Polarity effects on place pitch and loudness for three cochlear-implant designs and at different cochlear sites.

Users of Advanced Bionics, MedEl, and Cochlear Corp. implants balanced the loudness of trains of asymmetric pulses of opposite polarities presented in monopolar mode. For the Advanced Bionics and MedEl users the pulses were triphasic and consisted of a 32-μs central phase flanked by two 32-μs phases of opposite polarity and half the amplitude. The central phase was either anodic (TP-A) or cathodic (TP-C). For the Cochlear Corp. users, pulses consisted of two 32-μs phases of the same polarity separated by an 8-μs gap, flanked by two 32-μs phases of the opposite polarity, each of which was separated from the central portion by a 58-μs gap. The central portion of these quadraphasic pulses was either anodic (QP-A) or cathodic (QP-C), and all phases had the same amplitude. The current needed to achieve matched loudness was lower for the anodic than for the cathodic stimuli. This polarity effect was similar across all electrode locations studied, including the most apical electrode of the MedEl device which stimulates the very apex of the cochlea. In addition, when quadraphasic pulses were presented in bipolar mode, listeners reported hearing a lower pitch when the central portion was anodic at the more apical, than at the more basal, electrode. The results replicate previous reports that, unlike the results of most animal studies, human cochlear implant listeners are more sensitive to anodic than to cathodic currents, and extend those findings to a wider range of cochlear sites, implant types, and pulse shapes.