Graeme Clark Collection
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ItemElectrophonically driven single unit responses of the anteroventral cochlear nucleus in cat [Abstract]( 1996)Electrical stimulation of the cochlea results in both direct and electrophonic excitation of auditory nerve fibres. It has been proposed that electrophonic stimulation results from the creation of a mechanical disturbance on the basilar membrane which has properties similar those resulting from acoustic stimuli. Auditory nerve compound action potential (CAP) forward masking studies1 show the level of frequency specific electrophonic stimulation is highly correlated with the spectral energy of the electrical stimulus waveform. The level of spectral energy in pulsatile biphasic electrical stimuli decreases toward low frequencies suggesting the level of electrophonic stimulation will be diminished in the low frequency region of the cochlea.
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ItemPrediction of variance in neural response to cochlear implant stimulation and its implications for perception [Abstract]( 1997)Cochlear implant patients' perception of sound is derived via electrical pulses arising from an electrode array. Chosen aspects of the acoustic spectrum are coded via a stimulation pattern designed according to some sound coding algorithm. Thus, a patients' ability to discriminate between sounds, and in turn their understanding, is directly related to their ability to differentiate between the patterns of electrical stimulation which code various sounds.
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ItemTemporal coding in auditory neurons to electrical stimulation [Abstract]( 1997)The temporal response of the auditory pathway following intracochlear electrical stimulation will reflect the level of encoded temporal information, which is important for the further developmentof cochlear implant speech processing strategies, and in tum lead to a better understanding of temporal coding of acoustic stimuli Temporal coding of sound frequencies is based on the phase or time locked neural response seen to low frequency acoustic stimuli. The ability of neurons to respond in a time locked manner may determine the degree of encoded temporal frequency information. Electrophysiological studies have shown that the degree of response synchrony to charge balanced biphasic electrical stimuli is far greater than that seen to acoustic stimuli. We have investigated the temporal response properties of single units in the anteroventral cochlear nucleus (AVCN) in the cat to rates of electrical stimulation up to 800 pulses/s.
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ItemEffects of chronic electrical stimulation on cochlear nuclear neuron size in deaf kittens [Abstract]( 1996)It is now well recognized that normal afferent innervation is necessary for the development. This study investigated the effect of chronic electrical stimulation of the auditory nerve on the maturation of cochlear nucleus soma area of the neonatally deafened kittens. Eight kittens were deafened using kanamycin and ethacrynic acid, received a stimulated intracochlear implant in the left side and a dummy implant in right side, and classified two groups - the stimulated and the control group.
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ItemDecrement in auditory nerve function following acute high rate stimulation in guinea pigs [Abstract]( 1995)Cochlear implants have been shown to successfully provide profoundly deaf patients with auditory cues for speech discrimination. Psychophysical studies suggested that speech processing strategies based on stimulus rates of up to 1000 pulses per second (pps) may lead to an improvement in speech perception, due to a better representation of the rapid variations in the amplitude of speech. However, "neural fatigue" has been known to occur following brief periods of electrical stimulation at rates high enough to ensure that stimuli occur within the neurons relative refractory period, and has been shown to depend on stimulus duration and rate of the evoked neural activity. Prolonged electrical stimulation at these high stimulus rates could, therefore, have an adverse effect on the neurons metabolism and result in cellular energy depletion.
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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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ItemInvestigation of curved intracochlear electrode arrays [Abstract]( 1992)It has been demonstrated that the Melbourne/Cochlear multi-channel cochlear implant is safe and effective for use in profoundly-totally deaf patients. Recent studies have highlighted the importance of deaf insertion and placing the electrodes closer to the spiral ganglion neurons. In order to improve the electrode insertion depth and proximity to the modiolus, we have investigated curved electrode arrays. Prototypes of such arrays and their accessory inserter have been made. Trial insertions were performed on skeletonized cochleae of human temporal bones. The preliminary results showed that, when compared with conventional straight electrode arrays, the curved arrays could be inserted deeper and located closer to the modiolus. These findings indicate that the curved --.~ electrodes currently under investigation should result in a reduction in stimulus threshold and improve pitch perception and may also result in the use of more channels of stimulation.
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ItemResponses from single units in the dorsal cochlear nucleus to electrical stimulation of the cochlea( 1992)To help improve our understanding of how the brain responds to electrical stimulation of the auditory nerve we have examined the responses of dorsal cochlear nucleus (DCN) units to both acoustic stimulation and electrical stimulation of the cochlea. This work extended our previous studies which have compared the responses to electrical and acoustic stimulation In the auditory nerve (Javel et al 1987, Ann. Otol. Rhinol. laryngeal. Suppl. 128, 96:2630) and the ventral cochlear nucleus (Shepherd et al 1988, NIH Contract NO1-NS-72342, 5th Quarterly Progress Report).
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ItemPercepts produced by electrical stimulation of the human cochlea [Abstract]( 1982)Electrical stimulation of the residual auditory nerve fibres in a postlingually deaf patient was effected by ten electrodes implanted 1.5 mm apart in the scala tympani. Biphasic current pulses with each phase fixed at 180 µs were used. Psychophysical results obtained by activating one electrode at a time showed the following characteristics: (a) loudness was found to increase with both current level and repetition rate; (b) pitch increased with repetition rate; (c) pitch and sharpness increased in the apical to basal direction in accordance with the tonotopic organisation of the cochlea; (d) dissimilarity measures obtained by triadic comparisons provided evidence that the sensations produced by repetition rate and electrode position are perceptually separable; (e) for short-duration stimuli the discrimination performance for electrode trajectories was much better than for repetition rate trajectories. For simultaneous activation of two electrodes, triadic comparisons showed that two perceptual components, one related to the more basal electrode and the other to the more apical one, could be discerned.
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ItemChronic electrical stimulation of the auditory nerve in cats( 1982)One requirement for the success of a cochlear hearing prosthesis is that long-term electrical stimulation must not have adverse effects on the residual spiral ganglion cell population. Electrochemically 'safe' stimulation regimes have been defined for the cortex (Brummer &Turner, 1977). However, few investigators have examined the effects of long-term intracochlear electrical stimulation. Walsh et al (1980), stimulating with current densities greater than the 'safe' limits defined by Brummer &Turner (1977), for periods of up to 800 hours at current levels of 4.0-8.0 mA, recorded slight local neural degeneration adjacent to the electrodes.