Yu Chuen Tam
Institute of Cancer Research, Home Office, Bradford Royal Infirmary, Addenbrookes Hospital, Med-El UK/GmBH, Admiral Computing, CMG, Addenbrookes Hospital
Emmeline Centre for Hearing Implants, Addenbrookes Hospital Cambridge
I work in a hospital department which provide a range of hearing implants, and restores the hearing sense.
The vast majority of implant are cochlear implants (CI). These are implantable devices which by pass the outer and middle ear and stimulate the auditory (VIII) directly with electrical current. This is used to restore hearing to proundly deaf adults or to give congenitally deaf babies to provide access sound, and eventually language.
In other cases the patients my need Auditory Brainstem Implants (ABI), where removal of certain types of brain tumours where the surgeons may damage/destroy the hearing nerve, so the implant is positioned in the brainstem instead of the cochlear.
Other implanted systems include Middle Ear Implants (MEI), where the transmission of sound to the cochlear has been damaged due to disease or physical abnormalities. A moving mass transducer is implanted into the middles and is used to transmit sound to the cochlear.
Finally we also implant Bone Anchored Hearing Aids (BAHA), due to middle ear disease, infection and middle ear abnromalities the patients cannot use conventional hearing aids. So a fixture (‘bolt’) is implanted and vibrating transducer transfers sound to the cochlear.
I perform intraoperative testing to measure electrically evoked patient responses from the implants, to ensure the surgeons have not damaged the fragile devices during surgery to position the electrodes. In the case of ABI to determine the correct positioning of the electrodes in the brainstem using electrical physiological response.
Work with the manufacturers and surgeons to develop new devices and techniques for intraoperative measurements. Develop electronic instrumentation to work with existing medical equipment, and develop software to perform analysis of patient responses.
Program the cochlear implant patients, especially difficult cases, where understanding of how the electronic systems work in the implant and how it interacts with the auditory nerve allows me to give improved hearing performance to even the most difficult patients.
Monitor the reliability of the implants, analyse the reason for failures (which will require surgery to replace the faulty device) and work with the manufacturers to improve reliability. Perform testing of MRI compatibility between the implants and the MRI scanner, monitor complications since there are risks involved in scanning implanted patients and find methods to minimise them.
Perform software installation tasks and to integrate the PC hardware with the medical interfaces. Work with my IT colleagues to implement new medical systems.
In Europe and Australia my function is normally performed by electronic or biomedical engineers.
My Typical Day: Unfortunately there is no such thing as a typical day,
So here is a typical week. Monday in the operating theatre performing intra operative measurments during implant surgery (in the case involve the removal of acoustic tumours this may finish around 10pm – 12:00 mid night) Setting up equipment to perform measurements.
Tuesdays are mainly meetings and possibly program the odd patient.
Wednesdays I get a chance to improve my instrumentation including making electronic circuits and write software.
Thursdays my cochlear implant programming where I program the implant patients, including switching on the implants for the first time A typical programming screen used to fit the cochlear implant processors.
Fridays usually performing evoked potential measurements on babies under IV sedation or general anaethetic as part of their pre implant assessment after their MRI scan
What I'd do with the money
Buy and distribute Raspberry Pi educational computers
Never thoguht I will get this far. Not an original idea, purchase distribute Rasberry Pi kits to local schools. And schools which participated in this zone.
If needed i can provide assistance to configure the device for the school’s needs
How would you describe yourself in 3 words?
calm, methodical, reliable
What's the best thing you've done in your career?
pursuading my CEO (in a previous job) to allow a piece of electronics developed in the R&D lab to be made available for use with an obsolete cochlear implant.
What did you want to be after you left school?
Were you ever in trouble at school?
Exceedingly hard keeping out of trouble in a failing inner city comprehensive
If you weren't doing this job, what would you choose instead?
motor mechanic restoring classic cars
Who is your favourite singer or band?
Moody Blues (really onld 60’s rock band)
What's your favourite food?
What is the most fun thing you've done?
thowing myself down a mountain in the French alps on a push bike
Tell us a joke.
Pass – they are too rude and politically incorrect