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Speech Perception with Cochlear Implants as Measured Using a Roving-Le Speech Perception with Cochlear Implants as Measured Using a Roving-Le

Speech Perception with Cochlear Implants as Measured Using a Roving-Le - PDF document

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Speech Perception with Cochlear Implants as Measured Using a Roving-Le - PPT Presentation

platinum electrode contactsOptimal spacing over a mm stimulation range Diameter at basal end mmDiameter at apical end mm platinum electrode contactsOptimal spacing over a mm stimu ID: 342718

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Speech Perception with Cochlear Implants as Measured Using a Roving-Level Adaptive Test Method, Haumann S; Lenarz T; Buchner A, ORL J Otorhinolaryngol Relat Spec, (),  Sep , p. - Partial Deafness Cochlear Implantation at the University of Kansas: Techniques and Outcomes, Prentiss S; Sykes K; Staecker H, J Am Acad Audiol, (),  Mar, p. -Achievement of Hearing Preservation in the Presence of an Electrode Covering the Residual Hearing Region, Usami SI; Moteki H; Suzuki N; Fukuoka H; Miyagawa M; Nishio SY; Takumi Y; Iwasaki S; Jolly C, Acta Otolaryngol,  Jan Atraumatic Round Window Deep Insertion of Cochlear electrodes, Skarzynski H; Lorens A; Zgoda M; Piotrowska A; Skarzynski, PH; Szkielkowska A, Acta Otolaryngol,  Apr Hearing Preservation After Complete Cochlear Coverage in Cochlear Implantation with the Free-Fitting FLEXSOFT Electrode Carrier, Helbig S; Baumann U; Hey C; Helbig M, Otol Neurotol,  Jul The Length of the Organ of Corti in Man, Hardy M, American Journal of Anatomy, Depth of Electrode Insertion and Postoperative Performance in Humans with Cochlear Implants: A Histopathologic Study, Lee J; Nadol JB; Eddington DK, Audiol Neurootol, (),  Mar , p. - Cochlear implantation in inner ear malformations, Sennaroglu L (), Cochlear Implants Int.  Mar;():-. doi: ./cii.. Epub  Apr .Benets of electrical stimulation over two cochlea turns in postlingually deafened CI users – a prospective long-term study. Poster session presented at the Conference on Implantable Auditory Prostheses, Tahoe City, CA., Haumann S, Buechner A, Joseph G, Lenarz T ().  platinum electrode contactsOptimal spacing over a .mm stimulation range Diameter at basal end: .mmDiameter at apical end: .mm platinum electrode contactsOptimal spacing over a .mm stimulation range Diameter at basal end: .mmDiameter at apical end: .mm platinum electrode contactsOptimal spacing over a .mm stimulation range Diameter at basal end: .mmDiameter at apical end: .mmA .mm electrode array designed for long cochlear duct lengths.A mm electrode array designed for cases where deep insertion is not desired or is not possible due to anatomic restrictions.A mm electrode array designed for partial ossication or malformation of the cochlea. \r\f \n\t\b    ØØ Ø \r  \t\t ؝  \t   Ø Ø \r\f \b   \r\f  \b   \r  \tØ  \tØ \r \f   ؁  Ø  Ø  \t ؁  \f\t \f\t\b    ­€­‚­\bƒ‚ \t\bƒ‚ „€……­\b †\bƒ\b \r\f \n\t\b   ØØ Ø \r \t\t  ؝  \t    Ø  Ø \r\f \b   \r\f  \b    \r  \tØ  \tØ \r \f   ؁  Ø  Ø  \t ؁  \f\t \f\t\b    ­€­‚­\bƒ‚ \t\bƒ‚ „€……­\b †\bƒ\b \r\f \n\t\b   \r \t\t  ؝  \t   Ø  Ø  \r\f \b   \r\f  \b   \r  \tØ  \tØ \r  \f   ؁  Ø  Ø  \t ؁  \f\t \f\t\b    ­€­‚­\bƒ‚ \t\bƒ‚ „€……­\b †\bƒ\b CLASSIC SeriesFor over  years, MED-EL has been the leader in providing a variety of soft, exible electrode arrays. CLASSIC series were the rst MED-EL’s arrays designed with unique wave-shaped wires. Each CLASSIC array also features double electrode contacts throughout as well as optimal contact spacing. STANDARD MEDIUM COMPRESSED medel.comHearPeers.com World’s Largest Selection of Electrodes for a Variety of Cochlear Duct Lengths (CDLs)    \r\f \t\b Cochleae may differ signicantly in size and shape from one another as can individual cochlear duct lengths. MED-EL offers the largest selection of electrode arrays. Each implant recipient can be sure to receive the best possible electrode array for their unique cochlear anatomy. Selecting the Right Electrode Array for Each CDL The graphs at right may assist in selecting the appropriate electrode array.To choose the appropriate electrode array with the assistance of radiological imaging, the diameter of the basilar turn is used. This value, labeled “A”, is measured from the Round Window to the opposite lateral wall, using the modiolus as the centre point (see Figure ).The “A” value may then be used for pre-operative assessment of the appropriate electrode variant by using the graphs at right (See Figure ). Please use the appropriate graph depending on whether a Round Window or Cochleostomy approach is used.The “A” value is only applicable for patients with normal cochlear anatomies.Complete Cochlear Coverage (CCC)Complete Cochlear Coverage means stimulating the cochlea from the base to the apical region in order to stimulate a maximum number of nerve bres. Stimulation of the entire frequency range provides the implant user with the best possible outcomes in speech perception and sound quality.    \r\f\r\f \n  \t  \r\f \r\f\r\f \n \n\t\b   \r\f\r\f \n \r\f \r\f\r\f \n  \n\t\b Figure The diameter of the basilar turn, labeled “A”, may be used as a guide for selecting the appropriate array. Figure Selection of electrode arrays for RW or Cochleostomy ApproachesCochleostomy Approach is under development.Round Window ApproachVariation in Cochlear Duct LengthsStudy by Hardy and Lee Electrode ArraysDesigned for Atraumatic ImplantationProviding Superior Hearing Performance For Professionals MED-EL is the leader in providing soft, exible electrode arrays which ensure maximum protection of the delicate structures in the cochlea. Preserving residual hearing enables users to benet from future technologies and therapies. Wave-Shaped WiresThe electrode arrays feature ultraexible wave-shaped platinum-iridium wires. Wave-shaped wires signicantly reduce rigidity in comparison to a straight-wire design. This unique design is the key to making a MEDelectrode array the world’s most exible and atraumatic. Optimal Number of ContactsMED-EL’s electrode design philosophy dictates a careful balance between the maximum number of electrode contacts and minimised channel interaction. Channel interaction negatively impacts performance. Each electrode array contains the optimal number of contacts for stimulation of nerve bres leading to best performance. Optimal number and spacing of electrode contacts also signicantly reduce rigidity; allowing for gentle insertion without damaging the delicate cochlear structures. FLEX SeriesThe FLEX series feature unique FLEX-Tip Technology with single contacts at the leading end, ultra-exible wave-shaped wires, and a tapered tip for increased mechanical exibility. FORM SeriesThe FORM series are the rst electrode arrays designed specically for malformed cochleae. Each FORM array features the SEAL designed for better control of cerebrospinal uid (CSF) leakage. CLASSIC SeriesCLASSIC Series were the rst MED-EL electrode arrays to feature wave-shaped wires. They reect MED-EL’s commitment to creating soft, exible electrodes for over  years. Each CLASSIC array also features double electrode contacts throughout as well as optimal number of contacts.ABI ArrayThe ABI electrode array features  active contacts on a soft pre-shaped silicone paddle, with shaping arms xed to a polyester mesh.Electrode ArraysDesigned for Atraumatic ImplantationProviding Superior Hearing Performance“... thin and exible free-tting electrodes demonstrated to best fulll all criteria for atraumatic CI surgery.”  platinum electrode contactsOptimal spacing over a .mm stimulation rangeDiameter at basal end: .mmFLEX-Tip for minimal insertion traumDimensions at apical end: . x .mm  platinum electrode contactsOptimal spacing over a .mm stimulation rangeDiameter at basal end: .mmFLEX-Tip for minimal insertion traumDimensions at apical end: . x .mm  platinum electrode contactsOptimal spacing over a .mm stimulation rangeDiameter at basal end: .mmFLEX-Tip for minimal insaertion traumDimensions at apical end: . x .mmFLEX SeriesMED-EL’s softest and most exible electrode arrays designed for the majority of patients and optimised for Structure Preservation and the preservation of residual hearing. A .mm electrode array featuring FLEX-Tip technology for increased mechanical exibility and enabling CCC.A mm electrode array suitable for % of normal cochlear anatomiesfeaturing FLEX-Tip technology. Optimised for insertion into the apical region (CCC). A mm electrode array featuring FLEX-Tip technology and designed for combined Electric Acoustic Stimulation (EAS) with insertion less than . turns.  is formerly known as the FLEXA mm electrode array featuring FLEX-Tip technology and designed to be used in cases of partial deafness or for other specic needs or surgical preferences.  is under development.  platinum electrode contactsOptimal spacing over a .mm stimulation rangeDiameter at basal end: .mFLEX-Tip for minimal insertion traumDimensions at apical end: . x .mm \r\f \n\t\b    \r  \t \t ؝  \t  Ø Ø \r\f \b   \r\f  \b   \r  \tØ  \tØ \r \f   ؁  Ø  Ø  \t ؁  \f\t \f\t\b    ­€­‚­\bƒ‚ \t\bƒ‚ „€……­\b †\bƒ\b \r\f \n\t\b   \r \t \t  ؝  \t  Ø Ø  \r\f \b    \r\f  \b   \r  \tØ  \tØ \r \f   ؁  Ø  Ø  \t ؁  \f\t \f\t\b    ­€­‚­\bƒ‚ \t\bƒ‚ „€……­\b †\bƒ\b \r\f \n\t\b   \r \t\t  ؝  \t  Ø Ø \r\f \b    \r\f  \b    \r  \tØ  \tØ \r \f   ؁  Ø  Ø  \t ؁  \f\t \f\t\b    ­€­‚­\bƒ‚ \t\bƒ‚ „€……­\b †\bƒ\b \r\f \n\t\b   \r \t\t ؝  \t  Ø Ø \r\f \b   \r\f  \b   \r  \tØ  \tØ \r \f   ؁  Ø  Ø  \t ؁  \f\t   \f\t\b    ­€­‚­\bƒ‚ \t\bƒ‚ „€……­\b †\bƒ\b SOFT    FORM SeriesDesigned specically for malformed cochleae and for instances where leakage of cerebrospinal uid (CSF) is expected. Each FORM array features an integrated SEAL designed to close off the cochlear opening making it easier for surgeons to apply additional tissue for sealing the area once the electrode array has been inserted.Auditory Brainstem Implant (ABI)ABI is a solution for individuals with hearing loss due to a non-functioning auditory nerve (Neurobromatosis Type II). The MED-EL ABI stimulates the cochlear nucleus (CN) and provides users with a variety of hearing sensations to assist with sound awareness and communication.  platinum electrode contactsOptimal spacing over a .mm stimulation range Diameter at basal end: .mmDiameter at apical end: .mm platinum electrode contactsOptimal spacing over a .mm stimulation rangeDiameter at basal end: .mmDiameter at apical end: .mmDiameter at basal end: .mm x .mm active stimulation contact x .mm reference contactPaddle size: .mm x mmmm electrode array featuring a SEAL designed for open (no obliteration or ossication) or malformed cochleae. Also for cases where CSF leakage is expected.A mm electrode array featuring a SEAL designed to be used in cochleae with malformation, obliteration, or ossication. Also for cases where CSF leakage is expected.The ABI electrode array features  active contacts on a soft pre-shaped silicone paddle, with shaping arms xed to a polyester mesh. \r\f \n\t\b   \r \t\t ؝  \t  Ø Ø \r\f \b   \r\f  \b   \r  \t Ø  \t Ø \r  \f   ؁  Ø   Ø  \t ؁    \f\t \f\t\b    ­€­‚­\bƒ‚ \t\bƒ‚ „€……­\b †\bƒ\b \r\f \n\t\b   \r \t\t ؝  \t  Ø Ø \r\f \b   \r\f  \b   \r  \t Ø  \t Ø \r \f   ؁    Ø   Ø  \t ؁   \f\t  \f\t\b    ­€­‚­\bƒ‚ \t\bƒ‚ „€……­\b †\bƒ\b NEW   \r\f \n\t\b\f     \f\f\t\f  \f­€‚\fƒ €     \r\f \n\b\f      \r\f \n\t\b\f FORM FORM ABI Array