| 1. |
- Rigato, Cristina, 1989, et al.
(författare)
-
Direct bone conduction stimulation: effect of different transducer attachments
- 2017
-
Ingår i: Osseo 2017, Nijmegen, The Netherlands.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objective(s): When choosing a method to implant a transducer for direct bone conduction stimulation, several options are available with the trade-off being, among other aspects, between achieving a robust contact to the bone and keeping an open possibility for potential future explantation. The aim of this study is to compare how different attachment methods for direct bone conduction stimulation can affect the vibrations transmission to the cochleae. The ultimate goal is to gain more insights on the dynamical properties of the skull to apply them to the design and optimization of bone conduction devices for hearing rehabilitation.Study design:Experimental.Patients:Measurements were performed on four human heads. The tympanic membrane, the malleus and the incus were removed to expose the cochlear promontory on both sides of each subject. The subjects have not undergone any previous surgery as verified by visual inspection.Methods:Three different attachments are tested on eight sides: (A) flat small-sized surface, (B) flat wide surface and (C) two separated screws. The different typologies of contact to bone are established by three dummy implants and an adapter to attach the transducer giving a swept sine stimulus from 0.1 to 10 kHz. The response is evaluated in terms of cochlear promontory acceleration and ear canal sound pressure level (ECSP). The measurement setup consists of the following parts: human head, transducer with adaptor (to apply the stimulus), signal generator and analyzer (to drive the transducer and receive the recorded data), Laser Doppler Vibrometer (LDV, measuring the cochlear promontory acceleration), video to USB converter (to couple the built-in camera of LDV with the computer), microphones (to measure ECSP) and laptop (to save data).Results:Average results show slightly higher ECSP level and cochlear promontory acceleration for attachment A compared to attachment B especially at frequencies above 1 kHz. An improvement in transmission is achieved with attachment C compared to B in the frequency range 5–7 kHz, where the levels differ by nearly 10 dB both ipsi- and contralaterally. In the same frequency range, the transmission from attachment C appears to be slightly higher relative to attachment A as well, however no statistical significance is found. The comparison between attachment A and C is not straightforward due to high variability over frequencies and sometimes contradictory results between LDV and ECSP measurements.Conclusion:On an average level, the screw stimulation technique seems to improve the transmission at frequencies above 5 kHz. However,, when considering the whole frequency range, average results from the different attachment techniques are comparable. Still, conclusions for single subjects should be drawn with care as measurements show a very high inter-subject variability.
|
|
| 2. |
- Rigato, Cristina, 1989, et al.
(författare)
-
Direct bone conduction stimulation: Ipsilateral effect of different transducer attachments in active transcutaneous devices
- 2018
-
Ingår i: Hearing Research. - : Elsevier BV. - 0378-5955 .- 1878-5891. ; 361, s. 103-112
-
Tidskriftsartikel (refereegranskat)abstract
- Active transcutaneous bone conduction devices, where the transducer is implanted, are used for rehabilitation of hearing impaired patients by directly stimulating the skull bone. The transducer and the way it is attached to the bone play a central role in the design of such devices. The actual effect of varying the contact to bone has not been addressed yet. The aim of this study is therefore to compare how different attachment methods of the transducer to the bone for direct stimulation affect the ear canal sound pressure and vibration transmission to the ipsilateral cochlea. Three different attachments to the bone were tested: (A) via a flat small-sized surface, (B) via a flat wide surface and (C) via two separated screws. Measurements were done on four human heads on both sides. The attachments were compared in terms of induced cochlear promontory velocity, measured by a laser Doppler vibrometer, and ear canal sound pressure, measured by a low noise microphone. A swept sine stimulus was used in the frequency range 0.1-10 kHz. On an average level, the attachment method seems to affect the transmission mainly at frequencies above 5 kHz. Furthermore, the results suggest that a smaller contact surface might perform better in terms of transmission of vibrations at mid and high frequencies. However, when considering the whole frequency range, average results from the different attachment techniques are comparable. (C) 2018 The Authors. Published by Elsevier B.V.
|
|
| 3. |
- Rigato, Cristina, 1989, et al.
(författare)
-
Effect of transducer attachment on vibration transmission and transcranial attenuation for direct drive bone conduction stimulation
- 2019
-
Ingår i: Hearing Research. - : Elsevier BV. - 0378-5955 .- 1878-5891. ; 381
-
Tidskriftsartikel (refereegranskat)abstract
- Direct drive bone conduction devices (BCDs) are used to rehabilitate patients with conductive or mixed hearing loss by stimulating the skull bone directly, either with an implanted transducer (active trans cutaneous BCDs), or through a skin penetrating abutment rigidly coupled to an external vibrating transducer (percutaneous BCDs). Active transcutaneous BCDs have been under development to overcome limitations of the percutaneous bone anchored hearing aid (BAHA), mainly related to the skin penetration. The attachment of a direct drive BCD to the skull bone can differ significantly between devices, and possibly influence the vibrations' transmission to the cochleae. In this study, four different attachments are considered: (A) small-sized flat surface, (B) extended flat surface, (C) bar with a screw at both ends, and (D) standard bone anchored hearing aid screw. A, B, and C represent three active transcutaneous options, while D is for percutaneous applications. The primary aim of this study was to investigate how the different transcutaneous attachments (A, B, and C) affect the transmission of vibrations to the cochleae to the ipsilateral and the contralateral side. A secondary aim was to evaluate and compare transcranial attenuation (TA, ipsilateral minus contralateral signal level) between transcutaneous (A, B, and C) and percutaneous attachments (D). Measurements were performed on four human heads, measuring cochlear promontory velocity with a LDV (laser Doppler vibrometer) and sound pressure in the ear canal (ECSP) with an inserted microphone. The stimulation signal was a swept sine between 0.1 and 10 kHz. The comparison of ipsilateral transmission between transcutaneous adaptors A, B, and C was in agreement with previous findings, confirming that: (1) Adaptor C seems to give the most effective transmission for frequencies around 6 kHz but somewhat lower in the mid frequency range, and (2) keeping a smaller contact area seems to provide advantages compared to a more extended one. The same trends were seen ipsilaterally and contralaterally. The observed TA was similar for adaptors A, B, and C at the mastoid position, ranging-10-0 dB below 500 Hz, and 10-20 dB above. A lower TA was seen above 500 Hz when using adaptor D at the parietal position. (C) 2019 The Authors. Published by Elsevier B.V.
|
|
| 4. |
- Riseth, Jan Åge, et al.
(författare)
-
Sámi traditional ecological knowledge as a guide to science : snow, ice and reindeer pasture facing climate change
- 2011
-
Ingår i: Polar Record. - : Cambridge University Press. - 0032-2474 .- 1475-3057. ; 47:3, s. 202-217
-
Tidskriftsartikel (refereegranskat)abstract
- Scientific studies of challenges of climate change could be improved by including other sources of knowledge, such as traditional ecological knowledge (TEK), in this case relating to the Sámi. This study focuses on local variations in snow and ice conditions, effects of the first durable snow, and long term changes in snow and ice conditions as pre-requisites for understanding potential future changes. Firstly, we characterised snow types and profiles based on Sámi categories and measured their density and hardness. Regression analysis showed that density can explain much of the variation in hardness, while snow depth was not significantly correlated with hardness. Secondly, we found that whether it is dry/cold or warm/wet around the fall of the first durable snow is, according to Sámi reindeer herders, crucial information for forecasting winter grazing conditions, but this has had limited focus within science. Thirdly, elderly herders’ observations of changes in snow and ice conditions by ‘reading nature’ can aid reinterpretation of meteorological data by introducing researchers to alternative perspectives. In conclusion we found remarkable agreement between scientific measurements and Sámi terminology.We also learnt that TEK/science cooperation has much potential for climate change studies, though time and resources are needed to bridge the gap between knowledge systems. In particular, TEK attention to shifts in nature can be a useful guide for science.
|
|
