WO2008042054A2

WO2008042054A2 - External coil assembly for implantable medical prostheses

Info

Publication number: WO2008042054A2
Application number: PCT/US2007/018078
Authority: WO
Inventors: Rongqing Dai; Dao Min Zhou; Robert J. Greenberg; John Gord
Original assignee: Second Sight Medical Products, Inc.
Priority date: 2006-09-29
Filing date: 2007-08-15
Publication date: 2008-04-10
Also published as: US8548597B2; EP2081641B1; US8010206B2; US20080082147A1; WO2008042054A3; EP2081641A2; US20080082143A1

Abstract

Methods and devices for inductively coupled implants on the human or animal body are disclosed. An external coil assembly to be used with the implant has a transmitting coil and one or more receiving coils. The number of the receiving coils, their distance from the transmitting coil and their shape is chosen to reduce the influence of a noise signal received by the external coil assembly.

Description

TITLE

EXTERNAL COIL ASSEMBLY FOR IMPLANTABLE MEDICAL PROSTHESES

CROSS REFERENCE TO RELATED APPLICATIONS

[0001] The present invention is related to U.S. Pub. No. 2005/0222624 (Retinal Prosthesis with Side Mounted Inductive Coil) and U.S. Pub. No. 2005/0288734 (Visual Prosthesis with Operational Data Telemetry), the disclosures of both of which are incorporated herein by reference in their entirety. The present application claims priority to U.S. Pat. App. S/N 11/529,809 filed on September 29, 2006 for an "External Coil Assembly for Implantable Medical Prostheses", the disclosure of which is incorporated herein by reference in its entirety.

FEDERALLYSPONSORED RESEARCH

[0002] This invention was made with government support under grant no. R24EY 12893-01, awarded by the National Institutes of Health. The U.S. Government has certain rights in the invention.

BACKGROUND

Field

[0003] The present disclosure relates to devices implantable on the animal or human body. In particular, it relates to an external coil assembly for implantable medical prostheses.

Related Art

[0004] In inductively powered retinal prostheses, coils are used to transmit and receive RF power in both external and implant ends. Reference can be made, for example, to U.S. Pat. No. 5,935,155 (Visual Prosthesis and Method of Using Same), incorporated herein by reference in its entirety. Due to the low power nature of the implant device and the limited implant coil size, it imposes difficulties to retrieve the low level feedback signals at the external side in the presence of a strong magnetic field created by the external transmitting power carrier. This is especially true when the back telemetry signal frequency is not much far away from the power carrier. In the case of retinal prosthesis when the implant coil is mechanically linked to the eyeball, the eyeball movement compromises the coupling condition between the external and implant coils and therefore makes the back telemetry signal condition at the external receiving end worse. There is a need for an apparatus and method to reduce and possibly minimize the power carrier component in the received spectrum and therefore to improve the back telemetry reliability.

[0005] In 1755 LeRoy passed the discharge of a Leyden jar through the orbit of a man who was blind from cataract and the patient saw "flames passing rapidly downwards." Ever since, there has been a fascination with electrically elicited visual perception. The general concept of electrical stimulation of retinal cells to produce these flashes of light or phosphenes has been known for quite some time. Based on these general principles, some early attempts at devising a prosthesis for aiding the visually impaired have included attaching electrodes to the head or eyelids of patients. While some of these early attempts met with some limited success, these early prosthetic devices were large, bulky and could not produce adequate simulated vision to truly aid the visually impaired.

[0006] In the early 193 O¹S, Foerster investigated the effect of electrically stimulating the exposed occipital pole of one cerebral hemisphere. He found that, when a point at the extreme occipital pole was stimulated, the patient perceived a small spot of light directly in front and motionless (a phosphene). Subsequently, Brindley and Lewin (1968) thoroughly studied electrical stimulation of the human occipital (visual) cortex. By varying the stimulation parameters, these investigators described in detail the location of the phosphenes produced relative to the specific region of the occipital cortex stimulated. These experiments demonstrated: (1) the consistent shape and position of phosphenes; (2) that increased stimulation pulse duration made phosphenes brighter; and (3) that there was no detectable interaction between neighboring electrodes which were as close as 2.4 mm apart.

[0007] As intraocular surgical techniques have advanced, it has become possible to apply stimulation on small groups and even on individual retinal cells to generate focused phosphenes through devices implanted within the eye itself. This has sparked renewed interest in developing methods and apparati to aid the visually impaired. Specifically, great effort has been expended in the area of intraocular retinal prosthesis devices in an effort to restore vision in cases where blindness is caused by photoreceptor degenerative retinal diseases such as retinitis pigmentosa and age related macular degeneration which affect millions of people worldwide.

[0008] Neural tissue can be artificially stimulated and activated by prosthetic devices that pass pulses of electrical current through electrodes on such a device. The passage of current causes changes in electrical potentials across retinal neuronal cell membranes, which can initiate retinal neuronal action potentials, which are the means of information transfer in the nervous system.

[0009] Based on this mechanism, it is possible to input information into the nervous system by coding the sensory information as a sequence of electrical pulses which are relayed to the nervous system via the prosthetic device. In this way, it is possible to provide artificial sensations including vision.

[0010] Some forms of blindness involve selective loss of the light sensitive transducers of the retina. Other retinal neurons remain viable, however, and may be activated in the manner described above by placement of a prosthetic electrode device on the inner- (toward the vitreous) retinal surface (epiretinal). This placement must be mechanically stable, minimize the distance between the device electrodes and the retinal neurons, and avoid undue compression of the retinal neurons.

[0011] In 1986, Bullara (US Pat. No. 4,573,481) patented an electrode assembly for surgical implantation on a nerve. The matrix was silicone with embedded iridium electrodes. The assembly fit around a nerve to stimulate it.

[0012] Dawson and Radtke stimulated a cat's retina by direct electrical stimulation of the retinal ganglion cell layer. These experimenters placed nine and then fourteen electrodes upon the inner retinal layer (i.e., primarily the ganglion cell layer) of two cats. Their experiments suggested that electrical stimulation of the retina with 30 to 100 uA current resulted in visual cortical responses. These experiments were carried out with needle-shaped electrodes that penetrated the surface of the retina (see also US Pat. No. 4,628,933 to Michelson).

[0013] The Michelson '933 apparatus includes an array of photosensitive devices on its surface that are connected to a plurality of electrodes positioned on the opposite surface of the device to stimulate the retina. These electrodes are disposed to form an array similar to a "bed of nails" having conductors which impinge directly on the retina to stimulate the retinal cells. US Patent 4,837,049 to Byers describes spike electrodes for neural stimulation. Each spike electrode pierces neural tissue for better electrical contact. US Patent 5,215,088 to Norman describes an array of spike electrodes for cortical stimulation. Each spike pierces cortical tissue for better electrical contact. [0014] The art of implanting an intraocular prosthetic device to electrically stimulate the retina was advanced with the introduction of retinal tacks in retinal surgery. De Juan, et a!, at Duke University Eye Center inserted retinal tacks into retinas in an effort to reattach retinas that had detached from the underlying choroid, which is the source of blood supply for the outer retina and thus the photoreceptors. See, e.g., E. de Juan, et al., 99 Am. J. Ophthalmol. 272 (1985). These retinal tacks have proved to be biocompatible and remain embedded in the retina, and choroid/sclera, effectively pinning the retina against the choroid and the posterior aspects of the globe. Retinal tacks are one way to attach a retinal electrode array to the retina. US Patent 5,109,844 to de Juan describes a flat electrode array placed against the retina for visual stimulation. US Patent 5,935,155 to Humayun describes a retinal prosthesis for use with the flat retinal array described in de Juan.

SUMMARY

[0015] According to a first aspect of the present disclosure, an external coil assembly for an inductively coupled implant on the human or animal body is disclosed, comprising: a transmitting coil, adapted to transmit signals to the implant; a first receiving coil, adapted to receive signals from the implant, the first receiving coil exhibiting a first coupling coefficient with the transmitting coil; and a second receiving coil, the second receiving coil exhibiting a second coupling coefficient with the transmitting coil, wherein the first coupling coefficient is substantially identical to the second coupling coefficient.

[0016] According to a second aspect of the present disclosure, an inductive assembly adapted to communicate with an implant on the human or animal body is disclosed, comprising: a transmitting inductor; a first receiving inductor, comprising a first coil, a first substrate associated with the first coil, and a first metal shield connected with the first substrate; and a second receiving inductor, comprising a second coil, a second substrate associated with the second coil, and a second metal shield connected with the second substrate, wherein the first receiving inductor and the second receiving inductor are located on different sides of the transmitting inductor and substantially equidistant from the transmitting inductor.

[0017] According to a third aspect of the present disclosure, an inductive transceiver is disclosed, comprising: a transmitting coil; and a receiving coil, wherein a coupling coefficient between the transmitting coil and the receiving coil is substantially equal to zero, and wherein the inductive transceiver is adapted to interact with an implant implanted in a human or animal body and is adapted to be located externally to the human or animal body.

[0018] According to a fourth aspect of the present disclosure, an inductive assembly adapted to be coupled with an implant on a human or animal body and to be located externally to the implant is disclosed, the assembly comprising: a first inductor, the first inductor defining a first area inside the first inductor and a second area outside the first inductor; a second inductor located proximate to the first inductor, the second inductor having a symmetrical shape comprised of a first second inductor region and a second second inductor region, the first second inductor region defining a third area inside the first second inductor region, the second second inductor region defining a fourth area inside the second second inductor region, wherein intersection between the first area and the third area defines a first magnetic flux region, intersection between the first area and the fourth area defines a second magnetic flux region, intersection between the second area and the third area defines a third magnetic flux region, intersection between the second area and the fourth area defines a fourth magnetic flux region, and wherein magnetic flux intensity through the first magnetic flux region and the second magnetic flux region is substantially equal and opposite to magnetic flux intensity through the second magnetic flux region and the third magnetic flux region.

[0019] According to a fifth aspect of the present disclosure, a method to improve receiving sensitivity in an external coil assembly for an inductively coupled implant on the human or animal body is disclosed, wherein the external coil assembly comprises a transmitting coil and a receiving coil, the implant comprises an implant coil, the transmitting coil allows transmission of a forward telemetry signal at a carrier frequency to the implant, and the implant is adapted to send a back telemetry signal to the external coil assembly, the method comprising: adjusting position of the receiving coil with respect to the transmitting coil to reduce influence of a noise signal at the carrier frequency received by the external coil assembly in addition to the back telemetry signal.

[0020] According to a sixth aspect of the present disclosure, a visual prosthesis is disclosed, comprising: an image capture device converting a visual image to a data stream; a video processing unit receiving the data stream, applying filters to the data stream and providing a processed data stream; a transmitting coil, transmitting the processed data stream; an implanted secondary coil receiving the processed data stream and transmitting operational data telemetry; implanted electronics receiving the processed data stream from the implanted secondary coil stimulating visual neural tissue and producing the operational data telemetry; a first receiving coil, adapted to receive signals from the implanted secondary coil, the first receiving coil exhibiting a first coupling coefficient with the transmitting coil; and a second receiving coil, the second receiving coil exhibiting a second coupling coefficient with the transmitting coil, wherein the first coupling coefficient is substantially identical to the second coupling coefficient.

[0021] In accordance with the present disclosure, the back telemetry signals sent by the implant are reliably retrieved in the presence of a strong magnetic field imposed by the RF carrier of the power transmitter, without increasing the complexity of the receiver circuits and compromising the cosmetics of mechanical configuration of the external coils.

BRIEF DESCRIPTION OF THE FIGURES

[0022]

Figure 1 shows a first embodiment of an external coil assembly in accordance with the present disclosure.

Figure 2 shows an electrical diagram of the embodiment of Figure 1.

Figure 3 shows a second embodiment of the present disclosure.

Figures 4 and 5A-5C show sectional views referring to the second embodiment.

Figures 6A-6C show a third embodiment of the present disclosure.

Figures 7A-7C show a fourth embodiment of the present disclosure, where the receiving coil has a differential configuration.

Figures 8A and 8B are magnetic flux diagrams helpful to understand the concept expressed with reference to Figure 7B.

Figures 9-11 show alternative differential embodiments of the receiving coil of Figure 7B.

DETAILED DESCRIPTION

[0023] Figure 1 shows a first embodiment of an external coil assembly 10 inductively coupled with an implant coil 20. The external coil assembly 10 comprises inductors Ll, L3 and L4. The implant coil 20 comprises inductor L2. Throughout the present specification, the various inductors will be described as coils, for exemplary purposes.

[0024] With reference to the external coil assembly 10, coil Ll represents a transmitting coil, and coils L3, L4 represent receiving coils. Transmitting coil Ll allows a forward telemetry (FT) signal to be sent to implant coil 20 or L2. Receiving coils L3 and L4 allow a back telemetry (BT) signal to be received from the implant coil 20 or L2. The concept of FT signals and BT signals is known to the person skilled in the art. See, for example, U.S. Pub. App. No. 2005/0288734 (Visual Prosthesis with Operational Data Telemetry), incorporated herein by reference in its entirety. In accordance with this embodiment, transmitting coil Ll is located between receiving coils L3 and IA. Transmitting coil Ll is separated from receiving coils L3, L4 by means of a dielectric, e.g. air. A possible distance between coil Ll and coil L4 or coil Ll and coil L3 is about 2 mm. In the embodiment of Figure 1, coil L3 is identical to coil L4. Both coils L3 and L4 are placed at a same distance from Ll . However, embodiments where L3 is different from L4 can also be envisaged.

[0025] Figure 2 shows an electrical diagram of the first embodiment of Figure 1. An FT input signal amplified through power amplifier PA is fed to transmitting coil Ll and inductively received by implant coil L2. Implant coil L2 is part of an implant 30, further comprising a transceiver or stimulator 40. Implant 30 will not be described herewith in detail. A possible example of implant 30 can be found in U.S. Pub. App. No. 2005/0222624.(Retinal Prosthesis with Side Mounted Inductive Coil), incorporated herein by reference in its entirety, incorporated herein by reference in its entirety. Among other functions, transceiver 40 sends a back telemetry (BT) signal to coil L2 through driver 60. The BT signal sent through coil L2 is inductively received by receiver coils L3 and L4 and sent to a receiver circuit 70.

[0026] Magnetic coupling coefficients between the various pairs of coils are formed. The coupling coefficient measures the mutual inductance between two inductors. The coupling

coefficient between coils Ll and L2 is defined as K,-, where M12 is the mutual

inductance between coils Ll and L2. For two spiral type coils, the value of their coupling coefficient is determined by their separation distance, coil dimensions, and their alignment. In particular, the coupling coefficient increases as the two coils move closer, and decreases as they move farther.

[0027] On the external coil assembly side, coupling coefficient K13 defines the magnetic coupling between Ll and L3. Similarly, coupling coefficient K.14 defines the coupling between Ll and L4. When the external coil assembly 10 interacts with the implant coil 20, further coupling coefficients K12, K23 and K24 are defined, the meaning of which is identical to the one discussed above.

[0028] In accordance with the present disclosure Kl 3 is made to be substantially the same as K.14, i.e. K13 « K14. In the present embodiment, coils L3 and L4 are arranged in a differential configuration in the circuit. In particular, with reference to Figure 2, the lower portion of L3 is in- phase with the upper portion of IA, as shown by the position of the dots. Therefore, if the coils L3 and L4 are arranged so that they receive equal electromagnetic field strength from the transmitting coil Ll (e.g. by making them identical and putting them at the same distance from Ll), the net field strength L3 and L4 receive from Ll is zero, thus obtaining the desired condition of rejecting the interferences from Ll . In practical realization, the exact fulfillment of the K.13 = K14 requirement may not be achievable and what is relevant is that K.13 is substantially equal to K14, i.e. K13 « K14. With "substantially equal" a condition is intended where the direct influence of Ll on L3 and L4 when the BT signal is received from L2 is substantially reduced.

[0029] On the other hand, the coupling relation of the BT coils to the implant coil L2 is different as to Ll. By positioning L3 closer to L2 than L4, as shown in Figure 1, K23 is made greater than K24, i.e. K23>K24. As a result, the front coil L3 will receive a stronger field strength from implant coil L2 than the back coil L4. The net output produced by the BT coils L3 and L4 from the. implant coil is the difference between the signals received by L3 and L4 individually.

[0030] The signals transmitted back from the implant 30 will include the BT signals and reflected carrier signals. However, the reflected carrier signals coupled from L2 are much weaker in strength than the direct transmitting carrier signals coupled from Ll . Therefore, by rejecting the direct transmitting carrier signals from Ll, the arrangement shown in Figures 1 and 2 provides the BT signals with a better signal-to-carrier noise ratio than using a single back telemetry receiving coil. The receiver circuit 70 will then condition and decode the BT signal.

[0031] Figure 3 shows a further embodiment of the present disclosure, wherein each one of inductors L3, L4 can comprise: a coil layer 100 (or 1 10), an insulator (or substrate) layer 120 (or 130), and an electrical shield layer 140 (or 150). This embodiment can be readily realized with a double-layered printed circuit board (PCB) in which the coil and shield are made of copper traces and the insulation is the PCB substrate. As usual, L4 and L3 are separated from Ll by way of an insulator 160, e.g. air. The presence of the metallic shield layer shunts the stray capacitors around transmitting coil Ll so that the tuning condition is not affected by the variation of the coil placement relative to the body. It also prevents the displacement current produced by the transmitting coil Ll from flowing through the human body. Incidentally, also the implant coil L2 can be shielded for the same purpose.

[0032] In order to reduce the loss of the transmitting power from Ll caused by Eddy currents and thermal effect, thin traces or wires with good conductivity such as copper can be used for the receiving coils L3 and L4 and also the electrical shielding. In practical applications, the physical specifications of the coils, such as the coil dimensions, separations between the coils in the assembly, and coil configurations (turns, pitches, wire diameters etc.) can be optimized for the requirements of power and range of movement between coil Ll and the implant coil L2.

[0033] Figure 4 shows a top sectional view of an exemplary configuration of transmitting inductor Ll, comprising a coil 170 and insulator 180 between the windings of the coil. Coil 170 can either be comprised of single layer or multi-layer turns of conductors, such as copper. For applications demanding high power, multi-stranded Litz wires can be used for the conductors in coil 170 in order to reduce power loss due to skin effect.

[0034] Figure 5 A shows a top sectional view of an exemplary configuration of inductor L3 or L4, comprising a coil 190, a substrate 200, and a metallic shield 210 (shown in dotted lines). Figure 5B shows a partial view of the coil 190 and the substrate 200. Figure 5C shows a partial view of the metallic shield 210. The conductors (or traces) in 210 are arranged in such a way that they do not form any closed circles (circuits).

[0035] The electrical shielding can be connected to a low impedance point and stable electrical potential of the external assembly (e.g. the RF power ground) so that the stray capacitances are stabilized and the coupling or displacement path between the coil and the body is shunted. In order to minimize the shielding effects to the magnetic field by the metal materials, low resistivity materials can be used, so that any Eddy current formed in the metal consumes a small amount of power. A mesh type structure with thin wires can also be used, without forming any closed circuit in the shield layer that acts like a coil to loop electrical currents. This shield pattern is schematically indicated by reference numeral 210 in Figures 5 A and 5C. The spaces between the traces shown in Figure 5C can be tuned close to the gap distance between the Ll coil surface and the shield layer for a balance between good shielding performance and low degradation to the magnetic field.

[0036] Figures 6A-6C show a further embodiment of the present disclosure, where the external coil assembly 10 is provided with one transmitting inductor Ll and one receiving inductor L3, as shown in Figure 6A. The electrical behavior of the embodiment of Figure 6A can be understood with reference to Figure 6C, which is conceptually similar to Figure 2. In the embodiment at issue, a single coupling coefficient is formed on the external coil assembly side, i.e. K13, which defines the coupling between Ll and L3. When the external coil assembly 10 interacts with implant coil L2, further coupling coefficients K12 and K23 are defined.

[0037] In accordance with this additional embodiment, Kl 3 is made as proximate as possible to zero. This can be obtained, for example, by displacing L3 with respect to.Ll, when seen from the top, as shown in Figure 6B. In particular, Ll, when seen from the top or from the bottom, defines a bound internal (substantially circular in the embodiment of Fig. 6B) area and an unbound external area. Similarly, L3 also defines a bound internal area. The applicant has noted that Kl 3 can be reduced to zero by displacing L3 with respect to Ll so that the internal area defined by L3 is spatially associated both with the internal area defined by Ll and the external area defined by Ll. In particular, K13 can be reduced to zero when the magnetic flux B going through dotted area 250 has an intensity which is equal to the intensity of the magnetic flux B going through x'd area 260.

[0038] Figures 7A-7C show another embodiment of the present disclosure, where the external coil assembly 10 is provided with receiving inductors L3, L4 arranged on the same side of the transmitting inductor Ll. The inductors L3, L4 can be seen as two distinct inductors or as a single inductor comprising portions L3, L4. The electrical behavior of the embodiment of Figure 7A can be understood with reference to Figure 7C, which is conceptually similar to Figures 4 and 6C. In the embodiment at issue, coupling coefficients Kl 3 and K14 are formed on the external coil assembly side and coupling coefficients K 12, K23 and K24 are formed when the external coil assembly 10 interacts with implant coil L2.

[0039] Given that both inductors L3 and L4 are located on the same side of inductor Ll, the in- phase arrangement of L3 and L4 is different from that shown in Figure 2, as shown by the position of the dots in Figure 7C. Therefore, in this case, minimization of the combined coupling coefficient inside arrangement 10 is obtained by designing L3 and L4 so that K13 = -K14. This can be obtained, for example, by displacing L3 and L4 with respect to Ll₅ when seen from the top, as shown in Figure 7B. Each of L3 and L4, when seen from the top or the bottom, defines an internal area. The applicant has noted that K13 can be made equal and opposite to K14 by displacing L3, L4 with respect to Ll so that the internal areas defined by each of L3 and L4 are spatially associated both with the internal area and the external area defined by Ll. In particular, K13 + K14 can be made equal to zero when the intensity of the magnetic flux B going through dotted areas 270, 280 is equal to the intensity of the magnetic flux B going through x'd areas 290 and 300.

[0040] In other words, the magnetic field created by Ll is distributed in such a way that a) the direction of the field enclosed by the coil turns is opposite to the direction of the field surrounding them and b) the intensity of the field enclosed by the coil turns is equal to the intensity of the field surrounding the coil turns. A qualitative explanation of this concepts is shown in Figures 8A and 8B₅ where Figure 8A shows a cross sectional view of the magnetic field distribution in the case at issue, and Figure 8B shows a top view thereof. (+) field lines are outward field lines, while (-) field lines are inward field lines. The net magnetic fluxes passing through the receiving coils L3, L4 are minimized to zero, at which condition the effective coupling between the external transmitting coil Ll and the external receiving coils L3, L4 is negligent. In this way, the effect of the power carrier during reception is minimized while, at the same time, the forward coupling between the implant coil L2 and the external receiving coils L3, L4 still follows a size and distance relationship.

[0041] To maximize the receiving sensitivity, the receiving coil or coils should be tuned to the carrier frequency of the BT signal. The positioning of the receiving coil relative to the transmitting coil can be tuned by driving the transmitting coil with the transmitting coil with the power carrier frequency and monitoring the receiving signal strength of the same frequency at the receiving coil in the same time. The optimal position is where the signal strength is the lowest. In case of an inductively powered implant, the power carrier component received by the external receiver coil is composed of two parts: a part originating from the transmitting coil Ll and a part reflected from the implant coil L2 with a phase shift. Therefore, the position of the receiver coil L3 or L3, L4 should be tuned in the presence of the implant. [0042] The embodiment shown in Figures 7A-7C is a differential embodiment. Similar embodiments are shown in Figures 9-11. The person skilled in the art will understand that those embodiments are for exemplary purposes only and that similar or different embodiments can be envisaged. In the embodiments of Figures 9-11, the windings of the wires of the receiving coil are not shown, for the sake of clarity. In the embodiment of Figure 9, the receiving coil L3 is comprised of two substantially circular portions connected by an elongated portion. In Figure 10, the receiving coil L3 is comprised of two substantially mushroom-shaped portions connected by an elongated portion. In Figure 11, the receiving coil L3 is comprised of four substantially circular portions connected therebetween.

[0043] In summary, in some of the aspects of the present disclosure, methods and devices for inductively coupled implants on the human or animal body have been disclosed. An external coil assembly to be used with the implant has a transmitting coil and one or more receiving coils. The number of the receiving coils, their distance from the transmitting coil and their shape is chosen to reduce the influence of a noise signal received by the external coil assembly.

[0044] While several illustrative embodiments of the invention have been shown and described in the above description, numerous variations and alternative embodiments will occur to those skilled in the art. Such variations and alternative embodiments are contemplated, and can be made without departing from the scope of the invention as defined in the appended claims.

Claims

1. An external coil assembly for an inductively coupled implant on the human or animal body, comprising: a transmitting coil, adapted to transmit signals to the implant; a first receiving coil, adapted to receive signals from the implant, the first receiving coil exhibiting a first coupling coefficient with the transmitting coil; and a second receiving coil, the second receiving coil exhibiting a second coupling coefficient with the transmitting coil, wherein the first coupling coefficient is substantially identical to the second coupling coefficient.

2. The external coil assembly of claim I₅ wherein the first transmitting coil and the second transmitting coil are substantially identical to each other and located on different sides of the transmitting coil, substantially at a same distance from the transmitting coil.

3. The external coil assembly of claim 1 or 2, wherein the transmitting coil is separated from the first receiving coil and the second receiving coil through a dielectric.

4. The external coil assembly of claim 3, wherein the dielectric is air.

5. The external coil assembly of any one of the previous claims, wherein the implant comprises an implant coil.

6. The external coil assembly of claim 5, wherein a coupling coefficient between the first receiving coil and the implant coil is higher than a coupling coefficient between the second receiving coil and the implant coil.

7. An inductive assembly adapted to communicate with an implant on the human or animal body, comprising: a transmitting inductor; a first receiving inductor, comprising a first coil, a first substrate associated with the first coil, and a first metal shield connected with the first substrate; and a second receiving inductor, comprising a second coil, a second substrate associated with the second coil, and a second metal shield connected with the second substrate, wherein the first receiving inductor and the second receiving inductor are located on different sides of the transmitting inductor and substantially equidistant from the transmitting inductor.

8. The inductive assembly of claim 7, wherein the first substrate and the second substrate are a PCB substrate.

9. The inductive assembly of claim 8, wherein the PCB substrate is a double-layered PCB.

10. The inductive assembly of any one of claims 7 to 9, wherein the first metal shield and the second metal shield are made of a material selected from the group consisting of traces and wires.

11. The inductive assembly of any one of claims 7 to 10, wherein the transmitting inductor, first receiving inductor and second receiving inductor are separated therefrom by way of an insulator.

12. The coil assembly of claim 1 1, wherein the insulator is air.

13. An inductive transceiver comprising: a transmitting coil; and a receiving coil, wherein a coupling coefficient between the transmitting coil and the receiving coil is substantially equal to zero, and wherein the inductive transceiver is adapted to interact with an implant implanted in a human or animal body and is adapted to be located externally to the human or animal body.

14. The inductive transceiver of claim 13, wherein: the receiving coil is displaced with respect to the transmitting coil in a view from the top or the bottom of the transmitting coil and the receiving coil; the transmitting coil defines a first area internal to the transmitting coil and a second area external to the transmitting coil; the receiving coil defines a third area internal to the receiving coil; and the third area is located on and above a portion of the first area and a portion of the second area.

15. An inductive assembly adapted to be coupled with an implant on a human or animal body and to be located externally to the implant, the assembly comprising: a first inductor, the first inductor defining a first area inside the first inductor and a second area outside the first inductor; a second inductor located proximate to the first inductor, the second inductor having a symmetrical shape comprised of a first second inductor region and a second second inductor region, the first second inductor region defining a third area inside the first second inductor region, the second second inductor region defining a fourth area inside the second second inductor region, wherein intersection between the first area and the third area defines a first magnetic flux region, intersection between the first area and the fourth area defines a second magnetic flux region, intersection between the second area and the third area defines a third magnetic flux region, intersection between the second area and the fourth area defines a fourth magnetic flux region, and wherein magnetic flux intensity through the first magnetic flux region and the second magnetic flux region is substantially equal and opposite to magnetic flux intensity through the second magnetic flux region and the third magnetic flux region.

16. The inductive assembly of claim 15, wherein the first second inductor region and the second second inductor region are circularly shaped.

17. The inductive assembly of claim 15, wherein the first second inductor region and the second second inductor region are mushroom shaped.

18. The inductive assembly of claim 15, wherein the second inductor further comprises a third second inductor region and a fourth second inductor region.

19. A method to improve receiving sensitivity in an external coil assembly for an inductively coupled implant on the human or animal body, wherein the external coil assembly comprises a transmitting coil and a receiving coil, the implant comprises an implant coil, the transmitting coil allows transmission of a forward telemetry signal at a carrier frequency to the implant, and the implant is adapted to send a back telemetry signal to the external coil assembly, the method comprising: adjusting position of the receiving coil with respect to the transmitting coil to reduce influence of a noise signal at the carrier frequency received by the external coil assembly in addition to the back telemetry signal.

20. The method of claim 19, wherein the noise signal comprises a first portion originating from the transmitting coil and a second portion reflected from the implant coil with a phase shift.

21. The method of claim 19 or 20, wherein the receiving coil is adjusted to minimize influence of the noise signal.

22. A visual prosthesis comprising: an image capture device converting a visual image to a data stream; a video processing unit receiving the data stream, applying filters to the data stream and providing a processed data stream; a transmitting coil, transmitting the processed data stream; an implanted secondary coil receiving the processed data stream and transmitting operational data telemetry; implanted electronics receiving the processed data stream from the implanted secondary coil stimulating visual neural tissue and producing the operational data telemetry; a first receiving coil, adapted to receive signals from the implanted secondary coil, the first receiving coil exhibiting a first coupling coefficient with the transmitting coil; and a second receiving coil, the second receiving coil exhibiting a second coupling coefficient with the transmitting coil, wherein the first coupling coefficient is substantially identical to the second coupling coefficient.