Graeme Clark Collection

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    Stiffness properties for nucleus standard straight and contour electrode arrays
    Kha, H. N. ; Chen, B. K. ; Clark, Graeme M. ; Jones, R. ( 2004)
    Trauma and damage during insertion of electrode arrays into the human cochlea are strongly related to the stiffness of the array. The stiffness properties of electrode arrays, which were determined by three-point flexural bending and buckling tests, are reported in this paper. To date there has been limited publication on mechanical properties of these electrode arrays. Previous studies mainly focused on characterizing the stiffness of the tip of the Nucleus straight array with little emphasis on characterizing the stiffness of its whole length. In this study, stiffnesses of the Nucleus straight and contour electrode arrays have been determined along their length. Young’s modulus of elasticity of the Nucleus straight array has been found to increase from the tip (182 MPa) to the rear end (491 MPa), whereas the stiffness of the contour array is greatest near the tip (480 MPa) and is fairly uniform in the middle and rear sections of the electrode array (380-400 MPa). Buckling experiments have shown that the contour array has much higher critical buckling load (about four times) than the Nucleus straight array. The results from three-point flexural bending and buckling experiments provide significant data for the development of electrode arrays, from which new array designs with improved flexibility can be developed. The results of stiffness properties are also important input for use in finite element models to predict the trajectories during insertion and to help evaluate the effects of different electrode array designs on damage sustained during insertion.
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    Bionic ears: their development and future advances using neurotrophins and inherently conducting polymers
    Clark, Graeme M. ; Wallace, Gordon ( 2004)
    The development of the multiple-channel bionic ear for hearing and speech understanding in profoundly deaf people is the result of integrating biological and physical sciences with engineering. It is the first clinically successful restoration of sensory and brain function, and brings electronic technology into a direct functional relationship with human consciousness. It presently transmits essential place and coarse temporal information for the coding of frequency, but the fine temporal and place excitation of groups of nerve fibres is inadequate for high-fidelity sound. This is required for adequate musical appreciation and hearing in noise. Research has demonstrated that nerve growth factors preserve the peripheral processes of the auditory nerves so that an electrode array placed close to these fibres could produce this fine temporal and spatial coding. The nerve growth factors can be incorporated into inherently conducting polymers that are part of the array so the peripheral processes can be preserved at the same time as they arc electrically stimulated.
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    Cochlear implants: a personal scientific journey [Abstract]
    Clark, Graeme M. ( 2002)
    Electrical stimulation of the auditory system to reproduce hearing commenced through academic curiosity, and the hope of helping deaf people. It received direction from neurophysiology, and later psychophysics and speech science. In the 1960s and 1970s there were many questions requiring answers before cochlear implants could become a practical reality. Key concerns were: (1) the cochlea was too complex for electrical stimulation to reproduce the coding of sound; (2) multiple electrodes inserted into the cochlea for the place coding of frequency could damage the auditory nerves to be stimulated; (3) speech was too complex to be reproduced by electrical stimulation; and (4) children born deaf would not develop the appropriate neural connectivity for speech understanding. The first questions were addressed on the experimental animal. Speech research on patients was only possible with the advent of silicon chip technology allowing the development of an implantable receiver-stimulator package. Initial research established proof of principle that connected discourse was possible with multiple electrode stimulation of the auditory nerve in severely and profoundly deaf people. The research has been developed industrially for the benefits to be provided on a widespread basis through clinics worldwide. Further research has resulted in continuing improvements so that the average profoundly deaf person can hear as well as someone with severe hearing loss using a hearing aid. There is still much research required to achieve high fidelity sound, hearing in noise, and totally implantable devices.
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    Histopathology of the binaural cochlear implant subject [Abstract]
    Yukawa, K. ; O'Leary, S. J. ; Clark, Graeme M. ( 2001)
    Binaural hearing improves speech reception in noise, and is necessary for sound localisation. Normal hearing subjects use both interaural time, and intensity, differences to localise sound. This study investigates why sound localisation in bilateral cochlear implantees is insensitive to interaural time differences (Hoesel 1993). We looked for evidence of neural degeneration in the auditory brainstem involved in binaural sound localisation, since this may have degraded the neural circuitry required to accurately code interaural time delays. Method: The brainstem of a bilateral cochlear implantee was prepared for light microscopy by embedding it in paraffin, sectioning at 10 mm and staining sections with thionine or Luxol fast blue (LFB). The histological sections were digitised with NIH Image and 3-dimensional reconstructions made of the cochlear nucleus (CN) and superior olivary complex (SOC) with AnalysePC. Within the CN and the SOC, cell number and size were estimated by the physical dissector technique following thionine staining, and myelination of the nerve fibres was estimated using the optical density method following LFB staining. Results: A reduction in cell size (from thionine staining) and myelination (from LFB staining) was seen in both the CN and the SOC. Conclusions: These finding are consistent with neural degeneration within the auditory pathways. This may have lead to a degradation of the neural circuitry required to accurately detect interaural time delays.
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    Short-term auditory memory in children using cochlear implants and its relevance to receptive language [Abstract]
    Dawson, Pam ; BUSBY, PETER ; MCKAY, COLETTE ; Clark, Graeme M. ( 2000)
    Current work indicates that many children using cochlear implants are able to hear fine differences between speech sounds but are not progressing as wel1 as expected in receptive language ability. There is anecdotal evidence from teachers that some children using cochlear implants have poor short-term auditory memory ability, which may be impeding their language development. Temporal ordering and short-term memory storage capacity involve higher order processing. Severe auditory deprivation prior to implantation may have caused auditory processing deficits at a cortical level. This study aims to assess short-term, sequential, auditory memory ability in children using cochlear implants and to determine the relationship between this ability and receptive language ability. Short-term auditory memory ability has not been previously investigated in profoundly deaf children using hearing aids and/or cochlear implants. Twenty-four children using the 22-electrode cochlear implant were tested on five short-term sequential memory tasks, three with auditory stimuli and two with visual stimuli. There were 8 children in each of the age groups; 5-6 years, 7-8 years, and 9-11 years. Twenty-four age-matched, normally hearing children served as a control group. Al1 children were also assessed on the receptive subtests of the CELF (Clinical Evaluation of Language Fundamentals) and on the nonverbal scale of the Kaufman Assessment Battery for Children (K-ABC) which measures nonverbal intelligence. This study assessed short-term auditory memory with tasks that required minimal language ability. Prior to the memory tasks, the child had to demonstrate accurate identification of the stimuli with a similar reaction time to the normally hearing controls. As expected there is a significant effect of age on memory performance for the 24 normally hearing children, with older children performing better than the younger children. The memory performance of the children using cochlear implants is therefore described in terms of its deviation from expected performance for a given chronological age. Preliminary results suggest that it is unlikely that auditory deprivation causes a memory deficit specific to the auditory modality. Performance on visual memory tasks is very similar to performance on analogous auditory memory tasks for a group of implant users. The performance of children using cochlear implants on a variety of memory tasks does not appear to be significantly different to that of normally hearing children who are of similar age and nonverbal intel1igence. In contrast their receptive language scores are substantially inferior.