Asymmetric pulses delivered by a cochlear implant allow a reduction in evoked firing rate and in spatial activation in the guinea pig auditory cortex

Hear Res. 2024 Jun:447:109027. doi: 10.1016/j.heares.2024.109027. Epub 2024 May 3.

Abstract

Despite that fact that the cochlear implant (CI) is one of the most successful neuro-prosthetic devices which allows hearing restoration, several aspects still need to be improved. Interactions between stimulating electrodes through current spread occurring within the cochlea drastically limit the number of discriminable frequency channels and thus can ultimately result in poor speech perception. One potential solution relies on the use of new pulse shapes, such as asymmetric pulses, which can potentially reduce the current spread within the cochlea. The present study characterized the impact of changing electrical pulse shapes from the standard biphasic symmetric to the asymmetrical shape by quantifying the evoked firing rate and the spatial activation in the guinea pig primary auditory cortex (A1). At a fixed charge, the firing rate and the spatial activation in A1 decreased by 15 to 25 % when asymmetric pulses were used to activate the auditory nerve fibers, suggesting a potential reduction of the spread of excitation inside the cochlea. A strong "polarity-order" effect was found as the reduction was more pronounced when the first phase of the pulse was cathodic with high amplitude. These results suggest that the use of asymmetrical pulse shapes in clinical settings can potentially reduce the channel interactions in CI users.

Keywords: Auditory cortex; Cochlear implant; Cortical activation; Electrophysiology; Guinea pig; Pulse shape.

MeSH terms

  • Acoustic Stimulation
  • Action Potentials
  • Animals
  • Auditory Cortex* / physiology
  • Cochlea / surgery
  • Cochlear Implantation / instrumentation
  • Cochlear Implants*
  • Cochlear Nerve / physiopathology
  • Electric Stimulation*
  • Evoked Potentials, Auditory
  • Female
  • Guinea Pigs