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Flashcards in Hi Res Bionic Ear System Deck (49):
1

What is the HiResolution Bionic Ear System?

The latest offering of today (including internal and external devices)

Currently: HiRes 90k Advantage Implant and Naída CI Q90 or Neptune

2

Sound Processing Evolution

CIS/MPS/SAS
HiRes
Fidelity 120
ClearVoice
HiRes Optima

3

Industry Leading Innovations in Sound Processing

HiRes Optima/ Fidelity 120
ClearVoice
Binaural VoiceStream Technology

4

HiRes 90K Implant Family

- Designed for performance upgrades without surgery.
- 16 independent output circuits under digital signal processing control
(this is how we are able to stimulate 2 electrodes simultaneously)
- 83,000 PPS capable
- Up to 120 spectral bands

- low-profile titanium housing
- MRI safe with agent removed @ 0.3 and 1.5 Tesla
- IntelliLink for safety
- HiFocus electrode options (1J, Helix, Mid Scala)
- Upgradeable electronics platform

5

What is IntelliLink

when patient is programmed, if they take off their headpiece and use someone else's, it won't stimulate the device that it won't work on.

6

HiFocus Mid-Scala Electrode Placement

- Floats Mid Scala (middle of scala tympani)
- Designed to protect delicate structures of cochlea (avoid trauma to osseous spiral lamina and basilar membrane)
- Electrodes located central to perimodiolar

7

HiFocus Mid-Scala Insertion Depth

- Consistent insertion depth
- Mean depth 422˚
- Suits all cochlea sizes
- pCovers low-frequency-receptive regions of spiral ganglion cells

8

HiFocus Mid-Scala electrode diameters

at 1st contact: 0.5mm

at 16th contact (last one in): 0.7mm

9

HiFocus Mid-Scala Insertion

- Cochleostomy approach (smallest 0.8mm) OR
- Round window approach

- Insertion with or without tool to provide
• best possible visualization of the cochlea
• precise control of the angle and speed of insertion

10

HiFocus Mid-Scala Overall

- Industry's thinnest pre-curved array
- Optimal cochlear placement
- Focus stimulation
- Ideal platform for current tearing

11

Implant Reliability

- AB CIs demonstrate high reliability with 99.83% one-year cumulative survival rate (CSR)

- (CSR- measure defining likelihood of device continuing to function over time)

- Reliability at 5 years: 98.6%

12

Difference between 90K and 90K Advantage

90K Advantage has Industry's highest case impact resistance- up to 6 Joules
(built Kid Tough!)
(Designed to live up to your everyday active lifestyle without having to worry)

13

Unmatched Technology of our HiRes 90K

• unlimited ways to deliver stimulation
• 16 independent current sources
• low-profile design
• removable magnet
• industry's highest case impact resistance- up to 6 Joules
• industry's fastest stimulation rates
• Reliability you can count on with 99.83% CSR at 1 yr

14

System Reliability

Naída CI guaranteed water resistant by design
Neptune guaranteed water proof
internal reliability meets or surpasses industry standard

Can count on hearing everyday, all day without having to worry if their sound processor will live up to their lifestyle

15

Naída CI Q70 compared to Harmony
(size and aesthetics)

40% smaller
- smaller in size, but not in performance
- as thin as industry-leading power HA

Up to 55% performance improvement
- ClearVoice, UltraZoom, ZoomControl

100% wireless connectivity
- DuoPhone, QuickSync, AB myPilot, ComPilot, RemoteMic, TVLink

16

Naída CI Q70 Color Options

Naída CI and UHP: 12 color options

Button color: white, gray, or black (based on selected color of sound processor)

17

UHP cable
colors and sizes

Cable colors:
- black
- white
- beige
- brown

5 Lengths:
- 3.5"
- 4.25"
- 5.5"
- 9.5"
- 12"

18

Ear hook sizes

• Small (typically for peds)
• Standard (most adults)

Each Naída CI comes with standard ear hook (both small and standard sizes) and T-Mic2

Can put ear mold on ear hook if not wearing T-mic to keep in place for children.

19

T-Mic 2 sizes

large- adult men
medium- women and teens
small- children

Each Naída CI comes with standard ear hook (both small and standard sizes) and T-Mic2

20

T-Mic2

•Utilizes outer ear's natural sound-gathering capabilities (like normal hearing ears)

•wires conformable

•redesigned using Phonak in-the-ear receiver technology, making it smaller and more reliable

•Has additional mic saver component to protect the mic from dirt, dust, and debris

21

T-Mic2 Cover- how often to change

Change every 3-4 months

Recipients get several and clinics have extras

22

How to change the earhook

Need Pin removal tool
Don't need to push out all the way
If falls out, have small hole at end of pin to assist with replacing pin.
Clinics get pins free (if patients run out, have to pay...)

23

Power options for Naída CI Q70

3 rechargeable options (PowerCels)
- 110mah
- 170mah
- 230mah

2 disposable options
- Zinc air battery- 2CI 675 (comes with 2 inserts- one tamper-proof)
- AAA PowerPak- 3AAA

24

Naída CI Q70 Power Operating Times- Averages

110 PowerCel 12
170 PowerCel w/ FM 12
170 PowerCel w/o FM 18
230 PowerCel 25
2 Zinc-Air cartridge 31
AAA PowerPak 129

25

Zinc-Air Batteries

Last 3-4 weeks when not in use

2 small vent holes to create air channel

26

PowerCel Charger

PowerCel Batteries- take ~2-3 hrs. to fully charge depleted (varies slightly on type)

Recommended to use and recharge at least once every 3 months

Will decrease in capacity with age (normal for all rechargeable batteries)

27

Bilateral Sound Processor

up to 5 programs for left and up to 5 programs for right into 1 Naída CI Q70/90!

- Processor will read internal serial number and use that processor's programs

- If have stronger ear, always have the better ear hearing and a backup processor

- CAVEAT- no data logging

28

Naída CI Q70-

FM Access through Telecoil

Activate Telecoil in a program
- use in conjunction with looped room or Phonak myLink
- allows recipient to hear the speaker without the use of connecting wires

- access to bilateral/bimodal FM with universal myLink

- Attach FM receiver directly to ComPilot and activate telecom in FM program

29

Naída CI Q70- Internal Alarm Low Battery

Will begin to notify recipient ~45 minutes prior to depletion and will sound every 15 minutes
- On average, recipients will receive 3-4 alerts

30

Naída CI Q70- Listening Check

- Listen to mic inputs on a program by program basis or with AB myPilot listen to mic inputs independently
- Listen to internal alarms
- Utilizes the Naída CI PowerCel as the power source

31

Naída CI Q70- Microphone Modes

Omni-directional: single microphone technology focusing sound from all directions

UltraZoom: dual microphone technology focusing on sound from a speaker located in front of the listener

32

UltraZoom

- Zooms in on sound in front of listening, while noise from the sides and back is reduced

- "Miner's helmet" for focused listening

- 60˚ focus
- Adaptive beam former
- Unilateral or Bilateral feature
- A Phonak microphone technology
- Mic Sources need to be Processor Mic

33

UltraZoom without ClearVoice Benefit-

Study Results

Benefits listening with 4dB improvement

--> 36% improvement in speech understanding in noise

34

UltraZoom with ClearVoice-

Study Results

6.1dB improvement

--> 55% improvement in speech understanding in noise

35

Binaural VoiceStream Technology

DuoPhone
ZoomControl
QuickSync
DirectTouch

For Bilateral Naída CI recipients

36

DuoPhone

Effortlessly stream phone calls to both ears
Dampens signal on receiving ear by 6dB

- Hear phone conversations in both ears simultaneously!

37

ZoomControl

Focus on sound coming from L or R (and F and B)
For L and R, dampens signal on receiving ear by 12 dB

- When listens can't face speaker (driving in a car, treadmill, airplane, etc.)

38

ClearVoice and ZoomControl

Study Results

2.4 dB improvement

--> 22% improvement in speech understanding in noise

39

QuickSync

No one else has this
Simultaneously change programs or volume on both sound processors with 1 touch for balanced hearing all the time

Easy, instant adjustments to volume and program settings on 2 Naída CIs

40

DirectTouch

Provides recipient ability to select side to zoom listening to or ear to stream phone calls to

- Choose hearing direction for ZoomControl and DuoPhone

41

Neptune- T-Comm

Benefits

- Improved hearing in noise and localization
- Ease of use with telephone, headphones, and Bluetooth receivers
- T-Coil option
- Small and extremely lightweight

42

Neptune

Wearing Options

Freestyle

- In hair
- On arm
- Clipped to collar
- In pocket
- etc.

43

Neptune

Wearing Accessories

pouches, arm bands, swim caps (acoustically transparent), lanyards

44

Neptune-

Amount of Colors

Neptune Connect- 2 (white or black)

Color Caps- 10

45

Neptune- UHP vs. AquaMic

UHP-
- compatible with all AB sound processors
- designed for use during everyday activities with the exception of swimming and bathing

AquaMic-
- for use only with Neptune and AquaCase
- Designed for use during swimming and bathing
-IP68 rating

46

UHP-

Colors

15 color cap options

cables of various color and lengths

47

AquaMic-

Colors

4 color cap options

cables - black or white
6 lengths

48

How to tell the difference between UHP and AquaMic

Size: UHP is slightly thinner

Color: UHP underside is black; AquaMic underside is grey (grey is for water play)

Cable Connector: headpiece specific

49

2 Auxiliary inputs for Naída CI

Roger DM
Telecoil