Programming Cochlear Implants

Programming Cochlear Implants

          
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About the Book

Cochlear implants offer significant benefits for children and adults with severe to profound hearing loss; however, to realize these benefits, the device must be carefully and correctly programmed. With current information on cochlear implant technology, Programming Cochlear Implants, Third Edition, a volume in the Core Clinical Concepts in Audiology Series, is a valuable guide for clinicians providing services to cochlear implant users or as a teaching tool for graduate-level students Programming Cochlear Implants, Third Edition introduces the basics of cochlear implant hardware and programming and continues through advanced programming techniques, with manufacturer-specific information and case studies. The text reviews clinical protocols for cochlear implant management; programming considerations for bilateral cochlear implant; troubleshooting during the programming process; device-specific programming techniques; use of objective measures to set cochlear implant programs; use of assistive listening devices with cochlear implants; and providing support to difficult-to-program users, such as infants, individuals with cognitive impairment, persons with disabilities, and so forth. New to the Third Edition The latest hardware innovations in modern cochlear implant systems Advancements in software and programming approaches for cochlear implants New content on methods used to code sound intensity in cochlear implant systems Updates on the latest signal processing and input processing schemes and technologies used in cochlear implants  Expanded discussion of programming considerations related to electric-acoustic stimulation and bimodal use Recent developments in hearing assistive technologies used by cochlear implant recipients New and updated information on objective measures in cochlear implant programming

Table of Contents:
Contents Preface Introduction Acknowledgments Contributors Chapter 1. Basic Components and Terminology of a Cochlear Implant Jace Wolfe and Erin C. Schafer Basic Operation of Cochlear Implants Basic Components of Current Cochlear Implant Systems Basic Terminology of Cochlear Implant Programming     Parameters Affecting Signal Coding in the Intensity Domain         Stimulation Levels         Threshold of Stimulation         Upper Stimulation Levels         Current Amplitude and Pulse Width         Mapping Acoustic Inputs Into the Electrical Dynamic Range     Parameters Affecting Signal Coding in the Frequency Domain         Electrode Contact Versus Channel         Virtual Electrodes (Current Steering)         Frequency Allocation     Parameters Affecting Signal Coding in the Time Domain         Stimulation Rate Basic Cochlear Implant Terminology     Electrode Coupling Strategy/Stimulation Mode     Sequential Versus Simultaneous Stimulation     Interpolation     Sweeping     Loudness Balancing     Radio Frequency     Telemetry     Impedance     Voltage Compliance     Mixing Ratio Basic Cochlear Implant Signal Coding Strategies     Continuous Interleaved Sampling     HiResolution Sound Processing     n-of-m Strategies     Spectral Peak (SPEAK)     Advanced Combination Encoder     Fine Structure Processing     Simultaneous Analog Stimulation Intensity Coding in Cochlear Implants Intensity Coding in Advanced Bionics Cochlear Implants     Input Dynamic Range         Automatic Gain Control–2         Effect of T and M Levels on Intensity Coding         Volume Control         Sensitivity         Channel Gain Intensity Coding in Nucleus Cochlear Implants     Input Dynamic Range, Instantaneous Input Dynamic Range, T-SPL, C-SPL, Automatic Gain Control, Sensitivity, and Autosensitivity Control         Volume Control Intensity Coding in MED-EL Cochlear Implants Input Dynamic Range, Electrical Dynamic Range, and Adaptive Sound Window     Dual-Loop Automatic Gain Control     Maplaw Key Concepts Chapter 2. Basic Principles of Programming Jace Wolfe and Erin C. Schafer Preactivation Procedures     Realistic Expectations Prior to Activation     Reviewing Logistics of Cochlear Implantation     Familiarity With Cochlear Implant Hardware     Setting the Stage Programming After Implantation     Physical Evaluation     Selecting a Signal Coding Strategy     Streamlined Versus Comprehensive Programming     Measuring Stimulation Levels         Setting Threshold Levels for Adults         Special Considerations for Setting Threshold Levels for Children         Additional Measure to Ensure Adequate T Levels and Confirm Audibility         Setting Upper Stimulation Levels for Adults         Setting Upper Stimulation Levels for Children         Additional Considerations in the Measurement of Stimulation Levels     Adjustments to Special Parameters         Stimulation Rate         Pulse Width         Channel Gain         Frequency Allocation         Input Dynamic Range         Maxima Key Concepts Chapter 3. Advanced Bionics Hardware Jace Wolfe and Erin C. Schafer Advanced Bionics Sound Processors     Naída CI Marvel and Sky CI Marvel Sound Processors         Sound Processor Microphones         Digital Signal Processing Processor Controls     Marvel CI M AquaMic     Naída Marvel CI LED Light and Internal Alarms     Naída CI Marvel Connectivity AutoSense OS 3.0 Phonak Link Hearing Aid and Adaptive Phonak Digital Bimodal Fitting Formula     Adaptive Phonak Digital Bimodal Fitting Formula     Advanced Bionics AB Remote App Advanced Bionics Chorus Sound Processor     Advanced Bionics Universal and AquaMic Headpieces     Naída CI Q Sound Processors     Naída CI Q Battery Module     Neptune Sound Processor Advanced Bionics Internal Hardware     HiRes Ultra Cochlear Implant     Mid-Scala Electrode Array         HiFocus SlimJ Electrode Array     HiRes 90K Advantage Cochlear Implant HiRes 90K Implantable Cochlear Implant Key Concepts Chapter 4. Programming Advanced Bionics Implants Jace Wolfe and Erin C. Schafer Advanced Bionics Programming Interface Advanced Bionics CI Target Programming Software     Step 1: Client Section—Enter Patient and Implant Information/Telemetry Measures         Home Page and Training Mode     Workspace Tabs         Implant Settings         Audiogram     Step 2: Instruments Section         Impedance Measurement Fitting Section     Mapping         Signal Coding Strategy     Pulse Width and Stimulation Rate     Filter Type     Radio-Frequency Lock     Step 3: Setting Stimulation Levels         Maps Versus Programs in Target CI Software         Creating Multiple Maps     Fine-Tuning         Programs         Manual Programs         Additional Considerations for AutoSense OS 3.0 and Manual Programs Span Progressive Levels Program Manager Maps and Programs in the Marvel Sound Processor     Bilateral Maps Data Logging Device Options Save and Close Presenting Programming Stimuli     Measuring T Levels     Measuring M-Level Stimulation     Electroacoustic Stimulation—Marvel Acoustic Earhook     Programming Advanced Bionics Bimodal Recipients in Target CI     Advanced Bionics Active Insertion Monitoring System Programming in Advanced Bionics SoundWave Software     Step 1: Create or Select Recipient     Step 2: Connect Sound Processor and Conduct Electrode Impedance Measurement     Step 3: Create a MAP in the SoundWave Software     Select Sound Processing Strategy         Pulse Width and Stimulation Rates         ClearVoice         SoftVoice Stimulus Units and Measuring T Levels     Measuring M-Level Stimulation         Channel Clipping and Span     Input Dynamic Range and Automatic Gain Control     Microphone Sensitivity     Lock         Extended Filtering         Channel Gains Load MAPs Onto Sound Processor as User Programs     DuoPhone     ZoomControl     StereoZoom         Mic Mode         WindBlock, SoundRelax, EchoBlock         Audio-Mixing Ratio         Internal Telecoil     Volume Minimum and Volume Maximum     DirectTouch         Clear Slot and Stimulate     Audible Alarms and QuickSync     Additional User Options Loading Programs Into Advanced Bionics Sound Processors     Data Logging         Ground (Return/Reference) Electrode Key Concepts Chapter 5. Cochlear Nucleus Cochlear Implants and Sound Processors Jace Wolfe and Erin C. Schafer Introduction Nucleus Sound Processors     Nucleus 7 Sound Processor         Nucleus 7 Features         Nucleus 7 Microphone Technology         Nucleus 7 Electronics         Nucleus 7 User Options         Nucleus 7 Acoustic Component         Nucleus 7 Accessories         Nucleus 7 Wearing Options Nucleus 8 Sound Processor     Nucleus Kanso 2 Sound Processor         Nucleus Kanso 2 Microphones         Nucleus Kanso 2 Electronics         Nucleus Kanso 2 Wearing Options     Nucleus Kanso Sound Processor         Nucleus Kanso Microphones         Nucleus Kanso Electronics         Nucleus Kanso Wearing Options     Nucleus 6 Sound Processor         Wearing Options         Battery Options         Processor Buttons and Lights         Processor Direct Auditory Input Port         Wireless Remote Assistants Nucleus Cochlear Implants     The Nucleus Profile Cochlear Implant     Nucleus Profile Plus Cochlear Implant     Nucleus Freedom Internal Device     Nucleus Electrode Arrays         Nucleus Slim Modiolar Electrode         Nucleus Contour Advance Electrode         Nucleus Slim Straight Electrode         Nucleus Slim 20         Nucleus Straight Electrode Array         Nucleus Double Array     Nucleus L24 Hybrid Electrode Array     Nucleus Slim 20 Electrode Array Key Concepts Chapter 6. Programming Nucleus Cochlear Implants Jace Wolfe and Erin C. Schafer Programming Nucleus Implants Programming Nucleus Sound Processors Creating Recipient Files     The Programming Process         Dashboard Measure     Impedances         Transimpedance Matrix Measurement         AutoNRT Adjust     Opening or Creating MAP         Master Volume Four Options for Creating New MAPs in Custom Sound Pro     AutoNRT     Population Mean     Other Measures     Thresholds Initial Activation in Custom Sound Pro Custom Sound Pro—Follow-Up Programming Sessions     Parameters Strategy     Stimulation Mode     Channel Rate (Hz)     Maxima     Pulse Width (Microseconds) Power Level Setting     Tone Level (%DR), Tone Channel, Low Tone Channel     Volume Adjustment Manufacturer’s Settings     Frequency Table     T-SPL and C-SPL         Loudness Growth     Set Levels Screen         Adjusting Default Parameters Determining Stimulation Levels for Nucleus Cochlear Implants     Optimizing T Levels     Optimizing C Levels     Optimizing the Electrical Dynamic Range     Channel Gains     Voltage Compliance     Prediction of Stimulation Levels From Other Programs Progressive MAPs     Double-Channel Mapping     Channel-to-Electrode Assignment         Finalize     Adjust and Configure Programs and Input Processing         Input Processing         Nucleus Input Processing Technologies and Considerations for Use Autosensitivity Control and Autosensitivity Control Breakpoint     Adaptive Dynamic Range Optimization         Beam and Focus         Zoom         Forward Focus SCAN SCAN 2     SCAN 2 FF SNR-NR—Signal-to-Noise Ratio–Noise Reduction WNR – Wind Noise Reduction     Whisper Processor Settings     Power Level and Battery Life     Neural Response Telemetry Measurement and AutoNRT     Programming Previous Generations of Nucleus Implants Cochlear CR120 Remote Assistant     Nucleus SmartNav System Key Concepts Chapter 7. Cochlear Implant Hardware Jace Wolfe, Sharon Miller, and Erin C. Schafer MED-EL Corporation     SONNET 2 Sound Processor         SONNET 2 Wearing Options     DL-Coil With Magnets     SONNET Sound Processor     OPUS 2 Sound Processor     Battery/Wearing Options     RONDO 3         RONDO 3 Cover         Battery Options         RONDO 3 Magnets     RONDO 2         Battery Options         AudioLink Wireless Accessory     FineTuner Echo Remote Control         FineTuner         Additional Features in MED-EL Systems MED-EL Speech Processor Test Device     MED-EL Microphone Test Device SYNCHRONY Cochlear Implant SYNCHRONY 2 Cochlear Implant MED-EL Electrode Array Options     MED-EL FLEX Series     MED-EL FORM Series     Classic Electrode Array Series     Additional MED-EL Electrode Arrays         MED-EL Auditory Brainstem Array Additional MED-EL Cochlear Implants     MED-EL CONCERT Internal Device     SONATA TI100 Internal Device     PULSAR CI100 Internal Device SONNET 3 Audio Processor Key Concepts Chapter 8. Programming MED-EL Cochlear Implants Jace Wolfe, Sharon Miller, and Erin C. Schafer Programming MED-EL Implants     Patients     Programming Interface     Telemetry—Impedance and Field Telemetry Measurement     Creating a MAP in MAESTRO         Setting Stimulation Levels to Create a MAP         Measuring MCL         Setting MCLs With a Flat-MAP in Live Speech         Electrically Evoked Stapedius Reflex Threshold Measurements         Sweeping, Balancing, and Interpolation         Set Levels Grid/Table     Measuring THR     Shift & Tilt, Pivot, Interpolation         Strategy Section         Stimulation Rate         Channel-Specific Sampling Sequence Channels         Compliance Level Control         Volume Mode         Channel Interaction Compensation         Pulse Characteristics         Frequency Bands         Maplaw         Indicators     Loading Programs Onto MED-EL Sound Processors         ASM 3.0 Input Processing Parameters         Adaptive Intelligence         Microphone Directionality         Ambient Noise Reduction, Transient Noise Reduction, Wind Noise Reduction         Compression Ratio and Sensitivity         Additional Considerations for ASM 3.0 Settings         Additional Programming Options         Settings Menu     Electroacoustic Stimulation of MED-EL Recipients     MED-EL-Specific Troubleshooting     Additional Considerations     Auditory Response Telemetry, AutoART, ARTFit, and Electrically Evoked Auditory Brainstem Response     MED-EL OTOPLAN Chapter 9. Clinical Considerations: Putting All of the Pieces Together Jace Wolfe Collaboration With the Cochlear Implant Surgeon/Medical Evaluation Programming Schedule     Initial Activation Session     Initial Activation     Realistic Expectations     Measuring Stimulation Levels at Initial Activation     One-Week Postactivation Appointment     One-Month Postactivation Programming Session     Remainder of Programming Schedule The Role of Electrically Evoked Potentials in Programming Additional Habilitative/Rehabilitative Considerations Considerations for Bilateral Cochlear Implantation     The Benefits of Binaural Hearing     Programming Considerations for Bilateral Cochlear Implant Recipients     Considerations for Bimodal Users Programming Considerations for Bimodal Users     Considerations for Individuals With Single-Sided Deafness and Cochlear Implants Key Concepts Chapter 10. Troubleshooting and Managing Patient Complaints and Complications Jace Wolfe and Erin C. Schafer Introduction Patient Complaints and Complications Managing Recipients Who Experience Disappointing Outcomes External Hardware     Determine Wear Schedule and Facilitate an Auditory Lifestyle     Evaluate the Appropriateness of the Cochlear Implant Program     Assessment of Internal Hardware Identifying “Ref Flags” Cochlear Implant Programming Tips to Address Common Recipient Complaints Insufficient Audibility for Low-Level Sounds (Poor Understanding of Soft Speech/Aided Thresholds Poorer Than 25 to 30 dB HL)     Poor Speech Recognition in Noise Facial Nerve Stimulation/Other Nonauditory Side Effects Associated With Stimulation From the Cochlear Implant Chapter 11. Hearing Assistance Technology and Cochlear Implants Erin C. Schafer, Jace Wolfe, and Sharon Miller Basic Description of Personal Systems Optimal Systems for Use With a Cochlear Implant Description and Programming for Personal Hearing Assistive Technology and Cochlear Implants     Frequency Modulation and Digital Radio-Frequency Transmitters Frequency Modulation, Radio-Frequency, and Induction Loop Receivers Programming Considerations for Frequency Modulation/Radio-Frequency Receivers and Sound Processors     Programming and Fitting Remote Microphone Receivers     Sound Processor Programming and Hearing Assistive Technology         Audio-Mixing Ratios         Input Dynamic Range         Microphone Sensitivity     Fitting Procedures for Personal Remote Microphone Systems Monitoring and Troubleshooting Personal Frequency Modulation/Radio-Frequency Systems for Cochlear Implants Hearing Assistive Technology to Improve Telephone Conversations     Telecoils     Telecoil Accessories     Streaming Devices Summary of Hearing Assistive Technologies for Cochlear Implants Key Concepts Chapter 12. Programming Recipient Using Electroacoustic Stimulation Jace Wolfe and Erin C. Schafer Introduction     Electroacoustic Stimulation Hardware     Electroacoustic Stimulation Sound Processors     Electroacoustic Stimulation With the Advanced Bionics Marvel Sound Processor     Electroacoustic Stimulation With the Cochlear Nucleus 7 Sound Processor     Electroacoustic Stimulation With the MED-EL SONNET 2 EAS Sound Processor Programming Considerations for Electroacoustic Stimulation Recipients     Clinical Protocol for Programming Electroacoustic Stimulation Devices         Audiometric Assessment         Fitting of the Acoustic Component     Provision of Electric Stimulation for Electroacoustic Stimulation Recipients     Additional Considerations Regarding Spectral Allocation of Electroacoustic Stimulation    Additional Consideration: Acoustic Coupling The Future of Electroacoustic Stimulation Key Concepts Chapter 13. Case Studies Margaret Dillon, Jourdan Holder, Lisa R. Park, Jace Wolfe, and Erin C. Schafer Case Study 1: Spatial Hearing Abilities With Default Versus Place-Based Maps     Take-Home Points Case Study 2: Programming a Child With Normal Low-Frequency Residual Hearing     Take-Home Points Case Study 3: Electroacoustic Stimulation and Unilateral Hearing Loss—Place-Based Programming     Take-Home Points Case Study 4: Optimizing Hearing Performance for a Bimodal User Case Study 5: Addressing Poor Hearing Performance and Sound Quality Complaints for a Bimodal User     Take-Home Points Case Study 6: Basic Example of Creating Programs for an Adult Recipient     Take-Home Points Case Study 7: Establishing a Program for an Adult via Objective Measures     Take-Home Points Case Study 8: Creating Programs for a One-Year-Old Implant Recipient     Take-Home Points Case Study 9: Creating a Program for a Young Recipient Using the Advanced Bionics HiRes 90K Advantage Cochlear Implant     Take-Home Points Case Study 10: Inadequate Stimulation Levels and Narrow Electrical Dynamic Range     Take-Home Points Case Study 11: Using Objective Measures to Set Upper Stimulation Levels     Take-Home Points Case Study 12: Creating a Program for a Recipient With Multiple Disabilities     Take-Home Points Case Study 13: Use of Objective Measures as a Guide to Avoid Overstimulation     Take-Home Points Case Study 14: Addressing Speech Recognition Difficulties That May Be Associated With Excessive Stimulation     Take-Home Points Case Study 15: Utilizing Behavioral Information to Create a Cochlear Implant Program and Address Recipient Difficulties     Take-Home Points Electrode Impedance Case Studies Case Study 16: Sawtooth Electrode Impedance Pattern Managed With Programming     Take-Home Points Case Study 17: Flat Low Common Ground Impedances With Performance Decrease     Take-Home Points Case Study 18: Physiological-Related Electrode Impedance Changes     Take-Home Points Case Study 19: Impedance Changes Secondary to Excessive Stimulation     Take-Home Points Case Study 20: Programming for a Teenage Recipient Who Had Significant Residual Hearing After Implantation Key Concepts References Index


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Product Details
  • ISBN-13: 9781635501766
  • Publisher: Plural Publishing Inc
  • Publisher Imprint: Plural Publishing Inc
  • Height: 279 mm
  • No of Pages: 630
  • Width: 216 mm
  • ISBN-10: 1635501768
  • Publisher Date: 12 Sep 2025
  • Binding: Paperback
  • Language: English
  • Spine Width: 30 mm


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