Related Experiment Video
Updated: Jul 4, 2026
Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation
Published on: August 4, 2023
Remote intraoperative monitoring during cochlear implant surgery is feasible and efficient
William H Shapiro1, Tina Huang, Theresa Shaw
1Department of Otolaryngology, New York University Cochlear Implant Center, New York, NY 10016, USA.
Objectives:
Intraoperative testing of cochlear implant devices, establishment of electrical threshold for acoustic reflex, and recording neural responses to electrical stimulation have traditionally required the presence of a cochlear implant audiologist in the operating room. The goal of this study was to determine the feasibility of remote testing to improve time efficiency and reduce cost.
Study Design:
Prospective.
Methods:
A standard PC with Tridia VNC software and either Cochlear Corporation or Advanced Bionics Corporation mapping software was configured to perform remote testing. The time required to perform on-site or remote testing was measured.
Results:
With the availability of the laptop and internet access, there were no geographic restrictions regarding the site of remote testing. Remote testing was time efficient, requiring 9 minutes of audiologist's time compared with 93 minutes when the audiologist had to travel to the operating room.
Conclusion:
Remote testing of the cochlear implant device and patient's response to electrical stimulation is technically feasible. It is timesaving, practical, and cost efficient.