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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

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