
3
CLINICAL GUIDANCE | SECTION ONE
SECTION 1 : PROGRAMMING PRINCIPLES
Getting started
At the initial activation, the clinician uses Custom Sound
™
to program the
sound processor so that the cochlear implant system delivers sound that is
audible and comfortable to the cochlear implant recipient. The streamlined
programming methods in Custom Sound help the clinician by simplifying the
programming procedure and reducing programming time. This section reviews
important basic programming definitions and describes the various streamlined
programming procedures.
Basic information about electrical stimulation and electrical
stimulation levels
• Electrode – a physical metal contact. The CI500 series, Freedom
™
, and
Nucleus
®
24 series cochlear implant types have 22 intracochlear electrodes
along the array and 2 extracochlear electrodes (ECE). The Nucleus
®
22
implants have 22 intra-cochlear electrodes and no extra cochlear electrodes.
• Channel – the combination of an active electrode and one or more
indifferent electrodes. For more information, see Stimulation Modes.
• Charge-balanced, biphasic current pulse – the electrical stimulus
delivered to the nerve, the negative and positive phases are equal so that
no net charge remains (see Figure 1). This form of stimulation is safe for
biological systems.
Figure 1: Current
amplitude and
pulse width
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