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Cochlear™ Advanced Hearing Solutions
You are not alone…
• One out of 10 Americans — approximately 30 million —
experience some form of hearing loss. While the majority
of these people can be helped with hearing aids, for
many, even the most advanced and powerful hearing aids
cannot provide an adequate solution
• Over 85,000 people have made the decision to get a CI.
This presentation will explain:
• Different types of hearing loss
• Innovative technology that may help you when hearing
aids are not enough
Pediatric Hearing Loss Facts:
• Everyday in the United States, approximately 1 in 1,000
newborns (or 33 babies every day) is born profoundly deaf
with another 2-3 out of 1,000 babies born with partial
hearing loss, making hearing loss the number one birth
defect in America
• Of the 12,000 babies in the United States born annually with
some form of hearing loss, only half exhibit a risk factor –
meaning that if only high-risk infants are screened, half of
the infants with some form of hearing loss will not be tested
and identified
Adult Hearing Loss Facts:
• One in every ten (28 million) Americans have hearing loss.
As baby boomers reach retirement age starting in 2010, this
number is expected to rapidly climb and nearly double by
the year 2030
• The prevalence of hearing loss increases with age, up to 1
in 3 over age 65. Most hearing losses develop over a period
of 25 to 30 years
• Among seniors, hearing loss is the third most prevalent, but
treatable disabling condition, behind arthritis and
hypertension
How Hearing Works
1. Sound waves travel through
the ear canal and strike the
eardrum
2. Sound waves cause the
eardrum to vibrate, sending
the bones in the middle ear
into motion
3. This motion causes the fluid
inside the inner ear (cochlea)
to move the hair cells
4. The hair cells change the
movement into electric
impulses, which are sent to
the hearing nerve into the
brain; this allows you to hear
sound
How we hear
Hearing Loss
• Hearing loss can be categorized by where or what part of
the auditory system is damaged. There are three basic
types of hearing conditions Cochlear’s technology can
help:
– sensorineural hearing loss
– conductive hearing loss
– mixed hearing loss
Types of Hearing Loss
• Sensorineural Hearing Loss: Sensorineural hearing loss
(often referred to as nerve deafness) occurs when there is
damage to the inner ear (cochlea) or to the nerve pathways
from the inner ear to the brain
• Conductive Hearing Loss: Conductive hearing loss occurs
when sound is not conducted efficiently through the outer
ear canal to the eardrum and the tiny bones, or ossicles, of
the middle ear
• Mixed Hearing Loss: Sometimes a conductive hearing loss
occurs in combination with a sensorineural hearing loss. In
other words, there may be damage in the outer or middle ear
and in the inner ear (cochlea) or auditory nerve
Hearing aid
Why aren’t hearing aids enough for
some people?
• Hearing aids amplify sound from the external world that
are picked up by the hearing aid microphone. Although
some sound processing is applied to the amplified sound,
for many people with moderate-to-profound sensorineural
hearing loss, even the best, most advanced hearing aids
may not work well because the sounds are made louder
not clearer
• In other words, the person may hear sounds with hearing
aids, but understanding speech may still be very difficult,
particularly in background noise
Why aren’t hearing aids enough
for some people?
• Your cochlea, located deep inside your ear, is responsible
for sending sound information to your brain
• Inside your cochlea are very delicate hair cells. These tiny
hair cells allow you to hear different pitches and rhythms
of sound
• If the hair cells are damaged enough (as they are in
severe-to-profound sensorineural hearing loss), the ability
to hear is diminished to the point that no amount of
amplification from a hearing aid will adequately improve
performance
Cochlear Nucleus
Freedom System
Cochlear’s Nucleus® Freedom™ cochlear implant system:
Designed to provide everyday hearing for those experiencing severe-toprofound sensorineural hearing loss in both ears.
• Cochlear’s Nucleus Freedom implant
acts as a replacement for inner ear
hair cells
• For many recipients, a CI provides
the ability to perceive and understand
speech that a hearing aid could not
• The CI does not increase sound
volume like a hearing aid. Rather it
allows sound to bypass the damaged
part of the ear and sends sound
directly to the auditory (hearing) nerve
to provide a clearer understanding of
sound and speech
How does the Cochlear Implant
work?
1. Sound processor: External sound
processor captures sound and
converts it into digital signals
2. Digital signals: Processor sends
digital signals to internal implant
3. Electrode array: Internal implant
converts signals into electrical
energy, sending it to an electrode
array inside the cochlea
4. Hearing nerve: Electrodes
stimulate hearing nerve, bypassing
damaged hair cells, and the brain
perceives signals as sound
Cochlear Implant
Nucleus® Freedom™
Cochlear Implant System
Freedom BTE
Freedom Babyworn
Nucleus Freedom
cochlear implant
Freedom Bodyworn
Freedom Mini BTE
Freedom Modularity
Identical Main
Modules
Different
Controllers
Performance and Reliability
• Hearing performance:
– Studies show that Nucleus Freedom helps recipients
hear better and faster than any other system *
• Reliability:
– Comprehensive testing shows that Nucleus Freedom is
the most reliable cochlear implant on the market **
* 1 Bassim, M.K., Buss, E., Clark, M.S., Kolin, K.A., Pillsbury, M.S., Pillsbury, H.C., & Buchman, C.A. (2005). MED-EL Combi40+
Cochlear Implantation in Adults. Laryngoscope, 115:1568-1573.
2 Séguin, C., Schramm, D., Fitzpatrick, E., Armstrong, S., & Chénier, J. (2005). Patient Performance With the Advanced Bionics®
Res 90K Helix 1 Device with HiFocus Perimodiolar (Helix) Electrode. Advanced Bionics White Paper.
3 Parkinson, A.J., Arcaroli, J., Staller, S., Ardnt, P., Cosgriff, A., & Ebinger, K. (2002). The Nucleus 24 Contour Cochlear Implant
System: Adult Clinical Trial Results.
4 System 4 North American Clinical Trial: Data on file.
** Cochlear: Cumulative Failure Percentages & Tally of Failures for Implants, Dec 2006 Report
Med-El Technology Update: Newsletter for CI Professionals, January 2006
AB: Auditory Reliability Report, 2006
Performance
1 Bassim, M.K., Buss, E., Clark, M.S., Kolin, K.A., Pillsbury, M.S., Pillsbury, H.C., & Buchman, C.A. (2005).
MED-EL Combi40+ Cochlear Implantation in Adults. Laryngoscope, 115:1568-1573.
2 Séguin, C., Schramm, D., Fitzpatrick, E., Armstrong, S., & Chénier, J. (2005). Patient Performance With the
Advanced Bionics® HiRes 90K Helix 1 Device with HiFocus Perimodiolar (Helix) Electrode. Advanced Bionics
White Paper.
3 Parkinson, A.J., Arcaroli, J., Staller, S., Ardnt, P., Cosgriff, A., & Ebinger, K. (2002). The Nucleus 24 Contour
Cochlear Implant System: Adult Clinical Trial Results.
4 System 4 North American Clinical Trial: Data on file.
Internal Processor Reliability
Nucleus® Cochlear implants have the best reliability
Cumulative Survival Rate
2 years
100
99.5
99
98.5
98
97.5
97
96.5
96
95.5
95
99.75
99.52
98.9
Cochlear CI24RE
Med-El Pulsar
CI100
AB 90k Supp.A
Converting CSRs into implant numbers after 2 years
(Combined data: adults and children)
Ref.: Cochlear: Cumulative Failure Percentages & Tally of Failures for Implants, Dec 2006 Report
Med-El Technology Update: Newsletter for CI Professionals, January 2006
AB: Auditory Reliability Report, 2006
Answer the following questions to see if Cochlear’s
Nucleus Freedom may help you or your child*
When using hearing aids …(Cont’d)
• While dining in restaurants, do you or your child have difficulty
following the conversation?
• Do you avoid social activities because you do not know what is being
said and are afraid you may respond incorrectly?
• Are you or your child exhausted at the end of the day because
communication requires such a high degree of concentration?
If you answered “yes” to two or more of these questions, you or your
child may be a good candidate for a cochlear implant
*Questions pertain to those people with a sufficient degree of hearing loss to be CI candidates.
Want to learn more?
The process is actually pretty simple
Step 1: Be evaluated by a cochlear implant audiologist
• To find a clinic go to www.cochlear.com
• If you need help with Insurance (pre-verification, verification, appeals,etc.) contact OMS
Insurance support at www.omsinsurancesupport.org
Step 2: Complete a medical evaluation by an otologist (ear specialist)
Step 3: Schedule surgery date
Step 4: Activate your implant and have it programmed by an audiologist
(typically 2-4 weeks following surgery)
Step 5: Rehabilitation and practice.
Don’t let hearing loss effect your life or freedom.
Do something today!
• Cochlear implants are approved by the FDA
for use by people who are experiencing
severe-to-profound sensorineural hearing
loss in both ears
• Cochlear Nucleus implant users report that they now
connect with friends, family and co-workers in more
situations than ever before, even in challenging noisy
environments
• If you or a loved one has a hearing loss and find that
hearing aids just don’t work, now is the time to explore a
Nucleus cochlear implant
Don’t let hearing loss effect your life or freedom.
Do something today!
• To find out if Cochlear’s Nucleus Freedom cochlear
implant system can help you or a loved one, contact your
hearing health professional or Cochlear Americas
• Visit us online at www.cochlear.com or call us at
800.523.5798 for help finding a Nucleus cochlear implant
or Baha center near you