Graeme Clark Collection
Permanent URI for this collection
Search Results
1 - 10 of 15
-
ItemInner ear implants(Dekker, 2004)The cochlear implant is an electronic device that brings useful hearing to severely to profoundly deaf people through multiple-channel electrical stimulation of the auditory nerves in the inner ear. This is required if their inner ears are so badly damaged by injury and disease, or so inadequately developed, that they cannot provide sufficient hearing for communication, even when the sound is amplified with a hearing aid. By stimulating the nerve directly with patterns of electrical pulses, the implant bypasses the normal function of the sense organ of hearing in the inner ear to partially reproduce the coding of sound. It consists of a wearable speech processor that picks up sound with a microphone, analyzes the signal, and then sends it by radio waves to the implanted receiver stimulator, which decodes the message and stimulates the electrode wires inserted into the inner ear.
-
ItemSpeech perception as a function of electrical stimulation rate: using the nucleus 24 cochlear implant system( 2000)Objective: To investigate the effect of varying electrical stimulation rate on speech comprehension by cochlear implant users, while keeping the number of stimulated channels constant. Design: Three average rates of electrical stimulation,250, 807, and 1615 pulses per second per channel (pps/ch), were compared using a speech processing strategy that employed an electrode selection technique similar to that used in the Spectral Maxima Sound Processor strategy (McDermott, McKay,& Vandali, 1992; McDermott & Vandali, Reference Note 1; McKay, McDermott, Vandali, & Clark, 1991)and the Spectral Peak strategy (Skinner et al., 1994;Whitford et al., 1995). Speech perception tests with five users of the Nucleus 24 cochlear implant system were conducted over a 21-wk period. Subjects were given take-home experience with each rate condition. A repeated ABC evaluation protocol with alternating order was employed so as to account for learning effects and to minimize order effects. Perception of open-set monosyllabic words in quiet and open-set sentences at signal to noise ratios ranging from +20 to 0 dB, depending on the subject’s ability, were tested. A comparative performance questionnaire was also administered. Results: No statistical differences in group performance between the 250 and 807 pps/ch rates were observed in any of the speech perception tests. However, significantly poorer group performance was observed for the 1615 pps/ch rate for some tests due predominantly to the results of one subject. Analysis of individual scores showed considerable variation across subjects. For some subjects, one or more of the three rate conditions evaluated provided benefits on some speech perception tasks. The results of the comparative performance questionnaire indicated a preference for the 250 and 807pps/ch rates over the 1615 pps/ch rate for most listening situations. Conclusions: For the speech processing strategy, implant system, and subjects evaluated in this study, the group results indicated that the use of electrical stimulation rates higher than 250 pps/ch (up to 1615 pps/ch) generally provided no significant improvement to speech comprehension. However, individual results indicated that perceptual.
-
Item
-
ItemElectrical stimulation of the auditory nerve: the coding of frequency, the perception of pitch and the development of cochlear implant speech processing strategies for profoundly deaf people( 1996)1. The development of speech processing strategies for multiple-channel cochlear implants has depended on encoding sound frequencies and intensities as temporal and spatial patterns of electrical stimulation of the auditory nerve fibres so that speech information of most importance for intelligibility could be transmitted. 2. Initial physiological studies showed that rate encoding of electrical stimulation above 200 pulses/s could not reproduce the normal response patterns in auditory neurons for acoustic stimulation in the speech frequency range above 200 Hz and suggested that place coding was appropriate for the higher frequencies. 3. Rate difference limens in the experimental animal were only similar to those for sound up to 200 Hz. 4. Rate difference limens in implant patients were similar to those obtained in the experimental animal. 5. Satisfactory rate discrimination could be made for durations of 50 and 100 ms, but not 25 ms. This made rate suitable for encoding longer duration suprasegmental speech information, but not segmental information, such as consonants. The rate of stimulation could also be perceived as pitch, discriminated at different electrode sites along the cochlea and discriminated for stimuli across electrodes. 6. Place pitch could be scaled according to the site of stimulation in the cochlea so that a frequency scale was preserved and it also had a different quality from rate pitch and was described as tonality. Place pitch could also be discriminated for the shorter durations (25 ms) required for identifying consonants. 8. As additional speech frequencies have been encoded as place of stimulation, the mean speech perception scores have continued to increase and are now better than the average scores that severely-profoundly deaf adults and children with some residual hearing obtain with a hearing aid.
-
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)
-
ItemPsychophysics of electrical stimulation of the auditory nerve: implications for coding of sound and speech processing for cochlear implants [Keynote address]( 1994)Psychophysical studies on electrical stimulation of the auditory nerve have contributed to our understanding of the coding of sound and speech signals. Those studies have also helped establish speech processing strategies for multiple-electrode cochlear implant patients. The first studies were on temporal coding of frequency and pitch perception to help determine whether a single or multiple electrode implant would be preferable for the coding of speech frequencies. Temporal frequency coding was initially studied in the experimental animal by measuring difference limens for frequency of stimulus rate. The results showed that rate coding occurs for low frequencies up to 200 or even 600 pulses per second. It was concluded that higher speech frequencies cannot be conveyed by variations in stimulus rate but require multiple-electrode stimulation. These studies in experimental animals were essentially confirmed in the human.
-
ItemLoudness growth characteristics of cochlear implantees using the Spectral Maxima Sound Processor [Abstract]( 1994)The study of perceptual characteristics of subjects with cochlear implants can lead to improvements in the design of speech processors. One important aspect of speech processing which has received little attention in the past is the conversion acoustic signal amplitudes into appropriate levels of electrical stimulation. The optimum conversion would provide implantees with loudness growth characteristics that mimic those of normal hearing. To investigate how implantees using the Spectral Maxima Sound Processor (SMSP) perceive changes in loudness, an experiment involving production of fixed loudness ratios was conducted. Ten subjects participated: five users of the Mini System 22 cochlear implant, and five normally-hearing subjects. In the experiment, the subjects were required to adjust the loudness of two stimuli (white noise and speech-weighted noise) to equal half or twice that of a reference. The reference was presented at various levels over a range of 25 to 75 dBA. The results for three of the implantees were similar to those of all the normally-hearing subjects, who produced an average level change of 10.8 dB for the task. The remaining subjects, who had the largest electrical dynamic ranges, produced larger level changes (up to 20 dB) which were constrained by the limited electrical dynamic range of the processor (46 dB). The SMSP utilises an amplitude conversion function by which the stimulus level (in dB) is directly proportional to the input sound level (in dB). The experimental results suggest that the shape of this function is satisfactory, though not necessarily optimum, for these implantees.
-
ItemSpeech processing for cochlear implants(JAI Press Ltd, 1992)The cochlear implant is a hearing prosthesis designed to replace the function of the ear. The operation of the prosthesis can be described as a sequence of four functions: the processing of the acoustic signal received by a microphone; the transfer of the processed signal through the skin; the creation of neural activity in the auditory nerve; and the integration of the experience of this neural activity into the perceptual and cognitive processing of the implantee.
-
ItemPercepts from scala tympani stimulation( 1983)This report summarizes the characteristics of the hearing sensations produced by electrical stimulation using scala tympani electrodes in a postlingually deaf patient (MC1) at the University of Melbourne. An array of 10 electrodes, spaced 1.5 mm apart, was inserted through the round window for a distance of 15 mm around the scala tympani. Biphasic current pulses with each phase fixed at 180 /μsec were used. Fifteen current levels from 67 /μA to 1 rnA could be assigned in 67-/μA steps, and a maximum repetition rate of 1000 rep/sec was possible. More detailed descriptions of the stimulation hardware and the patient's history can be found in previous reports.
-
ItemPhysiological and histopathological effects of chronic monopolar high rate stimulation on the auditory nerve( 2000)Speech processing strategies based on high rate electrical stimulation have been associated with improvements in speech perception among cochlear implant users. The present study was designed to evaluate the electrophysiological and histopathological effects of long-term intracochlear monopolar stimulation at the maximum stimulus rate of the current Nucleus Cochlear implant system (14493 pulses/s) as part of our ongoing investigations of safety issues associated with cochlear implants