Re: N22 Question

[Guest guest]

Hnnnnnnn?

" I don't think that ACE and Hi ACE are even options for N24 users. Are

there plans to make these available to N24 users? "

ACE has always been available for N24. plus CIS and SPEAK. Hi ACE is

also available on the new Freedom device.

*---* *---* *---* *---* *---*

When you go in for a job interview, I think a good thing to ask is if they

ever press charges.

--Jack Handley

& Dreamer Doll (Guide Dawggie)

Newport, Oregon

N24C 3G 8/2000 Hookup

rclark0276@...

http://webpages.charter.net/dog_guide/

[Guest guest]

Kim,

Ace is a strategy that came with the N24. High ACE with the Freedom. I have

the N24 and the Freedom. I use ACE with the N24 and since it works so well for

me I also use it with the Freedom.... never tried high ACE. As the saying goes

" why fix what ain't broke " . However, if ACE didn't work for me I would try each

of the other strategies until I found the best one for me. It's all about

choice.

For N22 patients, they were offered an upgrade with the 3G for the N22 after the

3G came out for N24 patients.

Happy Hearing!

Carol

Boca Raton, FL

N24C 3G left ear -12/11/01

N Freedom- right ear- implanted 3/01/06 activated 4/6/06

N22 Question

Hi

The gal that sent me the email the other night asked me a very valid

question and I hope you can help me answer this.

Can the N22 use ACE or Hi ACE? She can't remember the last time she

was offered a new stategy and she really wanted to try something

different. I don't think that ACE and Hi ACE are even options for N24

users. Are there plans to make these available to N24 users?

I know I am not an expert at this one and asked her to write in

herself; but she seems to lack the courage

Thanks

Kim B

Advanced Bionics CI

[Guest guest]

My typo. She has an N22 and was interested in a new strategy. So

it should have been N22 that I typed.

When the Freedom is made available to new users ae they also

providing them with Hi Ace?

Thanks again

Kim B

Advanced Bionics CI

>

> Kim,

> Ace is a strategy that came with the N24. High ACE with the

Freedom. I have the N24 and the Freedom. I use ACE with the N24

and since it works so well for me I also use it with the Freedom....

never tried high ACE. As the saying goes " why fix what ain't

broke " . However, if ACE didn't work for me I would try each of the

other strategies until I found the best one for me. It's all about

choice.

> For N22 patients, they were offered an upgrade with the 3G for the

N22 after the 3G came out for N24 patients.

> Happy Hearing!

> Carol

> Boca Raton, FL

> N24C 3G left ear -12/11/01

> N Freedom- right ear- implanted 3/01/06 activated 4/6/06

> N22 Question

>

>

> Hi

>

> The gal that sent me the email the other night asked me a very

valid

> question and I hope you can help me answer this.

>

> Can the N22 use ACE or Hi ACE? She can't remember the last time

she

> was offered a new stategy and she really wanted to try something

> different. I don't think that ACE and Hi ACE are even options for

N24

> users. Are there plans to make these available to N24 users?

>

> I know I am not an expert at this one and asked her to write in

> herself; but she seems to lack the courage

>

> Thanks

> Kim B

> Advanced Bionics CI

>

>

>

>

>

>

[Guest guest]

Hi Carol-

>>For N22 patients, they were offered an upgrade with the 3G for the N22

after the 3G came out for N24 patients.<<

I'm glad that you clarified that. I thought new strategies were being

offered to N22 users since everyone talks about " backward compatibility " . So

the last new strategy for the N22 was SPEAK? I think that was introduced in

around 1995 when the Spectra came out? Is there anything in the works for

people who use the N22 as far as new sound processing strategies? I hope

there is so that they can also have some choices.

Thanks again-

Lorie

Advanced Bionics Clarion 1.2 5/96

[Guest guest]

Kim,

As far as I know, the N22 only has SPEAK as a strategy, as the N22's are quite

old technology. My mom was implanted with a newer variation of the N22 (an

" N23 " that was clinical trials, not marketed though, as it didn't improve enough

over the N22). She only has SPEAK strategy, and she has done wonderfully well

with that technology. I remember when she was implanted, that I almost fell off

the chair when she could hear the " Shhhhh " sounds the audiologist was saying. I

had about a 35 percent hearing loss at that time (considered mild to maybe

moderate loss), and my mom could hear better than I could! That was about 15

years ago, and of course, things have improved tremendously since then. For me,

I didn't even know there were other brands available when I went in and talked

with the audiologist when it came time for MY implant. Then, she told me (and

my two sisters), the choices we had. But, for me, I just chose the Nucleus,

since it had been so successful with my mom, I just didn't consider any other

brand, my mind was made up from the beginning LOL.

The N24's became available, and they have always had the 3 different program

strategies of SPEAK, CIS, and ACE. Of course, now with the Freedom implant, we

have even another choice, with High ACE.

My mom did get a new processor about a year ago, after having her body processor

for over ten years, and got the BTE 3G for the N22 implants. She still uses her

body processor when she sleeps, but since it has become obsolete, the insurance

won't pay for her to have another body processor.

OK, got off the subject a bit, but I hope I answered your question .

Take care,

Cin

N22 Question

Hi

The gal that sent me the email the other night asked me a very valid

question and I hope you can help me answer this.

Can the N22 use ACE or Hi ACE? She can't remember the last time she

was offered a new stategy and she really wanted to try something

different. I don't think that ACE and Hi ACE are even options for N24

users. Are there plans to make these available to N24 users?

I know I am not an expert at this one and asked her to write in

herself; but she seems to lack the courage

Thanks

Kim B

Advanced Bionics CI

[Guest guest]

Hi

What a beautiful email. It's nice to hear that your mom was able to

hear so well at hook up. I bet it was a kleenex empty office at the

end of that session. I think I have read that you and your sisters

have had similair experiences.

Like your mom I have sometimes slept with my processor. Being a mom

of two and one being a preemie, I wanted to hear them in the night

from time to time if needed (on top of the Assistive Technology) -

nothing like the sweet sounds of a child. Anyhow, getting back on

topic.... is there not a body worn processor for your mom at this

time? I ask because I find a body worn easier to sleep with then a

BTE. Maybe that is just me and a personal preference.

Also, does your mom have a newer speech strategy option?

Do you remember the differences between the N22 and N23? That's so

cool and I really think it's neat that your mom is one of the

helpers to helping us have better hearing as we researchers have

learned so much for the older CI users (especially the 3M users) and

as time has passed great new things have helped us all

Kim B

Advanced Bionics CI

>

> Kim,

> As far as I know, the N22 only has SPEAK as a strategy, as the

N22's are quite old technology. My mom was implanted with a newer

variation of the N22 (an " N23 " that was clinical trials, not

marketed though, as it didn't improve enough over the N22). She

only has SPEAK strategy, and she has done wonderfully well with that

technology. I remember when she was implanted, that I almost fell

off the chair when she could hear the " Shhhhh " sounds the

audiologist was saying. I had about a 35 percent hearing loss at

that time (considered mild to maybe moderate loss), and my mom could

hear better than I could! That was about 15 years ago, and of

course, things have improved tremendously since then. For me, I

didn't even know there were other brands available when I went in

and talked with the audiologist when it came time for MY implant.

Then, she told me (and my two sisters), the choices we had. But,

for me, I just chose the Nucleus, since it had been so successful

with my mom, I just didn't consider any other brand, my mind was

made up from the beginning LOL.

> The N24's became available, and they have always had the 3

different program strategies of SPEAK, CIS, and ACE. Of course, now

with the Freedom implant, we have even another choice, with High

ACE.

> My mom did get a new processor about a year ago, after having her

body processor for over ten years, and got the BTE 3G for the N22

implants. She still uses her body processor when she sleeps, but

since it has become obsolete, the insurance won't pay for her to

have another body processor.

> OK, got off the subject a bit, but I hope I answered your

question .

>

> Take care,

> Cin

>

>

> N22 Question

>

>

> Hi

>

> The gal that sent me the email the other night asked me a very

valid

> question and I hope you can help me answer this.

>

> Can the N22 use ACE or Hi ACE? She can't remember the last time

she

> was offered a new stategy and she really wanted to try something

> different. I don't think that ACE and Hi ACE are even options

for N24

> users. Are there plans to make these available to N24 users?

>

> I know I am not an expert at this one and asked her to write in

> herself; but she seems to lack the courage

>

> Thanks

> Kim B

> Advanced Bionics CI

>

>

>

>

>

>

>

[Guest guest]

Kim,

Hi-Ace is available as a programming strategy for all of the people who have

been implanted with the Freedom implant. They also have the option of the

earlier strategies of ACE, CIS and SPEAK, of course. For those of us with the

N24 Contours or earlier, we can get the Freedom processor, but we would not be

able to utilize the Hi Ace strategy.

Take care,

Cin

N22 Question

>

>

> Hi

>

> The gal that sent me the email the other night asked me a very

valid

> question and I hope you can help me answer this.

>

> Can the N22 use ACE or Hi ACE? She can't remember the last time

she

> was offered a new stategy and she really wanted to try something

> different. I don't think that ACE and Hi ACE are even options for

N24

> users. Are there plans to make these available to N24 users?

>

> I know I am not an expert at this one and asked her to write in

> herself; but she seems to lack the courage

>

> Thanks

> Kim B

> Advanced Bionics CI

>

>

>

>

>

>

[Guest guest]

Kim,

To answer your question about the N22 - the SPEAK strategy was the

only one allowed on the N22 which was not implanted after 1996 I

believe but I'd have to check date out a little better to make sure

that information is correct. (Someone here can correct me if they

know this answer). The next implant for Nucleus implantees was the

N24 straight array followed by the N24 Contour and then the N24

Contour Advanced. All of the N24 series can use three strategies -

SPEAK, ACE and CIS. In 2005, Cochlear received approval for the

Nucleus Freedom. With the Freedom, an additional strategy called Hi

ACE was added to those already offered with the Nucleus implant,

thus the Freedom offers 4 different strategies. Additionally - the

Freedom has the potential for many new options as they become

available. The above information is totally about the internally

placed part of the implant.

Upgrades have been with the processors (external pieces). With the

N22 - even though these older CI users have been able to upgrade to

the 3G - they can only use SPEAK on it. The N24 ACE stragegy has 4

different speeds. With the Freedom processor which is now coming

available to N24 users - they will still use the 3 strategies that

they now use - ACE, SPEAK and CIS. The perks are the added " bells

and whistles " that come with a more powerful and updated processor

although there is nothing wrong with the 3G in my opinion. With Hi

Ace (on the Freedom) you have additional speed for those who prefer

a faster rate. It seems that most N24 users seem to prefer either a

900 rate or a 1200 rate even though they could have an 1800 rate or

a 720. I have yet to hear much from individuals who have gone with

Hi ACE but would love to read more about it if there are some here

who would like to share.

I hope this answers your query.

Alice

http://www..com

[Guest guest]

Hi Alice-

I actually know that the first N24 was implanted in the US at the end of

September, 1996. Blair Mazin, who many people knew and was a wonderful guy,

received the first one at NYU. I don't think it was approved until 1997 (and

I'm sure someone can correct that date) but unless you were in the trials

for the N24 you still received the N22 at that point.

Lorie

To answer your question about the N22 - the SPEAK strategy was the

only one allowed on the N22 which was not implanted after 1996 I

believe but I'd have to check date out a little better to make sure

that information is correct. (Someone here can correct me if they

know this answer)

[Guest guest]

Lorie,

You and I have discussed this via the internet before and I feel

pretty sure that you and Kim know these answers having both been

employed by AB.

" Backward compatability " refers to the ability to use upgraded

processors (external pieces) with the expanded sound offerings built

within the processor but with the original strategy/strategies

offered. Until fairly recently, I know of no implant made that

could offer new strategies to an existing older internal part. This

is proof of the great progress all of the implant companies are

making. N22 users would need to replace their internally placed

implants with those being implanted now to have more choices in

strategies. It's funny though, I have only heard one N22 user

complain about SPEAK. They all seem to really like it although it

is not my preference.

Alice

http://www..com

> I'm glad that you clarified that. I thought new strategies were

being

> offered to N22 users since everyone talks about " backward

compatibility " . So

> the last new strategy for the N22 was SPEAK? I think that was

introduced in

> around 1995 when the Spectra came out? Is there anything in the

works for

> people who use the N22 as far as new sound processing strategies?

I hope

> there is so that they can also have some choices.

>

>

>

> Thanks again-

>

>

>

> Lorie

>

> Advanced Bionics Clarion 1.2 5/96

>

>

[Guest guest]

" When the Freedom is made available to new users ae they also providing

them with Hi Ace? "

Not for N24 devices.

*---* *---* *---* *---* *---*

Salesman Welcome, Dog Food is Expensive.

--sign on a fence

& Dreamer Doll (Guide Dawggie)

Newport, Oregon

N24C 3G 8/2000 Hookup

rclark0276@...

http://webpages.charter.net/dog_guide/

[Guest guest]

The N22 can only use Speak; Cochlear has been around for a long time and

that's what they came up with first. N24C users cannot use hi-Ace. However

because of Cochlear's efforts at backwards technology, the N22 users can make

use

of the 3G and all users will be able to enjoy the Freedom processor.

In a message dated 7/14/2006 11:06:24 PM Eastern Daylight Time,

MBrownen@... writes:

> Hi

>

> The gal that sent me the email the other night asked me a very valid

> question and I hope you can help me answer this.

>

> Can the N22 use ACE or Hi ACE? She can't remember the last time she

> was offered a new stategy and she really wanted to try something

> different. I don't think that ACE and Hi ACE are even options for N24

> users. Are there plans to make these available to N24 users?

>

>

>

>

>

>

[Guest guest]

Lorie, actually it was June 1998 when the FDA granted pre market approval to

the Nucleus 24 system.

Blair did help to make history at NYU! His untimely and tragic demise along

with Anita, his wife after carbon monoxide poisoning on March 30 of last

year, was a shock to all in the HL community.

Here's a picture: http://tinyurl.com/plywm

Bob

..............

> RE: Re: N22 Question

>

>

> Hi Alice-

>

>

>

> I actually know that the first N24 was implanted in the US at the end of

> September, 1996. Blair Mazin, who many people knew and was a

> wonderful guy,

> received the first one at NYU. I don't think it was approved

> until 1997 (and

> I'm sure someone can correct that date) but unless you were in the trials

> for the N24 you still received the N22 at that point.

>

>

>

> Lorie

>

>

[Guest guest]

Kim,

I realized after I sent that message, and read back through it, that someone

would be confused with the body processor part... Yes, there IS a body processor

available, just newer models. I meant to say that the particular model my my

mom had was over ten years old, and it was not being manufactured any more, so

even though Cochlear still had more in stock for replacements, my mom's

insurance wasn't going to buy that particular one for her again. So yes, she

still has the body processor option for the N22.

As far as the program strategies, the only one she can use is the SPEAK

strategy, no matter how many new processors she gets, unless she were to be

implanted with a newer implant, such as the Freedom system that we can get now.

The N23 was really the same as an N22, except some of the electrodes were placed

in a different place, from what I understand. I really don't know a lot about

it, just what my dad tried to explain on it (and please, NEVER ask my dad to

explain something... he's an electrical engineer, and cannot give an answer on

how to get the rabbit in the hole without having the rabbit go around the tree

three times, and then climb the thing first! LOL). So, anyway, that's my

" kinda " understanding on that subject .

I love doing the research, too. Silly and I have done some at the

University of Michigan in the past, and for the reason you stated, it is really

personally satisfying to know that we're helping future CI users with our

research.

Take care,

Cin

N22 Question

>

>

> Hi

>

> The gal that sent me the email the other night asked me a very

valid

> question and I hope you can help me answer this.

>

> Can the N22 use ACE or Hi ACE? She can't remember the last time

she

> was offered a new stategy and she really wanted to try something

> different. I don't think that ACE and Hi ACE are even options

for N24

> users. Are there plans to make these available to N24 users?

>

> I know I am not an expert at this one and asked her to write in

> herself; but she seems to lack the courage

>

> Thanks

> Kim B

> Advanced Bionics CI

>

>

>

>

>

>

>

[Guest guest]

Hi Lorie,

The Nucleus 22 can only run SPEAK as its strategy. The 3G processor

was made available to the N22 users, so they could take advantage of the

built in telecoil and so forth. But as everyone points out, the N22 only

runs SPEAK. Much as the older Clarions can't run HiRes or the proposed

120.

The Nucleus 24 can and does run SPEAK, ACE, and CIS. Your choice.

The Freedom runs Hi Ace and Hi CIS in addition to the other 3. And has 4

mapping slots.

So making the Freedom processor backwards compatable will allow N24

users to run the 3 strategies their internal implant allows, plus

benefitting from the ADRO, built in telecoil, volume & sensitivity

control on each of the 4 mapping slots and all the other Freedom

processor upgrades. It won't allow them to run the HiAce or HiCIS that

depends on the internal array.

Had I been implanted with an AB product 9 years ago, I would not be

able to benefit from either Hi Res or the proposed 120. Because I chose

the Nucleus, I will be getting the Freedom processor and be able to take

advantage of all the goodies mentioned in paragraph 3 above.

Posted by: " Lorie Singer " lasinger@... lasinger

Fri Jul 14, 2006 9:19 pm (PST)

Hi Carol-

>>For N22 patients, they were offered an upgrade with the 3G for the N22

after the 3G came out for N24 patients.<<

I'm glad that you clarified that. I thought new strategies were being

offered to N22 users since everyone talks about " backward compatibility " .

So

the last new strategy for the N22 was SPEAK? I think that was introduced

in

around 1995 when the Spectra came out? Is there anything in the works for

people who use the N22 as far as new sound processing strategies? I hope

there is so that they can also have some choices.

Thanks again-

Lorie

[Guest guest]

Hi Kim,

The Nucleus 22 implant uses SPEAK as its only mapping strategy.

The Nucleus 24 (all of them, straight array, contour, contour plus)

can run SPEAK, ACE, and CIS strategies.

The Freedom implant can run SPEAK, ACE, HI ACE, CIS and Hi CIS. It's

the internal hardware that is different.

The Nucleus 24 users who get the Freedom processor will be able to use

the same 3 mapping strategies and variations that they now use. They

won't be able to run HiAce or HiCIS. But they will be able to use the

voume and sensitivity control on each channel, BEAM, ADRO, and have 4

different maps on their processor. Plus the water resistance.

The Original

[Guest guest]

Though SPEAK may be the latest program language for the N22 electrode, it

was the 4th program upgrade I experienced as a user of the N22. It was also

the program with which I was able to resume playing my violin well enough to

play in a symphony and to do a few solo performances. It was the program

(as did the previous programs) that allowed me to talk with ease with the

parents of my students, both in noisy settings, and over the telephone. It

was the program that allowed me to walk through the woods along side of Lake

Michigan, with huge sand dues between me and the lake, yet hearing the

children playing on the beach and the waves crashing, along with the leaves

crunching under my feet, the birds singing and my friend talking, easily

recognizing each sound from the rich quality of those sounds. It was the

program that allowed me to hear all 88 keys on my piano, and complain

because it was out of tune.

It is always nice to have researchers improving on a good thing. They added

CIS to Nucleus programming strategies, and then took it a step further and

combined CIS with that SPEAK program, and made ACE, giving us the best of

SPEAK and of CIS. Rates options have been added but many of us still don't

max out the rates available on the N24, because as researcher's have found,

faster isn't always better. But the option is there, if for someone, it is

better. Researchers have been looking at the virtual channel option for

years. To my knowledge as far back as the Ineraid which is now obsolete.

It could be further. It is an option for all of the Nucleus electrodes, but

it didn't produce enough gain in performance so Cochlear went a different

way.

The program language might still be SPEAK for N22 users, but many many

people in my CI groups that upgraded to the 3G from their BWP, have spoken

of how much better they can hear. The program language isn't the only way

to improve listening. Newer technology within the processors themselves has

been made available to all Nucleus users in a timely fashion. I think all

CI companies should work so that all of their users are able to wear the

latest in processors, regardless of electrode, with all of the added

features that come with them.

Ruth, 19 years with CI hearing (13 with the N22 until removed for MRI)

[Guest guest]

Alice

In my opinion it is always helpful to learn from others about their

personal experience or from publications. I am out of date and

needed to help someone with an N22 so I asked!

I still have respect for AB but I do not keep up with other

companies. I have not been dis-satisfied with AB like Mark is with

Cochlear - www.cochlear.org

Kim B

Advanced Bionics CI

>

> Lorie,

>

> You and I have discussed this via the internet before and I feel

> pretty sure that you and Kim know these answers having both been

> employed by AB.

>

> " Backward compatability " refers to the ability to use upgraded

> processors (external pieces) with the expanded sound offerings

built

> within the processor but with the original strategy/strategies

> offered. Until fairly recently, I know of no implant made that

> could offer new strategies to an existing older internal part.

This

> is proof of the great progress all of the implant companies are

> making. N22 users would need to replace their internally placed

> implants with those being implanted now to have more choices in

> strategies. It's funny though, I have only heard one N22 user

> complain about SPEAK. They all seem to really like it although it

> is not my preference.

>

>

> Alice

> http://www..com

>

[Guest guest]

Hi CIS is new news to me! When was this released and does any one

use it?

Kim B

Advanced Bionics CI

>

> Hi Kim,

> The Nucleus 22 implant uses SPEAK as its only mapping strategy.

> The Nucleus 24 (all of them, straight array, contour, contour

plus)

> can run SPEAK, ACE, and CIS strategies.

> The Freedom implant can run SPEAK, ACE, HI ACE, CIS and Hi

CIS. It's

> the internal hardware that is different.

> The Nucleus 24 users who get the Freedom processor will be able

to use

> the same 3 mapping strategies and variations that they now use.

They

> won't be able to run HiAce or HiCIS. But they will be able to use

the

> voume and sensitivity control on each channel, BEAM, ADRO, and

have 4

> different maps on their processor. Plus the water resistance.

>

>

> The Original

>

>

[Guest guest]

Hi Res 120 has been provided to CII and 90K CI users. So in secense

it has been made backwad compatible. I have heard that AB is

working on making something very much like this for those pre-CII.

Time will tell.

Thanks for sharing that Cochlear has not made strategies back ward

compatibile. I guess those with the CII should be thrilled that AB

is making things backward compatible for them

Kim B

Advanced Bionics CI

>

> Hi Lorie,

> The Nucleus 22 can only run SPEAK as its strategy. The 3G

processor

> was made available to the N22 users, so they could take advantage

of the

> built in telecoil and so forth. But as everyone points out, the

N22 only

> runs SPEAK. Much as the older Clarions can't run HiRes or the

proposed

> 120.

> The Nucleus 24 can and does run SPEAK, ACE, and CIS. Your

choice.

> The Freedom runs Hi Ace and Hi CIS in addition to the other 3.

And has 4

> mapping slots.

> So making the Freedom processor backwards compatable will allow

N24

> users to run the 3 strategies their internal implant allows, plus

> benefitting from the ADRO, built in telecoil, volume & sensitivity

> control on each of the 4 mapping slots and all the other Freedom

> processor upgrades. It won't allow them to run the HiAce or HiCIS

that

> depends on the internal array.

> Had I been implanted with an AB product 9 years ago, I would

not be

> able to benefit from either Hi Res or the proposed 120. Because I

chose

> the Nucleus, I will be getting the Freedom processor and be able

to take

> advantage of all the goodies mentioned in paragraph 3 above.

>

[Guest guest]

Ruth

Please show me some documentation that the Ineraid had Vitual

Channels.

The Ineraid device was the foundation of the beginning of CIS and

that was as far as it was taken.

I have been through numerous papers on the Ineraid and the

terminology of virtual channels is not even known back in the

1980s.

So I ask - please show me some prrof of this statement Ruth:

Researchers have been looking at the virtual channel option for

years. To my knowledge as far back as the Ineraid which is now

obsolete. It could be further. It is an option for all of the

Nucleus electrodes, but it didn't produce enough gain in performance

so Cochlear went a different way.

Kim B

Advanced Bionics CI

>

> Though SPEAK may be the latest program language for the N22

electrode, it

> was the 4th program upgrade I experienced as a user of the N22.

It was also

> the program with which I was able to resume playing my violin well

enough to

> play in a symphony and to do a few solo performances. It was the

program

> (as did the previous programs) that allowed me to talk with ease

with the

> parents of my students, both in noisy settings, and over the

telephone. It

> was the program that allowed me to walk through the woods along

side of Lake

> Michigan, with huge sand dues between me and the lake, yet hearing

the

> children playing on the beach and the waves crashing, along with

the leaves

> crunching under my feet, the birds singing and my friend talking,

easily

> recognizing each sound from the rich quality of those sounds. It

was the

> program that allowed me to hear all 88 keys on my piano, and

complain

> because it was out of tune.

>

>

>

> It is always nice to have researchers improving on a good thing.

They added

> CIS to Nucleus programming strategies, and then took it a step

further and

> combined CIS with that SPEAK program, and made ACE, giving us the

best of

> SPEAK and of CIS. Rates options have been added but many of us

still don't

> max out the rates available on the N24, because as researcher's

have found,

> faster isn't always better. But the option is there, if for

someone, it is

> better. Researchers have been looking at the virtual channel

option for

> years. To my knowledge as far back as the Ineraid which is now

obsolete.

> It could be further. It is an option for all of the Nucleus

electrodes, but

> it didn't produce enough gain in performance so Cochlear went a

different

> way.

>

>

>

> The program language might still be SPEAK for N22 users, but many

many

> people in my CI groups that upgraded to the 3G from their BWP,

have spoken

> of how much better they can hear. The program language isn't the

only way

> to improve listening. Newer technology within the processors

themselves has

> been made available to all Nucleus users in a timely fashion. I

think all

> CI companies should work so that all of their users are able to

wear the

> latest in processors, regardless of electrode, with all of the

added

> features that come with them.

>

>

>

> Ruth, 19 years with CI hearing (13 with the N22 until removed for

MRI)

>

>

>

>

>

>

>

>

[Guest guest]

Kim-- As far as I know there is no HI CIS as a strategy for the

freedom just the hi ACE.. All I have heard being talked about on the

forums and at the conferences is the hi Ace. I do know people using

the Hi Ace on the freedom though.

Snoopy

[Guest guest]

I was implanted 12 years ago.

When I got my AB CI there were two strategies - CA and CIS. NOW

TODAY I have the additional options of MPS, SAS

So over the course of twelve years I have had new strategies made

available to me (with many variable rates).

Those implanted in 2001 with the CII internal device have the above

AND Hi Res S and Hi Res P along with Hi Res 120 coming up.

So there has been backward compatibility and new strategies for

those with the Advanced Bionics device.

In addition, if you wanted to look at external components; in my

twelve years there have been 5 new speech processors.

I have a lot of those goodies that you mention in a different form.

With a new speech processor it is helpful to have new features and I

am glad you are getting some cool new things.

Hope this helps

Kim B

Advanced Bionics CI

>

> Hi Lorie,

> The Nucleus 22 can only run SPEAK as its strategy. The 3G

processor

> was made available to the N22 users, so they could take advantage

of the

> built in telecoil and so forth. But as everyone points out, the

N22 only

> runs SPEAK. Much as the older Clarions can't run HiRes or the

proposed

> 120.

> The Nucleus 24 can and does run SPEAK, ACE, and CIS. Your

choice.

> The Freedom runs Hi Ace and Hi CIS in addition to the other 3.

And has 4

> mapping slots.

> So making the Freedom processor backwards compatable will allow

N24

> users to run the 3 strategies their internal implant allows, plus

> benefitting from the ADRO, built in telecoil, volume & sensitivity

> control on each of the 4 mapping slots and all the other Freedom

> processor upgrades. It won't allow them to run the HiAce or HiCIS

that

> depends on the internal array.

> Had I been implanted with an AB product 9 years ago, I would

not be

> able to benefit from either Hi Res or the proposed 120. Because I

chose

> the Nucleus, I will be getting the Freedom processor and be able

to take

> advantage of all the goodies mentioned in paragraph 3 above.

>

[Guest guest]

Thanks Snoopy

This is the first I had heard of Hi CIS; so I was looking for

clarification..

Thanks so much for helping me learn

Kim B

Advanced Bionics CI

>

> Kim-- As far as I know there is no HI CIS as a strategy for the

> freedom just the hi ACE.. All I have heard being talked about on the

> forums and at the conferences is the hi Ace. I do know people using

> the Hi Ace on the freedom though.

>

> Snoopy

>

[Guest guest]

Thanks

You had me laughing in stitches about your dad! Good example too as

I am teaching my daughter to tie her shoes too.

Thanks so much for clarifying on the speech processors.

I applaud you and your family for being involved in the research!

Thank YOU!!

Kim B

Advanced Bionics CI

> >

> > Kim,

> > As far as I know, the N22 only has SPEAK as a strategy, as the

> N22's are quite old technology. My mom was implanted with a

newer

> variation of the N22 (an " N23 " that was clinical trials, not

> marketed though, as it didn't improve enough over the N22). She

> only has SPEAK strategy, and she has done wonderfully well with

that

> technology. I remember when she was implanted, that I almost

fell

> off the chair when she could hear the " Shhhhh " sounds the

> audiologist was saying. I had about a 35 percent hearing loss at

> that time (considered mild to maybe moderate loss), and my mom

could

> hear better than I could! That was about 15 years ago, and of

> course, things have improved tremendously since then. For me, I

> didn't even know there were other brands available when I went

in

> and talked with the audiologist when it came time for MY

implant.

> Then, she told me (and my two sisters), the choices we had. But,

> for me, I just chose the Nucleus, since it had been so

successful

> with my mom, I just didn't consider any other brand, my mind was

> made up from the beginning LOL.

> > The N24's became available, and they have always had the 3

> different program strategies of SPEAK, CIS, and ACE. Of course,

now

> with the Freedom implant, we have even another choice, with High

> ACE.

> > My mom did get a new processor about a year ago, after having

her

> body processor for over ten years, and got the BTE 3G for the

N22

> implants. She still uses her body processor when she sleeps, but

> since it has become obsolete, the insurance won't pay for her to

> have another body processor.

> > OK, got off the subject a bit, but I hope I answered your

> question .

> >

> > Take care,

> > Cin

> >

> >

> > N22 Question

> >

> >

> > Hi

> >

> > The gal that sent me the email the other night asked me a very

> valid

> > question and I hope you can help me answer this.

> >

> > Can the N22 use ACE or Hi ACE? She can't remember the last

time

> she

> > was offered a new stategy and she really wanted to try

something

> > different. I don't think that ACE and Hi ACE are even options

> for N24

> > users. Are there plans to make these available to N24 users?

> >

> > I know I am not an expert at this one and asked her to write

in

> > herself; but she seems to lack the courage

> >

> > Thanks

> > Kim B

> > Advanced Bionics CI

> >

> >

> >

> >

> >

> >

> >