Evaluation of Vibrant® Soundbridge™ positioning and results with laser doppler vibrometry and the finite element model

Abstract

The etiology of hearing loss originates from genetic factors and includes several other events including infections, working or living environment, as well as several endocrine and metabolic disorders. The Vibrant ® Soundbridge ™ (VSB) is an implantable hearing aid whose floating mass transducer (FMT) is attached to the long process of the incus. The device is used for pure sensorineural hearing loss with an intact middle ear. Variations in the manner of attachment may occur. Knowledge of the impact of such variations on the overall device performance may guide towards optimal transducer attachment during surgery. A mechanical modelling of the ear was first reported by von Békésy and indicated that the tympanic membrane (TM) moves as a stiff plate, and that the mallear and incudal ligaments act as a rotation axis for the ossicular chain at low frequencies. Experimental investigations and simulations with the model yield the same main results. The first fitting situation, where the FMT floats freely in the middle ear, provides by far the worst possible results. Contact to the stapes supra-structure of the FMT is necessary for optimal performance of the FMT. The mastoid specimen preserves its acoustic properties that have been shown to be similar to those in the vital human ear, under these conditions. Properly coupling the electromagnetic transducer to the ossicles can be difficult and it requires a certain degree of experience. A finite-element model (FEM) is useful for functional evaluation of the VSB since it enables easy modelling of the complicated middle ear structures and simulation of their dynamic behavior which makes it easy to understand it in detail without experiments.

Design and optimization of auditory prostheses using the finite element method: a narrative review

“…For example, the ratio of equivalent sound pressure is reduced when the excitation direction is 20° and 60° off the longitudinal axis of the stapes (84). Mocanu et al reported the same conclusion when the excitation direction was 45°-60° off the longitudinal stapes axis (85). Therefore, tilting of the actuator from the stapes longitudinal axis is likely to reduce hearing performance.…”

Defining the URCOTEBS System as a Unilateral Radiographic–Stochastic Model for the Complementary States (Health/Disease) of the D-Organ and Middle-Ear Mucosa

“…The conclusion of Due to the anatomic complexity, several mathematical models (static and dynamic behaviors) have been used to study ME function, all of them based on deterministic approaches [34][35][36][37][38]. Lumped element models, distributed parameter models, multi-body systems, and finite element models have been used to assess the function of the healthy ME [39,40], to evaluate pathological conditions [41], and also to verify results of ossicular chain reconstruction [42,43]. Because the high degree of variability among individuals leads to large discrepancies among samples, the ME behaves as an uncertain system, which means that stochastic models become very useful [34,44].…”

Evaluation on the possibility of sound conduction independent of tympanic air cavity for severe tympanic adhesion patients by finite element analysis

“…The finite element method is also widely used in the biomechanics of the middle ear (Kiryk et al, 2018;Gil Mun et al, 2019;Mocanu et al, 2021). This study developed a sound-structure coupling finite element model to evaluate the effectiveness of implanting vibrating materials into the tympanum.…”