Hi Res Bionic Ear System Flashcards
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
Sound Processing Evolution
CIS/MPS/SAS HiRes Fidelity 120 ClearVoice HiRes Optima
Industry Leading Innovations in Sound Processing
HiRes Optima/ Fidelity 120
ClearVoice
Binaural VoiceStream Technology
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
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.
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
HiFocus Mid-Scala Insertion Depth
- Consistent insertion depth
- Mean depth 422˚
- Suits all cochlea sizes
- pCovers low-frequency-receptive regions of spiral ganglion cells
HiFocus Mid-Scala electrode diameters
at 1st contact: 0.5mm
at 16th contact (last one in): 0.7mm
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
HiFocus Mid-Scala Overall
- Industry’s thinnest pre-curved array
- Optimal cochlear placement
- Focus stimulation
- Ideal platform for current tearing
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%
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)
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
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
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
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)
UHP cable
colors and sizes
Cable colors:
- black
- white
- beige
- brown
5 Lengths:
- 3.5”
- 4.25”
- 5.5”
- 9.5”
- 12”
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.
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
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
T-Mic2 Cover- how often to change
Change every 3-4 months
Recipients get several and clinics have extras
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…)
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
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
Zinc-Air Batteries
Last 3-4 weeks when not in use
2 small vent holes to create air channel
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)
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
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
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
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
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
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
UltraZoom without ClearVoice Benefit-
Study Results
Benefits listening with 4dB improvement
–> 36% improvement in speech understanding in noise
UltraZoom with ClearVoice-
Study Results
6.1dB improvement
–> 55% improvement in speech understanding in noise
Binaural VoiceStream Technology
DuoPhone
ZoomControl
QuickSync
DirectTouch
For Bilateral Naída CI recipients
DuoPhone
Effortlessly stream phone calls to both ears
Dampens signal on receiving ear by 6dB
- Hear phone conversations in both ears simultaneously!
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.)
ClearVoice and ZoomControl
Study Results
2.4 dB improvement
–> 22% improvement in speech understanding in noise
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
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
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
Neptune
Wearing Options
Freestyle
- In hair
- On arm
- Clipped to collar
- In pocket
- etc.
Neptune
Wearing Accessories
pouches, arm bands, swim caps (acoustically transparent), lanyards
Neptune-
Amount of Colors
Neptune Connect- 2 (white or black)
Color Caps- 10
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
UHP-
Colors
15 color cap options
cables of various color and lengths
AquaMic-
Colors
4 color cap options
cables - black or white
6 lengths
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
2 Auxiliary inputs for Naída CI
Roger DM
Telecoil
