Evaluation of the current distribution of the hybrid common ground stimulation in cochlear implants

Abstract : Background In cochlear implants, the hybrid common ground is a combination of a classic monopolar stimulation with a standard common ground. This new stimulation montage allows the current to return from both the non-stimulating electrodes on the electrode array and the reference electrode placed between the skull and scalp. In theory, this lead to reach a compromise between the current focality and the efficiency of the stimulation. Even if this stimulation type has already been adopted by some implant manufacturers, the 3D geometry of its current pathways remains to be studied. Methods The study is two-fold. First, an in-vitro experiment aimed to measure the electrical field produced by the hybrid common ground stimulation. An electrode array of an XP implant (Oticon Medical, Neurelec) was placed in saline solution and the electrical field was recorded by a probe that moves along the programmed grid. During the stimulation, the current waveforms on all the grounding electrodes were also recorded. Second, an in-situ measurement was conducted. Another XP device was implanted into a human specimen. The same procedure as in the in-vitro measurement was performed to record, this time, the current waveforms only. Results The recorded two groups of current data were compared with each other to investigate how the current path is modified by the geometry of a human cochlea. The potential distribution measured during the in-vitro experiment was also compared with other stimulation types such as monopolar. The energy consumption of the stimulation was also computed from the collected data.
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Submitted on : Friday, October 7, 2016 - 12:29:33 PM
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Kai Dang, Pierre Stahl, Clair Vandersteen, Nicolas Guevara, Dan Gnansia, et al.. Evaluation of the current distribution of the hybrid common ground stimulation in cochlear implants. 9th International Symposium on Objective Measures in Auditory Implants (OMAI), Jun 2016, Szeged, Hungary. ⟨hal-01377653⟩

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