Comparison of Performance Using MED-EL Automatic Sound Management

A Comparison of MED-EL Automatic Sound Management Features for Enhancing Speech Understanding in Noise

This study will evaluate the speech perception ability of adult cochlear implant users in background noise using various MED-EL Automatic Sound Management (ASM) features.

This study will examine how different sound processing approaches support cochlear implant users' ability to understand speech in noisy environments. Automated noise reduction and microphone directionality systems are known to improve listening comfort and speech clarity in challenging settings. Ongoing refinements in these areas may offer additional benefits and allow for more individualized listening options. In this study, adult cochlear implant users will take part in speech-in-noise evaluations while using various sound processing configurations.

Inclusion Criteria:

• ≥18 years of age at time of enrollment
• Implanted with a MED-EL cochlear implant
• At least 6 months since activation their cochlear implant
• Aided speech perception score of ≥40% on CNC words in quiet in study ear
• English is the primary language
• Established daily use of the audio processor
• Currently using an audio processor compatible with Automatic Sound Management 2.0 or later
• Willing and able to comply with study procedures

Exclusion Criteria:

• Using electric-acoustic stimulation (EAS)
• Normal hearing in the unimplanted ear
• History of revision surgery in the study ear