Graeme Clark Collection
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ItemReduction in excitability of the auditory nerve in guinea pigs following acute high rate electrical stimulation [Abstract]( 1996)Electrical stimulation of neural tissue involves the transfer of charge to tissue via electrodes. Safe charge transfer can be achieved using biphasic current pulses designed to reduce the generation of direct current (DC) or the production of electrochemical products. However, neural stimulators must also use capacitors in series with electrodes, or electrode shorting between current pulses, to further minimize DC due to electrode polarization.
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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
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ItemElectrical stimulus induced changes in excitability of the auditory nerve( 1997)High rate electrical stimulation of the auditory nerve using stimulus intensities well above the clinical limits can induce a significant reduction in the excitability of the auditory nerve as measured by a decrement in the amplitude of the electrically evoked auditory brainstem response (EABR). Two potential mechanisms may be associated with this stimulus induced reduction in activity: 1) stimulus induced prolonged neuronal hyperactivity; and 2) the generation of adverse electrochemical productions from the electrode surface. The purpose of the present study was to assess the extent to which adverse electrochemical damage contributes to the stimulus induced reduction in auditory nerve excitability. Twenty-six adult guinea pigs anaesthetized with ketamine (40 mg/kg i.p.) and xylazine (4 mglkg i.p.), were bilaterally implanted and unilaterally stimulated for two hours using a stimulus intensity of two or four times EABR threshold. Stimulus rates of 200, 400, or 1000 pulses/s (pps) were delivered via a standard platinum scala tympani electrode or large surface area ("high Q") platinum electrode.
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ItemHigh rate electrical stimulation of the auditory nerve: physiological and pathological results [Abstract]( 1995)Previous experimental studies have shown that chronic electrical stimulation of the auditory nerve using charge balanced biphasic current pulses at rates of up to 500 pulses per second (pps) do not adversely affect the adjacent spiral ganglion population. More recently, a number of clinical trials have indicated that speech processing strategies based on high pulse rates (1000 pps and more), can further improve speech perception. In this paper we summarize our results following acute and chronic electrical stimulation of the auditory nerve using high pulse rates.
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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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ItemEvoked responses in the auditory cortex of the congenitally deaf white cat following electrical stimulation of the cochlea [Abstract]( 1995)Knowledge of the functional status of central auditory structures is important when estimating possible benefits of cochlear implantation in the congenitally deaf. Thus far the performance of prelingually deaf adults following cochlear implantation has been disappointing. We have used congenitally deaf cats as a model for prelingual deafness. These animals are deaf from an early age as shown by longitudinal recordings of auditory brainstem responses. They were studied as adults (age 2 years). Under general anaesthesia the cochleae were electrically stimulated using the NUCLEUS-22 banded scala tympani electrode array. Recordings were made from the contralateral auditory cortex and inferior colliculus. Gross potentials, together with multi� and single-unit activities were recorded. Here we confine ourselves to gross potential recordings from the auditory cortex. The skull was opened over the auditory area and the cortex photographed. A computer-controlled 3-axes microdrive provided precise and reproducible positioning of the monopolar recording electrode. Gross potentials were evoked by electrical stimulation of the auditory nerve using bipolar electrodes 1/2, 7/8 or 1/8 (electrode 1 being the most apical). These potentials were recorded from both the cortical surface and at depths of up to 4 mm, amplified and band pass filtered (10 Hz to 10 kHz). The stimuli (0.2 ms biphasic pulses) evoked middle latency responses (10 - 20 ms) over the primary and secondary auditory areas. Thresholds were lowest using electrodes 1/8 (-24 dB re. 1 mApp). Narrower electrode configurations (1/2 and 7/8) were up to 15 dB less effective. The potentials evoked were mono-, bi- or triphasic in shape, depending on recording site. We observed little evidence of tonotopic cortical mapping of stimulation site (1/2 vs. 7/8). If present at all, potentials were considerably smaller when the recording electrode was placed outside the auditory areas. Moreover, threshold currents were far higher (40 dB). It is concluded that the auditory cortex of congenitally deaf animals receives specific information via stimulation of the auditory nerve.
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ItemPhysiological and histopathological response of the cochlea to chronic electrical stimulation of the auditory nerve at high stimulus rates [Abstract]( 1994)Previous research has shown that chronic electrical stimulation of the auditory nerve using charge balanced biphasic current pulses at rates of up to 500 pulses per second (pps) does not adversely affect the adjacent spiral ganglion population. More recently, a number of clinical trials have suggested that speech processing strategies based on high pulse rates (e.g. 1000 pps), can further improve speech perception. In the present study we evaluated the physiological and histopathological response of the cochlea following long-term stimulation using rates of 1000 pps. Thirteen normal hearing cats were bilaterally implanted with scala tympani electrodes and unilaterally stimulated using 25-50 �s per phase charge balanced biphasic current pulses presented at 1000 pps. Additional charge balance was achieved by shorting the electrodes between current pulses. Each animal was stimulated for periods ranging from 700 - 2100 hours at current levels within its dynamic range. Auditory brainstem responses to both acoustic (ABR) and electrical (EABR) stimuli were periodically recorded throughout the chronic stimulation program. At completion of the program the cochleas were prepared for histological examination. While all animals exhibited an increase in acoustic thresholds following surgery, click evoked ABR's returned to near normal levels in half the animals. Frequency specific stimuli indicated that the most extensive hearing loss occurred adjacent to the array (>12 kHz) while lower frequency thresholds appeared at or near normal Our EABR data showed that the majority of animals exhibited slight increases in threshold, although response amplitudes remained very stable for the duration of the stimulus program. The physiological data reported here will be correlated with cochlear histopathology. These initial findings suggest that chronic intracochlear electrical stimulation at high pulse rates, using a carefully designed charge balanced stimulator, does not appear to adversely affect the implanted cochlea.
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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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ItemElectrical stimulation of the auditory nerve: comparison of half-band with full-band scala tympani bipolar electrodes( 1993)The Melbourne/Cochlear auditory prosthesis uses an intracochlear electrode array containing 22 circumferential full-band electrodes mounted on a Silastic carrier. It could be hypothesized that half-band electrodes, oriented towards the modiolus, would produce lower stimulus thresholds than conventional full-band electrodes. This hypothesis is based on the assumption that, compared with full-band electrodes, half-band electrodes would produce an electrical field in which a greater proportion of the current would excite a defined group of neurons. In order to verify this hypothesis we recorded electrically evoked auditory brainstem responses (EABRs) for both full- and half-band electrodes inserted in the scala tympani of deafened cats. EABR thresholds for half-band electrodes oriented towards the modiolus were not significantly different from thresholds evoked using full-band electrodes (p>0.05, paired t-test), whereas thresholds evoked using half-band electrodes oriented towards the outer scala wall were significantly higher (p<0.01) than either the modiolar half-band or the full-band electrodes. These physiological results suggest that the electrical field generated within the auditory nerve by modiolar oriented half-band electrodes does not differ significantly from that produced by full-band electrodes. On the basis of these results, together with the fact that half-band electrodes would have higher current densities and electrode impedances, and would require careful orientation during implantation, we consider that there is no benefit in incorporating half-band electrodes in the design of scala tympani electrode arrays.
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ItemThe origin of electrophonic activity evoked by electrical stimulation of the cochlea( 1992)Electrophonic activation of auditory nerve fibres via electrical stimulation is only observed in cochleas with residual hair cells. While the generation of neural activity associated with this phenomenon is thought to ultimately occur at the inner hair cell synapse (1) it is unclear whether hair cells are activated directly by the electrical stimulus or mechanically via a travelling wave propagating along the basilar membrane. Support for the travelling wave hypothesis has recently come from a masking study using evoked potentials (2). To provide verification of these results, we measured the latency of the electrophonic activity recorded in single ventral cochlear nucleus (VCN) units of known characteristic frequency (CF). Stimulating electrodes were placed on, or just inside the round window of normal hearing anaesthetized cats (n=6). The response of single VCN units were recorded extracellularly and units exhibiting "primary like" activity (3) were analysed. Each unit's CF to acoustic stimulation and response properties to biphasic electric pulses were determined. Electrophonic activity was identified by its long latency (> 2.5 ms) and poor synchronization compared with the response evoked by direct electrical stimulation. Electrophonic activity was observed in 20 units -approximately 25% of the units isolated. These responses were more commonly recorded from cochleas in which the round window had not been opened. The latency of the electrophonic response varied inversely with CF, implying that the response is generated at the basilar membrane and results in a mechanical travelling wave. Finally, no electrophonic activity was observed in units with CFs greater than 10 kHz. Our data would predict that the latency of electrophonic activity in these units -if present -would be very short. Presumably its absence is a result of refractoriness within auditory nerve fibres following activity evoked by direct electrical stimulation.