How normal hearing works

In normal hearing, sound waves travel through the ear canal and cause the ear drum (tympanic membrane) to vibrate. This vibration is transferred to the three middle ear bones, the anvil, hammer and stirrup. These bones amplify the vibration and transfer the energy to the round window - the entrance to the cochlea. This creates movement of the fluid in the cochlea, where the hair cells move in response to the movement. The amount of fluid movement/hair cell response is based on the frequency and amplitude of the incoming sound wave. When the hair cell moves, it creates an electrical signal (increase in potassium ions) that stimulates the associated nerve. The nerve sends these electrical signals to the brain, which interprets them as sound.

 

How conventional cochlear implants work

external components

The behind-the-ear microphone (with battery) records sounds from the environment. These recordings are converted into digital signals via multiple sound processing algorithms. The sound transmitter (held magnetically in place) sends these data signals wirelessly across the skin, along with power for the implant.

 

Implanted components

The implanted sound transmitter/receiver receives these signals, and encodes them into electrical pulses (on/off signals) that are sent via wire to the cochlear electrode. Each electrical pulse is assigned/matched to a specific electrode that contacts with a specific nerve. When that nerve is stimulated by the electrode, the nerve fibres send a signal to the brain to provide a sensation of sound.

 

Challenges of the Current Treatment

Lifestyle

The external components are large and delicate, and must be protected from knocks and water to prevent damage. This means users cannot play sport, swim, bathe or sleep with the external components in place.

Aesthetics

The large external components serve as a visual indicator of the user’s disability.

Battery

Due to the complexity of digital signal processing, a large battery is required to power these processes. This means miniaturisation of these external components is a challenge. Battery life varies greatly between 4-8 hours, depending on the user’s hearing loss.

Sound Quality

Cochlear implants provide the perception of sound, and there is much rehabilitation required to understand speech. The Hera Wireless Implant aims to improve upon the sound quality/perception by using mechanical sound processing that mimics natural hearing.