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정원창 구동형 인공중이의 출력 전달 방식에 따른 주파수 특성 연구

A Study on Frequency Characteristics According to the Output Transmission Method of Round Window Driving Middle Ear Implants

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초록

In this paper, we investigated the efficiency according to the output transmission method of the round window driving type AMEIs (active middle ear implants) through the cadaveric experiment. For the experiment, we fabricated DRT (direct rod transducer) and FMT (floating mass transducer) type vibrational transducers based on our previous studies and conducted their output characteristics were measured. TCBT (tri-coil bellows transducer) and DFMT (differential floating mass transducer) were implemented with the same driving force and electrical characteristics as one of DRT and FMT, respectively. In the experiment using three human temporal bone, normal stapes vibration was measured with 1 Pa in front of tympanic membrane, and then was compared with each output of transducers. From the comparison, the DRT type vibration transducer was superior in overall energy transfer efficiency, especially in the low frequency range. There was no difference in implantation difficulty between the two transducers. The results of this study suggest that the DRT type vibrational transducer is more efficient and needs further study to overcome the low frequency degradation in round window approaching with FMT.

Abstract

In this paper, we investigated the efficiency according to the output transmission method of the round window driving type AMEIs (active middle ear implants) through the cadaveric experiment. For the experiment, we fabricated DRT (direct rod transducer) and FMT (floating mass transducer) type vibrational transducers based on our previous studies and conducted their output characteristics were measured. TCBT (tri-coil bellows transducer) and DFMT (differential floating mass transducer) were implemented with the same driving force and electrical characteristics as one of DRT and FMT, respectively. In the experiment using three human temporal bone, normal stapes vibration was measured with 1 Pa in front of tympanic membrane, and then was compared with each output of transducers. From the comparison, the DRT type vibration transducer was superior in overall energy transfer efficiency, especially in the low frequency range. There was no difference in implantation difficulty between the two transducers. The results of this study suggest that the DRT type vibrational transducer is more efficient and needs further study to overcome the low frequency degradation in round window approaching with FMT.

참고문헌 (16)

  1. 조진호, "완전 이식형 인공중이의 국내 개발 현황", 재활복지, 10(3), pp.90~106 (2006), 한국장애인재활협회 부설 재활연구소
  2. A.G. Bittencourt, "Implantable and Semi-Implantable Hearing Aids: A Review of History, Indications, and Surgery", International Archives of Otorhinolaryngology, 18, pp.303~310 (2004)
  3. D.S. Haynes, "Middle Ear Implantable Hearing Devices: An Overview", Trends in Amplification, 13(3), pp.206~214 (2009)
  4. D. Arthur, "The Vibrant® Soundbridge™", Trends in Amplification, 6(2), pp.67~72 (2002)
  5. K. Kroll, "The Envoy® Totally Implantable Hearing System, St. Crox Medical", Trends in Amplification, 6(2), pp.73~80 (2002)
  6. C. Stieger, "Human temporal bones versus mechanical model to evaluate three middle ear transducers", Journal of Rehabilitation Research & Development, 44(3), pp.407~416 (2007)
  7. V.Colletti, "Treatment of mixed hearing loss via implantation of a vibratory transducer on the round window", International Journal of Audiology, 45(10), pp.600~608 (2006)
  8. H.H. Nakajima, "Evaluation of Round Window Stimulation Using the Floating Mass Transducer by Intracochlear Sound Pressure Measurements in Human Temporal Bones", Otology & Neurotology, 31(3), pp.506~511 (2010)
  9. R. Salcher, "Round window stimulation with the floating mass transducer at constant pretension", Hearing Research, 314, pp.1~9 (2014)
  10. T. Stephane, "Round Window Membrane Implantation with an Active Middle Ear Implant: A Study of the Effects on the Performance of Round Window Exposure and Transducer Tip Diameter in Human Cadaveric Temporal Bones", Audiology and Neurotology, 15(5), pp.291~302 (2010)
  11. S. Tringali, "Fully implantable hearing device with transducer on the round window as a treatment of mixed hearing loss", Auris Nasus Larynx, 36(3), pp.353~358 (2009)
  12. B.S. Song, "Differntial Floating Mass Type Vibration Transducer for MEI System", Proceedings of the 22nd Annual EMBS International Conference, pp.2575~2578 (2000)
  13. K.W. Seong, "Design of A New Vibration Transducer for Implantable Middle Ear Hearing Devices", IEEJ Transactions on Electrical and Electronic Engineering, 5, pp.608~610 (2010)
  14. B. S. Song, "Design of environmental magnetic field interference free differential electromagnetic transducer for implantable middle ear system", Doctor’s, pp.2002
  15. D.H. Shin, "A tri-coil bellows-type round window transducer with improved frequency characteristics for middle-ear implants", Hearing Research, 341, pp.144~154 (2016)
  16. ASTM International, "Standard Practice for Describing System Output of Implantable Middle Ear Hearing Devices", Designation, F 2504~F 2505 (2005)

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