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The Cochlea

The Cochlea

The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.

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Related Experiment Video

Updated: May 10, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

Clinical Time Savings and Experiences Using a Business-to-Customer Model for Cochlear Implant Sound Processor

Jane Bradley¹, Wendy J Huinck², Angella Fuller³

¹The Auditory Implant Department, Royal National ENT and Eastman Dental Hospitals, London, UK.

Inquiry : a Journal of Medical Care Organization, Provision and Financing

|April 24, 2025

Summary

The new upgrade to recipient (U2R) model for cochlear implant sound processor upgrades saves patients 21-65 minutes per appointment. While effective, some patients still prefer in-person follow-ups.

Keywords:

audiology eHealth hearing productivity remote telemedicine

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Published on: March 8, 2022

Area of Science:

Audiology
Health Informatics
Medical Device Technology

Background:

Cochlear implant maintenance requires regular sound processor upgrades.
Traditional face-to-face appointments are time-consuming for patients and clinics.
A new business-to-customer (B2C) model, the upgrade to recipient (U2R) model, has been developed for remote processor upgrades.

Purpose of the Study:

To assess the implementation and time savings of the U2R model for remote cochlear implant sound processor upgrades.
To compare the U2R model with the traditional face-to-face model regarding time efficiency and patient/clinic satisfaction.

Main Methods:

Surveying four U.K. and one Netherlands clinic on their experiences with the U2R model.
Comparing time spent on U2R upgrades versus traditional face-to-face appointments.
Analyzing patient and clinic satisfaction levels post-U2R implementation.

Main Results:

The U2R model was used for 43% of adult and child upgrades.
Significant time savings of 21-65 minutes per patient were observed.
While most patients were satisfied, up to 50% requested follow-up appointments; 4 out of 5 clinics were satisfied and recommended the model.

Conclusions:

The U2R model offers substantial time and cost savings for cochlear implant maintenance.
Improvements in remote support and process streamlining are needed to maximize efficiency and patient reassurance.
The B2C model shows potential for comparable quality to in-clinic appointments with further optimization.