Term
Steps in How a CI works
Step #1 |
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Definition
| Sound picked up by microphone. |
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Term
Steps in How a CI works
Step #2 |
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Definition
Sound sent to Speech Processor |
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Term
Steps in How a CI works
Step #3 |
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Definition
Speech Processor filters, analyzes, and digitizes sound into coded electrical signals. |
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Term
Steps in How a CI works
Step #4 |
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Definition
Coded signals sent from speech processor to transmitting coil via cable. |
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Term
Steps in How a CI works
Step #5 |
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Definition
Transmitting coil sends signals across skin to internal implanted receivers/stimulator via an FM radio signal |
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Term
Steps in How a CI works
Step #6 |
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Definition
Receiver/Stimulator delivers electrical stimulation to appropriate implanted electrodes. |
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Term
Steps in How a CI works
Step #7 |
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Definition
Electrodes stimulated and sound carried to brain via auditory nerve (8th nerve) |
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Term
| What are the external worn components of a CI? |
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Definition
Microphone
Speech Processor
Transmitting Coil |
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Term
| What are the internal (surgically implanted ) components of a CI are? |
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Definition
Receiver/Stimulator
Electrode Array |
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Term
Describe the,
Receiver/Stimulator |
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Definition
Housed in a bio-compatible case
Implanted under skin and behind ear
contains a magnet that connects to external transmitter |
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Term
Describe the,
Electrode Array
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Definition
Inserted into Cochlea
Provides direct electrical stimulation to remaining nerve fibers |
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Term
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Definition
Similar to the mic in a hearing aide
Worn externally |
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Term
Describe the,
Speech processor
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Definition
Worn on the body
or
Behind the ear (similar to a hearing aide) |
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Term
Describe the,
Transmitting Coil
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Definition
Small disk (about the size of a quarter)
Sticks to skin via a magnet
Connected to the Mic by a small cable. |
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Term
| Recommended age from FDA for implanting |
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Definition
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Term
What are the characteristics of a child who is not eligible to receive a CI?
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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. |
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Term
| What does the 8th nerve (auditory nerve) do? |
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Definition
| Carries the sound from the cochlea to the brain. |
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Term
What are the additional reasons for not implanting CI? |
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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 |
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Term
| What are the steps in determining candidacy? |
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Definition
1. Contact Audiologist
2. Select an implant center
3. Contact implant center
4. Pre-Implant Evaluations |
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Term
| After approval for CI what comes next? |
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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. |
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Term
| Who are the Implant Center Professionals? |
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Definition
Surgeon
Audiologist
SLP
Education Consultant
Social Worker
Psychologist
(bold are less commonly found now) |
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Term
| How is candidacy determined? |
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Definition
FDA guidelines
-and-
Recommendation from candidacy team |
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Term
| What are the current FDA guidelines? |
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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
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Term
| If one implant center turns down someone for a CI can that person seek approval from other implant centers? |
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Definition
| Yes, If parents are not happy with the candidacy opinion they can contact another implant center. |
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Term
| Are you going to ACE this fucking test!!?? |
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Definition
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Term
| What is a Cochlear Implant? |
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Definition
| A device that can provide information about sound. |
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Term
| What are the 3 companies that make CI? |
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Definition
1. Cochlear Americas
2. Advanced Bionics
3. Med-El
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Term
Give an example of sound awarness
(Receptive Listening Skill Development)
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Definition
| You're hearing something. |
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Term
Give an example of Discriminating Sound (#2)
(Receptive Listening Skill Development)
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Definition
Differentiating sounds.
Example a fart from a burp. |
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Term
Give an example of Understands Environmental Sounds (#3)
(Receptive Listening Skill Development)
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Definition
| Hearing sounds in environment such as wind or things... |
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Term
Give an example of, understanding single words and short phrases supported by lipreading. (#4)
(Receptive Listening Skill Development)
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Definition
| A teacher telling a student to sit. |
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Term
Give an example of, understanding single words and/or phrases (through listening only)
(Receptive Listening Skill Development)
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Definition
| Listening to a teacher say sit down, without looking at her. |
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Term
Give an example of, Understands details in sentences.
(Receptive Listening Skill Development)
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Definition
When teacher tells details.
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Term
Give an example of, understands connected conversational speech
(Receptive Listening Skill Development)
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Definition
| Can have a conversation with someone. |
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Term
| What does early implantation allow? |
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Definition
| Access to sound during critical speech and language development times. |
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Term
| Do adults with previous oral language tend to do well with cochlear implants? |
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Definition
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Term
| What should be the status of Cochlea for implantation? |
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Definition
Correct shape of Cochlea to accomadate electrode array
Cochlea present
No ossification (boney growth)
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Term
| What kind of family support is needed? |
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Definition
- maintaining equipment
- transporting for follow up visits
- practicing at home
- Financial resources for batteries and
Replacing Equipment
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Term
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Definition
Cochlear Americas
Nucleus 5
(one of the newer CI's) |
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Term
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Definition
Advanced Bionics
Harmony
(one of the newer CI's) |
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Term
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Definition
Med-El
Opus 2
(One of the newer CI's) |
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Term
| Name the company and describe the Harmony |
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Definition
Advanced Bionics
It's brownish/orange and white and BTE |
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Term
| Name the company and describe the Aria |
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Definition
Advanced Bionics
It's swirly blue colors or swirly purply and blue and it's BTE
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Term
| Name the company that makes the Platinum and describe it |
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Definition
Advanced Bionics
It's tan colored on both the S.P. and the transmitting coil |
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Term
| Name the company that makes the Aria PowerPak Configuration for children and describe it |
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Definition
Advanced Bionics
Tan T.C. that wraps all the way around the ear with happy face and big ass battery.
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Term
| Name the company that makes the Platinum Sound Processor and describe it |
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Definition
Advanced Bionics
It's huge and grey with blue buttons on top and a black T.C. |
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Term
| Name the company that makes the Freedom Mini BTE and standard BTE and describe it |
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Definition
Cochlear Americas
The picture with 2. One longer then the other. Blue and black.
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Term
| Name the company that makes the Freedom Head Piece and describe it |
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Definition
Cochlear Americas
greyish brown T.C. |
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Term
| Name the company that makes the Freedom Bodyworn and describe it |
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Definition
Cochlear Americas
Huge S.P. and battery attached with wire and worn on the body. Grey colored. |
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Term
| Name the company that makes the Espirit 3G and describe it |
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Definition
Cochlear Americas
Silver in color. |
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Term
| Name the company that makes the Spectra and describe it |
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Definition
Cochlear Americas
Bluish/grey with a huge rectangle body and brown T.C. |
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Term
| Name the company that makes the Espirit 22 and describe it |
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Definition
Cochlear Americas
Light brown ear piece with a brown T.C. small unit
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Term
| Name the company that makes the Sprint and describe it |
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Definition
Cochlear Americas
Looks like a phone. Gre and rectangle. ear piece is tan with brown T.C. |
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Term
| Name the company that makes the Tempo + and describe it |
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Definition
Med-El
Squarish ear piece comes in blue, red, golden brown, greyish, and white/grey |
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Term
| Name the company that makes the Opus 2 with Sonata Internal / Pulsar internal and describe it |
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Definition
Med-El
clear T.C. with squar and rounded ear pieces
Pulsar: squared and rounded on 1 side. |
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Term
| Advanced Bionics makes which CI's |
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Definition
Aria's
Harmony's
Platinum's |
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Term
| Cochlear Americas makes which CI's? |
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Definition
Freedom's (bodyworn and BTE
Spectra
Espirit's (3G and 22)
Sprint |
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Term
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Definition
Tempo +
and
Opus 2 with Sonata and Pulsar internal pieces
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Term
What are the 7 steps in the
Receptive Listening Skills Development |
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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 |
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Term
What are the 6 steps in the
Expressive Skill Development |
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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
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4. Spontaneously uses simple words and phrases
5. Spontaneously uses details in sentences
6. Spontaneously uses connected conversational speech |
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