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Cochlear Implant. The Human Ear. SOURCE: http://www.infj.ulst.ac.uk/~pnic/HumanEar/Andy's%20Stuff/MScProject/workingcode_Local/humanear.jpg. Why another device???. Two types of hearing impairment or deafness:. Conductive hearing loss. Sensori-neural hearing loss. Hearing Loss.
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The Human Ear SOURCE: http://www.infj.ulst.ac.uk/~pnic/HumanEar/Andy's%20Stuff/MScProject/workingcode_Local/humanear.jpg
Why another device??? Two types of hearing impairment or deafness: • Conductive hearing loss • Sensori-neural hearing loss
Hearing Loss • Sensori-neural hearing loss • Loss of hair cells • Loss of nerve fibers
Statistics • BAD News: • ~ 28 million Americans have hearing impairment • 11 million are deaf • ~ 17 in 1,000 children under the age of 18 • Incidents increase with age • ~ 3 in 1,000 children are born deaf • GOOD News: • ~ 23,000 people in the US use cochlear implants (about 0.2%) • ~ 59,000 people worldwide use cochlear implants … and the numbers are growing!
Nucleus® 24 Cochlear Implant System BTE Transmitting Coil Electrode Array Receiver-Stimulator WSP
Sound/Speech Processing • Continuously Interleaved Stimulation (CIS) Strategy • Sound waves >>> Band-pass filters • Output waveforms >>> electric stimuli • Train of stimuli are continuously passed without overlapping.
Materials & Manufacturing • BTE: Polyethylene polymer, Injection molded • Receiver-stimulator implant: Titanium shell, Deep drawn, curved to shape • Electrodes: Nitinol and Platinum or Equivalent, Coated with silicone • Every implant is manual assembled under a microscope
Clinical Trials: Nucleus® Cochlear Implant System • Class III device (FDA) • 1982: First Clinical trial in Australia • 24 out of 37 subjects had significant improvement in perceiving unfamiliar speech (P < 0.001) • FDA approval for full commercial release in 1985 • Currently, 40,000 patients WW have Nucleus® Cochlear implant system.
Areas of Future Research • Increasing electrode sensitivity >>> Materials, manufacturing processes, & integration • Single-electrode vs Multi-electrode, Multi-channel implants • Piezoelectric transducers • MRI compatibility >>> Eliminate magnets
Conclusions • Boon to the deaf community • Very effective in treating sensori-neural deafness • Moderately expensive