Use of remote control in the intraoperative telemetry of cochlear implant: multicentric study

Tanamati, Liège Franzini; Goffi-Gómez, María Valéria Schmidt; Muniz, Lílian Ferreira; Samuel, Paola Angélica; Wiemes, Gislaine Richter Minhoto; Lima, Daniele Penna; Curi, Sílvia Badur; Onuki, Lúcia Cristina Beltrame; Queiroz, Carla Fortunato; Capistrano, Ana Karla Bigois; Moret, Adriane Lima Mortari; Kimura, Marcia Yuri Tsumura; Oyanguren, Valéria; Mauch, Herbert

doi:10.1016/j.bjorl.2018.04.003

Cited by 4 publications

(4 citation statements)

References 14 publications

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Section: Discussionmentioning

confidence: 99%

“…Techniques and equipment for wireless remote control for NRT testing are available and their success has been previously demonstrated (20,21). Using such a systemcan reduce the need for intraoperative instrumentation and wiring, and can allow testing by non-audiologist personnel, thereby freeing audiologist time for other activities (20). However, wireless remote control cannot currently be used by an audiologist from outside of the operating room, which may limit its usefulness on complex patients for which an audiologist's evaluation is needed.…”

Section: Discussionmentioning

confidence: 99%

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Remote Intraoperative Neural Response Telemetry: Technique and Results in Cochlear Implant Surgery

Kouhi

Swanson

Fitzgerald

et al. 2022

Otology &Amp; Neurotology

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ObjectivePresent results with remote intraoperative neural response telemetry (NRT) during cochlear implantation (CI) and its usefulness in overcoming the inefficiency of in person NRT.Study DesignCase series.SettingTertiary academic otology practice.PatientsAll patients undergoing primary or revision CI, both adult and pediatric, were enrolled.InterventionsRemote intraoperative NRT performed by audiologists using a desktop computer to control a laptop in the operating room. Testing was performed over the hospital network using commercially available software. A single system was used to test all three FDA-approved manufacturers’ devices.Main Outcome MeasuresSuccess rate and time savings of remote NRT.ResultsOut of 254 procedures, 252 (99.2%) underwent successful remote NRT. In two procedures (0.7%), remote testing was unsuccessful, and required in-person testing to address technical issues.Both failed attempts were due to hardware failure (OR laptop or headpiece problems). There was no relation between success of the procedure and patient/surgical factors such as difficult anatomy, or the approach used for inner ear access. The audiologist time saved using this approach was considerable when compared with in-person testing.ConclusionsRemote intraoperative NRT testing during cochlear implantation can be performed effectively using standard hardware and remote-control software. Especially important during the Covid-19 pandemic, such a procedure can reduce in-person contacts, and limit the number of individuals in the operating room. Remote testing can provide additional flexibility and efficiency in audiologist schedules.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Remote Intraoperative Neural Response Telemetry: Technique and Results in Cochlear Implant Surgery

Kouhi

Swanson

Fitzgerald

et al. 2022

Otology &Amp; Neurotology

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show abstract

“…In another recently published study on CR220, Tanamati et al 8 compared the intraoperative testing process with CR220 and the CS system. They reached the conclusion that there were no statistical differences associated with the impedance and ECAP values but the time taken to perform the test was significantly lowered when the CR220 was used.…”

Section: Brief Communicationmentioning

confidence: 99%

“…They reached the conclusion that there were no statistical differences associated with the impedance and ECAP values but the time taken to perform the test was significantly lowered when the CR220 was used. 8 In a study conducted by Shapiro et al, 4 they compared the 2 approaches, remote testing and on-site testing, and they found that the average amount of time the audiologist spent for remote testing was 9 minutes compared to 93 minutes for on-site testing. The aspect they highlighted was the time the audiologist required to complete the test, and they found that in on-site testing, the most significant amount of time was spent during the travel from the audiologist's clinic to the OR, which was approximately Figure 2 -Details regarding the time needed to perform intraoperative CI testing.…”

Section: Brief Communicationmentioning

confidence: 99%

Automated remote intraoperative cochlear implant device testing (CR220)

Hajr

Almuhawas

2020

SMJ

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Objectives: To compare the clinical efficiency of the CR220 intraoperative remote assistant device used by the surgical team with that of the custom sound (CS) system used by an audiologist. Methods: This was a prospective clinical study in a quaternary care center (King Abdullah Ear Specialist Centre) in Riyadh, Saudi Arabia, between October 2018 and March 2019. We included adult and pediatric patients who underwent cochlear implant (CI) surgeries. For every participant, the intraoperative CI testing was performed via both the aforementioned methods. The time taken to complete the measurements with both approaches, including the time required by the audiologist to reach the operating room (OR) and to complete the test, was recorded. Results: There were no significant differences in the number of responding electrodes between the 2 approaches. For the 25 participants, the time taken for the measurements was 566 minutes with the CS and 173 with the CR220 systems. This significant difference indicates that considerable time can be saved. Conclusion: The CR220 enables intraoperative CI electrode tests and auto-NRT measurements. Its ergonomics and ease-of-use help the surgical team conduct the tests without an audiologist in the OR, resulting in the efficient use of clinical resources. Further, the results generated were consistent with those of the CS system.

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An Overview of Telepractice Applications for Comprehensive Cochlear Implant Service Delivery

Premkumar

Hughes

2023

Perspect ASHA SIGs

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Purpose: Numerous follow-up appointments are required to program a cochlear implant (CI) sound processor and monitor the patient's progress over time, particularly within the first year of implantation. This, coupled with the specialty nature of CI service delivery and sparsely located clinics, can pose burdens on recipients' time and access to necessary resources for consistent follow-up. Advances in the application of telepractice for CI service delivery have evolved and expanded over recent years, with further utilization spurred by the COVID-19 pandemic that emerged in late 2019. This review article provides a summary of telepractice applications for adult and pediatric CI processor programming, impedance, and electrically evoked compound action potential testing, speech-perception testing, evaluations of patient and clinician experiences, troubleshooting, and aural rehabilitation for CI recipients. Future directions and opportunities for further implementation of telepractice for CI service delivery are discussed. Conclusions: Studies to date suggest that telepractice can be reliably used for remote sound processor programming for both children and adults, impedance and evoked compound action potential measures, speech-perception testing in adult CI users, and self-monitoring. However, further technological advancements are needed to make remote speech-perception testing more easily implemented, and well-controlled studies are needed to better evaluate the efficacies of aural rehabilitation through teletherapy, particularly for children.

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Use of remote control in the intraoperative telemetry of cochlear implant: multicentric study

Abstract: The use of the CR220 provided successful records for impedance telemetry and automatic neural response telemetry.

Cited by 4 publications

References 14 publications

Remote Intraoperative Neural Response Telemetry: Technique and Results in Cochlear Implant Surgery

Remote Intraoperative Neural Response Telemetry: Technique and Results in Cochlear Implant Surgery

Automated remote intraoperative cochlear implant device testing (CR220)

An Overview of Telepractice Applications for Comprehensive Cochlear Implant Service Delivery

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