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Eclipse ep25

Manufactured by Interacoustics
Sourced in Denmark

The Eclipse EP25 is a compact, comprehensive audiological testing device designed for clinical use. It offers a range of capabilities for assessing hearing function, including tympanometry, ipsilateral and contralateral acoustic reflex testing, and tone and speech audiometry.

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8 protocols using eclipse ep25

1

Auditory Brainstem Response in Young and Adult

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Auditory brainstem response was recorded in the right ear using Eclipse EP- 25 (Interacoustics Eclipse® equipment) and inserted earphones supplied with the system (Kimura, 2011 (link); Bidelman and Bhagat, 2015 (link)). The stimulus used was a 100 μs click at a rate of 21.1 Hz. It began by presenting a stimulation at a supra-threshold level (80 dB nHL), and subsequently, the intensity was lowered by 20 dB until reaching the intensity of 20 dB nHL. The record was filtered using a 100–3000 Hz band-pass, 2000 repetitions, and alternating polarity. Measurements were performed with surface electrodes: the positive electrode in Cz, the reference electrode in the right mastoid, and the ground electrode in front. The amplitudes, latencies of waves I, III, and V, and their intervals were determined from the recordings by an expert audiologist.
In the statistical analysis, we used a parametric test (t-student test) to compare the means between the two groups (young v/s adult). On the other hand, to determine how audiometric thresholds could influence the possible associations between all the variables studied, we used a partial correlation analysis (Pearson's correlation coefficient).
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2

Auditory Brainstem Response Evaluation in cCMV

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The ABR was recorded from 70 dB nHL down to threshold or 20 dB nHL minimum, and up to a maximum of 80 dB nHL for the NE, and 90 dB nHL for the IE (100 µs rarefaction clicks, repetition rate 39 Hz, insert earphones, Eclipse EP25 (program version 4.3.0.17, Interacoustics, Middelfart, Denmark)) [20 (link),25 (link)]. For a full description of measurements and results see [20 (link)].
Tests of the cCMV infection were based on Polymerase chain reaction (PCR) analysis on the dried blood spot (DBS) cards typically taken 48 h after birth (n = 16), plasma test on the same day as birth (n = 1), or the mother’s lgG and lgM negative CMV blood test 51–88 days after birth (n = 3). For a full description of measurements and results see [20 (link)].
Fourteen subjects underwent MRI (19 eligible, 5 out of 19 subjects declined [20 (link)]). Thirteen MRI scans were performed with 3T scanners (Siemens Skyra or Siemens Prisma, Erlangen, Germany), and one with a 1.5 T scanner due to a combined spine MRI scan (GE Optima, GE Healthcare, Fairfield, CT, USA). Standard clinical protocols were used (see details in [20 (link)].
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3

Click-Evoked and CE-Chirp ABR Protocol

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The participants were seated in a reclining chair and the skin surface was cleaned using skin abrasive at the mastoid (M1 and M2) and forehead (Fz and Fpz). Impedance obtained was less than 5 kΩ for all the electrodes. Electrodes were placed in their respective places using skin conduction gel and were secured with surgical plaster. Click-evoked ABR and CE-chirp ABR were recorded using Inter-acoustics Eclipse EP-25. Both the stimuli were presented at an intensity of 80 dB nHL and 11.1/s repetition rate.
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4

Auditory Brainstem Responses in Rats

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The Auditory Brainstem Responses (ABRs) of the rats were recorded under anesthesia with 45 mg/kg ketamine hydrochloride (Ketalar®, Zentiva, İstanbul, Turkey) and 5 mg/kg xylazine hydrochloride applied intraperitoneally to both groups. The ABR recordings were obtained with 50 dB nHL click stimuli, which were applied using insert earphones and subcutaneous needle electrodes. During the tests, the active electrode was placed at the vertex, reference electrode was placed at the ipsilateral mastoid, and ground electrode was placed on the back of the rats. We recorded 500 sweeps for each test and employed a 0.3–3.0 kHz filter. All recording was performed using an Eclipse EP25 (Interacoustics, Denmark). The latency of wave V and interpeak wave latency of waves IV were analyzed for both ears.
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5

Comprehensive Auditory Assessment Protocol

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ABR was used to evaluate the involvement of the auditory pathway and was obtained while the subject was sitting comfortably in a soundproof room. Recording was performed with an Interacoustics Eclipse EP25 (Interacoustics AS, Drejervaenget 8, DK-5610 Assens, Denmark) with a 21-stimuli-per-second click rate, in an analysis window of 12 ms. Further details regarding ABR are explained in the Supplementary Materials. Assessment of PTA at octave frequencies between 125 and 8000 Hz was performed using frequency-modulated tones in a standard soundproofed booth. Assessment was performed through an auricle audiometer (Otometrics, Taastrup, Denmark) connected to TDH39 headphones (see Supplementary Materials). Speech perception in quiet was assessed with balanced sentence lists from the Italian Speech Audiometry [57 (link)], with the speech signal at 65 dB SPL presented at 0° to the participant’s head. The score ranges from 0 to 100%. Speech perception in noise was evaluated using the Matrix tests [58 (link)] adapted in Italian (see Supplementary Materials).
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6

ABR Evaluation Using Eclipse EP25 Platform

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ABR tests were conducted using the Eclipse EP25 platform (Interacoustics, Denmark) with insert earphones (3A, Etymotic Research, US). Alternating short-duration clicks with a repetition rate of 19.3 Hz were used as stimuli. Parameters for the test are detailed.
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7

Auditory Brainstem Response Measurement

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Previously, we showed that the suprathreshold amplitude of ABR responses is associated with the thickness of temporal and parietal cortices (Delano et al., 2020 (link)). For this reason, in this study, we included the measurement of suprathreshold ABR waves I and V. We used an Eclipse EP25 with research licensed equipment (Interacoustics™®, Middelfart, Denmark) to elicit ABR. The stimuli were broadband clicks delivered through E-A-RTONE™ 3A inserts earphones, with an intensity of 80 dB nHL, and a duration of 100 μs. We used high pass 100 Hz filters and low pass 3,000 Hz filters. Responses were recorded using active electrodes placed on both mastoids and on the forehead (reference or non-inverting), and a ground electrode was secured over the right brow. Waves I to V were identified from two averages of 2,000 repetitions. The amplitudes of waves I and V were defined from the peaks of the respective waves and the negative troughs that followed, and latency from peaks. Amplitude and latency of wave V were measurable in all subjects, while wave I was identified in 109/116 (93.9%) of the cases. When waves I were missing (with detectable wave V), they were imputed with the lower observed value for the amplitude of wave I and the greater observed value for the latency of wave I (Delano et al., 2020 (link)).
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8

Objective Hearing Threshold Assessment

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Hearing thresholds were determined objectively by means of ABR testing. Wave V thresholds were examined using the Eclipse EP25 (software Otoaccess version 1.2.1, Interacoustics, Assens, Denmark) using insert phones calibrated according to ISO-389 reference values (E-A-RTONE Insert Earphone 3A ABR, 3M Company, Indianapolis, IN, USA). In clinical practice, besides click stimuli, toneburst stimuli are commonly used. In this database only thresholds using click stimuli were included as these provide a general overview of the child's hearing status. Assessment and interpretation of the measurements was performed by an audiologist out of a fixed team of four audiologists with at least five years of experience in the neonatal and paediatric audiologic diagnostics. Depending on the cooperation and concentration abilities of the child, some measurements were split up into multiple short sessions.
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