scholarly journals Outcome of Balanced Sound Processing and Matching Automatic Gain Control of Hearing Aid and Cochlear Implant in Bimodal Cochlear Implant Users

2018 ◽  
Author(s):  
L Holtmann ◽  
A Möller ◽  
H Bagus ◽  
T Scholz ◽  
S Lang ◽  
...  
2020 ◽  
Vol 24 ◽  
pp. 233121652094897
Author(s):  
Dimitar Spirrov ◽  
Eugen Kludt ◽  
Eline Verschueren ◽  
Andreas Büchner ◽  
Tom Francart

Automatic gain control (AGC) compresses the wide dynamic range of sounds to the narrow dynamic range of hearing-impaired listeners. Setting AGC parameters (time constants and knee points) is an important part of the fitting of hearing devices. These parameters do not only influence overall loudness elicited by the hearing devices but can also affect the recognition of speech in noise. We investigated whether matching knee points and time constants of the AGC between the cochlear implant and the hearing aid of bimodal listeners would improve speech recognition in noise. We recruited 18 bimodal listeners and provided them all with the same cochlear-implant processor and hearing aid. We compared the matched AGCs with the default device settings with mismatched AGCs. As a baseline, we also included a condition with the mismatched AGCs of the participants’ own devices. We tested speech recognition in quiet and in noise presented from different directions. The time constants affected outcomes in the monaural testing condition with the cochlear implant alone. There were no specific binaural performance differences between the two AGC settings. Therefore, the performance was mostly dependent on the monaural cochlear implant alone condition.


2019 ◽  
Vol 23 ◽  
pp. 233121651983149 ◽  
Author(s):  
Wendy B. Potts ◽  
Lakshmish Ramanna ◽  
Trevor Perry ◽  
Christopher J. Long

This study looked at different methods to preserve interaural level difference (ILD) cues for bilateral cochlear implant (BiCI) recipients. One possible distortion to ILD is from automatic gain control (AGC). Localization accuracy of BiCI recipients using default versus increased AGC threshold and linked AGCs versus independent AGCs was examined. In addition, speech reception in noise was assessed using linked versus independent AGCs and enabling and disabling Autosensitivity™ Control. Subjective information via a diary and questionnaire was also collected about maps with linked and independent AGCs during a take-home experience. Localization accuracy improved in the increased AGC threshold and the linked AGCs conditions. Increasing the AGC threshold resulted in a 4° improvement in root mean square error averaged across all speaker locations. Using linked AGCs, BiCI participants experienced an 8° improvement for all speaker locations and a 19° improvement at the speaker location most affected by the AGC. Speech reception threshold in noise improved by an average of 2.5 dB when using linked AGCs versus independent AGCs. In addition, the effect of linked AGCs on speech in noise was compared with that of Autosensitivity™ Control. The Speech, Spatial, and Qualities of Hearing Scale-12 question comparative survey showed an improvement when using maps with linked AGCs. These findings support the hypothesis that ILD cues may be preserved by increasing the AGC threshold or linking AGCs.


2016 ◽  
Vol 37 (3) ◽  
pp. 260-270 ◽  
Author(s):  
Lidwien C. E. Veugen ◽  
Josef Chalupper ◽  
Ad F. M. Snik ◽  
A. John van Opstal ◽  
Lucas H. M. Mens

2015 ◽  
Vol 719-720 ◽  
pp. 548-553
Author(s):  
Feng Guo ◽  
Shan Shan Yong ◽  
Zhao Yang Guo ◽  
Xin An Wang ◽  
Guo Xin Zhang

In this paper, a new design strategy for the hardware implementation of hearing aid algorithms is proposed. Two familiar hearing aid algorithms—Wide Dynamic Range Compression (WDRC) and Automatic Gain Control (AGC)—are implemented in one circuit as an example. By putting the common arithmetic procedures into common module, the operation units can be used repeatedly. In this way, the area and power consumption are visibly reduced.


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