Discrimination of Simultaneous Frequency and Level Changes in Electrical Stimuli

Frequency difference limens for sinusoidal electrical stimuli were measured at operationally defined equal-loudness points in a behaviorally trained monkey that was deafened and implanted in one ear. The equal-loudness points were defined as the levels at which the discrimination of a frequency change was minimal when frequency and level were varied simultaneously. To determine accurately these points, we varied the level in very fine steps (as small as 0.05 dB) above and below the estimated equal-loudness point. With this method we also determined precise equal-loudness contours and level difference limens. Frequency difference limens ranged from 7% at 100 Hz, 17 dB sensation level (SL) to about 30% at 100, 300, and 600 Hz, 7 to 9 dB SL. Level difference limens ranged from 0.4 to 1.9 dB. Slopes of the equal-loudness contours were 0 at 100 Hz, about 6 dB/octave at 300 Hz, and leveled off to about 2 dB/octave above 600 Hz.

Effects of electrode configuration and place of stimulation on speech perception with cochlear prostheses

Recent research and clinical experience with cochlear implants suggest that subjects' speech recognition with monopolar or broad bipolar stimulation might be equal to or better than that obtained with narrow bipolar stimulation or other spatially restricted electrode configurations. Furthermore, subjects often prefer the monopolar configurations. The mechanisms underlying these effects are not clear. Two hypotheses are (a) that broader configurations excite more neurons resulting in a more detailed and robust neural representation of the signal and (b) that broader configurations achieve a better spatial distribution of the excited neurons. In this study we compared the effects of electrode configuration and the effects of longitudinal placement and spacing of the active electrodes on speech recognition in human subjects. We used experimental processor maps consisting of 11 active electrodes in a 22-electrode scala tympani array. Narrow bipolar (BP), wide bipolar (BP + 6), and monopolar (MP2) configurations were tested with various locations of active electrodes. We tested basal, centered, and apical locations (with adjacent active electrodes) and spatially distributed locations (with every other electrode active) with electrode configuration held constant. Ten postlingually deafened adult human subjects with Nucleus prostheses were tested using the SPEAK processing strategy. The effects of electrode configuration and longitudinal place of stimulation on recognition of CNC phonemes and words in quiet and CUNY sentences in noise (+10 dB S/N) were similar. Both independent variables had large effects on speech recognition and there were interactions between these variables. These results suggest that the effects of electrode configuration on speech recognition might be due, in part, to differences among the various configurations in the spatial location of stimulation. Correlations of subjective judgments of sound quality with speech-recognition ability were moderate, suggesting that the mechanisms contributing to subjective quality and speech-recognition ability do not completely overlap.

Cochlear implant thresholds: comparison of middle latency responses with psychophysical and cortical-spike-activity thresholds

The electrically evoked middle latency response (EMLR) is a potentially useful measure of activation of the auditory system by a cochlear prosthesis. The present study compared cochlear prosthesis thresholds determined using EMLR with thresholds determined for psychophysical detection and for spike activity in cortical neurons. In systemically deafened guinea pigs, the difference between EMLR and psychophysical threshold level varied, with differences ranging from -4.6 dB (EMLR threshold more sensitive) to +10.7 dB (psychophysical threshold more sensitive) across animals and phase durations. Threshold differences between EMLR and auditory cortex neural spike responses were similar in magnitude and range (-6 to +15 dB) to those seen for EMLR vs. psychophysical thresholds. These ranges are comparable to the behavioral operating range for a given condition. In 3 of 12 subjects, the EMLR was absent for some or all electrode configurations tested, even at levels well above the threshold for psychophysical detection or cortical neuronal response. These results suggest that neither the EMLR thresholds nor cortical neuronal spike thresholds are an adequate substitute for psychophysical measures of threshold. While not sufficient for use in place of psychophysical measures, EMLR threshold level is strongly correlated with psychophysical threshold level across subjects (R(2)=0.82). Interestingly, plots of thresholds vs. phase duration were roughly parallel for psychophysical and EMLR thresholds, in contrast to the divergence of psychophysical and more peripheral (e.g., electrically evoked auditory brainstem response) evoked neural threshold vs. phase duration functions.

Effects of time after deafening and implantation on guinea pig electrical detection thresholds

Changes in detection threshold level as a function of time after deafening and implantation have been described previously in macaque [Pfingst, 1990] and human [Skinner et al., 1995] cochlear implant subjects. Characterization of the mechanisms underlying these changes will contribute to our understanding of the anatomical and physiological factors affecting electrical stimulus detection. In addition, understanding the time course of early threshold changes is essential to the interpretation of acute physiological studies of cochlear implants. To better characterize time-dependent threshold changes, we monitored changes in guinea pig psychophysical electrical detection thresholds with time after deafening and cochlear implantation. Threshold levels for 100 Hz sinusoidal bursts were initially unstable over the first 30 days post-surgery (DPS), after which thresholds stabilized. At longer intervals (>100 DPS), increases (>10 dB) in threshold level were observed for 100 Hz sinusoids in three of 11 cases. These changes were transient in one case and long-term in two cases. The time course of threshold change, both early and late, could not be explained on the basis of changes in spiral ganglion cell survival. The guinea pig seems to be an ideal preparation for studies of this nature, because threshold changes are similar in type, but accelerated in time course, relative to those observed in primates.

Across-species comparisons of psychophysical detection thresholds for electrical stimulation of the cochlea: II. Strength-duration functions for single, biphasic pulses

This paper compares psychophysical detection threshold data (new and previously published) for pulsatile electrical stimulation of the deafened inner ear, obtained from different human and nonhuman subjects. Subjects were grouped according to species. Other variables, however, such as the electrode array type and method of deafening, varied within and across species. Detection threshold levels and slopes of threshold versus phase duration functions for presentations of single, biphasic pulsatile stimuli (strength-duration functions) were compared for humans, macaques, cats, and guinea pigs. For bipolar stimulation, statistically significant differences in threshold level were observed between human subjects and all other species. The species difference did not depend on the phase duration tested. For monopolar stimulation, only nonhuman species were tested. Effects of electrode configuration on both the level and slope of psychophysical strength-duration functions were statistically significant across nonhuman species, but there was not a statistically significant interaction between species and electrode configuration. The similarity in function shape and relative paucity of significant differences in psychophysical functions across species support the continued use of multiple species for cochlear implant research.

Effects of stimulus level on electrode-place discrimination in human subjects with cochlear implants

Effects of stimulus level on discrimination of one stimulation site from another were examined in 15 human subjects with Nucleus-22 cochlear implant systems. Bipolar stimulation was used in all cases with electrodes in the bipolar pair separated by 1.5 mm (center to center). Subjects were first tested at a medium loudness level, using an adaptive tracking procedure, to determine the regions of the electrode array where electrode-place discrimination was best and the regions where it was poorest. Electrode-place discrimination was then tested at three regions distributed throughout the array, which included the regions of best and poorest discrimination. At each region, electrode-place discrimination was tested at three levels: 25%, 50%, and 75% of the dynamic range. For each of these nine conditions (3 sites x 3 levels), the test-electrode pairs were loudness balanced with the reference-electrode pairs. A two-interval forced-choice same-different procedure was then used to determine discriminability of the reference-electrode pair from the nearest, apical, test-electrode pair. If P(C)max was <0.707 at all three levels, additional testing was done using the next, more apical, electrode pair as the test-electrode pair. A tendency toward better discrimination at more apical regions of the array was observed. Electrode pairs with poor discrimination typically had smaller dynamic ranges than those with good discrimination. There was a weak tendency toward better discrimination at higher levels of stimulation. However, effects of level on electrode-place discrimination were less pronounced and less consistent than previously observed effects of level on temporal discriminations. These results suggest interactions between current spread and the condition of the implanted cochlea as underlying mechanisms.

Across-species comparisons of psychophysical detection thresholds for electrical stimulation of the cochlea: I. Sinusoidal stimuli

Several species have been, and continue to be, used as subjects in studies of electrical stimulation of the cochlea. Few attempts, however, have been made to determine if data obtained from different species are quantitatively or qualitatively similar. The present work compares psychophysical absolute detection threshold vs. frequency functions for sinusoidal stimuli obtained from humans, nonhuman primates, cats, and guinea pigs. Threshold data for monopolar and bipolar electrode configurations from both previously published and unpublished studies are compared. In general, within all four species, significant intersubject variation in detection threshold level was found, but slopes of threshold vs. frequency functions were relatively well conserved within a species, under the conditions studied. With one exception (cat bipolar stimulation), threshold functions reached a minimum at or near 100 Hz across species and electrode configurations. In all cases, thresholds were significantly lower for monopolar, as compared with bipolar, configurations. Statistically, there were no significant differences in absolute threshold level across species. Threshold levels increased with frequency above 100 Hz at a rate of 3.0-7.9 dB/octave, depending on both electrode configuration and species. Slopes were steeper for monopolar than for bipolar configurations. When slopes were averaged between 200 and 2000 Hz, no statistically significant differences in overall slopes were found, nor was there a significant interaction between electrode configuration and species. There were, however, consistent species differences within more restricted regions of the function. Human functions for both monopolar and bipolar stimulation were steeper than all animal functions in the range of 100-300 Hz. Within this range, the differences between slopes for human and nonhuman subjects were statistically significant. In addition, differences were noted in the frequency at which slope decreased, with slopes for nonhuman subjects showing the decrease at higher frequencies than did those for human subjects. These differences may be true species differences, or may reflect the influence of confounding variables associated with each experimental-subject model.

Fos-like immunoreactivity in the auditory brainstem evoked by bipolar intracochlear electrical stimulation: effects of current level and pulse duration

Fos-like immunoreactivity was used to compare the auditory brain stem excitation elicited by bipolar electrical stimulation of the cochlea at various current levels relative to the electrically evoked auditory brain stem response threshold for a 50-micros/phase monophasic pulse. Fos-like immunoreactive cells were labeled in primary auditory brain stem regions. The distribution of labeled cells was restricted to regions known to be cochleotopically related to the stimulated region of the scala tympani. Some labeled cells were observed at 2x electrically evoked auditory brain stem response threshold. The number, density and spatial distribution of labeled cells were quantified in the dorsal cochlear nucleus and inferior colliculus, and found to increase with increasing level of stimulation. For 50-micros pulses, the location of labeled neurons remained reasonably restricted to narrow bands within each region until the 1Ox level of stimulation (20 dB above electrically evoked auditory brain stem response threshold) was reached. While a monotonic increase in Fos-like immunoreactivity with increasing stimulus level was observed in most nuclei, for cells of the superficial layer of the dorsal cochlear nucleus, a non-monotonic change with increasing stimulus level was seen. This dorsal cochlear nucleus non-monotonicity may indicate that, at higher levels of stimulation, a secondary indirect inhibitory input, probably associated with activation of deep layer dorsal cochlear nucleus cells, reduces excitatory responses at the superficial layer of the dorsal cochlear nucleus. Electrically evoked auditory brain stem response and Fos expression showed parallel changes as a function of stimulus level and pulse duration. The data indicate that discrete activation of cell populations within the central auditory pathways can occur with bipolar electrical stimulation to the highest levels of stimulation typically useful in humans. The data also indicate a close, but not identical, quantitative relationship between Fos-like immunoreactivity and electrophysiological response amplitude. These findings support the view that a study of Fos-like immunoreactivity can provide a powerful and quantitative tool for study of the dynamic response characteristics of cells of the central auditory system to electrical stimulation at suprathreshold levels. The data suggest that there is a monotonic increase in the number of neurons responsive to intracochlear electrical stimulation as a function of stimulus level, at least through the upper half of the dynamic range, but that this increase does not result in a complete loss of spatial selectivity. Coupled with previous psychophysical studies, these results suggest that the increase in the number of activated neurons is functionally beneficial, resulting in improved discrimination of changes in the electrical signals.

Effects of stimulus configuration on psychophysical operating levels and on speech recognition with cochlear implants

Effects of electrode configuration and pulse duration on operating levels and on speech recognition performance were studied in a group of 14 adult postlingually deaf human subjects with Nucleus cochlear implants. The operating levels (based on detection threshold and maximum comfortable loudness levels) for narrowly spaced bipolar (BP) stimulation were found to be about 11 dB higher on average than those for widely spaced bipolar (BP+6) or monopolar (MP1) stimulation. Operating levels for common ground (CG) stimulation fell between those for BP and BP+6; the difference between BP and CG detection thresholds depended on pulse duration. Variation in detection thresholds and maximum comfortable loudness levels across the electrode array (electrodes 1-15) was larger for BP and CG stimulation than for BP+6 or MP1 stimulation, suggesting narrower spread of activation for the BP and CG configurations despite the higher current levels. Speech recognition performance was tested using experimental processor configurations. Among the experimental electrode configurations tested (BP, CG, and BP+6), the highest speech recognition scores were obtained with the BP+6 configuration in many subjects. Effects of pulse duration on speech recognition were less consistent and usually smaller than the effects of electrode configuration. The results indicate that electrode configuration is an important variable determining speech recognition performance and suggest that restriction of the size of neural population activated by individual channels of the prosthesis is not necessarily advantageous.

Interactions between pulse separation and pulse polarity order in cochlear implants

Interactions between pulse separation and pulse polarity order were examined using psychophysical studies of electrical detection thresholds in nonhuman primates. Subjects were trained using acoustic stimuli, then deafened in one ear and implanted with an electrode array for electrical stimulation of the cochlea. Threshold vs pulse separation functions for trains of biphasic electrical pulses were compared for constant and alternating leading phase polarity. When leading phase polarity was held constant, threshold vs pulse separation functions were nonmonotonic (U-shaped). Small polarity-dependent (cathodic vs anodic leading phase) differences in absolute thresholds were observed at long pulse separations, but function shape was independent of leading phase. When leading phase polarity alternated, there was a pronounced reduction in thresholds at short pulse separations (below about 1 ms), resulting in monotonically increasing threshold vs pulse separation functions. At long pulse separations, functions for alternating and constant polarity stimuli were similar. Polarity effects were most apparent for longer duration trains (20 pulses) at long pulse durations (1-2 ms/phase). For stimuli consisting of only two biphasic pulses, alternating polarity effects depended on whether cathodic or anodic phases were adjacent. The neural mechanisms underlying these effects probably include refractory properties and/or residual potentials.

Effects of pulse separation on detection thresholds for electrical stimulation of the human cochlea

Effects of pulse separation on detection of electrical stimulation of the cochlea were studied in 12 profoundly deaf human subjects with Nucleus 22 cochlear implants. Biphasic symmetric pulses were used. Pulse separation is the time from offset of one biphasic pulse to the onset of the next biphasic pulse in the train. Effects of pulse separation were studied in the context of different covariables in four stages of the experiment. Effects of pulse separation seen in the different stages were similar, despite the different covariables. Both pulse separation and the total number of pulses per stimulus seem to be important variables affecting stimulus detection. For 0.5 ms/phase pulses, thresholds were lowest at the shortest pulse separations tested (0.2-1.1 ms) and increased as a function of pulse separation. For 2 ms/phase pulses, detection thresholds were lowest at pulse separations around 7.5 ms, in most cases, and higher at both longer and shorter pulse separations. These results suggest that interactions among adjacent pulses can either hinder or facilitate detection of the signal depending on the magnitudes of pulse separation and phase duration. Pulse separations at which thresholds measured for 2 ms/phase pulses were minimum were fairly consistent across subjects and did not correlate well with speech recognition scores. However, significant variation in this measure across species has been seen.

Stimulus features affecting psychophysical detection thresholds for electrical stimulation of the cochlea. III. Pulse polarity

Effects of initial-phase polarity on psychophysical detection thresholds for electrical stimulation of the cochlea were examined in four nonhuman primates using trains of biphasic and triphasic charge-balanced pulses. Initial-phase polarity had small but consistent effects on the levels and slopes of threshold versus phase duration functions. These effects were consistent with the hypothesis that the initial-phase polarity affects the site of action potential initiation. Thresholds for biphasic pulses were lower than those for triphasic pulses, suggesting that the system is responsive to both positive and negative phases of the stimulus. Interactions between initial-phase polarity, pulse waveform, and phase duration were observed.

Functional responses from guinea pigs with cochlear implants. I. Electrophysiological and psychophysical measures

We examined electrophysiological and psychophysical measures of the electrically stimulated auditory system of guinea pigs implanted with chronic intracochlear electrodes. Guinea pigs were trained to detect low-level acoustic stimuli and then unilaterally deafened and implanted with one extracochlear and two intracochlear electrodes. Electrically evoked auditory brainstem responses (EABRs) and psychophysical detection thresholds were obtained from the same animals using pulsatile stimuli. Supplementary EABR data were obtained from additional, untrained, animals. Thresholds were obtained as a function of stimulus phase duration and monopolar and longitudinal-bipolar electrode configurations. The slopes of the EABR and psychophysical functions for bipolar stimulation, averaged across subjects within 1 month after implantation, were -5.25 and -6.18 dB per doubling of pulse duration, respectively. These slopes were obtained with pulse durations ranging from 20 to 400 microseconds/phase; slope was reduced at longer pulse durations. Strength-duration slope also varied as a function of electrode configuration: monopolar stimulation produced steeper functions than did bipolar stimulation. Differences between EABR and psychophysical strength-duration measures suggest the existence of central mechanisms of stimulus integration in addition to that occurring at the level of the auditory nerve. Differences observed with variation of stimulus parameters (e.g., monopolar vs. bipolar stimulation modes) suggest that the specific mode of intracochlear electrical stimulation can influence stimulus integration. Such observations may be useful in the design of prosthetic devices and furthering our understanding of electrical excitation of the auditory system.

Functional responses from guinea pigs with cochlear implants. II. Changes in electrophysiological and psychophysical measures over time

This study, the second of a two-part investigation, assessed changes over time in functional measures of the electrically stimulated auditory system following ototoxic deafening. Guinea pigs were trained to respond behaviorally to threshold level acoustic stimuli and then unilaterally deafened and implanted with a bipolar pair of electrodes within the cochlea and a single extracochlear electrode. Using pulsatile stimuli, thresholds for the electrically evoked auditory brainstem response (EABR) and psychophysical detection were repeatedly collected from the same animals over 3-month post-implantation periods. Thresholds were obtained as a function of stimulus phase duration primarily using bipolar intracochlear stimulation. As in earlier studies, the threshold measures exhibited both intra- and intersubject variability. Analysis of group data failed to show any statistically significant changes over time in either EABR or psychophysical threshold at any fixed pulse duration. However, significant changes over time were found in the slopes of the strength-duration functions for both measures. Slopes became shallower with time, suggesting a reduction in the efficiency of stimulus current integration, a trend presumed to occur with neural degeneration. This result suggests that strength-duration functions could be useful as a clinical diagnostic measure.

Effects of electrical current configuration on potential fields in the electrically stimulated cochlea: field models and measurements

Potential distributions measured within the scala tympani of the anesthetized guinea pig support the assertion that focusing is possible when currents are appropriately delivered to the electrodes in the scala tympani. Results obtained with a lumped-element model agree with measurements made in the inner ears of monkeys during monopolar and bipolar stimulation. The predictions are closer for potential distributions apical to the stimulating electrode than they are for basal distributions. In one monkey, in which electrodes were implanted in the middle ear as well as in the inner ear, we obtained measurements of the impedance from inside the scala tympani to points within the middle ear. These impedances are smaller that those initially used in the model, in which the round window membrane was assumed to have a relatively high impedance. A model of the common ground configuration was developed using finite electrode impedances. Finite impedances broaden the potential distributions in this model. Potential distributions from the lumped element model are compared with those obtained with an analytical model, to suggest ways in which focused and unfocused stimuli can affect the excitation of neurons in the implanted ear.

Effects of electrical current configuration on stimulus detection

Psychophysical detection of electrical stimulation of the cochlea was studied as a function of electrical-current configuration. Subjects were postlingually deaf humans with Nucleus 20 + 2, Nucleus 22, and Ineraid cochlear implants and nonhuman primates unilaterally deafened and implanted with a multielectrode array similar to the Nucleus implant. In nonhuman primate and human Ineraid subjects, which had percutaneous connectors, we compared threshold functions for sinusoids and pulse trains for quadrupolar, bipolar, monopolar, and parallel multipolar stimulation. Thresholds decreased across this set of configurations. In some cases, the effects of current configuration were dependent on sinusoidal frequency and pulse duration. Pulse duration-dependent effects were also seen when comparing bipolar, monopolar, and common-ground configurations. Bipolar and monopolar stimulation were compared in Nucleus subjects using pulse trains at 50 microseconds per phase. For bipolar stimulation, thresholds decreased as a function of electrode separation, reaching a level near that for monopolar stimulation at separations of 3.5 to 6.5 mm in most cases. These results may be interpreted in terms of effects of current configuration on the magnitude and shape of electrical-potential fields produced in the cochlea, although more central factors also play a role in determining psychophysical detection thresholds.

Effects of electrode configuration on threshold functions for electrical stimulation of the cochlea

Psychophysical detection threshold vs frequency functions for sinusoidal electrical stimulation of the deafened cochlea were measured in 18 nonhuman primate subjects. Functions for monopolar or widely-spaced ( > 2.5 mm) bipolar stimulation were lower and usually had steeper slopes than those for more narrowly-spaced ( < 2.0 mm) bipolar stimulation. In 56% of the cases the difference between thresholds for narrowly-spaced bipolar of monopolar stimulation was greater for low frequency stimuli (63 or 100 Hz) than for high frequency stimuli (800 or 1,000 Hz) by 5 dB or more. Two cases were compared in more detail using pulsatile stimuli. For sinusoidal stimuli, one of these cases showed a moderate frequency dependent effect of electrode configuration and the other did not. The case with the frequency dependent effect of electrode configuration for sinusoids also showed a phase-duration dependent effect of electrode configuration for detection of single biphasic pulses: strength-duration curves (detection threshold in decibels vs pulse duration in ms/phase) were steeper for monopolar stimulation than for narrowly-spaced (0.7 mm) bipolar stimulation. This effect was not seen in the case that showed little or no frequency dependence in the effect of electrode configuration for sinusoidal stimuli. Slopes of threshold vs pulse rate functions where pulse duration was held constant at 2 ms/phase were not affected by electrode configuration in either subject.

Effects of stimulus level on nonspectral frequency discrimination by human subjects

Frequency difference limens were determined as a function of reference-stimulus level for pulsatile electrical stimuli in 5 postlingually deaf human subjects with Nucleus-22 cochlear implants and for sinusoidally amplitude-modulated acoustic white noise stimuli in 4 normal-hearing humans. Subjects were tested at levels throughout the dynamic range and extending to the lowest detectable levels. Response stability was measured over the course of 10 sessions. For electrical stimulation in the deaf ears, difference limens decreased as a function of level throughout much or all of the dynamic range of hearing. This result contrasts with the case for nonspectral acoustic stimulation of normal-hearing subjects, where nonspectral frequency difference limens were strongly affected by level only near the detection threshold. These data suggest differences in the acoustic and electrical response spaces that must be considered in the design of auditory prosthesis processors.

Stimulus features affecting psychophysical detection thresholds for electrical stimulation of the cochlea. II: Frequency and interpulse interval

Psychophysical detection thresholds for electrical stimulation of the cochlea were measured in nonhuman primates (macaques) as part of a series of experiments exploring the stimulus features affecting detection. The monkeys were trained psychophysically using operant conditioning. One ear was treated with neomycin to destroy hair cells, and implanted with electrodes in the scala tympani and/or the cochlear wall. In experiment 1, detection thresholds were measured for trains of fixed-duration pulses and for sinusoids. For long-duration pulses (1 to 2 ms/phase), thresholds decreased as a function of frequency (pulse rate), reaching a minimum at a frequency between 125 and 210 pps, then increased as frequency was further increased. For shorter duration pulses, thresholds usually decreased monotonically as a function of frequency but sometimes showed a slight increase as a function of frequency near the highest frequencies tested. Typically slopes of the threshold versus frequency functions for fixed-duration pulses were equal to or less than slopes of threshold versus frequency functions for sinusoidal signals, where frequency and phase duration covaried. Additional observations on two of the cases were made in experiments 2 and 3. In experiment 2, thresholds for pairs of pulses were measured as a function of interpulse interval. Thresholds decreased as a function of interpulse interval up to intervals of 2 to 4 ms and then increased slightly. In experiment 3, thresholds were measured as a function of stimulus duration at two frequencies.(ABSTRACT TRUNCATED AT 250 WORDS)

Cochlear wall titanium implants for auditory nerve stimulation

Genetically deaf dalmatian dogs and ototoxically deafened macaque monkeys were implanted with electrodes housed in cochlear wall titanium implants to assess long-term stability, tolerance, and performance. Short-term human implantation, followed by trials of stimulation, was performed in 4 unilaterally deaf patients. In the dog experiments, cochlear wall electrode stimulation produced consistent electrophysiologic thresholds that were higher, by approximately 6 dB, than those obtained with bipolar scala tympani stimulation. Clinical testing revealed electrically evoked middle latency response, auditory brain stem response, and/or behavioral detection responses in 3 of 4 patients, at levels below those for facial nerve activation and pain sensation. Electrode place discrimination studies, with controls for loudness cues, revealed near-perfect discrimination in a monkey subject. Eleven of the 12 animal implants were found to be rigidly fixed in the cochlear bone, with direct contract between bone and implant over 8% to 23% of the implant surface for the 6 implants examined in detail. These results suggest that long-term fixation of titanium cochlear wall implants occurs by virtue of intimate implant-bone contact in restricted areas. This approach to prosthetic stimulation demonstrates encouraging performance characteristics in achieving auditory activation.

Effects of phase duration on detection of electrical stimulation of the human cochlea

Detection thresholds for biphasic symmetric pulses were measured in fourteen human subjects implanted with the Cochlear Corporation Nucleus 22 Implant. The effects of phase duration on thresholds were studied using single pulses, and 500 ms pulse trains at 100 pps. Psychophysical detection thresholds decreased as a function of phase duration with a change in slope at approximately 0.5 ms/phase. Mean single-pulse and pulse-train slopes were -3.60 and -4.25 dB/doubling of phase duration for pulse durations of less than about 0.5 ms/phase. For pulse durations greater than 0.5 ms/phase, mean slopes were -5.71 and -7.54 dB/doubling for single pulses and pulse trains, respectively. Thresholds for pulse trains decreased as a function of stimulus duration for durations up to at least 300 ms, with the rate of decrease being dependent on the phase duration of the pulse. Effects of stimulus duration were greater for longer phase duration signals. We hypothesize that the longer phase duration pulses activate multiple spikes in a single fiber and/or more effective patterns of spikes across fibers, which may explain why slopes of psychophysical threshold functions are steeper than those of functions for single auditory nerve fibers for longer duration pulses. Thresholds were compared to respective speech perception scores (CID sentences) since thresholds for long phase duration signals have been shown previously to be correlated with nerve survival patterns, and nerve survival patterns may affect speech perception. Correlation coefficients ranged from -0.59 to -0.81, depending on stimulus parameters and subject selection.

Comparison of spectral and nonspectral frequency difference limens for human and nonhuman primates

Difference limens for frequency were measured in normal-hearing human and nonhuman-primate (macaque) subjects. Stimuli were 1-kHz pure tones, containing both spectral and temporal cues, and 100-Hz sinusoidally amplitude modulated broadband noise (SAM noise), containing only temporal (nonspectral) cues. Subjects were tested for a minimum of 20 sessions and until difference limens were stable over time for each stimulus at each of several sensation levels. Difference limens for pure-tone stimuli showed almost no overlap between human and nonhuman-primate subjects. Difference limens for SAM-noise stimuli for human and nonhuman-primate subjects overlapped considerably. The correlations between performance for the pure-tone stimuli and performance for the SAM noise stimuli averaged 0.60. These data suggest that at least two factors influence pure-tone frequency discrimination. One factor is dependent on the presence of place mechanisms while the other factor, or group of factors, seems to influence both spectral and nonspectral frequency discrimination.

Electrical stimulation of the auditory nerve: effects of pulse width on frequency discrimination

Effects of pulse width on discrimination of simultaneous changes in frequency and level of electrical pulse trains were studied in a monkey subject with a cochlear implant. At test-stimulus levels where performance was minimum, frequency difference limens were larger for longer-duration pulses than that for shorter-duration pulses. Several factors may have contributed to these differences.

Discrimination of complex electrical stimulation through a multichannel intracochlear implant

A model has been developed to describe the electric fields generated in the inner ear when electrical stimuli are presented through a multichannel implant in the scala tympani of the cochlea. The model relies on the hypothesis that stimuli which excite the largest number of neural elements provide the greatest probability of successful discrimination by the implanted subject. It suggests that the effective stimulus is determined by the linear combination of electrical fields produced by the individual channels, and that excitation takes place in a spatially restricted area of the auditory nerve in the vicinity of the stimulating electrodes. The model was tested by biophysical measurements of the potential developed in the stimulated cochlea, and by a psychophysical study of the ability of a monkey to discriminate complex electrical signals using dual channel stimulation. The experimental findings are in agreement with the computer simulations.

Changes over time in thresholds for electrical stimulation of the cochlea

The purpose of this paper is to better characterize changes over time that occurred in psychophysical detection thresholds for electrical stimulation of the cochlea. Threshold changes observed in nonhuman primates implanted with cochlear electrode arrays can be divided into at least three types based on the patterns of change over time. Short-term increases and subsequent decreases in threshold were commonly observed during the first months after implantation and were often followed by periods of long-term threshold stability. Long-term slow increases in thresholds and more rapid increases after a period of threshold stability have also been observed. The threshold changes may be divided into at least two classes based on their dependence on the waveforms used for the threshold measurements. Some changes occurred primarily in thresholds for long phase-duration signals while other changes were equal in magnitude (in decibels) for all tested stimuli. This suggests that at least two mechanisms underlay these threshold changes. The observed changes in thresholds have implications for experimental studies of electrical stimulation and for clinical application of auditory prostheses.

Effects of level on nonspectral frequency difference limens for electrical and acoustic stimuli

The purpose of this experiment was to study the effects of stimulus level on discrimination of frequency as represented in the temporal waveforms of acoustic and electrical signals. The subjects were four nonhuman primates in which one ear had been deafened and implanted with an electrode array and the other ear was untreated. Frequency difference limens for 100 Hz electrical sinusoidal stimulation via a cochlear implant in the deafened ear were compared to those for 100 Hz sinusoidally amplitude-modulated white noise (SAM noise) acoustic stimuli to the normal-hearing contralateral ear. To correct for loudness cues, levels of the test stimuli were varied relative to the reference-stimulus level. The test-stimulus levels at which the percent responses were minimum were determined. These levels were used to measure the frequency difference limens. Frequency difference limens for the electrical stimuli decreased as a function of reference-stimulus level through most of the dynamic range, while those for the acoustic stimuli reached a minimum at 20 dB to 40 dB above threshold. For the electrical stimuli the slopes and relative positions of the frequency difference limen vs. level functions varied from subject to subject, and with changes in electrode configuration within a subject. These differences were related to threshold level and dynamic range. At higher levels of stimulation, frequency difference limens for acoustic and electrical stimuli fell in the same range. The slopes and relative positions of the frequency difference limen vs. level functions for electrical stimuli did not parallel those of level difference limen vs. level functions collected simultaneously from the same ears. The data suggest that nonspectral frequency discrimination may depend on the number of nerve fibers stimulated. With prostheses in cochleas with less than a full complement of auditory nerve fibers, the data suggest that stimulation level is an important variable influencing discriminability.

Chronic skull-anchored percutaneous implants in non-human primates

Three groups of chronic, skull-anchored, percutaneous implants differing in materials, design and surgical procedures used for implantation, were tested in macaque monkeys in conjunction with studies of an inner ear stimulation device. Implants from the first two groups in which high-speed drilling methods and stainless steel materials were used, showed a high percentage of failures during the first 3 months after implantation of the percutaneous connector. Implants in the third group, in which measures were taken to preserve living bone tissue, all survived for greater than 7 months. Probable factors relating to implant survival are care of the bone during surgery, postsurgical mechanical trauma, materials and other details of the surgical procedure.

Inner ear implants for experimental electrical stimulation of auditory nerve arrays

Electrode arrays chronically implanted in the inner ear are gaining increased use for experimental studies of the auditory nervous system, as well as for studies related to development of improved auditory prostheses. Commercially available electrode arrays are designed for human use and thus may be unsuitable for experimental studies, particularly in small animals. This paper describes a simple, inexpensive method for making custom electrode arrays in a variety of configurations, suitable for animals ranging from small rodents to non-human primates.

Development of cochlear-wall implants for electrical stimulation of the auditory nerve

The aim of these experiments was to investigate the use of titanium implants for anchorage of stimulating electrodes or other clinical or experimental devices in the bony wall of the cochlea. Twenty-six cylindrical titanium fixtures, 0.6 mm in diameter, were inserted into holes drilled in the otic capsule in 8 ears in 5 nonhuman primates and then examined for stability after periods of 2 months to 2 years. Following sacrifice, the bone-metal interfaces were examined microscopically. Fourteen of the implants were firmly fixed in the bone, 6 were loosely fixed and 6 came out. Poor fixation was associated with infection in the middle ear. In uninfected ears, 90% of the implants were stable. The implants were not osseointegrated in the classic sense, but in stable implants, direct bone contact covering 5 to 60% of the titanium oxide surface of the implant shaft was observed.

Comparisons of psychophysical and neurophysiological studies of cochlear implants

This paper compares psychophysical and neural studies of electrical stimulation of the auditory nerve with the goal of evaluating the relevance of single-unit animal models for the development of cochlear prostheses for profoundly deaf humans. Comparative psychophysical studies with implanted deaf subjects indicate that animal models, at least nonhuman primates, provide a close match to humans, though this is not always true for acoustic stimulation of normal-hearing subjects. However, the human-animal comparisons, especially those involving electrical stimuli, need further study using more carefully matched conditions. Comparisons of psychophysical and neurophysiological thresholds for electrical stimulation in animals reveal consistently higher thresholds in the neural studies. A number of factors which may account for these differences are discussed. A partial resolution of the problem could result from conducting neurophysiological and behavioral studies in the same animal. Finally, comparison of psychophysical and neurophysiological studies of temporal encoding suggest that there may be more information encoded in the auditory nerve than is used by the system, at least for nonspectral frequency discrimination. This points to a need for further analysis of the processing of this information at higher levels in the auditory pathway.

Titanium implants in the otic capsule: development of a new multichannel extracochlear implant

Preliminary data are presented on the development of a new approach for multi-channel stimulation of the cochlea. The approach is based upon the use of small titanium implants in the lateral wall of the inner ear which act as anchor points for platinum-iridium stimulating electrodes. These holders allow contact of the stimulating electrode with the lateral surface of the membranous labyrinth. Observations in monkeys indicate that some degree of anchoring of the titanium implant in the otic capsule is achievable, including the formation of a close bone-metal interface. We propose that this approach may yield an alternative strategy for the development of a multichannel extracochlear prosthesis.

Stimulation and encoding strategies for cochlear prostheses

This article reviews the various stimulation and encoding strategies currently used in hearing prostheses for profoundly deaf individuals. Various designs for implanted electrode arrays, electrode drivers, and systems for transmitting signals are described. The various strategies for encoding acoustic signals for delivery as electrical stimuli to the auditory nerve are reviewed. Finally, applications of these various stimulation and encoding strategies are described using examples from different groups worldwide which have developed their own unique prosthetic devices.

Operating ranges and intensity psychophysics for cochlear implants. Implications for speech processing strategies

This report reviews human and monkey psychophysical data related to the detection and perception of intensity information by subjects with cochlear implants. The threshold contour for sinusoidal stimuli is characterized by a slope near zero at frequencies below about 100 Hz, a slope of 5 to 15 dB per octave at frequencies from about 100 Hz to between 0.2 and 2.0 kHz, and a slope of 4 dB per octave at higher frequencies. Equal loudness (or latency) contours follow the threshold contour at low intensities but change gradually as intensity is increased, assuming a shape that can be characterized by zero slope below 100 to 250 Hz and a 3-dB-per-octave slope at higher frequencies. Loudness growth functions and intensity difference limens are also dependent on stimulus frequency and intensity. These psychophysical data suggest that membrane characteristics and other factors impose marked alterations on incoming electrical stimuli, which must be considered carefully when developing speech encoding strategies.

Effects of reaction time performance on single-unit activity in the central auditory pathway of the rhesus macaque

The activity of single units at various locations in the central auditory pathway of rhesus macaques was recorded during the monkeys' performance and nonperformance in an auditory reaction time task. Evoked unit responses during performance were compared with those observed during passive delivery of identical stimuli. Single units were recorded from the cochlear nucleus, superior olivary complex, lateral lemniscus, inferior colliculus, medial geniculate nucleus, and auditory cortex. Significant effects of task performance on unit discharge patterns were observed at all levels of the central auditory pathway: Spontaneous discharge rates in the more peripheral auditory nuclei tended to be higher during performance. Evoked discharge that occurred relatively late during a stimulus presentation (greater than 75 msec after stimulus onset) was increased during performance, compared with the nonperformance condition, in nuclei above the cochlear nucleus. The initial latency of evoked discharge was increased during performance for subcortical nuclei but was decreased for units in auditory cortex. These results suggest that the effects of performance may be mediated by a tonic increase in the excitability of auditory units which operates primarily at peripheral auditory stations, and a descending, stimulus-evoked increase in excitability which primarily influences the cells of higher auditory nuclei. At the cortical level, these changes lead to increased signal-to-noise ratio of the evoked response during performance in the auditory task.

Cochlear prostheses: stimulation-induced damage

The effects of 4 weekly, three-hour exposures to continuous sinusoidal (l kHz) electrical stimulation of the inner ear at various current levels were assessed in the chronically implanted guinea pig. With scala tympani stimulation, histopathological damage, including new bone growth, was observed for currents at and above 100 microA rms. No changes were observed in similarly implanted, but not stimulated cochleas. At equal current levels, less damage was found in subjects stimulated via electrodes placed on the round window and promontory, as compared to the scala tympani. Consistent reversible changes in threshold and suprathreshold features of the electrically evoked auditory brainstem response (EABR) were found. The magnitude of EABR change was directly related to exposure stimulus current level and to cochlear stimulation site. Suprathreshold features of the EABR were more sensitive to continuous stimulation exposures than threshold measures. Reversible EABR changes were found in the presence and absence of stimulation-induced histopathology.

Intensity discrimination with cochlear implants

Intensity difference limens were measured for various frequencies and intensities of sinusoidal and pulsatile electrical stimulation in monkeys with electrodes implanted in the scala tympani, scala vestibuli, modiolus, or middle ear. Difference limens decreased, as a function of initial stimulus intensity, from values of 1.5-3 dB near threshold to as low as 0.5 dB near the upper limit of the dynamic range. If sensation level was held constant, difference limens decreased as a function of frequency up to about 500 Hz, and then remained constant. They were similar across a variety of electrode placements and separations if differences in threshold and dynamic range were taken into account. However, difference limens measured in severely damaged ears were slightly smaller than those in moderately damaged ears. The near miss to Weber's law, characteristic of acoustic difference limens, was not seen with electrical stimuli. Differences limens for electrical stimuli were roughly one-half those for acoustic stimuli; thus, part of the deficit in dynamic range for electrical stimulation compared with acoustic stimulation is countered by the smaller intensity differences limens for electrical stimuli.

Tissue impedance and current flow in the implanted ear. Implications for the cochlear prosthesis

Tissue impedance was measured in the cochleas of monkeys and guinea pigs implanted with electrode arrays. The impedances were measured within the scala tympani and between the scala tympani and the internal auditory meatus of the modiolus. The measurements revealed several impedance properties. 1) The impedances inside and outside of the scala tympani are resistive for frequencies between 8 Hz and 12.5 kHz. 2). The impedances measured between the scala tympani and the internal auditory meatus were larger in magnitude than the impedances measured in the scala tympani. 3) Impedance was not affected significantly by changing stimulus current flow from 0.45 to 45 microA rms. 4) Impedance magnitude increased rapidly by different factors inside and outside the scala tympani after sacrifice of the subject animals. Measurements of the tissue impedance made in conjunction with measurements of threshold of response to electrical stimulation revealed that the threshold of response to electrical stimuli was lowest when the stimulating currents were highest outside the scala tympani. We conclude that the excitable elements of the auditory nerve are being stimulated within the modiolus rather than within the scala tympani.

Design of the cochlear prosthesis: effects of the flow of current in the implanted ear

When structures within the temporal bone are stimulated electrically it is desirable to maximize the dynamic range of the stimulus. The maximum dynamic range of electrical stimulus seems to be found when the threshold of stimulation is minimum. The minimum threshold of stimulus is likely to be reached when the electrical current that flow through regions containing excitable cells is maximized. By implanting electrodes throughout the temporal bone, it is possible to apply electrical currents to the ear and to measure the distributions of current flowing within the ear. The results of these measurements demonstrate that when current flow is directed outside the scala tympani, lower thresholds can be obtained. Frequency dependence of the paths of current flow cannot be used to explain the frequency dependence of the frequency-threshold functions measured in animals.

Biophysical measurements in the implanted cochlea

Electrical stimulation via implanted electrode has been used to produce perceptions of sound in human subjects. This study describes preliminary work needed to understand the implanted ear and the distribution of current within it so that a stimulus system can be designed that is optimal for longevity, information transfer, and safety.

Comparison of cochlear histopathology following two implant designs for use in scala tympani

Two designs of intracochlear implants were evaluated for their histopathologic effects in the monkey ear. A molded electrode designed to fit the contour of the basal turn of the scala tympani tended to create basilar membrane fistulas and osseous spiral lamina fracture, along with relatively extensive loss of spiral ganglion cells in sites adjacent to the implant. A delicate, free-fit electrode induced local encapsulation but little or no mechanical damage and limited degeneration of spiral ganglion cells. Both electrode types occasionally induced changes in stria vascularis.

Operating ranges for cochlear implants

The range of simple electrical stimuli that may be used for prosthetic stimulation via scala tympani implants was explored using psychophysical procedures in macaque monkeys. Biophysical considerations placed further limitations on the operating range. The operating range was dependent onstimulus waveform, electrode configuration, and the condition of the implanted cochlea and eighth nerve.

A vertical stereotaxic approach to auditory cortex in the unanesthetized monkey

A procedure is described for chronic single-unit recording from monkey auditory cortex. The cortex is approached in a vertical stereotaxic plane and subsequent histology is performed on tissue sections made in the same plane. The procedure maximizes the probability of locating and identifying auditory cortical areas during the chronic unit recording sessions and of identifying individual electrode tracks in subsequent histologic examination. Average stereotaxic coordinates for the center of area A1 are A-P +5, M-L 17.5 and D-V +20, but variation of +/-5 mm can occur across subjects. The superior temporal plane is sloped at an angle of about 30 degrees in the A-P dimension but is relatively flat in the M-L dimension. Microelectrode penetrations made with this procedure were found, on the average, to terminate within 0.7 mm of the intended site. Procedures for improving this accuracy and for identifying closely-spaced penetrations are discussed.

Electrophysiologic studies of the auditory cortex in the awake monkey

An overview of some recent developments in the study of central auditory processes is presented. We describe findings from single cell physiologic studies that contribute to our understanding of central auditory function, the development of behavioral techniques permitting precise evaluation of hearing in animals, and the power and potential of integrative neurophysiologic-behavioiral investigations in defining and analyzing central neural mechanisms that underlie normal perception and imperception. The influence of changes in intermodality attention on evoked activity of 25 cells of the auditory cortex is described and compared to effects of other attentional changes. A small but consistent increase in excitatory cell evoked discharge rate and a reduction in initial latency of response are shown to be correlated with a shift from a visual to an auditory task. In general, behavioral states ranging from sleep-waking to attention to a specific acoustic cue are shown to influence responsiveness of the auditory system and variability of response. Procedures are described for effective control of attentional factors and reduction of electrophysiologic variability. The contributions of these data and procedures to studies of the encoding of complex auditory signals and studies of neural mechanisms underlying such disorders as noise induced hearing loss are discussed.

Psychophysical evaluation of cochlear prostheses in a monkey model

Functional aspects of cochlear prostheses implanted in the scala tympani were tested in monkeys trained to perform a simple reaction-time task. Thresholds for detection of electrical stimulation and dynamic ranges were tested for a wide range of frequencies of sinusoidal stimulation and for biphasic rectangular pulses of various durations and repetition rates. The results are comparable with available data from implanted human patients and extend these findings, exploring various aspects of electrical stimulation in greater detail.