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Updated: May 25, 2026

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An Implantable System For Chronic In Vivo Electromyography
Published on: April 21, 2020
Development of a wireless electromyographically controlled electrolarynx voice prosthesis.
James T Heaton1, Mark Robertson, Cliff Griffin
1Massachusetts General Hospital Department ofSurgery and Harvard Medical School, One Bowdoin Square Floor 11, Boston, MA 02114, USA. james.heaton@mgh.harvard.edu
Summary
This study introduces a new wireless electrolarynx (EL) controlled by neck muscle signals (EMG-EL). It offers flexible control for more natural-sounding speech after laryngectomy, aiming for affordability and wider patient access.
Area of Science:
- Biomedical Engineering
- Speech Rehabilitation
- Prosthetic Devices
Background:
- Electrolarynx (EL) devices are common for post-laryngectomy speech but produce mechanical, monotone voices lacking naturalness.
- Previous research indicates that adding pitch variation to EL speech improves naturalness ratings.
- Existing EMG-controlled EL prototypes offer pitch variation and voice control but require further development for practical use.
Purpose of the Study:
- To design a novel wireless electrolarynx (EMG-EL) prosthesis.
- To integrate flexible manual and automatic (EMG-based) control for voice onset/offset and pitch.
- To ensure the device is manufacturable at a reasonable cost for widespread patient adoption.
Main Methods:
- Development of a wireless EMG-controlled electrolarynx (EMG-EL) system.
- Incorporation of both manual (push-button) and automatic (EMG-signal-driven) control modes.
- Consideration of technical design aspects and human factors for user-friendliness and manufacturability.
Main Results:
- A functional wireless EMG-EL voice prosthesis was designed.
- The design allows for a flexible combination of manual and automatic controls for speech production.
- Emphasis was placed on cost-effective manufacturing for accessibility.
Conclusions:
- The developed wireless EMG-EL offers a promising advancement in electrolarynx technology for laryngectomy patients.
- The hybrid control system aims to enhance speech naturalness and user control.
- The focus on cost-effective design facilitates potential widespread clinical application and improved quality of life.

