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一种用于极重度至全聋的多通道听力假体。

A multi-channel hearing prosthesis for profound-to-total hearing loss.

作者信息

Clark G M, Tong Y C, Patrick J F, Seligman P M, Crosby P A, Kuzma J A, Money D K

出版信息

J Med Eng Technol. 1984 Jan-Feb;8(1):3-8. doi: 10.3109/03091908409032065.

DOI:10.3109/03091908409032065
PMID:6546950
Abstract

A multi-channel cochlear implant hearing prosthesis providing 22 separate channels of stimulation has been developed. The electronics for the implantable receiver-stimulator have been incorporated on a single chip, using digital circuits and employing CMOS technology. The chip is enclosed in a titanium capsule with platinum/ceramic electrode feed-throughs. A pocket-sized speech processor and directional microphone extract the following speech parameters: signal amplitude, fundamental frequency and formant frequency. The fundamental frequency is coded as electric pulse rate, and formant frequency by electrode position. The speech processor has been realized using hybrid circuits and CMOS gate arrays. The multi-channel prosthesis has undergone a clinical trial on four postlingually deaf patients with profound-total hearing losses. The speech perception results indicate that they were able to obtain open-set speech recognition scores for phonetically balanced words, CID sentences and spondees. In all cases the tests showed significant improvements when using the cochlear prosthesis combined with lipreading compared to lipreading alone.

摘要

一种提供22个独立刺激通道的多通道人工耳蜗听力假体已被研发出来。用于植入式接收器-刺激器的电子设备已集成在一个芯片上,采用数字电路并运用CMOS技术。该芯片封装在一个带有铂/陶瓷电极馈通的钛胶囊中。一个袖珍型语音处理器和定向麦克风提取以下语音参数:信号幅度、基频和共振峰频率。基频被编码为电脉冲速率,共振峰频率则通过电极位置编码。语音处理器已采用混合电路和CMOS门阵列实现。该多通道假体已在四名语后聋且听力完全重度丧失的患者身上进行了临床试验。言语感知结果表明,他们能够获得针对语音平衡词、CID句子和扬扬格词的开放集言语识别分数。在所有情况下,测试均显示,与单独唇读相比,使用人工耳蜗并结合唇读时,有显著改善。

相似文献

1
A multi-channel hearing prosthesis for profound-to-total hearing loss.一种用于极重度至全聋的多通道听力假体。
J Med Eng Technol. 1984 Jan-Feb;8(1):3-8. doi: 10.3109/03091908409032065.
2
Comparison of two cochlear implant speech-processing strategies.两种人工耳蜗言语处理策略的比较。
Ann Otol Rhinol Laryngol. 1984 Mar-Apr;93(2 Pt 1):127-31. doi: 10.1177/000348948409300205.
3
Clinical trial of a multi-channel cochlear prosthesis: results on 10 postlingually deaf patients.多通道人工耳蜗的临床试验:10名语后聋患者的结果
Aust N Z J Surg. 1984 Dec;54(6):519-26. doi: 10.1111/j.1445-2197.1984.tb05439.x.
4
A multiple-channel cochlear implant: an evaluation using open-set CID sentences.多通道人工耳蜗:使用CID开放式语句进行的评估
Laryngoscope. 1981 Apr;91(4):628-34. doi: 10.1288/00005537-198104000-00018.
5
A multiple-channel cochlear implant. An evaluation using an open-set word test.多通道人工耳蜗。使用开放式词汇测试进行的评估。
Acta Otolaryngol. 1981 Mar-Apr;91(3-4):173-5. doi: 10.3109/00016488109138496.
6
Results of a preliminary clinical trial on a multiple channel cochlear prosthesis.多通道人工耳蜗初步临床试验结果
Ann Otol Rhinol Laryngol. 1985 May-Jun;94(3):244-50.
7
Speech understanding in noise with the Roger Pen, Naida CI Q70 processor, and integrated Roger 17 receiver in a multi-talker network.在多说话者网络中,使用罗杰笔、奈达CI Q70处理器和集成式罗杰17接收器进行噪声环境下的言语理解。
Eur Arch Otorhinolaryngol. 2016 May;273(5):1107-14. doi: 10.1007/s00405-015-3643-4. Epub 2015 May 16.
8
Perception of connected speech without lipreading, using a multi-channel hearing prosthesis.
Acta Otolaryngol. 1986 Jul-Aug;102(1-2):7-11. doi: 10.3109/00016488609108639.
9
Speech processing studies using an acoustic model of a multiple-channel cochlear implant.使用多通道人工耳蜗声学模型的语音处理研究。
J Acoust Soc Am. 1984 Jul;76(1):104-10. doi: 10.1121/1.391104.
10
Speech perception by four single-channel cochlear implant users.四名单通道人工耳蜗使用者的言语感知
J Speech Hear Res. 1987 Dec;30(4):480-93. doi: 10.1044/jshr.3004.480.

引用本文的文献

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Correlation between stimulation levels and ECAP thresholds for audiometry-based fitting in cochlear implants.人工耳蜗基于听力测定法进行调试时刺激水平与电刺激听觉脑干反应阈值之间的相关性。
HNO. 2025 Jun 2. doi: 10.1007/s00106-025-01585-5.
2
[Correlation between stimulation levels und ECAP thresholds for audiometry-based fitting of cochlear implants. German version].[基于听力测定法的人工耳蜗植入适配中刺激水平与电诱发听觉脑干反应阈值之间的相关性。德文版]
HNO. 2025 Apr 7. doi: 10.1007/s00106-025-01584-6.
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Relationships between Intrascalar Tissue, Neuron Survival, and Cochlear Implant Function.
内毛细胞组织、神经元存活与人工耳蜗功能的关系。
J Assoc Res Otolaryngol. 2020 Aug;21(4):337-352. doi: 10.1007/s10162-020-00761-4. Epub 2020 Jul 20.
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Biomaterials in cochlear implants.人工耳蜗中的生物材料。
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2009;8:Doc10. doi: 10.3205/cto000062. Epub 2011 Mar 10.
5
Indication for the need of flexible and frequency specific mapping functions in cochlear implant speech processors.人工耳蜗语音处理器中对灵活且频率特定映射功能的需求指征。
Eur Arch Otorhinolaryngol. 2007 Feb;264(2):129-38. doi: 10.1007/s00405-006-0159-y. Epub 2006 Sep 27.