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Iona Ross BME 281 October 18, 2011 More than 600 million people worldwide (10%) suffer from hearing impairments 250 million people worldwide have moderate to severe hearing impairments # of people with hearing loss in the U.S has doubled in the past 30 years By 2015, it is predicted that an estimated 700 million people worldwide will suffer from hearing impairments 3 parts to the ear: External (pinna) – collects and directs sound through ear canal to ear drum membrane Middle (2 major parts) Ear drum – detects sounds – sends them to ossicles Ossicles – amplify sounds – send them to inner ear Inner (cochlea) Transmits sounds along auditory nerve to brain via electrical stimulation Conductive Sound does not reach inner ear Sensori-neural Problems with transmission of signals from cochlea to brain Abetted by Bionic Ear 19th century Count Volta and Duchenne of Boulogna Stimulated hearing - electical stimulation 1957 Djomo and Eyries Dr. Graeme Clark Implanted a single electrode attached to induction coil into head of a patient – result: patient heard 1960s – 70s – multiple electrode output best 1978 Dr. Graeme Clark inserted first Bionic Ear into Rod Saunders – worked! Nucleus® 22 Cochlear Implant System 22 channels for current Template Made with help from Univ. of Australia, fed government, and Nucleus – partnership Nucleus® 24 Cochlear Implant System 24 channels for current – more precise hearing NRT technology 2 internal components 3 external components Array of electrodes Transmitter-receiver Microphone Speech processor Transmitting coil NRT technology 1) Microphone Detects and sends sound to speech processor 2) Speech Processor Sound to electrical code Sent to transmitting coil via cable 3) Transmitting Coil Radio waves - through skin to implant 4) Implant package Decodes entire signal Sends required amount of current - electrodes in cochlea 5) Electrodes in cochlea Nerve endings stimulated Message sent to brain TODAY 1) Helps mainly those that have lost hearing b/c age 2) Inconvenient device 3) Unclear signals to brain at times 4) Costly procedure FUTURE 1) Young children with little or no hearing early on 2) Entirely internal device (microphone first) 3) Improve clarity 4) Decrease cost via maybe requiring less audiologist appts? Australian Academy of Science. “Cochlear Implants – wiring for sound”. 2009.<http://www.science.org.au/nova/029/029box03.htm>. Traynor, Bob. “The Incidence of Hearing Loss Around the World” 6 April2011.<http://hearinghealthmatters.org/hearinginternational /2011/incidence-of-hearing-loss-around-the-world/> ThePowerhouseMuseum\<.http://www.powerhousemuseum.co m/hsc/cochlear/the_cochlear.htm>.I USED SEVERAL ARTICLES AND PICTURES FROM THIS GENERAL SITE. “Cochlear Implantation and Quality of Life in Deafness”. Damen, G. W. J. A.,Mylanus E.A.M, Snik A.F.M. Handbook of Disease Burdens and Quality of Life Measures.< http://www.springerlink.com/content/h1q077560x44v93l/>.