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FineHearing™ ResearchUntil Fine Structure Processing, cochlear implant systems provided information regarding changes in the amplitude of a signal over time, and the timing cues were largely discarded. These amplitude changes are referred to as the “envelope” of an incoming sound; envelope coding only traces the outer edges, or outline, of a sound wave. Essentially, this provides only a two-dimensional representation of sound, although it does result in quite good speech understanding, especially in quiet environments. FineHearing™* research, however, is currently further exploring the potential of FineHearing Technology to provide even more detail, depth, and dimension to sound, particularly in relation to improving music appreciation. Fine Structure Processing™1
In simplified terms, sound can be separated into two parts: envelope information and fine structure, or fine frequency, information. The envelope contains overall information about changes in the amplitude (intensity) of a signal over time; whereas, the fine structure contains rapidly changing details regarding the frequency (pitch) of that signal. Research with normal-hearing listeners has demonstrated that the envelope of a signal is most important for speech reception, while the fine structure is most important for pitch and music perception. Fine Structure Processing (FSP) is the first commercially released coding strategy to deliberately inform the auditory system of the actual timing of the waveform.
Wider Frequency RangeMED-EL has always provided cochlear implant users with the deepest electrode placement and access to the greatest number of neural elements within the cochlea. MED-EL is now investigating the potential to tonotopically match a frequency range of approximately 70Hz–8,500Hz. A wider range of frequencies should provide improved benefit for music appreciation and speech understanding in a variety of spoken languages (including complex tonal languages). Multiple Stimulation Modes*For the most part, current cochlear implant technology utilizes biphasic pulses and sequential stimulation to process sound. Additionally, MED-EL is exploring the potential for triphasic pulses* and simultaneous stimulation* to perpetuate future developments in speech processing. The ultimate goal is to determine the ways in which these various forms of stimulation can be utilized for new speech coding strategies and the potential benefit of such stimulation modes. PULSARci100 and SONATATI100 cochlear implants contain the electronics to generate these novel types of stimulation with future external equipment and/or software upgrades*.
1 The safety and effectiveness of the FSP speech coding strategy has not been established in pre-lingually deaf children. The FSP strategy should only be used by CI users with at least 6 months experience with the CIS+ or HD-CIS programming options, and who have the cognitive ability to choose among the speech coding strategy options provided in the MAESTRO 2.0.1 software. All other cochlear implant patients should be fit with CIS+ or HD-CIS programming options.
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