Graeme Clark Collection
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ItemSpeech cues for cochlear implantees: spectral discrimination [Abstract]( 1997)The ability of cochlear implantees to understand speech varies over a wide range. While some implantees achieve scores close to 100 % open set word tests, other require visual cues to achieve a significant score on these tests. The focus of this research is to investigate reasons for the wide range of ability and therefore to improve the speech processors used by individual implantees. This study first investigated whether the relative importance of various frequency regions of the speech spectrum differs for implantees of different performance levels, and for implantee groups compared to normally hearing subjects.
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ItemMusical pitch perception by a user of the Nucleus 22-electrode cochlear implant [Abstract]( 1995)The study of how musical sounds are perceived by users of cochlear implants is both interesting and rewarding. In particular, it has the potential to provide detailed information on the perception of pitch with electrical stimulation of the auditory nerve. However, it is difficult to find subjects whose understanding of musical terminology and memory of conventional musical pitch relationships are adequate for this research. In our Melbourne laboratory, we have been fortunate to locate one implant user who received several years' formal training in the tuning of musical instruments before he lost his hearing. This subject is capable of estimating musical intervals in an open-set context, and can also adjust the interval between two "notes" to match a given target. Experiments involving both estimation and production of musical intervals have been carried out. Several parameters of the electrical stimulation have been varied to create notes of different pitches. These include the rate of steady pulse trains delivered to a fixed electrode position; the place of stimulation with a constant pulse rate; selected combinations of rate and place; and the frequency of sinusoidally amplitude-modulated (SAM) pulse trains delivered to a fixed electrode position. The results show that when pulse rate is the variable parameter, the rate ratio for a given musical interval closely approximates that for acoustic signals, provided that the electrode used is in the apical region of the cochlea. When the stimulation is moved to more-basal positions, the rate ratios become larger than the corresponding acoustic frequency ratios. Changing the place of stimulation with a constant pulse rate causes pitch changes that are comparable with the presumed place-to-characteristic frequency mapping of the subject's electrode array. Combinations of place and rate variation result in more complex effects, in which the pitch associated with the place of stimulation generally dominates, but is affected by the rate. The pitch of SAM pulse trains, although probably weaker than that of unmodulated low-rate pulse trains, is related to the modulation frequency. The ratio of modulation frequencies required for a given musical interval is larger than the corresponding ratio of acoustic frequencies in normal hearing.
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ItemAn improved speech processor for a 22-electrode cochelar implant [Abstract]( 1992)A spectral maxima speech processing strategy ( SMSP) has been developed as a result of research to improve the speech perception performance of a multiple-channel cochlear implant. With this speech processing strategy. the six spectral maxima from the outputs of 16 band pass filters are used to stimulate the cochlea on a place basis at a constant rate. This SMSP strategy has been compared with the MSP-MULTIPEAK strategy, the present speech processor provided by Cochlear Pty. Limited, on four postlinguistically deaf adults. The study showed that the SMSP strategy was significantly better than the MSP-MULTJPEAK for the recognition of closed-set vowels and consonants, and open-set monosyllable words and sentences in background noise.
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ItemMultichannel cochlear implants in children: an overview of experimental and clinical results at the University of Melbourne [Opening Lecture]( 1992)During the last decade there has been great progress in the clinical management of profound, postlinguistically deafened adults through the use of multichannel cochlear implants. The device developed by The University of Melbourne in association with Cochlear Pty Ltd, electrically stimulates selective regions of the auditory nerve using an array of 22 platinum (Pt) electrodes located in the scala tympani. Its development followed basic experimental studies and the development and evaluation of a prototype device in the 1970's. Following safety studies and a successful clinical trial, the Melbourne/Cochlear multichannel implant was approved for use in adults by the United States Food and Drug Administration (FDA) in 1985. More than 3000 patients throughout the world have since been implanted with this device, many being able to understand a significant amount of unfamiliar, connected speech without lipreading Following miniaturization of the implant, it became suitable for use with children. In 1990, after additional biological safety and clinical investigations, the FDA approved the use of the Melbourne/Cochlear multichannel implant for profoundly deaf children above the age of two years. And in 1991, the device received the medical device implantation approval certificate from the Japanese Government. The present paper presents an overview of our recent biological safety studies and clinical experience in children, and discusses the likely future development of these devices.