Sensor-actuator component for a Floating Mass Transducer-based fully implantable hearing aid.

We propose a novel system based on the Floating Mass Transducer (FMT) to be used as the active component of a fully implantable, Vibrant Soundbridge-like middle ear implant. The new system replaces the external microphone used in the currently available design with an implantable piezoelectric sensor that is inserted into the incudostapedial joint and picks up the vibrations transmitted to the long process of the incus. The FMT is coupled to the round window of the cochlea. We characterize the system by measuring the gain in intracochlear sound pressure using laser Doppler vibrometry at a surgically installed "third window" into the cochlea of six temporal bones. Closed-loop feedback oscillations limit the system's available output. We show that using an adaptive control algorithm, a mean functional gain of up to 40 dB is achieved, which is similar to Soundbridge functional gain. The concept matches the FMT's one-point fixation philosophy and offers several advantages over other designs, namely an easy and time-efficient surgery, reversibility of implantation, and natural hearing for the prospective patient.