Graeme Clark Collection
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ItemInvestigations on a curved intracochlear array( 1995)The electrode array of a multiple-channel cochlear implant lies against the outer wall of the scala tympani. From this position electrical current spreads to excite residual neural elements, particularly spiral ganglion cells within the modiolus. It is not clear whether the spread of current from the outer wall is optimal for multiple-channel speech processing, but placement closer to the target nerves could result in lower thresholds. This could have benefits through the use of shorter pulse durations and extended battery life. Computer modeling studies and animal experiments have suggested that for localized current the optimal electrode position is adjacent to the modiolus. At the University of Melbourne it was felt that an electrode with a curve matching the internal cochlear spiral would remain close to the modiolus after insertion. A curved electrode was developed and an inserting tool was designed and produced (Treaba et al, this suppl, this section). Preliminary studies suggested that the electrode array did indeed remain close to the modiolus. Before further development of this type of electrode design, it was necessary to determine whether modifications to the surgical technique for its insertion were required. It was also important to ensure that the curved electrode fabricated for clinical trial would lie closer to the modiolus than to the outer wall of the scala tympani. This study was undertaken to examine these issues.
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ItemSpeech perception in children using the advanced Speak speech-processing strategy( 1995)The Speak speech-processing strategy, developed by the University of Melbourne and commercialized by Cochlear Pty Limited for use in the new Spectra 22 speech processor, has been shown to provide improved speech perception for adults in both quiet and noisy situations. The present study evaluated the ability of children experienced in the use of the Multipeak (Mpeak) speech-processing strategy (implemented in the Nucleus Minisystem-22 cochlear implant) to adapt to and benefit from the advanced Speak speech-processing strategy (implemented in the Nucleus Spectra 22 speech processor). Twelve children were assessed using Mpeak and Speak over a period of 8 months. All of the children had over 1 year's previous experience with Mpeak, and all were able to score significantly on open-set word and sentence tests using the cochlear implant alone. Children were assessed with both live-voice and recorded speech materials, including Consonant-Nucleus-Consonant monosyllabic words and Speech Intelligibility Test sentences. Assessments were made in both quiet and in noise. Assessments were made at 3-week intervals to investigate the ability of the children to adapt to the new speech-processing strategy. For most of the children, a significant advantage was evident when using the Speak strategy as compared with Mpeak. For 4 of the children, there was no decrement in speech perception scores immediately following fitting with Speak. Eight of the children showed a small (10% to 20%) decrement in speech perception scores for between 3 and 6 weeks following the changeover to Speak. After 24 weeks' experience with Speak, 11 of the children had shown a steady increase in speech perception scores, with final Speak scores higher than for Mpeak. Only 1 child showed a significant decrement in speech perception with Speak, which did not recover to original Mpeak levels.
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ItemTemporal coding of frequency: neuron firing probabilities for acoustic and electric stimulation of the auditory nerve( 1995)A better understanding of the temporal coding of frequency, and its application to electrical stimulation of auditory nerve fibers, should lead to advances in cochlear implant speech processing. Past research studies have suggested that the intervals between nerve action potentials are important in the temporal coding of frequency. For sound frequencies up to approximately 500 Hz, the shortest or predominant intervals between the nerve action potentials are usually the same as the periods of the sound waves. The intervals between each nerve action potential can be plotted as an interval histogram. Although there is evidence that the intervals between spikes are important in the temporal coding of frequency, it is not known up to what frequency this applies. It is also not known whether the information transmitted along individual fibers or an ensemble of fibers is important, to what extent the coding of frequency is interrelated with the coding of intensity, the relative importance of temporal and place coding for different frequencies, and finally, how well electrical stimulation can simulate the temporal coding of sound.
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ItemCross-fiber interspike interval probability distribution in acoustic stimulation: a computer modeling study( 1995)Electrical stimulation strategies for cochlear implants may be improved by studying temporal frequency coding in single auditory fibers and across fibers in acoustic stimulation (Clark et al, this suppl, section 5). In single nerve fibers, phase locking between action potentials and the acoustic stimulus can only be maintained at frequencies below about 600 Hz. At these frequencies, the time interval between successive action potentials, called the interspike interval (lSI), is distributed around the period of the stimulus, and it can therefore be used to code frequency within single fibers. At higher frequencies, the phase locking of individual nerve fibers diminishes, but it may still be possible to retain phase-locking properties by combining the action potentials in an ensemble of nerve fibers. In an ensemble of fibers, the lSI in each nerve is affected by factors such as the spectral shape of the stimulus, the characteristic frequency, and the firing characteristics of the nerve. The lSI between the fibers, however, is further affected by the propagation or phase delay of the traveling wave. It is therefore uncertain how these factors would affect frequency coding across fibers. It is possible that the propagation delay between the fibers may lower the phase locking in an ensemble of nerves -because the probability that the majority of nerves in an ensemble will fire simultaneously may be low. It is also possible that the combined firing statistics of the fibers in an ensemble may result in a higher degree of synchrony such that the predominant intervals in an ensemble are preserved over a wider frequency range than in a single fiber. Are these accurate postulations of the physical system? In a future electrical stimulation strategy that incorporates temporal frequency coding, is it necessary to mimic the spatial-temporal delay in the firing patterns caused by the traveling wave? These are important questions that need to be studied and answered. (From Introduction)