Cochlear SPrint Sound Processor Informações Técnicas Página 10

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SECTION ONE | CLINICAL GUIDANCE
8
1. Stop the stimulation and sweep all of the channels at 80% and then at
C-level to confirm that sounds are comfortably loud. (Open the Sweep
menu by clicking on the Sweep drop-down menu.) You can balance
loudness across the channels by sweeping a small set of channels (4 – 5
at a time) to confirm equal loudness. To adjust individual channel C-levels
that have not been measured, double-click the specific channel or click
the “make all channels measurable button” and then modify individual
C-levels as necessary.
2. Save the MAP.
3. Make additional MAPs as necessary.
4. Personalize the MAPs for the listening environment(s) or create
Progressive MAPs (where C-Levels are automatically adjusted to a
predetermined level for each programming location) prior to writing
them to the sound processor.
5. Predict new levels for a different stimulation rate using
streamlined programming.
1.1.2 NRT/Objective Offset Method
The NRT/objective offset method offsets the T-level profile from the objective
measurement profile, and enables a single offset channel to be measured using
psychophysics. C-levels are measured using live voice testing.
1. Measure impedances by performing an implant test.
2. Obtain objective measures (the default is Neural Response Telemetry)
in the operating room or during the programming session using the
AutoNRT
function in Custom Sound or using Custom Sound
EP
software (AutoNRT available for Freedom and later model implants only).
To measure NRT in Custom Sound, select “Perform AutoNRT” under the
programming tasks. By default, the software automatically measures
T-NRT on channels 22, 16, 11, 6, and 1 using an ascending approach
and built-in detection algorithm. (You may select other channels.)
T-NRT values are saved automatically. Alternatively, you can use T-NRT
measurements from Custom Sound EP.
3. In the Select MAP screen, create a new MAP by selecting the required
MAP parameters from the available drop-down menus and clicking
Create. Alternatively, you can select and open an existing MAP that you
can modify.
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