A complete gem - For professionals - Cochlear Americas
A complete gem - For professionals - Cochlear Americas
A complete gem - For professionals - Cochlear Americas
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A <strong>complete</strong> <strong>gem</strong><br />
Introducing the Programmable <strong>Cochlear</strong> Baha ® BP100 Sound Processor<br />
A BONE CONDUCTION HEARING SOLUTION<br />
FOR PROFESSIONALS
LAURA NORRmAN, 25<br />
Baha user,<br />
Gothenburg, Sweden<br />
Baha® redefined<br />
The new <strong>Cochlear</strong> Baha BP100 provides the latest technological sophistication for direct bone conduction<br />
designed specifically for people with conductive loss, mixed loss, and single-sided deafness.<br />
Clarity in Sound<br />
Ensuring a clean sound in changing environments<br />
• 12 channel sound analysis for better signal processing<br />
• Automatic multi-band directional microphones<br />
• Advanced noise reduction and automatic feedback<br />
mana<strong>gem</strong>ent systems for comfortable listening in noise<br />
BrillianCE in dESign<br />
From top to bottom, this sound processor has<br />
been redesigned<br />
• GORE-TEX® microphone covers for more water protection<br />
than ever before<br />
• Expanded color selection for more discretion<br />
• Microphone compensation algorithm for a more natural<br />
perception of sound<br />
• Skin-friendly titanium base<br />
SimpliCity in uSE<br />
<strong>For</strong> both clinician and user, this processor is simple to use<br />
• Three fitting options for clinicians<br />
• Ergonomic buttons for program and volume changes<br />
• Universal Europin connector for a variety of accessories<br />
• Automatic features for seamless listening in<br />
changing environments<br />
Performs better<br />
than Baha Divino ®<br />
In a recent clinical study,<br />
patients showed better hearing<br />
in noise using a Baha BP100. 1<br />
The average improvement<br />
was equivalent to about<br />
25% better performance than<br />
with their Baha Divino when<br />
listening binaurally. 1,2<br />
Baha audiologists, surgeons, and users told us what they wanted most and we reengineered every function and<br />
every component of our new generation of Baha sound processor. The <strong>Cochlear</strong> Baha BP100 is the crystal clear<br />
choice for patients with a conductive hearing loss, mixed hearing loss, or single-sided deafness. Inside and out, the<br />
rich and natural sound of the Baha just got better.<br />
2<br />
1 Davison, T. “Pediatric BAHA Experience” presented at the 13th British Academic Conference in Otolaryngology, July 8, 2009, Liverpool, UK<br />
2Wilson, et al., “An Evaluation of BKB-SIN, HINT, Quick SIN, and WIN Materials on Listeners with Normal Hearing and Listeners with<br />
Hearing Loss” JSLHR, Vol. 50, Aug. 2007; 844-856<br />
3
Creating clarity in sound<br />
A hearing instrument’s ability to<br />
provide clarity in sound depends on<br />
three key components.<br />
First, the hearing instrument needs to automatically adapt to the<br />
user’s sound environment and clean the input signal. Second, it<br />
should provide the optimal amplification strategy to match the<br />
individual’s hearing loss. And third, it must effectively deliver that<br />
clean, amplified sound to the cochlea.<br />
1<br />
Clean<br />
The Baha ® BP100 is the first direct bone conduction<br />
sound processor to include an advanced automatic signal<br />
processing system. It continuously monitors your patient’s acoustic<br />
environments and selects the optimal combination of settings, such as<br />
automatic directional microphones, microphone position compensation<br />
automatic noise reduction, acoustic shock protection, and active feedback<br />
cancellation which provide a cleaner signal. Your patient will benefit from a<br />
system that adjusts to meet their challenging listening needs.<br />
Need > Solution<br />
Clean signal<br />
in changing<br />
environments<br />
Automatic<br />
Signal Processing<br />
2<br />
Amplify<br />
People with conductive loss, mixed loss or SSD need<br />
amplification to match their hearing loss profile and the unique<br />
properties of bone conduction. The Baha BP100 is the only sound<br />
processor using dedicated amplification strategies for conductive loss, mixed<br />
loss and SSD, developed specifically for direct bone conduction hearing.<br />
match hearing loss<br />
and bone conduction<br />
properties<br />
Need > Solution<br />
<strong>Cochlear</strong> Baha Prescription<br />
(CBP) – Amplification<br />
strategies dedicated to<br />
conductive loss, mixed<br />
loss and SSD<br />
Deliver<br />
The Baha BP100 uses direct bone conduction to send<br />
sounds directly to the cochlea - taking advantage of your<br />
patient’s natural ability to hear by bone vibration. This bypasses the<br />
conductive roadblock and results in an optimal sound quality with less<br />
amplification and no need for uncomfortable earmolds. <strong>For</strong> SSD, the Baha<br />
BP100 transfers sound directly across the skull from the non-functioning to<br />
the healthy cochlea, thus overcoming the head shadow effect.<br />
4 5<br />
3<br />
Need > Solution<br />
Effective sound<br />
delivery method<br />
Direct bone<br />
conduction<br />
Directional microphones are the only sound-processing<br />
technology shown to enhance the signal-to-noise ratio<br />
1, 2, 3<br />
(SNR) for hearing impaired individuals.<br />
The Baha BP100 implements an automatic<br />
directionality system that seamlessly<br />
switches between omni-directional<br />
and directional mode.<br />
1 Bentler RA. Effectiveness of directional microphones and noise<br />
reduction schemes in hearing aids: a systematic review of the evidence.<br />
J Am Acad Audiol 2005;16:473-84.<br />
2 Walden BE, Surr RK, Cord MT. Real-world performance of directional<br />
microphone hearing aids. The Hearing Journal 2003;56:40-7.<br />
3 Kompis M, Krebs M, Hausler R. Speech understanding in quiet and in<br />
noise with the bone-anchored hearing aids Baha Compact and Baha<br />
Divino. Acta oto-laryngologica 2007;127:829-35
1<br />
2<br />
3<br />
Brilliance in design<br />
The Baha ® BP100’s new design meets the demands that active people and challenging environments place<br />
on hearing solutions.<br />
duraBility<br />
The Baha BP100 has a redesigned transducer for improved<br />
durability. GORE-TEX ® membranes cover the microphone<br />
ports, which is designed to reduce the amount of<br />
perspiration and dirt that enters the sound processor.<br />
uSEr-FriEndly<br />
Ergonomically-designed buttons and audible beeps for<br />
volume and program changes make the device easy to<br />
control. A low battery warning provides further information<br />
about the status of the sound processor.<br />
Soft black Piano black<br />
(High gloss)<br />
Chestnut brown Champagne blonde Slate grey Glacier white<br />
(High gloss)<br />
4<br />
5<br />
diSCrEEt<br />
There are more processor colors to choose from that are<br />
designed with discretion in mind. Also, easily change colors<br />
with a simple switch of the battery door.<br />
6 7<br />
1<br />
2<br />
univErSal dai<br />
Easily integrate FM systems<br />
and other accessories, such<br />
as Bluetooth adapters or MP3<br />
players using the standard<br />
Europin DAI connector.<br />
titanium<br />
The processor’s reverse side is<br />
made from titanium, a wellknown<br />
strong metal that is<br />
skin-friendly.<br />
Amplification<br />
in challenging<br />
environments<br />
Active adults place high demands on<br />
their hearing solutions. The Baha BP100’s<br />
GORE-TEX membranes cover the<br />
microphone ports and are designed to<br />
reduce the amount of perspiration and dirt<br />
that enters the sound processor. Silicon<br />
sealing and rubber lining are further design<br />
improvements intended to hinder dust<br />
and dirt from entering the case. The<br />
user interface buttons are seamlessly<br />
integrated with the sound processor<br />
housing, providing less openings in the<br />
case and thus reducing the pathways<br />
for moisture ingress. Your patients can<br />
now benefit from amplification even in<br />
challenging environments.<br />
3<br />
4<br />
viSual indiCatorS<br />
Two LEDs provide a visual<br />
indication of the processor’s<br />
status and settings.<br />
diSCrEEt<br />
Hair color matching available in<br />
six colors. The processor cover<br />
is harmonized with the user’s<br />
hair color to allow the hair to<br />
naturally conceal the processor.<br />
5<br />
EaSy to uSE<br />
Ergonomic design with a<br />
three-button user interface<br />
that enables quick volume<br />
adjustments and uncomplicated<br />
programming changes.
Simple to fit<br />
The <strong>Cochlear</strong> Baha® BP100 makes it easier to fit your<br />
patients with three different fitting methods. You select which<br />
method best suits your needs:<br />
Ready<br />
to wear<br />
ready to wear, the Baha BP100<br />
is preconfigured to meet the<br />
hearing loss profiles for many of<br />
your patients. Simply attach the<br />
processor and turn it on.<br />
Button<br />
programming<br />
Using the programming<br />
buttons, you can program<br />
the Baha BP100, which allows<br />
you to configure the basics<br />
without a computer. The three<br />
buttons allow you to set key<br />
parameters while the visual<br />
indicators (LEDs) confirm the<br />
new settings, letting you know<br />
when the processor is ready<br />
to use. You can designate<br />
the side for the device (left<br />
or right), which switches on<br />
the automatic directional<br />
microphone, adjust the gain,<br />
set the low-cut feature, or<br />
activate the LEDs.<br />
Fitting<br />
software<br />
The <strong>Cochlear</strong> Baha Fitting<br />
Software programs the<br />
Baha BP100 to match your<br />
patient’s hearing loss profile.<br />
This new Fitting Software is<br />
NOAH-compatible. Run it<br />
in stand-alone mode or use<br />
NOAH to import an audiogram<br />
and other data. Once you<br />
have <strong>complete</strong>d the initial<br />
fitting using the <strong>Cochlear</strong><br />
Baha Prescription method,<br />
apply the software’s advanced<br />
functionality to further<br />
individualize the Baha BP100 to<br />
your patient’s needs.<br />
Selection lets you configure the<br />
processor for use on the left or right<br />
side. This switches on the automatic<br />
adaptive directional microphone as<br />
well as the Position Compensation<br />
feature. Position Compensation helps<br />
equalize the perception of sounds in<br />
the front-to-back plane.<br />
BC direct, exclusive functionality to<br />
the <strong>Cochlear</strong> Baha Fitting Software,<br />
measures the patient’s bone conduction<br />
thresholds directly through the sound<br />
processor. This increases the likelihood<br />
that the Baha BP100 fitting is optimized<br />
to your patient’s hearing loss.<br />
NOAH 3 for Windows® 2000/XP Professional/Vista<br />
COCHLEAR BAHA FITTING SOFTWARE 1.0<br />
SELECTION BC DIRECT HEARING MENTOR<br />
Hearing mentor balances loudness,<br />
adjusts for better sound quality,<br />
equalizes the loudness of the patient’s<br />
own voice, and modifies the frequency<br />
response for listening in noise. And for<br />
future reference, Save Session allows<br />
you to generate a report showing the<br />
patient’s audiogram and data logging.<br />
8 9
Simple to use<br />
At work, in traffic or at home,<br />
the <strong>Cochlear</strong> Baha® BP100<br />
seamlessly adapts to your<br />
patient’s ever-changing<br />
sound environment,<br />
to help ensure optimal<br />
sound quality.<br />
9:05 pm Party<br />
Within a loud social event, the Baha BP100’s<br />
Automatic Directional System is designed<br />
to provide a better speech-in-noise ratio to<br />
help ensure that your patients will still hear<br />
a quiet conversation with a friend.<br />
7:25 am On the way to work<br />
Even on a noisy city street, the Baha BP100’s Noise<br />
Mana<strong>gem</strong>ent System makes listening more comfortable by<br />
reducing sudden, loud sounds, while helping your patients hear<br />
important sounds, in their environment.<br />
6:15 pm At home<br />
Babies’ soft giggles and loved ones whispering<br />
sweet nothings – Wide Dynamic Range<br />
Compression helps brings soft sounds to life.<br />
1:40 pm In a meeting<br />
Position Compensation is intended to help ensure<br />
equal audibility of sound from all directions, by<br />
applying a unique algorithm which helps restore<br />
the natural front-to-back balance which occurs in<br />
normal hearing.<br />
10 11
1<br />
KEYLOCK secures the<br />
program and volume<br />
controls to avoid accidental<br />
switch offs or surprising<br />
level changes.<br />
2<br />
VISUAL INDICATORS<br />
(LEDs) let parents verify<br />
processor status and<br />
settings. Flashing LEDs<br />
alert for low battery.<br />
Precious<br />
The <strong>Cochlear</strong> Baha® BP100 was developed with both children<br />
and parents in mind. It delivers better access to speech for<br />
children at all times.<br />
Clarity in Sound<br />
Speech is one of the most important sounds for young listeners and our programmable device with 12-channels<br />
of signal analysis is designed to provide an advantage for kids and parents.<br />
Extra SaFEty FEaturES<br />
Tamper-proof battery doors as well as a key-lock make sure little fingers cannot accidentally<br />
change the processor settings or get into trouble.<br />
Built Kid tougH<br />
The processor has been redesigned to meet the busy lives children lead. The universal Europin connector helps<br />
ensure connection to different inputs of a child’s life, from MP3 players to FM systems.<br />
parEntal ConFidEnCE<br />
LEDs allow parents and caregivers to know whether the processor is on and if the battery is good.<br />
3 The TAMPER-PROOF<br />
door keeps the battery<br />
from being accidentally<br />
dislodged or removed<br />
(optional feature).<br />
4<br />
The Baha® SAFETY LINE<br />
secures the processor to a<br />
shirt or jacket collar.<br />
12<br />
* The Baha implant is<br />
indicated for children<br />
aged five years and older. 13<br />
5<br />
The standard EUROPIN<br />
CONNECTOR integrates<br />
with FM solutions from<br />
leading suppliers.<br />
Pediatric benefits<br />
6<br />
BAHA SOFTBAND<br />
compatibility for infants<br />
and toddlers.*
The sparkling truth “The<br />
Worn by thousands of people worldwide, the <strong>Cochlear</strong> Baha® bone<br />
conduction hearing solution is a well-proven, clinically-tested and<br />
documented hearing care system and the solution of choice for many<br />
people with conductive loss, mixed loss, and SSD.<br />
PROCESSOR ABUTMENT IMPLANT<br />
The Baha bone conduction hearing solution has three<br />
components:<br />
1<br />
2<br />
3<br />
A sound PROCESSOR picks up sound vibrations.<br />
A connecting ABUTMENT transfers the amplified<br />
sound into mechanical vibrations from the Baha<br />
sound processor to the implant.<br />
A small titanium IMPLANT is placed in the<br />
bone behind the ear, where it grows together<br />
(osseointegrates) with the living bone.<br />
This implant transfers the sound vibrations<br />
directly to the cochlea via bone conduction.<br />
Osseointegration has been used for reconstructive<br />
surgery, dental implants and Baha with great<br />
success for more than 30 years.<br />
To receive a Baha, clients will need to be referred to a<br />
surgeon to place the implant. This procedure is typically<br />
performed in an outpatient setting, with no risk of<br />
further hearing loss. Most people can resume normal<br />
activity within a few days. Once the implant has<br />
osseointegrated, the client is fitted with the external<br />
Baha sound processor. Instructions for aftercare include<br />
keeping the implant area clean.<br />
dBHL<br />
dBHL<br />
-10<br />
0<br />
10<br />
20<br />
30<br />
40<br />
50<br />
60<br />
70<br />
80<br />
90<br />
100<br />
110<br />
120<br />
125<br />
BaHa Bp100 Fitting rangE<br />
Bone Conduction<br />
thresholds<br />
250 500 1000<br />
Frequency [Hz]<br />
2000<br />
Frequency [Hz]<br />
4000 8000<br />
Bone-conduction thresholds ≤ 45 dB HL<br />
averaged across 500, 1000, 2000, and 3000 Hz<br />
Air-conduction thresholds may extend into<br />
this area<br />
Baha BP100 is suitable for individuals with<br />
bone conduction thresholds within the<br />
red area indicated in the graph. <strong>For</strong> further<br />
details, see the Candidate Selection Guide.<br />
DANIEL, student<br />
“I can hear more sound with the Baha<br />
which has helped a lot with my piano<br />
playing. I can now hear soft sounds and<br />
lower frequency sounds much better<br />
and the quality is far superior to the bone<br />
conduction hearing aid I was wearing.”<br />
BP100 makes it effortless to hear at<br />
work. I often missed important information<br />
in meetings and felt out of touch because<br />
I couldn’t keep up with my co-worker’s<br />
conversations. Now, since I have no ‘bad side,’<br />
I’m able to be more active and involved in the<br />
discussions. And I never miss a joke!”<br />
ANNE-mARIE, customer service<br />
“To quite suddenly hear in stereo is<br />
an indescribable experience. I find<br />
it easier to communicate in large<br />
groups, I can hear my customers more<br />
clearly - and I can hear my baby too!”<br />
Brilliance<br />
speaks<br />
for itself<br />
“It is like being in a new world. I am able<br />
to follow conversations in noisy cafes and<br />
going to the theatre has become much<br />
more enjoyable.”<br />
KENNETH, teacher<br />
14 LAURA, sales<br />
15<br />
Contact details for Baha clinics can be found on www.cochlear.com or from your local <strong>Cochlear</strong> office.
This is <strong>Cochlear</strong>’s promise to you. As the global leader in hearing<br />
solutions, <strong>Cochlear</strong> is dedicated to bringing the gift of sound to<br />
people all over the world. With our hearing solutions, <strong>Cochlear</strong> has<br />
reconnected over 180,000 cochlear implant and Baha ® recipients to<br />
their families, friends and communities in more than 100 countries.<br />
Along with the industry’s largest investment in research and<br />
development, we continue to partner with leading international<br />
researchers and hearing <strong>professionals</strong>, ensuring that we are at the<br />
forefront in the science of hearing.<br />
<strong>For</strong> patients receiving any <strong>Cochlear</strong> hearing system, our commitment<br />
is that for the rest of your life we will be here to support you.<br />
As your patient’s partner in hearing for life, <strong>Cochlear</strong> believes it is important to convey<br />
not only the benefits, but also the potential risks associated with a Baha procedure.<br />
Not everyone with hearing loss is a candidate for a Baha. Baha is contraindicated in<br />
patients with inadequate bone quality or quantity to provide stability and support for<br />
the implant, or in patients who will be unable to maintain and clean the skin around<br />
the abutment. In the U.S., use of the implanted fixture is also contraindicated in children<br />
under age 5 years.<br />
All surgical procedures include an element of risk, and it is impossible to guarantee<br />
success. The device may fail to osseointegrate for a number of reasons, including<br />
physiological and surgical issues as well as traumatic impact to the implant site. On rare<br />
occasions the skin around the abutment may become inflamed from a mild infection or<br />
the skin may grow back towards its original thickness. <strong>For</strong> <strong>complete</strong> information regarding<br />
the risks and benefits of a Baha procedure, please refer to the instructions for use for the<br />
Baha implant available at www.cochlearamericas.com/Bahaindications<br />
www.cochlear.com<br />
<strong>Cochlear</strong> <strong>Americas</strong><br />
13059 East Peakview Avenue<br />
Centennial CO 80111<br />
USA<br />
Tel: 1 303 790 9010<br />
Fax: 1 303 792 9025<br />
<strong>Cochlear</strong> Canada Inc<br />
2500-120 Adelaide Street West<br />
Toronto, ON M5H 1T1<br />
Canada<br />
Tel: 1 416 972 5082<br />
Fax: 1 416 972 5083<br />
NOAH is a registered trademark of HIMSA A/S.<br />
Baha is a registered trademark of <strong>Cochlear</strong> Bone Anchored Solutions AB.<br />
<strong>Cochlear</strong> and the elliptical logo are trademarks of <strong>Cochlear</strong> Limited. © 2009 <strong>Cochlear</strong> Bone Anchored Solutions.<br />
E81524 ISS4 JAN10