robustly across ears and fabrication. The equivalent input noise performance (related to the lowest level of sound measurable) was shown to approach that of commercial hearing aid microphones. To advance this demonstration of the DrumMic concept to a future prototype implantable in humans, work on encapsulation, biocompatibility, and connectorization will be required.

摘要

目的

完全可植入的人工耳蜗麦克风尚未广泛应用的主要原因之一是缺乏良好的可植入麦克风。对于人工耳蜗植入者来说,可植入麦克风具有许多优于外部麦克风的优势,包括外耳的滤波能力、美观性以及在各种情况下的可用性。本文介绍了在人类尸体耳朵中进行的一项实验结果,该实验使用了一种正在开发中的压电薄膜麦克风概念,作为未来人工耳蜗植入系统的可能组件。这种麦克风在这里被称为鼓式麦克风(DrumMic),它可以感知耳鼓(砧骨的尖端)的强大而可预测的运动。

方法

在四个不同的人类尸体颞骨中插入五个 DrumMic 来测量其性能。在这些实验中,使用声音刺激和测量设置来测量灵敏度、线性度、带宽和等效输入噪声。

结果

尽管耳鼓和中耳解剖结构存在差异,但不同麦克风和耳朵的 DrumMic 灵敏度均表现出紧密的聚类。DrumMic 被证明在很大的动态范围(46dB SPL 至 100dB SPL)和很宽的带宽(100Hz 至 8kHz)内具有线性行为。在颞骨实验中,DrumMic 和放大器参考耳道的等效输入噪声(带宽为 0.1-10kHz)约为 54dB SPL,在考虑外耳压力增益后估计为 46dB SPL。

结论

这些结果表明,DrumMic 在耳朵和制造方面表现出很强的稳健性。等效输入噪声性能(与可测量的最低声音水平有关)接近商用助听器麦克风的性能。为了将 DrumMic 概念的这种演示推进到未来的人体植入原型,需要进行封装、生物相容性和连接器化方面的工作。

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本文引用的文献

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JASA Express Lett. 2022 Jul;2(7):077201. doi: 10.1121/10.0012825.
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The remaining obstacles for a totally implantable cochlear implant.完全可植入式人工耳蜗的剩余障碍。
Curr Opin Otolaryngol Head Neck Surg. 2022 Oct 1;30(5):298-302. doi: 10.1097/MOO.0000000000000840. Epub 2022 Aug 3.
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Polymeric Biomaterials for Medical Implants and Devices.用于医疗植入物和器械的高分子生物材料。
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A MEMS Condenser Microphone-Based Intracochlear Acoustic Receiver.一种基于MEMS电容式麦克风的人工耳蜗声学接收器。
IEEE Trans Biomed Eng. 2017 Oct;64(10):2431-2438. doi: 10.1109/TBME.2016.2640447. Epub 2016 Dec 16.

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