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European Archives of Oto-Rhino-Laryngology

, Volume 271, Issue 1, pp 49–57 | Cite as

Benefits from upgrade to the CP810™ sound processor for Nucleus® 24 cochlear implant recipients

  • Isabelle MosnierEmail author
  • Mathieu Marx
  • Frederic Venail
  • Natalie Loundon
  • Samantha Roux-Vaillard
  • Olivier Sterkers
Otology

Abstract

The objective of this study was to measure performance benefits obtained by upgrading recipients of the Cochlear™ Nucleus® CI24 cochlear implant to the new CP810™ sound processor. Speech recognition in quiet and in spatially separated noise was measured in established users of the Cochlear ESPrit 3G™ (n = 22) and Freedom™ (n = 13) sound processors, using the “Everyday” listening program. Subjects were then upgraded to the CP810 processor and were re-assessed after a 3-month period, using both the “Everyday” program and the new “Noise” program, which incorporates several pre-processing features including a new directional microphone algorithm (“Zoom™”). Subjective perceptions were also recorded using the abbreviated profile of hearing aid benefit (APHAB) questionnaire. Mean scores for monosyllables in quiet, presented at 50 and 60 dB SPL, increased by 11 % (p < 0.0001) and 8 % (p < 0.001), respectively, after upgrade, for all subjects combined. Significant increases were also recorded for both processor groups. In noise, the mean scores were 60.0 and 67.4 % for the original and CP810 Everyday programs, respectively (difference not significant). With the CP810 Noise programs the mean score increased to 82.5 % (p < 0.01), with significant increases in both processor groups. There was evidence of slightly greater upgrade benefit in users of the ESPrit 3G processor and in relatively poor performers. The APHAB questionnaire also indicated significant reduction in perceived difficulty in the background noise and reverberation sub-scales after upgrade. The findings of the study appear to support the expectation of increased benefit from the new CP810 sound processor.

Keywords

Cochlear implant Sound processor Upgrade Speech recognition Noise 

Notes

Acknowledgments

The authors gratefully acknowledge Mathilde Cosnard who collected the data and Paul Boyd for his writing assistance, all on behalf of Cochlear. The authors warrant that there was no conflict of interest related to this study.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Isabelle Mosnier
    • 1
    • 2
    • 3
    • 8
    Email author
  • Mathieu Marx
    • 4
  • Frederic Venail
    • 5
  • Natalie Loundon
    • 6
  • Samantha Roux-Vaillard
    • 7
  • Olivier Sterkers
    • 1
    • 2
    • 3
    • 8
  1. 1.Université Paris DiderotParisFrance
  2. 2.INSERMParisFrance
  3. 3.Service d’ORL et de Chirurgie cervico-facialeAP-HP, Hôpital BeaujonClichy cedexFrance
  4. 4.Service d’Otologie-OtoneurologieCHU Toulouse, Hôpital PurpanToulouseFrance
  5. 5.Service ORLHôpital Gui-de-Chauliac, CHRUMontpellierFrance
  6. 6.Service d’ORL et de Chirurgie Cervico-FacialeHôpital d’Enfants Armand-Trousseau, AP-HPParisFrance
  7. 7.Service d’ORL et de Chirurgie Cervico-FacialeCentre Hospitalier et Universitaire d’AngersAngersFrance
  8. 8.Centre référent Implant Cochléaire Adulte Ile de FranceAP-HP, Hôpital Pitié-SalpétrièreParis cedex 13France

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