Dual-Function Surgical Tool for Cochlear Implant Electroporation
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Solution Overview
Problem
Current tissue-stimulating prostheses, such as cochlear implants, face challenges in effectively delivering treatment substances to nerve cells due to the absence or damage of hair cells, and existing insertion tools lack the capability to efficiently introduce substances into the cochlea while positioning the stimulating assembly.
Innovation Solution
A dual-function surgical tool with an intra-cochlear portion and insertion guide tube equipped with electrodes that generate an electroporation electrical field to open cell membranes, allowing for the introduction of treatment substances into nerve cells, and a method involving positioning the tool, generating an electrical field, advancing an electrode, and withdrawing it from the cochlea.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If existing insertion tools are used to position the stimulating assembly, then the stimulating assembly can be positioned in the cochlea, but the capability to efficiently introduce treatment substances into nerve cells is lacking
Solution Approach 1:
The patent combines the positioning function and substance delivery function into a single integrated surgical tool. The insertion tool includes both the guide tube for positioning the stimulating assembly and the electroporation electrodes for introducing treatment substances, eliminating the need for separate devices and thereby improving versatility without proportionally increasing complexity.
Solution Approach 2:
The surgical tool is designed to perform multiple functions: (1) guiding the stimulating assembly into the cochlea, (2) delivering treatment substances to nerve cells via electroporation, and (3) providing electrical stimulation. This multi-functional design directly addresses the versatility improvement while keeping the device as a single integrated unit.
2Reliability
If hair cells are absent or damaged, then tissue-stimulating prostheses are needed to compensate for the deficiency, but the delivery of treatment substances to nerve cells becomes ineffective
Solution Approach 1:
The patent replaces passive mechanical diffusion of treatment substances with active electroporation-mediated delivery. By applying electrical fields through the electrodes, the system creates temporary pores in the nerve cell membranes, enabling reliable substance delivery independent of the presence or condition of hair cells.
Solution Approach 2:
The system changes the physical state of the nerve cell membranes by applying electrical fields that induce electroporation. This parameter change (from intact membrane to temporarily permeable membrane) enables reliable delivery of treatment substances directly to nerve cells, bypassing the need for functional hair cells.
3Productivity
If electroporation electrical field is generated to open cell membranes, then treatment substances can be introduced into nerve cells, but additional electrodes and electrical field generation capability are required
Solution Approach 1:
The electroporation electrodes are integrated into the insertion tool itself, combining the substance delivery function with the positioning function. This merging allows efficient electroporation-mediated delivery without requiring a separate electroporation device, thereby improving productivity while limiting the increase in overall device complexity.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
Enables the efficient delivery of treatment substances into nerve cells within the cochlea, facilitating the introduction of biological or bioactive substances, enhancing the functionality of tissue-stimulating prostheses like cochlear implants.
Implementation Method 1
equipped with electrodes that generate an electroporation electrical field to open cell membranes
Data Source
AI summary
Presented herein are dual-function surgical tools for insertion of implantable stimulating assemblies, such as intra-cochlear stimulating assemblies. In addition to facilitating intra-operative positioning of a stimulating assembly within a recipient (e.g., operating to guide the stimulating assembly of an implantable medical device into position), the surgical tool also includes a plurality of electrodes configured to apply an electroporation electrical field to a recipient's nerve cells to enable introduction of treatment substance into the nerve cells.


