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CN117942224A - Acoustic-electric combined device for treating tinnitus by combining bone conduction with electric stimulation - Google Patents

Acoustic-electric combined device for treating tinnitus by combining bone conduction with electric stimulation
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CN117942224A
CN117942224ACN202311739650.3ACN202311739650ACN117942224ACN 117942224 ACN117942224 ACN 117942224ACN 202311739650 ACN202311739650 ACN 202311739650ACN 117942224 ACN117942224 ACN 117942224A
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stimulation
acoustic
electric
bone conduction
tinnitus
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史文迪
凃磊
周善晨
王德印
周梦莹
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HANGZHOU HUI'ER HEARING TECHNOLOGY EQUIPMENT CO LTD
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HANGZHOU HUI'ER HEARING TECHNOLOGY EQUIPMENT CO LTD
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Abstract

The application relates to a bone conduction and electrical stimulation combined device for treating tinnitus, which comprises an ear patch seat, wherein the overall shape of the ear patch seat is attached to a jaw, and an electrical stimulation device, an acoustic stimulation device, a central control processor and a power supply device are arranged on a host; the artificial cochlea reaches the tympanic membrane of the ear of the human body through the electric stimulation device, and sounds in the external auditory canal through the acoustic stimulation device, so that the artificial cochlea has no risk of wound infection, is convenient to wear and pick, is beautiful and comfortable compared with the artificial cochlea, does not damage the structure of the cochlea, and does not cause secondary damage to hearing; through setting up external microphone, the tinnitus target frequency that can reach is wider, and the joint stimulation mode is effectual: the sound masking therapy shifts the central attention, the electric signal supplements the sound pressure level frequency which can not be achieved by the bone sound guiding masking, the current stimulates the malleus of the tympanic membrane, the current is conducted to a high-frequency or ultra-high-frequency area around the bottom of the cochlea through the ossicular chain, the combined stimulation therapy effectively inhibits tinnitus, the noise hearing loss caused by long-term sound masking therapy is effectively avoided, and the residual hearing of a patient is protected.

Description

Translated fromChinese
一种骨导声结合电刺激治疗耳鸣的声电联合装置A combined acoustic and electrical device for treating tinnitus by combining bone conduction sound with electrical stimulation

技术领域Technical Field

本申请涉及耳鸣治疗设备领域,特别是涉及一种骨导声结合电刺激治疗耳鸣的声电联合装置。The present application relates to the field of tinnitus treatment equipment, and in particular to an acoustic-electric combined device for treating tinnitus by combining bone conduction sound with electrical stimulation.

背景技术Background technique

常用的耳鸣治疗方式有药物治疗、助听器声掩蔽、人工耳蜗植入电刺激等。药物治疗及助听器声掩蔽可以帮助部分轻中度病人改善耳鸣,但仍有很多病人无法得到有效缓解,并且个别敏感人群长期佩戴入耳式助听器会出现疼痛、发炎、耳闷、回音大等情况。人工耳蜗植入电刺激可对极重度患者进行有效干预,治疗有效率可达92%。但人工耳蜗植入电刺激需要破坏耳蜗结构,损伤听力。如果耳鸣患者无听力损失或者听损失程度较轻,以放弃听力为前提治疗耳鸣代价过于高昂,得不偿失。同时植入手术常伴有感染和二次伤害的风险。Common tinnitus treatments include medication, hearing aid sound masking, and cochlear implant electrical stimulation. Medication and hearing aid sound masking can help some mild to moderate patients improve tinnitus, but many patients still cannot get effective relief, and some sensitive people will experience pain, inflammation, stuffy ears, and loud echoes when wearing in-ear hearing aids for a long time. Cochlear implant electrical stimulation can effectively intervene in extremely severe patients, with a treatment efficiency of up to 92%. However, cochlear implant electrical stimulation requires the destruction of the cochlear structure and damages hearing. If the tinnitus patient has no hearing loss or the hearing loss is mild, the cost of treating tinnitus by giving up hearing is too high and not worth the cost. At the same time, implant surgery is often accompanied by the risk of infection and secondary injury.

需要设计一种同时具备非入耳式助听器声掩蔽功能和无需植入手术电刺激的声电联合装置可结合各种疗法的优势,同时避免单独疗法的缺陷,有效提高耳鸣治疗的效率和舒适性。It is necessary to design an acoustic-electric combined device that has both the sound masking function of a non-in-ear hearing aid and electrical stimulation without the need for implant surgery, which can combine the advantages of various therapies while avoiding the defects of individual therapies, and effectively improve the efficiency and comfort of tinnitus treatment.

因此本发明提出一种骨导声结合电刺激治疗耳鸣的声电联合装置。Therefore, the present invention proposes a combined acoustic and electrical device for treating tinnitus by combining bone conduction sound with electrical stimulation.

发明内容Summary of the invention

为解决背景技术中存在的至少一个方面的技术问题,本发明提出一种骨导声结合电刺激治疗耳鸣的声电联合装置。In order to solve at least one of the technical problems existing in the background technology, the present invention proposes a combined acoustic and electrical device for treating tinnitus by combining bone conduction sound with electrical stimulation.

本申请提供一种骨导声结合电刺激治疗耳鸣的声电联合装置,包括The present application provides a combined acoustic and electrical device for treating tinnitus by combining bone conduction sound with electrical stimulation, comprising:

耳贴座,耳贴座的整体形状和颌骨贴合,所述耳贴座的一侧设有用于黏贴在皮肤上的粘合胶条;An ear sticker seat, the overall shape of which fits the jawbone, and one side of the ear sticker seat is provided with an adhesive strip for sticking to the skin;

主机,可拆卸的设置在耳贴座远离粘合胶条的另一侧,所述主机上设有电刺激装置,声刺激装置、中央控制处理器和电源装置;A host, which is detachably arranged on the other side of the ear patch seat away from the adhesive strip, and is provided with an electric stimulation device, an acoustic stimulation device, a central control processor and a power supply device;

所述中央控制处理器包括电刺激处理模块、声音处理模块和电源管理模块,所述电刺激模块发射单极或者双极电刺激波,并通过电刺激装置到达人体耳部的鼓膜,所述声音处理模块将接收到的外部声音输入转化成耳鸣患者的治疗频率,并通过声刺激装置在外耳道发声。The central control processor includes an electrical stimulation processing module, a sound processing module and a power management module. The electrical stimulation module emits monopolar or bipolar electrical stimulation waves and reaches the eardrum of the human ear through an electrical stimulation device. The sound processing module converts the received external sound input into a therapeutic frequency for tinnitus patients and emits sound in the external auditory canal through the sound stimulation device.

作为优选,所述主机包括主框体和主机上盖,所述中央控制处理器和电源装置处于所述主框体内。Preferably, the host comprises a main frame and a host cover, and the central control processor and the power supply device are located in the main frame.

作为优选,所述耳贴座上设有夹紧装置,所述夹紧装置包括凸起卡扣和两个对称设置的弹性夹紧块,主机上盖的底部设有与凸起卡扣形状对应的限位槽,所述凸起卡扣和限位槽配合后,两个所述的弹性夹紧块分别挤压所述主机上盖的两侧壁,使所述主机固定在耳贴座上。Preferably, a clamping device is provided on the ear sticker seat, and the clamping device includes a protruding buckle and two symmetrically arranged elastic clamping blocks. The bottom of the host upper cover is provided with a limiting groove corresponding to the shape of the protruding buckle. After the protruding buckle and the limiting groove cooperate, the two elastic clamping blocks respectively squeeze the two side walls of the host upper cover to fix the host on the ear sticker seat.

作为优选,所述声刺激装置包括麦克风和骨传导振子,所述主框体侧壁上设置有麦克风接口,所述骨传导振子固定在主机上盖上。Preferably, the sound stimulation device comprises a microphone and a bone conduction vibrator, a microphone interface is provided on the side wall of the main frame, and the bone conduction vibrator is fixed on the upper cover of the main unit.

作为优选,所述声音处理模块通过骨传导振子在200-6500Hz频率范围内提供最大120dB SPL声输出。Preferably, the sound processing module provides a maximum 120dB SPL sound output in the frequency range of 200-6500Hz through a bone conduction vibrator.

作为优选,所述电刺激装置包括电极支架、刺激电极和金属回路电极,所述电极支架的一端固定在主框体侧壁上,所述电极支架的另一端和刺激电极连接。Preferably, the electrical stimulation device comprises an electrode holder, a stimulation electrode and a metal loop electrode, one end of the electrode holder is fixed to the side wall of the main frame, and the other end of the electrode holder is connected to the stimulation electrode.

作为优选,所述电刺激模块采用电荷平衡的双向刺激方波,所述双向刺激方波周期为0.1-5ms,频率为100-300Hz,所述刺激电极(32)的阻抗>300KΩ。Preferably, the electrical stimulation module adopts a charge-balanced bidirectional stimulation square wave, the bidirectional stimulation square wave has a period of 0.1-5 ms and a frequency of 100-300 Hz, and the impedance of the stimulation electrode (32) is greater than 300 KΩ.

作为优选,所述电极支架为可伸缩形变支架。Preferably, the electrode bracket is a retractable and deformable bracket.

作为优选,所述电源装置包括可充电电池和磁感应线圈,所述磁感应线圈用于充电和无线蓝牙信号输入。Preferably, the power supply device comprises a rechargeable battery and a magnetic induction coil, and the magnetic induction coil is used for charging and wireless Bluetooth signal input.

一种骨导声结合电刺激声电联合装置治疗耳鸣的方法,使用骨导声结合电刺激治疗耳鸣的声电联合装置,所述方法包括A method for treating tinnitus using a bone conduction acoustic combined with electrical stimulation acoustic and electrical combined device, the method comprising:

S1、根据用户耳鸣的频率和响度,外部设备通过磁感应线圈调节和配置,将声刺激参数和电刺激参数存储至中央控制处理器内,并通过磁感应线圈充电,主机离开充电座后自动开机;S1. According to the frequency and loudness of the user's tinnitus, the external device adjusts and configures through the magnetic induction coil, stores the acoustic stimulation parameters and electrical stimulation parameters in the central control processor, and charges through the magnetic induction coil. The host automatically turns on after leaving the charging station;

S2、通过凸起卡扣和限位槽卡接配合,以及两个弹性夹紧块分别挤压所述主机的两侧壁,使主机固定在耳贴座上;S2, the main unit is fixed on the ear pad seat by means of the protruding buckle and the limiting groove being engaged with each other, and two elastic clamping blocks respectively squeezing the two side walls of the main unit;

S3、骨导声掩蔽结合电刺激治疗耳鸣,外置麦克风插入麦克风接口,接收外界声音,经过处理后通过骨传导振子输出,利用骨传导振子发声进行声习服治疗;S3, bone conduction sound masking combined with electrical stimulation to treat tinnitus, an external microphone is inserted into the microphone interface to receive external sounds, which are then processed and output through the bone conduction vibrator, and the bone conduction vibrator is used to produce sound for acoustic habituation therapy;

S4、调节位置,撕开粘合胶条,使耳贴座和颌骨位置相合并做固定保护,然后将可伸缩形变支架上的刺激电极从主机上伸入病人外耳道内,电极刺激可紧贴鼓膜锤骨柄处,使用微电流刺激与金属回路电极形成电流闭环。S4. Adjust the position and tear off the adhesive strip to align the ear patch seat and the jawbone for fixed protection. Then extend the stimulation electrode on the retractable deformable bracket from the main unit into the patient's external auditory canal. The electrode stimulation can be close to the handle of the tympanic membrane and hammer. Use microcurrent stimulation to form a current closed loop with the metal loop electrode.

本发明带来的有益效果是:The beneficial effects brought by the present invention are:

整体为外置仪器治疗,无需进行手术电刺激,病人痛苦少,而且无创伤感染的风险,避免了长期佩戴入耳式助听器造成的疼痛,发炎等不适症状,佩戴摘取方便,较人工耳蜗美观舒适,不损坏耳蜗结构,不会对听力造成二次损伤;The overall treatment is external instrument treatment, no surgical electrical stimulation is required, the patient suffers less pain, and there is no risk of traumatic infection. It avoids the pain, inflammation and other discomfort symptoms caused by long-term wearing of in-ear hearing aids. It is easy to wear and remove, more beautiful and comfortable than cochlear implants, does not damage the cochlear structure, and will not cause secondary hearing damage;

通过设置外接麦克风,使声音频率范围更宽,可达到的耳鸣靶点频率更广,能满足大部分耳鸣患者的需求;By setting up an external microphone, the sound frequency range is wider and the achievable tinnitus target frequency is wider, which can meet the needs of most tinnitus patients;

通过声刺激和电刺激的联合刺激方式效果好:其中声掩蔽疗法转移中枢注意力,电信号补充骨导声掩蔽无法达到的声压级频率,电流刺激鼓膜锤骨柄,通过听骨链传导到耳蜗底周高频或超高频区,联合刺激治疗有效抑制耳鸣,有效避免了长期声掩蔽治疗带来的噪音性听损,保护患者残余听力。The combined stimulation of sound stimulation and electrical stimulation has a good effect: sound masking therapy diverts central attention, electrical signals supplement the sound pressure level frequency that bone conduction sound masking cannot reach, and the electric current stimulates the handle of the tympanic membrane and hammer, which is transmitted to the high-frequency or ultra-high-frequency area around the base of the cochlea through the ossicular chain. The combined stimulation therapy effectively suppresses tinnitus, effectively avoids noise-induced hearing loss caused by long-term sound masking therapy, and protects the patient's residual hearing.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

构成本申请的一部分的附图用来提供对本申请的进一步理解,使得本申请的其它特征、目的和特性变得更明显。本申请的示意性实施例附图及其说明用于解释本申请,并不构成对本申请的不当限定。The drawings constituting a part of this application are used to provide a further understanding of this application, so that other features, purposes and characteristics of this application become more obvious. The illustrative embodiment drawings and their descriptions of this application are used to explain this application and do not constitute an improper limitation on this application.

图1为本申请一实施例提供的声电联合装置的整体结构示意图。FIG1 is a schematic diagram of the overall structure of an acoustic-electric combined device provided in one embodiment of the present application.

图2为本申请一实施例提供的声电联合装置的安装结构示意图。FIG. 2 is a schematic diagram of the installation structure of the acoustic-electric combined device provided in one embodiment of the present application.

图3为本申请一实施例提供的声电联合装置中的主机的整体结构示意图。FIG3 is a schematic diagram of the overall structure of a host in an acoustic-electric combined device provided in an embodiment of the present application.

图4为本申请一实施例提供的声电联合装置中的主机的内部结构示意图。FIG. 4 is a schematic diagram of the internal structure of a host in an acoustic-electric combined device provided in an embodiment of the present application.

图5为本申请一实施例提供的声电联合装置中耳贴座的整体结构示意图。FIG5 is a schematic diagram of the overall structure of an ear patch in an acoustic-electric combined device provided in an embodiment of the present application.

图6为本申请一实施例提供的声电联合装置的工作原理示意图。FIG6 is a schematic diagram of the working principle of the acoustic-electric combined device provided in one embodiment of the present application.

图中:耳贴座1、粘合胶条10、夹紧装置11、凸起卡扣12、限位槽120、弹性夹紧块13、主机2、主框体21、主机上盖22、电刺激装置3、电极支架31、刺激电极32、金属回路电极33、声刺激装置4、骨传导振子42、麦克风接口410、中央控制处理器5、电源装置6、可充电电池61、磁感应线圈62。In the figure: ear patch seat 1, adhesive strip 10, clamping device 11, protruding buckle 12, limiting groove 120, elastic clamping block 13, host 2, main frame 21, host cover 22, electric stimulation device 3, electrode bracket 31, stimulation electrode 32, metal loop electrode 33, sound stimulation device 4, bone conduction vibrator 42, microphone interface 410, central control processor 5, power supply device 6, rechargeable battery 61, magnetic induction coil 62.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明的一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

需要说明,本发明实施例中所有方向性指示(诸如上、下、左、右、前、后……)仅用于解释在某一特定姿态(如附图所示)下各部件之间的相对位置关系、运动情况等,如果该特定姿态发生改变时,则该方向性指示也相应地随之改变。It should be noted that all directional indications in the embodiments of the present invention (such as up, down, left, right, front, back, etc.) are only used to explain the relative position relationship, movement status, etc. between the components under a certain specific posture (as shown in the accompanying drawings). If the specific posture changes, the directional indication will also change accordingly.

另外,在本发明中如涉及“第一”、“第二”等的描述仅用于描述目的,而不能理解为指示或暗示其相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括至少一个该特征。在本发明的描述中,“多个”的含义是至少两个,例如两个,三个等,除非另有明确具体的限定。In addition, in the present invention, the descriptions of "first", "second", etc. are only used for descriptive purposes and cannot be understood as indicating or implying their relative importance or implicitly indicating the number of the indicated technical features. Therefore, the features defined as "first" or "second" may explicitly or implicitly include at least one of the features. In the description of the present invention, the meaning of "plurality" is at least two, such as two, three, etc., unless otherwise clearly and specifically defined.

在本发明中,除非另有明确的规定和限定,术语“连接”、“固定”等应做广义理解,例如,“固定”可以是固定连接,也可以是可拆卸连接,或成一体;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系,除非另有明确的限定。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。In the present invention, unless otherwise clearly specified and limited, the terms "connection", "fixation", etc. should be understood in a broad sense. For example, "fixation" can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, it can be the internal connection of two elements or the interaction relationship between two elements, unless otherwise clearly defined. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.

在本发明公开了一种骨导声结合电刺激治疗耳鸣的声电联合装置The invention discloses a combined acoustic and electrical device for treating tinnitus by combining bone conduction sound with electrical stimulation.

实施例1如图1-6所示:Example 1 is shown in Figures 1-6:

一种骨导声结合电刺激治疗耳鸣的声电联合装置,包括A combined acoustic and electrical device for treating tinnitus by combining bone conduction sound with electrical stimulation, comprising

耳贴座1,如图1所示:耳贴座1的整体形状和颌骨贴合,所述耳贴座1的一侧设有用于黏贴在皮肤上的粘合胶条10;粘合胶条10设置为多个,而且均匀的分布在耳贴座1的一侧,粘合胶条10可以使得耳贴座1可以便捷紧密的贴靠在耳部的皮肤上,由于电刺激的精确度要高,使用粘合胶条10可以通过多个点位的粘合,牢牢固定位置,而避免使用其他绑带式的紧固方式带来的位置偏移,导致治疗效果降低。The ear patch seat 1 is shown in Figure 1: the overall shape of the ear patch seat 1 fits the jawbone, and one side of the ear patch seat 1 is provided with an adhesive strip 10 for sticking to the skin; the adhesive strips 10 are provided in plurality and are evenly distributed on one side of the ear patch seat 1. The adhesive strips 10 can make the ear patch seat 1 stick tightly to the skin of the ear conveniently. Since the accuracy of electrical stimulation is required to be high, the adhesive strips 10 can be used to firmly fix the position through adhesion at multiple points, thereby avoiding the position deviation caused by using other strap-type fastening methods, resulting in reduced treatment effect.

本实施例涉及的声电联合装置中,主机2是可拆卸的设置在耳贴座1远离粘合胶条10的另一侧,主要是为了方便拆卸后充电以及根据不同患者设置不同的治疗频率。In the acoustic-electric combined device involved in this embodiment, the main unit 2 is detachably arranged on the other side of the ear patch seat 1 away from the adhesive strip 10, mainly for the convenience of charging after disassembly and setting different treatment frequencies according to different patients.

如图1-2所示:作为本申请的进一步改进,所述耳贴座1上设有夹紧装置11,所述夹紧装置11包括凸起卡扣12和两个对称设置的弹性夹紧块13,主机上盖22的底部设有与凸起卡扣12形状对应的限位槽120,所述凸起卡扣12和限位槽120配合后,两个所述的弹性夹紧块13分别挤压所述主机上盖22的两侧壁,使所述主机2固定在耳贴座1上。As shown in Figures 1-2: As a further improvement of the present application, a clamping device 11 is provided on the ear sticker seat 1, and the clamping device 11 includes a protruding buckle 12 and two symmetrically arranged elastic clamping blocks 13. The bottom of the host upper cover 22 is provided with a limiting groove 120 corresponding to the shape of the protruding buckle 12. After the protruding buckle 12 and the limiting groove 120 are matched, the two elastic clamping blocks 13 respectively squeeze the two side walls of the host upper cover 22 to fix the host 2 on the ear sticker seat 1.

如图3-4所示:所述主机2上设有电刺激装置3,声刺激装置4、中央控制处理器5和电源装置6;As shown in Fig. 3-4: the host 2 is provided with an electric stimulation device 3, an acoustic stimulation device 4, a central control processor 5 and a power supply device 6;

所述中央控制处理器5包括电刺激处理模块、声音处理模块和电源管理模块,所述电刺激模块发射单极或者双极电刺激波,并通过电刺激装置3到达人体耳部的鼓膜,所述声音处理模块将接收到的外部声音输入转化成耳鸣患者的治疗频率,并通过声刺激装置4在外耳道发声。The central control processor 5 includes an electrical stimulation processing module, a sound processing module and a power management module. The electrical stimulation module emits monopolar or bipolar electrical stimulation waves and reaches the eardrum of the human ear through the electrical stimulation device 3. The sound processing module converts the received external sound input into a therapeutic frequency for tinnitus patients and emits sound in the external auditory canal through the sound stimulation device 4.

具体实施过程中,中央控制处理器5一般输出双极电刺激波,采用电荷平衡的双向方波刺激来避免电荷在组织内残留。In a specific implementation process, the central control processor 5 generally outputs a bipolar electrical stimulation wave, using charge-balanced bidirectional square wave stimulation to avoid residual charge in the tissue.

所述电刺激模块采用电荷平衡的双向刺激方波,所述双向刺激方波周期为0.1-5ms,频率为100-300Hz,所述刺激电极32的阻抗>300KΩ。The electrical stimulation module adopts a charge-balanced bidirectional stimulation square wave, the bidirectional stimulation square wave has a period of 0.1-5 ms and a frequency of 100-300 Hz, and the impedance of the stimulation electrode 32 is greater than 300 KΩ.

本装置可根据用户耳鸣的频率、响度,通过磁感应线圈调节、配置、存储声电刺激参数,并通过磁感应线圈充电。主机离开充电座后自动开机,可直接和耳贴座配合并佩戴在头上,推动刺激电极贴至鼓膜处,与金属回路电极形成闭环,电刺激锤骨柄;This device can adjust, configure, and store acoustic and electrical stimulation parameters according to the frequency and loudness of the user's tinnitus through the magnetic induction coil, and can be charged through the magnetic induction coil. The host automatically turns on after leaving the charging station, and can be directly matched with the ear stick seat and worn on the head, pushing the stimulation electrode to the eardrum to form a closed loop with the metal loop electrode to electrically stimulate the handle of the malleus;

所述主机2包括主框体21和主机上盖22,所述中央控制处理器5和电源装置6处于所述主框体21内。The host 2 includes a main frame 21 and a host cover 22 , and the central control processor 5 and the power supply device 6 are located in the main frame 21 .

所述声刺激装置4包括麦克风和骨传导振子42,所述主框体21侧壁上设置有麦克风接口410,所述骨传导振子42固定在主机上盖22上。The sound stimulation device 4 includes a microphone and a bone conduction vibrator 42 . A microphone interface 410 is provided on the side wall of the main frame 21 , and the bone conduction vibrator 42 is fixed on the main body upper cover 22 .

所述声音处理模块通过骨传导振子42在200-6500Hz频率范围内提供最大120dBSPL声输出。The sound processing module provides a maximum 120dB SPL sound output in the frequency range of 200-6500 Hz through the bone conduction vibrator 42 .

所述电刺激装置3包括电极支架31、刺激电极32和金属回路电极33,所述电极支架31的一端固定在主框体21侧壁上,所述电极支架31的另一端和刺激电极32连接,其中,所述电极支架31为可伸缩形变支架。The electrical stimulation device 3 includes an electrode bracket 31, a stimulation electrode 32 and a metal loop electrode 33, one end of the electrode bracket 31 is fixed to the side wall of the main frame 21, and the other end of the electrode bracket 31 is connected to the stimulation electrode 32, wherein the electrode bracket 31 is a retractable and deformable bracket.

所述电源装置6包括可充电电池61和磁感应线圈62,所述磁感应线圈62用于充电和无线蓝牙信号输入。The power supply device 6 includes a rechargeable battery 61 and a magnetic induction coil 62 . The magnetic induction coil 62 is used for charging and wireless Bluetooth signal input.

另一方面本设备可利用麦克风输入外界的声音,经过中央控制处理器5处理后通过骨传导振子输出,起到助听及耳鸣声掩蔽的作用。On the other hand, the device can use the microphone to input external sounds, which are processed by the central control processor 5 and output through the bone conduction vibrator to play the role of hearing aid and tinnitus masking.

还可以利用中央控制处理器5的芯片储存的音乐信号\噪音\环境信号播放来转移中枢注意力和耳鸣掩蔽。The music signal, noise, and environmental signal stored in the chip of the central control processor 5 can also be used to divert central attention and mask tinnitus.

如图1-6所示;一种骨导声结合电刺激声电联合装置治疗耳鸣的方法,使用骨导声结合电刺激治疗耳鸣的声电联合装置,所述方法包括As shown in Figure 1-6; a method for treating tinnitus using a bone conduction acoustic combined with electrical stimulation acoustic and electrical combined device, using a bone conduction acoustic combined with electrical stimulation acoustic and electrical combined device for treating tinnitus, the method comprising:

S1根据用户耳鸣的频率和响度,外部设备通过磁感应线圈调节和配置,将声刺激参数和电刺激参数存储至中央控制处理器内,并通过磁感应线圈充电,主机离开充电座后自动开机;S1 According to the frequency and loudness of the user's tinnitus, the external device adjusts and configures through the magnetic induction coil, stores the acoustic stimulation parameters and electrical stimulation parameters in the central control processor, and charges through the magnetic induction coil. The host automatically turns on after leaving the charging station;

S2通过凸起卡扣和限位槽卡接配合,以及两个弹性夹紧块分别挤压所述主机的两侧壁,使主机固定在耳贴座上;S2 fixes the host to the ear pad seat by means of the protruding buckle and the limiting groove being engaged, and the two elastic clamping blocks respectively squeezing the two side walls of the host;

S3、骨导声掩蔽结合电刺激治疗耳鸣,外置麦克风插入麦克风接口,接收外界声音,经过处理后通过骨传导振子输出,利用骨传导振子发声进行声习服治疗;S3, bone conduction sound masking combined with electrical stimulation to treat tinnitus, an external microphone is inserted into the microphone interface to receive external sounds, which are then processed and output through the bone conduction vibrator, and the bone conduction vibrator is used to produce sound for acoustic habituation therapy;

S4、调节位置,撕开粘合胶条,使耳贴座和颌骨位置相合并做固定保护,然后将可伸缩形变支架上的刺激电极从主机上伸入病人外耳道内,电极刺激可紧贴鼓膜锤骨柄处,使用微电流刺激与金属回路电极形成电流闭环。S4. Adjust the position and tear off the adhesive strip to align the ear patch seat and the jawbone for fixed protection. Then extend the stimulation electrode on the retractable deformable bracket from the main unit into the patient's external auditory canal. The electrode stimulation can be close to the handle of the tympanic membrane and hammer. Use microcurrent stimulation to form a current closed loop with the metal loop electrode.

本申请的骨导声结合电刺激治疗耳鸣的声电联合装置整体为外置仪器治疗,无需进行手术电刺激,病人痛苦少,而且无创伤感染的风险,避免了长期佩戴入耳式助听器造成的疼痛,发炎等不适症状,佩戴摘取方便,较人工耳蜗美观舒适,不损坏耳蜗结构,不会对听力造成二次损伤;The bone conduction sound combined with electrical stimulation for treating tinnitus of the present application is an external instrument treatment as a whole, and does not require surgical electrical stimulation, which reduces the pain of the patient and does not have the risk of traumatic infection. It avoids the discomfort symptoms such as pain and inflammation caused by long-term wearing of in-ear hearing aids, is easy to wear and remove, is more beautiful and comfortable than cochlear implants, does not damage the cochlear structure, and does not cause secondary hearing damage;

通过设置外接麦克风,使声音频率范围更宽,可达到的耳鸣靶点频率更广,能满足大部分耳鸣患者的需求;By setting up an external microphone, the sound frequency range is wider and the achievable tinnitus target frequency is wider, which can meet the needs of most tinnitus patients;

通过声刺激和电刺激的联合刺激方式效果好:其中声掩蔽疗法转移中枢注意力,电信号补充骨导声掩蔽无法达到的声压级频率,电流刺激鼓膜锤骨柄,通过听骨链传导到耳蜗底周高频或超高频区,联合刺激治疗有效抑制耳鸣,有效避免了长期声掩蔽治疗带来的噪音性听损,保护患者残余听力。The combined stimulation of sound stimulation and electrical stimulation has a good effect: sound masking therapy diverts central attention, electrical signals supplement the sound pressure level frequency that bone conduction sound masking cannot reach, and the electric current stimulates the handle of the tympanic membrane and hammer, which is transmitted to the high-frequency or ultra-high-frequency area around the base of the cochlea through the ossicular chain. The combined stimulation therapy effectively suppresses tinnitus, effectively avoids noise-induced hearing loss caused by long-term sound masking therapy, and protects the patient's residual hearing.

另外,本发明各个实施例之间的技术方案可以相互结合,但是必须是以本领域普通技术人员能够实现为基础,当技术方案的结合出现相互矛盾或无法实现时应当认为这种技术方案的结合不存在,也不在本发明要求的保护范围之内。In addition, the technical solutions between the various embodiments of the present invention can be combined with each other, but it must be based on the fact that ordinary technicians in the field can implement it. When the combination of technical solutions is contradictory or cannot be implemented, it should be deemed that such combination of technical solutions does not exist and is not within the scope of protection required by the present invention.

以上所述实施例仅表达了本申请的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对本申请专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本申请构思的前提下,还可以做出若干变形和改进,这些都属于本申请的保护范围。因此,本申请的保护范围应以所附权利要求为准。The above-described embodiments only express several implementation methods of the present application, and the descriptions thereof are relatively specific and detailed, but they cannot be understood as limiting the scope of the present application. It should be pointed out that, for a person of ordinary skill in the art, several variations and improvements can be made without departing from the concept of the present application, and these all belong to the protection scope of the present application. Therefore, the protection scope of the present application shall be subject to the attached claims.

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