Cochlear SPrint Sound Processor Información técnica Pagina 33

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CLINICAL GUIDANCE | SECTION ONE
31
1.9.3 CIS/CIS (RE)
CIS (Continuous Interleaved Sampling) focuses on the temporal (timing)
properties of sound. It uses a relatively small number of channels (4, 6, 8 or 12)
in comparison to SPEAK and stimulates them at a high per channel rate. Higher
stimulation rates better represent the rapid timing events in sound compared
to lower rates. By default, the software chooses a fixed set of 12 channels and
a 900 pps channel rate (TSR = 10800 pps). The clinician may choose other
rates (900, 1800, 2,400 or 3500 pps) and different numbers of channels (4,
6 or 8), with the stipulation that the maximum TSR not exceed 14, 400 pps
for Nucleus
®
24 implants or 28,000 pps for Freedom implants. The TSR is
the per channel rate multiplied by the number of channels. Custom Sound
provides a list of available rates and number of channels based upon the type
of implant used by the recipient. The CIS (RE) rate of 3500 pps is specific to
the Freedom
cochlear implant. Although the software selects specific default
channel sets, the clinician can modify these. CIS stimulates the same fixed set
of channels during each stimulation cycle regardless of any changes in spectral
(frequency) information. CIS divides the acoustic bandwidth (188 – 7938 Hz)
by the number of channels (4 – 12) used. This determines the bandwidth for
each channel. The software automatically assigns a bandwidth to each fixed
channel in a tonotopic way (i.e., the most basal channel receives the highest
frequencies and the most apical channel the lowest frequencies). During each
stimulation cycle, CIS determines the amount of energy in each band and
delivers the appropriate electrical current. The amount of current (between
T- and C-level) sent to the channels is directly proportional to the amount
of energy in each band. CIS cannot currently be used with the CP810 Sound
Processor unless accessed as a regional option in the Custom Sound software.
Figure 8 :
Electrodogram of
the English word
‘choiceusing the
CIS strategy
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