title: The next generation of Nucleus(®) fitting: a multiplatform approach towards universal cochlear implant management.
abstract: OBJECTIVE
  This article provides a detailed description and evaluation of the next Nucleus(®) cochlear implant fitting suite. A new fitting methodology is presented that, at its simplest level, requires a single volume adjustment, and at its advanced level, provides access to 22-channel fitting. It is implemented on multiple platforms, including a mobile platform (Remote Assistant Fitting) and an accessible PC application (Nucleus Fitting Software). Additional tools for home care and surgical care are also described.
  
  
  METHODS
  Two trials were conducted, comparing the fitting methodology with the existing Custom Sound™ methodology, as fitted by the recipient and by an experienced cochlear implant audiologist.
  
  
  METHODS
  Thirty-seven subjects participated in the trials.
  
  
  RESULTS
  No statistically significant differences were observed between the group mean scores, whether fitted by the recipient or by an experienced audiologist. The lower bounds of the 95% confidence intervals of the differences represented clinically insignificant differences. No statistically significant differences were found in the subjective program preferences of the subjects.
  
  
  CONCLUSIONS
  Equivalent speech perception outcomes were demonstrated when compared to current best practice. As such, the new technology has the potential to expand the capacity of audiological care without compromising efficacy.
authors.affiliation: Cochlear Limited, Sydney, NSW 2109, Australia.
authors.forename: Andrew
authors.initials: A
authors.lastname: Botros
authors.forename: Rami
authors.initials: R
authors.lastname: Banna
authors.forename: Saji
authors.initials: S
authors.lastname: Maruthurkkara
mesh_terms: D000161:Acoustic Stimulation; D000704:Analysis of Variance; D001302:Audiometry, Speech; D001309:Auditory Threshold; D019929:Cochlear Implantation / Q000295:instrumentation*; D003054:Cochlear Implants; D012048:Correction of Hearing Impairment / Q000295:instrumentation*; D006801:Humans; D008144:Loudness Perception; D019986:Persons with Hearing Disabilities / Q000523:psychology / Q000534:rehabilitation*; D010898:Pitch Perception; D011474:Prosthesis Design; D017755:Prosthesis Fitting / Q000379:methods*; D012984:Software; D013067:Speech Perception; D013686:Telemetry