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Cochlear IMplants 1st test
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61
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Undergraduate 3
02/08/2012

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Cards

Term

Steps in How a CI works

 

Step #1

Definition
Sound picked up by microphone.
Term

Steps in How a CI works

 

Step #2

Definition



Sound sent to Speech Processor

Term

Steps in How a CI works

 

Step #3

Definition

 

 

Speech Processor filters, analyzes, and digitizes sound into coded electrical signals.

Term

Steps in How a CI works

 

Step #4

Definition

 

 

 

Coded signals sent from speech processor to transmitting coil via cable.

Term

Steps in How a CI works

 

Step #5

Definition

 

 

Transmitting coil sends signals across skin to internal implanted receivers/stimulator via an FM radio signal

Term

Steps in How a CI works

 

Step #6

Definition

 

 

Receiver/Stimulator delivers electrical stimulation to appropriate implanted electrodes.

Term

Steps in How a CI works

 

Step #7

Definition



Electrodes stimulated and sound carried to brain via auditory nerve (8th nerve)

Term
What are the external worn components of a CI?
Definition

 

Microphone

 

Speech Processor

 

Transmitting Coil

Term
What are the internal (surgically implanted ) components of a CI are?
Definition


Receiver/Stimulator

 

Electrode Array

Term

Describe the,

 

Receiver/Stimulator

Definition

 

Housed in a bio-compatible case

 

Implanted under skin and behind ear

 

contains a magnet that connects to external transmitter

Term

Describe the,

 

Electrode Array

 

Definition

 

Inserted into Cochlea

 

Provides direct electrical stimulation to remaining nerve fibers

Term

Describe the,

 

Microphone

Definition

 

Similar to the mic in a hearing aide

 

Worn externally

Term

Describe the,

 

Speech processor

Definition

 

Worn on the body

 

or

 

Behind the ear (similar to a hearing aide)

Term

Describe the,

 

Transmitting Coil

Definition

 

Small disk (about the size of a quarter)

 

Sticks to skin via a magnet

 

Connected to the Mic by a small cable.

Term
Recommended age from FDA for implanting
Definition

 

12 months of age

Term

What are the characteristics of a child who is not eligible to receive a CI?

 

Definition

 

A child who does not have the 8th nerve (auditory nerve)

 

 A child who has significant residual hearing and recieves benefit from hearing aides.

Term
What does the 8th nerve (auditory nerve) do?
Definition
Carries the sound from the cochlea to the brain.
Term

 

What are the additional reasons for not implanting CI?

Definition

 

Severe emotional, behavioral, or cognitive delays

 

Those who obtain substantial access to sound from state of the art digital hearing aides.

 

Some centers may hesitate if oral education is not considered

Term
What are the steps in determining candidacy?
Definition

1. Contact Audiologist

 

2. Select an implant center

 

3. Contact implant center

 

4. Pre-Implant Evaluations

Term
After approval for CI what comes next?
Definition

1. Surgery

 

2. Initial activation & device programming, 2-4 wks after

 

3. Programming at 1,3,6,9,12 and then every 6-12 months after.

Term
Who are the Implant Center Professionals?
Definition

Surgeon

Audiologist

SLP

Education Consultant

Social Worker

Psychologist

(bold are less commonly found now)

Term
How is candidacy determined?
Definition

FDA guidelines

 

-and-

 

Recommendation from candidacy team

Term
What are the current FDA guidelines?
Definition

 1.Severe-to-profound bilateral sensorineural hearing loss

2.  > 12 months of age
3.Little or no benefit from appropriate hearing aids
4.No medical concerns
5.Family has appropriate expectations

6.  Appropriate school/therapy support

 

 

 

Term
If one implant center turns down someone for a CI can that person seek approval from other implant centers?
Definition
Yes, If parents are not happy with the candidacy opinion they can contact another implant center.
Term
Are you going to ACE this fucking test!!??
Definition
HELL YEAH!
Term
What is a Cochlear Implant?
Definition
A device that can provide information about sound.
Term
What are the 3 companies that make CI?
Definition

1. Cochlear Americas

 

2. Advanced Bionics

 

3. Med-El

 

 

Term

Give an example of sound awarness

 

(Receptive Listening Skill Development)

 

Definition
You're hearing something.
Term

Give an example of Discriminating Sound (#2)

 

(Receptive Listening Skill Development)

 

Definition

Differentiating sounds.

 

Example a fart from a burp.

Term

Give an example of Understands Environmental Sounds (#3)

 

(Receptive Listening Skill Development)

 

Definition
Hearing sounds in environment such as wind or things...
Term

Give an example of, understanding single words and short phrases supported by lipreading. (#4)

 

(Receptive Listening Skill Development)

 

Definition
A teacher telling a student to sit.
Term

Give an example of, understanding single words and/or phrases (through listening only)

 

(Receptive Listening Skill Development)

 

Definition
Listening to a teacher say sit down, without looking at her.
Term

Give an example of, Understands details in sentences.

 

(Receptive Listening Skill Development)

 

Definition

When teacher tells details.

 

Term

Give an example of, understands connected conversational speech

 

(Receptive Listening Skill Development)

 

Definition
Can have a conversation with someone.
Term
What does early implantation allow?
Definition
Access to sound during critical speech and language development times.
Term
Do adults with previous oral language tend to do well with cochlear implants?
Definition
Yes, they do.
Term
What should be the status of Cochlea for implantation?
Definition

Correct shape of Cochlea to accomadate electrode array

 

Cochlea present

 

No ossification (boney growth)

 

Term
What kind of family support is needed?
Definition

- maintaining equipment

- transporting for follow up visits

- practicing at home

- Financial resources for batteries and
Replacing Equipment

 

 

Term
Definition

Cochlear Americas

 

Nucleus 5

 

(one of the newer CI's)

Term
[image]
Definition

Advanced Bionics

 

Harmony

 

(one of the newer CI's)

Term
[image]
Definition

Med-El

 

Opus 2

 

(One of the newer CI's)

Term
Name the company and describe the Harmony
Definition

Advanced Bionics

 

It's brownish/orange and white and BTE

Term
Name the company and describe the Aria
Definition

Advanced Bionics

 

It's swirly blue colors or swirly purply and blue and it's BTE

 

Term
Name the company that makes the Platinum and describe it
Definition

Advanced Bionics

 

It's tan colored on both the S.P. and the transmitting coil

Term
Name the company that makes the Aria PowerPak Configuration for children and describe it
Definition

Advanced Bionics

 

Tan T.C. that wraps all the way around the ear with happy face and big ass battery.

 

Term
Name the company that makes the Platinum Sound Processor and describe it
Definition

Advanced Bionics

 

It's huge and grey with blue buttons on top and a black T.C.

Term
Name the company that makes the Freedom Mini BTE and standard BTE and describe it
Definition

Cochlear Americas

 

The picture with 2. One longer then the other. Blue and black.

 

Term
Name the company that makes the Freedom Head Piece and describe it
Definition

Cochlear Americas

 

greyish brown T.C.

Term
Name the company that makes the Freedom Bodyworn and describe it
Definition

Cochlear Americas

 

Huge S.P. and battery attached with wire and worn on the body. Grey colored.

Term
Name the company that makes the Espirit 3G and describe it
Definition

Cochlear Americas

 

Silver in color.

Term
Name the company that makes the Spectra and describe it
Definition

Cochlear Americas

 

Bluish/grey with a huge rectangle body and brown T.C.

Term
Name the company that makes the Espirit 22 and describe it
Definition

Cochlear Americas

 

Light brown ear piece with a brown T.C. small unit

 

Term
Name the company that makes the Sprint and describe it
Definition

Cochlear Americas

 

Looks like a phone. Gre and rectangle. ear piece is tan with brown T.C.

Term
Name the company that makes the Tempo + and describe it
Definition

Med-El

 

Squarish ear piece comes in blue, red, golden brown, greyish, and white/grey

Term
Name the company that makes the Opus 2 with Sonata Internal / Pulsar internal and describe it
Definition

Med-El

 

clear T.C. with squar and rounded ear pieces

 

Pulsar: squared and rounded on 1 side.

Term
Advanced Bionics makes which CI's
Definition

Aria's

 

Harmony's

 

Platinum's

Term
Cochlear Americas makes which CI's?
Definition

Freedom's (bodyworn and BTE

 

Spectra

 

Espirit's (3G and 22)

 

Sprint

Term
Med-El makes which CI's?
Definition

Tempo +

 

and

 

Opus 2 with Sonata and Pulsar internal pieces

 

Term

What are the 7 steps in the

Receptive Listening Skills Development

Definition

1. Sound Awareness

2. Discriminates sound

3. Understands Environmental Sounds

4. Understands single words and short phrases w/lipreading

5. Understands single words and short phrases w/out lipreading

6. Understands details in sentences

7. Understands connected conversational speech

Term

What are the 6 steps in the

Expressive Skill Development

Definition

1. Attempts to use voice for communication

2. Imitates appropriate duration, pitch, and intensity patterns of speech in structured situations.

3. Imitates specific sounds in syllables and words in strcutured situations

--------------------------------------

4. Spontaneously uses simple words and phrases

5. Spontaneously uses details in sentences

6. Spontaneously uses connected conversational speech

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