Published online by Cambridge University Press: 15 February 2011
Sensorineural hearing loss (profound deafness) is a result of the inability of the transductory structures in the cochlea (organ of Corti) to convert the mechanical displacement of the basilar membrane to neural signals. A class of devices known as Cochlear Implants can significantly enhance the hearing ability in these patients. Fundamentally different from the existing cochlear implant technology, are the totally implantable piezoelectric based devices that are being developed. The unit is completely self-contained, designed to work without any signal amplifiers or transmission elements, greatly simplifying the stimulation process, and enhancing the cosmetic appearance of the patient. These devices utilize the bending piezoelectric effect. Device design consists of arrays of elements of piezoelectric polymer films with conducting polymer electrodes embedded in a flexible substrate with the whole device coated with an insulating layer. The incoming mechanical energy (pressure waves) into the cochlea generates electrical charge by virtue of the piezoelectric effect of the film. The generated charge is fed to electrical connections evaporated on the substrate and is used to stimulate surviving nerve fibers in the cochlea. In certain environments where acoustic impedance matching is limited by size constraints and conducting liquid medium, the advantage of polymer based devices over ceramics and metal based devices, are their flexibility, low acoustic impedance, and high sensitivity. However, in order to utilize these useful properties, the electrode material is an important issue, since the conventionally used metal electrodes, have high acoustic impedance and also impose mechanical clamping on the soft polymer which can significantly reduce the electromechanical efficiency of the transducer. Due to its flexibility, strong coherent interfaces, and significantly improved acoustic transparency, such an all-polymer electroactive system is compared to a metal-polymer system of similar design and also compared to the current technology.