Cochlear Implant Atlas
CI Atlas · Devices & Electrode Arrays · Module 02

2From Sound to Nerve: The End-to-End Signal Path

A cochlear implant is a relay race in roughly seven stages, handing an acoustic signal from a microphone to a tonotopic sector of the auditory nerve. Walking the path stage by stage reveals exactly where the hardware ends and the coding algorithm begins — and why high frequencies end up at the base while low frequencies travel to the apex.

FThe seven-stage path

The signal path runs: sound → microphone → processor → coding strategy → RF coil → skin → implant → stimulator → electrode array → spiral ganglion / cochlear nerve, roughly seven transduction stages from acoustic input to neural excitation.[2020]

TThe one software stage

The microphone converts sound to an electrical signal that is preamplified, then the processor filters and analyses it according to the chosen coding strategy, producing per-channel envelope information. This is the one stage that is pure software (cross-ref Ch.8).[2008]

Step the signal from microphone to nerve

MicrophoneFilter & codingRF modulationSkin crossingDecode & stimulateElectrode pulseAuditory nervehardware
MicrophoneSound → electrical signal, pre-amplified.

The implant is a relay race of roughly seven stages from acoustic input to neural excitation. Notice that only one stage — filtering and coding — is software; everything else is fixed hardware. The device therefore caps what the strategy can do (electrode count, maximum rate, compliance, telemetry), while the strategy decides how sound is turned into the pulse pattern (cross-ref Ch.8). Schematic.

FPower and data across the skin

The processor modulates the per-channel data onto a radiofrequency carrier and drives the external coil; current in that coil creates magnetic flux that crosses the skin and induces a current in the internal coil — power and data on the same inductive link.[2009]

TDecoding and stimulating

The internal stimulator decodes which electrode to fire, with what current amplitude, pulse width and timing, then delivers charge-balanced biphasic current pulses to the selected contact, exciting the nearby auditory-nerve fibres.

FTonotopy, base to apex

Tonotopy is exploited directly: high-frequency channels drive basal electrodes and low-frequency channels drive apical electrodes, mapping the processor's filter bank onto the cochlea's natural place-frequency map (cross-ref Ch.1 Auditory Physiology).

TThe device sets the limits

The device sets the limits the strategy must live within — number of electrodes, maximum stimulation rate, current compliance and telemetry capability — so a processor upgrade often means newer strategies running on an unchanged internal array.

Frequency → place → electrode

250 Hz500 Hz1 kHz2 kHz4 kHz8 kHzprocessor filter bankbase (high f)apex (low f)E9

The processor splits sound into frequency bands and assigns each to an electrode by place: high-frequency channels drive basal electrodes and low-frequency channels drive apical ones, mapping the filter bank onto the cochlea's natural place-frequency map. How well that map matches the patient's own neural map depends on how deep the array sits — the theme of the “frequency ruler” module. Schematic; electrode numbers illustrative.

Case 13.2 · Where is the algorithm?
A student traces the path from microphone to nerve and asks which stage is the coding strategy.

Which stage is purely software?

Self-assessment — Module 22 questions
Question 1

Tonotopy in a CI means…

Question 2

Which stage limits what the coding strategy can do?

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