Programming Cochlear Implants (Paperback, 2, Revised)

Foreword
Preface
Acknowledgments

Basic Components and Operation of a Cochlear Implant
Basic Operation of Cochlear Implants
Basic Components of Current Cochlear Implant Systems
Advanced Bionics Corporation
Sound Processors
Internal Devices
Cochlear Limited
Sound Processors
Internal Devices
MED-EL Corporation
Sound Processors
Internal Devices
Key Concepts

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 Acoustical Inputs into the Electrical Dynamic Range
Input Dynamic Range (IDR)
Sensitivity
Compression
Channel Gain
Volume Control
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 (RF)
Telemetry
Electrode Impedance
Voltage Compliance
Mixing Ratio
Basic Cochlear Implant Signal Coding Strategies
Continuous Interleaved Sampling (CIS)
HiResolution Sound Processing
HiResolution Fidelity 120
HiRes Optima
n-of-m Strategies
Spectral Peak (SPEAK)
Advanced Combination Encoder (ACE)
Fine Structure Processing (FSP)
Simultaneous Analog Stimulation (SAS)
Key Concepts

Basic Principles of Programming
Pre-Activation 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
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 Measures to Set Stimulation Levels
Adjustments to Special Parameters
Stimulation Rate
Pulse Width
Channel Gain
Frequency Allocation
Input Dynamic Range (IDR)
Maxima
Key Concepts

Manufacturer-Specific Programming Considerations
Advanced Bionics Corporation
HiResolution (HiRes) 90K Advantage System
Electrode Impedance
Selecting a Signal Coding Strategy
Setting Stimulation Levels
Additional Programming Parameters
Programming Previous Generations of Advanced Bionics Implants
Cochlear Limited
The Nucleus 6 System
Electrode Impedance
Selecting a Signal Coding Strategy and Preprocessing Parameters
Setting Stimulation Levels
Additional Programming Parameters
Programming Previous Generations of Nucleus Implants
MED-EL Corporation
Programming MED-EL Recipients in Fine Structure Processing
Electrode Impedance
Selecting a Signal Coding Strategy
Setting Stimulation Levels
Additional Programming Parameters
Programming Previous Generations of MED-EL Implants
Key Concepts

Clinical Considerations: Putting All of the Pieces Together
Collaboration with the Cochlear Implant Surgeon/Medical Evaluation
Programming Schedule
Two-Day Initial Activation Sessions
One-Week Postactivation Appointment
One-Month Postactivation Programming Session
Remainder of Programming Schedule
The Role of Objective Measures in Programming
Additional Habilitative/Rehabilitative Considerations
Special Tips for Facilitating Cooperation of Children
Considerations for Bilateral Cochlear Implantation
Key Concepts

Troubleshooting 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 밨ed Flags?
Factors Influencing Cochlear Implant Outcomes
Additional Disabilities
Bacterial Meningitis
Aplastic Auditory Nerves
Inner Ear Malformations
Prelingual Deafness and Duration of Deafness Prior to Implantation
Advanced Age
Internal Device Function
Programming Adjustments for the Most Common Complaints and Complications
Key Concepts

Hearing Assistance Technology (HAT) and Cochlear Implants
Basic Description of Personal Systems
Optimal Systems for Use with a Cochlear Implant
Description and Programming for Personal HAT and Cochlear Implants
FM Transmitters
RF, FM, and Induction Loop Receivers
Programming Considerations for RF/FM Receivers and Sound Processors
Programming Digital RF or FM Receivers
Sound Processor Programming and HAT
Fitting Procedures for Personal RF/FM Systems
Monitoring and Troubleshooting Personal RF/FM Systems for Cochlear Implants
HAT to Improve Telephone Conversations
Telecoils
Telecoil Accessories
Streaming Devices
Summary of HAT for Cochlear Implants
Key Concepts

Electroacoustic Programming
Introduction
Theoretical Benefits
Literature Review
Hardware Considerations
Post-operative Assessment
Programming Protocol
Fitting the Acoustic Component
Basic Management Considerations

Case Studies

References
Index