Sensory Organ Replacement and Repair - Gerald E. Miller.pdf

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Sensory Organ Replacement
and Repair
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Copyright © 2006 by Morgan & Claypool
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in
any form or by any means—electronic, mechanical, photocopy, recording, or any other except for brief quotations
in printed reviews, without the prior permission of the publisher.
Sensory Organ Replacement and Repair
Gerald E. Miller
www.morganclaypool.com
ISBN: 1598290622 paperback Miller
1598290630 ebook
Miller
DOI: 10.2200/S00022ED1V01Y200604BME003
A Publication in the Morgan & Claypool Publishers’ series
SYNTHESIS LECTURES ON BIOMEDICAL ENGINEERING
Lecture #3
First Edition
Printed in the United States of America
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Sensory Organ Replacement
and Repair
Gerald E. Miller
Virginia Commonwealth University
SYNTHESIS LECTURES ON BIOMEDICAL ENGINEERING #3
& C
Morgan & Claypool Publishers
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ABSTRACT
The senses of human hearing and sight are often taken for granted by many individuals until
they are lost or adversely affected. Millions of individuals suffer from partial or total hearing loss
and millions of others have impaired vision. The technologies associated with augmenting these
two human senses range from simple hearing aids to complex cochlear implants, and from (now
commonplace) intraocular lenses to complex artificial corneas. The areas of human hearing and
human sight will be described in detail with the associated array of technologies also described.
KEYWORDS
Human hearing, Audiology, Hearing Aids, Cochlear Implants, Human vision, Intraocular lens,
Cataract surgery, Artificial Cornea, Corneal Transplant
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Contents
1.
Sensory Organ Replacement and Repair ........................................ 1
1.1 Hearing AIDS ...........................................................1
1.1.1 Anatomy of the Ear and Human Hearing ...........................1
1.1.2 Hearing Loss .....................................................7
1.1.3 Hearing Aid Technologies . . ......................................12
1.2 Middle Ear Replacement ................................................ 19
1.2.1 Introduction ....................................................19
1.2.2 Technology and Replacement Components .........................20
1.2.3 History of Ossicle Surgery and Replacement ....................... 22
1.3 Cochlear Implant ....................................................... 24
1.3.1 Introduction .....................................................24
1.3.2 Cochlear Implant Components and Surgery ........................25
1.3.3 Current Devices and Cochlear Implant Companies ..................31
1.3.4 Issues Associated with Implant Use ................................33
1.3.5 History of the Cochlear Implant .................................. 34
1.3.6 Regulatory Issues for Cochlear Implants and Recent Research ........35
1.4 Intraocular Lens ........................................................ 36
1.4.1 Anatomy of the Eye ..............................................36
1.4.2 Cataracts and Their Determination ................................37
1.4.3 The IOL and Implantation Surgery ............................... 41
1.4.4 History of the IOL and Current Research ..........................47
1.5 Artificial and Replacement Cornea . . . .....................................48
1.5.1 Corneal Transplant .............................................. 49
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