Evaluation of the Harmony soundprocessor in combination with the speech coding strategy HiRes 120.

OBJECTIVE

The Advanced Bionics Harmony BTE processor was developed to support the new speech coding strategy HiRes 120 with a resolution of 120 channels based on "current steering." Compared with the previous Auria, the front end has been re-designed and power consumption reduced.

STUDY DESIGN

HiRes 120 as well as the impact of the improved Harmony processing concerning a better speech understanding were evaluated. Subject's performance was evaluated using a test battery of the Hochmair-Schulz-Moser (HSM) sentence test and questionnaires regarding general sound quality, music perception, battery life time and processor handling.

PATIENTS

In the first study group, 11 postlingually deafened adult subjects participated with a minimum of 9 months experience. The second study group consisted of 14 postlingually deafened adult subjects with a minimum of 2 years experience.

INTERVENTIONS

Tested were the 2 speech coding strategies HiRes and HiRes 120 on the Harmony and the clinical system, respectively.

MAIN OUTCOME MEASURES

Speech perception tests in quiet, in CCITT noise, as well as with a competing talker, questionnaires regarding sound quality and handling and perceptual channel tests.

RESULTS

A total of 84% showed a clear preference for the Harmony processor compared with their previous processor with HiRes. The speech test results showed a 7.7% average increase in the HSM sentence test with 5 dB SNR competing talker.

CONCLUSION

The majority of the subjects wanted to change to the new Harmony processor because of a better understanding in everyday life, handling, and improved battery-life time.