
CLINICAL GUIDANCE | SECTION TWO
59
Performing Psychophysics
Note: It is important that you perform psychophysics on an electrode-by-
electrode basis. Interpolation or streamlined fitting is not appropriate for an
ABI due to variation in T- and C-levels from one electrode to the next, even
when using monopolar mode.
Default parameters
Cochlear recommends using the SPEAK strategy for the initial programming
session, as it allows the use of wider pulse widths and has a lower rate of
stimulation. Both of these factors may contribute to a reduction of side effects
that the recipient may experience. Monopolar (MP1+2) mode is recommended
for all routine programming. In the event of excessive side effects, you may use
bipolar mode. For more information, see Managing side effects.
Use the following default parameters for programming:
Strategy: SPEAK
Stimulation mode: MP1+2
Pulse width: 100 µs
Number of maxima: 6
Pulse rate: 250 Hz
Telemetry
Caution: Do not perform an impedance telemetry sweep prior to an initial
psychophysics investigation. All electrodes are stimulated during this process
and could cause discomfort to the recipient if they have low side-effect
thresholds on any electrodes.
Finding T- and C- levels
Programming the Nucleus 24 ABI differs from other Cochlear Nucleus implants
because most recipients may experience non-auditory side effects on a
number of channels. Whether these side effects occur on a few channels rather
than most, or whether they occur around C-level rather than around T-level
determines the complexity of programming.
Comentários a estes Manuais