US-12616842-B2 - Self-locking fixation system for medical implant

Abstract

An apparatus includes an arm configured to be in mechanical communication with a transducer configured to be implanted within a recipient's body. The arm includes a first mating portion configured to engage and disengage with a plurality of second mating portions positioned along at least one longitudinal surface of a fixation element implanted within a portion of the recipient's body. The arm is configured to be moved between an unlocked state in which the arm is disengaged from the plurality of second mating portions and a locked state in which the arm is engaged with at least one of the second mating portions. The apparatus further includes at least one elastically deformable element configured to apply a restoring force to the arm such that the arm is in the locked state and to respond to an external force applied to the arm such that the arm is in the unlocked state.

Inventors

• Floriaan Van Reusel
• Antonin Rambault
• Koen Erik Van den Heuvel

Assignees

• COCHLEAR LIMITED

Dates

Publication Date

20260505

Application Date

20220825

Claims (20)

1. 1 . An apparatus comprising: at least one arm comprising: a first arm portion configured to be in mechanical communication with a transducer configured to be implanted within a recipient's body; and a second arm portion spaced from the first arm portion, the second arm portion comprising at least one first mating portion configured to engage and disengage with a plurality of second mating portions positioned along at least one longitudinal surface of a fixation element implanted within a portion of the recipient's body, the second arm portion configured to be moved between an unlocked state in which the at least one first mating portion is disengaged from the plurality of second mating portions and a locked state in which the at least one first mating portion is engaged with at least one of the second mating portions; and at least one elastically deformable element configured to apply at least one restoring force to the at least one arm such that the second arm portion is in the locked state and to respond to at least one external force applied to the at least one arm such that the second arm portion is in the unlocked state.
2. 2 . The apparatus of claim 1 , wherein the transducer is configured to be moved along the fixation element while the second arm portion is in the unlocked state and to be unmovable from a position along the fixation element while the second arm portion is in the locked state.
3. 3 . The apparatus of claim 1 , wherein the at least one elastically deformable element comprises at least one spring mechanically coupled to the at least one arm.
4. 4 . The apparatus of claim 1 , wherein the at least one elastically deformable element comprises a resilient portion of the at least one arm.
5. 5 . The apparatus of claim 1 , wherein the at least one arm comprises a first arm comprising a first tab and a second arm comprising a second tab, the first and second arms configured to be positioned on opposite longitudinal surfaces of the fixation element, the first and second tabs configured to receive the at least one external force.
6. 6 . The apparatus of claim 5 , wherein the first arm comprises a first pivot between the first tab and the second arm portion of the first arm, the second arm comprises a second pivot between the second tab and the second arm portion of the second arm, such that the first and second tabs respond to the at least one external force selectively applied to the first and second tabs by moving towards one another and by moving the second arm portions of the first arm and the second arm to the unlocked state.
7. 7 . The apparatus of claim 1 , wherein the at least one arm at least partially bounds a hollow region configured such that insertion of an elongate tool into the hollow region by a practitioner applies the external force to the at least one arm.
8. 8 . The apparatus of claim 1 , wherein the transducer is a microphone, an actuator, or an optical sensor.
9. 9 . The apparatus of claim 1 , wherein the transducer is configured to be in operational communication with a target portion of the recipient's body, the target portion spaced from the fixation element.
10. 10 . The apparatus of claim 9 , wherein the target portion comprises an ossicle, a portion of a cochlea, a portion of the otic capsule, or a semicircular canal of the recipient's body.
11. 11 . The apparatus of claim 1 , wherein the fixation element is configured to be affixed to a portion of the recipient's skull.
12. 12 . An apparatus comprising: a transducer assembly configured to be implanted within the recipient's body and received by a bracket of a fixation element configured to be implanted within a portion of a recipient's body, the transducer assembly comprising; a transducer configured to be implanted within a recipient's body; and at least one arm having a first portion mechanically coupled to an outer surface of the transducer assembly and a second portion spaced away from the first portion, the transducer assembly has a plurality of states comprising: a first state in which the at least one arm is elastically bent to be substantially straight along the outer surface such that the transducer assembly is configured to be inserted and/or adjustably slid within the bracket along a sliding direction; and a second state in which the second portion contacts an inner surface of the bracket and inhibits sliding of the transducer assembly within the bracket along the sliding direction.
13. 13 . The apparatus of claim 12 , wherein the at least one arm comprises an elastically bendable leaf spring.
14. 14 . The apparatus of claim 12 , wherein the second portion applies at least one restoring force to the inner surface of the bracket, the at least one restoring force configured to generate at least one corresponding friction force configured to inhibit sliding of the transducer assembly within the bracket along the sliding direction.
15. 15 . The apparatus of claim 12 , wherein the at least one arm further comprises at least one first protrusion and/or recess configured to engage with and disengage from at least one second recess and/or protrusion positioned along the inner surface of the bracket, wherein the transducer assembly is in the first state when the at least one first protrusion and/or recess is disengaged from the at least one second recess and/or protrusion and is in the second state when the at least one first protrusion and/or recess is engaged with the at least one second recess and/or protrusion.
16. 16 . A method comprising: attaching a transducer assembly to a fixation element affixed to a location within a recipient's body; while an unlocking force is applied to the transducer assembly, slidably adjusting the position of the transducer assembly relative to the fixation element such that the transducer assembly is at a location at which the transducer assembly is configured to be operationally coupled to a target portion of the recipient's body; and upon the transducer assembly being at the location, ceasing applying the unlocking force to the transducer assembly such that the transducer assembly self-locks to the fixation element at the location.
17. 17 . The method of claim 16 , wherein said attaching is performed while the unlocking force is applied to the transducer assembly.
18. 18 . The method of claim 16 , further comprising, prior to said attaching, affixing the fixation element to the location within the recipient's body.
19. 19 . The method of claim 18 , further comprising, prior to said attaching, plastically deforming the fixation element.
20. 20 . An apparatus comprising: a fixation element configured to be affixed to a fixation location on and/or within a recipient's body, the fixation element comprising: at least one surface; and a plurality of protrusions and/or recesses positioned along the at least one surface, the plurality of protrusions and/or recesses configured to engage and disengage with at least one recess and/or protrusion of at least one arm of a transducer assembly configured to be implanted within the recipient's body, the transducer assembly comprising a transducer configured to be in operational communication with a target portion of the recipient's body, the target portion spaced from the fixation location, the plurality of protrusions and/or recesses providing a plurality of discrete locations at which the transducer assembly can be selectively automatically locked to the fixation element.

Description

BACKGROUND Field The present application relates generally to medical implants (e.g., implantable medical prostheses) having active components (e.g., transducers; actuators; microphones; sensors). Description of the Related Art Medical devices have provided a wide range of therapeutic benefits to recipients over recent decades. Medical devices can include internal or implantable components/devices, external or wearable components/devices, or combinations thereof (e.g., a device having an external component communicating with an implantable component). Medical devices, such as traditional hearing aids, partially or fully-implantable hearing prostheses (e.g., bone conduction devices, mechanical stimulators, cochlear implants, etc.), pacemakers, defibrillators, functional electrical stimulation devices, and other medical devices, have been successful in performing lifesaving and/or lifestyle enhancement functions and/or recipient monitoring for a number of years. The types of medical devices and the ranges of functions performed thereby have increased over the years. For example, many medical devices, sometimes referred to as “implantable medical devices,” now often include one or more instruments, apparatus, sensors, processors, controllers or other functional mechanical or electrical components that are permanently or temporarily implanted in a recipient. These functional devices are typically used to diagnose, prevent, monitor, treat, or manage a disease/injury or symptom thereof, or to investigate, replace or modify the anatomy or a physiological process. Many of these functional devices utilize power and/or data received from external devices that are part of, or operate in conjunction with, implantable components. SUMMARY In one aspect disclosed herein, an apparatus comprises at least one arm comprising a first arm portion and a second arm portion. The first arm portion is configured to be in mechanical communication with a transducer configured to be implanted within a recipient's body. The second arm portion is spaced from the first arm portion and comprises at least one first mating portion configured to engage and disengage with a plurality of second mating portions positioned along at least one longitudinal surface of a fixation element implanted within a portion of the recipient's body. The second arm portion is configured to be moved between an unlocked state in which the at least one first mating portion is disengaged from the plurality of second mating portions and a locked state in which the at least one first mating portion is engaged with at least one of the second mating portions. The apparatus further comprises at least one elastically deformable element configured to apply at least one restoring force to the at least one arm such that the second arm portion is in the locked state and to respond to at least one external force applied to the at least one arm such that the second arm portion is in the unlocked state. In another aspect disclosed herein, an apparatus comprises a transducer assembly configured to be implanted within the recipient's body and received by a bracket of a fixation element configured to be implanted within a portion of a recipient's body. The transducer assembly comprises a transducer configured to be implanted within a recipient's body. The transducer assembly further comprises at least one arm having a first portion mechanically coupled to an outer surface of the transducer assembly and a second portion spaced away from the first portion. The transducer assembly has a plurality of states comprising a first state and a second state. In the first state, the at least one arm is elastically bent to be substantially straight along the outer surface such that the transducer assembly is configured to be inserted and/or adjustably slid within the bracket along a sliding direction. In the second state, the second portion contacts an inner surface of the bracket and inhibits sliding of the transducer assembly within the bracket along the sliding direction. In another aspect disclosed herein, a method comprises attaching a transducer assembly to a fixation element affixed to a location within a recipient's body. The method further comprises, while an unlocking force is applied to the transducer assembly, slidably adjusting the position of the transducer assembly relative to the fixation element such that the transducer assembly is at a location at which the transducer assembly is configured to be operationally coupled to a target portion of the recipient's body. The method further comprises, upon the transducer assembly being at the location, ceasing applying the unlocking force to the transducer assembly such that the transducer assembly self-locks to the fixation element at the location. In another aspect disclosed herein, an apparatus comprises a fixation element configured to be affixed to a fixation location on and/or within a recipient's body. The fixation element compri