A high rate n-of-m speech processing strategy for the first generation Clarion cochlear implant.

An n-of-m speech coding strategy has been developed for the Clarion Cochlear Implant Series 1.x (1.0 & 1.2). The basic principle is to reduce the number of stimuli per cycle, by neglecting the less significant spectral components, and to concentrate on the more dominant frequency bands. In this study 20 subjects, implanted with a Clarion device, used an n-of-m strategy at 1666 pps per channel. The outcomes using this strategy were compared with the outcomes using conventional processing (CIS at 833 pps/channel). Eight of the 20 subjects underwent additional testing with the n-of-m strategy with the rate set at 833 pps/channel. Using the n-of-m strategy at 1666 pps showed statistically significant improvement in performance over the CIS strategy, with 16 of the 20 subjects achieving better results. However, there was no statistically meaningful difference in performance between n-of-m at 833 pps and the CIS strategy running at the same rate. Results therefore suggest that n-of-m strategy can be an alternative to CIS, particularly when the implant hardware limits the overall stimulation rate.