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Multi-channel
stimulation required inserting a bundle of electrodes around the
first turn of the cochlea, so that individual electrodes could lie
close to the auditory nerve fibres for the place coding of frequencies.
However, initially the electrode bundle could not pass an adequate
distance, as it met the outer wall and its upward passage was limited
by friction (top). A solution came when it was found that blades
of grass which have a flexible tip and increasing stiffness passed
around the basal turn of a shell which was a replicas of the human
cochlea (centre). This was verified on the human cochlea, and also
with modelling and biomechanical studies. In addition the electrode
wires were terminated as bands around the carrier to reduce the
friction against the other wall and allow safe electrical currents
to be used (bottom). A sheath of tissue from the patient was placed
around the electrode where it entered the cochlea to prevent infection
passing from the middle to the inner ear with the risk of meningitis. |