Graeme Clark Collection

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    Chronic monopolar high rate simulation of the auditory nerve: physiological and histopathological effects
    TYKOCINSKI, MICHAEL ; Linahan, Neil ; Shepherd, R. K. ; Clark, Graeme M. (Kugler Publications, 2001)
    There is clinical interest in the development of high rate speech processing strategies, since there are indications that these might enhance speech perception due to an improved representation of the rapid variations in amplitude of speech. Significant improvement in speech perception using high rate stimulation has been demonstrated in cochlear implant recipients. However, it is important that the long-term safety of high rate stimulation is clearly established prior to its general clinical application. This is especially important, since acute animal studies have shown that high rate stimulation can induce a reduction in the excitability of the auditory nerve. This was also associated with an increase in both threshold and latency of the electrically evoked auditory brainstem response (EABR). However, while a chronic stimulation study indicated that monopolar electrical stimulation of the auditory nerve at rates of 1000 pulses per second (pps)/channel (three channels) had no adverse effects on the spiral ganglion cell density (SGCO),5 there is limited data concerning higher rates. In the present study, we evaluated the electrophysiological and histopathological effects of chronic monopolar electrical stimulation of the auditory nerve using considerably higher stimulus rates than have been used in previous studies.
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    A prototype micro-machined thin-film electrode array for cochlear implants
    Parker, J. R. ; Duan, Y. Y. ; Patrick, J. ; Harrison, H. B. ; Reinhold, O. ; Clark, Graeme M. ( 2001)
    Development of a micromachined electrode array for cochlear implant application is presented. The device is constructed from a silicon substrate with sputtered platinum electrodes and connection tracks. Electrochemical impedance spectroscopy (EIS) is used to study the properties of the electrode, and to identify potential problems caused by the micromachining process and materials. A variety of insulators are studied and a two-part epoxy is identified as an adequate insulator for operation under harsh electrochemical testing conditions. The semiconducting silicon substrate is found to contribute to the total impedance of the device at high frequencies due to the thin insulating oxide between the substrate and conducting tracks. This is a potential problem for micromachined electrodes operating under high frequencies or using square stimulating pulses. The charge-delivery properties are studied using electrochemical impedance spectroscopy. It is found that platinum sputtered under particular conditions results in excellent surface conditions for optimum charge-delivery.
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    Phase-contrast radiography: a new x-ray technique for cochlear implant research
    XU, JIN ; Stevenson, A. W. ; Gao, D. ; Dahm, M. ; Wilkins, S. W. ; Clark, Graeme M. (Moduzzi Editore, 2000)
    This study examines the application of a new x-ray modality, phase contrast radiography, in temporal bone (TB) imaging. Preliminary results from TB samples have shown that phase-contrast imaging offers greater contrast for edge-type features and weakly absorbing soft-tissue resulting in improved visualization of anatomic details of inner ear and microelectrode structures. This is potentially valuable in the development of new electrode arrays for cochlear implants.