About this trial
The objective of this scientific study is to evaluate the feasibility of direct auditory nerve stimulation to elicit key percepts, specifically loudness and frequency/pitch percepts in three deaf patients participants with the new auditory nerve implant (ANI). During the year with temporary stimulation of the auditory nerve, patients participants are expected to participate for 14 months, consisting of: two months for surgery for the nerve implant and healing phase, one month initial follow-up, ten months of follow-up care and study testing, and one month for explanation and post-operative observation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 and ≤85 years
Written informed consent
Bilateral deafness with cochlea that does not allow the implantation of a cochlear implant (CI). This can include ossification, malformation of cochlea; poor CI performers (lowest quartile of CI performance); and patientparticipants with facial nerve stimulation using a CI which is not manageable without reduction of performance
Eligible for routine auditory brainstem implant (ABI) where patientparticipants would undergo more invasive brainstem surgery than the ANI surgery
Disqualifiers
Medical, neurological, or psychological conditions that would contraindicate undergoing surgery, e.g. depression, acute cardiac infarction, history of stroke, dementia, epilepsy
Additional handicaps that would prevent participation in evaluations
Women able to become pregnant
Pregnant women
Trial design
Single group
Treatments tested in this trial
Auditory Nerve Implant (ANI)
DeviceThe investigational research device consists of a speech processor worn on the ear and an implant body with an electrode array.
Treatment groups
Trial outcomes
Primary outcomes
Pitch perception performance of ANI
Systematic place pitch ordering maintained on month 12
Secondary outcomes
Loudness perception performance of ANI
Collection of loudness growth functions (LGFs) across single electrodes that have a dynamic range greater than 6 dB and maintained on month 12
Other outcomes
Frequency Resolution
Minimum frequency specificity (i.e., current spread) of electrodes is narrower than 0.8 mm in bandwidth maintained on month 12
Position of ANI electrode array in auditory nerve
Evaluation of the final position of the ANI electrode array. The number of electrodes eliciting auditory activation will be measured. The stability of the percepts elicited will also be measured. Both of these measurements provide the stability of the electrode array implanted within the auditory nerve.
Collection of adverse events
Collection of adverse events during the evaluation period
Sponsors and contacts
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